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AZD3293

Phase 3

Alzheimer's Disease | Small molecule | Neurology |AstraZeneca PLC|Trials Updated: Nov 4, 2019

AZD3293 development status

Highest phase Phase 3 (NCT02972658)
Phase scored for AZNPhase 1
Registered trials 17 across 2 sponsors since Dec 2012

AZD3293 target and mechanism

ModalitySmall molecule

Also known as AZD3293 oral solution, beta secretase inhibitor, Lanabecestat, LY3314814

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials7
Total Enrollment316

FDA Designations

No designations recorded

AZD3293 clinical trials

AZD3293 · 7 trials · 4 indications

Phase 1 7
NCT03019549A Study of Lanabecestat (LY3314814) in Healthy Participants When Taken With RosuvastatinHealthy
COMPLETED42 Analytics
NCT02663128A Study of Lanabecestat (LY3314814) in Healthy ParticipantsHealthy
COMPLETED18 Analytics
NCT02568397A Drug-drug Interaction Study of Lanabecestat (LY3314814) in Healthy ParticipantsHealthy
COMPLETED60 Analytics
NCT02540668A Drug Interaction Study of Lanabecestat (LY3314814) and Warfarin in Healthy ParticipantsHealthy
COMPLETED15 Analytics
NCT02406261A Drug-Drug Interaction Study of Lanabecestat (LY3314814) in Healthy ParticipantsHealthy
COMPLETED82 Analytics
NCT02040987AZD3293 Thorough QT Study in Healthy Male VolunteersAlzheimer's Disease
COMPLETED52 Analytics
NCT01795339A Two-part Multiple Dose Study to Assess the Safety and Effects of AZD3293 in Healthy Elderly and Alzheimer's PatientsHealthy Elderly Volunteers
COMPLETED47 Analytics
PHASE1COMPLETED
A Study of Lanabecestat (LY3314814) in Healthy Participants When Taken With Rosuvastatin
HealthyUnlock trial analytics
PHASE1COMPLETED
A Study of Lanabecestat (LY3314814) in Healthy Participants
HealthyUnlock trial analytics
PHASE1COMPLETED
A Drug-drug Interaction Study of Lanabecestat (LY3314814) in Healthy Participants
HealthyUnlock trial analytics
PHASE1COMPLETED
A Drug Interaction Study of Lanabecestat (LY3314814) and Warfarin in Healthy Participants
HealthyUnlock trial analytics
PHASE1COMPLETED
A Drug-Drug Interaction Study of Lanabecestat (LY3314814) in Healthy Participants
HealthyUnlock trial analytics
PHASE1COMPLETED
AZD3293 Thorough QT Study in Healthy Male Volunteers
Alzheimer's DiseaseUnlock trial analytics
PHASE1COMPLETED
A Two-part Multiple Dose Study to Assess the Safety and Effects of AZD3293 in Healthy Elderly and Alzheimer's Patients
Healthy Elderly VolunteersUnlock trial analytics

Study Endpoints

Primary Endpoints

Pharmacokinetics (PK): Area Under The Drug Concentration Time Curve From Zero to Infinity (AUC-∞) of Rosuvastatin
1, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose

Pharmacokinetics (PK): Area Under The Drug Concentration Time Curve from Zero to Infinity (AUC-∞) of Rosuvastatin

Pharmacokinetics(PK): Maximum Concentration (Cmax) of LY3314814 (AZD3293)
Day 1 of Periods 1, 2, and 3: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, 56, 72, 96, and 120 hours post-dose
PK: Time of Maximum Observed Drug Concentration (Tmax) of LY3314814 (AZD3293)
Day 1 of Periods 1, 2, and 3:Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, 56, 72, 96, and 120 hours post-dose
PK: Area Under the Concentration Versus Time Curve (AUC) of LY3314814 (AZD3293)
Day 1 of Periods 1, 2, and 3: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, 56, 72, 96, and 120 hours post-dose
Pharmacokinetics (PK) : Maximum Concentration (Cmax) of Dabigatran
Predose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, and 36 hours postdose
Pharmacokinetics: Area Under The Dabigatran Pharmacokinetic (PK) Concentration Versus Time Curve From Zero to Infinity (AUC[0-infinity)
Predose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, and 36 hours postdose
Pharmacokinetics (PK): Maximum Concentration (Cmax) of Unbound S-Warfarin
Predose, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, and 144 hours after administration of warfarin on Days 1 and 22
Pharmacokinetics (PK): Area Under the Concentration Curve 0-∞ (AUC) of Unbound S-Warfarin
Predose, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, and 144 hours after administration of warfarin on Days 1 and 22
Pharmacokinetic (PK): Area Under the Curve Zero to Infinity (AUC[0-∞]) for LY3314814
Day 4: Predose, 0.5, 1, 2, 3, 4, 8, 12, 24, 48, 72, 96, and 120 hours (Cohort A)
PK Profile for Simvastatin: AUC(0-∞)
Day 2 and 36: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 24 hours (Cohort A)
PK Profile for Midazolam: AUC(0-∞) Oral and IV Dose
Day 1, 3, 17, 35, and 37: Predose, 0.25, 0.5, 1, 2, 3, 5, 8, and 12 hours (Cohort A)
PK Profile for Donepezil: AUC(0-∞)
Day 1 and 28: predose 0.5,1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96,120, 216, 288, and 360 hours (Cohort B)
The effect of a single dose of AZD3293 low dose and high dose on the change in time-matched QTcF intervals compared with placebo.
Up to 69 days

The heart rate corrected QT (QTcF) will be calculated using Fridericia's formula

Adverse event monitoring
From Baseline up to 20 days
Assessment of vital signs (blood pressure, pulse and body temperature) and physical exams
From Baseline up to 20 days
Clinical laboratory tests (chemistry, hematology, urinalysis, renal safety)
From Baseline up to 20 days
Assessment of 12-lead digital electrocardiograms to measure rhythm, rate, morphology, QT/QTc interval
Fron Baseline up to 20 days
Assessment of telemetry, as reported by Investigator Columbia-Suicide Severity Rating Scale (C-SSRS)
From Baseline up to 20 days

Columbia-Suicide Severity Rating Scale (C-SSRS) captures the occurrence, severity, and frequency of suicide-related thoughts and behaviors during the assessment period. Some questions are yes/no and some are on a scale of 1 (low severity) to 5 (high severity). Completed suicide and non-fatal suicide events are yes/no questions and results presented are the number of participants with these events. Worsening of suicidal ideation was an increase in severity of suicidal ideation from baseline.

Secondary Endpoints

Pharmacokinetics (PK): Area Under the Drug Concentration Time Curve During a 24-hour Dosing Interval (AUCτ) of Lanabecestat (LY3314814)
Period 2 (Day 7, 8): Predose, 0.5, 1, 2, 3, 4, 8, 12 hours postdose
Pharmacokinetics (PK): Maximum Observed Drug Concentration (Cmax) of Lanabecestat
.Period 2 (Day 7, 8): Predose, 0.5, 1, 2, 3, 4, 8, 12 hours postdose
Pharmacokinetics: Maximum Concentration (Cmax) of Lanabecestat
Predose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours postdose
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeBASIC_SCIENCE

Treatment Arms

ArmTypeDescription
RosuvastatinEXPERIMENTALPeriod 1: 20 mg rosuvastatin administered once orally (PO)
Lanabecestat + RosuvastatinEXPERIMENTALPeriod 2: 50 mg Lanabecestat (LY3314814) administered orally (PO) Day 1 to Day 12 Rosuvastatin: 20 mg co-administered PO on Day 8
Lanabecestat Reference FastedEXPERIMENTALLanabecestat: 50 mg administered once PO in each of 3 treatment periods.
Lanabecestat Test FastedEXPERIMENTALLanabecestat: 50 mg administered once PO in each of 3 treatment periods.
Lanabecestat Test Non FastedEXPERIMENTALLanabecestat: 50 mg administered once PO in each of 3 treatment periods.
Dabigatran EtexilateEXPERIMENTALSingle dose of dabigatran etexilate administered orally.
Lanabecestat and Dabigatran EtexilateEXPERIMENTALSingle dose of lanabecestat administered orally once daily on Days 3 to 21. Single doses of dabigatran etexilate administered orally on Days 16 and 20 during the lanabecestat dosing.
WarfarinEXPERIMENTALSingle oral dose of 15 mg warfarin on Day 1.
Lanabecestat + WarfarinEXPERIMENTALLanabecestat administered orally once daily on Days 8 to 27, with a single oral dose of 15 mg warfarin co-administered on Day 22.
Cohort AEXPERIMENTAL500 microgram (mcg) midazolam, single oral dose on Days 1, 17, and 35; 20 mg simvastatin, single oral dose on Days 2 and 36; 250 microgram (mcg) midazolam, intravenous (IV) on Days 3 and 37; 50 mg lanabecestat, single oral dose on Day 4; 50 mg lanabecestat, single oral dose, Days 10 to 37
Cohort BEXPERIMENTAL5 mg donepezil, single oral dose on Day 1, Period 1; 50 mg lanabecestat, single oral dose Days 1 to 43, Period 2; 5 mg donepezil, single oral dose on Day 28, Period 2
AZD3293 dose AEXPERIMENTALAZD3293 therapeutic dose oral solution (low dose)
AZD3293 dose BEXPERIMENTALAZD3293 supratherapeutic dose oral solution (high dose)
PlaceboPLACEBO_COMPARATORPlacebo oral solution
MoxifloxacinACTIVE_COMPARATORMoxifloxacin tablet
AZD3293EXPERIMENTALPart 1: Up to 6 sequential cohorts of healthy elderly subjects are planned, with multiple ascending doses, starting with 5 mg (subject to confirmation by the Safety Review Committee) Part 2: Up to 16 mild-to-moderate AD patients administered one to up to 3 dosage levels of AZD3293

Interventions

NameTypeDescription
LanabecestatDRUGAdministered orally
RosuvastatinDRUGAdministered orally
Dabigatran etexilateDRUGAdministered orally
WarfarinDRUGAdministered orally
SimvastatinDRUG20 mg simvastatin will be administered orally as 1 × 20-mg tablet
MidazolamDRUG500 mcg midazolam will be administered orally as 0.25 mL of 2-mg/mL syrup
DonepezilDRUG5 mg donepezil will be administered orally as 1 × 5-mg tablet
AZD3293DRUGAZD3293 oral solution - one single dose (low dose).
PlaceboDRUGPlacebo oral solution - one single dose
MoxifloxacinDRUGMoxifloxacin tablet - one single dose
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Women not of childbearing potential may participate and include those who are: * Infertile due to surgical sterilization (hysterectomy, bilateral oophorectomy, or tubal ligation), congenital anomaly such as mullerian agenesis; or * Postmenopausal - defined as women over 5...

Countries:United States
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Frequently asked questions about AZD3293

What is AZD3293?

AZD3293 is an investigational small molecule developed by AstraZeneca PLC (ticker AZN) for Alzheimer's Disease, including mild-to-moderate Alzheimer's Disease patients. It is in Phase 1 clinical development and has been studied in placebo-controlled, randomized, double-blind trials. It is not described as approved, so it remains an investigational agent in clinical development.

What is AZD3293 used for in Alzheimer's Disease?

AZD3293 is being studied for Alzheimer's Disease, including mild-to-moderate Alzheimer's Disease patients. The clinical work to date has been Phase 1, including a thorough QT study in healthy male volunteers and a multiple dose study in healthy elderly volunteers and Alzheimer's patients. It is investigational and not described as approved for any use.

Who makes AZD3293?

AZD3293 is developed by AstraZeneca PLC, which trades under the ticker AZN. AstraZeneca is the sponsor associated with the Phase 1 clinical program for AZD3293 in Alzheimer's Disease and mild-to-moderate Alzheimer's Disease patients.

What phase is AZD3293 in?

AZD3293 is in Phase 1 clinical development. Its trials are Phase 1 studies, and the program includes one completed trial with 52 participants and another completed Phase 1 study with 47 participants. AZD3293 is investigational and is not described as FDA approved.

What clinical trials is AZD3293 in?

AZD3293 has been studied in two completed Phase 1 trials. NCT02040987 was a thorough QT study in healthy male volunteers with 52 participants in the United States. NCT01795339 was a two-part multiple dose study assessing safety and effects in healthy elderly volunteers and mild-to-moderate Alzheimer's patients, with 47 participants.

Is AZD3293 the same as AZD3293 oral solution?

Yes. AZD3293 is also known as AZD3293 oral solution. Both names refer to the same investigational small molecule developed by AstraZeneca PLC for Alzheimer's Disease, including mild-to-moderate Alzheimer's Disease patients, and studied in Phase 1 clinical trials.