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AZD1722

Phase 2

Chronic Kidney Disease | Small molecule | Metabolic |Ardelyx, Inc.|Last Updated: Sep 14, 2020

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment154

FDA Designations

No designations recorded

Clinical trial landscape

AZD1722 · 9 trials · 10 indications

Phase 2 4Phase 1 5
NCT02081534Dose Finding Study to Treat High Phosphate Levels in the Blood.Hyperphosphatemia
COMPLETED162 Analytics
NCT01923428The Efficacy of AZD1722 in Constipation Predominant Irritable Bowel Syndrome (IBS-C)Constipation Predominant Irritable Bowel Syndrome
COMPLETED356 Analytics
NCT01847092A Study in CKD Patients With Type 2 Diabetes Mellitus and AlbuminuriaChronic Kidney Disease
COMPLETED154 Analytics
NCT01764854Pharmacodynamic Study of AZD1722 in End-stage Renal Disease Patients on HemodialysisEnd Stage Renal Disease
COMPLETED88 Analytics
PHASE2COMPLETED
Dose Finding Study to Treat High Phosphate Levels in the Blood.
HyperphosphatemiaUnlock trial analytics
PHASE2COMPLETED
The Efficacy of AZD1722 in Constipation Predominant Irritable Bowel Syndrome (IBS-C)
Constipation Predominant Irritable Bowel SyndromeUnlock trial analytics
PHASE2COMPLETED
A Study in CKD Patients With Type 2 Diabetes Mellitus and Albuminuria
Chronic Kidney DiseaseUnlock trial analytics
PHASE2COMPLETED
Pharmacodynamic Study of AZD1722 in End-stage Renal Disease Patients on Hemodialysis
End Stage Renal DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Change in Serum Phosphate Levels
End of wash out (pre randomization value) to end of treatment (Day 29)

Change in serum phosphate levels from the end of wash out (pre randomization value) to end of treatment

Percent Complete Spontaneous Bowel Movement Responders vs Placebo
12 weeks

Weekly complete spontaneous bowel movement resaponders defined as an increase of one or more bowel movement per week from baseline for 6 of the 12 weeks

Changes in Urine Albumin to Creatinine Ratio (UACR)
Week 12

The difference between tenapanor and placebo in the change in UACR from baseline to the end of 12 weeks of treatment

Change in Mean Weekly Interdialytic Weight Gain (IDWG)
Run-in period (Weeks -2 and -1) versus Week 4 (end of treatment)

Patients are weighed pre dialysis prior to their first dialysis of the week. This measure looks at the change in pre-dialysis weight over time

To evaluate the pharmacokinetics of midazolam when administered after AZD1722 by assessment of area under the concentration-time curve (AUC) and maximal plasma concentration (Cmax) of midazolam
Blood samples are collected predose, 0.25, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 15 and 24 hours post dose on Day 1 and Day 15

Change in plasma area under the concentration-time curve (AUC) and maximal plasma concentration (Cmax) of midazolam after AZD1722 administration

Percentage of radioactive dose recovered in urine and feces
Day 1: Pre-dose and up to 168 hours post-dose
Total percentage of radioactive dose recovered from both urine and feces
Day 1: Pre-dose and up to 168 hours post-dose
Concentration of total radioactivity in blood and plasma samples
Timeframe: Day 1: Predose and up to 120 hours
Concentration of AZD1722 in plasma samples
Timeframe: Day 1: Predose and up to 120 hours
Number of patients with adverse events
up to 3 weeks

Measurement of safety laboratories, ECGs, vital signs, and physical exams

Sodium levels in stool and urine
4 days

Pharmacodynamic activity

Secondary Endpoints

Change From Baseline in Calcium x Phosphorus Product
End of wash out (pre randomization value) to end of treatment (Day 29)
Change in Estimated Glomerular Filtration Rate (mL/Min/1.73 m2) From Baseline to Week 12 Endpoint
12 weeks
Stool Sodium Content
Days 1 through 7
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
1 mg bidEXPERIMENTAL1 mg AZD1722 bid
3 mg bidEXPERIMENTAL3 mg AZD1722 bid
10 mg bidEXPERIMENTAL10 mg AZD1722 bid
30 mg bidEXPERIMENTAL30 mg AZD1722 bid
3 mg odEXPERIMENTAL3 mg AZD1722 od
30 mg odEXPERIMENTAL30 mg AZD1722 od
PlaceboPLACEBO_COMPARATORPlacebo (double dummy technique)
5 mg BIDEXPERIMENTALAZD1722
20 mg BIDEXPERIMENTALAZD1722
50 mg BIDEXPERIMENTALAZD1722
AZD1722ACTIVE_COMPARATORAZD1722 in 5, 15, 30, or 60 mg capsules. Starting dose is 15 mg BID PO for 12 Weeks
AZD1722- in patientEXPERIMENTALTenapanor administered in a clinical pharmacology unit
Placebo- in patientPLACEBO_COMPARATORPlacebo (size and color matched to experimental drug) administered in a clinical pharmacology unit
AZD1722 out-patientEXPERIMENTALTenapanor
Placebo out-patientEXPERIMENTALPlacebo
Midazolam 7.5 mgACTIVE_COMPARATORVolunteers will receive Midazolam 7.5 mg administered by mouth as a syrup
AZD1722 15 mgEXPERIMENTALVolunteers will received AZD1722 15 mg administered by mouth, as a tablet
AZD1722 15 mg and Midazolam 7.5 mgEXPERIMENTALVolunteers will receive AZD1722 15 mg tablet and Midazolam 7.5 mg syrup, by mouth
AZD1722 aloneEXPERIMENTAL15 mg BID
AD1722 with RenvelaEXPERIMENTALAZD1722 15 mg BID and Renvela 800 mg TID
AZD1722 HCl CapsuleEXPERIMENTAL15 mg bid AZD1722 HCl and 20 mg bid Omeprazole
AZD1722 HCl TabletEXPERIMENTAL15 mg bid AZD1722 HCl and 20 mg bid Omeprazole
AZD1722 Free-base TabletEXPERIMENTAL15 mg bid AZD1722 and 20 mg bid Omeprazole

Interventions

NameTypeDescription
AZD1722DRUGAZD1722, oral tablet
PlaceboDRUGPlacebo bid, double dummy technique
AZD1722 (in-patient)DRUGdoses between 5 and 60 mg BID may be administered based on tolerability in a CPU setting
Placebo (in-patient)DRUGPlacebo, size and color matched to experimental drug administered in a CPU
AZD1722 (out-patient)DRUGdoses between 5 and 45 mg BID
MidazolamDRUGVolunteers will receive a single dose of Midazolam 7.5 mg on Day 1
AZD1722 and MidazolamDRUGOn Day 15 volunteers will receive AZD1722 15 mg and Midazolam 7.5 mg at the same time in the morning. In the evening on Day 15 AZD1722 15 mg will be administered alone.
RenvelaDRUG -
OmeprazoleDRUG -
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Eligibility Criteria

Age Range18 Years to 85 Years
SexALL
Healthy VolunteersNo
Study Sites41

Inclusion Criteria: 1. Females and males aged ≥18 years 2. Chronic maintenance hemodialysis 3 x/week for a at least 3 months 3. Prescribed and taking at least 3 doses of phosphate binder per day 4. Serum phosphate levels should be between 3.5 and 8.0 mg/dL ; 1.13 mmol/L and 2.58 mmol/L (inclusive) ...

Countries:United StatesPolandSlovakiaUnited Kingdom
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Frequently asked questions about AZD1722

What is AZD1722 used for?

AZD1722 is an investigational small molecule being studied for conditions including hyperphosphatemia, constipation predominant irritable bowel syndrome, chronic kidney disease, and end stage renal disease. It has been evaluated in Phase 2 trials for end stage renal disease patients on hemodialysis and for chronic kidney disease patients with type 2 diabetes mellitus and albuminuria.

Who makes AZD1722?

AZD1722 is being developed by Ardelyx, Inc., a biopharmaceutical company traded on NASDAQ under the ticker ARDX. The drug is a small molecule in the metabolic therapeutic area and is currently in clinical development.

What phase is AZD1722 in?

AZD1722 is in Phase 2 clinical development. Two Phase 2 trials have been completed, along with two Phase 1 trials. The drug is investigational and has not been approved by the FDA.

What clinical trials is AZD1722 in?

AZD1722 has been studied in four completed trials. NCT01764854 was a Phase 2 pharmacodynamic study in end stage renal disease patients on hemodialysis. NCT01847092 was a Phase 2 study in chronic kidney disease patients with type 2 diabetes mellitus and albuminuria. NCT02063386 and NCT02140268 were Phase 1 studies in healthy volunteers.

How does AZD1722 work?

AZD1722 is a small molecule being developed for metabolic conditions. Its specific molecular target has not been disclosed in the available clinical trial information.

Is AZD1722 the same as tenapanor?

AZD1722 is not listed as an alternative name for tenapanor in the available information. The drug is identified solely as AZD1722 in its clinical trial records.