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AZD1981

Phase 2

Asthma | Small molecule | Respiratory |AstraZeneca PLC|Last Updated: Feb 28, 2014

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment412

FDA Designations

No designations recorded

Clinical trial landscape

AZD1981 · 9 trials · 8 indications

Phase 2 4Phase 1 5
NCT01197794Investigation of Efficacy, Safety and Tolerability of Once and Twice Daily Doses of AZD1981 in Asthmatic PatientsAsthma Patients
COMPLETED1,144 Analytics
NCT0076641514729-D9831C00002- 1 Month Biopsy StudyChronic Obstructive Pulmonary Disease
COMPLETED52 Analytics
NCT00758589One Month Dose Response Study of AZD1981 in Asthma Patients Uncontrolled on Inhaled SteroidsAsthma
COMPLETED368 Analytics
NCT00690482Study to Assess the Efficacy and Safety of AZD1981 in Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD)Moderate to Severe COPD
COMPLETED118 Analytics
PHASE2COMPLETED
Investigation of Efficacy, Safety and Tolerability of Once and Twice Daily Doses of AZD1981 in Asthmatic Patients
Asthma PatientsUnlock trial analytics
PHASE2COMPLETED
14729-D9831C00002- 1 Month Biopsy Study
Chronic Obstructive Pulmonary DiseaseUnlock trial analytics
PHASE2COMPLETED
One Month Dose Response Study of AZD1981 in Asthma Patients Uncontrolled on Inhaled Steroids
AsthmaUnlock trial analytics
PHASE2COMPLETED
Study to Assess the Efficacy and Safety of AZD1981 in Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD)
Moderate to Severe COPDUnlock trial analytics

Study Endpoints

Primary Endpoints

Pre-bronchodilator FEV1 at the Clinic
Twelve week treatment period

Change from baseline: treatment period average minus baseline. Treatment period average defined as the mean of all available data during randomized treatment that occurred on or prior to treatment failure. Treatment failure defined as worsening asthma symptoms resulting in increased dose of inhaled corticosteroid.

Aggregated Pathology Score
Before and after 1 month treatment

Composite endpoint subscores: histological grade, immunohistochemistry grade, leucocyte counts. Each subscore measured on scale 1 (normal) to 5 (worst outcome). Composite score summed across the subscores, ranging from 3 (normal) to 15 (worst outcome). Change from baseline.

Bronchoalveolar Lavage (BAL): Eosinophil Count (%)
Before and after 1 month treatment

Change in Bronchoalveolar Lavage (BAL): Eosinophil count (% of total) from baseline

Bronchoalveolar Lavage (BAL): Neutrophil Count (%)
Before and after 1 month treatment

Change in Bronchoalveolar Lavage (BAL): Neutrophil count (% of total) from baseline

Bronchoalveolar Lavage (BAL): Macrophages Count (%)
Before and after 1 month treatment

Change in Bronchoalveolar Lavage (BAL): Macrophages count (% of total) from baseline

Bronchoalveolar Lavage (BAL): Lymphocytes Count (%)
Before and after 1 month treatment

Change in Bronchoalveolar Lavage (BAL): Lymphocytes count (% of total) from baseline

Bronchoalveolar Lavage (BAL): Epithelial Cells Count (%)
Before and after 1 month treatment

Change in Bronchoalveolar Lavage (BAL): Epithelial cells count (% of total) from baseline

Bronchoalveolar Lavage (BAL): Total Cells Count
Before and after 1 month treatment

Change in Bronchoalveolar Lavage (BAL): Total cells count from baseline

Induced Sputum: Eosinophil Count (%)
Before and after 3 week treatment

Change in Induced sputum Eosinophil count (% of total) from baseline

Induced Sputum: Neutrophils Count (%)
Before and after 3 week treatment

Change in Induced sputum Neutrophils count (% of total) from baseline

Induced Sputum: Macrophages Count (%)
Before and after 3 week treatment

Change in Induced sputum Macrophages count (% of total) from baseline

Induced Sputum: Lymphocytes Count (%)
Before and after 3 week treatment

Change in Induced sputum Lymphocytes count (% of total) from baseline

Induced Sputum: Epithelial Cells Count (%)
Before and after 3 week treatment

Change in Induced sputum Epithelial cells count (% of total) from baseline

Induced Sputum: Total Cells Count
Before and after 3 week treatment

Change in Induced sputum Total cells count from baseline

Morning Peak Expiratory Flow (mPEF)
Week 4

Mean mPEF during the treatment period (mean of the last 2 weeks of the treatment period)

FEV1
Baseline and Week 4

Mean change in FEV1 from baseline to Week 4 (last measurement post dose used, if data missing)

Clinical COPD Questionnaire
Baseline and Week 4

Mean change in Total CCQ from baseline to Week 4 (last measurement post dose used, if data missing). Scores for total CCQ range from 0 (low symptoms) to 6 (high symptoms).

Pharmacokinetics for pravastatin measured by Cmax and AUC
Pharmacokinetic (PK) sampling will be performed on Day 1, period A and on Day 7-8, period B
To evaluate the effect of a single supra maximal therapeutic dose of AZD1981on QT interval - QTcF
dECG and telemetry measurements taken pre-dose and up to and including 48 hours post dose
Pharmacokinetics for (R)- and (S)-Warfarin, respectively measured by Cmax and Area Under the Curve (AUC)
PK sampling will be performed regularly from Day 1 to Day 22
Pharmacokinetics of of EE and LNG by analysis of the AUC and Css,max.
PK sampling will be performed regularly during the study period of two months.
PK samples for both AZD1981 and Midazolam.
Intense PK-sampling during 3 pre-defined study days for PK profiling and some sampling throughout the whole study period for confirmatory purposes

Secondary Endpoints

Morning and Evening PEF
Twelve week treatment period
Asthma Control Questionnaire 5-item (ACQ5)
Twelve week treatment period
Adverse Events
Twelve week treatment period
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AZD1981 10 mgEXPERIMENTALAZD1981 10 mg
AZD1981 40 mgEXPERIMENTALAZD1981 40 mg
AZD1981 100 mgEXPERIMENTALAZD1981 100 mg
AZD1981 400 mgEXPERIMENTALAZD1981 400 mg
AZD1981 80 mgEXPERIMENTALAZD1981 80 mg
AZD1981 200 mgEXPERIMENTALAZD1981 200 mg
PlaceboPLACEBO_COMPARATOR -
AZD1981EXPERIMENTAL -
AZD1981 50 mgEXPERIMENTALAZD1981 50 mg Twice Daily (Bid)
AZD1981 1000 mgEXPERIMENTALAZD1981 1000 mg Twice Daily (Bid)
AEXPERIMENTAL -
BEXPERIMENTAL -
1EXPERIMENTAL -
2EXPERIMENTAL -
3EXPERIMENTAL -
4PLACEBO_COMPARATOR -
Treatment AEXPERIMENTALAZD1981, low dose, + Warfarin
Treatment BEXPERIMENTALAZD1981, high dose, + Warfarin

Interventions

NameTypeDescription
AZD1981DRUGAZD1981 twice daily
PlaceboDRUGPlacebo to match AZD1981
pravastatinDRUG40 mg, once daily at Day 1, period A and Day 8, period B
AZD1981, 2000mgDRUGSingle oral dose, tablets
AZD1981, 200mgDRUGSingle oral dose, tablets
Moxifloxacin, 400mgDRUGSingle oral dose, capsule
WarfarinDRUG10 x 2.5 mg per oral, once daily at day 1 and day 15
Neovletta 21/28DRUGOnce daily with (21) or without (28) pause for bleeding.
Placebo AZD1981DRUG4X100 mg per oral, twice daily for 28 days
MidazolamDRUGEach subject will receive two single doses of 7.5 mg midazolam given as oral solution. The Midazolam dose will be given on Day 1 and on day 16.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites105

Inclusion Criteria: * Men and women. Women must be surgically sterilized/postmenopausal or use double barrier method contraception * 6 months history of asthma according to ATS definition * Prescribed daily dose of ICS and LABA for at least 3 months prior to Visit 2 * Pre-bronchodilator FEV1 of 40 ...

Countries:United StatesArgentinaBrazilJapanMexicoRomaniaRussiaSlovakiaSouth AfricaUkraineGermanyNetherlandsUnited KingdomCosta RicaPolandBulgariaDenmarkSweden
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Frequently asked questions about AZD1981

What is AZD1981 used for?

AZD1981 is an investigational small molecule being studied for the treatment of moderate to severe chronic obstructive pulmonary disease (COPD). It has also been evaluated in healthy volunteers for pharmacokinetic and drug interaction studies, including its effects on oral contraceptives and the QT interval.

Who makes AZD1981?

AZD1981 is being developed by AstraZeneca PLC, a biopharmaceutical company traded on the stock exchange under the ticker symbol AZN. The company has conducted clinical trials to assess the drug's efficacy and safety in patients with moderate to severe COPD.

What phase is AZD1981 in?

AZD1981 is in Phase 2 clinical development for moderate to severe COPD. It has completed a Phase 2 efficacy and safety study, along with several Phase 1 trials in healthy volunteers. The drug is investigational and has not been approved by regulatory authorities.

What clinical trials is AZD1981 in?

AZD1981 has completed four clinical trials. The main efficacy study, NCT00690482, was a Phase 2 trial in patients with moderate to severe COPD. Other completed trials include NCT00859352, a Phase 1 study in healthy male volunteers, NCT01110525, a drug interaction study with oral contraceptives, and NCT01265641, a QT interval study.

Is AZD1981 the same as any other drug?

AZD1981 is the code name for this investigational compound developed by AstraZeneca. No alternative brand names or other designations have been disclosed in the clinical trial records. The drug is identified solely by its development code AZD1981 in all completed studies.

How does AZD1981 work?

AZD1981 is a small molecule being investigated for respiratory conditions. The specific molecular target or mechanism of action has not been disclosed in the available clinical trial information. The drug's efficacy in COPD was assessed in a placebo-controlled Phase 2 study, but its biological pathway remains unspecified.