ClinicalTrials.gg
CompletedNCT03435276Updated Jun 21, 2018

Multiple-ascending Dose Study to Assess the Safety, Tolerability and Pharmacokinetics of AZD9977 in Healthy Male Subjects

A Phase 1 interventional study of AZD9977 and Placebo in Healthy Volunteers, sponsored by AstraZeneca. Completed at 1 site in United Kingdom. Open to male participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-06-21.

Sponsored by AstraZeneca · Phase 1, Interventional, and Treatment

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Phase
Phase 1
Study type
Interventional
Enrollment
27
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
Male
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 64 studies in Heart Failure by AstraZeneca — 6 open to participants now, 8 under way, 3 of them phase 3. Heart Failure · AstraZeneca.

Enrollment
31st of 39
27 · median 160
Started
2018
with 7 others
Phase 1
13 of 64
none open now
Registered
19th of 64
by date

Among the 64 studies in Heart Failure by AstraZeneca, this one is the 31st largest by enrollment of the 39 interventional ones that give a count, is one of 8 that started in 2018, is one of 13 in phase 1, and was the 19th registered.

Heart Failure

6,332 studies on the registry are indexed under Heart Failure; 1,392 are open to participants now.

Browse Heart Failure studies →

Open to participants now

6 of the 64 studies in Heart Failure by AstraZeneca are open now, in 12 countries. Recruiting first, the newest first:

1 more — sign in →

By country, each count listing its studies:

All 6 open studies →

Who these studies take

Of the 966 Heart Failure studies recruiting now, 689 (71%) set no upper age limit and 89 (9%) stop at 75 or younger; 63 take children under 18; 96 take healthy volunteers.

This study: 18 Years to 50 Years · male · healthy volunteers too.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 64 studies in Heart Failure by AstraZeneca, or all of them as a file.
02

Study summary

This is a randomized, single-blind, placebo-controlled study conducted on healthy male subjects at a single study center to assess the safety, tolerability and the pharmacokinetics of AZD9977 following multiple-ascending oral doses at steady state

Read the detailed description

This is a phase 1, randomized, single-blind, placebo-controlled, single center, multiple-ascending dose sequential-group design study conducted on 45 healthy male subjects to investigate the safety, tolerability, pharmacokinetics (PK) of AZD9977, time to reach steady state, the degree of accumulation and the time dependency of the PK. The study consists of three visits:

  • A screening period (maximum 28 days)
  • A treatment period (subjects will be resident from 2 days before first dose of investigation medicinal product (IMP) (Day -2) until at least 36 after last dose of IMP and will be discharged on Day 9) and
  • A follow-up visit within 5 to 7 days after last dose of IMP. This study consists of 3 Cohorts (9 subjects each). Based on the safety review committee (SRC) requirement, 2 additional cohorts may be added either to repeat a dose level or additional dose steps, if required. In each cohort, subjects will be randomized to receive AZD9977 (6 subjects) and placebo (3 subjects) oral suspension twice daily. The dose of AZD9977 in Cohort 1 will be 50 mg as starting dose and in Cohort 2 and 3 at provisional dose 150 mg and 300 mg, respectively. Each subject will receive a total of 14 oral doses of AZD9977 or placebo. Each subject will receive a single dose of IMP in the morning of Day 1 and Day 8 and twice daily doses on Day 2 to Day 7.

On Day 1 and Day 8, subjects will be fasted for 10 hours before dosing until 4 hours after dosing when lunch will be served. On Day 2 to Day 6, subjects will be fasted for 10 hours before dosing until 1 hour after dosing when breakfast will be served. On Day 7, subjects will be fasted for 10 hours before dosing and until after the completion of the oral glucose tolerance test (OGTT) when breakfast will be served. For the evening dose of IMP (Days 2 to Day 7), subjects will be fasted for 2 hours before dosing until 1 hour after dosing. On all days, subjects will be allowed to drink freely until 1 hour before dosing to prevent dehydration before each morning and evening dose and water consumption could be resumed 1 hour after dosing.

Dosing for each ascending dose cohort will proceed with 2 subjects in a sentinel cohort, such that 1 subject will be randomized to receive placebo and 1 subject will be randomized to receive AZD9977. The safety data from the sentinel subjects up to 72 hours post first dose will be reviewed by the principal investigator (PI) before the remaining subjects in the cohort are dosed. Following review of data from the study, the SRC may decide to adjust the length of the stay at the study site and the timing and number of assessments and/or blood samples for subsequent cohorts. The time window between the single dose and start of repeated dosing may also be adjusted. The duration of the study is approximately 6 weeks

03

Conditions studied

  • Healthy Volunteers

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Keywords

  • Heart failure.
  • Oral selective mineralocorticoid receptor modulator.
  • Heart failure with preserved ejection fraction (HFpEF).
04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Provision of signed and dated, written before any study specific procedures.
  2. Healthy male subject aged 18 to 50 years (inclusive) with suitable veins for cannulation or repeated venipuncture.
  3. Have a (BMI) between 18 and 30 kg/m2(inclusive) and weigh at least 50 kg and no more than 100 kg (inclusive).
  4. Provision of signed, written and dated informed consent for optional genetic and/or biomarker research. If a subject declines to participate in the genetic components of the study, there will be no penalty or loss of benefit to the subject. The subject will not be excluded from other aspects of the study.

Exclusion criteria

Exclusion Criteria:

  1. History of any disease/disorder which, in the opinion of the Investigator, may either put the subject at risk because of participation in the study/influence the results/subject's ability to participate in the study.
  2. History/presence of gastrointestinal, hepatic/renal disease/any other condition known to interfere with absorption, distribution, metabolism/excretion of drugs.
  3. Any clinically important illness, medical/surgical procedure or trauma within 4 weeks of the 1st administration of the IMP.
  4. Any clinically important abnormalities in clinical chemistry, hematology or urinalysis results at the Screening Visit and/or admission, as judged by the Investigator and specified below: Serum potassium > 5.0 mmol/L; (HbA1c) > 5.7%.
  5. Any positive result on screening for serum surface antigen, antibody \& (HIV).
  6. Abnormal vital signs, after 10 minutes supine rest at the Screening Visit and/or admission, defined as any of the following: Systolic BP \< 90 mmHg or > 140 mmHg; Diastolic BP \< 50 mmHg or > 90 mmHg; Heart rate \< 45 or > 85 beats per minute (bpm).
  7. Any clinically important abnormalities in rhythm, conduction or morphology of the resting and any clinically important abnormalities in the 12-lead ECG as judged by the Investigator that may interfere with the interpretation of changes, including abnormal ST-T-wave morphology, particularly in the CSP defined primary lead or LV hypertrophy at the Screening Visit or/and admission.

    • Prolonged QT interval corrected for HR by Fridericia's formula (QTcF) > 450 ms or shortened QTcF \< 340 ms or family history of long QT syndrome.
    • PR (PQ) interval shortening \< 120 ms (PR > 110 ms but \< 120 ms is acceptable if there is no evidence of ventricular preexcitation).
    • PR (PQ) interval prolongation (> 240 ms intermittent second (Wenckebach block while asleep is not exclusive) or 3rd degree atrioventricular (AV) block, or AV dissociation.
    • Persistent/intermittent complete bundle branch block (BBB), incomplete bundle branch block (IBBB), or intraventricular conduction delay (IVCD) with QRS > 110 ms. Subjects with QRS > 110 ms but \< 115 ms are acceptable if there is no evidence of ventricular hypertrophy or pre-excitation.
  8. Known or suspected history of drug abuse in the last 12 months before the Screening Visit as judged by the Investigator.
  9. Current smokers/those who have smoked/used nicotine products (including e-cigarettes) within last 3 months before the Screening Visit.
  10. History of alcohol abuse in the last 12 months before the Screening Visit/current excessive intake of alcohol as judged by the Investigator.
  11. Positive screen for drugs of abuse, alcohol/cotinine (nicotine) at the Screening Visit/admission.
  12. History of severe allergy/ or ongoing clinically important allergy/hypersensitivity, as judged by the Investigator or history of hypersensitivity to drugs with a similar chemical structure or class to AZD9977.
  13. Excessive intake of caffeine-containing drinks/food (e.g., coffee, tea, chocolate,) as judged by the Investigator.
  14. Use of drugs with enzyme inducing properties like St John's Wort within 3 weeks before the 1st administration of the IMP.
  15. Use of any prescribed/non-prescribed medication including antacids, analgesics (other than paracetamol/acetaminophen), herbal remedies, megadose vitamins (intake of 20 to 600 times the recommended daily dose) and minerals during the 2 weeks before the first administration of the IMP or longer if the medication has a long half-life.
  16. Plasma donation within 1 month of the Screening Visit or any blood donation/blood loss > 500 mL during the 3 months before the Screening Visit.
  17. Has received another new chemical/non-chemical entity (a compound which has not been approved for marketing) within 3 months of the first administration of IMP in this study. The exclusion period 3 months after the final dose/1 month after the last visit whichever is the longest.
  18. Subjects who have previously received AZD9977.
  19. Involvement of any Astra Zeneca or study site employee or their close relatives.
  20. Judgment by the Investigator that the subject should not participate in the study if they have any ongoing/recent (during the Screening period) minor medical complaints that may interfere with the interpretation of study data or are considered unlikely to comply with study procedures, restrictions and requirements.
  21. Subjects who cannot communicate reliably with the Investigator.
  22. Vulnerable subjects (kept in detention, protected adults under guardianship, trusteeship or committed to an institution by governmental or juridical order).
  23. Previous bone marrow transplant.
  24. Non-leukocyte depleted whole blood transfusion within 120 days of the date of the genetic sample collection.
Terms in these criteria, in plain language(10)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
27 participants (actual)

Study arms

  • Experimental
    Cohort 1

    Randomized subjects will receive AZD9977 50 mg or placebo oral suspension single dose on Day 1 and Day 8; twice daily dose Day 2 to Day 7

    Drug: AZD9977 · Other: Placebo

  • Experimental
    Cohort 2

    Randomized subjects will receive AZD9977 150 mg or placebo oral suspension single dose on Day 1 and Day 8; twice daily dose on Day 2 to Day 7

    Drug: AZD9977 · Other: Placebo

  • Experimental
    Cohort 3

    Randomized subjects will receive AZD9977 300 mg or placebo oral suspension single dose on Day 1 and Day 8; twice daily dose on Day 2 to Day 7

    Drug: AZD9977 · Other: Placebo

Interventions

  • Randomized subjects will receive AZD9977 oral suspension at a dose of 50 mg in Cohort 1, 150 mg in Cohort 2 and 300 mg in Cohort 3

  • OtherPlacebo

    Randomized subjects will receive orally AZD9977 matched placebo in Cohorts 1, 2 and 3

06

What researchers measure

Primary outcomes

  1. Number of subjects with adverse events (AEs) due to AZD9977

    To assess AEs as variable of safety and tolerability after administration of multiple dose of AZD9977 oral suspension. AEs will be collected from the start of screening throughout the treatment period up to and including the follow-up visit. Serious AEs will be recorded from the time of informed consent.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  2. Systolic blood pressure [SBP]

    To measure SBP as variable of safety and tolerability after administration of multiple dose of AZD9977 oral suspension. SBP will be collected after the subject has rested in the supine position for at least 10 minutes.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  3. Diastolic blood pressure [DBP]

    To measure DBP as variable of safety and tolerability after administration of multiple dose of AZD9977 oral suspension. DBP will be collected after the subject has rested in the supine position for at least 10 minutes.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  4. Pulse rate

    To measure pulse as variable of safety and tolerability after administration of multiple dose of AZD9977 oral suspension. Pulse rate will be collected after the subject has rested in the supine position for at least 10 minutes.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  5. Laboratory assessments of urine volume

    To assess the urine volume as variable of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  6. Number of participants with abnormal findings in Twelve-lead (12-Lead) electrocardiograms (ECGs) (safety ECGs and 12-lead continuous digital ECG [dECG])

    To assess any clinically significant abnormalities on cardiac electrophysiological parameters as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension. 12-lead safety ECG and dECG will be obtained after the participant rested in the supine position for at least 10 minutes. Safety ECG will be collected at the end of each dECG recording. Various dECG variables like time between 2 consecutive R waves on ECG (RR), ECG interval measured form onset of P wave to the onset of QRS complex (PR), ECG interval measured from onset of QRS complex to the J point (QRS) and ECG interval measured form onset of QRS complex to the end of the T wave (QT intervals) will be reported. Derived parameters like QT interval corrected for heart rate using Fridericia's formula (QTcF), heart rate (HR) and others, as applicable are also calculated.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  7. Number of participants with abnormal cardiac telemetry

    To assess any clinically significant abnormalities in the cardiovascular system functioning as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension. A 2-lead real-time telemetry ECG will be used to assess the heart rate.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  8. Number of participants with abnormal physical examination findings

    To assess any clinically significant abnormal physical examination findings as a variable of safety and tolerability after administration of multiple dose of AZD9977 oral suspension. Brief physical examination includes assessment of the general appearance, skin, cardiovascular system, respiratory and abdomen. Full physical examination includes assessment of the general appearance, skin, cardiovascular, respiratory, abdomen, head and neck (including ears, eyes, nose and throat), lymph nodes, thyroid, musculoskeletal and neurological systems.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  9. Laboratory assessments: Hematology - Differential count

    To assess the differential white blood cell count (absolute count of basophils, eosinophils, lymphocytes, monocyets and neutrophils) as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  10. Laboratory assessments: Hematology - Hematocrit (HCT) and Reticulocyte absolute count

    To assess the HCT (red blood cells \[RBC\]) and reticulocyte absolute count (immature RBCs) as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  11. Laboratory assessments: Hematology - Hemoglobin (Hb)

    To assess the Hb as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  12. Laboratory assessments: Hematology - Mean corpuscular hemoglobin (MCH)

    To assess the MCH as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  13. Laboratory assessments: Hematology - Mean corpuscular hemoglobin concentration (MCHC)

    To assess the MCHC as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  14. Laboratory assessments: Hematology - Mean corpuscular volume (MCV)

    To assess the MCV as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  15. Laboratory assessments: Hematology - Platelets

    To assess platelets count as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  16. Laboratory assessments: Hematology - Blood cells count

    To assess RBC and white blood cells (WBC) count as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  17. Laboratory assessments: Serum Clinical chemistry - Albumin

    To assess the serum albumin level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  18. Laboratory assessments: Serum Clinical chemistry - C reactive protein (CRP)

    To assess the serum CRP level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  19. Laboratory assessments: Serum Clinical chemistry - Creatine kinase (CK)

    To assess the serum CK level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  20. Laboratory assessments: Serum Clinical chemistry - Creatinine

    To assess the serum creatinine level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  21. Laboratory assessments: Serum Clinical chemistry - Glucose (fasting)

    To assess the serum fasting glucose level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  22. Laboratory assessments: Serum Clinical chemistry - Calcium, potassium, phosphate and sodium

    To assess the serum calcium, potassium, phosphate and sodium level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  23. Laboratory assessments: Serum Clinical chemistry - Urea and Uric acid

    To assess the serum urea and uric acid level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  24. Laboratory assessments: Serum Clinical chemistry - Liver enzymes

    To assess the serum Alanine aminotransferase (ALT), Alkaline phosphatase (ALP), Aspartate aminotransferase (AST) and Gamma glutamyl transpeptidase (GGT) level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  25. Laboratory assessments: Serum Clinical chemistry - Bilirubin

    To assess the serum bilirubin (total and unconjugated) level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  26. Laboratory assessments: Serum Clinical chemistry - Steroid

    To assess the serum cholesterol and triglycerides level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  27. Laboratory assessments: Serum Clinical chemistry - Luteinizing hormone (LH)

    To assess the serum LF level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  28. Laboratory assessments: Serum Clinical chemistry - Sex hormone binding globulin (SHBG)

    To assess the serum SHBG level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  29. Laboratory assessments: Serum Clinical chemistry - Testosterone

    To assess the serum testosterone level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  30. Laboratory assessments: Serum Clinical chemistry - Aldosterone

    To assess the serum aldosterone level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  31. Laboratory assessments: Serum Clinical chemistry - Hemoglobin A1c (HbA1c)

    To assess the serum HbA1c level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  32. Laboratory assessments: Serum Clinical chemistry - High-sensitivity troponin T

    To assess the serum high-sensitivity troponin T level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  33. Laboratory assessments: Serum Clinical chemistry - N-terminal pro-brain natriuretic peptide (NT-proBNP)

    To assess the serum NT-proBNP level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  34. Laboratory assessments: Serum Clinical chemistry - Follicle-stimulating hormone (FSH)

    To assess the serum FSH level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  35. Laboratory assessments: Clinical Urinalysis - Protein

    To assess the urine protein level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension. If urinalysis is positive for protein, a microscopy test will be performed to assess RBC, WBC, casts \[cellular, granular, hyaline\]).

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  36. Laboratory assessments: Clinical Urinalysis - Blood

    To assess the urine blood level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension. If urinalysis is positive for blood, a microscopy test will be performed to assess RBC, WBC, casts \[cellular, granular, hyaline\]).

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  37. Laboratory assessments: Clinical Urinalysis - Glucose

    To assess the urine glucose level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  38. Laboratory assessments: Clinical Urinalysis - Uric acid

    To assess the urine uric acid level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  39. Laboratory assessments: Clinical Urinalysis - Creatinine

    To assess the urine creatinine level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

  40. Laboratory assessments: Urinalysis - Urinary Electrolytes

    To assess the urine electrolytes level (calcium, chloride, potassium and sodium) as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

    Time frame: From baseline up to follow-up (5 to 7 days post last dose)

Secondary outcomes

  1. Plasma PK parameter: Observed maximum plasma concentration (Cmax)

    To assess Cmax after administration of multiple dose of AZD9977 oral suspension.

    Time frame: Treatment period:Day 1 and Day 8 (Pre-dose & 20 min, 40 min, 1, 2, 4, 6, 8, 10, 12, 16, & 20 hours post-dose)

  2. Plasma PK parameter: Time to reach maximum concentration (tmax)

    To assess tmax after administration of multiple dose of AZD9977 oral suspension.

    Time frame: Treatment period:Day 1 and Day 8 (Pre-dose & 20 min, 40 min, 1, 2, 4, 6, 8, 10, 12, 16, & 20 hours post-dose)

  3. Plasma PK parameter: Terminal half-life (t1/2λz)

    To assess t1/2λz after administration of multiple dose of AZD9977 oral suspension; estimated as (ln2)/λz

    Time frame: Treatment period:Day 1 and Day 8 (Pre-dose & 20 min, 40 min, 1, 2, 4, 6, 8, 10, 12, 16, & 20 hours post-dose)

  4. Plasma PK parameter: Terminal rate constant (λz)

    To assess λz after administration of multiple dose of AZD9977 oral suspension; estimated by log-linear least squares regression of the terminal part of the concentration-time curve

    Time frame: Treatment period:Day 1 and Day 8 (Pre-dose & 20 min, 40 min, 1, 2, 4, 6, 8, 10, 12, 16, & 20 hours post-dose)

  5. Plasma PK parameter: Area under the plasma concentration-time curve in the dosing interval (AUCτ)

    To assess AUCτ after administration of multiple dose of AZD9977 oral suspension.

    Time frame: Treatment period:Day 1 and Day 8 (Pre-dose & 20 min, 40 min, 1, 2, 4, 6, 8, 10, 12, 16, & 20 hours post-dose)

  6. Plasma PK parameter: Area under the plasma concentration-time curve from time zero to the time of the last measurable concentration (AUClast)

    To assess AUClast after administration of multiple dose of AZD9977 oral suspension.

    Time frame: Treatment period:Day 1and Day 8 (Pre-dose & 20 min, 40 min, 1, 2, 4, 6, 8, 10, 12, 16, & 20 hours post-dose)

  7. Plasma PK parameter: Apparent volume of distribution for parent drug at terminal phase (Vz/F)

    To assess Vz/F after administration of multiple dose of AZD9977 oral suspension, estimated by dividing the apparent

    Time frame: Treatment period:Day 1 and Day 8 (Pre-dose & 20 min, 40 min, 1, 2, 4, 6, 8, 10, 12, 16, & 20 hours post-dose)

  8. Plasma PK parameter: Apparent clearance for parent drug (CL/F)

    To assess CL/F after administration of multiple dose of AZD9977 oral suspension, estimated as dose divided by AUC

    Time frame: Treatment period:Day 1 and Day 8 (Pre-dose & 20 min, 40 min, 1, 2, 4, 6, 8, 10, 12, 16, & 20 hours post-dose)

  9. Plasma PK parameter: Dose normalized AUCτ (AUCτ/D)

    To assess AUCτ/D after administration of multiple dose of AZD9977 oral suspension, estimated by dividing AUCτ by the dose administered

    Time frame: Treatment period:Day 1 and Day 8 (Pre-dose & 20 min, 40 min, 1, 2, 4, 6, 8, 10, 12, 16, & 20 hours post-dose)

  10. Plasma PK parameter: Dose normalized Cmax (Cmax/D)

    To assess Cmax/D after administration of multiple dose of AZD9977 oral suspension, estimated by dividing Cmax by the dose administered

    Time frame: Treatment period:Day 1 and Day 8 (Pre-dose & 20 min, 40 min, 1, 2, 4, 6, 8, 10, 12, 16, & 20 hours post-dose)

  11. Plasma PK parameter: Mean Residence Time (MRT)

    To assess MRT after administration of multiple dose of AZD9977 oral suspension.

    Time frame: Treatment period:Day 1 and Day 8 (Pre-dose & 20 min, 40 min, 1, 2, 4, 6, 8, 10, 12, 16, & 20 hours post-dose)

  12. Plasma PK parameter: Area under the concentration-time curve from time zero extrapolated to infinity (AUC)

    To assess AUC after administration of multiple dose of AZD9977 oral suspension. AUC is estimated by AUClast+ Clast/λz where Clast is the last observed quantifiable concentration

    Time frame: Treatment period:Day 1 (Pre-dose & 20 min, 40 min, 1, 2, 4, 6, 8, 10, 12, 16, & 20 hours post-dose)

  13. Plasma PK parameter: Dose normalized AUC (AUC/D)

    To assess AUC/D after administration of multiple dose of AZD9977 oral suspension. AUC is estimated by dividing AUC by the dose administered.

    Time frame: Treatment period:Day 1 (Pre-dose & 20 min, 40 min, 1, 2, 4, 6, 8, 10, 12, 16, & 20 hours post-dose)

  14. Plasma PK parameter: Dose normalized AUClast (AUClast/D)

    To assess AUClast/D after administration of multiple dose of AZD9977 oral suspension; estimated by dividing AUClast by the dose administered.

    Time frame: Treatment period:Day 1 (Pre-dose & 20 min, 40 min, 1, 2, 4, 6, 8, 10, 12, 16, & 20 hours post-dose)

  15. Plasma PK parameter: Observed concentration at the end of the dosing interval (Cmin)

    To assess Cmin after administration of multiple dose of AZD9977 oral suspension.

    Time frame: Treatment period: Day 8 (Pre-dose & 20 min, 40 min, 1, 2, 4, 6, 8, 10, 12, 16, & 20 hours post-dose)

  16. Plasma PK parameter: Accumulation ratio for AUCτ (Rac AUCτ)

    To assess Rac AUCτ after administration of multiple dose of AZD9977 oral suspension; estimated by dividing AUCτ from the last dosing day by AUCτ on Day 1

    Time frame: Treatment period: Day 8 (Pre-dose & 20 min, 40 min, 1, 2, 4, 6, 8, 10, 12, 16, & 20 hours post-dose)

  17. Plasma PK parameter: Accumulation ratio for AUCτ (Rac Cmax)

    To assess Rac Cmax after administration of multiple dose of AZD9977 oral suspension; estimated by dividing maximum (peak) steady-state plasma drug concentration (Css,max) from the last dosing day by Cmax on Day 1

    Time frame: Treatment period: Day 8 (Pre-dose & 20 min, 40 min, 1, 2, 4, 6, 8, 10, 12, 16, & 20 hours post-dose)

  18. Plasma PK parameter: Temporal change (TCP)

    To assess TCP after administration of multiple dose of AZD9977 oral suspension; estimated by dividing AUCτ from the last dosing day by AUC on Day 1

    Time frame: Treatment period: Day 8 (Pre-dose & 20 min, 40 min, 1, 2, 4, 6, 8, 10, 12, 16, & 20 hours post-dose)

  19. Urine PK parameter: Renal clearance (CLR)

    To assess CLR after administration of multiple dose of AZD9977 oral suspension; estimated by dividing amount of analyte excreted into urine (Ae\[0-t\]) by AUC(0-t) where the time interval for both parameters are the same

    Time frame: Treatment period: Day 8 (Pre-dose and 0-4, 4-8 and 8-12 hours post-dose)

  20. Urine PK parameter: Amount of analyte excreted into the urine from time t1 to t2 (Ae[t1-t2])

    To assess Ae(t1-t2) after administration of multiple dose of AZD9977 oral suspension.

    Time frame: Treatment period: Day 8 (Pre-dose and 0-4, 4-8 and 8-12 hours post-dose)

  21. Urine PK parameter: Percentage Fraction of dose excreted in urine from time t1 to t2 (fe[t1-t2]%)

    To assess fe(t1-t2)% after administration of multiple dose of AZD9977 oral suspension.

    Time frame: Treatment period: Day 8 (Pre-dose and 0-4, 4-8 and 8-12 hours post-dose)

07

Study locations

1 site
  • Research Site
    Harrow, HA1 3UJ, United Kingdom
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Feb 2018 to primary completion in Jun 2018, 3 months.

Of 77 industry-sponsored phase 1 interventional studies under Heart Failure, half reached primary completion within 7 months of starting (the median), counting those still running; a quarter within 2 and three quarters within 16. This study's 3 months is below that.

Counting every sponsor, half of 131 studies reached it within 14 months; a quarter within 4 and three quarters within 36.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 25, 2018
First posted
Feb 19, 2018
StartActual
Feb 27, 2018
Primary completionActual
Jun 13, 2018
CompletionActual
Jun 13, 2018
Last update
Jun 21, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 21, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03435276
Lead sponsor
AstraZeneca
Collaborators
Parexel
Responsible party
Sponsor
First posted
Feb 19, 2018
Start date
Feb 27, 2018
Primary completion
Jun 13, 2018
Completion
Jun 13, 2018
Last update
Jun 21, 2018

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2018. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: AZD9977

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