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A Study to Investigate Safety, Tolerability, and Pharmacokinetics of AZD3974 in Healthy Participants

A Phase I, Randomized, Single-blind, Placebo-controlled Study to Assess the Safety, Tolerability and Pharmacokinetics of AZD3974 After Single and Multiple Ascending Dosing to Healthy Participants

Status
Recruiting
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07290283
Enrollment
176
Registered
2025-12-18
Start date
2025-12-10
Completion date
2026-10-21
Last updated
2026-07-31

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

Conditions

Healthy Participants

Keywords

Single ascending dose, Multiple ascending dose, Pharmacokinetics, Impact of food, First-in-human

Brief summary

The purpose of this study is to assess the safety and tolerability of AZD3974 and characterize the pharmacokinetics (PK) of AZD3974 following oral administration to healthy participants, including participants of Japanese and Chinese descent.

Detailed description

This is a first in human, randomized, single-blind, placebo-controlled study. It consists of two parts. Part A (single ascending dose - SAD): This study part will enroll six cohorts (plus two optional additional cohorts) of healthy participants (Part A1), three cohorts (plus one optional additional cohort) of healthy Japanese participants (Part A2) and one cohort (plus one optional additional cohort) of healthy Chinese participants (Part A3). Cohort 3 of Part A1 will be extended to evaluate the effect of food intake on the PK of AZD3974. In Part A (all cohorts), participants will receive a single dose of AZD3974 or placebo. Part B (Multiple Ascending Dose - MAD): This study part will consist of four cohorts (plus two optional additional cohorts) of healthy participants (Part B1) and one cohort (plus one optional additional cohort) of healthy Japanese participants (Part B2). In all Part B cohorts, participants will receive multiple doses of AZD3974 or placebo. Both Part A and Part B will comprise of: * A Screening Period of maximum 28 days * A Dosing session during which participants will receive the study intervention at study specific time points. * Follow-up Period of 7 days post last-dose.

Interventions

DRUGAZD3974

AZD3974 will be administered as an oral solution.

OTHERPlacebo

Placebo will be administered as an oral solution.

Sponsors

AstraZeneca
Lead SponsorINDUSTRY
Parexel
CollaboratorINDUSTRY

Study design

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

Eligibility

Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes

Inclusion criteria

* Healthy male and female (of non-childbearing potential) participants with suitable veins for cannulation or repeated venipuncture at the Screening Visit. * All females must have a negative pregnancy test. Females of non-childbearing potential must be confirmed via post-menopausal status or documentation of irreversible surgical sterilization at the Screening Visit. * Sexually active fertile male participants with partners of childbearing potential must adhere to the contraception methods. * Have a body mass index between 18 and 32 kg/m2 inclusive and weigh at least 50 kg at Screening. * For healthy Japanese cohorts (Part A2 and Part B2): healthy male and female participants are to be Japanese (eg, natives of Japan or Japan Americans), defined as having both parents and 4 grandparents who are Japanese. This includes second and third generation participants of Japanese descent whose parents or grandparents are living in a country other than Japan. * For healthy Chinese cohort (Part A3): healthy male and female Chinese participants for whom both parents and 4 grandparents are Chinese. This includes second and third generation participants of Chinese descent whose parents or grandparents are living in a country other than China.

Exclusion criteria

* History of any clinically important disease or disorder which, may either put the participant at risk because of participation in the study, or influence the results or the participant's ability to participate in the study. * History or presence of gastrointestinal, hepatic, or renal disease or any other condition known to interfere with absorption, distribution, metabolism, or excretion of drugs. * Any clinically important illness, medical/surgical procedure, or trauma within 4 weeks of the first administration of study intervention. * Any abnormal laboratory values, vital signs, or any clinically important abnormalities in clinical chemistry, hematology, or urinalysis results. * Any positive result on Screening for serum hepatitis B and C viruses and human immunodeficiency virus. * Any clinically important abnormalities in rhythm, conduction, or morphology of the resting 12 lead electrocardiography at Screening and/or admission to the Clinical Unit . * Known or suspected history of alcohol or drug abuse or excessive intake of alcohol. * Positive screen for drugs of abuse, or alcohol, or cotinine. * History of severe allergy/hypersensitivity or ongoing clinically important allergy/hypersensitivity. * Participants who have previously received AZD3974.

Design outcomes

Primary

MeasureTime frameDescription
Number of participants with adverse events (AEs) and serious adverse events (SAEs)Part A: Upto Day 7; Part A1 Cohort 3: Upto Day 10; Part B: Upto Day 14To assess the safety and tolerability of AZD3974 following oral administration of single and multiple ascending doses in healthy participants, including Chinese and Japanese participants

Secondary

MeasureTime frameDescription
Part A and Part B: Plasma concentrations of AZD3974Part A: Day 1 to Day 2; Part B: Day 1 to Day 9To characterize the plasma concentrations of AZD3974 following single and multiple ascending doses in healthy participants, including Chinese and Japanese participants.
Part A1-Cohort 3: Plasma concentrations of AZD3974Day 1 to Day 4To assess the impact of food (fed) on the single-dose plasma concentrations of AZD3974
Part A and Part B: Urine concentrations of AZD3974Part A: Day 1; Part B: Day 1 and Day 7To characterize the urine concentration of AZD3974 following single and multiple ascending doses in healthy participants, including Chinese and Japanese participants.
Part A1-Cohort 3: Urine concentrations of AZD3974Day 1 and Day 3To assess the impact of food (fed) on the single-dose urine concentrations of AZD3974
Part A and Part B: Area under concentration-curve from time 0 to the last quantifiable concentration (AUClast)Part A: Day 1 to Day 2; Part B: Day 1 to Day 9To characterize the PK of AZD3974 following single and multiple ascending doses in healthy participants, including Chinese and Japanese participants
Part A1-Cohort 3: Area under concentration-curve from time 0 to the last quantifiable concentration (AUClast)Day 1 to Day 4To assess the impact of food (fed) on the single-dose PK of AZD3974
Part A: Area under concentration-time curve from time 0 to infinity (AUCinf)Day 1 to Day 2To characterize the PK of AZD3974 following single ascending doses in healthy participants, including Chinese and Japanese participants
Part A1-Cohort 3: Area under concentration-time curve from time 0 to infinity (AUCinf)Day 1 to Day 4To assess the impact of food (fed) on the single-dose PK of AZD3974
Part A and Part B: Maximum observed drug concentration (Cmax)Part A: Day 1 to Day 2; Part B: Day 1 to Day 9To characterize the PK of AZD3974 following single and multiple ascending doses in healthy participants, including Chinese and Japanese participants
Part A1-Cohort 3: Maximum observed drug concentration (Cmax)Day 1 to Day 4To assess the impact of food (fed) on the single-dose PK of AZD3974
Part A and Part B: Time to reach maximum observed concentration (tmax)Part A: Day 1 to Day 2; Part B: Day 1 to Day 9To characterize the PK of AZD3974 following single and multiple ascending doses in healthy participants, including Chinese and Japanese participants
Part A1-Cohort 3: Time to reach maximum observed concentration (tmax)Day 1 to Day 4To assess the impact of food (fed) on the single-dose PK of AZD3974
Part A and Part B: Terminal elimination half-life (t½λz)Part A: Day 1 to Day 2; Part B: Day 1 to Day 9To characterize the PK of AZD3974 following single and multiple ascending doses in healthy participants, including Chinese and Japanese participants
Part A1-Cohort 3: Terminal elimination half-life (t½λz)Day 1 to Day 4To assess the impact of food (fed) on the single-dose PK of AZD3974
Part A and Part B: Apparent total body clearance (CL/F)Part A: Day 1 to Day 2; Part B: Day 1 to Day 9To characterize the PK of AZD3974 following single and multiple ascending doses in healthy participants, including Chinese and Japanese participants
Part A1-Cohort 3: Apparent total body clearance (CL/F)Day 1 to Day 4To assess the impact of food (fed) on the single-dose PK of AZD3974
Part A and Part B: Apparent volume of distribution based on the terminal phase (Vz/F)Part A: Day 1 to Day 2; Part B: Day 1 to Day 9To characterize the PK of AZD3974 following single and multiple ascending doses in healthy participants, including Chinese and Japanese participants
Part A1-Cohort 3: Apparent volume of distribution based on the terminal phase (Vz/F)Day 1 to Day 4To assess the impact of food (fed) on the single-dose PK of AZD3974
Part A and Part B: Individual and cumulative amount of unchanged drug excreted into urine from time t0 to time tlast [Ae(0-last)]Part A: Day 1; Part B: Day 1 and Day 7To characterize the PK of AZD3974 following single and multiple ascending doses in healthy participants, including Chinese and Japanese participants
Part A1-Cohort 3: Individual and cumulative amount of unchanged drug excreted into urine from time t0 to time tlast [Ae(0-last)]Day 1 and Day 3To assess the impact of food (fed) on the single-dose PK of AZD3974
Part A and Part B: Individual and cumulative percentage of dose excreted unchanged in urine from time t0 to tlast [fe(0-last)]Part A: Day 1; Part B: Day 1 and Day 7To characterize the PK of AZD3974 following single and multiple ascending doses in healthy participants, including Chinese and Japanese participants
Part A1-Cohort 3: Individual and cumulative percentage of dose excreted unchanged in urine from time t0 to tlast [fe(0-last)]Day 1 and Day 3To assess the impact of food (fed) on the single-dose PK of AZD3974
Part A and Part B: Renal clearance (CLR)Part A: Day 1; Part B: Day 1 and Day 7To characterize the PK of AZD3974 following single and multiple ascending doses in healthy participants, including Chinese and Japanese participants
Part A1-Cohort 3: Renal clearance (CLR)Day 1 and Day 3To assess the impact of food (fed) on the single-dose PK of AZD3974
Part A and Part B: Mean Residence Time (MRT)Part A: Day 1 to Day 2; Part B: Day 1 to Day 9To characterize the PK of AZD3974 following single and multiple ascending doses in healthy participants, including Chinese and Japanese participants.
Part A1-Cohort 3: Mean Residence Time (MRT)Day 1 to Day 4To assess the impact of food (fed) on the single-dose PK of AZD3974
Part A and Part B: Time delay between drug administration and the first observed concentration (tlag)Part A: Day 1 to Day 2; Part B: Day 1 to Day 9To characterize the PK of AZD3974 following single and multiple ascending doses in healthy participants, including Chinese and Japanese participants.
Part A1-Cohort 3: Time delay between drug administration and the first observed concentration (tlag)Day 1 to Day 4To assess the impact of food (fed) on the single-dose PK of AZD3974
Part A and Part B: Time of last quantifiable concentration (tlast)Part A: Day 1 to Day 2; Part B: Day 1 to Day 9To characterize the PK of AZD3974 following single and multiple ascending doses in healthy participants, including Chinese and Japanese participants.
Part A1-Cohort 3: Time of last quantifiable concentration (tlast)Day 1 to Day 4To assess the impact of food (fed) on the single-dose PK of AZD3974
Part A and Part B: Individual and cumulative amount of unchanged drug excreted into urine from time t1 to time t2 [Ae(t1 t2)]Part A: Day 1; Part B: Day 1 and Day 7To characterize the PK of AZD3974 following single and multiple ascending doses in healthy participants, including Chinese and Japanese participants.
Part A1-Cohort 3: Individual and cumulative amount of unchanged drug excreted into urine from time t1 to time t2 [Ae(t1 t2)]Day 1 and Day 3To assess the impact of food (fed) on the single-dose PK of AZD3974
Part A and Part B: Individual and cumulative percentage of dose excreted unchanged in urine from time t1 to time t2 - [fe(t1-t2)]Part A: Day 1; Part B: Day 1 and Day 7To characterize the PK of AZD3974 following single and multiple ascending doses in healthy participants, including Chinese and Japanese participants.
Part A1-Cohort 3: Individual and cumulative percentage of dose excreted unchanged in urine from time t1 to time t2 - [fe(t1-t2)]Day 1 and Day 3To assess the impact of food (fed) on the single-dose PK of AZD3974
Part A and Part B: Cumulative amount of unchanged drug excreted into urine (Aeinf)Part A: Day 1; Part B : Day 1 and Day 7To characterize the PK of AZD3974 following single and multiple ascending doses in healthy participants, including Chinese and Japanese participants.
Part A1-Cohort 3: Cumulative amount of unchanged drug excreted into urine (Aeinf)Day 1 and Day 3To assess the impact of food (fed) on the single-dose PK of AZD3974
Part B: Area under concentration time curve in the dosing interval (AUCtau)Day 1 to Day 9To characterize the PK of AZD3974 following multiple ascending doses in healthy participants, including Japanese participants
Part B: Observed lowest concentration before the next dose is administered: (Ctrough)Day 1 to Day 9To characterize the PK of AZD3974 following multiple ascending doses in healthy participants, including Japanese participants.
Part B: Accumulation ratio for AUC calculated as steady State AUCτ/First Dose AUCτ (Rac AUC)Day 1 to Day 9To characterize the PK of AZD3974 following multiple ascending doses in healthy participants, including Japanese participants
Part B: Accumulation ratio for Cmax calculated as steady State Cmax/First Dose Cmax (Rac Cmax)Day 1 to Day 9To characterize the PK of AZD3974 following multiple ascending doses in healthy participants, including Japanese participants.
Part B: Temporal change parameter calculated as steady State AUCτ/First Dose AUCinf (TCP)Day 1 to Day 9To characterize the PK of AZD3974 following multiple ascending doses in healthy participants, including Japanese participants.

Countries

United States

Contacts

CONTACTAstraZeneca Clinical Study Information Center
information.center@astrazeneca.com1-877-240-9479

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Aug 1, 2026