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OpenTrials
Completed

NCT Number: NCT05961384

Phase 1 Study to Determine the Metabolism and Clearance of Baxdrostat

This was a Phase 1, open-label, single dose study in healthy male subjects. The goals of this clinical trial were to determine how baxdrostat might be absorbed and metabolized using radioactive [14C] labeled baxdrostat. Subjects were administered a single oral dose of 10 mg containing approximately 100 μCi of [14C] baxdrostat. Subjects were to be confined to the study site for 9 to 15 days for blood, urine, and feces collections.

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Key information

Age range

18 year–55 year

Sex eligibility

Male

Study type

Interventional

Phase

Phase 1

Primary location

Labcorp Clinical Research Unit

Madison, Wisconsin, 53704, United States

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Subjects must meet the following inclusion criteria:

  • Be males of any race between 18 and 55 years of age
  • Have a body mass index between 18.0 and 32.0 kg/m2
  • Be in good health, determined by no clinically significant findings from medical history
  • Have normal renal function, defined as estimated GFR ≥70 mL/min/1.73 m2
  • Agree to use contraception
  • Be able to comprehend and willing to sign an ICF and to abide by the study restrictions
  • Have a history of a minimum of 1 bowel movement per day
  • Agree to refrain from donation of sperm from check-in until 90 days after discharge

Main Exclusion Criteria:

  • Significant history or clinical manifestation of any diseases as determined by the investigator
  • Prolonged QTcF (>450 msec)
  • Confirmed (eg, 2 consecutive measurements) systolic BP >140 or <90 mmHg, diastolic BP >90 or <50 mmHg, and pulse rate >100 or <45 beats per minute (bpm).
  • Postural tachycardia (ie, >30 bpm upon standing) or orthostatic hypotension (ie, a fall in systolic BP of ≥20 mmHg or diastolic BP of ≥10 mmHg upon standing).
  • Serum potassium >upper limit of normal (5.3 mmol/L; ULN) of the reference range and serum sodium <lower limit of normal (135 mmol/L) of the reference range
  • Aspartate aminotransferase, alanine aminotransferase, or total bilirubin values >1.2 × ULN.
  • A known history of porphyria, myopathy, or active liver disease
  • Use of any prescription medications
  • Corticosteroid use (systemic or extensive topical use) within 3 months prior to dosing
  • Subjects who have participated in more than 3 radiolabeled drug studies in the last 12 months

Treatment and study plan

baxdrostat

Drug

a blood pressure lowering drug, oral dose

Other names: CIN-107

Primary outcomes

  1. Total radioactivity recovery in urine and feces following administration of [14C] baxdrostat.

    Time frame: 1 to 15 days after dosing

    Measurement of total radioactivity recovery in urine and feces to determine the routes, rates of elimination, and mass balance of total radioactivity from [14C] baxdrostat.

  2. Area under the curve [AUC] of baxdrostat and its primary metabolite (CIN-107M) following administration of [14C] baxdrostat to healthy male subjects.

    Time frame: 1 to 15 days after dosing

    Area under the curve (AUC)0-∞ and AUC0-last will be determined for baxdrostat and CIN-107M in plasma.

  3. Cumulative baxdrostat and CIN-107M excreted in urine and fraction of baxdrostat renally excreted following administration of [14C] baxdrostat to healthy subjects.

    Time frame: 1 to 15 days after dosing

    Determining cumulative amount of baxdrostat and CIN-107M excreted in urine, clearance of baxdrostat and CIN-107M, and fraction of dose excreted renally (baxdrostat only).

  4. Maximum concentration [Cmax] for baxdrostat and CIN-107M in plasma.

    Time frame: 1 to 15 days after dosing

    Cmax will be determined based on measurement of baxdrostat and CIN-107M in plasma.

  5. Time to maximum concentration [Tmax] for baxdrostat and CIN-107M in plasma.

    Time frame: 1 to 15 days after dosing

    Tmax will be determined based on measurement of baxdrostat and CIN-107M in plasma.

  6. Terminal elimination half-life (t1/2) for baxdrostat and CIN-107M in plasma.

    Time frame: 1 to 15 days after dosing

    t1/2 for baxdrostat and CIN-107M in plasma will be determined based on measurement of baxdrostat and CIN-107M in plasma.

Secondary outcomes

  1. Quantitative metabolic profiles of baxdrostat in plasma and excreta.

    Time frame: 1 to 15 days after dosing

    To determine, where possible, the quantitative metabolite profiles in plasma, urine, and feces after [14C]-baxdrostat

  2. Identification of baxdrostat metabolites in plasma and excreta.

    Time frame: 1 to 15 days after dosing

    To determine, where possible, the chemical structure of major metabolites in plasma, urine, and feces after [14C]-baxdrostat

  3. Incidence of treatment emergent adverse events following administration of [14C] baxdrostat.

    Time frame: 1 to 15 days after dosing

    Incidence of adverse events will be used to assess the safety and tolerability of [14C] baxdrostat when administered to healthy subjects.

Sponsors and collaborators

Lead sponsor

AstraZeneca

Industry

Registry information

Official study title

A Phase 1, Open-Label Study Of The Absorption, Metabolism, And Excretion Of [14C]-Baxdrostat Following A Single Oral Dose In Healthy Male Subjects

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Jul 27, 2023
Registry last updated
Aug 15, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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