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A Phase I, Open-label Study to Assess Bioavailability of a Single Oral Dose of AZD9291 vs an IV Dose of [14C]AZD9291

A Phase I, Open-label, Single Dose, Single-Centre Study to Assess the Absolute Bioavailability of a Single Oral Dose of AZD9291 With Respect to an Intravenous Microdose of [14C]AZD9291 in Healthy Male Subjects

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02491944
Enrollment
27
Registered
2015-07-08
Start date
2015-07-31
Completion date
2015-08-31
Last updated
2016-10-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Oncology

Brief summary

The Sponsor is developing the study drug, AZD9291, for the potential treatment of nonsmall cell lung cancer. Lung cancer has been the most common cancer in the world for several decades and represents 12.8% of all new cancer cases in 2008. The purpose of this study is to see how much AZD9291 is taken up by the body when dosed by mouth (tablet) compared to when the study drug is dosed once by injection directly into the vein (intravenously). The dose given directly into the vein will be radiolabelled. This means that the test drug has a radioactive component which helps us to track where the drug is in the body. This allows us to detect the differences between the tablet and the intravenous dose. The study will be performed in 12 healthy male subjects aged 18-65 years. On Day 1, subjects will be dosed with a single oral dose of 80 milligrams AZD9291 tablet followed by 100 micrograms \[14C\] AZD9291 dosed as an intravenous microdose beginning 5 hours and 45 minutes after the oral dose has been administered. Subjects will remain in the study centre until after the 120 hour post-dose blood sample is obtained and will return to the clinic for further visits on Day 8, 10, 15 and 22 for pharmacokinetic and safety assessments.

Detailed description

The study is a Phase I, open label, single dose, single centre study performed in 12 healthy male subjects aged 18 to 65 years, inclusive. This study will assess the absolute bioavailability of AZD9291 and evaluate the PK parameters following a single oral dose of AZD9291 and a radiolabelled IV microdose of AZD9291 in healthy male subjects. Oral AZD9291and \[14C\] AZD9291 intravenous solution are referred to as the investigational products in this study. A screening visit (Visit 1) to assess the eligibility of the healthy male subjects will occur within 28 days of the administration of the investigational product. Screening assessments will include evaluation of opthalmological assessments, clinical chemistry, haematology, urinalysis, a physical examination, vital signs, 12-lead electrocardiograms (ECGs), medical and surgical history, screening for drugs of abuse, alcohol, hepatitis B and C, and HIV, and recording of concomitant medications and Adverse Events. Study related procedures will only be performed after signing of the Informed Consent Form. The healthy male subjects will be admitted to the study centre the day before administration of the investigational product (Day 1; Visit 2). On Day 1 (Visit 2), subjects will be dosed with a single oral dose of 80 mg AZD9291 tablet followed by 100 μg \[14C\] AZD9291 dosed as an IV microdose beginning 5 hours and 45 minutes after the oral dose has been administered. The IV microdose will be infused over 15 minutes and the end of the infusion will be co incidental with median oral tmax (ie, estimated tmax is 6 hours). The subjects will remain in the study centre until the 120 hour post dose PK blood sample is obtained. Ambulatory visits will occur on Days 8 (Visit 3), 10 (Visit 4), 15 (Visit 5) and 22 (Visit 6) for PK and safety assessments. A follow up visit (Visit 7) will occur 21 to 28 days after discharge (Days 27 - 34) from the study centre and will include routine safety assessments.

Interventions

Single oral dose of 80 mg AZD9291 tablet on Day 1 administered orally with 240 mL water following an overnight fast.

DRUG[14C]AZD9291

Each healthy male subject will also receive a single, radiolabeled, 100 μg dose of \[14C\] AZD9291 administered as an IV microdose infusion starting at 5 hours and 45 minutes after receiving the oral dose.

Sponsors

AstraZeneca
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
MALE
Age
18 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

1. Signed dated, written informed consent. 2. Healthy male aged 18 to 65 yrs with suitable veins for blood sampling 3. BMI: 19 and 32 kg/m2 inclusive, weight at least 50 kg and no more than 100 kg, inclusive. 4. At screening, calculated creatinine clearance ≥50 mL/min using Cockcroft Gault formula. 5. Willing to use defined methods of contraception 6. Willing and able to comply with study procedures, restrictions and requirements. 7. Provision of informed consent for genetic research. Declining genetic research will not exclude subjects from other aspects of study.

Exclusion criteria

1. Involvement in planning and/or conduct of study. 2. Subjects previously enrolled in this study. 3. History of clinically significant disease or disorder which, either puts subject at risk because of participation in study, or influences results or subject's ability to participate in study. 4. History or presence of condition known to interfere with ADME of drugs. 5. Any clinically significant abnormalities in physical examination, as judged by PI. 6. Acute illness, surgical procedures, or trauma from within 2 wks before screening until first admin of investigational product (IMP). 7. Subjects who have received live or live-attenuated vaccine in 2 wks prior to IMP admin. 8. Subjects with active malignancy or neoplastic disease in previous 12 mths. 9. A suspected/manifested infection according to IATA Categories A and B. 10. Positive screening tests for serum hepatitis B surface antigen, hepatitis C antibody, or HIV. 11. Any clinically important abnormalities in rhythm, conduction, or morphology of resting 12-lead ECG, QT interval \>470 ms. 12. Known or suspected history of significant drug abuse. 13. Positive screen for drugs of abuse or cotinine at screening or positive screen for alcohol, drugs of abuse, or cotinine on admission to centre prior to first admin of IMP. 14. History of alcohol abuse or excessive intake of alcohol, defined as regular weekly intake of more than 21 units of alcohol in men 15. History of severe allergy/hypersensitivity or ongoing allergy/hypersensitivity, as judged by PI, or history of hypersensitivity to AZD9291, its excipients, or drugs with a similar chemical structure or class. 16. Use of any prescribed or non-prescribed medication, including drugs during the 4 wks (or longer depending on the medication's half-life) prior to admin of AZD9291 is not permitted. Occasional use of paracetamol and adrenergic nasal spray for relief of nasal congestion is permitted at the discretion of the PI. Exceptions as agreed by PI and sponsor's medical monitor if do not interfere with aims of study. 17. Use of drugs with enzyme inducing properties such as St John's Wort within 4 wks prior to IMP administration. 18. Any intake of grapefruit, grapefruit juice, Seville oranges or products containing these fruit within 7 days of first admin of IMP. 19. Blood donation within 1 mth of screening or any blood donation/blood loss greater than 500 mL during 3 mths prior to screening. 20. Subjects who received another NCE or participated in any other clinical study (including methodology studies where no drugs were given) within 3 mths of first admin of IMP 21. Judgment by PI that subject should not participate in study if subject is considered unlikely to comply with study procedures, restrictions, and requirements. 22. Ongoing or planned inpatient surgery, dental procedure, or hospitalisation during study 23. Radiation exposure exceeding 5 mSv in last 12 mths or 10 mSv in last 5 yrs. 24. Admin of any amount of a \[14C\]-labelled compound within last 12 mths. 25. Used of nicotine products (including cigarettes) within previous 3 mths. 26. Judgment by PI that subject would not be able to understand or cooperate with requirements of study. 27. Previous bone marrow transplant 28. Blood transfusion within 120 days of genetic sample collection

Design outcomes

Primary

MeasureTime frameDescription
Absolute Oral BioavailabilitySamples taken at pre-dose, 1, 2, 3, 4, 5:45, 5:52, 6, 6:05, 6:10, 6:20, 6:25, 6:30, 7, 8, 9, 10, 12, 14, 16, 18, 24, 30, 48, 72, 120, 168, 216, 336 and 504 hours relative to the oral dose.Absolute bioavailability of AZD9291 will be calculated from area under the plasma concentration versus time curve (AUC) of the oral dose of AZD9291 / AUC of the IV dose of \[14C\]AZD9291 x IV dose/Oral dose x 100

Secondary

MeasureTime frameDescription
AUC for AZD9291 and it's Metabolites AZ5104 and AZ7550Samples taken at pre-dose, 1, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 120, 168, 216, 336 and 504 hours post-dose.Pharmacokinetic (PK) profile of the oral dose of AZD9291 in terms of Area under the plasma concentration - time curve (AUC) from zero to infinity for AZD9291 and it's metabolites AZ5104 and AZ7550.
AUC(0-24) for AZD9291 and it's Metabolites AZ5104 and AZ7550Samples taken at pre-dose, 1, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 120, 168, 216, 336 and 504 hours post-dose.Pharmacokinetic (PK) profile of the oral dose of AZD9291 in terms of Area under the plasma concentration - time curve (AUC) from time zero to 24 hours (AUC 0-24) for AZD9291 and it's metabolites AZ5104 and AZ7550.
AUC(0-120) for AZD9291 and it's Metabolites AZ5104 and AZ7550Samples taken at pre-dose, 1, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 120, 168, 216, 336 and 504 hours post-dose.Pharmacokinetic (PK) profile of the oral dose of AZD9291 in terms of Area under the plasma concentration - time curve (AUC) from time zero to 120 hours (AUC 0-120) for AZD9291 and it's metabolites AZ5104 and AZ7550.
AUC(0-t) for AZD9291 and it's Metabolites AZ5104 and AZ7550Samples taken at pre-dose, 1, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 120, 168, 216, 336 and 504 hours post-dose.Pharmacokinetic (PK) profile of the oral dose of AZD9291 in terms of Area under the plasma concentration - time curve (AUC) from time zero to the last quantifiable concentration (AUC 0-t) for AZD9291 and it's metabolites AZ5104 and AZ7550.
Cmax for AZD9291 and it's Metabolites AZ5104 and AZ7550Samples taken at pre-dose, 1, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 120, 168, 216, 336 and 504 hours post-dose.PK profile of the oral dose of AZD9291 in terms of the maximum observed plasma concentration (Cmax) for AZD9291 and it's metabolites AZ5104 and AZ7550.
Tmax for AZD9291 and it's Metabolites AZ5104 and AZ7550Samples taken at pre-dose, 1, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 120, 168, 216, 336 and 504 hours post-dose.PK profile of the oral dose of AZD9291 in terms of the time to maximum observed plasma concentration (Tmax) for AZD9291 and it's metabolites AZ5104 and AZ7550.
t1/2,λz for AZD9291 and it's Metabolites AZ5104 and AZ7550Samples taken at pre-dose, 1, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 120, 168, 216, 336 and 504 hours post-dose.PK profile of the oral dose of AZD9291 in terms of the elimination half life (t1/2,λz) for AZD9291 and it's metabolites AZ5104 and AZ7550.
CL/F for AZD9291Samples taken at pre-dose, 1, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 120, 168, 216, 336 and 504 hours post-dose.PK profile of the oral dose of AZD9291 in terms of apparent total body clearance of drug from plasma after extravascular administration(CL/F) for AZD9291.
AUC for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550Samples taken pre-dose, during the infusion, immediately at the end of infusion and then at 5, 10, 20, 25 and 30 minutes and 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 42, 66, 114, 162, 210, 330 and 498 hours after the end of the infusion.Pharmacokinetic (PK) profile of the IV dose of AZD9291 in terms of Area under the plasma concentration - time curve (AUC) from zero to infinity for \[14C\]AZD9291 and it's metabolites \[14C\]AZ5104 and \[14C\]AZ7550.
AUC(0-24) for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550Samples taken pre-dose, during the infusion, immediately at the end of infusion and then at 5, 10, 20, 25 and 30 minutes and 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 42, 66, 114, 162, 210, 330 and 498 hours after the end of the infusion.Pharmacokinetic (PK) profile of the IV dose of AZD9291 in terms of Area under the plasma concentration - time curve (AUC) from time zero to 24 hours (AUC 0-24) for \[14C\]AZD9291 and it's metabolites \[14C\]AZ5104 and \[14C\]AZ7550.
AUC(0-120) for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550Samples taken pre-dose, during the infusion, immediately at the end of infusion and then at 5, 10, 20, 25 and 30 minutes and 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 42, 66, 114, 162, 210, 330 and 498 hours after the end of the infusion.Pharmacokinetic (PK) profile of the IV dose of AZD9291 in terms of Area under the plasma concentration - time curve (AUC) from time zero to 120 hours (AUC 0-120) for \[14C\]AZD9291 and it's metabolites \[14C\]AZ5104 and \[14C\]AZ7550.
AUC(0-t) for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550Samples taken pre-dose, during the infusion, immediately at the end of infusion and then at 5, 10, 20, 25 and 30 minutes and 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 42, 66, 114, 162, 210, 330 and 498 hours after the end of the infusion.Pharmacokinetic (PK) profile of the IV dose of AZD9291 in terms of Area under the plasma concentration - time curve (AUC) from time zero to the last quantifiable concentration (AUC 0-t) for \[14C\]AZD9291 and it's metabolites \[14C\]AZ5104 and \[14C\]AZ7550.
Cmax for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550Samples taken pre-dose, during the infusion, immediately at the end of infusion and then at 5, 10, 20, 25 and 30 minutes and 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 42, 66, 114, 162, 210, 330 and 498 hours after the end of the infusion.Pharmacokinetic (PK) profile of the IV dose of AZD9291 in terms of the maximum observed plasma concentration (Cmax) for \[14C\]AZD9291 and it's metabolites \[14C\]AZ5104 and \[14C\]AZ7550.
Tmax for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550Samples taken pre-dose, during the infusion, immediately at the end of infusion and then at 5, 10, 20, 25 and 30 minutes and 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 42, 66, 114, 162, 210, 330 and 498 hours after the end of the infusion.Pharmacokinetic (PK) profile of the IV dose of AZD9291 in terms of the the time to maximum observed plasma concentration (Tmax) for \[14C\]AZD9291 and it's metabolites \[14C\]AZ5104 and \[14C\]AZ7550.
t1/2,λz for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550Samples taken pre-dose, during the infusion, immediately at the end of infusion and then at 5, 10, 20, 25 and 30 minutes and 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 42, 66, 114, 162, 210, 330 and 498 hours after the end of the infusion.Pharmacokinetic (PK) profile of the IV dose of AZD9291 in terms of the elimination half life (t1/2,λz) for \[14C\]AZD9291 and it's metabolites \[14C\]AZ5104 and \[14C\]AZ7550.
CL for [14C]AZD9291Samples taken pre-dose, during the infusion, immediately at the end of infusion and then at 5, 10, 20, 25 and 30 minutes and 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 42, 66, 114, 162, 210, 330 and 498 hours after the end of the infusion.Pharmacokinetic (PK) profile of the IV dose of AZD9291 in terms of total body clearance of drug from plasma after intravascular administration (CL) for \[14C\]AZD9291.

Countries

United Kingdom

Participant flow

Recruitment details

First subject enrolled: 10 July 2015; Last subject last visit: 26 August 2015. This study was conducted in a single study centre in the UK.

Pre-assignment details

27 subjects were enrolled (signed informed consent). Subjects were assigned to treatment if they met all the inclusion and none of the exclusion criteria. 17 subjects were enrolled but failed inclusion/exclusion criteria and so were not eligible to be assigned treatment. The remaining 10 subjects received treatment.

Participants by arm

ArmCount
AZD9291 and [14C]AZD9291
Single oral dose of 80 mg AZD9291 tablet on Day 1 and a single, radiolabeled, 100 μg dose of \[14C\] AZD9291 administered as an IV microdose infusion starting at 5 hours and 45 minutes after receiving the oral dose.
10
Total10

Baseline characteristics

CharacteristicAZD9291 and [14C]AZD9291
Age, Continuous34.8 Years
STANDARD_DEVIATION 13.29
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
3 Participants
Race (NIH/OMB)
Black or African American
0 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
7 Participants
Sex: Female, Male
Female
0 Participants
Sex: Female, Male
Male
10 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
2 / 10
serious
Total, serious adverse events
0 / 10

Outcome results

Primary

Absolute Oral Bioavailability

Absolute bioavailability of AZD9291 will be calculated from area under the plasma concentration versus time curve (AUC) of the oral dose of AZD9291 / AUC of the IV dose of \[14C\]AZD9291 x IV dose/Oral dose x 100

Time frame: Samples taken at pre-dose, 1, 2, 3, 4, 5:45, 5:52, 6, 6:05, 6:10, 6:20, 6:25, 6:30, 7, 8, 9, 10, 12, 14, 16, 18, 24, 30, 48, 72, 120, 168, 216, 336 and 504 hours relative to the oral dose.

Population: PK analysis set included all healthy male subjects who received at least 1 dose of AZD9291 and have at least 1 post-dose PK measurement without important protocol deviations/violations or events thought to significantly affect the PK of AZD9291.

ArmMeasureValue (GEOMETRIC_MEAN)
AZD9291 and [14C]AZD9291Absolute Oral Bioavailability69.75 Percentage
Secondary

AUC(0-120) for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550

Pharmacokinetic (PK) profile of the IV dose of AZD9291 in terms of Area under the plasma concentration - time curve (AUC) from time zero to 120 hours (AUC 0-120) for \[14C\]AZD9291 and it's metabolites \[14C\]AZ5104 and \[14C\]AZ7550.

Time frame: Samples taken pre-dose, during the infusion, immediately at the end of infusion and then at 5, 10, 20, 25 and 30 minutes and 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 42, 66, 114, 162, 210, 330 and 498 hours after the end of the infusion.

Population: PK analysis set included all healthy male subjects who received at least 1 dose of AZD9291 and have at least 1 post-dose PK measurement without important protocol deviations/violations or events thought to significantly affect the PK of AZD9291.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AZD9291 and [14C]AZD9291AUC(0-120) for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550[14C]AZD92919.551 nM*eq*hGeometric Coefficient of Variation 22.1
AZD9291 and [14C]AZD9291AUC(0-120) for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550[14C]AZ51040.7450 nM*eq*hGeometric Coefficient of Variation 34.4
AZD9291 and [14C]AZD9291AUC(0-120) for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550[14C]AZ75500.5292 nM*eq*hGeometric Coefficient of Variation 28.9
Secondary

AUC(0-120) for AZD9291 and it's Metabolites AZ5104 and AZ7550

Pharmacokinetic (PK) profile of the oral dose of AZD9291 in terms of Area under the plasma concentration - time curve (AUC) from time zero to 120 hours (AUC 0-120) for AZD9291 and it's metabolites AZ5104 and AZ7550.

Time frame: Samples taken at pre-dose, 1, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 120, 168, 216, 336 and 504 hours post-dose.

Population: PK analysis set included all healthy male subjects who received at least 1 dose of AZD9291 and have at least 1 post-dose PK measurement without important protocol deviations/violations or events thought to significantly affect the PK of AZD9291.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AZD9291 and [14C]AZD9291AUC(0-120) for AZD9291 and it's Metabolites AZ5104 and AZ7550AZ7550361.8 nM*hGeometric Coefficient of Variation 28.8
AZD9291 and [14C]AZD9291AUC(0-120) for AZD9291 and it's Metabolites AZ5104 and AZ7550AZD92915545 nM*hGeometric Coefficient of Variation 25.3
AZD9291 and [14C]AZD9291AUC(0-120) for AZD9291 and it's Metabolites AZ5104 and AZ7550AZ5104512.9 nM*hGeometric Coefficient of Variation 37.2
Secondary

AUC(0-24) for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550

Pharmacokinetic (PK) profile of the IV dose of AZD9291 in terms of Area under the plasma concentration - time curve (AUC) from time zero to 24 hours (AUC 0-24) for \[14C\]AZD9291 and it's metabolites \[14C\]AZ5104 and \[14C\]AZ7550.

Time frame: Samples taken pre-dose, during the infusion, immediately at the end of infusion and then at 5, 10, 20, 25 and 30 minutes and 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 42, 66, 114, 162, 210, 330 and 498 hours after the end of the infusion.

Population: PK analysis set included all healthy male subjects who received at least 1 dose of AZD9291 and have at least 1 post-dose PK measurement without important protocol deviations/violations or events thought to significantly affect the PK of AZD9291.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AZD9291 and [14C]AZD9291AUC(0-24) for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550[14C]AZD92913.463 nM*eq*hGeometric Coefficient of Variation 21.6
AZD9291 and [14C]AZD9291AUC(0-24) for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550[14C]AZ51040.1172 nM*eq*hGeometric Coefficient of Variation 36.1
AZD9291 and [14C]AZD9291AUC(0-24) for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550[14C]AZ75500.08919 nM*eq*hGeometric Coefficient of Variation 28.5
Secondary

AUC(0-24) for AZD9291 and it's Metabolites AZ5104 and AZ7550

Pharmacokinetic (PK) profile of the oral dose of AZD9291 in terms of Area under the plasma concentration - time curve (AUC) from time zero to 24 hours (AUC 0-24) for AZD9291 and it's metabolites AZ5104 and AZ7550.

Time frame: Samples taken at pre-dose, 1, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 120, 168, 216, 336 and 504 hours post-dose.

Population: PK analysis set included all healthy male subjects who received at least 1 dose of AZD9291 and have at least 1 post-dose PK measurement without important protocol deviations/violations or events thought to significantly affect the PK of AZD9291.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AZD9291 and [14C]AZD9291AUC(0-24) for AZD9291 and it's Metabolites AZ5104 and AZ7550AZD92911963 nM*hGeometric Coefficient of Variation 26.6
AZD9291 and [14C]AZD9291AUC(0-24) for AZD9291 and it's Metabolites AZ5104 and AZ7550AZ5104113.7 nM*hGeometric Coefficient of Variation 40.1
AZD9291 and [14C]AZD9291AUC(0-24) for AZD9291 and it's Metabolites AZ5104 and AZ7550AZ755075.38 nM*hGeometric Coefficient of Variation 33.8
Secondary

AUC(0-t) for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550

Pharmacokinetic (PK) profile of the IV dose of AZD9291 in terms of Area under the plasma concentration - time curve (AUC) from time zero to the last quantifiable concentration (AUC 0-t) for \[14C\]AZD9291 and it's metabolites \[14C\]AZ5104 and \[14C\]AZ7550.

Time frame: Samples taken pre-dose, during the infusion, immediately at the end of infusion and then at 5, 10, 20, 25 and 30 minutes and 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 42, 66, 114, 162, 210, 330 and 498 hours after the end of the infusion.

Population: PK analysis set included all healthy male subjects who received at least 1 dose of AZD9291 and have at least 1 post-dose PK measurement without important protocol deviations/violations or events thought to significantly affect the PK of AZD9291.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AZD9291 and [14C]AZD9291AUC(0-t) for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550[14C]AZD929111.64 nM*eq*hGeometric Coefficient of Variation 25.7
AZD9291 and [14C]AZD9291AUC(0-t) for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550[14C]AZ51040.8802 nM*eq*hGeometric Coefficient of Variation 44.2
AZD9291 and [14C]AZD9291AUC(0-t) for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550[14C]AZ75500.6899 nM*eq*hGeometric Coefficient of Variation 38.1
Secondary

AUC(0-t) for AZD9291 and it's Metabolites AZ5104 and AZ7550

Pharmacokinetic (PK) profile of the oral dose of AZD9291 in terms of Area under the plasma concentration - time curve (AUC) from time zero to the last quantifiable concentration (AUC 0-t) for AZD9291 and it's metabolites AZ5104 and AZ7550.

Time frame: Samples taken at pre-dose, 1, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 120, 168, 216, 336 and 504 hours post-dose.

Population: PK analysis set included all healthy male subjects who received at least 1 dose of AZD9291 and have at least 1 post-dose PK measurement without important protocol deviations/violations or events thought to significantly affect the PK of AZD9291.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AZD9291 and [14C]AZD9291AUC(0-t) for AZD9291 and it's Metabolites AZ5104 and AZ7550AZD92916770 nM*hGeometric Coefficient of Variation 27.6
AZD9291 and [14C]AZD9291AUC(0-t) for AZD9291 and it's Metabolites AZ5104 and AZ7550AZ5104684.4 nM*hGeometric Coefficient of Variation 37.6
AZD9291 and [14C]AZD9291AUC(0-t) for AZD9291 and it's Metabolites AZ5104 and AZ7550AZ7550591.2 nM*hGeometric Coefficient of Variation 29
Secondary

AUC for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550

Pharmacokinetic (PK) profile of the IV dose of AZD9291 in terms of Area under the plasma concentration - time curve (AUC) from zero to infinity for \[14C\]AZD9291 and it's metabolites \[14C\]AZ5104 and \[14C\]AZ7550.

Time frame: Samples taken pre-dose, during the infusion, immediately at the end of infusion and then at 5, 10, 20, 25 and 30 minutes and 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 42, 66, 114, 162, 210, 330 and 498 hours after the end of the infusion.

Population: PK analysis set included all healthy male subjects who received at least 1 dose of AZD9291 and have at least 1 post-dose PK measurement without important protocol deviations/violations or events thought to significantly affect the PK of AZD9291.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AZD9291 and [14C]AZD9291AUC for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550[14C]AZD929112.12 nM*eq*hGeometric Coefficient of Variation 22.8
AZD9291 and [14C]AZD9291AUC for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550[14C]AZ51041.247 nM*eq*hGeometric Coefficient of Variation 26.8
AZD9291 and [14C]AZD9291AUC for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550[14C]AZ75501.177 nM*eq*hGeometric Coefficient of Variation 19.9
Secondary

AUC for AZD9291 and it's Metabolites AZ5104 and AZ7550

Pharmacokinetic (PK) profile of the oral dose of AZD9291 in terms of Area under the plasma concentration - time curve (AUC) from zero to infinity for AZD9291 and it's metabolites AZ5104 and AZ7550.

Time frame: Samples taken at pre-dose, 1, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 120, 168, 216, 336 and 504 hours post-dose.

Population: PK analysis set included all healthy male subjects who received at least 1 dose of AZD9291 and have at least 1 post-dose PK measurement without important protocol deviations/violations or events thought to significantly affect the PK of AZD9291.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AZD9291 and [14C]AZD9291AUC for AZD9291 and it's Metabolites AZ5104 and AZ7550AZD92916791 nM*hGeometric Coefficient of Variation 27.6
AZD9291 and [14C]AZD9291AUC for AZD9291 and it's Metabolites AZ5104 and AZ7550AZ5104694.5 nM*hGeometric Coefficient of Variation 37.6
AZD9291 and [14C]AZD9291AUC for AZD9291 and it's Metabolites AZ5104 and AZ7550AZ7550602.5 nM*hGeometric Coefficient of Variation 28.6
Secondary

CL/F for AZD9291

PK profile of the oral dose of AZD9291 in terms of apparent total body clearance of drug from plasma after extravascular administration(CL/F) for AZD9291.

Time frame: Samples taken at pre-dose, 1, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 120, 168, 216, 336 and 504 hours post-dose.

Population: PK analysis set included all healthy male subjects who received at least 1 dose of AZD9291 and have at least 1 post-dose PK measurement without important protocol deviations/violations or events thought to significantly affect the PK of AZD9291.

ArmMeasureValue (MEAN)Dispersion
AZD9291 and [14C]AZD9291CL/F for AZD929124.40 L/hStandard Deviation 6.979
Secondary

CL for [14C]AZD9291

Pharmacokinetic (PK) profile of the IV dose of AZD9291 in terms of total body clearance of drug from plasma after intravascular administration (CL) for \[14C\]AZD9291.

Time frame: Samples taken pre-dose, during the infusion, immediately at the end of infusion and then at 5, 10, 20, 25 and 30 minutes and 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 42, 66, 114, 162, 210, 330 and 498 hours after the end of the infusion.

Population: PK analysis set included all healthy male subjects who received at least 1 dose of AZD9291 and have at least 1 post-dose PK measurement without important protocol deviations/violations or events thought to significantly affect the PK of AZD9291.

ArmMeasureValue (MEAN)Dispersion
AZD9291 and [14C]AZD9291CL for [14C]AZD929116.84 L/hStandard Deviation 3.941
Secondary

Cmax for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550

Pharmacokinetic (PK) profile of the IV dose of AZD9291 in terms of the maximum observed plasma concentration (Cmax) for \[14C\]AZD9291 and it's metabolites \[14C\]AZ5104 and \[14C\]AZ7550.

Time frame: Samples taken pre-dose, during the infusion, immediately at the end of infusion and then at 5, 10, 20, 25 and 30 minutes and 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 42, 66, 114, 162, 210, 330 and 498 hours after the end of the infusion.

Population: PK analysis set included all healthy male subjects who received at least 1 dose of AZD9291 and have at least 1 post-dose PK measurement without important protocol deviations/violations or events thought to significantly affect the PK of AZD9291.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AZD9291 and [14C]AZD9291Cmax for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550[14C]AZD92910.5762 nM*eqGeometric Coefficient of Variation 68.6
AZD9291 and [14C]AZD9291Cmax for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550[14C]AZ51040.008309 nM*eqGeometric Coefficient of Variation 36.1
AZD9291 and [14C]AZD9291Cmax for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550[14C]AZ75500.005751 nM*eqGeometric Coefficient of Variation 34.2
Secondary

Cmax for AZD9291 and it's Metabolites AZ5104 and AZ7550

PK profile of the oral dose of AZD9291 in terms of the maximum observed plasma concentration (Cmax) for AZD9291 and it's metabolites AZ5104 and AZ7550.

Time frame: Samples taken at pre-dose, 1, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 120, 168, 216, 336 and 504 hours post-dose.

Population: PK analysis set included all healthy male subjects who received at least 1 dose of AZD9291 and have at least 1 post-dose PK measurement without important protocol deviations/violations or events thought to significantly affect the PK of AZD9291.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AZD9291 and [14C]AZD9291Cmax for AZD9291 and it's Metabolites AZ5104 and AZ7550AZD9291118.0 nMGeometric Coefficient of Variation 28.1
AZD9291 and [14C]AZD9291Cmax for AZD9291 and it's Metabolites AZ5104 and AZ7550AZ51046.187 nMGeometric Coefficient of Variation 38
AZD9291 and [14C]AZD9291Cmax for AZD9291 and it's Metabolites AZ5104 and AZ7550AZ75504.302 nMGeometric Coefficient of Variation 34.3
Secondary

t1/2,λz for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550

Pharmacokinetic (PK) profile of the IV dose of AZD9291 in terms of the elimination half life (t1/2,λz) for \[14C\]AZD9291 and it's metabolites \[14C\]AZ5104 and \[14C\]AZ7550.

Time frame: Samples taken pre-dose, during the infusion, immediately at the end of infusion and then at 5, 10, 20, 25 and 30 minutes and 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 42, 66, 114, 162, 210, 330 and 498 hours after the end of the infusion.

Population: PK analysis set included all healthy male subjects who received at least 1 dose of AZD9291 and have at least 1 post-dose PK measurement without important protocol deviations/violations or events thought to significantly affect the PK of AZD9291.

ArmMeasureGroupValue (MEAN)Dispersion
AZD9291 and [14C]AZD9291t1/2,λz for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550[14C]AZD929154.93 hoursStandard Deviation 9.032
AZD9291 and [14C]AZD9291t1/2,λz for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550[14C]AZ510468.35 hoursStandard Deviation 15.73
AZD9291 and [14C]AZD9291t1/2,λz for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550[14C]AZ755099.69 hoursStandard Deviation 29.33
Secondary

t1/2,λz for AZD9291 and it's Metabolites AZ5104 and AZ7550

PK profile of the oral dose of AZD9291 in terms of the elimination half life (t1/2,λz) for AZD9291 and it's metabolites AZ5104 and AZ7550.

Time frame: Samples taken at pre-dose, 1, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 120, 168, 216, 336 and 504 hours post-dose.

Population: PK analysis set included all healthy male subjects who received at least 1 dose of AZD9291 and have at least 1 post-dose PK measurement without important protocol deviations/violations or events thought to significantly affect the PK of AZD9291.

ArmMeasureGroupValue (MEAN)Dispersion
AZD9291 and [14C]AZD9291t1/2,λz for AZD9291 and it's Metabolites AZ5104 and AZ7550AZD929159.72 hoursStandard Deviation 4.257
AZD9291 and [14C]AZD9291t1/2,λz for AZD9291 and it's Metabolites AZ5104 and AZ7550AZ510452.59 hoursStandard Deviation 7.355
AZD9291 and [14C]AZD9291t1/2,λz for AZD9291 and it's Metabolites AZ5104 and AZ7550AZ755072.58 hoursStandard Deviation 11.86
Secondary

Tmax for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550

Pharmacokinetic (PK) profile of the IV dose of AZD9291 in terms of the the time to maximum observed plasma concentration (Tmax) for \[14C\]AZD9291 and it's metabolites \[14C\]AZ5104 and \[14C\]AZ7550.

Time frame: Samples taken pre-dose, during the infusion, immediately at the end of infusion and then at 5, 10, 20, 25 and 30 minutes and 1, 2, 3, 4, 6, 8, 10, 12, 18, 24, 42, 66, 114, 162, 210, 330 and 498 hours after the end of the infusion.

Population: PK analysis set included all healthy male subjects who received at least 1 dose of AZD9291 and have at least 1 post-dose PK measurement without important protocol deviations/violations or events thought to significantly affect the PK of AZD9291.

ArmMeasureGroupValue (MEDIAN)Dispersion
AZD9291 and [14C]AZD9291Tmax for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550[14C]AZD92910.25 hoursFull Range 68.6
AZD9291 and [14C]AZD9291Tmax for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550[14C]AZ510442.25 hoursFull Range 36.1
AZD9291 and [14C]AZD9291Tmax for [14C]AZD9291 and it's Metabolites [14C]AZ5104 and [14C]AZ7550[14C]AZ755033.27 hoursFull Range 34.2
Secondary

Tmax for AZD9291 and it's Metabolites AZ5104 and AZ7550

PK profile of the oral dose of AZD9291 in terms of the time to maximum observed plasma concentration (Tmax) for AZD9291 and it's metabolites AZ5104 and AZ7550.

Time frame: Samples taken at pre-dose, 1, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 120, 168, 216, 336 and 504 hours post-dose.

Population: PK analysis set included all healthy male subjects who received at least 1 dose of AZD9291 and have at least 1 post-dose PK measurement without important protocol deviations/violations or events thought to significantly affect the PK of AZD9291.

ArmMeasureGroupValue (MEDIAN)Dispersion
AZD9291 and [14C]AZD9291Tmax for AZD9291 and it's Metabolites AZ5104 and AZ7550AZD92917.01 hoursFull Range 28.1
AZD9291 and [14C]AZD9291Tmax for AZD9291 and it's Metabolites AZ5104 and AZ7550AZ510412.00 hoursFull Range 38
AZD9291 and [14C]AZD9291Tmax for AZD9291 and it's Metabolites AZ5104 and AZ7550AZ755011.03 hoursFull Range 34.3

Source: ClinicalTrials.gov · Data processed: Feb 24, 2026