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AZD4604 for via DPI

Phase 1

Asthma | Small molecule | Respiratory |AstraZeneca PLC|Last Updated: Mar 20, 2023

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment110
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04769869A Clinical Trial in Healthy Volunteers and Patients With Mild Asthma to Investigate a New Medicine (AZD4604) for the Treatment of AsthmaPHASE1 COMPLETED 110Jul 8, 2022Jan 24, 2023Mar 20, 20233 United Kingdom
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Study Endpoints
Primary Endpoints
Part 1a: Number of healthy volunteers with adverse events (AEs)
From screening (SAEs only) up to Final assessment (Day 7)

Safety and tolerability of AZD4604 following inhaled administration of single ascending doses to healthy volunteers.

Part 2: Number of healthy volunteers with AEs
From screening (SAEs only) up to Final assessment (Day 13)

Safety and tolerability of AZD4604 following inhaled administration of multiple ascending doses to healthy volunteers.

Part 1b: Maximum observed plasma (peak) drug concentration (Cmax)
From Day 1 to Day 3

Cmax of AZD4604 following IV and PO administration of a single dose to healthy volunteers.

Part 1b: Time to reach peak or maximum observed concentration or response following drug administration (tmax)
From Day 1 to Day 3

tmax of AZD4604 following IV and PO administration of a single dose to healthy volunteers.

Part 1b: Terminal rate constant, estimated by log linear least squares regression of the terminal part of the concentration time curve (λz)
From Day 1 to Day 3

λz of AZD4604 following IV and PO administration of a single dose to healthy volunteers.

Part 1b: Half life associated with terminal slope (λz) of a semi logarithmic concentration time curve (t1/2λz)
From Day 1 to Day 3

t1/2λz of AZD4604 following IV and PO administration of a single dose to healthy volunteers.

Part 1b: Partial area under the plasma concentration time curve from time 0 to time 12 (AUC [0 - 12])
From Day 1 to Day 3

AUC (0 - 12) of AZD4604 following IV and PO administration of a single dose to healthy volunteers.

Part 1b: Partial area under the plasma concentration time curve from time 0 to time 24 (AUC [0 - 24])
From Day 1 to Day 3

AUC (0 - 24) of AZD4604 following IV and PO administration of a single dose to healthy volunteers.

Part 1b: Area under the plasma concentration curve from zero to the last quantifiable concentration (AUClast)
From Day 1 to Day 3

AUClast of AZD4604 following IV and PO administration of a single dose to healthy volunteers.

Part 1b: Apparent total body clearance of drug from plasma after extravascular administration (CL/F)
From Day 1 to Day 3

AUClast of AZD4604 following PO administration of a single dose to healthy volunteers.

Part 1b: Total body clearance of drug from plasma after intravascular administration (CL)
From Day 1 to Day 3

CL of AZD4604 following IV administration of a single dose to healthy volunteers.

Part 1b: Volume of distribution (apparent) at steady state following extravascular administration (based on terminal phase) (Vz/F)
From Day 1 to Day 3

Vz/F of AZD4604 following PO administration of a single dose to healthy volunteers.

Part 1b: Volume of distribution following intravascular administration (based on terminal phase) (Vz)
From Day 1 to Day 3

Vz of AZD4604 following IV administration of a single dose to healthy volunteers.

Part 1b: Dose normalized AUClast, derived by AUClast divided by the dose administered (AUClast/D)
From Day 1 to Day 3

AUClast/D of AZD4604 following IV and PO administration of a single dose to healthy volunteers.

Part 1b: Area under plasma concentration-time curve from zero to infinity (AUCinf)
From Day 1 to Day 3

AUCinf of AZD4604 following IV and PO administration of a single dose to healthy volunteers.

Part 1b: Dose normalized AUCinf, derived by AUCinf divided by the dose administered (AUCinf/D)
From Day 1 to Day 3

AUCinf/D of AZD4604 following IV and PO administration of a single dose to healthy volunteers.

Part 1b: Dose normalized Cmax, derived by Cmax divided by the dose administered (Cmax/D)
From Day 1 to Day 3

Cmax/D of AZD4604 following IV and PO administration of a single dose to healthy volunteers.

Part 1b: Time of last observed (quantifiable) concentration (tlast)
From Day 1 to Day 3

tlast of AZD4604 following IV and PO administration of a single dose to healthy volunteers.

Part 3: Number of patients with AEs
From Screening (SAEs only) up to Final Assessment (Day 16)

Safety and tolerability of AZD4604 following inhaled administration of multiple ascending doses to patients.

Secondary Endpoints
Part1b: Number of healthy volunteers with AEs
From screening (only SAEs) to follow-up end of treatment visit (6 ± 1 day post-dose)
Part 1a and Part 2: Cmax
From Day 1 to Day 7 (Part 1a) and from Day 1 to Day 13 (Part 2)
Part 1a and Part 2: tmax
From Day 1 to Day 7 (Part 1a) and from Day 1 to Day 13 (Part 2)
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Study Design & Arms
AllocationRANDOMIZED
MaskingSINGLE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Part 1a (SAD): AZD4604 for inhalation via DPI (Dose 1)EXPERIMENTALHealthy volunteers will receive a single inhaled dose of AZD4604 Dose 1 administered with a DPI.
Part 1a (SAD): AZD4604 for inhalation via DPI (Dose 2)EXPERIMENTALHealthy volunteers will receive a single inhaled dose of AZD4604 Dose 2 administered with a DPI.
Part 1a (SAD): AZD4604 for inhalation via DPI(Dose 3)EXPERIMENTALHealthy volunteers will receive a single inhaled dose of AZD4604 Dose 3 administered with a DPI.
Part 1a (SAD): AZD4604 for inhalation via DPI (Dose 4)EXPERIMENTALHealthy volunteers will receive a single inhaled dose of AZD4604 Dose 4 administered with a DPI.
Part 1a (SAD): AZD4604 for inhalation via DPI (Dose 5)EXPERIMENTALHealthy volunteers will receive a single inhaled dose of AZD4604 Dose 5 administered with a DPI.
Part 1a (SAD): AZD4604 for inhalation via DPI (Dose 6)EXPERIMENTALHealthy volunteers will receive a single inhaled dose of AZD4604 Dose 6 administered with a DPI.
Part 1a (SAD): AZD4604 for inhalation via DPI (Dose 7)EXPERIMENTALHealthy volunteers will receive a single inhaled dose of AZD4604 Dose 7 administered with a DPI.
Part 1a (SAD): AZD4604 for inhalation via DPIEXPERIMENTALAn additional cohort of healthy volunteers will receive a single inhaled dose of AZD4604 administered with a DPI.
Part 1a (SAD): Placebo for AZD4604 for inhalation via DPIPLACEBO_COMPARATORHealthy volunteers will receive placebo administered with a DPI.
Part 1b: AZD4604 for intravenous administrationEXPERIMENTALHealthy volunteers will receive a single IV dose of AZD4604 administered as a 20 minute infusion.
Part 1b: AZD4604 for oral administrationEXPERIMENTALHealthy volunteers will receive a single PO dose of AZD4604.
Part 2 (MAD): AZD4604 for inhalation via DPI (Dose 8)EXPERIMENTALHealthy volunteers will receive multiple inhaled dose of AZD4604 administered with a DPI.
Part 2 (MAD): AZD4604 for inhalation via DPI (Dose 9)EXPERIMENTALHealthy volunteers will receive multiple inhaled dose of AZD4604 administered with a DPI.
Part 2 (MAD): AZD4604 for inhalation via DPI (Dose 10)EXPERIMENTALHealthy volunteers will receive multiple inhaled dose of AZD4604 administered with a DPI.
Part 2 (MAD): Placebo for AZD4604 for inhalation via DPIPLACEBO_COMPARATORHealthy volunteers will receive placebo administered with a DPI.
Part 3 (MAD): AZD4604 for inhalation via DPI (Dose 9)EXPERIMENTALPatients will receive multiple inhaled dose of AZD4604 administered with a DPI.
Part 3 (MAD): AZD4604 for inhalation via DPI (Dose 10)EXPERIMENTALPatients will receive multiple inhaled dose of AZD4604 administered with a DPI.
Part 3 (MAD): Placebo for AZD4604 for inhalation via DPIPLACEBO_COMPARATORPatients will receive placebo administered with a DPI.
Part 3 (PoM): AZD4604 for inhalation via DPI (Dose 9 or Dose 10)EXPERIMENTALPatients will receive multiple inhaled dose of AZD4604 administered with a DPI.
Interventions
NameTypeDescription
AZD4604 for inhalation via DPIDRUGHealthy volunteers will receive AZD4604 administered with a DPI. The dose is expected to be administered between 10 to 45 minutes, depending upon dose. The dose will be administered after an overnight fast of at least 10 hours. Healthy volunteers will be allowed to drink water to prevent dehydration until 1 hour before dosing.
Placebo for AZD4604 for inhalation via DPIDRUGPart 1a: An additional cohort of healthy volunteers will receive a placebo administered with a DPI. Part 2: Healthy volunteers will receive placebo administered with a DPI. They will receive BID doses on Day 1 to Day 6, and a single dose will be administered on Day 7. Part 3: Patients will receive placebo administered with a DPI. They will receive BID doses on Day 1 to Day 9, and a single dose will be administered on Day 10.
AZD4604 for IV administrationDRUGHealthy volunteers will receive a single IV dose of AZD4604 administered over 20 minutes. The dose will be administered after an overnight fast of at least 10 hours. Healthy volunteers will be allowed to drink water to prevent dehydration until 1 hour before dosing.
AZD4604 for oral administrationDRUGHealthy volunteers will receive a single PO dose of AZD4604. The dose will be administered after an overnight fast of at least 10 hours. Healthy volunteers will be allowed to drink water to prevent dehydration until 1 hour before dosing.
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Eligibility Criteria
Age Range18 Years — 55 Years
SexALL
Healthy VolunteersYes
Study Sites3

Inclusion criteria: All Study Parts: * Provision of signed and dated, written informed consent prior to any study specific procedures. * Female subjects must have a negative pregnancy test at the Screening Visit and on admission to the Study Center or prior to randomization for Part 3 (Day -1 or D...

Countries:United Kingdom
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