An Open-label, Phase I Study to Assess the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of AZD5492 Following Single-ascending Dose and Step-up Dose Administration to Adult Participants With Systemic Lupus Erythematosus or Idiopathic Inflammatory Myopathies
The purpose of this study is to measure the safety, tolerability, PK, and PD of AZD5492 administered subcutaneously in adult participants with SLE or IIM. Study details include: • The study duration will be a minimum of 180 days in addition to the screening period. Additional follow-up visits may be required up to 12 months from study start. * Depending on the study part they are assigned to, participants will be administered AZD5492 once (Part 1) or twice (Part 2). * Study visits will occur at: Screening, Days 1-4, 8, 15, 22, 30, 60, 90, 120, 150, and 180 in Part 1, Screening, Days 1-4, 8-11, 15, 22, 29, 43, 60, 90, 120, 150, and 180 in Part 2.
• Participant must be 18 to 70 years of age inclusive, at the time of signing the informed consent.
• Diagnosis of SLE:
‣ Diagnosis of SLE according to the 2019 EULAR/ACR classification criteria for SLE
⁃ Positive for one or more of: anti-nuclear antibodies (titre ≥ 1:80), anti-dsDNA or anti-Sm at screening.
⁃ Active, moderate-severe disease at screening, defined as clinical SLEDAI-2K ≥ 4.
⁃ Intolerance or inadequate response to ≥ 3 available SOC treatments, used for at least 3 months each, for which at least one must be a biologic SoC or cyclophosphamide.
• Diagnosis of IIM:
‣ Must have probable or definite diagnosis of PM or DM (excluding IBM and cancer associated myositis) according to the 2017 EULAR/ACR classification criteria for adult myositis.
⁃ Positive for ≥ 1 disease-specific autoantibody at screening.
⁃ MMT-8 score of ≤ 142/150 and/or CDASI-A \> 6
⁃ Fulfill at least one of the following criteria of active disease at screening:
• (i) One or more muscle enzyme elevation (CK, AST, ALT, aldolase, LDH) ≥ 1.3 × ULN (ii) If criterion 3(d)(i) is not met, then at least one of the following criteria must be met:
⁃ Report from MRI performed within 3 months prior to screening with evidence of muscle inflammation
⁃ Report from muscle biopsy performed within 3 months prior to screening that demonstrates active inflammation
⁃ Report from electromyography performed within 3 months prior to screening that exhibits irritable myopathic pattern.
• (e) Intolerance or inadequate response to corticosteroids and ≥2 other SoC treatments, used for at least 3 months each, for which at least one must be a biologic SoC, immunoglobulin or cyclophosphamide.
• For participants receiving any of the following therapies at screening:
‣ Oral prednisone (or equivalent): Daily dose ≤ 20 mg/day and must be stable for ≥ 1 week prior to Day 1.
⁃ Immunosuppressive treatment: for ≥ 3 months prior to Day 1 and at a stable dose for ≥ 4 weeks prior to Day 1.