A Phase 1 interventional study of AZD8630 and Placebo in Asthma, sponsored by AstraZeneca. Completed at 29 sites in 3 countries. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-08-30.
Sponsored by AstraZeneca · Phase 1, Interventional, and Other
This is a first in human (FIH) clinical study to evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of AZD8630 in healthy adults (Part A) and adult asthma patients on medium to high dose inhaled corticosteroids / Long-acting beta-agonists (Part B)
The study is divided in 2 parts, A and B.
Part A will be conducted in healthy adults, whereas Part B will be conducted in adult asthma patients on medium/high dose inhaled corticosteroids (ICS)/long-acting beta-agonists (LABA) to evaluate the safety, tolerability, pharmacokinetics (PK), and immunogenicity of AZD8630 by dry powder inhaler (DPI) administration. Part A includes the assessment of the PK and safety of intravenous (IV) AZD8630. Part A consists of single ascending dose (SAD) and multiple ascending dose (MAD) cohorts in sequential order and Part B will be evaluating multiple dose levels.
Part A: This part will consist 4 sub-parts and will include healthy participants and healthy participants of Chinese and Japanese ethnicity. These participants will randomized to receive AZD8630 and to receive placebo.
Part B: Adult asthma patients will be randomized to one of 3 inhaled dose levels of AZD8630 or placebo.
The expected duration of study participation for each participants in the part A is up to 87 days, and each patients in the Part B is up to 70 days.
3,921 studies on the registry are indexed under Asthma; 507 are open to participants now.
This study's enrollment of 170 is above the median of 83 across 2,752 interventional studies indexed under Asthma.
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Of its 357 completed or terminated interventional studies of FDA-regulated products, 173 (48%) have results posted.
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Part A (Healthy participants):
Healthy participants aged 18 to 55 years, inclusive:
Part B (Participants with Asthma):
During 7 consecutive days within screening, immediately prior to randomisation demonstrates ≥ 65% adherence to each of the following:
Exclusion Criteria:
Part A (Healthy participants)
Part B (Participants with Asthma):
Healthy participants will receive single inhaled doses 1 to 5 of AZD8630.
Drug: AZD8630
Healthy participants will receive a single IV dose of AZD8630.
Drug: AZD8630
Healthy participants will receive single IV dose of Placebo.
Drug: Placebo
Healthy participants of Chinese and Japanese ethnicity will receive single inhaled dose 5 of AZD8630.
Drug: AZD8630
Healthy participants will receive once daily inhaled doses 3, 4, and 5 of AZD8630.
Drug: AZD8630
Healthy participants of Chinese and Japanese ethnicity will receive once daily inhaled dose 5 of AZD8630.
Drug: AZD8630
Healthy participants and healthy participants of Chinese and Japanese ethnicity will receive single inhaled doses of placebo.
Drug: Placebo
Healthy participants and healthy participants of Chinese and Japanese ethnicity will receive once daily inhaled dose of placebo.
Drug: Placebo
Participants with asthma will be randomized to one of 3 inhaled dose levels 3, 6, and 7 of AZD8630 once daily.
Drug: AZD8630
Participants with asthma will receive once daily inhaled dose of placebo.
Drug: Placebo
Participants will receive Inhaled or IV doses of AZD8630 as per the arm they are assigned.
Participants will receive Inhaled or IV doses of placebo as per the arm they are assigned.
Part A and Part B: Number of participants with adverse events
Safety and tolerability of inhaled AZD8630 in healthy participants and participants with asthma will be assessed.
Time frame: Until Follow-up (FU) Visit/Early Termination (ET) Visit (Part A: 7-day post-dose for SAD; 10-day post-last dose for MAD) and Part B: Until FU Visit/ET Visit (10-day post-last dose)
Part A (IV cohort): Time to reach maximum observed concentration (tmax) of AZD8630
tmax of AZD8630 following IV administration of single dose of AZ8630 in healthy participants will be assessed
Time frame: Pre-dose and Post-dose on Days 1 to 4 and Follow-up Visit/ET Visit (7-day post-dose)
Part A (IV cohort): Time of last observed quantifiable concentration (tlast) of AZD8630
tlast of AZD8630 following IV administration of single dose of AZ8630 in healthy participants will be assessed
Time frame: Pre-dose and Post-dose on Days 1 to 4 and Follow-up Visit/ET Visit (7-day post-dose)
Part A (IV cohort): Maximum observed serum (peak) drug concentration (Cmax) of AZD8630
Cmax of AZD8630 following IV administration of single dose of AZ8630 in healthy participants will be assessed.
Time frame: Pre-dose and Post-dose on Days 1 to 4 and Follow-up Visit/ET Visit (7-day post-dose)
Part A (IV cohort): Partial area under the serum concentration-time curve from 0 to time 24 hours post-dose [AUC(0-24)] of AZD8630
AUC(0-24) of AZD8630 following IV administration of single dose of AZ8630 in healthy participants will be assessed.
Time frame: Pre-dose and Post-dose on Days 1 to 4 and Follow-up Visit/ET Visit (7-day post-dose)
Part A (IV cohort): Area under the serum concentration curve from zero to the last quantifiable concentration (AUClast) of AZD8630
AUClast of AZD8630 following IV administration of single dose of AZ8630 in healthy participants will be assessed.
Time frame: Pre-dose and Post-dose on Days 1 to 4 and Follow-up Visit/ET Visit (7-day post-dose)
Part A (IV cohort): Area under serum concentration-time curve from zero to infinity (AUCinf) of AZD8630
AUCinf of AZD8630 following IV administration of single dose of AZ8630 in healthy participants will be assessed.
Time frame: Pre-dose and Post-dose on Days 1 to 4 and Follow-up Visit/ET Visit (7-day post-dose)
Part A (IV cohort): Terminal rate constant (λz) of AZD8630
λz of AZD8630 following IV administration of single dose of AZ8630 in healthy participants will be assessed.
Time frame: Pre-dose and Post-dose on Days 1 to 4 and Follow-up Visit/ET Visit (7-day post-dose)
Part A (IV cohort): Half-life associated with terminal slope (λz) of a semi-logarithmic concentration-time curve (t1/2λz) of AZD8630
t1/2λz) of AZD8630 following IV administration of single dose of AZ8630 in healthy participants will be assessed.
Time frame: Pre-dose and Post-dose on Days 1 to 4 and Follow-up Visit/ET Visit (7-day post-dose)
Part A (IV cohort): Mean residence time of the unchanged drug in the systemic circulation (MRTinf) of AZD8630
MRTinf of AZD8630 following IV administration of single dose of AZ8630 in healthy participants will be assessed.
Time frame: Pre-dose and Post-dose on Days 1 to 4 and Follow-up Visit/ET Visit (7-day post-dose)
Part A (IV cohort): Total body clearance of drug from serum after IV administration (CL) of AZD8630
CL of AZD8630 following IV administration of single dose of AZ8630 in healthy participants will be assessed.
Time frame: Pre-dose and Post-dose on Days 1 to 4 and Follow-up Visit/ET Visit (7-day post-dose)
Part A (IV cohort): Volume of distribution at steady state (Vss) of AZD8630
Vss of AZD8630 following IV administration of single dose of AZ8630 in healthy participants will be assessed.
Time frame: Pre-dose and Post-dose on Days 1 to 4 and Follow-up Visit/ET Visit (7-day post-dose)
Part A (IV Cohort): Volume of distribution of drug from serum after IV administration (Vz) of AZD8630
Vz of AZD8630 following IV administration of single dose of AZ8630 in healthy participants will be assessed.
Time frame: Pre-dose and Post-dose on Days 1 to 4 and Follow-up Visit/ET Visit (7-day post-dose)
Part A (IV Cohort): Number of participants with adverse events
Safety and tolerability of IV AZD8630 in healthy participants will be assessed.
Time frame: Until Follow-up (FU) Visit/Early Termination (ET) Visit (7-day post-dose)
Part A and Part B: Time to reach maximum observed concentration (tmax) of AZD8630
tmax of AZD8630 in healthy participants, including participants of Japanese and Chinese ethnicity will assessed.
Time frame: Pre-dose and Post-dose: Part A- (SAD) Days 1 to 4 and FU Visit/ET Visit (7-day post-dose), (MAD) Days 1 to 17 and FU Visit/ET Visit (10-day post-last dose); Part B- Days 1 to 14, Day 28, Day 29, and FU Visit/ ET Visit (10-day post-last dose)
Part A (A1 and A2 only): Time of last observed quantifiable concentration (tlast) of AZD8630
tlast of AZD8630 in healthy participants, including participants of Japanese and Chinese ethnicity will assessed.
Time frame: Pre-dose and Post-dose: Part A- (SAD) Days 1 to 4 and FU Visit/ET Visit (7-day post-dose)
Part A and Part B: Maximum observed serum (peak) drug concentration (Cmax) of AZD8630
Cmax of AZD8630 in healthy participants, including participants of Japanese and Chinese ethnicity will assessed.
Time frame: Pre-dose and Post-dose: Part A- (SAD) Days 1 to 4 and FU Visit/ET Visit (7-day post-dose), (MAD) Days 1 to 17 and FU Visit/ET Visit (10-day post-last dose); Part B- Days 1 to 14, Day 28, Day 29, and FU Visit/ ET Visit (10-day post-last dose)
Part A and Part B: Maximum observed serum (peak) drug concentration divided by the lung-delivered dose (LDD) [Cmax/D] of AZD8630
Cmax/D of AZD8630 in healthy participants, including participants of Japanese and Chinese ethnicity will assessed.
Time frame: Pre-dose and Post-dose: Part A- (SAD) Days 1 to 4 and FU Visit/ET Visit (7-day post-dose), (MAD) Days 1 to 17 and FU Visit/ET Visit (10-day post-last dose); Part B- Days 1 to 14, Day 28, Day 29, and FU Visit/ ET Visit (10-day post-last dose)
Part A and Part B: Concentration at the end of the dosing interval (Ctrough) [repeat dose only] of AZD8630
Ctrough of AZD8630 in healthy participants, including participants of Japanese and Chinese ethnicity will assessed.
Time frame: Pre-dose and Post-dose: Part A- (MAD) Days 1 to 17 and FU Visit/ET Visit (10-day post-last dose); Part B- Days 1 to 14, Day 28, Day 29, and FU Visit/ ET Visit (10-day post-last dose)
Part A and Part B: Partial area under the serum concentration-time curve from 0 to time 24 hours post-dose [AUC(0-24)] of AZD8630
AUC(0-24) of AZD8630 in healthy participants, including participants of Japanese and Chinese ethnicity will assessed.
Time frame: Pre-dose and Post-dose: Part A- (SAD) Days 1 to 4 and FU Visit/ET Visit (7-day post-dose), and Day 1 for MAD and Part B
Part A and Part B: Partial area under the serum concentration-time curve from 0 to time 24 hours post-dose divided by the LDD [AUC(0-24)/D] of AZD8630
AUC(0-24)/D of AZD8630 in healthy participants, including participants of Japanese and Chinese ethnicity will assessed.
Time frame: Pre-dose and Post-dose: Part A- (SAD) Days 1 to 4 and FU Visit/ET Visit (7-day post-dose), and Day 1 for MAD and Part B
Part A: Area under the serum concentration curve from zero to the last quantifiable concentration (AUClast) of AZD8630
AUClast of AZD8630 in healthy participants, including participants of Japanese and Chinese ethnicity will assessed.
Time frame: Pre-dose and Post-dose: Part A- (SAD) Days 1 to 4 and FU Visit/ET Visit (7-day post-dose)
Part A: Area under the serum concentration-time curve from time zero to time of last quantifiable drug concentration divided by the LDD (AUClast/D) of AZD8630
AUClast/D of AZD8630 in healthy participants, including participants of Japanese and Chinese ethnicity will assessed.
Time frame: Pre-dose and Post-dose: Part A- (SAD) Days 1 to 4 and FU Visit/ET Visit (7-day post-dose)
Part A and Part B: Area under serum concentration-time curve from zero to infinity (AUCinf) of AZD8630
AUCinf of AZD8630 in healthy participants, including participants of Japanese and Chinese ethnicity will assessed.
Time frame: Pre-dose and Post-dose: Part A- (SAD) Days 1 to 4 and FU Visit/ET Visit (7-day post-dose), and Day 1 for MAD and Part B
Part A and Part B: Area under the serum concentration-time curve from time zero extrapolated to infinity divided by the LDD (AUCinf /D) of AZD8630
AUCinf /D of AZD8630 in healthy participants, including participants of Japanese and Chinese ethnicity will assessed.
Time frame: Pre-dose and Post-dose: Part A- (SAD) Days 1 to 4 and FU Visit/ET Visit (7-day post-dose), and Day 1 for MAD and Part B
Part A and Part B: Area under serum concentration-time curve in the dosing interval t (AUCt) of AZD8630
AUCt of AZD8630 in healthy participants, including participants of Japanese and Chinese ethnicity will assessed.
Time frame: Pre-dose and Post-dose: Part A- (MAD) Days 1 to 17 and FU Visit/ET Visit (10-day post-last dose); Part B- Days 1 to 14, Day 28, Day 29, and FU Visit/ ET Visit (10-day post-last dose)
Part A and Part B: Area under serum concentration-time curve in the dosing interval t divided by the LDD (AUCt/D) of AZD8630
AUCt/D of AZD8630 in healthy participants, including participants of Japanese and Chinese ethnicity will assessed.
Time frame: Pre-dose and Post-dose: Part A- (MAD) Days 1 to 17 and FU Visit/ET Visit (10-day post-last dose); Part B- Days 1 to 14, Day 28, Day 29, and FU Visit/ ET Visit (10-day post-last dose)
Part A and Part B: Terminal rate constant (λz) of AZD8630
λz of AZD8630 in healthy participants, including participants of Japanese and Chinese ethnicity will assessed.
Time frame: Pre-dose and Post-dose: Part A- (SAD) Days 1 to 4 and FU Visit/ET Visit (7-day post-dose), (MAD) Days 1 to 17 and FU Visit/ET Visit (10-day post-last dose); Part B- Days 1 to 14, Day 28, Day 29, and FU Visit/ ET Visit (10-day post-last dose)
Part A and Part B: Half-life associated with terminal slope (λz) of a semi-logarithmic concentration-time curve (t1/2λz) of AZD8630
t1/2λz of AZD8630 in healthy participants, including participants of Japanese and Chinese ethnicity will assessed.
Time frame: Pre-dose and Post-dose: Part A- (SAD) Days 1 to 4 and FU Visit/ET Visit (7-day post-dose), (MAD) Days 1 to 17 and FU Visit/ET Visit (10-day post-last dose); Part B- Days 1 to 14, Day 28, Day 29, and FU Visit/ ET Visit (10-day post-last dose)
Part A and Part B: Mean residence time of the unchanged drug in the systemic circulation (MRTinf) of AZD8630
MRTinf of AZD8630 in healthy participants, including participants of Japanese and Chinese ethnicity will assessed.
Time frame: Pre-dose and Post-dose: Part A- (SAD) Days 1 to 4 and FU Visit/ET Visit (7-day post-dose), (MAD) Days 1 to 17 and FU Visit/ET Visit (10-day post-last dose); Part B- Days 1 to 14, Day 28, Day 29, and FU Visit/ ET Visit (10-day post-last dose)
Part A and Part B: Apparent total body clearance of drug from serum after extravascular administration (inhalation administration only) [CL/F] of AZD8630
CL/F of AZD8630 in healthy participants, including participants of Japanese and Chinese ethnicity will assessed.
Time frame: Pre-dose and Post-dose: Part A- (SAD) Days 1 to 4 and FU Visit/ET Visit (7-day post-dose), (MAD) Days 1 to 17 and FU Visit/ET Visit (10-day post-last dose); Part B- Days 1 to 14, Day 28, Day 29, and FU Visit/ ET Visit (10-day post-last dose)
Part A and Part B: Apparent volume of distribution following extravascular administration based on terminal phase (inhalation administration only) [Vz/F] of AZD8630
Vz/F of AZD8630 in healthy participants, including participants of Japanese and Chinese ethnicity will assessed.
Time frame: Pre-dose and Post-dose: Part A- (SAD) Days 1 to 4 and FU Visit/ET Visit (7-day post-dose), (MAD) Days 1 to 17 and FU Visit/ET Visit (10-day post-last dose); Part B- Days 1 to 14, Day 28, Day 29, and FU Visit/ ET Visit (10-day post-last dose)
Part A and Part B: Accumulation ratio based upon AUCt [Rac(AUC)] of AZD8630
Rac(AUC) of AZD8630 in healthy participants, including participants of Japanese and Chinese ethnicity will assessed.
Time frame: Pre-dose and Post-dose: Part A- (MAD) Day 14; Part B- Day 28
Part A and Part B: Accumulation ratio based upon Cmax [Rac(Cmax)] of AZD8630
Rac(Cmax) of AZD8630 in healthy participants, including participants of Japanese and Chinese ethnicity will assessed.
Time frame: Pre-dose and Post-dose: Part A- (MAD) Day 14; Part B- Day 28
Part A and Part B: Number of participants with presence of anti-drug antibodies (ADAs)
Immunogenicity of AZD8630 following single and multiple dose administration will be characterized.
Time frame: Pre-dose: Part A- (SAD) Days 1 to 3 and FU Visit/ET Visit (7-day post-dose), (MAD) Days 1 to 17 and FU Visit/ET Visit (10-day post-last dose); Part B- Days 1, 7, 14, and 28, and FU Visit/ ET Visit (10-day post-last dose)
Part B: Change from baseline in fractional exhaled nitric oxide (FeNO) levels
The PD effect of AZD8630 on FeNO versus placebo following daily inhaled AZD8630 will be assessed.
Time frame: From Screening (Up to days 28 before Day 1) until Day 29 (end of the treatment visit)
Plan to share: Yes — Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com /ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
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