A Study to Investigate Safety, Tolerability, and Pharmacokinetics of AZD7503 in Participants With Suspected NASH.

Sponsor
AstraZeneca (Industry)
Overall Status
Recruiting
CT.gov ID
NCT05864391
Collaborator
(none)
60
11
3
14.9
5.5
0.4

Study Details

Study Description

Brief Summary

The purpose of this study is to measure the safety, tolerability, and PK (measurement of drug activity in the body over time) of AZD7503 injected subcutaneously, and compared to placebo, in participants with suspected NASH, a type of liver disease.

Condition or Disease Intervention/Treatment Phase
Phase 1

Detailed Description

This is a Phase I, randomised, single-blind (in which the study centre staff including the Principal Investigator, remain blinded during the clinical conduct of a given cohort) placebo controlled, multiple ascending dose (MAD) study in male and female participants conducted at multiple centres.

Each participant is expected to be in the study for approximately 24 weeks, including a screening period of up to 4 weeks, a 12-week study intervention period, and a follow-up visit at week 18 (10 weeks following the final dose). Participants will be randomly assigned in a 3:1 ratio to receive AZD7503 or placebo. Study intervention will be administered via subcutaneous injection.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
60 participants
Allocation:
Randomized
Intervention Model:
Sequential Assignment
Intervention Model Description:
Each participant is expected to be in the study for approximately 24 weeks, including a screening period of up to 4 weeks, a 12-week study intervention period, and a follow-up visit at week 18 (10 weeks following the final dose). Participants will be randomly assigned in a 3:1 ratio to receive AZD7503 or placebo. Study intervention will be administered via subcutaneous injection.Each participant is expected to be in the study for approximately 24 weeks, including a screening period of up to 4 weeks, a 12-week study intervention period, and a follow-up visit at week 18 (10 weeks following the final dose). Participants will be randomly assigned in a 3:1 ratio to receive AZD7503 or placebo. Study intervention will be administered via subcutaneous injection.
Masking:
Triple (Participant, Care Provider, Investigator)
Masking Description:
This is a single-blind, randomised, placebo-controlled, MAD study with up to 3 study intervention cohorts that are participant- and investigator-blinded.
Primary Purpose:
Treatment
Official Title:
A Phase I Randomized Single-blind Placebo-controlled Study to Assess the Safety, Tolerability, and Pharmacokinetics of AZD7503 Following Multiple Ascending Dose Administration to Patients With Suspected Non-cirrhotic Non-alcoholic Steatohepatitis (NASH)
Actual Study Start Date :
Mar 31, 2023
Anticipated Primary Completion Date :
Jan 8, 2024
Anticipated Study Completion Date :
Jun 28, 2024

Arms and Interventions

Arm Intervention/Treatment
Other: Cohort 1

Dose A cohort: 20 participants; n=15 on AZD7503 dose A, n=5 on Placebo

Drug: AZD7503
Each participant is expected to be in the study for approximately 24 weeks, including a screening period of up to 28 days, a 12-week study intervention period, and a follow-up visit at week 18 (10 weeks following the final dose). Participants will be randomly assigned in a 3:1 ratio to receive AZD7503 or placebo. Study intervention will be administered via subcutaneous injection.

Other: Cohort 2

Dose B cohort: 20 participants; n=15 on AZD7503 dose B, n=5 on Placebo.

Drug: AZD7503
Each participant is expected to be in the study for approximately 24 weeks, including a screening period of up to 28 days, a 12-week study intervention period, and a follow-up visit at week 18 (10 weeks following the final dose). Participants will be randomly assigned in a 3:1 ratio to receive AZD7503 or placebo. Study intervention will be administered via subcutaneous injection.

Other: Cohort 3

Dose C cohort: 20 participants n=15 on AZD7503 dose C, n=5 on Placebo.

Drug: AZD7503
Each participant is expected to be in the study for approximately 24 weeks, including a screening period of up to 28 days, a 12-week study intervention period, and a follow-up visit at week 18 (10 weeks following the final dose). Participants will be randomly assigned in a 3:1 ratio to receive AZD7503 or placebo. Study intervention will be administered via subcutaneous injection.

Outcome Measures

Primary Outcome Measures

  1. Number of subjects with adverse events (AEs) [Up to and including week 19 (from pre-screening to follow-up visit)]

    AEs will be collected at all sites visits per SOA.

  2. Number of subjects with serious adverse events (SAEs) [Up to and including week 18 (from pre-screening to final visit).]

    SAEs will be reported and collected as they occur.

Secondary Outcome Measures

  1. Maximum observed plasma drug concentration (Cmax) [Day 1 to Day 127]

    PK parameters to be collected per the SOA.

  2. Area under the concentration-time curve from time 0 to infinity (AUCinf) for plasma PK [Day 1 to 127]

    PK parameters to be collected per the SOA.

  3. Area under the concentration-time curve over the dosing interval (AUCtau) for plasma PK [Time frame: Day 1 to 127]

    PK parameters to be collected per the SOA.

  4. Fraction of the dose excreted unchanged into the urine from time t1 to t2 (fe(t1-t2)) for urine PK [Day 1 and Day 57: Pre-dose and between 0-6 hours, 6-12 hours, 12-24 hours, 24-36 hours and 36-48 hours post-dose]

    PK parameters to be collected per the SOA.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 75 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No

Key Inclusion Criteria

  1. Biopsy-confirmed NASH diagnosis with CRN score of fibrosis stage of F1 to F3 within the previous 12 months prior to screening or history of fatty liver disease by imaging plus clinical suspicion of NASH based on history of type 2 DM for at least 5 years or overweight/obesity with BMI 25 to 40 kg/m^2 with 2 additional metabolic syndrome components.

  2. Males and females of non-child bearing potential.

  3. Willing to provide written informed consent and comply with study requirements.

Key Exclusion Criteria

  1. Evidence of any clinical important condition which in the investigator opinion makes it undesirable for the participant to participate in the study

  2. Any clinically significant illness, medical/surgical procedure, or trauma within 4 weeks of the first administration of study intervention

  3. History of liver transplant or presence or history of hepatic disease other than NASH or histological or imaging evidence of cirrhosis.

  4. Human immunodeficiency virus (HIV) infection, seropositive for Hepatitis B (HBV)virus, seropositive for Hepatitis C virus (HCV)

  5. History of excessive alcohol consumption

  6. Uncontrolled high blood pressure

  7. Any clinically important abnormalities in ECG

  8. Suspected history of illicit drug abuse

  9. Clinically important abnormalities in urine and blood laboratory results

  10. Changes in concomitant medication within 1 month of screening

  11. Received another investigational drug within 90 days of administration of study intervention in this study

  12. Has received any chemical entity or investigational drug targeting HSD17B13 (eg, ARO-HSD or ALN-HSD).

Contacts and Locations

Locations

Site City State Country Postal Code
1 Research Site Chandler Arizona United States 85224
2 Research Site Montclair California United States 91763
3 Research Site Hialeah Florida United States 33016
4 Research Site Port Orange Florida United States 32127
5 Research Site Atlanta Georgia United States 30349
6 Research Site Indianapolis Indiana United States 46202
7 Research Site Morehead City North Carolina United States 28557
8 Research Site Houston Texas United States 77079
9 Research Site San Antonio Texas United States 78215
10 Research Site San Antonio Texas United States 78229
11 Research Site San Juan Puerto Rico 00927

Sponsors and Collaborators

  • AstraZeneca

Investigators

  • Principal Investigator: Eric Lawitz, MD, American Research Corporation
  • Principal Investigator: William Sanchez, MD, Floridian Clinical Research
  • Principal Investigator: Linda Martinez, MD, Oracle Clinical Research
  • Principal Investigator: Niharika Samala, MD, Indiana University
  • Principal Investigator: Kathryn Lucas, MD, Lucas Research, Inc.
  • Principal Investigator: Anita Kohli, MD, The Institute for Liver Health dba Arizona Liver Health
  • Principal Investigator: Mazen Noureddin, MD, Houston Research Institute
  • Principal Investigator: Madhavi Rudraraju, MD, Pinnacle Clinical Research
  • Principal Investigator: Richard Mohammed, MD, Progressive Medical Research
  • Principal Investigator: Grisell Ortiz-Lasanta, MD, FDI Clinical Research
  • Principal Investigator: Rizwana Mohseni, MD, Catalina Research Institute, LLC

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
AstraZeneca
ClinicalTrials.gov Identifier:
NCT05864391
Other Study ID Numbers:
  • D9230C00002
First Posted:
May 18, 2023
Last Update Posted:
May 18, 2023
Last Verified:
May 1, 2023
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by AstraZeneca
Additional relevant MeSH terms:

Study Results

No Results Posted as of May 18, 2023