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AZD0837

Phase 2

Nonvalvular Atrial Fibrillation | Small molecule | Cardiovascular |AstraZeneca PLC|Last Updated: Mar 23, 2012

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment1,084

FDA Designations

No designations recorded

Clinical trial landscape

AZD0837 · 7 trials · 4 indications

Phase 2 3Phase 1 4
NCT00623779Atrial Fibrillation (AF) Patients Not Taking Vitamin-K Antagonist (VKA)Persistent or Permanent Non-valvular Atrial Fibrillation
COMPLETED128 Analytics
NCT00645853Long-term Safety in Atrial Fibrillation PatientsPersistent or Permanent Nonvalvular Atrial Fibrillation
COMPLETED523 Analytics
NCT00684307Prevention of Stroke and Systemic Embolic Events in Patients With Atrial FibrillationNonvalvular Atrial Fibrillation
COMPLETED1,084 Analytics
PHASE2COMPLETED
Atrial Fibrillation (AF) Patients Not Taking Vitamin-K Antagonist (VKA)
Persistent or Permanent Non-valvular Atrial FibrillationUnlock trial analytics
PHASE2COMPLETED
Long-term Safety in Atrial Fibrillation Patients
Persistent or Permanent Nonvalvular Atrial FibrillationUnlock trial analytics
PHASE2COMPLETED
Prevention of Stroke and Systemic Embolic Events in Patients With Atrial Fibrillation
Nonvalvular Atrial FibrillationUnlock trial analytics

Study Endpoints

Primary Endpoints

Premature Discontinuation of Study or Study Drug Due to Any Reason
28 week (randomisation visit to last follow up visit in study) according to protocols

The premature discontinuation of study or study drug due to any reason

Premature Discontinuation of Study Drug Due to Any Reason
24 weeks (randomisation visit to last treatment visit)

The premature discontinuation of study drug due to any reason

Premature Discontinuation of Study Due to Any Reason
28 weeks (randomisation visit to last follow up visit)

\|The premature discontinuation of study due to any reason

Compliance With Study Drug
24 weeks (randomisation visit to last treatment visit) according to protocol

\[(number of doses dispensed-number of doses returned)/number of days between visits\]\*100

Compliance With Study Visits/Assessments
28 weeks (randomisation visit to last follow up visit) according to protocol

(number of visits attended acroos the time of study divided by the number of expected visits according to the time of entry into study)\*100

Bleeding: Number of Patients With Any Bleeding Event, During Treatment Period
154-711 days on treatment

Participants

Bleeding Events
36 weeks according to protocol. For patients who discontinued treatment the time frame was <36 weeks. Mean number of weeks was 21 weeks (baseline to end of treatment visit)

Number of patients with a bleeding event while on study drug. Patients with multiple events are counted once

Creatinine
12 weeks according to protocol.(baseline to week 12 visit)

Change in Creatinine values from baseline to week 12 visit for patients while on study drug (week 12 visit-baseline)

Alanine Aminotransferase (ALAT)
36 weeks according to protocol. For patients who discontinued treatment the time frame was <36 weeks. Mean number of weeks was 21 weeks (baseline to end of treatment visit)

Number of patients while on study drug with ALAT\>=3 times upper limit of normal.l

Bilirubin
36 weeks according to protocol. For patients who discontinued treatment the time frame was <36 weeks. Mean number of weeks was 21 weeks (baseline to end of treatment visit)

Number of patients while on study drug with Bilirubin\>=2 times upper limit of normal

To investigate the safety and tolerability of AZD0837 after single and repeated oral dosing of AZD0837 extended release (ER) tablet, in Japanese healthy subjects.
All assessments are made at each visit, at least daily, during the study.
To evaluate the pharmacokinetics of AZD0837 and the active metabolite AR-H067637XX for the extended-release test formulation of AZD0837 compared to the ER reference formulation.
Intense PK-sampling during 5 pre- defined study days for PK profiling. In 2 of the study days the subjects will have a breakfast before intake of the Investigational Product.
The amounts of total radioactivity excreted in bile. Metabolic profile of AZD0837 excreted in bile and identification of previously unknown metabolites and the amounts of AZD0837, AR-H069927XX and AR-H067637XX in bile.
Frequent sampling through a Loc-I-Gut catheter for up to 3 hours post dose.
Amount of AZD0837, AR-H069927XX, and AR-H067637XX in bile and biliary clearance of AZD0837, AR-H069927XX, and AR-H067637XX.
Frequent sampling through a Loc-I-Gut catheter for up to 3 hours post dose.

Secondary Endpoints

Bleeding Events
24 weeks (randomisation visit to last treatment visit) according to protocol. For patients who discontinued treatment the time frame was <24 weeks. Mean number of weeks was 7 weeks (baseline to end of treatment visit)
Change in Creatinine Level
4 weeks according to protocol (randomisation visit to week 4 visit)
Alanine Aminotransferase (ALAT)
24 weeks (randomisation visit to last treatment visit) according to protocol. For patients who discontinued treatment the time frame was <24 weeks. Mean number of weeks was 7 weeks (baseline to end of treatment visit)
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
1EXPERIMENTAL -
2ACTIVE_COMPARATOR -
3EXPERIMENTALAZD0837 300 mg
4EXPERIMENTALAZD0837 150 mg
5ACTIVE_COMPARATORVitamin-K antagonist at INR 2-3
HABEXPERIMENTALAZD0837 test- (in session 1) and reference- (in session 2) formulation with heavy breakfast
HBAEXPERIMENTALAZD0837 reference- (in session 1) and test- (in session 2) formulation with heavy breakfast
LABEXPERIMENTALAZD0837 test- (in session 1) and reference- (in session 2) formulation with light breakfast
LBAEXPERIMENTALAZD0837 reference- (in session 1) and test- (in session 2) formulation with light breakfast

Interventions

NameTypeDescription
AZD0837DRUGER formulation
AspirinDRUGOral form
VKA INR 2-3DRUGVitamin K antagonists (VKA), titrated to an international normalised ratio (INR) of 2.0 to 3.0 with a target value of 2.5
Vitamin-K antagonist at INR 2-3DRUGTablet, PO for a period of 3-9 months.
PlaceboDRUGPlacebo
KetoconazoleDRUGtablets, orally, once daily for 3 days
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites38

Inclusion Criteria: * Either one of the following risk factors is sufficient for inclusion (high risk patient) * Previous cerebral ischaemic attack (stroke or transient ischaemic attack (TIA), \>30 days prior to randomization) * Previous systemic embolism or at least one of the following risk facto...

Countries:DenmarkNorwayPolandRussiaSwedenUnited KingdomJapan
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Frequently asked questions about AZD0837

What is AZD0837 used for?

AZD0837 is an investigational small molecule being studied for nonvalvular atrial fibrillation, including persistent or permanent nonvalvular atrial fibrillation. It has also been evaluated in healthy volunteers for pharmacokinetic studies. The drug is not approved and remains in clinical development.

Who makes AZD0837?

AZD0837 is being developed by AstraZeneca PLC, which trades under the ticker AZN. The company has sponsored clinical trials of the drug in patients with atrial fibrillation and in healthy volunteers.

What phase is AZD0837 in?

AZD0837 is in Phase 1 clinical development. While some completed trials were Phase 2, the most recent trial listed is Phase 1. The drug is investigational and has not been approved by regulatory authorities.

What clinical trials is AZD0837 in?

AZD0837 has been studied in four completed trials, including NCT00623779 in patients with persistent or permanent nonvalvular atrial fibrillation, NCT00645853 for long-term safety, NCT00684307 for stroke prevention, and NCT00878618 in healthy volunteers. All trials are completed.

Is AZD0837 the same as any other drug?

AZD0837 is the sole name provided for this investigational drug. No alternative names have been identified in the available information.