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AZD4041

Phase 1

Opioid Use Disorder | Small molecule | Psychiatry |AstraZeneca PLC|Last Updated: Nov 15, 2024

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment45

FDA Designations

No designations recorded

Clinical trial landscape

AZD4041 · 3 trials · 3 indications

Phase 1 3
NCT05587998A Study to Assess the Effect of AZD4041 on Respiratory Drive in Recreational Opioid Users.Opioid Use Disorder
COMPLETED45 Analytics
NCT05233085A Safety Study of AZD4041 in Healthy ParticipantsOpioid Use Disorder (OUD)
COMPLETED36 Analytics
NCT04076540A Study to Assess the Safety, Tolerability and Pharmacokinetics of AZD4041 in Healthy VolunteersSmoking Cessation
COMPLETED48 Analytics
PHASE1COMPLETED
A Study to Assess the Effect of AZD4041 on Respiratory Drive in Recreational Opioid Users.
Opioid Use DisorderUnlock trial analytics
PHASE1COMPLETED
A Safety Study of AZD4041 in Healthy Participants
Opioid Use Disorder (OUD)Unlock trial analytics
PHASE1COMPLETED
A Study to Assess the Safety, Tolerability and Pharmacokinetics of AZD4041 in Healthy Volunteers
Smoking CessationUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Increased End-tidal Carbon Dioxide (EtCO2) of at Least 10 mmHg Compared to Baseline or > 50 mmHg on Day 1
Day 1

ETCo2 measurement is performed in the clinical pharmacology setting studies for the evaluation of respiratory function. EtCO2 is monitored and measured using a standardized methodology and configuration using MICROSREAM\^TM consumables to sample gas via nasal cannulae and the CAPNOSTREAM\^TM20P bedside monitor according to Altasciences SOP on Capnography. Using this configuration, for the spontaneously breathing healthy volunteer participant, baseline EtCO2 measurements is expected to fall within the range of 34 to 48 mmHg. An increase in EtCO2 is defined as an increase of at least 10 mmHg compared to baseline or \> 50 mmHg (sustained for at least 30 seconds). Number of participants with increased EtCO2 of at least 10 mmHg compared to baseline or \> 50 mmHg on Day 1 are reported.

Number of Participants With Increased End-tidal Carbon Dioxide (EtCO2) of at Least 10 mmHg Compared to Baseline or > 50 mmHg on Day 15
Day 15

ETCo2 measurement is performed in the clinical pharmacology setting studies for the evaluation of respiratory function. EtCO2 is monitored and measured using a standardized methodology and configuration using MICROSREAM\^TM consumables to sample gas via nasal cannulae and the CAPNOSTREAM\^TM20P bedside monitor according to Altasciences SOP on Capnography. Using this configuration, for the spontaneously breathing healthy volunteer participant, baseline EtCO2 measurements is expected to fall within the range of 34 to 48 mmHg. An increase in end tidal carbon dioxide (EtCO2) is defined as an increase of at least 10 mmHg compared to baseline or \> 50 mmHg (sustained for at least 30 seconds). Number of participants with increased EtCO2 of at least 10 mmHg compared to baseline or \> 50 mmHg on Day 15 are reported.

Number of Participants With Reduction in Blood Oxygen Saturation (SpO2) to < 92% on Day 1
Day 1

A reduction in SpO2 is defined as a reduction from baseline to \< 92% (sustained for at least 30 seconds). Number of participants with reduction in SpO2 to \< 92% on Day 1 are reported.

Number of Participants With Reduction in Blood Oxygen Saturation (SpO2) to < 92% on Day 15
Day 15

A reduction in SpO2 is defined as a reduction from baseline to \< 92% (sustained for at least 30 seconds). Number of participants with reduction in SpO2 to \< 92% on Day 15 are reported.

Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)
From Day 1 to Day 31

An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. The TEAEs are defined as events present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug.

Number of Participants With Abnormal Vital Signs Reported as TEAEs
From Day 1 to Day 31

Number of participants with abnormal vital signs reported as TEAEs are reported. Abnormal vital signs are defined as any abnormal finding in the vital sign parameters (blood pressure, pulse rate, and body temperature).

Number of Participants With Abnormal Clinical Laboratory Parameters Reported as TEAEs
From Day 1 to Day 31

Number of participants with abnormal clinical laboratory parameters reported as TEAEs are reported. Abnormal clinical laboratory parameters defined as any abnormal finding during analysis of general biochemistry, hematology, and urinalysis.

Number of Participants With Abnormal Electrocardiograms (ECGs) Reported as TEAEs
From Day 1 to Day 31

Number of participants with abnormal ECGs reported as TEAEs are reported.

Number of Participants With Suicidal Ideation or Behavior Assessed Using Columbia Suicide Severity Rating Scale (C-SSRS)
Baseline (Days -28 to -1) through Day 17

The C-SSRS is described as a scale developed at Columbia University that has 2-6 questions each in categories of Suicidal Ideation, Intensity of Ideation, Suicidal Behavior, and Actual Attempts. Four constructs were measured. Severity of Suicidal ideation is rated on a 5-point ordinal scale. Intensity of ideation is comprised of 5 items (frequency, duration, controllability, deterrents, and reason for ideation), each rated on a 5-point ordinal scale. Suicidal behavior is rated on a nominal scale that includes actual, aborted, and interrupted attempts; preparatory behavior; and non-suicidal self-injurious behavior. Lethality, assesses actual attempts; actual lethality is rated on a 6-point ordinal scale, and if actual lethality is 0, potential lethality of attempts is rated on a 3-point ordinal scale.The higher the C-SSRS score, the higher the suicide risk (ie. worse outcome).

Number of Participants With Clinically Significant Findings in Physical and Neurological Examinations
Baseline (Days -28 to -1) through Day 31

Number of participants with clinically significant findings in physical and neurological examinations are reported.

Number of Participants With Abnormal Male Hormone Levels as Assessed by the Investigator
Day -1, pre-dose and 1.5 hours post-dose on Days 1 and 14

Male hormone levels investigated included testosterone, luteinizing hormone, follicle stimulating hormone, and inhibin B. Number of Participants with abnormal male hormone levels as assessed by the investigator are reported.

Number of Adverse Events
6 weeks

Number of participants experiencing any adverse event

Number of Participants With Treatment Emergent Adverse Events (TEAEs)
6 weeks

Number of participants experiencing any treatment emergent adverse events

Number of Participants With Treatment-Related TEAEs
6 weeks

Number of participants experiencing any treatment-related TEAEs

Number of Participants With Moderate TEAEs
6 weeks

Number of participants experiencing any moderate TEAEs

Number of Participants With Treatment-Related Moderate TEAEs
6 weeks

Number of participants experiencing any treatment-related moderate TEAEs

Number of Participants With Severe TEAEs
6 weeks

Number of participants experiencing any severe TEAEs

Number of Participants With Treatment-Related Severe TEAEs
6 weeks

Number of participants experiencing any treatment-related severe TEAEs

Number of Participants With Serious Adverse Events (SAEs)
6 weeks

Number of participants experiencing any serious adverse events (SAEs)

Number of Participants With Treatment-Related SAEs
6 weeks

Number of participants experiencing any treatment-related serious adverse events (SAEs)

Number of Participants With TEAEs Leading to Early Discontinuation
6 weeks

Number of participants with treatment-emergent adverse events leading to early discontinuation

Number of Participant Deaths
6 weeks

Number of participants who died

Number of Participants With Abnormal Vital Signs
6 weeks

Number of participants with treatment-related abnormal vital signs considered clinically significant or reported as a treatment-emergent adverse event by the investigator.

Number of Participants With Abnormal Vital Signs (Blood Pressure)
6 weeks

Number of participants with treatment-related abnormal blood pressure considered clinically significant or reported as a treatment-emergent adverse event by the investigator

Number of Participants With Abnormal Vital Signs (Heart Rate)
6 weeks

Number of participants with treatment-related abnormal heart rate considered clinically significant or reported as a treatment-emergent adverse event by the investigator

Pulse Rate at Baseline and Day 1 2 Hours Post.
Baseline and Day 1

Measured by standing pulse rate at baseline and 2 hours post

Number of Participants With Abnormal Safety Laboratory Tests (Hematology)
6 weeks

Number of participants with treatment-related abnormal hematology values considered clinically significant or reported as a treatment-emergent adverse event by the investigator

Number of Participants With Abnormal Safety Laboratory Tests (Serum Chemistry)
6 weeks

Number of participants with treatment-related abnormal serum chemistry values considered clinically significant or reported as a treatment-emergent adverse event by the investigator

Number of Participants With Abnormal Safety Laboratory Tests (Urinalysis)
6 weeks

Number of participants with treatment-related abnormal urinalysis values considered clinically significant or reported as a treatment-emergent adverse event by the investigator

Number of Participants With Abnormal 12-lead ECGs
4 days

Number of participants with abnormal 12-lead electrocardiograms (ECGs), considered clinically significant or reported as a treatment-emergent adverse event by the investigator

Heart Rate at Baseline and Times Post Dose
Thru Day 4

Measured by digital electrocardiograms (ECGs)

Aggregate P-R Interval at Baseline and Time Post Dose
Thru Day 4

PR interval is the time from the beginning of atrial depolarization to the onset of ventricular depolarization. Measured by digital electrocardiograms (ECGs)

Aggregate QRS Complex at Baseline and Times Post Dose
Thru Day 4

QRS complex represents the electrical impulse as it spreads through the ventricles and indicates ventricular depolarization. Measured by digital electrocardiograms (ECGs)

Aggregate QT Interval at Baseline and Times Post Dose
Thru Day 4

The QT interval is measured from the beginning of the QRS complex to the end of the T wave and primarily represents the return of stimulated ventricles to their resting state (ventricular repolarization). Measured by digital electrocardiograms (ECGs)

Aggregate QTcF Interval and Times Post Dose
Thru Day 4

The QTcF if the QT interval corrected for heart rate using Fridercia's formula. Measured by digital electrocardiograms (ECGs)

Aggregate RR Interval at Baseline and Times Post Dose
Thru Day 4

The RR interval the time elapsed between two successive R waves of the QRS signal on the electrocardiogram. Measured by digital electrocardiograms (ECGs)

Number of Participants With Abnormal Testosterone Test Results
Thru Day 4

Number of participants with abnormal testosterone levels test results, considered clinically significant or reported as a treatment-emergent adverse event by the investigator

Number of Participants With Abnormal Luteinizing Hormone Test Results
Thru Day 4

Number of participants with abnormal luteinizing hormone (LH) levels test results, considered clinically significant or reported as a treatment-emergent adverse event by the investigator

Number of Participants With Abnormal Follicle Stimulating Hormone Test Results
Thru Day 4

Number of participants with abnormal follicle stimulating hormone (FSH) levels test results, considered clinically significant or reported as a treatment-emergent adverse event by the investigator

Number of Participants With Abnormal Inhibin B Test Results
Thru Day 4

Number of participants with abnormal Inhibin B levels test results, considered clinically significant or reported as a treatment-emergent adverse event by the investigator

Secondary Endpoints

Time to Reduction in SpO2 to < 92%
Day 1 and Day 15
Duration of Reduction in SpO2 to < 92%
Day 1 and Day 15
Post-dose Reduction of SpO2 Adjusted for Baseline
Day 1, Day 8, and Day 15
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Morphine then AZD4041 then Morphine + AZD4041EXPERIMENTALParticipants will receive a single intravenous (IV) dose of morphine Dose Level 1 on Day 1. From Day 2 to Day 15, participants will receive an oral dose of AZD4041 Dose Level 1, once daily for 14 consecutive days. On Day 15, participants will receive an oral dose of AZD4041 Dose Level 1 in combination with a single IV dose of morphine Dose Level 1.
Morphine then Placebo then Morphine + PlaceboPLACEBO_COMPARATORParticipants will receive a single IV dose of morphine Dose Level 1 on Day 1. From Day 2 to Day 15, participants will receive an oral dose of placebo matched to AZD4041, once daily for 14 consecutive days. On Day 15, participants will receive an oral dose of placebo matched to AZD4041 in combination with a single IV dose of morphine Dose Level 1.
Cohort 1: AZD4041 Dose Level 1EXPERIMENTALParticipants will receive oral solution of AZD4041 dose level 1 once daily (QD) directly into the mouth using a syringe from Days 1 to 14.
Cohort 2: AZD4041 Dose Level 2EXPERIMENTALParticipants will receive oral solution of AZD4041 dose level 2 QD directly into the mouth using a syringe from Days 1 to 14.
Cohort 3: AZD4041 Dose Level 3EXPERIMENTALParticipants will receive oral solution of AZD4041 dose level 3 QD directly into the mouth using a syringe from Days 1 to 14.
Cohorts 1-3: Pooled PlaceboPLACEBO_COMPARATORParticipants will receive oral solution of placebo equivalent to AZD4041 volume QD directly into the mouth using a syringe from Days 1 to 14.
AZD4041EXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -

Interventions

NameTypeDescription
MorphineDRUGParticipants will receive IV dose of Morphine as stated in arm description.
AZD4041DRUGParticipants will receive oral doses of AZD4041 as stated in arm description.
PlaceboOTHERParticipants will receive oral doses of placebo as stated in arm description.
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Eligibility Criteria

Age Range18 Years to 55 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: 1. Recreational opioid user, not currently considered to have moderate or severe substance use disorder for opioids (based on the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition \[DSM-5\] criteria) and has experience with opioid use for non-therapeutic purpose...

Countries:United StatesCanada
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Frequently asked questions about AZD4041

What is AZD4041 used for?

AZD4041 is an investigational small molecule being developed for opioid use disorder (OUD) and smoking cessation. It is in Phase 1 clinical development and is not yet approved by the FDA.

Who is developing AZD4041?

AZD4041 is being developed by AstraZeneca PLC, which trades under the ticker AZN. The company is conducting Phase 1 clinical trials to evaluate the drug's safety and tolerability.

What phase is AZD4041 in?

AZD4041 is in Phase 1 clinical development. All three completed trials were Phase 1 studies in healthy volunteers, including recreational opioid users, to assess safety, tolerability, and pharmacokinetics.

What clinical trials is AZD4041 in?

AZD4041 has been studied in three completed Phase 1 trials: NCT04076540 in the US for smoking cessation, NCT05233085 in Canada for opioid use disorder, and NCT05587998 in the US for opioid use disorder.

Is AZD4041 FDA approved?

AZD4041 is not FDA approved. It is an investigational drug currently in Phase 1 clinical trials, which are completed, but it remains in clinical development and has not received regulatory approval.