A Study to Investigate 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.

NCT ID: NCT06979388

Last Updated: 2025-08-12

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE1
• Total Enrollment: 14 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-05-20
• Study Completion Date: 2025-07-12

Brief Summary

The main 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 participants.

Detailed Description

This study will be an open-label, randomised, 3-period, 3-treatment, single-dose, 3-way crossover study in healthy participants (males and females), performed at a single study site.

The study comprises of:

• Screening period of 4 weeks within the interval of Day -28 and Day -2.
• Three treatment periods during which participants will be residing at the Clinical Unit from the day before the first study intervention administration (Day -1). The participant will be discharged on Day 10.

• Treatment A (reference, fasted), balcinrenone/dapagliflozin capsule dosed in the fasted state.
• Treatment B (fed), balcinrenone/dapagliflozin capsule dosed together with food.
• Treatment C (quinidine, fasted), balcinrenone/dapagliflozin capsule (dosed together with a P-gp inhibitor tablets (quinidine) in fasted state.

Participants will be randomised on Day 1 to one of the following 6 treatment sequences: ABC, ACB, BCA, BAC, CAB, or CBA. Each participant will receive all 3 treatments (A, B, and C) in the sequence participant was randomised to. Each treatment will be separated by a washout period of 72 hours; thus, each participant will receive study intervention on Day 1, Day 4, and Day 7.

• A final Follow-up Call within 5 - 7 days (Day 12-14) after the last study intervention administration.

Conditions

Healthy Participants

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: CROSSOVER
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Treatment ABC

Participants will receive Treatment A (reference, fasted), balcinrenone/dapagliflozin capsule on Day 1 and then followed by a washout period of 72 hours. On Day 4, participants will receive Treatment B (fed), balcinrenone/dapagliflozin capsule dosed together with food, followed by a washout period of 72 hours. On Day 7, participants will receive Treatment C (quinidine, fasted), balcinrenone/dapagliflozin capsule dosed together with a P-gp inhibitor tablets (2 doses of quinidine separated by 4 hours, 1 hour prior and 3 hours post balcinrenone/dapagliflozin administration, respectively).

Group Type: EXPERIMENTAL

balcinrenone/ dapagliflozin

Intervention Type: DRUG

Participants will be receiving balcinrenone/ dapagliflozine in fasted or fed condition.

quinidine

Intervention Type: DRUG

Participants will be receiving quinidine orally in fasted condition.

Treatment ACB

The participants will receive Treatment A (reference, fasted), balcinrenone/dapagliflozin capsule on Day 1 and then followed by washout period of 72 hours. On Day 4, participants will receive Treatment C (quinidine, fasted), balcinrenone/dapagliflozin capsule dosed together with a P-gp inhibitor tablets (2 doses of quinidine separated by 4 hours, 1 hour prior and 3 hours post balcinrenone/dapagliflozin administration, respectively), followed by a washout period of 72 hours. On Day 7, participants will receive Treatment B (fed), balcinrenone/dapagliflozin capsule dosed together with food.

Group Type: EXPERIMENTAL

balcinrenone/ dapagliflozin

Intervention Type: DRUG

Participants will be receiving balcinrenone/ dapagliflozine in fasted or fed condition.

quinidine

Intervention Type: DRUG

Participants will be receiving quinidine orally in fasted condition.

Treatment BCA

The participants will receive Treatment B (fed), balcinrenone/dapagliflozin capsule dosed together with food on Day 1 and then followed by washout period of 72 hours. On Day 4, participants will receive Treatment C (quinidine, fasted), balcinrenone/dapagliflozin capsule dosed together with a P-gp inhibitor tablets (2 doses of quinidine separated by 4 hours, 1 hour prior and 3 hours post balcinrenone/dapagliflozin administration, respectively), followed by a washout period of 72 hours. On Day 7, participants will receive Treatment A (reference, fasted), balcinrenone/dapagliflozin capsule.

Group Type: EXPERIMENTAL

balcinrenone/ dapagliflozin

Intervention Type: DRUG

Participants will be receiving balcinrenone/ dapagliflozine in fasted or fed condition.

quinidine

Intervention Type: DRUG

Participants will be receiving quinidine orally in fasted condition.

Treatment BAC

The participants will receive Treatment B (fed), balcinrenone/dapagliflozin capsule dosed together with food on Day 1 and then followed by washout period of 72 hours. On Day 4, participants will receive Treatment A (reference, fasted), balcinrenone/dapagliflozin capsule and then followed by washout period of 72 hours. On Day 7 participants will receive Treatment C (quinidine, fasted), balcinrenone/dapagliflozin capsule dosed together with a P-gp inhibitor tablets (2 doses of quinidine separated by 4 hours, 1 hour prior and 3 hours post balcinrenone/dapagliflozin administration, respectively).

Group Type: EXPERIMENTAL

balcinrenone/ dapagliflozin

Intervention Type: DRUG

Participants will be receiving balcinrenone/ dapagliflozine in fasted or fed condition.

quinidine

Intervention Type: DRUG

Participants will be receiving quinidine orally in fasted condition.

Treatment CAB

The participants will receive Treatment C (quinidine, fasted), balcinrenone/dapagliflozin capsule dosed together with a P-gp inhibitor tablets (2 doses of quinidine separated by 4 hours, 1 hour prior and 3 hours post balcinrenone/dapagliflozin administration, respectively), followed by a washout period of 72 hours. On Day 4, participants will receive Treatment A (reference, fasted), balcinrenone/dapagliflozin capsule and then followed by washout period of 72 hours. On Day 7, participants will receive Treatment B (fed), balcinrenone/dapagliflozin capsule dosed together with food.

Group Type: EXPERIMENTAL

balcinrenone/ dapagliflozin

Intervention Type: DRUG

Participants will be receiving balcinrenone/ dapagliflozine in fasted or fed condition.

quinidine

Intervention Type: DRUG

Participants will be receiving quinidine orally in fasted condition.

Treatment CBA

The participants will receive Treatment C (quinidine, fasted), balcinrenone/dapagliflozin capsule dosed together with a P-gp inhibitor tablets (2 doses of quinidine separated by 4 hours, 1 hour prior and 3 hours post balcinrenone/dapagliflozin administration, respectively), followed by a washout period of 72 hours. On Day 4, participants will receive Treatment B (fed), balcinrenone/dapagliflozin capsule dosed together with food, followed by a washout period of 72 hours. On Day 7, participants will receive Treatment A (reference, fasted), balcinrenone/dapagliflozin capsule.

Group Type: EXPERIMENTAL

balcinrenone/ dapagliflozin

Intervention Type: DRUG

Participants will be receiving balcinrenone/ dapagliflozine in fasted or fed condition.

quinidine

Intervention Type: DRUG

Participants will be receiving quinidine orally in fasted condition.

Interventions

balcinrenone/ dapagliflozin

Participants will be receiving balcinrenone/ dapagliflozine in fasted or fed condition.

Intervention Type: DRUG

quinidine

Participants will be receiving quinidine orally in fasted condition.

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

• Have a Body Mass Index (BMI) between 18 and 30 kg/m2 inclusive and weigh at least 50 kg and no more than 100 kg inclusive.
• All females of childbearing potential must have a negative pregnancy test.
• Females of childbearing potential must not be lactating and if heterosexually active must agree to use an approved method of highly effective contraception.

Exclusion Criteria

• History of any clinically important disease or disorder which may either put the participant at risk because of participation in the study, or influence the results or the participant's ability to participate in the study
• History or presence of gastrointestinal, hepatic, or renal disease or any other condition known to interfere with absorption, distribution, metabolism, or excretion of drugs.
• Any clinically important illness, medical/major surgical procedure, or trauma within 4 weeks of the first administration of study intervention.
• Any clinically important abnormalities in clinical chemistry, haematology, urinalysis or vital signs.
• Positive result for serum hepatitis B surface antigen, hepatitis C antibody, and HIV antibody
• History of long QT syndrome or history of additional risk factors for QT prolongation - for example a family history of long QT syndrome or the use of concomitant medications known to prolong the QT/QTc interval. Any clinically significant abnormalities on 12-lead ECG at the Screening Visit, as judged by the investigator, including but not limited to any significant arrythmia, conduction abnormalities, and/or prolonged QTcF > 450 ms.
• Current smokers or those who have smoked or used nicotine products within the previous 3 months prior to Screening Visit.
• History of alcohol or drug abuse. Positive screen for drugs of abuse, alcohol or cotinine.
• History of severe allergy/hypersensitivity or ongoing clinically important allergy/hypersensitivity.
• History of hypersensitivity to drugs with a similar chemical structure or class to balcinrenone, dapagliflozin and quinidine. Any contraindications listed for dapagliflozin and quinidine.
• Use of drugs with enzyme inducing properties within 3 weeks prior to the first administration of study intervention.
• Use of any prescribed or nonprescribed medication, herbal remedies or intake of > 3 × daily recommended levels of vitamins and minerals during the 2 weeks prior to the first administration of study intervention
• Plasma donation within one month of screening or any blood donation/blood loss > 500 mL during the 3 months prior to screening.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 55 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Parexel

INDUSTRY

Sponsor Role: collaborator

AstraZeneca

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Research Site

Harrow, , United Kingdom

Countries

United Kingdom

Other Identifiers

1011789

Identifier Type: OTHER

Identifier Source: secondary_id

D6402C00009

Identifier Type: -

Identifier Source: org_study_id