Solid Malignancies
Conditions
Keywords
Radiolabelled
Brief summary
This Phase 1, open label, single centre, non-randomised study in patients with advanced solid malignancies consists of two parts: 1. Single Dose Period - will characterise the absorption, metabolism, excretion and pharmacokinetics of a single oral dose of \[14C\]AZD2014 from the body 2. Multiple Dose Period - will further assess the safety and tolerability and anti-tumour activity of multiple doses of AZD2014 when given as a monotherapy or given in combination with paclitaxel or fulvestrant.
Detailed description
This is a Phase I, open label, single centre, non-randomised study in patients with advanced solid malignancies that is refractory or resistant to standard treatment or where no suitable effective standard treatment exists or for whom paclitaxel or fulvestrant are appropriate treatment choices. The study will be divided in two parts: 1. Single Dose Period - will enrol up to 6 evaluable patients to characterise the absorption, metabolism, excretion and pharmacokinetics of a single radiolabelled \[14C\] oral dose of 125mg AZD2014 via residential intensive PK sampling over 8 days. An evaluable patient is defined as patient who does not vomit within 2 hours post dose and who has completed the scheduled PK sampling. 2. Multiple Dose Period - patients who have completed the Single Dose Period may continue to receive treatment as outpatients. Patients will be allocated to different treatment regimes as decided between Investigator and patient on a risk / benefit basis. From Day 1, Cycle 1, non-radiolabelled AZD2014 treatment will be administered as oral tablets to patients, either as: i. 50mg BD monotherapy ii. 125mg BD taken on first 2 days of treatment each week in combination with 500mg intramuscular fulvestrant on Day 1, Cycle 1, Day 15, Cycle 1; Day 1, Cycle 2, then Day 1 of each monthly cycle thereafter iii. 50mg BD taken on first 3 days of treatment each week for 6 weeks in combination with a single weekly paclitaxel infusion (80mg/m2 ) followed by a one week break from treatment where no AZD2014 or paclitaxel will be given. This 7 week schedule composes one cycle of treatment. Patients will be given up to 6 cycles of paclitaxel, although additional cycles of paclitaxel may be given if deemed appropriate by the Investigator. Radiolabelled AZD2014 will be administered to fasted patients (i.e. no food 2 hours before and 1 hour after each dose). Non-radiolabelled AZD2014 will be administered either under fasted or non-fasted conditions. The safety and tolerability and anti-tumour activity of AZD2014 and combination with paclitaxel or fulvestrant will be evaluated in all enrolled patients respectively using conventional safety parameters, AEs/SAEs and RECIST 1.1.
Interventions
Radiolabelled dual TORC1/TORC2 inhibitor
Dual TORC1/TORC2 inhibitor
Hormonal Agent
Taxane
Sponsors
Study design
Eligibility
Inclusion criteria
* Provision of signed, written & dated informed consent prior to any study specific procedures. * Male or female patients aged at least 18 years. * Have a body mass index (BMI) ≥18 kg/m2 and ≤35 kg/m2 & weigh at least 50 kg. * Histological or cytological confirmation of a solid malignant tumour that is refractory or resistant to standard therapies or for which no suitable effective standard therapies exist. SqNSCLC patients are excluded from the 50mg BD AZD2014 in combination with paclitaxel cohort. * For patients intending to enter combination therapy with fulvestrant or paclitaxel, this should be deemed as an appropriate treatment option by Investigator. * Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2 with no deterioration over previous 2 weeks & minimum life expectancy of 12 weeks. * At least one lesion (measurable and/or non-measurable but evaluable) that can be accurately assessed at baseline by computerised tomography (CT) magnetic resonance imaging (MRI) or plain X-ray & is suitable for repeated assessment * Able & willing to stay in hospital for approximately 9 days * Females should be using adequate contraceptive measures, should not be breast feeding & must have negative pregnancy test prior to start of dosing if of childbearing potential or must have evidence of non-childbearing potential * Male patients should be surgically sterile or willing to use barrier contraception ie, condoms and spermicide &refrain from donating sperm from start of dosing until 16 weeks after discontinuing of study treatment. * Regular bowel movements (ie, on average production of at least 1 stool per day)
Exclusion criteria
* Involvement in planning and/or conduct of the study * Previous enrolment in present study * Another study with an investigational product in last 28 days * Chemotherapy, biological therapy, radiation therapy, androgens, thalidomide, immunotherapy, other anticancer agents & any investigational agents within 21 days of starting treatment (not including palliative radiotherapy at focal sites), or corticosteroids within 14 days * Major surgery within 4 weeks, or minor surgery within 14 days * Exposure to strong and moderate inhibitors or inducers of cytochrome P450 (CYP) 3A4/5, P-glycoprotein (Pgp) (multidrug resistance gene \[MDR1\]), and breast cancer resistance protein (BCRP), if taken within stated washout periods * Exposure to specific substrates of the drug organic anion-transporting polypeptide (OATP)1B1, OATP1B3, organic anion transporting polypeptide (OCT)1 and OCT2 within appropriate washout period * Any haemopoietic growth factors (eg, filgrastim \[granulocyte colony-stimulating factor; G-CSF\], sargramostim \[granulocyte-macrophage colony-stimulating factor; GM-CSF\]) within 14 days prior to receiving study treatment * Previous treatment with AZD2014 or AZD8055 * Patients who have received fulvestrant within 3 months * With exception of alopecia, any unresolved toxicities chemotherapy/radiotherapy should be no greater than CTCAE grade 1 * Participated in another absorption, distribution, metabolism and excretion study within 1 year * Spinal cord compression and/or brain metastases unless asymptomatic or treated & stable off steroids for at least 4 weeks * Severe or uncontrolled systemic diseases (eg, severe hepatic impairment, interstitial lung disease \[bilateral, diffuse, parenchymal lung disease\]), or current unstable or uncompensated respiratory or cardiac conditions, or uncontrolled hypertension, active bleeding diatheses or active infection including hepatitis B, hepatitis C and human immunodeficiency virus (HIV). * Recent history of drug abuse or alcohol abuse * Patients who have undergone any of the following procedures or experienced conditions currently or in preceding 12 months: * Coronary artery bypass graft * Angioplasty * Vascular stent * Myocardial infarction * Angina pectoris * Congestive heart failure New York Heart Association Grade 2 * Ventricular arrhythmias requiring continuous therapy * Uncontrolled supraventricular arrhythmias including atrial fibrillation * Haemorrhagic or thrombotic stroke, including transient ischaemic attacks or other central nervous system bleeding * Abnormal echocardiogram at baseline (left ventricular ejection fraction \[LVEF\] \<55% and shortening fraction \[SF\] \<15%) * Torsades de Pointes either currently or within 12 months * Mean resting QTcF ≥470 ms * Medications known to prolong QT interval, or that increase the risk of QTc prolongation or arrhythmic events (such as heart failure, hypokalaemia, congenital long QT syndrome, family history of either long QT syndrome), or unexplained sudden death under 40 years of age * Laboratory values as listed below: * Absolute neutrophil count \<1.5x109/L * Platelet count \<100x109/L * Haemoglobin \<90 g/L * Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) \>2.5 times upper limit of normal (ULN) if no demonstrable liver metastases or \>5xULN in the presence of liver metastases * Total bilirubin \>1.5xULN if no demonstrable liver metastases or \>3xULN in the presence of liver metastases * Serum creatinine \>1.5xULN concurrent with creatinine clearance \<50 mL/min (measured or calculated by Cockcroft and Gault equation), confirmation of creatinine clearance is only required when creatinine is \>1.5xULN * Clinically relevant and treatment resistant abnormalities in potassium, sodium, calcium (corrected for plasma albumin) or magnesium * Pre-existing renal disease including glomerulonephritis, nephritic syndrome, Fanconi Syndrome or renal tubular acidosis * Abnormal fasting glucose \>126 mg/dL (\>7 mmol/L) * Patients with diabetes Type 1 or uncontrolled Type 2 (glycosylated haemoglobin \[HbA1c\] \>8% \[64 mmol/mol\] assessed locally) * Current refractory nausea and vomiting, chronic gastrointestinal disease or inability to swallow the formulated product or previous significant bowel resection that would preclude adequate absorption * History of hypersensitivity to active or inactive excipients of AZD2014 or drugs with a similar chemical structure or class to AZD2014 * Judgment that patient is unsuitable to participate in study and unlikely to comply with study procedures, restrictions & requirements
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cumulative Percentage of Total [14C] Radioactivity Excreted in Stool as a Percentage of the Dose (fe Cum%[f]) | Stool was collected during the following periods: 0-6, 6-12, 12-24, 24-48, 48-72, 72-96, 96-120, 120-144 and 144-168 h post [14C]-AZD2014 dose in the Single Dose Period. | fe cum%(f) by the end of each collection period is presented following administration of \[14C\]-AZD2014. Radioactivity excreta data for 1 patient was not included due to technical issues with radioactivity sample collection. |
| Fraction of AZD2014 Excreted in Urine as a Percentage of the Dose (fe%[R]) | Urine was collected during the following periods: 0-6, 6-12, 12-24, 24-48, 48-72, 72-96, 96-120, 120-144 and 144-168 h post [14C]-AZD2014 dose in the Single Dose Period. | Mean fe%(R) values per urine collection period are presented as a percentage of the total \[14C\]-AZD2014 dose administered on Day 1. |
| Renal Clearance (CL[R]) of AZD2014 From Plasma. | Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h post [14C]-AZD2014 dose in the Single Dose Period. | CL(R) of AZD2014 from plasma up to 168 h post-dose. |
| Cumulative Percentage of Total [14C] Radioactivity Excreted in Urine as a Percentage of the Dose (fe Cum%[R]) | Urine was collected during the following periods: 0-6, 6-12, 12-24, 24-48, 48-72, 72-96, 96-120, 120-144 and 144-168 h post [14C]-AZD2014 dose in the Single Dose Period. | fe cum%(R) by the end of each collection period is presented following administration of \[14C\]-AZD2014. Radioactivity excreta data for 1 patient was not included due to technical issues with radioactivity sample collection. |
| Total Radioactivity in Plasma Following Administration of [14C]-AZD2014 | Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32 and 48 hours (h) post [14C]-AZD2014 dose in the Single Dose Period. | The mean concentrations of total radioactivity in plasma collected from each patient who received a single oral dose of 125 mg \[14C\]-AZD2014 are presented for time points of plasma sampling up to 48 hours post-dose. Geometric mean concentrations were not quantifiable after 48 hours. The total \[14C\] radioactivity in plasma was converted to concentration equivalents of AZD2014 based on the actual specific activity of the dose. |
| AZD2014 Concentrations in Plasma Following Administration of [14C]-AZD2014 | Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 h post [14C]-AZD2014 dose in the Single Dose Period. | The mean concentrations of AZD2014 in plasma collected from each patient who received a single oral dose of 125 mg \[14C\]-AZD2014 are presented for time points of plasma sampling up to 24 hours post-dose. Geometric mean concentrations were not quantifiable after 24 hours. |
| Total Radioactivity Concentrations in Saliva Following Administration of [14C]-AZD2014 | Saliva was collected at 1, 2, 4, 6, 8, 10 and 12 h post [14C]-AZD2014 dose in the Single Dose Period. | The mean concentrations of total radioactivity in saliva collected from each patient who received a single oral dose of 125 mg \[14C\]-AZD2014 are presented for time points of saliva collection up to 12 hours post-dose. Geometric mean concentrations were not quantifiable after 12 hours. The total \[14C\] radioactivity in saliva was converted to concentration equivalents of AZD2014 based on the actual specific activity of the dose. |
| AZD2014 Concentrations in Saliva Following Administration of [14C]-AZD2014 | Saliva was collected at 1, 2, 4, 6, 8, 10 and 12 h post [14C]-AZD2014 dose in the Single Dose Period. | The mean concentrations of AZD2014 in saliva collected from each patient who received a single oral dose of 125 mg \[14C\]-AZD2014 are presented for time points of plasma sampling up to 12 hours post-dose. Geometric mean concentrations were not quantifiable after 12 hours. |
| Total Radioactivity Concentrations in Blood Following Administration of [14C]-AZD2014 | Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 h post [14C]-AZD2014 dose in the Single Dose Period. | The mean concentrations of total radioactivity in blood collected from each patient who received a single oral dose of 125 mg \[14C\]-AZD2014 are presented for time points of blood sampling up to 12 hours post-dose. Geometric mean concentrations were not quantifiable after 12 hours. The total \[14C\] radioactivity in plasma was converted to concentration equivalents of AZD2014 based on the actual specific activity of the dose. |
| Cumulative Percentage of [14C]-AZD2014 Recovered by Day 8 | From pre-dose Day 1 to Day 8 of the Single Dose Period. | The mean cumulative percentage of \[14C\]-AZD2014 dose recovered as total radioactivity by the end of the Single Dose Period (Day 1 - 8) is presented. The total \[14C\] radioactivity in plasma was converted to concentration equivalents of AZD2014 based on the actual specific activity of the dose. Radioactivity excreta data for 1 patient was not included due to technical issues with radioactivity sample collection. |
| Maximum Observed Concentration (Cmax) of AZD2014 in Plasma and Saliva | Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h post [14C]-AZD2014 dose. Saliva was collected at 1, 2, 4, 6, 8, 10, 12 and 24 h post [14C]-AZD2014 dose in the Single Dose Period. | Mean AZD2014 Cmax values in plasma and saliva following administration of \[14C\]-AZD2014 on Day 1 are presented. |
| Time to Maximum Observed Concentration (Tmax) for AZD2014 in Plasma and Saliva | Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h post [14C]-AZD2014 dose. Saliva was collected at 1, 2, 4, 6, 8, 10, 12 and 24 h post [14C]-AZD2014 dose in the Single Dose Period. | AZD2014 Tmax values for plasma and saliva following administration of \[14C\]-AZD2014 on Day 1 are presented. |
| Time to Last Measurable Concentration (t[Last]) for AZD2014 in Plasma and Saliva | Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h post [14C]-AZD2014 dose. Saliva was collected at 1, 2, 4, 6, 8, 10, 12 and 24 h post [14C]-AZD2014 dose in the Single Dose Period. | AZD2014 t(last) values in plasma and saliva following administration of \[14C\]-AZD2014 on Day 1 are presented. |
| Area Under the Plasma Concentration-time Curve (AUC) for AZD2014 | Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h post [14C]-AZD2014 dose in the Single Dose Period. | Mean AUC for AZD2014 following administration of \[14C\]-AZD2014 on Day 1 is presented. |
| Area Under the Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUC[0-t]) for AZD2014 in Plasma and Saliva | Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h post [14C]-AZD2014 dose. Saliva was collected at 1, 2, 4, 6, 8, 10, 12 and 24 h post [14C]-AZD2014 dose in the Single Dose Period. | Mean AUC(0-t) values in plasma and saliva for AZD2014 following administration of \[14C\]-AZD2014 on Day 1 are presented. |
| Apparent Total Body Clearance (CL/F) of AZD2014 | Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h post [14C]-AZD2014 dose in the Single Dose Period. | The mean CL/F of AZD2014 in plasma following administration of \[14C\]-AZD2014 on Day 1 is presented. |
| Mean Residence Time (MRT) of AZD2014 | Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h post [14C]-AZD2014 dose in the Single Dose Period. | The MRT of AZD2014 in plasma following administration of \[14C\]-AZD2014 on Day 1 is presented. |
| Apparent Volume of Distribution at Steady State (Vss/F) for AZD2014 in Plasma | Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h post [14C]-AZD2014 dose in the Single Dose Period. | The mean Vss/F of AZD2014 in plasma following administration of \[14C\]-AZD2014 on Day 1 is presented. |
| Terminal Elimination Rate Constant (lambda_z) for AZD2014 in Plasma | Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h post [14C]-AZD2014 dose in the Single Dose Period. | The mean lambda\_z of AZD2014 in plasma following administration of \[14C\]-AZD2014 on Day 1 is presented. |
| Half-life Associated With Terminal Slope (lambda_z) of a Semi-logarithmic Concentration-time Curve (t1/2[lambda_z]) for AZD2014 in Plasma | Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h ost [14C]-AZD2014 dose in the Single Dose Period. | The mean t1/2(lambda\_z) for AZD2014 in plasma following administration of \[14C\]-AZD2014 on Day 1 is presented. |
| Cmax for Total [14C] Radioactivity in Whole Blood and Saliva | Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h post [14C]-AZD2014 dose. Saliva was collected at 1, 2, 4, 6, 8, 10, 12 and 24 h post [14C]-AZD2014 dose in the Single Dose Period. | Mean \[14C\] radioactivity Cmax values in whole blood and saliva following administration of \[14C\]-AZD2014 on Day 1 are presented. |
| Tmax for [14C] Radioactivity in Whole Blood and Saliva | Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h post [14C]-AZD2014 dose. Saliva was collected at 1, 2, 4, 6, 8, 10, 12 and 24 h post [14C]-AZD2014 dose in the Single Dose Period. | \[14C\] radioactivity tmax in whole blood and saliva following administration of \[14C\]-AZD2014 on Day 1 is presented . |
| T(Last) for [14C] Radioactivity in Whole Blood and Saliva | Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h post [14C]-AZD2014 dose. Saliva was collected at 1, 2, 4, 6, 8, 10, 12 and 24 h post [14C]-AZD2014 dose in the Single Dose Period. | Mean \[14C\] radioactivity t(last) values in whole blood and saliva following administration of \[14C\]-AZD2014 on Day 1 are presented. |
| Ratio of Whole Blood Total Radioactivity to Plasma Total Radioactivity | Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 h post [14C]-AZD2014 dose. | The mean ratios of whole blood total radioactivity to plasma total radioactivity are presented for the timepoints of sample collection up to 12 hours post-dose. Geometric mean ratios were not calculated after 12 hours. |
| Ratio of AZD2014 Concentration to Total Radioactivity Concentration in Saliva | Saliva was collected at 1, 2, 4, 6, 8 and 10 h post [14C]-AZD2014 dose in the Single Dose Period. | The mean ratios of saliva AZD2014 to saliva radioactivity concentrations are presented for the timepoints of saliva collection up to 10 hours post-dose. Geometric mean ratios were not calculated after 10 hours. Radioactivity excreta data for 1 patient was not included due to technical issues with radioactivity sample collection. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Best Overall Response (BOR) Assessment | RECIST 1.1 assessments were performed pre-dose at screening and then once every 8 weeks relative to the start of treatment in the Multiple Dose Period. | Anti-tumour activity through assessment of BOR. BOR was defined for each patient as follows according to the RECIST 1.1 criteria: Complete Response (CR): Disappearance of all target lesions since baseline. Partial Response (PR): At least a 30% decrease in the sum of the diameters of target lesions. Stable Disease (SD): Any cases that do not qualify for either PR or progressive disease (PD). PD: At least a 20% increase in the sum of the diameters of target lesions. BOR for each patient was determined as the best response recorded from the day study treatment started until progression or until the last evaluable RECIST tumour assessment in the absence of progression. |
| Best Percentage Change in Tumour Size From Baseline | RECIST 1.1 assessments were performed pre-dose at screening and then once every 8 weeks relative to the start of treatment in the Multiple Dose Period. | Assessment of anti-tumour activity through measurement of tumour lesions. Tumour size was defined as the sum of the lengths of the longest diameters of the RECIST 1.1 target lesions. |
| Number of AEs Experienced by Patients. | From Day 1 of the Single Dose Period to 30 days after the last dose of AZD2014 administered in the Multiple Dose Period. | AEs (including serious AEs \[SAEs\]) were collected from the time of informed consent (Visit 1) and throughout the study, including the 30-day follow-up. The numbers of patients experiencing any AEs and SAEs, causally related AEs and SAEs, and SAEs which were fatal are presented. |
Countries
United Kingdom
Participant flow
Recruitment details
First subject enrolled: 8 February 2016; Last Subject Last Visit: 21 December 2016 (End of Study \[EoS\]). The study was performed at a single study centre in the United Kingdom. Adult patients with advanced solid tumours refractory or resistant to standard therapies were recruited into this 2 period study.
Pre-assignment details
4 patients were enrolled (signed informed consent). Following \[14C\]-AZD2014, patients either continued AZD2014 as monotherapy or in combination with a standard regimen of fulvestrant or paclitaxel as appropriate and at the Investigator's discretion. No patients were recruited into AZD2014+paclitaxel treatment regimen.
Participants by arm
| Arm | Count |
|---|---|
| [14C]-AZD2014 Then AZD2014 Monotherapy Single Dose Period: Patients were given a single oral dose of \[14C\]-AZD2014 as an oral solution on Day 1 of the first treatment period (Cycle 0). Patients were admitted to the study clinic pre-dose on Day 1 until at least Day 8 (168 hours post-dose).
Multiple Dose Period: From Day 1 Cycle 1, patients could continue non-radiolabelled AZD2014 (AZD2014 monotherapy), which was administered as an oral tablet. Patients continued treatment as outpatients until withdrawal due to AEs, withdrawal of consent, progression of disease according to RECIST 1.1, until the patient was no longer receiving clinical benefit or the patient started any new anti-cancer therapy. | 3 |
| [14C]-AZD2014 Then AZD2014 + Fulvestrant Single Dose Period: Patients were given a single oral dose of \[14C\]-AZD2014 as an oral solution on Day 1 of the first treatment period (Cycle 0). Patients were admitted to the study clinic pre-dose on Day 1 until at least Day 8 (168 hours post-dose).
Multiple Dose Period: From Day 1 Cycle 1, patients could continue AZD2014, which was administered as an oral tablet, in combination with standard regimens of fulvestrant therapy. Patients continued treatment as outpatients until withdrawal due to AEs, withdrawal of consent, progression of disease according to RECIST 1.1, until the patient was no longer receiving clinical benefit or the patient started any new anti-cancer therapy. | 1 |
| Total | 4 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Multiple Dose Period (Day 8 - EoS) | Condition under investigation worsened | 0 | 1 |
| Multiple Dose Period (Day 8 - EoS) | Subjective progression of disease | 1 | 0 |
| Multiple Dose Period (Day 8 - EoS) | Withdrawal by Subject | 1 | 0 |
Baseline characteristics
| Characteristic | [14C]-AZD2014 Then AZD2014 Monotherapy | [14C]-AZD2014 Then AZD2014 + Fulvestrant | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 1 Participants | 0 Participants | 1 Participants |
| Age, Categorical Between 18 and 65 years | 2 Participants | 1 Participants | 3 Participants |
| Sex: Female, Male Female | 2 Participants | 1 Participants | 3 Participants |
| Sex: Female, Male Male | 1 Participants | 0 Participants | 1 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 3 / 3 | 1 / 1 |
| serious Total, serious adverse events | 1 / 3 | 1 / 1 |
Outcome results
Apparent Total Body Clearance (CL/F) of AZD2014
The mean CL/F of AZD2014 in plasma following administration of \[14C\]-AZD2014 on Day 1 is presented.
Time frame: Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h post [14C]-AZD2014 dose in the Single Dose Period.
Population: The PK analysis population consisted of all evaluable patients who were dosed with \[14C\]-AZD2014 in Cycle 0 and who had reportable and evaluable PK concentration data. Patients were excluded if they vomited at or before 3 hours post-dosing or had identified procedural or scientific deficiency as being likely to impact the PK data.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Apparent Total Body Clearance (CL/F) of AZD2014 | 7.282 L/h | Geometric Coefficient of Variation 29.8 |
Apparent Volume of Distribution at Steady State (Vss/F) for AZD2014 in Plasma
The mean Vss/F of AZD2014 in plasma following administration of \[14C\]-AZD2014 on Day 1 is presented.
Time frame: Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h post [14C]-AZD2014 dose in the Single Dose Period.
Population: The PK analysis population consisted of all evaluable patients who were dosed with \[14C\]-AZD2014 in Cycle 0 and who had reportable and evaluable PK concentration data. Patients were excluded if they vomited at or before 3 hours post-dosing or had identified procedural or scientific deficiency as being likely to impact the PK data.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Apparent Volume of Distribution at Steady State (Vss/F) for AZD2014 in Plasma | 37.86 L | Geometric Coefficient of Variation 31.68 |
Area Under the Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUC[0-t]) for AZD2014 in Plasma and Saliva
Mean AUC(0-t) values in plasma and saliva for AZD2014 following administration of \[14C\]-AZD2014 on Day 1 are presented.
Time frame: Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h post [14C]-AZD2014 dose. Saliva was collected at 1, 2, 4, 6, 8, 10, 12 and 24 h post [14C]-AZD2014 dose in the Single Dose Period.
Population: The PK analysis population consisted of all evaluable patients who were dosed with \[14C\]-AZD2014 in Cycle 0 and who had reportable and evaluable PK concentration data. Patients were excluded if they vomited at or before 3 hours post-dosing or had identified procedural or scientific deficiency as being likely to impact the PK data.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Area Under the Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUC[0-t]) for AZD2014 in Plasma and Saliva | AUC(0-t) in plasma | 16510 h*ng/mL | Geometric Coefficient of Variation 29.31 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Area Under the Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUC[0-t]) for AZD2014 in Plasma and Saliva | AUC(0-t) in saliva | 6025 h*ng/mL | Geometric Coefficient of Variation 78.7 |
Area Under the Plasma Concentration-time Curve (AUC) for AZD2014
Mean AUC for AZD2014 following administration of \[14C\]-AZD2014 on Day 1 is presented.
Time frame: Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h post [14C]-AZD2014 dose in the Single Dose Period.
Population: The PK analysis population consisted of all evaluable patients who were dosed with \[14C\]-AZD2014 in Cycle 0 and who had reportable and evaluable PK concentration data. Patients were excluded if they vomited at or before 3 hours post-dosing or had identified procedural or scientific deficiency as being likely to impact the PK data.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Area Under the Plasma Concentration-time Curve (AUC) for AZD2014 | 17170 h*ng/mL | Geometric Coefficient of Variation 29.8 |
AZD2014 Concentrations in Plasma Following Administration of [14C]-AZD2014
The mean concentrations of AZD2014 in plasma collected from each patient who received a single oral dose of 125 mg \[14C\]-AZD2014 are presented for time points of plasma sampling up to 24 hours post-dose. Geometric mean concentrations were not quantifiable after 24 hours.
Time frame: Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 h post [14C]-AZD2014 dose in the Single Dose Period.
Population: The PK analysis population consisted of all evaluable patients who were dosed with \[14C\]-AZD2014 in Cycle 0 and who had reportable and evaluable PK concentration data. Patients were excluded if they vomited at or before 3 hours post-dosing or had identified procedural or scientific deficiency as being likely to impact the PK data.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | AZD2014 Concentrations in Plasma Following Administration of [14C]-AZD2014 | 1 h (n = 4) | 3090 ng/mL | Geometric Coefficient of Variation 39.49 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | AZD2014 Concentrations in Plasma Following Administration of [14C]-AZD2014 | 0.5 h (n = 3) | 3704 ng/mL | Geometric Coefficient of Variation 29.79 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | AZD2014 Concentrations in Plasma Following Administration of [14C]-AZD2014 | 1.5 h (n = 4) | 2758 ng/mL | Geometric Coefficient of Variation 26.33 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | AZD2014 Concentrations in Plasma Following Administration of [14C]-AZD2014 | 2 h (n = 4) | 2409 ng/mL | Geometric Coefficient of Variation 22.11 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | AZD2014 Concentrations in Plasma Following Administration of [14C]-AZD2014 | 3 h (n = 4) | 1768 ng/mL | Geometric Coefficient of Variation 26.45 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | AZD2014 Concentrations in Plasma Following Administration of [14C]-AZD2014 | 4 h (n = 4) | 1439 ng/mL | Geometric Coefficient of Variation 43.74 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | AZD2014 Concentrations in Plasma Following Administration of [14C]-AZD2014 | 6 h (n = 4) | 917.7 ng/mL | Geometric Coefficient of Variation 8.278 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | AZD2014 Concentrations in Plasma Following Administration of [14C]-AZD2014 | 8 h (n = 4) | 619.4 ng/mL | Geometric Coefficient of Variation 40.08 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | AZD2014 Concentrations in Plasma Following Administration of [14C]-AZD2014 | 12 h (n = 4) | 314.6 ng/mL | Geometric Coefficient of Variation 67.36 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | AZD2014 Concentrations in Plasma Following Administration of [14C]-AZD2014 | 24 h (n = 2) | 35.11 ng/mL | Geometric Coefficient of Variation 103.2 |
AZD2014 Concentrations in Saliva Following Administration of [14C]-AZD2014
The mean concentrations of AZD2014 in saliva collected from each patient who received a single oral dose of 125 mg \[14C\]-AZD2014 are presented for time points of plasma sampling up to 12 hours post-dose. Geometric mean concentrations were not quantifiable after 12 hours.
Time frame: Saliva was collected at 1, 2, 4, 6, 8, 10 and 12 h post [14C]-AZD2014 dose in the Single Dose Period.
Population: The PK analysis population consisted of all evaluable patients who were dosed with \[14C\]-AZD2014 in Cycle 0 and who had reportable and evaluable PK concentration data. Patients were excluded if they vomited at or before 3 hours post-dosing or had identified procedural or scientific deficiency as being likely to impact the PK data.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | AZD2014 Concentrations in Saliva Following Administration of [14C]-AZD2014 | 1 h (n = 3) | 4159 ng/mL | Geometric Coefficient of Variation 84.68 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | AZD2014 Concentrations in Saliva Following Administration of [14C]-AZD2014 | 2 h (n = 4) | 416.3 ng/mL | Geometric Coefficient of Variation 84.85 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | AZD2014 Concentrations in Saliva Following Administration of [14C]-AZD2014 | 4 h (n = 4) | 169.1 ng/mL | Geometric Coefficient of Variation 52.5 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | AZD2014 Concentrations in Saliva Following Administration of [14C]-AZD2014 | 6 h (n = 4) | 75.08 ng/mL | Geometric Coefficient of Variation 40.23 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | AZD2014 Concentrations in Saliva Following Administration of [14C]-AZD2014 | 8 h (n = 4) | 73.27 ng/mL | Geometric Coefficient of Variation 15.19 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | AZD2014 Concentrations in Saliva Following Administration of [14C]-AZD2014 | 10 h (n = 3) | 32.59 ng/mL | Geometric Coefficient of Variation 60.47 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | AZD2014 Concentrations in Saliva Following Administration of [14C]-AZD2014 | 12 h (n = 2) | 33.96 ng/mL | Geometric Coefficient of Variation 69.25 |
Cmax for Total [14C] Radioactivity in Whole Blood and Saliva
Mean \[14C\] radioactivity Cmax values in whole blood and saliva following administration of \[14C\]-AZD2014 on Day 1 are presented.
Time frame: Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h post [14C]-AZD2014 dose. Saliva was collected at 1, 2, 4, 6, 8, 10, 12 and 24 h post [14C]-AZD2014 dose in the Single Dose Period.
Population: The PK analysis population consisted of all evaluable patients who were dosed with \[14C\]-AZD2014 in Cycle 0 and who had reportable and evaluable PK concentration data. Patients were excluded if they vomited at or before 3 hours post-dosing or had identified procedural or scientific deficiency as being likely to impact the PK data.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Cmax for Total [14C] Radioactivity in Whole Blood and Saliva | Cmax in whole blood | 3004 ngEq/mL | Geometric Coefficient of Variation 36.91 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Cmax for Total [14C] Radioactivity in Whole Blood and Saliva | Cmax in saliva | 6966 ngEq/mL | Geometric Coefficient of Variation 76.9 |
Cumulative Percentage of [14C]-AZD2014 Recovered by Day 8
The mean cumulative percentage of \[14C\]-AZD2014 dose recovered as total radioactivity by the end of the Single Dose Period (Day 1 - 8) is presented. The total \[14C\] radioactivity in plasma was converted to concentration equivalents of AZD2014 based on the actual specific activity of the dose. Radioactivity excreta data for 1 patient was not included due to technical issues with radioactivity sample collection.
Time frame: From pre-dose Day 1 to Day 8 of the Single Dose Period.
Population: The PK analysis population consisted of all evaluable patients who were dosed with \[14C\]-AZD2014 in Cycle 0 and who had reportable and evaluable PK concentration data. Patients were excluded if they vomited at or before 3 hours post-dosing or had identified procedural or scientific deficiency as being likely to impact the PK data.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Cumulative Percentage of [14C]-AZD2014 Recovered by Day 8 | 92.02 Percentage of dose administered | Standard Deviation 1.994 |
Cumulative Percentage of Total [14C] Radioactivity Excreted in Stool as a Percentage of the Dose (fe Cum%[f])
fe cum%(f) by the end of each collection period is presented following administration of \[14C\]-AZD2014. Radioactivity excreta data for 1 patient was not included due to technical issues with radioactivity sample collection.
Time frame: Stool was collected during the following periods: 0-6, 6-12, 12-24, 24-48, 48-72, 72-96, 96-120, 120-144 and 144-168 h post [14C]-AZD2014 dose in the Single Dose Period.
Population: The PK analysis population consisted of all evaluable patients who were dosed with \[14C\]-AZD2014 in Cycle 0 and who had reportable and evaluable PK concentration data. Patients were excluded if they vomited at or before 3 hours post-dosing or had identified procedural or scientific deficiency as being likely to impact the PK data.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Cumulative Percentage of Total [14C] Radioactivity Excreted in Stool as a Percentage of the Dose (fe Cum%[f]) | 0 - 24 h | 18.23 Cumulative % of total [14C]-AZD2014 dose | Standard Deviation 21.55 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Cumulative Percentage of Total [14C] Radioactivity Excreted in Stool as a Percentage of the Dose (fe Cum%[f]) | 0 - 48 h | 52.85 Cumulative % of total [14C]-AZD2014 dose | Standard Deviation 5.033 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Cumulative Percentage of Total [14C] Radioactivity Excreted in Stool as a Percentage of the Dose (fe Cum%[f]) | 0 - 72 h | 77.04 Cumulative % of total [14C]-AZD2014 dose | Standard Deviation 6.843 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Cumulative Percentage of Total [14C] Radioactivity Excreted in Stool as a Percentage of the Dose (fe Cum%[f]) | 0 - 96 h | 78.59 Cumulative % of total [14C]-AZD2014 dose | Standard Deviation 6.029 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Cumulative Percentage of Total [14C] Radioactivity Excreted in Stool as a Percentage of the Dose (fe Cum%[f]) | 0 - 120 h | 79.25 Cumulative % of total [14C]-AZD2014 dose | Standard Deviation 5.39 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Cumulative Percentage of Total [14C] Radioactivity Excreted in Stool as a Percentage of the Dose (fe Cum%[f]) | 0 - 144 h | 79.70 Cumulative % of total [14C]-AZD2014 dose | Standard Deviation 5.167 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Cumulative Percentage of Total [14C] Radioactivity Excreted in Stool as a Percentage of the Dose (fe Cum%[f]) | 0 - 168 h | 79.94 Cumulative % of total [14C]-AZD2014 dose | Standard Deviation 4.955 |
Cumulative Percentage of Total [14C] Radioactivity Excreted in Urine as a Percentage of the Dose (fe Cum%[R])
fe cum%(R) by the end of each collection period is presented following administration of \[14C\]-AZD2014. Radioactivity excreta data for 1 patient was not included due to technical issues with radioactivity sample collection.
Time frame: Urine was collected during the following periods: 0-6, 6-12, 12-24, 24-48, 48-72, 72-96, 96-120, 120-144 and 144-168 h post [14C]-AZD2014 dose in the Single Dose Period.
Population: The PK analysis population consisted of all evaluable patients who were dosed with \[14C\]-AZD2014 in Cycle 0 and who had reportable and evaluable PK concentration data. Patients were excluded if they vomited at or before 3 hours post-dosing or had identified procedural or scientific deficiency as being likely to impact the PK data.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Cumulative Percentage of Total [14C] Radioactivity Excreted in Urine as a Percentage of the Dose (fe Cum%[R]) | 0 - 6 h | 5.514 Cumulative % of total [14C]-AZD2014 dose | Standard Deviation 3.917 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Cumulative Percentage of Total [14C] Radioactivity Excreted in Urine as a Percentage of the Dose (fe Cum%[R]) | 0 - 12 h | 8.990 Cumulative % of total [14C]-AZD2014 dose | Standard Deviation 4.711 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Cumulative Percentage of Total [14C] Radioactivity Excreted in Urine as a Percentage of the Dose (fe Cum%[R]) | 0 - 24 h | 11.06 Cumulative % of total [14C]-AZD2014 dose | Standard Deviation 5.13 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Cumulative Percentage of Total [14C] Radioactivity Excreted in Urine as a Percentage of the Dose (fe Cum%[R]) | 0 - 48 h | 11.81 Cumulative % of total [14C]-AZD2014 dose | Standard Deviation 5.294 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Cumulative Percentage of Total [14C] Radioactivity Excreted in Urine as a Percentage of the Dose (fe Cum%[R]) | 0 - 72 h | 11.96 Cumulative % of total [14C]-AZD2014 dose | Standard Deviation 5.378 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Cumulative Percentage of Total [14C] Radioactivity Excreted in Urine as a Percentage of the Dose (fe Cum%[R]) | 0 - 96 h | 12.03 Cumulative % of total [14C]-AZD2014 dose | Standard Deviation 5.416 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Cumulative Percentage of Total [14C] Radioactivity Excreted in Urine as a Percentage of the Dose (fe Cum%[R]) | 0 - 120 h | 12.07 Cumulative % of total [14C]-AZD2014 dose | Standard Deviation 5.441 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Cumulative Percentage of Total [14C] Radioactivity Excreted in Urine as a Percentage of the Dose (fe Cum%[R]) | 0 - 144 h | 12.07 Cumulative % of total [14C]-AZD2014 dose | Standard Deviation 5.441 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Cumulative Percentage of Total [14C] Radioactivity Excreted in Urine as a Percentage of the Dose (fe Cum%[R]) | 0 - 168 h | 12.08 Cumulative % of total [14C]-AZD2014 dose | Standard Deviation 5.453 |
Fraction of AZD2014 Excreted in Urine as a Percentage of the Dose (fe%[R])
Mean fe%(R) values per urine collection period are presented as a percentage of the total \[14C\]-AZD2014 dose administered on Day 1.
Time frame: Urine was collected during the following periods: 0-6, 6-12, 12-24, 24-48, 48-72, 72-96, 96-120, 120-144 and 144-168 h post [14C]-AZD2014 dose in the Single Dose Period.
Population: The PK analysis population consisted of all evaluable patients who were dosed with \[14C\]-AZD2014 in Cycle 0 and who had reportable and evaluable PK concentration data. Patients were excluded if they vomited at or before 3 hours post-dosing or had identified procedural or scientific deficiency as being likely to impact the PK data.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Fraction of AZD2014 Excreted in Urine as a Percentage of the Dose (fe%[R]) | 0 - 6 h | 1.575 % of total [14C]-AZD2014 dose | Standard Deviation 1.165 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Fraction of AZD2014 Excreted in Urine as a Percentage of the Dose (fe%[R]) | 6 - 12 h | 0.7471 % of total [14C]-AZD2014 dose | Standard Deviation 0.7198 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Fraction of AZD2014 Excreted in Urine as a Percentage of the Dose (fe%[R]) | 12 - 24 h | 0.3472 % of total [14C]-AZD2014 dose | Standard Deviation 0.3251 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Fraction of AZD2014 Excreted in Urine as a Percentage of the Dose (fe%[R]) | 24 - 48 h | 0.0460 % of total [14C]-AZD2014 dose | Standard Deviation 0.0697 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Fraction of AZD2014 Excreted in Urine as a Percentage of the Dose (fe%[R]) | 48 - 72 h | 0 % of total [14C]-AZD2014 dose | Standard Deviation 0 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Fraction of AZD2014 Excreted in Urine as a Percentage of the Dose (fe%[R]) | 72 - 96 h | 0 % of total [14C]-AZD2014 dose | Standard Deviation 0 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Fraction of AZD2014 Excreted in Urine as a Percentage of the Dose (fe%[R]) | 96 - 120 h | 0 % of total [14C]-AZD2014 dose | Standard Deviation 0 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Fraction of AZD2014 Excreted in Urine as a Percentage of the Dose (fe%[R]) | 120 - 144 h | NA % of total [14C]-AZD2014 dose | — |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Fraction of AZD2014 Excreted in Urine as a Percentage of the Dose (fe%[R]) | 144 - 168 h | 0 % of total [14C]-AZD2014 dose | Standard Deviation 0 |
Half-life Associated With Terminal Slope (lambda_z) of a Semi-logarithmic Concentration-time Curve (t1/2[lambda_z]) for AZD2014 in Plasma
The mean t1/2(lambda\_z) for AZD2014 in plasma following administration of \[14C\]-AZD2014 on Day 1 is presented.
Time frame: Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h ost [14C]-AZD2014 dose in the Single Dose Period.
Population: The PK analysis population consisted of all evaluable patients who were dosed with \[14C\]-AZD2014 in Cycle 0 and who had reportable and evaluable PK concentration data. Patients were excluded if they vomited at or before 3 hours post-dosing or had identified procedural or scientific deficiency as being likely to impact the PK data.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Half-life Associated With Terminal Slope (lambda_z) of a Semi-logarithmic Concentration-time Curve (t1/2[lambda_z]) for AZD2014 in Plasma | 3.571 h | Geometric Coefficient of Variation 32.54 |
Maximum Observed Concentration (Cmax) of AZD2014 in Plasma and Saliva
Mean AZD2014 Cmax values in plasma and saliva following administration of \[14C\]-AZD2014 on Day 1 are presented.
Time frame: Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h post [14C]-AZD2014 dose. Saliva was collected at 1, 2, 4, 6, 8, 10, 12 and 24 h post [14C]-AZD2014 dose in the Single Dose Period.
Population: The PK analysis population consisted of all evaluable patients who were dosed with \[14C\]-AZD2014 in Cycle 0 and who had reportable and evaluable PK concentration data. Patients were excluded if they vomited at or before 3 hours post-dosing or had identified procedural or scientific deficiency as being likely to impact the PK data.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Maximum Observed Concentration (Cmax) of AZD2014 in Plasma and Saliva | Cmax in plasma | 4254 ng/mL | Geometric Coefficient of Variation 37.73 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Maximum Observed Concentration (Cmax) of AZD2014 in Plasma and Saliva | Cmax in saliva | 5410 ng/mL | Geometric Coefficient of Variation 94.34 |
Mean Residence Time (MRT) of AZD2014
The MRT of AZD2014 in plasma following administration of \[14C\]-AZD2014 on Day 1 is presented.
Time frame: Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h post [14C]-AZD2014 dose in the Single Dose Period.
Population: The PK analysis population consisted of all evaluable patients who were dosed with \[14C\]-AZD2014 in Cycle 0 and who had reportable and evaluable PK concentration data. Patients were excluded if they vomited at or before 3 hours post-dosing or had identified procedural or scientific deficiency as being likely to impact the PK data.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Mean Residence Time (MRT) of AZD2014 | 5.200 h | Geometric Coefficient of Variation 27.98 |
Ratio of AZD2014 Concentration to Total Radioactivity Concentration in Saliva
The mean ratios of saliva AZD2014 to saliva radioactivity concentrations are presented for the timepoints of saliva collection up to 10 hours post-dose. Geometric mean ratios were not calculated after 10 hours. Radioactivity excreta data for 1 patient was not included due to technical issues with radioactivity sample collection.
Time frame: Saliva was collected at 1, 2, 4, 6, 8 and 10 h post [14C]-AZD2014 dose in the Single Dose Period.
Population: The PK analysis population consisted of all evaluable patients who were dosed with \[14C\]-AZD2014 in Cycle 0 and who had reportable and evaluable PK concentration data. Patients were excluded if they vomited at or before 3 hours post-dosing or had identified procedural or scientific deficiency as being likely to impact the PK data.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Ratio of AZD2014 Concentration to Total Radioactivity Concentration in Saliva | 2 h | 0.8217 ng/mL:ngEq/mL | Geometric Coefficient of Variation 18.2 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Ratio of AZD2014 Concentration to Total Radioactivity Concentration in Saliva | 1 h | 1.011 ng/mL:ngEq/mL | Geometric Coefficient of Variation 5.35 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Ratio of AZD2014 Concentration to Total Radioactivity Concentration in Saliva | 4 h | 0.7001 ng/mL:ngEq/mL | Geometric Coefficient of Variation 6.167 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Ratio of AZD2014 Concentration to Total Radioactivity Concentration in Saliva | 6 h | 0.4993 ng/mL:ngEq/mL | Geometric Coefficient of Variation 28.85 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Ratio of AZD2014 Concentration to Total Radioactivity Concentration in Saliva | 8 h | 0.4671 ng/mL:ngEq/mL | Geometric Coefficient of Variation 45.52 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Ratio of AZD2014 Concentration to Total Radioactivity Concentration in Saliva | 10 h | 0.3648 ng/mL:ngEq/mL | Geometric Coefficient of Variation 21.01 |
Ratio of Whole Blood Total Radioactivity to Plasma Total Radioactivity
The mean ratios of whole blood total radioactivity to plasma total radioactivity are presented for the timepoints of sample collection up to 12 hours post-dose. Geometric mean ratios were not calculated after 12 hours.
Time frame: Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 h post [14C]-AZD2014 dose.
Population: The PK analysis population consisted of all evaluable patients who were dosed with \[14C\]-AZD2014 in Cycle 0 and who had reportable and evaluable PK concentration data. Patients were excluded if they vomited at or before 3 hours post-dosing or had identified procedural or scientific deficiency as being likely to impact the PK data.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Ratio of Whole Blood Total Radioactivity to Plasma Total Radioactivity | 1 h | 0.6713 ngEq/mL:ngEq/mL | Geometric Coefficient of Variation 9.982 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Ratio of Whole Blood Total Radioactivity to Plasma Total Radioactivity | 0.5 h | 0.6861 ngEq/mL:ngEq/mL | Geometric Coefficient of Variation 8.213 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Ratio of Whole Blood Total Radioactivity to Plasma Total Radioactivity | 1.5 h | 0.6825 ngEq/mL:ngEq/mL | Geometric Coefficient of Variation 7.089 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Ratio of Whole Blood Total Radioactivity to Plasma Total Radioactivity | 2 h | 0.6623 ngEq/mL:ngEq/mL | Geometric Coefficient of Variation 5.377 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Ratio of Whole Blood Total Radioactivity to Plasma Total Radioactivity | 3 h | 0.6750 ngEq/mL:ngEq/mL | Geometric Coefficient of Variation 5.583 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Ratio of Whole Blood Total Radioactivity to Plasma Total Radioactivity | 4 h | 0.6904 ngEq/mL:ngEq/mL | Geometric Coefficient of Variation 8.647 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Ratio of Whole Blood Total Radioactivity to Plasma Total Radioactivity | 6 h | 0.6797 ngEq/mL:ngEq/mL | Geometric Coefficient of Variation 7.197 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Ratio of Whole Blood Total Radioactivity to Plasma Total Radioactivity | 8 h | 0.6917 ngEq/mL:ngEq/mL | Geometric Coefficient of Variation 11.16 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Ratio of Whole Blood Total Radioactivity to Plasma Total Radioactivity | 12 h | 0.7211 ngEq/mL:ngEq/mL | Geometric Coefficient of Variation 8.798 |
Renal Clearance (CL[R]) of AZD2014 From Plasma.
CL(R) of AZD2014 from plasma up to 168 h post-dose.
Time frame: Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h post [14C]-AZD2014 dose in the Single Dose Period.
Population: The PK analysis population consisted of all evaluable patients who were dosed with \[14C\]-AZD2014 in Cycle 0 and who had reportable and evaluable PK concentration data. Patients were excluded if they vomited at or before 3 hours post-dosing or had identified procedural or scientific deficiency as being likely to impact the PK data.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Renal Clearance (CL[R]) of AZD2014 From Plasma. | 0.1596 L/h | Geometric Coefficient of Variation 78.34 |
Terminal Elimination Rate Constant (lambda_z) for AZD2014 in Plasma
The mean lambda\_z of AZD2014 in plasma following administration of \[14C\]-AZD2014 on Day 1 is presented.
Time frame: Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h post [14C]-AZD2014 dose in the Single Dose Period.
Population: The PK analysis population consisted of all evaluable patients who were dosed with \[14C\]-AZD2014 in Cycle 0 and who had reportable and evaluable PK concentration data. Patients were excluded if they vomited at or before 3 hours post-dosing or had identified procedural or scientific deficiency as being likely to impact the PK data.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Terminal Elimination Rate Constant (lambda_z) for AZD2014 in Plasma | 0.1941 1/h | Geometric Coefficient of Variation 32.54 |
Time to Last Measurable Concentration (t[Last]) for AZD2014 in Plasma and Saliva
AZD2014 t(last) values in plasma and saliva following administration of \[14C\]-AZD2014 on Day 1 are presented.
Time frame: Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h post [14C]-AZD2014 dose. Saliva was collected at 1, 2, 4, 6, 8, 10, 12 and 24 h post [14C]-AZD2014 dose in the Single Dose Period.
Population: The PK analysis population consisted of all evaluable patients who were dosed with \[14C\]-AZD2014 in Cycle 0 and who had reportable and evaluable PK concentration data. Patients were excluded if they vomited at or before 3 hours post-dosing or had identified procedural or scientific deficiency as being likely to impact the PK data.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Time to Last Measurable Concentration (t[Last]) for AZD2014 in Plasma and Saliva | t(last) in plasma | 17.04 h | Geometric Coefficient of Variation 41.33 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Time to Last Measurable Concentration (t[Last]) for AZD2014 in Plasma and Saliva | t(last) in saliva | 10.57 h | Geometric Coefficient of Variation 21.76 |
Time to Maximum Observed Concentration (Tmax) for AZD2014 in Plasma and Saliva
AZD2014 Tmax values for plasma and saliva following administration of \[14C\]-AZD2014 on Day 1 are presented.
Time frame: Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h post [14C]-AZD2014 dose. Saliva was collected at 1, 2, 4, 6, 8, 10, 12 and 24 h post [14C]-AZD2014 dose in the Single Dose Period.
Population: The PK analysis population consisted of all evaluable patients who were dosed with \[14C\]-AZD2014 in Cycle 0 and who had reportable and evaluable PK concentration data. Patients were excluded if they vomited at or before 3 hours post-dosing or had identified procedural or scientific deficiency as being likely to impact the PK data.
| Arm | Measure | Group | Value (MEDIAN) | Dispersion |
|---|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Time to Maximum Observed Concentration (Tmax) for AZD2014 in Plasma and Saliva | Tmax in plasma | 0.53 h | Full Range 37.73 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Time to Maximum Observed Concentration (Tmax) for AZD2014 in Plasma and Saliva | Tmax in saliva | 1.00 h | — |
T(Last) for [14C] Radioactivity in Whole Blood and Saliva
Mean \[14C\] radioactivity t(last) values in whole blood and saliva following administration of \[14C\]-AZD2014 on Day 1 are presented.
Time frame: Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h post [14C]-AZD2014 dose. Saliva was collected at 1, 2, 4, 6, 8, 10, 12 and 24 h post [14C]-AZD2014 dose in the Single Dose Period.
Population: The PK analysis population consisted of all evaluable patients who were dosed with \[14C\]-AZD2014 in Cycle 0 and who had reportable and evaluable PK concentration data. Patients were excluded if they vomited at or before 3 hours post-dosing or had identified procedural or scientific deficiency as being likely to impact the PK data.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | T(Last) for [14C] Radioactivity in Whole Blood and Saliva | t(last) in whole blood | 18.26 h | Geometric Coefficient of Variation 53.16 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | T(Last) for [14C] Radioactivity in Whole Blood and Saliva | t(last) in saliva | 15.33 h | Geometric Coefficient of Variation 39.24 |
Tmax for [14C] Radioactivity in Whole Blood and Saliva
\[14C\] radioactivity tmax in whole blood and saliva following administration of \[14C\]-AZD2014 on Day 1 is presented .
Time frame: Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32, 48, 72, 96, 120, 144 and 168 h post [14C]-AZD2014 dose. Saliva was collected at 1, 2, 4, 6, 8, 10, 12 and 24 h post [14C]-AZD2014 dose in the Single Dose Period.
Population: The PK analysis population consisted of all evaluable patients who were dosed with \[14C\]-AZD2014 in Cycle 0 and who had reportable and evaluable PK concentration data. Patients were excluded if they vomited at or before 3 hours post-dosing or had identified procedural or scientific deficiency as being likely to impact the PK data.
| Arm | Measure | Group | Value (MEDIAN) | Dispersion |
|---|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Tmax for [14C] Radioactivity in Whole Blood and Saliva | tmax in whole blood | 0.53 h | Full Range 37.73 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Tmax for [14C] Radioactivity in Whole Blood and Saliva | tmax in saliva | 1.00 h | — |
Total Radioactivity Concentrations in Blood Following Administration of [14C]-AZD2014
The mean concentrations of total radioactivity in blood collected from each patient who received a single oral dose of 125 mg \[14C\]-AZD2014 are presented for time points of blood sampling up to 12 hours post-dose. Geometric mean concentrations were not quantifiable after 12 hours. The total \[14C\] radioactivity in plasma was converted to concentration equivalents of AZD2014 based on the actual specific activity of the dose.
Time frame: Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 h post [14C]-AZD2014 dose in the Single Dose Period.
Population: The PK analysis population consisted of all evaluable patients who were dosed with \[14C\]-AZD2014 in Cycle 0 and who had reportable and evaluable PK concentration data. Patients were excluded if they vomited at or before 3 hours post-dosing or had identified procedural or scientific deficiency as being likely to impact the PK data.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity Concentrations in Blood Following Administration of [14C]-AZD2014 | 0.5 h (n = 3) | 2725 ngEq/mL | Geometric Coefficient of Variation 38.13 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity Concentrations in Blood Following Administration of [14C]-AZD2014 | 1 h (n = 4) | 2293 ngEq/mL | Geometric Coefficient of Variation 42.5 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity Concentrations in Blood Following Administration of [14C]-AZD2014 | 1.5 h (n = 4) | 1980 ngEq/mL | Geometric Coefficient of Variation 36.01 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity Concentrations in Blood Following Administration of [14C]-AZD2014 | 2 h (n = 4) | 1783 ngEq/mL | Geometric Coefficient of Variation 36.48 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity Concentrations in Blood Following Administration of [14C]-AZD2014 | 3 h (n = 4) | 1421 ngEq/mL | Geometric Coefficient of Variation 38.64 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity Concentrations in Blood Following Administration of [14C]-AZD2014 | 4 h (n = 4) | 1255 ngEq/mL | Geometric Coefficient of Variation 37.07 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity Concentrations in Blood Following Administration of [14C]-AZD2014 | 6 h (n = 4) | 964.9 ngEq/mL | Geometric Coefficient of Variation 39.01 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity Concentrations in Blood Following Administration of [14C]-AZD2014 | 8 h (n = 4) | 632.1 ngEq/mL | Geometric Coefficient of Variation 43.65 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity Concentrations in Blood Following Administration of [14C]-AZD2014 | 12 h (n = 4) | 345.0 ngEq/mL | Geometric Coefficient of Variation 44.17 |
Total Radioactivity Concentrations in Saliva Following Administration of [14C]-AZD2014
The mean concentrations of total radioactivity in saliva collected from each patient who received a single oral dose of 125 mg \[14C\]-AZD2014 are presented for time points of saliva collection up to 12 hours post-dose. Geometric mean concentrations were not quantifiable after 12 hours. The total \[14C\] radioactivity in saliva was converted to concentration equivalents of AZD2014 based on the actual specific activity of the dose.
Time frame: Saliva was collected at 1, 2, 4, 6, 8, 10 and 12 h post [14C]-AZD2014 dose in the Single Dose Period.
Population: The PK analysis population consisted of all evaluable patients who were dosed with \[14C\]-AZD2014 in Cycle 0 and who had reportable and evaluable PK concentration data. Patients were excluded if they vomited at or before 3 hours post-dosing or had identified procedural or scientific deficiency as being likely to impact the PK data.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity Concentrations in Saliva Following Administration of [14C]-AZD2014 | 1 h (n = 2) | 5495 ngEq/mL | Geometric Coefficient of Variation 89.69 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity Concentrations in Saliva Following Administration of [14C]-AZD2014 | 2 h (n = 3) | 650.2 ngEq/mL | Geometric Coefficient of Variation 52.98 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity Concentrations in Saliva Following Administration of [14C]-AZD2014 | 4 h (n = 3) | 264.3 ngEq/mL | Geometric Coefficient of Variation 62.1 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity Concentrations in Saliva Following Administration of [14C]-AZD2014 | 6 h (n = 3) | 135.4 ngEq/mL | Geometric Coefficient of Variation 73.87 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity Concentrations in Saliva Following Administration of [14C]-AZD2014 | 8 h (n = 3) | 158.5 ngEq/mL | Geometric Coefficient of Variation 33.15 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity Concentrations in Saliva Following Administration of [14C]-AZD2014 | 10 h (n = 3) | 105.2 ngEq/mL | Geometric Coefficient of Variation 39.57 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity Concentrations in Saliva Following Administration of [14C]-AZD2014 | 12 h (n = 3) | 104.0 ngEq/mL | Geometric Coefficient of Variation 48.01 |
Total Radioactivity in Plasma Following Administration of [14C]-AZD2014
The mean concentrations of total radioactivity in plasma collected from each patient who received a single oral dose of 125 mg \[14C\]-AZD2014 are presented for time points of plasma sampling up to 48 hours post-dose. Geometric mean concentrations were not quantifiable after 48 hours. The total \[14C\] radioactivity in plasma was converted to concentration equivalents of AZD2014 based on the actual specific activity of the dose.
Time frame: Blood samples collected: Day 1 at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 32 and 48 hours (h) post [14C]-AZD2014 dose in the Single Dose Period.
Population: The Pharmacokinetic (PK) analysis population consisted of all evaluable patients who were dosed with \[14C\]-AZD2014 in Cycle 0 and who had reportable and evaluable PK concentration data. Patients were excluded if they vomited at or before 3 hours post-dosing or had identified procedural or scientific deficiency as being likely to impact the PK data.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity in Plasma Following Administration of [14C]-AZD2014 | 0.5 h (n = 3) | 4013 nanogram equivalent/millilitre (ngEq/mL) | Geometric Coefficient of Variation 41.55 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity in Plasma Following Administration of [14C]-AZD2014 | 1 h (n = 4) | 3415 nanogram equivalent/millilitre (ngEq/mL) | Geometric Coefficient of Variation 40.69 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity in Plasma Following Administration of [14C]-AZD2014 | 1.5 h (n = 4) | 2901 nanogram equivalent/millilitre (ngEq/mL) | Geometric Coefficient of Variation 34.87 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity in Plasma Following Administration of [14C]-AZD2014 | 2 h (n = 4) | 2693 nanogram equivalent/millilitre (ngEq/mL) | Geometric Coefficient of Variation 36.75 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity in Plasma Following Administration of [14C]-AZD2014 | 3 h (n = 4) | 2105 nanogram equivalent/millilitre (ngEq/mL) | Geometric Coefficient of Variation 38.82 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity in Plasma Following Administration of [14C]-AZD2014 | 4 h (n = 4) | 1818 nanogram equivalent/millilitre (ngEq/mL) | Geometric Coefficient of Variation 37.85 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity in Plasma Following Administration of [14C]-AZD2014 | 6 h (n = 4) | 1419 nanogram equivalent/millilitre (ngEq/mL) | Geometric Coefficient of Variation 37.31 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity in Plasma Following Administration of [14C]-AZD2014 | 8 h (n = 4) | 914.1 nanogram equivalent/millilitre (ngEq/mL) | Geometric Coefficient of Variation 42.85 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity in Plasma Following Administration of [14C]-AZD2014 | 12 h (n = 4) | 478.6 nanogram equivalent/millilitre (ngEq/mL) | Geometric Coefficient of Variation 47.42 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity in Plasma Following Administration of [14C]-AZD2014 | 24 h (n = 4) | 97.16 nanogram equivalent/millilitre (ngEq/mL) | Geometric Coefficient of Variation 35.55 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity in Plasma Following Administration of [14C]-AZD2014 | 32 h (n = 4) | 45.68 nanogram equivalent/millilitre (ngEq/mL) | Geometric Coefficient of Variation 35.92 |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Total Radioactivity in Plasma Following Administration of [14C]-AZD2014 | 48 h (n = 3) | 27.21 nanogram equivalent/millilitre (ngEq/mL) | Geometric Coefficient of Variation 43.22 |
Best Overall Response (BOR) Assessment
Anti-tumour activity through assessment of BOR. BOR was defined for each patient as follows according to the RECIST 1.1 criteria: Complete Response (CR): Disappearance of all target lesions since baseline. Partial Response (PR): At least a 30% decrease in the sum of the diameters of target lesions. Stable Disease (SD): Any cases that do not qualify for either PR or progressive disease (PD). PD: At least a 20% increase in the sum of the diameters of target lesions. BOR for each patient was determined as the best response recorded from the day study treatment started until progression or until the last evaluable RECIST tumour assessment in the absence of progression.
Time frame: RECIST 1.1 assessments were performed pre-dose at screening and then once every 8 weeks relative to the start of treatment in the Multiple Dose Period.
Population: The efficacy analysis population consisted of all patients who received at least one dose of study treatment and had a baseline tumour assessment.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Best Overall Response (BOR) Assessment | Non-response: Not evaluable | 0 Participants |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Best Overall Response (BOR) Assessment | Response: CR | 0 Participants |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Best Overall Response (BOR) Assessment | Response: PR | 0 Participants |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Best Overall Response (BOR) Assessment | Non-response: SD | 3 Participants |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Best Overall Response (BOR) Assessment | Non-response: Progression | 0 Participants |
| [14C]-AZD2014 Then AZD2014 + Fulvestrant | Best Overall Response (BOR) Assessment | Non-response: Progression | 1 Participants |
| [14C]-AZD2014 Then AZD2014 + Fulvestrant | Best Overall Response (BOR) Assessment | Non-response: SD | 0 Participants |
| [14C]-AZD2014 Then AZD2014 + Fulvestrant | Best Overall Response (BOR) Assessment | Response: CR | 0 Participants |
| [14C]-AZD2014 Then AZD2014 + Fulvestrant | Best Overall Response (BOR) Assessment | Non-response: Not evaluable | 0 Participants |
| [14C]-AZD2014 Then AZD2014 + Fulvestrant | Best Overall Response (BOR) Assessment | Response: PR | 0 Participants |
Best Percentage Change in Tumour Size From Baseline
Assessment of anti-tumour activity through measurement of tumour lesions. Tumour size was defined as the sum of the lengths of the longest diameters of the RECIST 1.1 target lesions.
Time frame: RECIST 1.1 assessments were performed pre-dose at screening and then once every 8 weeks relative to the start of treatment in the Multiple Dose Period.
Population: The efficacy analysis population consisted of all patients who received at least one dose of study treatment and had a baseline tumour assessment. Patients with available data are presented.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Best Percentage Change in Tumour Size From Baseline | -8.75 Percentage change in tumour size |
| [14C]-AZD2014 Then AZD2014 + Fulvestrant | Best Percentage Change in Tumour Size From Baseline | 3.1 Percentage change in tumour size |
Number of AEs Experienced by Patients.
AEs (including serious AEs \[SAEs\]) were collected from the time of informed consent (Visit 1) and throughout the study, including the 30-day follow-up. The numbers of patients experiencing any AEs and SAEs, causally related AEs and SAEs, and SAEs which were fatal are presented.
Time frame: From Day 1 of the Single Dose Period to 30 days after the last dose of AZD2014 administered in the Multiple Dose Period.
Population: The safety analysis population consisted of all patients who received at least one dose of AZD2014 (radiolabelled or non-radiolabelled).
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Number of AEs Experienced by Patients. | Patients who experienced any AE | 3 Participants |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Number of AEs Experienced by Patients. | Patients who experienced any SAE | 1 Participants |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Number of AEs Experienced by Patients. | Patients who experienced any causally related SAE | 0 Participants |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Number of AEs Experienced by Patients. | Patients who experienced fatal SAE | 0 Participants |
| [14C]-AZD2014 (Period 1 [Day 1 - 8]) | Number of AEs Experienced by Patients. | Patients who experienced any causally related AE | 3 Participants |
| [14C]-AZD2014 Then AZD2014 + Fulvestrant | Number of AEs Experienced by Patients. | Patients who experienced fatal SAE | 0 Participants |
| [14C]-AZD2014 Then AZD2014 + Fulvestrant | Number of AEs Experienced by Patients. | Patients who experienced any AE | 1 Participants |
| [14C]-AZD2014 Then AZD2014 + Fulvestrant | Number of AEs Experienced by Patients. | Patients who experienced any causally related AE | 1 Participants |
| [14C]-AZD2014 Then AZD2014 + Fulvestrant | Number of AEs Experienced by Patients. | Patients who experienced any causally related SAE | 0 Participants |
| [14C]-AZD2014 Then AZD2014 + Fulvestrant | Number of AEs Experienced by Patients. | Patients who experienced any SAE | 1 Participants |