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AZD1386

Phase 2

Pain | Small molecule | Gastrointestinal |AstraZeneca PLC|Last Updated: Nov 9, 2012

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials3
Total Enrollment154

FDA Designations

No designations recorded

Clinical trial landscape

AZD1386 · 8 trials · 7 indications

Phase 2 2Phase 1 6
NCT01019928Esophageal Hypersensitivity Study in Patients With Gastroesophageal Reflux Disease (GERD)Sensitivity in Esophagus
COMPLETED14 Analytics
NCT00672646Study to Investigate the Analgesic Efficacy of a Single Dose of AZD1386Pain
COMPLETED103 Analytics
PHASE2COMPLETED
Esophageal Hypersensitivity Study in Patients With Gastroesophageal Reflux Disease (GERD)
Sensitivity in EsophagusUnlock trial analytics
PHASE2COMPLETED
Study to Investigate the Analgesic Efficacy of a Single Dose of AZD1386
PainUnlock trial analytics

Study Endpoints

Primary Endpoints

Time to Visual Analogue Scale 7 (VAS7) During Thermal Stimulation at 1.5 Hours Post-Dose.
1.5 hours post dose

A probe (bag) was inserted 7cm above the lower esophageal sphincter (LES). Heat stimuli were applied by recirculation of heated water in the bag. Prior to recirculation the bag is filled with 7mL to ensure adequate mucosal contact. Water was heated up to a maximum of 63° C and the stimulation was continued until VAS 7 was reached. The intensities of the non-painful sensations were scored with the following descriptors added to facilitate the scoring: 1. = vague perception of mild sensation 2. = definite perception of mild sensation 3. = vague perception of moderate sensation 4. = definite perception of moderate sensation For painful sensations the patients will use the scale from 5-10 anchored at: 5. = pain detection 6. = slight pain 7. = moderate pain 8. = medium pain intensity 9. = intense pain 10. = unbearable pain

Sum of Pain Intensity Difference in Percent (SPID%)
from the start of administration of the investigational product up to the time of first administration of rescue analgesic or up to a maximum of 8 hours

Weighted sum of the pain intensity (PI) differences in percent for the given time frame. PI values are weighted according to the time since the previous PI assessment (or the time of administration of the investigational product for the first post-dose assessment). SPID% = elapsed since previous value, where is the PI difference in percent at assessment t. High values=good effect, low values=poor effect Pointwise assessments of pain are measured using a VAS scale (0-100 mm), as described in the secondary outcome measure (PI).

Excretion (rate+extent) of radioactivity in urine+faeces following oral administration of [14C]AZD1386
Until >90% of predicted total radioactivity has been recovered
Pharmacokinetics of total radioactivity in plasma + unchanged AZD1386 in plasma Metabolite profile in plasma+excreta
Predose, + postdose 0.5h, 1h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h, 96h, 120h, 144hPredose + postdose 1h, 4h, 8h, 24h for excreta from predose (baseline) + postdose from 0h continously until 144h
VAS scale and clock
Several occasions during the study days
PK variables
Frequent sampling occasions during study days
To investigate the safety and tolerability of AZD1386 after multiple dosing in young and elderly healthy Japanese subjects by assessment of adverse events, vital signs, ECG parameters, body temperature, clinical chemistry, haematology and urinalysis.
All assessments are made at each visit during the study.
Safety AEs and vital signs
During the whole study
ECG-recordings
ECGs (5 minutes) Days 1 and 12. 2 ECGs (5 minutes) Days 3, 6 and 10. 1 ECG (5 minutes) Days 2 and 13.
VAS, HPT
Visit 2-4

Secondary Endpoints

Time to Visual Analogue Scale 7 (VAS7) During Thermal Stimulation at 0.5 Hours Post Dose
0.5 hours post dose
Time to Visual Analogue Scale 7 (VAS7) During Thermal Stimulation at 2.5 Hours Post Dose
2.5 hours post dose
Volume at Visual Analogue Scale 7 (VAS7) During Mechanical Stimulation at 0.5 Hours Post Dose
0.5 hours post dose
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
First AZD1386, then washout, then placeboEXPERIMENTAL -
First placebo, then washout, then AZD1386EXPERIMENTAL -
AZD1386EXPERIMENTAL -
NaproxenACTIVE_COMPARATOR -
PlaceboPLACEBO_COMPARATORPlacebo matching AZD1386
1EXPERIMENTAL -
2EXPERIMENTAL95 mg, oral, single dose
3PLACEBO_COMPARATOROral solution, single dose
4EXPERIMENTALfasting state
5EXPERIMENTALnon-fasting state

Interventions

NameTypeDescription
AZD1386DRUG95 mg, oral solution, single dose
Placebo to AZD1386DRUGPlacebo, oral solution, single dose
NaproxenDRUG500mg, capsule, single dose
PlaceboDRUGAZD1386 Placebo oral solution
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Eligibility Criteria

Age Range18 Years to 70 Years
SexALL
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: * Provision of signed informed consent form * BMI 18.5-35.0, inclusive * Continuous PPI treatment for GERD during the last 4 weeks Exclusion Criteria: * Patients that have not experienced any GERD symptoms improvement at all after PPI treatment * Unstable or clinically signifi...

Countries:DenmarkSwedenUnited StatesUnited KingdomJapan
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Frequently asked questions about AZD1386

What is AZD1386 used for?

AZD1386 is an investigational small molecule being studied for pain and esophageal sensitivity. Clinical trials have evaluated it in chronic pain, capsaicin evoked pain, heat sensitivity, sensitivity in the esophagus, and pharmacokinetics. It is not approved and remains in clinical development.

Who makes AZD1386?

AZD1386 is being developed by AstraZeneca PLC, traded on the stock exchange under the ticker AZN. The company has sponsored Phase 1 and Phase 2 clinical trials of the drug.

What phase is AZD1386 in?

AZD1386 is in clinical development. It has completed Phase 1 trials and one Phase 2 trial. It is not FDA approved and remains investigational.

What clinical trials is AZD1386 in?

AZD1386 has completed three Phase 1 trials and one Phase 2 trial. The Phase 1 trials are NCT00690079, NCT00692146, and NCT00714337. The Phase 2 trial is NCT01019928, which studied esophageal hypersensitivity in patients with gastroesophageal reflux disease.

Is AZD1386 the same as other names?

AZD1386 is the primary name used in clinical trial records. No alternative names have been reported for this drug.