CClinicalTrials.gg
RecruitingNCT07685600Updated Sep 28, 2026

Investigating the Effect of Itraconazole on the Pharmacokinetics of AZD4144 in Healthy Participants

A Phase 1 interventional study of AZD4144 and AZD4144 in Healthy, sponsored by AstraZeneca. Recruiting at 1 site in United Kingdom. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-28.

Sponsored by AstraZeneca · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2026; still recruiting 2 months later.
Updated Sep 28, 2026Primary completion movedStudy completion movedGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
32
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

The purpose of the study is to assess the pharmacokinetics (PK) of AZD4144 when administered alone and in combination with itraconazole in healthy participants.

Read the detailed description

This is an open-label, randomised, two arm, 3 period, fixed sequence study in healthy participants.

The study will include two parallel, independent arms with one arm evaluating oral administration of AZD4144 and the other evaluating AZD4144 administered as an intravenous (IV) infusion.

Each study arm will comprise of:

  1. A screening period of up to 28 days.
  2. Three treatment periods during which participants will receive AZD4144 alone, itraconazole alone, and AZD4144 in combination with itraconazole.
  3. A final follow-up visit.
02

Conditions studied

  • Healthy

Keywords

  • Pharmacokinetics
  • Cardiorenal diseases
  • Cryopyrin
  • Drug-drug interaction
03

In context

Lead sponsor

AstraZeneca is the lead sponsor of 3,429 studies on the registry; 270 are open to participants now.

Of its 357 completed or terminated interventional studies of FDA-regulated products, 173 (48%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Healthy male and/or female participants with suitable veins for cannulation or repeated venipuncture.
  2. Body mass index (BMI) between 18.0 and 30.0 kg/m², inclusive, and body weight of at least 50 kg.
  3. Female participants of childbearing potential must have a negative serum or urine pregnancy test and must agree to use highly effective contraception throughout the study and follow-up period.
  4. Male participants must agree to use adequate contraception and refrain from sperm donation during the study and for the protocol-specified period after the last dose.

Exclusion criteria

Exclusion Criteria:

  1. Any clinically significant disease or medical condition that may interfere with study participation or interpretation of results.
  2. History or presence of gastrointestinal, hepatic, renal or any other condition known to interfere absorption, distribution, metabolism, or excretion of study drugs.
  3. Any clinically important illness, medical/surgical procedure, or trauma.
  4. Active systemic bacterial, viral, or fungal infection.
  5. Clinically significant serious active or chronic infections.
  6. Known history of primary immunodeficiency (congenital or acquired) or an underlying condition that predisposes to infection.
  7. Concomitant immunosuppressive, steroid treatment.
  8. Clinically significant abnormalities in physical examination, vital signs, 12-lead electrocardiogram (ECG), or clinical laboratory assessments.
  9. Known hypersensitivity or allergy to AZD4144, itraconazole, or any excipients of the study interventions.
  10. Positive screening test for drugs of abuse, alcohol, hepatitis B virus, hepatitis C virus, or human immunodeficiency virus (HIV).
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
32 participants (estimated)

Study arms

  • Experimental
    Arm 1: Oral AZD4144

    In Period 1, participants will receive a single oral dose of AZD4144 on Day 1. In Period 2, participants will receive itraconazole alone, administered orally, with twice-daily dosing on Day 7 followed by once-daily dosing on Days 8 and 9. In Period 3, participants will receive a single oral dose of AZD4144 on Day 10 in combination with once-daily oral itraconazole till Day 15.

    Drug: AZD4144 · Drug: Itraconazole

  • Experimental
    Arm 2: IV Infusion AZD4144

    In Period 1, participants will receive a single IV infusion of AZD4144 on Day 1. In Period 2, participants will receive itraconazole alone, administered orally, with twice-daily dosing on Day 7 followed by once-daily dosing on Days 8 and 9. In Period 3, participants will receive a single IV infusion of AZD4144 on Day 10 in combination with once-daily oral itraconazole till Day 15.

    Drug: AZD4144 · Drug: Itraconazole

Interventions

  • DrugAZD4144

    AZD4144 will be administered orally.

  • DrugAZD4144

    AZD4144 will be administered as an IV infusion.

  • DrugItraconazole

    Itraconazole will be administered orally.

06

What researchers measure

Primary outcomes

  1. Area under concentration time curve from time 0 to infinity (AUCinf)

    To assess the effect of itraconazole on the PK (AUCinf) of AZD4144

    Time frame: Period 1: Day 1 to Day 6; Period 3: Day 10 to Day 16

  2. Area under concentration curve from time 0 to the last quantifiable concentration (AUClast)

    To assess the effect of itraconazole on the PK (AUClast) of AZD4144

    Time frame: Period 1: Day 1 to Day 6; Period 3: Day 10 to Day 16

  3. Maximum observed drug concentration (Cmax)

    To assess the effect of itraconazole on the PK (Cmax) of AZD4144

    Time frame: Period 1: Day 1 to Day 6; Period 3: Day 10 to Day 16

Secondary outcomes

  1. Total body clearance (CL)

    To describe the PK (CL) of AZD4144 when administered alone, and in combination with itraconazole

    Time frame: Period 1: Day 1 to Day 6; Period 3: Day 10 to Day 16

  2. Apparent total body clearance (CL/F)

    To describe the PK (CL/F) of AZD4144 when administered alone, and in combination with itraconazole

    Time frame: Period 1: Day 1 to Day 6; Period 3: Day 10 to Day 16

  3. Volume of distribution during the terminal phase (Vz)

    To describe the PK (Vz) of AZD4144 when administered alone, and in combination with itraconazole

    Time frame: Period 1: Day 1 to Day 6; Period 3: Day 10 to Day 16

  4. Apparent volume of distribution based on the terminal phase (Vz/F)

    To describe the PK (Vz/F) of AZD4144 when administered alone, and in combination with itraconazole

    Time frame: Period 1: Day 1 to Day 6; Period 3: Day 10 to Day 16

  5. Terminal elimination half life (t½λz)

    To describe the PK (t½λz) of AZD4144 when administered alone, and in combination with itraconazole

    Time frame: Period 1: Day 1 to Day 6; Period 3: Day 10 to Day 16

  6. Time to reach maximum observed concentration (tmax)

    To describe the PK (tmax) of AZD4144 when administered alone, and in combination with itraconazole

    Time frame: Period 1: Day 1 to Day 6; Period 3: Day 10 to Day 16

07

Study locations

1 of 1 sites recruiting
  • Research Site
    Harrow, HA1 3UJ, United Kingdom
    Recruiting
08

References and documents

Individual participant data

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 Vivli.org. 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.

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Primary completion
Oct 29, 2026→Oct 28, 2026
Sep 28, 2026
Study completion
Oct 29, 2026→Oct 28, 2026
Sep 28, 2026
Show all 1 update
  1. Sep 28, 2026
    Primary completion Oct 29, 2026→Oct 28, 2026
    Study completion Oct 29, 2026→Oct 28, 2026
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07685600
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Jul 6, 2026
Start date
Jul 30, 2026
Primary completion
Oct 28, 2026 (estimated)
Completion
Oct 28, 2026 (estimated)
Last update
Sep 28, 2026

Study contacts

AstraZeneca Clinical Study Information Center
Contact
information.center@astrazeneca.com
1-877-240-9479

Oversight

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

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