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A Study in Healthy Volunteers and Patients With Mild Asthma to Investigate the Safety, Anti-inflammatory Effect of Inhaled AZD0449

A Single-blind, Randomized, Placebo-Controlled 3-Part Study in Healthy Volunteers and Patients With Mild Asthma to Investigate the Safety, Tolerability and Pharmacokinetics of Inhaled AZD0449 Following Single and Multiple Ascending Doses and to Investigate the Anti-Inflammatory Effect of Inhaled AZD0449

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03766399
Enrollment
131
Registered
2018-12-06
Start date
2018-11-30
Completion date
2021-06-24
Last updated
2024-08-23

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

Conditions

Asthma

Keywords

Inhaled JAK inhibitor

Brief summary

This will be a Phase I, first in human (FIH) study consisting of the following parts: Part 1a (SAD), Part 1b (IV Cohort), Part 2 (Multiple ascending dose (MAD), and Part 3 dry-powder inhalation (DPI)/ Proof of mechanism (PoM). Part 1a of the study will be a randomized, single-blind, placebo-controlled, SAD, sequential group design study performed at a single study center. Part 1b, will be an open-label, single-dose, single-cohort study. It will follow a 2-stage design in the way that participants from Part 1a will be selected for the IV Cohort in Part 1b. Part 2 of the study will be a randomized, single-blind, placebo-controlled, MAD, sequential group design and study performed at 3 study centers. Part 3a/b will be a randomized, single-blind, placebo-controlled, DPI/PoM study. The expected duration of each subject in Part 1a of the study is up to 36 days and up to 53 days for subjects participating in Part 1b. The expected duration of each participant in Part 2 is up to 52 days and Part 3 is up to 55 days.

Detailed description

This will be a Phase I, consisting of the following parts: Part 1a, Part 1b, Part 2a/b, Part 3a/b. Part 1a of the study will be a randomized, single-blind, placebo-controlled, SAD, sequential group design study performed at a single study center. Six inhaled dose levels of AZD0449 nebulized suspension are planned to be investigated in 6 cohorts. Depending on emerging safety and PK data, up to 3 additional inhaled dose levels (cohorts), within the pre-specified dose range, may be added at the discretion of the Sponsor. Within each cohort, 6 volunteers will be randomized to receive an inhaled dose of AZD0449 nebulized suspension and 2 volunteers will be randomized to receive inhaled placebo. Intravenous (IV) dosing in Part 1b of the study will be initiated after the completion of cohort 6 in Part 1a or (if Part 1a is completed with less than 6 cohorts) after completion of the last cohort in Part 1a. Part 1b, will be open-label and consist of 2 dose cohorts (IV 0.090 mg and 0.360 mg) and be conducted in 12 healthy volunteers. Six (6) volunteers will be selected for the first IV dose cohort in Part 1b following a 2-stage design. If Part 1b cannot be completed with 6 volunteers from Part 1a or if some of the data are considered not evaluable, up to 6 additional naïve volunteers may be enrolled. A second IV dose cohort in Part 1b will be initiated after the evaluation of the PK and safety results from all cohorts in Part 1a and completion of the first IV dose cohort in Part 1b. The second IV dose cohort will consist of 6 healthy volunteers who have not previously participated in the study (naïve volunteers). Part 2a/b of the study will be a randomized, single-blind, placebo-controlled, MAD, sequential group design study performed at approximately 3 study centers. Part 2a will include cohorts 1 and 2, each comprising of 9 patients with mild asthma. Within each of these cohorts 6 patients will be randomized to receive AZD0449 nebulized suspension and 3 patients randomized to receive placebo. Additional cohorts with 9 patients could be added to study PK, PD and safety for doses lower than 1.2 mg or up to 5 mg. Part 2b will consist of 1 cohort of 8 healthy volunteers; 6 volunteers will be randomized to receive AZD0449 nebulized suspension and 2 volunteers will be randomized to receive placebo. Part 3a/b of the study will be initiated after the completion of Part 2b. Part 3a/b will be a randomized, single-blind, placebo-controlled, DPI/PoM study. Part 3 will be conducted in up to 36 patients with mild asthma (Part 3a) and 8 healthy volunteers (Part 3b, optional). Part 3a will consist of 36 patients, where 18 patients will be randomized to AZD0449 DPI and 18 patients to placebo. An Interim Analysis (IA) will be conducted when 9 patients on each arm have completed the study (50% Part 3a). Should new data on the variability of the FeNO measurements emerge at the IA, the sample size in Part 3a could be changed. If the optional Part 3b is conducted, it will comprise 8 healthy volunteers; 6 volunteers will be randomized to AZD0449 DPI and 2 volunteers to placebo.

Interventions

DRUGAZD0449

Participants will receive single inhaled AZD0449 nebulizer suspension and single IV dose of AZD0449 solution.

DRUGPlacebo

Participants will receive single dose of placebo for AZD0449 (nebulizer suspension).

Sponsors

AstraZeneca
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)

Eligibility

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

Inclusion criteria

Part 1a/b: 1. Provision of signed and dated, written informed consent before any study specific procedures (applicable for all parts). 2. Healthy male volunteers and healthy female volunteers (for Part 1a and Part 1b first IV cohort, female volunteers must be of non-childbearing potential), aged 18 to 55 years with suitable veins for cannulation or repeated venipuncture. 3. Female patients must not be lactating and must have a negative pregnancy test at the Screening Visit and on admission to the Clinical Unit. Women of non-childbearing potential must fulfill one of the following criteria (Applicable for all parts): 3.1. Postmenopausal defined as amenorrhea for at least 12 months or more following cessation of all exogenous hormonal treatments and follicle-stimulating hormone (FSH) levels in the postmenopausal range. 3.2. Documentation of irreversible surgical sterilization by hysterectomy, bilateral oophorectomy or bilateral salpingectomy but not tubal ligation. 4. Have a body mass index (BMI) between 18 and 30 kg/m2 inclusive and weigh at least 60 kg. 5. Healthy volunteer has a Forced Expiratory Volume in one second (FEV1) ≥80% of the predicted value regarding age, height, gender and ethnicity at the Screening Visit. 6. Male volunteers and their WOCBP partners should be willing to use highly effective contraception measures and should refrain from donating sperm or fathering a child from the first day of dosing until 3 months after the last dose of IMP. 7. Female volunteers in Part 1b second IV cohort should be willing to use highly effective contraception measures from the first day of dosing until 1 month after the last dose of IMP. 8. Provision of signed, written and dated informed consent for optional genetic research. If a volunteer declines to participate in the genetic component of the study, there will be no penalty or loss of benefit to the volunteer. The volunteer will not be excluded from other aspects of the study described in this protocol. Patients with mild asthma (Part 2a and Part 3a): 1. Male and female (including WOCBP) patients with mild asthma aged 18 to 55 years with suitable veins for cannulation or repeated venipuncture. 2. Patients must be willing to remain in house at the study center for 16 consecutive days (part 2a) or for 30 consecutive days, optional from Day 17 for Germany (part 3a). 3. Have a BMI between 18 and 35 kg/m2 inclusive and weigh at least 50 kg. 4. Physician diagnosed (mild) asthma for at least 6 months prior to screening. 5. Lung function ≥70% predicted for Forced Expiratory Volume in 1 second (FEV1) at the Screening Visit AND at the 12 h timepoint on Day -1, in accordance with the American Thoracic Society (ATS)/European Respiratory Society (ERS) criteria. 6. Have a FeNO of ≥30 ppb at the Screening Visit and at the 12 h timepoint on Day -1. 7. Male patients and their WOCBP partners should be willing to use highly effective contraception measures and should refrain from donating sperm or fathering a child from the first day of dosing until 3 months after the last dose of IMP (applicable for part 2b and 3b). 8. Female patients should be willing to use highly effective contraception measures from the first day of dosing until 1 month after the last dose of IMP. 9. Provision of signed, written and dated informed consent for optional genetic research. If a patient declines to participate in the genetic component of the study, there will be no penalty or loss of benefit to the patient. The patient will not be excluded from other aspects of the study described in this protocol. Healthy volunteers (Part 2b and Part 3b): 1. Healthy male and female (including WOCBP) volunteers aged 18 to 55 years with suitable veins for cannulation or repeated venipuncture. 2. Have a BMI between 18 and 30 kg/m2 inclusive and weigh at least 60 kg. 3. Healthy volunteer has a Forced Expiratory Volume in one second (FEV1) ≥80% of the predicted value regarding age, height, gender and ethnicity at the Screening Visit and at the 12 h timepoint on Day -1, in accordance with the ATS/ERS criteria. 4. Female volunteers should be willing to use highly effective contraception measures from the first day of dosing until 1 month after the last dose of IMP. 5. Provision of signed, written and dated informed consent for optional genetic research. If a healthy volunteer declines to participate in the genetic component of the study, there will be no penalty or loss of benefit to the healthy volunteer. The healthy volunteer will not be excluded from other aspects of the study described in this protocol.

Exclusion criteria

Part 1a/b: 1. History of any clinically important disease or disorder which, in the opinion of the Investigator, may either put the volunteer at risk because of participation in the study, or influence the results or the volunteer's ability to participate in the study. 2. History of any respiratory disorders such as asthma, chronic obstructive pulmonary disease (COPD) or idiopathic pulmonary fibrosis (IPF) (applicable for all parts). 3. Healthy volunteer has an increased risk of infection. 4. History or presence of gastrointestinal, hepatic or renal disease or any other condition known to interfere with absorption, distribution, metabolism or excretion of drugs (applicable to all parts). 5. Any clinically important illness, medical/surgical procedure or trauma within 4 weeks of the first administration of IMP (applicable to all parts). 6. Any laboratory values with the following deviations at the Screening Visit and on admission to the Clinical Unit. Abnormal values may be repeated once at the discretion of the Investigator (applicable to all parts): 6.1. Alanine aminotransferase (ALT) \>upper limit of normal (ULN). 6.2. Aspartate aminotransferase (AST) \>ULN. 6.3. Creatinine \>ULN. 6.4. White blood cell (WBC) count \<LLN (Lower limit of normal). 6.5. Hemoglobin \<LLN. 7. Any clinically important abnormalities in clinical chemistry, hematology or urinalysis results, other than those described under

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Adverse Events and Serious Adverse EventsFrom screening up to follow-up visit [Part 1 a (6±1 Days post-dose)] [Part 2a (Day 22±1 (10±1 days post-last dose)], Safety Monitoring Period 2b/3a [Day 17 to 27 (15 day post-last dose)]Safety and tolerability of AZD0449 following inhaled administration of single ascending doses to healthy participants, inhaled nebulized administration of multiple ascending doses to healthy participants and patients with mild asthma, and repeated inhaled administration to patients with mild asthma using a DPI was assessed.
Maximum Observed Plasma Concentration (Cmax)Part 1b: Day 1Cmax of AZD0449 following intravenous administration of a single dose to healthy participants was assessed.
Area Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUCinf)Part 1b: Day 1AUCinf of AZD0449 following intravenous administration of a single dose to healthy participants was assessed.
Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast)Part 1b: Day 1AUClast of AZD0449 following intravenous administration of a single dose to healthy participants was assessed.
Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours After Dosing (AUC(0-24))Part 1b: Day 1AUC (0-24) of AZD0449 following intravenous administration of a single dose to healthy participants was assessed.
Time to Reach Peak or Maximum Observed Concentration Following Drug Administration (Tmax)Part 1b: Day 1tmax of AZD0449 following intravenous administration of a single dose to healthy participants was assessed.
Terminal Halflife, Estimated as (ln2)/-λz (t½λz )Part 1b: Day 1t½λz of AZD0449 following intravenous administration of a single dose to healthy participants was assessed.
Total Body Clearance of Drug From Plasma After Intravascular Administration (CL)Part 1b: Day 1CL of AZD0449 following intravenous administration of a single dose of AZD0449 to healthy volunteers was assessed.
Volume of Distribution for Parent Drug at Terminal Phase [Intravenous Administration] (λz)Part 1b: Day 1Vz of AZD0449 following intravenous administration of a single dose of AZD0449 to healthy volunteers was assessed.
Terminal Rate Constant, Estimated by Loglinear Leastsquares Regression of the Terminal Part of the -Concentrationtime- Curve (λz)Part 1b: Day 1λz of AZD0449 following intravenous administration of a single dose to healthy participants was assessed.
Time of Last Quantifiable Concentration (Tlast)Part 1b: Day 1tlast of AZD0449 following intravenous administration of a single dose to healthy participants was assessed.
Dose Normalized Cmax (Cmax/D)Part 1b: Day 1Cmax/D of AZD0449 following intravenous administration of a single dose to healthy participants was assessed.

Secondary

MeasureTime frameDescription
Change From Baseline in 2 Hours Post-dose Fractional Excretion of Nitric Oxide (FeNO)At Baseline and Day 12Assessment of anti-inflammatory effect by evaluating change from baseline in FeNO, 2 hours post-dose of AZD0449 in patients with mild asthma was assessed.
Number of Participants With Adverse Events and Serious Adverse EventsFrom screening up to follow-up visit [Part 1b (6±1 Days post-dose)]Safety and tolerability of AZD0449 following intravenous administration of a single dose to healthy participants was assessed.
Change From Baseline in 2 Hours Post-dose in FeNO (AUC (0-12))At Baseline and Day 12Assessment of anti-inflammatory effect by evaluating change from baseline in FeNO (AUC (0-12)), 2 hours post-dose of AZD0449 in patients with mild asthma was assessed.
Maximum Observed Plasma Concentration (Cmax)Part 1a: Day 1, Part 2 and 3: Day 1 and Day 12Cmax of AZD0449 following inhaled administration of single ascending doses of AZD0449, inhaled nebulized administration of multiple ascending doses to healthy participants and patients with mild asthma, and repeated inhaled administration to patients with mild asthma using a DPI was assessed.
Area Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUCinf)Part 1a: Day 1, Part 2 and 3: Day 1 and Day 12AUCinf of AZD0449 following inhaled administration of single ascending doses of AZD0449, inhaled nebulized administration of multiple ascending doses to healthy participants and patients with mild asthma, and repeated inhaled administration to patients with mild asthma using a DPI was assessed.
Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast)Part 1a: Day 1, Part 2 and 3: Day 1 and Day 12AUClast of AZD0449 following inhaled administration of single ascending doses of AZD0449, inhaled nebulized administration of multiple ascending doses to healthy participants and patients with mild asthma, and repeated inhaled administration to patients with mild asthma using a DPI was assessed.
Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours After Dosing (AUC(0-24))Part 1a: Day 1, Part 2 and 3: Day 1 and Day 12AUC (0-24) of AZD0449 following inhaled administration of single ascending doses of AZD0449, inhaled nebulized administration of multiple ascending doses to healthy volunteers and patients with mild asthma, and repeated inhaled administration to patients with mild asthma using a DPI was assessed.
Time to Reach Peak or Maximum Observed Concentration Following Drug Administration (Tmax)Part 1a: Day 1, Part 2 and 3: Day 1 and Day 12tmax of AZD0449 following inhaled administration of single ascending doses of AZD0449, intravenous administration of a single dose to healthy volunteers, inhaled nebulized administration of multiple ascending doses to healthy volunteers and patients with mild asthma, and repeated inhaled administration to patients with mild asthma using a DPI was assessed.
Terminal Halflife, Estimated as (ln2)/-λz (t½λz )Part 1a: Day 1, Part 2 and 3: Day 1 and Day 12t½λz of AZD0449 following inhaled administration of single ascending doses of AZD0449, inhaled nebulized administration of multiple ascending doses to healthy volunteers and patients with mild asthma, and repeated inhaled administration to patients with mild asthma using a DPI was assessed.
Apparent Total Body Clearance of Drug From Plasma After Extravascular Administration (CL/F)Part 1a: Day 1, Part 2 and 3: Day 1 and Day 12CL/F of AZD0449 following inhaled administration of single ascending doses of AZD0449, inhaled nebulized administration of multiple ascending doses to healthy volunteers and patients with mild asthma, and repeated inhaled administration to patients with mild asthma using a DPI was assessed.
Apparent Volume of Distribution for Parent Drug at Terminal Phase [Extravascular Administration] (Vz/F)Part 1a: Day 1, Part 2 and 3: Day 1 and Day 12Vz/F of AZD0449 following inhaled administration of single ascending doses of AZD0449, inhaled nebulized administration of multiple ascending doses to healthy volunteers and patients with mild asthma, and repeated inhaled administration to patients with mild asthma using a DPI was assessed.
Terminal Rate Constant, Estimated by Loglinear Leastsquares Regression of the Terminal Part of the -Concentrationtime- Curve (λz)Part 1a: Day 1, Part 2 and 3: Day 1 and Day 12λz of AZD0449 following inhaled administration of single ascending doses of AZD0449, inhaled nebulized administration of multiple ascending doses to healthy volunteers and patients with mild asthma, and repeated inhaled administration to patients with mild asthma using a DPI was assessed.
Time of Last Quantifiable Concentration (Tlast)Part 1a: Day 1, Part 2 and 3: Day 1 and Day 12tlast of AZD0449 following inhaled administration of single ascending doses of AZD0449, inhaled nebulized administration of multiple ascending doses to healthy volunteers and patients with mild asthma, and repeated inhaled administration to patients with mild asthma using a DPI was assessed.
Dose Normalized Cmax (Cmax/D)Part 1a: Day 1, Part 2 and 3: Day 1 and Day 12Cmax/D of AZD0449 following inhaled administration of single ascending doses of AZD0449, inhaled nebulized administration of multiple ascending doses to healthy volunteers and patients with mild asthma, and repeated inhaled administration to patients with mild asthma using a DPI was assessed.

Countries

Germany, New Zealand, United Kingdom

Participant flow

Recruitment details

This study was a 3 part study conducted between 30 Nov 2018 and 24 Jun 2021. Part 1 was conducted at a single clinical unit. Part 2 was conducted at 3 clinical units.

Pre-assignment details

Part 1a was a single ascending dose (SAD) study in healthy participants. Part 1b consisted of 2 IV dose cohorts. 6 participants from Part 1a in first IV dose cohort and 6 healthy participants in second IV dose cohort were selected for Part 1b. Part 2 was a multiple ascending dose (MAD) study in patients with mild asthma (Part 2a) and healthy participants (Part 2b). Part 3 included patients with mild asthma (Part 3a) and healthy participants (Part 3b).

Participants by arm

ArmCount
Part 1a (SAD) Placebo
Randomized healthy participants received Placebo for AZD0449.
12
Part 1a (SAD) Cohort 1
Randomized healthy participants received a single inhaled dose of AZD0449 0.095 mg nebulized suspension via Jet nebulizer.
6
Part 1a (SAD) Cohort 2
Randomized healthy participants received a single inhaled dose of AZD0449 0.28 mg nebulized suspension via Jet nebulizer.
6
Part 1a (SAD) Cohort 3
Randomized healthy participants received a single inhaled dose of AZD0449 0.84 mg nebulized suspension via Jet nebulizer.
6
Part 1a (SAD) Cohort 4
Randomized healthy participants received a single inhaled dose of AZD0449 1.60 mg nebulized suspension via Jet nebulizer.
6
Part 1a (SAD) Cohort 5
Randomized healthy participants received a single inhaled dose of AZD0449 3.20 mg nebulized suspension via Jet nebulizer.
6
Part 1a (SAD) Cohort 6
Randomized healthy participants received a single inhaled dose of AZD0449 5 mg nebulized suspension via Jet nebulizer.
6
Part 1b (SAD IV) Cohort 1
Randomized healthy participants received a single intravenous (IV) dose of AZD0449 0.090 mg solution.
6
Part 1b (SAD IV) Cohort 2
Randomized healthy participants received a single IV dose of AZD0449 0.360 mg solution.
6
Part 2a (MAD) Placebo
Randomized patients with mild asthma received Placebo.
6
Part 2a (MAD) Cohort 1
Randomized patients with mild asthma received a multiple inhaled dose of AZD0449 1.20 mg nebulized suspension via Jet nebulizer.
6
Part 2a (MAD) Cohort 2
Randomized patients with mild asthma received a multiple inhaled dose of AZD0449 2.50 mg nebulized suspension via Jet nebulizer.
6
Part 2b (MAD) Cohort 1
Randomized healthy participants received a multiple inhaled of AZD0449 5 mg nebulized suspension via Jet nebulizer.
7
Part 2b (MAD) Placebo
Randomized healthy participants received Placebo for AZD0449.
2
Part 3a (DPI/PoM)
Randomized patients with mild asthma received a multiple inhaled dose of AZD0449 5 mg DPI.
18
Part 3a (DPI/PoM) Placebo
Randomized patients with mild asthma received Placebo for AZD0449.
18
Part 3b (DPI/Healthy Participants) Placebo
Randomized healthy participants received Placebo for AZD0449.
2
Part 3b (DPI/Healthy Participants)
Randomized healthy participants received multiple inhaled dose of AZD0449 5 mg DPI.
6
Total131

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008FG009FG010FG011FG012FG013FG014FG015FG016FG017
Part 2b: MAD (Nebulized Inhalation)Physician Decision000000000000010000

Baseline characteristics

CharacteristicPart 1a (SAD) Cohort 1Part 1a (SAD) PlaceboTotalPart 3b (DPI/Healthy Participants)Part 3b (DPI/Healthy Participants) PlaceboPart 3a (DPI/PoM) PlaceboPart 3a (DPI/PoM)Part 2b (MAD) PlaceboPart 2b (MAD) Cohort 1Part 2a (MAD) Cohort 2Part 2a (MAD) Cohort 1Part 2a (MAD) PlaceboPart 1b (SAD IV) Cohort 2Part 1b (SAD IV) Cohort 1Part 1a (SAD) Cohort 6Part 1a (SAD) Cohort 5Part 1a (SAD) Cohort 4Part 1a (SAD) Cohort 3Part 1a (SAD) Cohort 2
Age, Continuous29.8 Years
STANDARD_DEVIATION 6.6
31.7 Years
STANDARD_DEVIATION 8.1
32.8 Years
STANDARD_DEVIATION 9.8
36.8 Years
STANDARD_DEVIATION 14.5
48.0 Years
STANDARD_DEVIATION 4.2
30.2 Years
STANDARD_DEVIATION 9.1
30.0 Years
STANDARD_DEVIATION 9.2
33.0 Years
STANDARD_DEVIATION 11.3
41.1 Years
STANDARD_DEVIATION 9.4
38.7 Years
STANDARD_DEVIATION 13.5
35.7 Years
STANDARD_DEVIATION 13.7
37.5 Years
STANDARD_DEVIATION 8.5
28.5 Years
STANDARD_DEVIATION 4
32.8 Years
STANDARD_DEVIATION 7.5
30.7 Years
STANDARD_DEVIATION 10.4
35.8 Years
STANDARD_DEVIATION 10.1
26.3 Years
STANDARD_DEVIATION 5.5
36.3 Years
STANDARD_DEVIATION 7.7
29.3 Years
STANDARD_DEVIATION 7.6
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants5 Participants0 Participants0 Participants2 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants2 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants12 Participants126 Participants6 Participants2 Participants16 Participants18 Participants2 Participants7 Participants6 Participants6 Participants5 Participants6 Participants6 Participants6 Participants6 Participants6 Participants4 Participants6 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
American Indian or Alaska native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Asian
1 Participants1 Participants11 Participants1 Participants0 Participants0 Participants2 Participants0 Participants0 Participants1 Participants0 Participants1 Participants1 Participants0 Participants0 Participants0 Participants1 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Black or African American
1 Participants0 Participants14 Participants0 Participants0 Participants1 Participants1 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants3 Participants1 Participants1 Participants1 Participants1 Participants3 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants1 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Other
0 Participants1 Participants8 Participants0 Participants0 Participants2 Participants2 Participants1 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
White
4 Participants10 Participants97 Participants5 Participants2 Participants14 Participants13 Participants1 Participants7 Participants5 Participants5 Participants4 Participants5 Participants3 Participants4 Participants5 Participants4 Participants4 Participants2 Participants
Sex: Female, Male
Female
0 Participants0 Participants25 Participants2 Participants0 Participants8 Participants9 Participants0 Participants0 Participants2 Participants0 Participants0 Participants4 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Sex: Female, Male
Male
6 Participants12 Participants106 Participants4 Participants2 Participants10 Participants9 Participants2 Participants7 Participants4 Participants6 Participants6 Participants2 Participants6 Participants6 Participants6 Participants6 Participants6 Participants6 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
EG009
affected / at risk
EG010
affected / at risk
EG011
affected / at risk
EG012
affected / at risk
EG013
affected / at risk
EG014
affected / at risk
EG015
affected / at risk
EG016
affected / at risk
EG017
affected / at risk
deaths
Total, all-cause mortality
0 / 120 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 20 / 70 / 180 / 180 / 20 / 6
other
Total, other adverse events
3 / 122 / 62 / 63 / 63 / 63 / 61 / 62 / 62 / 64 / 65 / 63 / 62 / 26 / 715 / 1814 / 180 / 23 / 6
serious
Total, serious adverse events
0 / 120 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 20 / 70 / 180 / 180 / 20 / 6

Outcome results

Primary

Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours After Dosing (AUC(0-24))

AUC (0-24) of AZD0449 following intravenous administration of a single dose to healthy participants was assessed.

Time frame: Part 1b: Day 1

Population: The PK set consisted of all participants who received at least one dose of AZD0449 and who had evaluable PK data, with no major protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part 1a (SAD) PlaceboArea Under the Plasma Concentration Time Curve From Time Zero to 24 Hours After Dosing (AUC(0-24))3.692 hour*nanomole/L (h*nmol/L)Geometric Coefficient of Variation 14.31
Part 1a (SAD) Cohort 1Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours After Dosing (AUC(0-24))17.03 hour*nanomole/L (h*nmol/L)Geometric Coefficient of Variation 20.18
Primary

Area Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUCinf)

AUCinf of AZD0449 following intravenous administration of a single dose to healthy participants was assessed.

Time frame: Part 1b: Day 1

Population: The PK set consisted of all participants who received at least one dose of AZD0449 and who had evaluable PK data, with no major protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part 1a (SAD) PlaceboArea Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUCinf)3.697 h*nmol/LGeometric Coefficient of Variation 14.27
Part 1a (SAD) Cohort 1Area Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUCinf)17.10 h*nmol/LGeometric Coefficient of Variation 21.01
Primary

Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast)

AUClast of AZD0449 following intravenous administration of a single dose to healthy participants was assessed.

Time frame: Part 1b: Day 1

Population: The PK set consisted of all participants who received at least one dose of AZD0449 and who had evaluable PK data, with no major protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part 1a (SAD) PlaceboArea Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast)3.567 h*nmol/LGeometric Coefficient of Variation 15.07
Part 1a (SAD) Cohort 1Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast)16.94 h*nmol/LGeometric Coefficient of Variation 20.39
Primary

Dose Normalized Cmax (Cmax/D)

Cmax/D of AZD0449 following intravenous administration of a single dose to healthy participants was assessed.

Time frame: Part 1b: Day 1

Population: The PK set consisted of all participants who received at least one dose of AZD0449 and who had evaluable PK data, with no major protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part 1a (SAD) PlaceboDose Normalized Cmax (Cmax/D)22.81 (nmol/L)/milligram (mg)Geometric Coefficient of Variation 15.95
Part 1a (SAD) Cohort 1Dose Normalized Cmax (Cmax/D)28.65 (nmol/L)/milligram (mg)Geometric Coefficient of Variation 17.58
Primary

Maximum Observed Plasma Concentration (Cmax)

Cmax of AZD0449 following intravenous administration of a single dose to healthy participants was assessed.

Time frame: Part 1b: Day 1

Population: The pharmacokinetic (PK) set consisted of all participants who received at least one dose of AZD0449 and who had evaluable PK data, with no major protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part 1a (SAD) PlaceboMaximum Observed Plasma Concentration (Cmax)2.053 nanomole/liter (nmol/L)Geometric Coefficient of Variation 15.95
Part 1a (SAD) Cohort 1Maximum Observed Plasma Concentration (Cmax)10.31 nanomole/liter (nmol/L)Geometric Coefficient of Variation 17.58
Primary

Number of Participants With Adverse Events and Serious Adverse Events

Safety and tolerability of AZD0449 following inhaled administration of single ascending doses to healthy participants, inhaled nebulized administration of multiple ascending doses to healthy participants and patients with mild asthma, and repeated inhaled administration to patients with mild asthma using a DPI was assessed.

Time frame: From screening up to follow-up visit [Part 1 a (6±1 Days post-dose)] [Part 2a (Day 22±1 (10±1 days post-last dose)], Safety Monitoring Period 2b/3a [Day 17 to 27 (15 day post-last dose)]

Population: Safety Analysis Set included all participants and patients who received at least one dose of AZD0449 and for whom any safety post-dose data were available.

ArmMeasureGroupValue (NUMBER)
Part 1a (SAD) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny serious AE (including events with outcome=death)0 Participants
Part 1a (SAD) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny Adverse Event (AE)3 Participants
Part 1a (SAD) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny AE with outcome=death0 Participants
Part 1a (SAD) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny AE leading to discontinuation of investigational medicinal product (IMP)0 Participants
Part 1a (SAD) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny AE leading to withdrawal from study0 Participants
Part 1a (SAD) Cohort 1Number of Participants With Adverse Events and Serious Adverse EventsAny AE leading to discontinuation of investigational medicinal product (IMP)0 Participants
Part 1a (SAD) Cohort 1Number of Participants With Adverse Events and Serious Adverse EventsAny Adverse Event (AE)2 Participants
Part 1a (SAD) Cohort 1Number of Participants With Adverse Events and Serious Adverse EventsAny AE leading to withdrawal from study0 Participants
Part 1a (SAD) Cohort 1Number of Participants With Adverse Events and Serious Adverse EventsAny AE with outcome=death0 Participants
Part 1a (SAD) Cohort 1Number of Participants With Adverse Events and Serious Adverse EventsAny serious AE (including events with outcome=death)0 Participants
Part 1a (SAD) Cohort 2Number of Participants With Adverse Events and Serious Adverse EventsAny AE leading to discontinuation of investigational medicinal product (IMP)0 Participants
Part 1a (SAD) Cohort 2Number of Participants With Adverse Events and Serious Adverse EventsAny serious AE (including events with outcome=death)0 Participants
Part 1a (SAD) Cohort 2Number of Participants With Adverse Events and Serious Adverse EventsAny AE leading to withdrawal from study0 Participants
Part 1a (SAD) Cohort 2Number of Participants With Adverse Events and Serious Adverse EventsAny Adverse Event (AE)2 Participants
Part 1a (SAD) Cohort 2Number of Participants With Adverse Events and Serious Adverse EventsAny AE with outcome=death0 Participants
Part 1a (SAD) Cohort 3Number of Participants With Adverse Events and Serious Adverse EventsAny AE leading to discontinuation of investigational medicinal product (IMP)0 Participants
Part 1a (SAD) Cohort 3Number of Participants With Adverse Events and Serious Adverse EventsAny AE with outcome=death0 Participants
Part 1a (SAD) Cohort 3Number of Participants With Adverse Events and Serious Adverse EventsAny serious AE (including events with outcome=death)0 Participants
Part 1a (SAD) Cohort 3Number of Participants With Adverse Events and Serious Adverse EventsAny AE leading to withdrawal from study0 Participants
Part 1a (SAD) Cohort 3Number of Participants With Adverse Events and Serious Adverse EventsAny Adverse Event (AE)3 Participants
Part 1a (SAD) Cohort 4Number of Participants With Adverse Events and Serious Adverse EventsAny AE with outcome=death0 Participants
Part 1a (SAD) Cohort 4Number of Participants With Adverse Events and Serious Adverse EventsAny AE leading to withdrawal from study0 Participants
Part 1a (SAD) Cohort 4Number of Participants With Adverse Events and Serious Adverse EventsAny AE leading to discontinuation of investigational medicinal product (IMP)0 Participants
Part 1a (SAD) Cohort 4Number of Participants With Adverse Events and Serious Adverse EventsAny serious AE (including events with outcome=death)0 Participants
Part 1a (SAD) Cohort 4Number of Participants With Adverse Events and Serious Adverse EventsAny Adverse Event (AE)3 Participants
Part 1a (SAD) Cohort 5Number of Participants With Adverse Events and Serious Adverse EventsAny AE leading to withdrawal from study0 Participants
Part 1a (SAD) Cohort 5Number of Participants With Adverse Events and Serious Adverse EventsAny Adverse Event (AE)3 Participants
Part 1a (SAD) Cohort 5Number of Participants With Adverse Events and Serious Adverse EventsAny serious AE (including events with outcome=death)0 Participants
Part 1a (SAD) Cohort 5Number of Participants With Adverse Events and Serious Adverse EventsAny AE with outcome=death0 Participants
Part 1a (SAD) Cohort 5Number of Participants With Adverse Events and Serious Adverse EventsAny AE leading to discontinuation of investigational medicinal product (IMP)0 Participants
Part 1a (SAD) Cohort 6Number of Participants With Adverse Events and Serious Adverse EventsAny serious AE (including events with outcome=death)0 Participants
Part 1a (SAD) Cohort 6Number of Participants With Adverse Events and Serious Adverse EventsAny AE with outcome=death0 Participants
Part 1a (SAD) Cohort 6Number of Participants With Adverse Events and Serious Adverse EventsAny AE leading to discontinuation of investigational medicinal product (IMP)0 Participants
Part 1a (SAD) Cohort 6Number of Participants With Adverse Events and Serious Adverse EventsAny Adverse Event (AE)1 Participants
Part 1a (SAD) Cohort 6Number of Participants With Adverse Events and Serious Adverse EventsAny AE leading to withdrawal from study0 Participants
Part 2a (MAD) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny Adverse Event (AE)4 Participants
Part 2a (MAD) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny AE leading to discontinuation of investigational medicinal product (IMP)0 Participants
Part 2a (MAD) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny AE with outcome=death0 Participants
Part 2a (MAD) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny AE leading to withdrawal from study0 Participants
Part 2a (MAD) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny serious AE (including events with outcome=death)0 Participants
Part 2a (MAD) Cohort 1Number of Participants With Adverse Events and Serious Adverse EventsAny AE leading to discontinuation of investigational medicinal product (IMP)0 Participants
Part 2a (MAD) Cohort 1Number of Participants With Adverse Events and Serious Adverse EventsAny Adverse Event (AE)5 Participants
Part 2a (MAD) Cohort 1Number of Participants With Adverse Events and Serious Adverse EventsAny serious AE (including events with outcome=death)0 Participants
Part 2a (MAD) Cohort 1Number of Participants With Adverse Events and Serious Adverse EventsAny AE with outcome=death0 Participants
Part 2a (MAD) Cohort 1Number of Participants With Adverse Events and Serious Adverse EventsAny AE leading to withdrawal from study0 Participants
Part 2a (MAD) Cohort 2Number of Participants With Adverse Events and Serious Adverse EventsAny Adverse Event (AE)3 Participants
Part 2a (MAD) Cohort 2Number of Participants With Adverse Events and Serious Adverse EventsAny AE leading to discontinuation of investigational medicinal product (IMP)0 Participants
Part 2a (MAD) Cohort 2Number of Participants With Adverse Events and Serious Adverse EventsAny AE with outcome=death0 Participants
Part 2a (MAD) Cohort 2Number of Participants With Adverse Events and Serious Adverse EventsAny serious AE (including events with outcome=death)0 Participants
Part 2a (MAD) Cohort 2Number of Participants With Adverse Events and Serious Adverse EventsAny AE leading to withdrawal from study0 Participants
Part 2b (MAD) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny AE leading to withdrawal from study0 Participants
Part 2b (MAD) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny AE with outcome=death0 Participants
Part 2b (MAD) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny serious AE (including events with outcome=death)0 Participants
Part 2b (MAD) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny AE leading to discontinuation of investigational medicinal product (IMP)0 Participants
Part 2b (MAD) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny Adverse Event (AE)2 Participants
Part 2b (MAD) Cohort 1Number of Participants With Adverse Events and Serious Adverse EventsAny AE leading to withdrawal from study1 Participants
Part 2b (MAD) Cohort 1Number of Participants With Adverse Events and Serious Adverse EventsAny AE with outcome=death0 Participants
Part 2b (MAD) Cohort 1Number of Participants With Adverse Events and Serious Adverse EventsAny serious AE (including events with outcome=death)0 Participants
Part 2b (MAD) Cohort 1Number of Participants With Adverse Events and Serious Adverse EventsAny Adverse Event (AE)6 Participants
Part 2b (MAD) Cohort 1Number of Participants With Adverse Events and Serious Adverse EventsAny AE leading to discontinuation of investigational medicinal product (IMP)1 Participants
Part 3a (DPI/PoM) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny AE with outcome=death0 Participants
Part 3a (DPI/PoM) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny serious AE (including events with outcome=death)0 Participants
Part 3a (DPI/PoM) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny AE leading to withdrawal from study0 Participants
Part 3a (DPI/PoM) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny Adverse Event (AE)15 Participants
Part 3a (DPI/PoM) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny AE leading to discontinuation of investigational medicinal product (IMP)0 Participants
Part 3a (DPI/PoM)Number of Participants With Adverse Events and Serious Adverse EventsAny Adverse Event (AE)14 Participants
Part 3a (DPI/PoM)Number of Participants With Adverse Events and Serious Adverse EventsAny serious AE (including events with outcome=death)0 Participants
Part 3a (DPI/PoM)Number of Participants With Adverse Events and Serious Adverse EventsAny AE with outcome=death0 Participants
Part 3a (DPI/PoM)Number of Participants With Adverse Events and Serious Adverse EventsAny AE leading to discontinuation of investigational medicinal product (IMP)0 Participants
Part 3a (DPI/PoM)Number of Participants With Adverse Events and Serious Adverse EventsAny AE leading to withdrawal from study0 Participants
Part 3b (DPI/Healthy Participants) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny AE with outcome=death0 Participants
Part 3b (DPI/Healthy Participants) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny AE leading to withdrawal from study0 Participants
Part 3b (DPI/Healthy Participants) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny AE leading to discontinuation of investigational medicinal product (IMP)0 Participants
Part 3b (DPI/Healthy Participants) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny Adverse Event (AE)0 Participants
Part 3b (DPI/Healthy Participants) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny serious AE (including events with outcome=death)0 Participants
Part 3b (DPI/Healthy Participants)Number of Participants With Adverse Events and Serious Adverse EventsAny Adverse Event (AE)3 Participants
Part 3b (DPI/Healthy Participants)Number of Participants With Adverse Events and Serious Adverse EventsAny AE leading to withdrawal from study0 Participants
Part 3b (DPI/Healthy Participants)Number of Participants With Adverse Events and Serious Adverse EventsAny AE leading to discontinuation of investigational medicinal product (IMP)0 Participants
Part 3b (DPI/Healthy Participants)Number of Participants With Adverse Events and Serious Adverse EventsAny serious AE (including events with outcome=death)0 Participants
Part 3b (DPI/Healthy Participants)Number of Participants With Adverse Events and Serious Adverse EventsAny AE with outcome=death0 Participants
Primary

Terminal Halflife, Estimated as (ln2)/-λz (t½λz )

t½λz of AZD0449 following intravenous administration of a single dose to healthy participants was assessed.

Time frame: Part 1b: Day 1

Population: The PK set consisted of all participants who received at least one dose of AZD0449 and who had evaluable PK data, with no major protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureValue (MEAN)Dispersion
Part 1a (SAD) PlaceboTerminal Halflife, Estimated as (ln2)/-λz (t½λz )2.463 HoursStandard Deviation 0.5698
Part 1a (SAD) Cohort 1Terminal Halflife, Estimated as (ln2)/-λz (t½λz )3.370 HoursStandard Deviation 2.453
Primary

Terminal Rate Constant, Estimated by Loglinear Leastsquares Regression of the Terminal Part of the -Concentrationtime- Curve (λz)

λz of AZD0449 following intravenous administration of a single dose to healthy participants was assessed.

Time frame: Part 1b: Day 1

Population: The PK set consisted of all participants who received at least one dose of AZD0449 and who had evaluable PK data, with no major protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureValue (MEDIAN)
Part 1a (SAD) PlaceboTerminal Rate Constant, Estimated by Loglinear Leastsquares Regression of the Terminal Part of the -Concentrationtime- Curve (λz)0.285 Hours
Part 1a (SAD) Cohort 1Terminal Rate Constant, Estimated by Loglinear Leastsquares Regression of the Terminal Part of the -Concentrationtime- Curve (λz)0.298 Hours
Primary

Time of Last Quantifiable Concentration (Tlast)

tlast of AZD0449 following intravenous administration of a single dose to healthy participants was assessed.

Time frame: Part 1b: Day 1

Population: The PK set consisted of all participants who received at least one dose of AZD0449 and who had evaluable PK data, with no major protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureValue (MEDIAN)
Part 1a (SAD) PlaceboTime of Last Quantifiable Concentration (Tlast)9.98 Hours
Part 1a (SAD) Cohort 1Time of Last Quantifiable Concentration (Tlast)15.00 Hours
Primary

Time to Reach Peak or Maximum Observed Concentration Following Drug Administration (Tmax)

tmax of AZD0449 following intravenous administration of a single dose to healthy participants was assessed.

Time frame: Part 1b: Day 1

Population: The PK set consisted of all participants who received at least one dose of AZD0449 and who had evaluable PK data, with no major protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureValue (MEDIAN)
Part 1a (SAD) PlaceboTime to Reach Peak or Maximum Observed Concentration Following Drug Administration (Tmax)1.00 Hours
Part 1a (SAD) Cohort 1Time to Reach Peak or Maximum Observed Concentration Following Drug Administration (Tmax)0.69 Hours
Primary

Total Body Clearance of Drug From Plasma After Intravascular Administration (CL)

CL of AZD0449 following intravenous administration of a single dose of AZD0449 to healthy volunteers was assessed.

Time frame: Part 1b: Day 1

Population: The PK set consisted of all participants who received at least one dose of AZD0449 and who had evaluable PK data, with no major protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureValue (MEAN)Dispersion
Part 1a (SAD) PlaceboTotal Body Clearance of Drug From Plasma After Intravascular Administration (CL)65.38 Liter/hour (L/h)Standard Deviation 9.099
Part 1a (SAD) Cohort 1Total Body Clearance of Drug From Plasma After Intravascular Administration (CL)57.05 Liter/hour (L/h)Standard Deviation 10.86
Primary

Volume of Distribution for Parent Drug at Terminal Phase [Intravenous Administration] (λz)

Vz of AZD0449 following intravenous administration of a single dose of AZD0449 to healthy volunteers was assessed.

Time frame: Part 1b: Day 1

Population: The PK set consisted of all participants who received at least one dose of AZD0449 and who had evaluable PK data, with no major protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureValue (MEAN)Dispersion
Part 1a (SAD) PlaceboVolume of Distribution for Parent Drug at Terminal Phase [Intravenous Administration] (λz)232.0 LiterStandard Deviation 62.16
Part 1a (SAD) Cohort 1Volume of Distribution for Parent Drug at Terminal Phase [Intravenous Administration] (λz)248.3 LiterStandard Deviation 109
Secondary

Apparent Total Body Clearance of Drug From Plasma After Extravascular Administration (CL/F)

CL/F of AZD0449 following inhaled administration of single ascending doses of AZD0449, inhaled nebulized administration of multiple ascending doses to healthy volunteers and patients with mild asthma, and repeated inhaled administration to patients with mild asthma using a DPI was assessed.

Time frame: Part 1a: Day 1, Part 2 and 3: Day 1 and Day 12

Population: The PK set consisted of all participants and patients who received at least one dose of AZD0449 and who had evaluable PK data, with no major protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1a (SAD) PlaceboApparent Total Body Clearance of Drug From Plasma After Extravascular Administration (CL/F)Day 1168.5 liter/hour (L/h)Standard Deviation 101.9
Part 1a (SAD) Cohort 1Apparent Total Body Clearance of Drug From Plasma After Extravascular Administration (CL/F)Day 1162.7 liter/hour (L/h)Standard Deviation 73.35
Part 1a (SAD) Cohort 2Apparent Total Body Clearance of Drug From Plasma After Extravascular Administration (CL/F)Day 1259.2 liter/hour (L/h)Standard Deviation 360.3
Part 1a (SAD) Cohort 3Apparent Total Body Clearance of Drug From Plasma After Extravascular Administration (CL/F)Day 1120.1 liter/hour (L/h)Standard Deviation 10.39
Part 1a (SAD) Cohort 4Apparent Total Body Clearance of Drug From Plasma After Extravascular Administration (CL/F)Day 193.84 liter/hour (L/h)Standard Deviation 35.34
Part 1a (SAD) Cohort 5Apparent Total Body Clearance of Drug From Plasma After Extravascular Administration (CL/F)Day 197.17 liter/hour (L/h)Standard Deviation 26.31
Part 1a (SAD) Cohort 6Apparent Total Body Clearance of Drug From Plasma After Extravascular Administration (CL/F)Day 12121.9 liter/hour (L/h)Standard Deviation 44.38
Part 1a (SAD) Cohort 6Apparent Total Body Clearance of Drug From Plasma After Extravascular Administration (CL/F)Day 1128.0 liter/hour (L/h)Standard Deviation 21.67
Part 2a (MAD) PlaceboApparent Total Body Clearance of Drug From Plasma After Extravascular Administration (CL/F)Day 1117.9 liter/hour (L/h)Standard Deviation 26.32
Part 2a (MAD) PlaceboApparent Total Body Clearance of Drug From Plasma After Extravascular Administration (CL/F)Day 1288.89 liter/hour (L/h)Standard Deviation 28.36
Part 2a (MAD) Cohort 1Apparent Total Body Clearance of Drug From Plasma After Extravascular Administration (CL/F)Day 1285.35 liter/hour (L/h)Standard Deviation 29.74
Part 2a (MAD) Cohort 1Apparent Total Body Clearance of Drug From Plasma After Extravascular Administration (CL/F)Day 1113.0 liter/hour (L/h)Standard Deviation 37.98
Part 2a (MAD) Cohort 2Apparent Total Body Clearance of Drug From Plasma After Extravascular Administration (CL/F)Day 1175.1 liter/hour (L/h)Standard Deviation 87.78
Part 2a (MAD) Cohort 2Apparent Total Body Clearance of Drug From Plasma After Extravascular Administration (CL/F)Day 12118.4 liter/hour (L/h)Standard Deviation 66.81
Part 2b (MAD) PlaceboApparent Total Body Clearance of Drug From Plasma After Extravascular Administration (CL/F)Day 1141.9 liter/hour (L/h)Standard Deviation 41.92
Part 2b (MAD) PlaceboApparent Total Body Clearance of Drug From Plasma After Extravascular Administration (CL/F)Day 1284.21 liter/hour (L/h)Standard Deviation 28.88
Secondary

Apparent Volume of Distribution for Parent Drug at Terminal Phase [Extravascular Administration] (Vz/F)

Vz/F of AZD0449 following inhaled administration of single ascending doses of AZD0449, inhaled nebulized administration of multiple ascending doses to healthy volunteers and patients with mild asthma, and repeated inhaled administration to patients with mild asthma using a DPI was assessed.

Time frame: Part 1a: Day 1, Part 2 and 3: Day 1 and Day 12

Population: The PK set consisted of all participants and patients who received at least one dose of AZD0449 and who had evaluable PK data, with no major protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1a (SAD) PlaceboApparent Volume of Distribution for Parent Drug at Terminal Phase [Extravascular Administration] (Vz/F)Day 1818.1 LiterStandard Deviation 430.3
Part 1a (SAD) Cohort 1Apparent Volume of Distribution for Parent Drug at Terminal Phase [Extravascular Administration] (Vz/F)Day 11275 LiterStandard Deviation 456.2
Part 1a (SAD) Cohort 2Apparent Volume of Distribution for Parent Drug at Terminal Phase [Extravascular Administration] (Vz/F)Day 12696 LiterStandard Deviation 1301
Part 1a (SAD) Cohort 3Apparent Volume of Distribution for Parent Drug at Terminal Phase [Extravascular Administration] (Vz/F)Day 14180 LiterStandard Deviation 620.1
Part 1a (SAD) Cohort 4Apparent Volume of Distribution for Parent Drug at Terminal Phase [Extravascular Administration] (Vz/F)Day 18110 LiterStandard Deviation 3100
Part 1a (SAD) Cohort 5Apparent Volume of Distribution for Parent Drug at Terminal Phase [Extravascular Administration] (Vz/F)Day 112080 LiterStandard Deviation 4962
Part 1a (SAD) Cohort 6Apparent Volume of Distribution for Parent Drug at Terminal Phase [Extravascular Administration] (Vz/F)Day 1220620 LiterStandard Deviation 18120
Part 1a (SAD) Cohort 6Apparent Volume of Distribution for Parent Drug at Terminal Phase [Extravascular Administration] (Vz/F)Day 13294 LiterStandard Deviation 779.9
Part 2a (MAD) PlaceboApparent Volume of Distribution for Parent Drug at Terminal Phase [Extravascular Administration] (Vz/F)Day 13030 LiterStandard Deviation 1666
Part 2a (MAD) PlaceboApparent Volume of Distribution for Parent Drug at Terminal Phase [Extravascular Administration] (Vz/F)Day 1215970 LiterStandard Deviation 11290
Part 2a (MAD) Cohort 1Apparent Volume of Distribution for Parent Drug at Terminal Phase [Extravascular Administration] (Vz/F)Day 12542 LiterStandard Deviation 1340
Part 2a (MAD) Cohort 1Apparent Volume of Distribution for Parent Drug at Terminal Phase [Extravascular Administration] (Vz/F)Day 1220470 LiterStandard Deviation 13390
Part 2a (MAD) Cohort 2Apparent Volume of Distribution for Parent Drug at Terminal Phase [Extravascular Administration] (Vz/F)Day 13692 LiterStandard Deviation 2537
Part 2a (MAD) Cohort 2Apparent Volume of Distribution for Parent Drug at Terminal Phase [Extravascular Administration] (Vz/F)Day 1223520 LiterStandard Deviation 20930
Part 2b (MAD) PlaceboApparent Volume of Distribution for Parent Drug at Terminal Phase [Extravascular Administration] (Vz/F)Day 1215060 LiterStandard Deviation 3134
Part 2b (MAD) PlaceboApparent Volume of Distribution for Parent Drug at Terminal Phase [Extravascular Administration] (Vz/F)Day 12977 LiterStandard Deviation 1280
Secondary

Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours After Dosing (AUC(0-24))

AUC (0-24) of AZD0449 following inhaled administration of single ascending doses of AZD0449, inhaled nebulized administration of multiple ascending doses to healthy volunteers and patients with mild asthma, and repeated inhaled administration to patients with mild asthma using a DPI was assessed.

Time frame: Part 1a: Day 1, Part 2 and 3: Day 1 and Day 12

Population: The PK set consisted of all participants and patients who received at least one dose of AZD0449 and who had evaluable PK data, with no major protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Part 1a (SAD) PlaceboArea Under the Plasma Concentration Time Curve From Time Zero to 24 Hours After Dosing (AUC(0-24))Day 11.692 hour*nanomole/L (h*nmol/L)Geometric Coefficient of Variation 58.94
Part 1a (SAD) Cohort 1Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours After Dosing (AUC(0-24))Day 14.798 hour*nanomole/L (h*nmol/L)Geometric Coefficient of Variation 43.67
Part 1a (SAD) Cohort 2Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours After Dosing (AUC(0-24))Day 113.09 hour*nanomole/L (h*nmol/L)Geometric Coefficient of Variation 118
Part 1a (SAD) Cohort 3Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours After Dosing (AUC(0-24))Day 129.46 hour*nanomole/L (h*nmol/L)Geometric Coefficient of Variation 11.16
Part 1a (SAD) Cohort 4Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours After Dosing (AUC(0-24))Day 166.64 hour*nanomole/L (h*nmol/L)Geometric Coefficient of Variation 27.05
Part 1a (SAD) Cohort 5Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours After Dosing (AUC(0-24))Day 194.029 hour*nanomole/L (h*nmol/L)Geometric Coefficient of Variation 35.49
Part 1a (SAD) Cohort 6Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours After Dosing (AUC(0-24))Day 1227.39 hour*nanomole/L (h*nmol/L)Geometric Coefficient of Variation 31.38
Part 1a (SAD) Cohort 6Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours After Dosing (AUC(0-24))Day 121.67 hour*nanomole/L (h*nmol/L)Geometric Coefficient of Variation 13.03
Part 2a (MAD) PlaceboArea Under the Plasma Concentration Time Curve From Time Zero to 24 Hours After Dosing (AUC(0-24))Day 150.07 hour*nanomole/L (h*nmol/L)Geometric Coefficient of Variation 24.64
Part 2a (MAD) PlaceboArea Under the Plasma Concentration Time Curve From Time Zero to 24 Hours After Dosing (AUC(0-24))Day 1278.12 hour*nanomole/L (h*nmol/L)Geometric Coefficient of Variation 32.39
Part 2a (MAD) Cohort 1Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours After Dosing (AUC(0-24))Day 1112.3 hour*nanomole/L (h*nmol/L)Geometric Coefficient of Variation 50.33
Part 2a (MAD) Cohort 1Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours After Dosing (AUC(0-24))Day 12166.4 hour*nanomole/L (h*nmol/L)Geometric Coefficient of Variation 43.85
Part 2a (MAD) Cohort 2Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours After Dosing (AUC(0-24))Day 169.00 hour*nanomole/L (h*nmol/L)Geometric Coefficient of Variation 38.24
Part 2a (MAD) Cohort 2Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours After Dosing (AUC(0-24))Day 12125.6 hour*nanomole/L (h*nmol/L)Geometric Coefficient of Variation 48.14
Part 2b (MAD) PlaceboArea Under the Plasma Concentration Time Curve From Time Zero to 24 Hours After Dosing (AUC(0-24))Day 12167.9 hour*nanomole/L (h*nmol/L)Geometric Coefficient of Variation 41.54
Part 2b (MAD) PlaceboArea Under the Plasma Concentration Time Curve From Time Zero to 24 Hours After Dosing (AUC(0-24))Day 180.87 hour*nanomole/L (h*nmol/L)Geometric Coefficient of Variation 31.67
Secondary

Area Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUCinf)

AUCinf of AZD0449 following inhaled administration of single ascending doses of AZD0449, inhaled nebulized administration of multiple ascending doses to healthy participants and patients with mild asthma, and repeated inhaled administration to patients with mild asthma using a DPI was assessed.

Time frame: Part 1a: Day 1, Part 2 and 3: Day 1 and Day 12

Population: The PK set consisted of all participants and patients who received at least one dose of AZD0449 and who had evaluable PK data, with no major protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Part 1a (SAD) PlaceboArea Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUCinf)Day 11.711 h*nmol/LGeometric Coefficient of Variation 58.87
Part 1a (SAD) Cohort 1Area Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUCinf)Day 14.964 h*nmol/LGeometric Coefficient of Variation 45.39
Part 1a (SAD) Cohort 2Area Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUCinf)Day 114.60 h*nmol/LGeometric Coefficient of Variation 127.6
Part 1a (SAD) Cohort 3Area Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUCinf)Day 135.61 h*nmol/LGeometric Coefficient of Variation 8.706
Part 1a (SAD) Cohort 4Area Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUCinf)Day 195.36 h*nmol/LGeometric Coefficient of Variation 33.47
Part 1a (SAD) Cohort 5Area Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUCinf)Day 1141.2 h*nmol/LGeometric Coefficient of Variation 27.16
Part 1a (SAD) Cohort 6Area Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUCinf)Day 1284.73 h*nmol/LGeometric Coefficient of Variation 22.26
Part 1a (SAD) Cohort 6Area Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUCinf)Day 125.27 h*nmol/LGeometric Coefficient of Variation 16.74
Part 2a (MAD) PlaceboArea Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUCinf)Day 157.82 h*nmol/LGeometric Coefficient of Variation 24.77
Part 2a (MAD) PlaceboArea Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUCinf)Day 12230.0 h*nmol/LGeometric Coefficient of Variation 22.39
Part 2a (MAD) Cohort 1Area Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUCinf)Day 12615.8 h*nmol/LGeometric Coefficient of Variation 44.26
Part 2a (MAD) Cohort 1Area Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUCinf)Day 1126.8 h*nmol/LGeometric Coefficient of Variation 48.59
Part 2a (MAD) Cohort 2Area Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUCinf)Day 182.44 h*nmol/LGeometric Coefficient of Variation 39.54
Part 2a (MAD) Cohort 2Area Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUCinf)Day 12399.1 h*nmol/LGeometric Coefficient of Variation 46.09
Part 2b (MAD) PlaceboArea Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUCinf)Day 197.31 h*nmol/LGeometric Coefficient of Variation 30.03
Part 2b (MAD) PlaceboArea Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUCinf)Day 12658.9 h*nmol/LGeometric Coefficient of Variation 65.34
Secondary

Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast)

AUClast of AZD0449 following inhaled administration of single ascending doses of AZD0449, inhaled nebulized administration of multiple ascending doses to healthy participants and patients with mild asthma, and repeated inhaled administration to patients with mild asthma using a DPI was assessed.

Time frame: Part 1a: Day 1, Part 2 and 3: Day 1 and Day 12

Population: The PK set consisted of all participants and patients who received at least one dose of AZD0449 and who had evaluable PK data, with no major protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Part 1a (SAD) PlaceboArea Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast)Day 11.507 h*nmol/LGeometric Coefficient of Variation 64.24
Part 1a (SAD) Cohort 1Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast)Day 14.608 h*nmol/LGeometric Coefficient of Variation 48.35
Part 1a (SAD) Cohort 2Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast)Day 113.61 h*nmol/LGeometric Coefficient of Variation 127.2
Part 1a (SAD) Cohort 3Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast)Day 132.17 h*nmol/LGeometric Coefficient of Variation 10.01
Part 1a (SAD) Cohort 4Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast)Day 178.27 h*nmol/LGeometric Coefficient of Variation 28.58
Part 1a (SAD) Cohort 5Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast)Day 1121.8 h*nmol/LGeometric Coefficient of Variation 31.83
Part 1a (SAD) Cohort 6Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast)Day 122.95 h*nmol/LGeometric Coefficient of Variation 13.65
Part 1a (SAD) Cohort 6Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast)Day 1261.90 h*nmol/LGeometric Coefficient of Variation 30.97
Part 2a (MAD) PlaceboArea Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast)Day 152.67 h*nmol/LGeometric Coefficient of Variation 24.68
Part 2a (MAD) PlaceboArea Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast)Day 12182.8 h*nmol/LGeometric Coefficient of Variation 29.08
Part 2a (MAD) Cohort 1Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast)Day 1118.3 h*nmol/LGeometric Coefficient of Variation 49.99
Part 2a (MAD) Cohort 1Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast)Day 12509.6 h*nmol/LGeometric Coefficient of Variation 48.5
Part 2a (MAD) Cohort 2Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast)Day 12355.6 h*nmol/LGeometric Coefficient of Variation 48.27
Part 2a (MAD) Cohort 2Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast)Day 174.54 h*nmol/LGeometric Coefficient of Variation 38.78
Part 2b (MAD) PlaceboArea Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast)Day 12570.5 h*nmol/LGeometric Coefficient of Variation 57
Part 2b (MAD) PlaceboArea Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast)Day 187.87 h*nmol/LGeometric Coefficient of Variation 31.91
Secondary

Change From Baseline in 2 Hours Post-dose Fractional Excretion of Nitric Oxide (FeNO)

Assessment of anti-inflammatory effect by evaluating change from baseline in FeNO, 2 hours post-dose of AZD0449 in patients with mild asthma was assessed.

Time frame: At Baseline and Day 12

Population: The Full Analysis Set (FAS) consisted of all participants randomized into the study who have received at least 1 dose of IMP and having at least one 2-hour post-dose FeNO assessment after the first IMP intake.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Part 1a (SAD) PlaceboChange From Baseline in 2 Hours Post-dose Fractional Excretion of Nitric Oxide (FeNO)-22.6 parts per billion (ppb)
Part 1a (SAD) Cohort 1Change From Baseline in 2 Hours Post-dose Fractional Excretion of Nitric Oxide (FeNO)-22.2 parts per billion (ppb)
Part 1a (SAD) Cohort 2Change From Baseline in 2 Hours Post-dose Fractional Excretion of Nitric Oxide (FeNO)-14.3 parts per billion (ppb)
Part 1a (SAD) Cohort 3Change From Baseline in 2 Hours Post-dose Fractional Excretion of Nitric Oxide (FeNO)-15.0 parts per billion (ppb)
Part 1a (SAD) Cohort 4Change From Baseline in 2 Hours Post-dose Fractional Excretion of Nitric Oxide (FeNO)-12.0 parts per billion (ppb)
Comparison: Comparison of Part 2a (MAD) Cohort 1 Vs Part 2a (MAD) Cohort 2p-value: 0.951190% CI: [-12.9, 12]Linear Mixed Model
Comparison: Comparison of Part 2a (MAD) Cohort 2 Vs Part 2a (MAD) Placebop-value: 0.284990% CI: [-20.3, 4.59]Linear Mixed Model
Comparison: Comparison of Part 2a (MAD) Cohort 1 Vs Part 2a (MAD) Placebop-value: 0.259590% CI: [-20.8, 4.14]Linear Mixed Model
Comparison: Comparison of Part 3a (DPI/PoM) Vs Part 3a (DPI/PoM) Placebop-value: 0.360490% CI: [-8.6, 2.51]Linear Mixed Model
Secondary

Change From Baseline in 2 Hours Post-dose in FeNO (AUC (0-12))

Assessment of anti-inflammatory effect by evaluating change from baseline in FeNO (AUC (0-12)), 2 hours post-dose of AZD0449 in patients with mild asthma was assessed.

Time frame: At Baseline and Day 12

Population: The Full Analysis Set (FAS) consisted of all participants randomized into the study who have received at least 1 dose of IMP and having at least one 2-hour post-dose FeNO assessment after the first IMP intake.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Part 1a (SAD) PlaceboChange From Baseline in 2 Hours Post-dose in FeNO (AUC (0-12))-299 parts per billion (ppb)
Part 1a (SAD) Cohort 1Change From Baseline in 2 Hours Post-dose in FeNO (AUC (0-12))-274 parts per billion (ppb)
Part 1a (SAD) Cohort 2Change From Baseline in 2 Hours Post-dose in FeNO (AUC (0-12))-200 parts per billion (ppb)
Part 1a (SAD) Cohort 3Change From Baseline in 2 Hours Post-dose in FeNO (AUC (0-12))-213 parts per billion (ppb)
Part 1a (SAD) Cohort 4Change From Baseline in 2 Hours Post-dose in FeNO (AUC (0-12))-162 parts per billion (ppb)
Comparison: Comparison of Part 2a (MAD) Cohort 1 Vs Part 2a (MAD) Cohort 2p-value: 0.754490% CI: [-166, 115]Linear Mixed Model
Comparison: Comparison of Part 2a (MAD) Cohort 2 Vs Part 2a (MAD) Placebop-value: 0.37590% CI: [-214, 67.6]Linear Mixed Model
Comparison: Comparison of Part 2a (MAD) Cohort 1 Vs Part 2a (MAD) Placebop-value: 0.237790% CI: [-240, 42.3]Linear Mixed Model
Comparison: Comparison of Part 3a (DPI/PoM) Vs Part 3a (DPI/PoM) Placebop-value: 0.110590% CI: [-102, 1.61]Linear Mixed Model
Secondary

Dose Normalized Cmax (Cmax/D)

Cmax/D of AZD0449 following inhaled administration of single ascending doses of AZD0449, inhaled nebulized administration of multiple ascending doses to healthy volunteers and patients with mild asthma, and repeated inhaled administration to patients with mild asthma using a DPI was assessed.

Time frame: Part 1a: Day 1, Part 2 and 3: Day 1 and Day 12

Population: The PK set consisted of all participants and patients who received at least one dose of AZD0449 and who had evaluable PK data, with no major protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Part 1a (SAD) PlaceboDose Normalized Cmax (Cmax/D)Day 14.589 (nmol/L)/milligram (mg)Geometric Coefficient of Variation 54.69
Part 1a (SAD) Cohort 1Dose Normalized Cmax (Cmax/D)Day 16.396 (nmol/L)/milligram (mg)Geometric Coefficient of Variation 26.72
Part 1a (SAD) Cohort 2Dose Normalized Cmax (Cmax/D)Day 14.831 (nmol/L)/milligram (mg)Geometric Coefficient of Variation 68.59
Part 1a (SAD) Cohort 3Dose Normalized Cmax (Cmax/D)Day 15.404 (nmol/L)/milligram (mg)Geometric Coefficient of Variation 37.45
Part 1a (SAD) Cohort 4Dose Normalized Cmax (Cmax/D)Day 16.047 (nmol/L)/milligram (mg)Geometric Coefficient of Variation 20.56
Part 1a (SAD) Cohort 5Dose Normalized Cmax (Cmax/D)Day 15.226 (nmol/L)/milligram (mg)Geometric Coefficient of Variation 48.72
Part 1a (SAD) Cohort 6Dose Normalized Cmax (Cmax/D)Day 13.897 (nmol/L)/milligram (mg)Geometric Coefficient of Variation 18.64
Part 1a (SAD) Cohort 6Dose Normalized Cmax (Cmax/D)Day 123.897 (nmol/L)/milligram (mg)Geometric Coefficient of Variation 39.84
Part 2a (MAD) PlaceboDose Normalized Cmax (Cmax/D)Day 125.248 (nmol/L)/milligram (mg)Geometric Coefficient of Variation 24.59
Part 2a (MAD) PlaceboDose Normalized Cmax (Cmax/D)Day 14.837 (nmol/L)/milligram (mg)Geometric Coefficient of Variation 32.95
Part 2a (MAD) Cohort 1Dose Normalized Cmax (Cmax/D)Day 126.730 (nmol/L)/milligram (mg)Geometric Coefficient of Variation 39.61
Part 2a (MAD) Cohort 1Dose Normalized Cmax (Cmax/D)Day 16.775 (nmol/L)/milligram (mg)Geometric Coefficient of Variation 39.92
Part 2a (MAD) Cohort 2Dose Normalized Cmax (Cmax/D)Day 12.468 (nmol/L)/milligram (mg)Geometric Coefficient of Variation 35.66
Part 2a (MAD) Cohort 2Dose Normalized Cmax (Cmax/D)Day 123.265 (nmol/L)/milligram (mg)Geometric Coefficient of Variation 42.77
Part 2b (MAD) PlaceboDose Normalized Cmax (Cmax/D)Day 12.582 (nmol/L)/milligram (mg)Geometric Coefficient of Variation 29.36
Part 2b (MAD) PlaceboDose Normalized Cmax (Cmax/D)Day 123.811 (nmol/L)/milligram (mg)Geometric Coefficient of Variation 39.71
Secondary

Maximum Observed Plasma Concentration (Cmax)

Cmax of AZD0449 following inhaled administration of single ascending doses of AZD0449, inhaled nebulized administration of multiple ascending doses to healthy participants and patients with mild asthma, and repeated inhaled administration to patients with mild asthma using a DPI was assessed.

Time frame: Part 1a: Day 1, Part 2 and 3: Day 1 and Day 12

Population: The PK set consisted of all participants and patients who received at least one dose of AZD0449 and who had evaluable PK data, with no major protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Part 1a (SAD) PlaceboMaximum Observed Plasma Concentration (Cmax)Day 10.4360 nanomole/liter (nmol/L)Geometric Coefficient of Variation 54.69
Part 1a (SAD) PlaceboMaximum Observed Plasma Concentration (Cmax)Day 12NA nanomole/liter (nmol/L)
Part 1a (SAD) Cohort 1Maximum Observed Plasma Concentration (Cmax)Day 12NA nanomole/liter (nmol/L)
Part 1a (SAD) Cohort 1Maximum Observed Plasma Concentration (Cmax)Day 11.791 nanomole/liter (nmol/L)Geometric Coefficient of Variation 26.72
Part 1a (SAD) Cohort 2Maximum Observed Plasma Concentration (Cmax)Day 14.058 nanomole/liter (nmol/L)Geometric Coefficient of Variation 68.59
Part 1a (SAD) Cohort 2Maximum Observed Plasma Concentration (Cmax)Day 12NA nanomole/liter (nmol/L)
Part 1a (SAD) Cohort 3Maximum Observed Plasma Concentration (Cmax)Day 12NA nanomole/liter (nmol/L)
Part 1a (SAD) Cohort 3Maximum Observed Plasma Concentration (Cmax)Day 18.646 nanomole/liter (nmol/L)Geometric Coefficient of Variation 37.45
Part 1a (SAD) Cohort 4Maximum Observed Plasma Concentration (Cmax)Day 119.35 nanomole/liter (nmol/L)Geometric Coefficient of Variation 20.56
Part 1a (SAD) Cohort 4Maximum Observed Plasma Concentration (Cmax)Day 12NA nanomole/liter (nmol/L)
Part 1a (SAD) Cohort 5Maximum Observed Plasma Concentration (Cmax)Day 12NA nanomole/liter (nmol/L)
Part 1a (SAD) Cohort 5Maximum Observed Plasma Concentration (Cmax)Day 126.13 nanomole/liter (nmol/L)Geometric Coefficient of Variation 48.72
Part 1a (SAD) Cohort 6Maximum Observed Plasma Concentration (Cmax)Day 124.676 nanomole/liter (nmol/L)Geometric Coefficient of Variation 39.84
Part 1a (SAD) Cohort 6Maximum Observed Plasma Concentration (Cmax)Day 14.676 nanomole/liter (nmol/L)Geometric Coefficient of Variation 18.64
Part 2a (MAD) PlaceboMaximum Observed Plasma Concentration (Cmax)Day 1213.12 nanomole/liter (nmol/L)Geometric Coefficient of Variation 24.59
Part 2a (MAD) PlaceboMaximum Observed Plasma Concentration (Cmax)Day 112.09 nanomole/liter (nmol/L)Geometric Coefficient of Variation 32.95
Part 2a (MAD) Cohort 1Maximum Observed Plasma Concentration (Cmax)Day 133.87 nanomole/liter (nmol/L)Geometric Coefficient of Variation 39.92
Part 2a (MAD) Cohort 1Maximum Observed Plasma Concentration (Cmax)Day 1233.65 nanomole/liter (nmol/L)Geometric Coefficient of Variation 39.61
Part 2a (MAD) Cohort 2Maximum Observed Plasma Concentration (Cmax)Day 112.34 nanomole/liter (nmol/L)Geometric Coefficient of Variation 35.66
Part 2a (MAD) Cohort 2Maximum Observed Plasma Concentration (Cmax)Day 1216.32 nanomole/liter (nmol/L)Geometric Coefficient of Variation 42.77
Part 2b (MAD) PlaceboMaximum Observed Plasma Concentration (Cmax)Day 1219.05 nanomole/liter (nmol/L)Geometric Coefficient of Variation 39.71
Part 2b (MAD) PlaceboMaximum Observed Plasma Concentration (Cmax)Day 112.91 nanomole/liter (nmol/L)Geometric Coefficient of Variation 29.36
Secondary

Number of Participants With Adverse Events and Serious Adverse Events

Safety and tolerability of AZD0449 following intravenous administration of a single dose to healthy participants was assessed.

Time frame: From screening up to follow-up visit [Part 1b (6±1 Days post-dose)]

Population: Safety Analysis Set included all participants who received at least one dose of AZD0449 and for whom any safety post-dose data were available.

ArmMeasureGroupValue (NUMBER)
Part 1a (SAD) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny AE with outcome=death0 Participants
Part 1a (SAD) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny AE leading to withdrawal from study0 Participants
Part 1a (SAD) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny serious AE (including events with outcome=death)0 Participants
Part 1a (SAD) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny AE leading to discontinuation of investigational medicinal product (IMP)0 Participants
Part 1a (SAD) PlaceboNumber of Participants With Adverse Events and Serious Adverse EventsAny Adverse Event (AE)2 Participants
Part 1a (SAD) Cohort 1Number of Participants With Adverse Events and Serious Adverse EventsAny AE leading to discontinuation of investigational medicinal product (IMP)0 Participants
Part 1a (SAD) Cohort 1Number of Participants With Adverse Events and Serious Adverse EventsAny Adverse Event (AE)2 Participants
Part 1a (SAD) Cohort 1Number of Participants With Adverse Events and Serious Adverse EventsAny AE with outcome=death0 Participants
Part 1a (SAD) Cohort 1Number of Participants With Adverse Events and Serious Adverse EventsAny serious AE (including events with outcome=death)0 Participants
Part 1a (SAD) Cohort 1Number of Participants With Adverse Events and Serious Adverse EventsAny AE leading to withdrawal from study0 Participants
Secondary

Terminal Halflife, Estimated as (ln2)/-λz (t½λz )

t½λz of AZD0449 following inhaled administration of single ascending doses of AZD0449, inhaled nebulized administration of multiple ascending doses to healthy volunteers and patients with mild asthma, and repeated inhaled administration to patients with mild asthma using a DPI was assessed.

Time frame: Part 1a: Day 1, Part 2 and 3: Day 1 and Day 12

Population: The PK set consisted of all participants and patients who received at least one dose of AZD0449 and who had evaluable PK data, with no major protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1a (SAD) PlaceboTerminal Halflife, Estimated as (ln2)/-λz (t½λz )Day 13.603 HoursStandard Deviation 1.281
Part 1a (SAD) Cohort 1Terminal Halflife, Estimated as (ln2)/-λz (t½λz )Day 16.049 HoursStandard Deviation 2.481
Part 1a (SAD) Cohort 2Terminal Halflife, Estimated as (ln2)/-λz (t½λz )Day 112.51 HoursStandard Deviation 5.169
Part 1a (SAD) Cohort 3Terminal Halflife, Estimated as (ln2)/-λz (t½λz )Day 124.07 HoursStandard Deviation 2.592
Part 1a (SAD) Cohort 4Terminal Halflife, Estimated as (ln2)/-λz (t½λz )Day 163.56 HoursStandard Deviation 30.66
Part 1a (SAD) Cohort 5Terminal Halflife, Estimated as (ln2)/-λz (t½λz )Day 184.26 HoursStandard Deviation 23.19
Part 1a (SAD) Cohort 6Terminal Halflife, Estimated as (ln2)/-λz (t½λz )Day 12104.9 HoursStandard Deviation 43.78
Part 1a (SAD) Cohort 6Terminal Halflife, Estimated as (ln2)/-λz (t½λz )Day 118.43 HoursStandard Deviation 6.029
Part 2a (MAD) PlaceboTerminal Halflife, Estimated as (ln2)/-λz (t½λz )Day 12115.2 HoursStandard Deviation 42.21
Part 2a (MAD) PlaceboTerminal Halflife, Estimated as (ln2)/-λz (t½λz )Day 118.35 HoursStandard Deviation 9.705
Part 2a (MAD) Cohort 1Terminal Halflife, Estimated as (ln2)/-λz (t½λz )Day 114.94 HoursStandard Deviation 3.707
Part 2a (MAD) Cohort 1Terminal Halflife, Estimated as (ln2)/-λz (t½λz )Day 12160.0 HoursStandard Deviation 63.96
Part 2a (MAD) Cohort 2Terminal Halflife, Estimated as (ln2)/-λz (t½λz )Day 114.93 HoursStandard Deviation 8.198
Part 2a (MAD) Cohort 2Terminal Halflife, Estimated as (ln2)/-λz (t½λz )Day 12124.4 HoursStandard Deviation 53.54
Part 2b (MAD) PlaceboTerminal Halflife, Estimated as (ln2)/-λz (t½λz )Day 12132.5 HoursStandard Deviation 33.23
Part 2b (MAD) PlaceboTerminal Halflife, Estimated as (ln2)/-λz (t½λz )Day 114.09 HoursStandard Deviation 2.7171
Secondary

Terminal Rate Constant, Estimated by Loglinear Leastsquares Regression of the Terminal Part of the -Concentrationtime- Curve (λz)

λz of AZD0449 following inhaled administration of single ascending doses of AZD0449, inhaled nebulized administration of multiple ascending doses to healthy volunteers and patients with mild asthma, and repeated inhaled administration to patients with mild asthma using a DPI was assessed.

Time frame: Part 1a: Day 1, Part 2 and 3: Day 1 and Day 12

Population: The PK set consisted of all participants and patients who received at least one dose of AZD0449 and who had evaluable PK data, with no major protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureGroupValue (MEDIAN)
Part 1a (SAD) PlaceboTerminal Rate Constant, Estimated by Loglinear Leastsquares Regression of the Terminal Part of the -Concentrationtime- Curve (λz)Day 10.210 Hours
Part 1a (SAD) Cohort 1Terminal Rate Constant, Estimated by Loglinear Leastsquares Regression of the Terminal Part of the -Concentrationtime- Curve (λz)Day 10.105 Hours
Part 1a (SAD) Cohort 2Terminal Rate Constant, Estimated by Loglinear Leastsquares Regression of the Terminal Part of the -Concentrationtime- Curve (λz)Day 10.055 Hours
Part 1a (SAD) Cohort 3Terminal Rate Constant, Estimated by Loglinear Leastsquares Regression of the Terminal Part of the -Concentrationtime- Curve (λz)Day 10.027 Hours
Part 1a (SAD) Cohort 4Terminal Rate Constant, Estimated by Loglinear Leastsquares Regression of the Terminal Part of the -Concentrationtime- Curve (λz)Day 10.013 Hours
Part 1a (SAD) Cohort 5Terminal Rate Constant, Estimated by Loglinear Leastsquares Regression of the Terminal Part of the -Concentrationtime- Curve (λz)Day 10.008 Hours
Part 1a (SAD) Cohort 6Terminal Rate Constant, Estimated by Loglinear Leastsquares Regression of the Terminal Part of the -Concentrationtime- Curve (λz)Day 120.008 Hours
Part 1a (SAD) Cohort 6Terminal Rate Constant, Estimated by Loglinear Leastsquares Regression of the Terminal Part of the -Concentrationtime- Curve (λz)Day 10.041 Hours
Part 2a (MAD) PlaceboTerminal Rate Constant, Estimated by Loglinear Leastsquares Regression of the Terminal Part of the -Concentrationtime- Curve (λz)Day 10.038 Hours
Part 2a (MAD) PlaceboTerminal Rate Constant, Estimated by Loglinear Leastsquares Regression of the Terminal Part of the -Concentrationtime- Curve (λz)Day 120.006 Hours
Part 2a (MAD) Cohort 1Terminal Rate Constant, Estimated by Loglinear Leastsquares Regression of the Terminal Part of the -Concentrationtime- Curve (λz)Day 10.053 Hours
Part 2a (MAD) Cohort 1Terminal Rate Constant, Estimated by Loglinear Leastsquares Regression of the Terminal Part of the -Concentrationtime- Curve (λz)Day 120.004 Hours
Part 2a (MAD) Cohort 2Terminal Rate Constant, Estimated by Loglinear Leastsquares Regression of the Terminal Part of the -Concentrationtime- Curve (λz)Day 10.057 Hours
Part 2a (MAD) Cohort 2Terminal Rate Constant, Estimated by Loglinear Leastsquares Regression of the Terminal Part of the -Concentrationtime- Curve (λz)Day 120.005 Hours
Part 2b (MAD) PlaceboTerminal Rate Constant, Estimated by Loglinear Leastsquares Regression of the Terminal Part of the -Concentrationtime- Curve (λz)Day 120.005 Hours
Part 2b (MAD) PlaceboTerminal Rate Constant, Estimated by Loglinear Leastsquares Regression of the Terminal Part of the -Concentrationtime- Curve (λz)Day 10.048 Hours
Secondary

Time of Last Quantifiable Concentration (Tlast)

tlast of AZD0449 following inhaled administration of single ascending doses of AZD0449, inhaled nebulized administration of multiple ascending doses to healthy volunteers and patients with mild asthma, and repeated inhaled administration to patients with mild asthma using a DPI was assessed.

Time frame: Part 1a: Day 1, Part 2 and 3: Day 1 and Day 12

Population: The PK set consisted of all participants and patients who received at least one dose of AZD0449 and who had evaluable PK data, with no major protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureGroupValue (MEDIAN)
Part 1a (SAD) PlaceboTime of Last Quantifiable Concentration (Tlast)Day 110.05 Hours
Part 1a (SAD) Cohort 1Time of Last Quantifiable Concentration (Tlast)Day 117.99 Hours
Part 1a (SAD) Cohort 2Time of Last Quantifiable Concentration (Tlast)Day 136.02 Hours
Part 1a (SAD) Cohort 3Time of Last Quantifiable Concentration (Tlast)Day 148.19 Hours
Part 1a (SAD) Cohort 4Time of Last Quantifiable Concentration (Tlast)Day 171.88 Hours
Part 1a (SAD) Cohort 5Time of Last Quantifiable Concentration (Tlast)Day 1144.41 Hours
Part 1a (SAD) Cohort 6Time of Last Quantifiable Concentration (Tlast)Day 12168.03 Hours
Part 1a (SAD) Cohort 6Time of Last Quantifiable Concentration (Tlast)Day 136.02 Hours
Part 2a (MAD) PlaceboTime of Last Quantifiable Concentration (Tlast)Day 12228.38 Hours
Part 2a (MAD) PlaceboTime of Last Quantifiable Concentration (Tlast)Day 136.00 Hours
Part 2a (MAD) Cohort 1Time of Last Quantifiable Concentration (Tlast)Day 12359.96 Hours
Part 2a (MAD) Cohort 1Time of Last Quantifiable Concentration (Tlast)Day 135.95 Hours
Part 2a (MAD) Cohort 2Time of Last Quantifiable Concentration (Tlast)Day 12359.99 Hours
Part 2a (MAD) Cohort 2Time of Last Quantifiable Concentration (Tlast)Day 136.02 Hours
Part 2b (MAD) PlaceboTime of Last Quantifiable Concentration (Tlast)Day 136.02 Hours
Part 2b (MAD) PlaceboTime of Last Quantifiable Concentration (Tlast)Day 12360.00 Hours
Secondary

Time to Reach Peak or Maximum Observed Concentration Following Drug Administration (Tmax)

tmax of AZD0449 following inhaled administration of single ascending doses of AZD0449, intravenous administration of a single dose to healthy volunteers, inhaled nebulized administration of multiple ascending doses to healthy volunteers and patients with mild asthma, and repeated inhaled administration to patients with mild asthma using a DPI was assessed.

Time frame: Part 1a: Day 1, Part 2 and 3: Day 1 and Day 12

Population: The PK set consisted of all participants who received at least one dose of AZD0449 and who had evaluable PK data, with no major protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureGroupValue (MEDIAN)
Part 1a (SAD) PlaceboTime to Reach Peak or Maximum Observed Concentration Following Drug Administration (Tmax)Day 11.00 Hours
Part 1a (SAD) Cohort 1Time to Reach Peak or Maximum Observed Concentration Following Drug Administration (Tmax)Day 10.15 Hours
Part 1a (SAD) Cohort 2Time to Reach Peak or Maximum Observed Concentration Following Drug Administration (Tmax)Day 10.10 Hours
Part 1a (SAD) Cohort 3Time to Reach Peak or Maximum Observed Concentration Following Drug Administration (Tmax)Day 10.36 Hours
Part 1a (SAD) Cohort 4Time to Reach Peak or Maximum Observed Concentration Following Drug Administration (Tmax)Day 10.34 Hours
Part 1a (SAD) Cohort 5Time to Reach Peak or Maximum Observed Concentration Following Drug Administration (Tmax)Day 10.50 Hours
Part 1a (SAD) Cohort 6Time to Reach Peak or Maximum Observed Concentration Following Drug Administration (Tmax)Day 121.00 Hours
Part 1a (SAD) Cohort 6Time to Reach Peak or Maximum Observed Concentration Following Drug Administration (Tmax)Day 10.20 Hours
Part 2a (MAD) PlaceboTime to Reach Peak or Maximum Observed Concentration Following Drug Administration (Tmax)Day 12.01 Hours
Part 2a (MAD) PlaceboTime to Reach Peak or Maximum Observed Concentration Following Drug Administration (Tmax)Day 120.23 Hours
Part 2a (MAD) Cohort 1Time to Reach Peak or Maximum Observed Concentration Following Drug Administration (Tmax)Day 120.51 Hours
Part 2a (MAD) Cohort 1Time to Reach Peak or Maximum Observed Concentration Following Drug Administration (Tmax)Day 10.43 Hours
Part 2a (MAD) Cohort 2Time to Reach Peak or Maximum Observed Concentration Following Drug Administration (Tmax)Day 11.25 Hours
Part 2a (MAD) Cohort 2Time to Reach Peak or Maximum Observed Concentration Following Drug Administration (Tmax)Day 121.58 Hours
Part 2b (MAD) PlaceboTime to Reach Peak or Maximum Observed Concentration Following Drug Administration (Tmax)Day 12.00 Hours
Part 2b (MAD) PlaceboTime to Reach Peak or Maximum Observed Concentration Following Drug Administration (Tmax)Day 121.04 Hours

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026