PK FE study on balcinrenone/dapagliflozin fed and fasted when dosed with a P-gp inhibitor in HV

  • Research type

    Research Study

  • Full title

    A Phase I, randomised, single-dose, open-label, 3-period, 3-treatment, 3-way crossover study to assess the effect of food on balcinrenone/dapagliflozin pharmacokinetics in fed and fasted state and pharmacokinetics of balcinrenone when dosed with a P-gp inhibitor in healthy participants

  • IRAS ID

    1011789

  • Contact name

    Malin von Otter

  • Contact email

    malin.vonotter@astrazeneca.com

  • Sponsor organisation

    AstraZeneca AB

  • Research summary

    This trial is a single centre, open-label trial in up to 14 healthy, non-smoking, males and females between the ages of 18 and 55 years.
    The clinical trial medication named balcinrenone/dapagliflozin has been administered several times to healthy volunteers. The purpose of this study is to assess the effect of food on balcinrenone/dapagliflozin pharmacokinetics in fed and fasted state and pharmacokinetics of balcinrenone when dosed with a P-gp inhibitor in healthy participant. AstraZeneca is developing the clinical trial medication for treating heart failure.
    Balcinrenone is a new drug expected to help protect the heart and kidneys, but with an expected lower risk of causing high potassium levels in the blood compared to similar drugs on the market.
    Dapagliflozin is an approved medication used for treating diabetes, heart failure, and chronic kidney disease. Dapagliflozin helps control blood sugar. It has benefits for the heart and kidneys in people with or without diabetes.
    Quinidine is an approved medication used to treat certain heart disorders.
    The trial will also investigate how the clinical trial medication is taken up, metabolised, distributed through the body and excreted and if this process is altered by food by giving the clinical trial medication in presence and absence of meals. The clinical trial will see if taking quinidine along with clinical trial medication changes how balcinrenone behaves in the body.
    The trial consists of:
    • Screening period of 28 days
    • In-house treatment period - Admission on Day -1 and be required to stay in the Unit for 11 days and 10 nights.
    3 Treatment Periods (A, B & C)
    • Dosing will occur on Days 1, 4, and 7, and tests performed until 72 hours after each dosing.
    • Safety follow up 5 - 7 days (Day 12-14) after the last study
    Total time in clinical trial - approximately 6 weeks.

  • REC name

    Wales REC 1

  • REC reference

    25/WA/0107

  • Date of REC Opinion

    7 May 2025

  • REC opinion

    Further Information Favourable Opinion