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AZD3355

Phase 2

GERD | Small molecule | Cardiovascular |AstraZeneca PLC|Last Updated: Jul 22, 2013

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment478

FDA Designations

No designations recorded

Clinical trial landscape

AZD3355 · 8 trials · 10 indications

Phase 2 4Phase 1 4
NCT01043185A Study to Estimate Effect of 4 Different Doses of AZD3355 on Reflux Episodes, Which Patients With Gastroesophageal Reflux Disease (GERD) May ExperienceGastroesophageal Reflux Disease
COMPLETED27 Analytics
NCT00703534Validation of Patient-reported Outcomes Measures for the Assessment of Gastroesophageal Reflux Disease (GERD) SymptomsGERD
COMPLETED478 Analytics
NCT00743444TLESR-impedance Study in PatientsReflux Episodes
COMPLETED27 Analytics
NCT00394472Symptom Improvements in Gastroesophageal Reflux Disease (GERD) PatientsGastroesophageal Reflux Disease (GERD)
COMPLETED244 Analytics
PHASE2COMPLETED
A Study to Estimate Effect of 4 Different Doses of AZD3355 on Reflux Episodes, Which Patients With Gastroesophageal Reflux Disease (GERD) May Experience
Gastroesophageal Reflux DiseaseUnlock trial analytics
PHASE2COMPLETED
Validation of Patient-reported Outcomes Measures for the Assessment of Gastroesophageal Reflux Disease (GERD) Symptoms
GERDUnlock trial analytics
PHASE2COMPLETED
TLESR-impedance Study in Patients
Reflux EpisodesUnlock trial analytics
PHASE2COMPLETED
Symptom Improvements in Gastroesophageal Reflux Disease (GERD) Patients
Gastroesophageal Reflux Disease (GERD)Unlock trial analytics

Study Endpoints

Primary Endpoints

Total Number of Reflux Episodes During 24 Hours
Measured during 24 hours at 4 different visits with a 7-28 days interval between

Number of reflux episodes assessed during ambulatory impedance-pH recording (defined as starting with a drop in impedance to below 50% of baseline and ending when impedance recovers to above 50% of baseline)

Symptom Intensity Rated by Participants Twice Daily Using an Electronic Reflux Symptom Questionnaire Diary
Run-in period of 8-12 days and treatment period of 26-30 days

Symptom intensity rated on a six-graded Likert scale (Did not have; Very mild; Mild; Moderate; Moderately severe; Severe)

Number of Transient Lower Esophageal Sphincter Relaxations (TLESRs) 0-3 Hours Post Meal, Post Third Dose
0-3 hours post meal, post third dose

The number of relaxations for each patient in each period was determined from manometric tracings according to previously published criteria (R.H. Holloway, R. Penagini and A.C. Ireland, Criteria for objective definition of transient lower esophageal sphincter relaxation, Am J Physiol 268 (1995), pp. G128-G133). The analysis of the number of TLESRs was based on an analysis of variance (ANOVA) for log-transformed data. The 95% level confidence interval (CI) limits were transformed back to the original scale to give CIs for the geometric mean for each treatment.

Number of Participants With at Most One Day With Not More Than Mild Intensity of the Symptoms 'a Burning Feeling Behind the Breastbone' and 'Unpleasant Movement of Material Upwards From the Stomach' During the Last Seven Days of Treatment
Twice daily during the last seven days on treatment

Symptom intensity rated by participants twice daily on a six-graded Likert scale (Did not have; Very mild; Mild; Moderate; Moderately severe; Severe) using an electronic Reflux Disease Questionnaire (RDQ) diary

Pharmacokinetic blood samples
15 samples during 0-72 hours
Safety variables (Adverse event reporting, ECG, blood pressure, pulse rate, urine weight and osmolality, body temperature, blood and urine laboratory values)
During the study
Specific AE questions
During 0-4 hours post dose
PK variables
Frequent sampling occasions during day 7 each treatment period

Secondary Endpoints

Number of Acid Reflux Episodes
Measured during 24 hours at 4 different visits with a 7-28 days interval between
Number of Weakly Acidic Reflux Episodes
Measured during 24 hours at 4 different visits with a 7-28 days interval between
Number of Weakly Alkaline Reflux Episodes
Measured during 24 hours at 4 different visits with a 7-28 days interval between
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AEXPERIMENTALAZD3355 30 mg
BEXPERIMENTALAZD3355 90 mg
CEXPERIMENTALAZD3355 120 mg
DEXPERIMENTALAZD3355 240 mg
EPLACEBO_COMPARATORPlacebo
AZD3355EXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
1EXPERIMENTALAZD3355
2PLACEBO_COMPARATOR -
3EXPERIMENTALMR formulation, 1h 65 mg
4EXPERIMENTALMR Formulation, 1h 150 mg
5EXPERIMENTALMR Formulation, 2h 150 mg

Interventions

NameTypeDescription
AZD3355DRUG30 mg orally in the morning and 30 mg in the evening for 1 day
placeboDRUGPlacebo capsules orally in the morning and placebo capsules in the evening for 1 day
Gelusil®DRUGChewable tablets taken as needed
EsomeprazoleDRUG40 mg od, oral, 7 days
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Eligibility Criteria

Age Range18 Years to 70 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Provide informed consent * History of GERD with persistent symptoms despite treatment with PPI * Otherwise normal physical health Exclusion Criteria: * History of GERD with symptoms that has not improved at all during treatment with PPI * Prior surgery of the upper gastroint...

Countries:United StatesAustraliaBelgiumFranceGermanyHungaryNetherlandsNorwayRomaniaSweden
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Competitive Landscape -GERD 4 trials

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Frequently asked questions about AZD3355

What is AZD3355 used for?

AZD3355 is an investigational small molecule being studied for the treatment of gastroesophageal reflux disease (GERD), including symptoms such as heartburn and regurgitation, as well as reflux episodes. It is in Phase 2 clinical development and is not yet approved by regulatory authorities.

Who makes AZD3355?

AZD3355 is being developed by AstraZeneca PLC, a biopharmaceutical company listed on the stock exchange under the ticker symbol AZN. The drug is currently in Phase 2 clinical trials for gastroesophageal reflux disease (GERD).

What phase is AZD3355 in?

AZD3355 is in Phase 2 clinical development for gastroesophageal reflux disease (GERD) and related reflux conditions. It is an investigational drug, meaning it has not been approved for commercial use and is still undergoing clinical testing to evaluate its safety and efficacy.

What clinical trials is AZD3355 in?

AZD3355 has been studied in three completed Phase 2 clinical trials. These include NCT00394472, which assessed symptom improvements in GERD patients with 244 participants; NCT00703534, which validated patient-reported outcome measures for GERD symptoms with 478 participants; and NCT00743444, which examined reflux episodes in 27 patients.

Is AZD3355 the same as any other drug?

AZD3355 is the primary name used for this investigational compound in clinical trials. No alternative brand names or generic names have been reported for this drug in the available clinical trial information.