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AZD8848

Phase 2

Allergic Asthma | Small molecule | Respiratory |AstraZeneca PLC|Last Updated: Jun 6, 2016

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment60

FDA Designations

No designations recorded

Clinical trial landscape

AZD8848 · 8 trials · 8 indications

Phase 2 2Phase 1 6
NCT01185080Efficacy Study in Allergic Rhinitis Patients After Intranasal Administration of AZD8848Allergic Rhinitis
COMPLETED93 Analytics
NCT00999466The Tolerability and Effects of AZD8848 in Allergic Asthma Subjects Challenged With Inhaled AllergenAllergic Asthma
COMPLETED60 Analytics
PHASE2COMPLETED
Efficacy Study in Allergic Rhinitis Patients After Intranasal Administration of AZD8848
Allergic RhinitisUnlock trial analytics
PHASE2COMPLETED
The Tolerability and Effects of AZD8848 in Allergic Asthma Subjects Challenged With Inhaled Allergen
Allergic AsthmaUnlock trial analytics

Study Endpoints

Primary Endpoints

Mean of Reflective (10 Min) Total Nasal Symptom Score (TNSS)
During 1st day to 7th day of Allergen challenge period.

Mean of Reflective Total Nasal Symptom Score (absolute values) for symptoms over the last 10 minutes after allergen challenge, collected during clinic visits. The Mean is calculated over the Allergen challenge period, which is a seven day period. Each individual symptom is scored 0 to 3, which 0 = Absence of symptoms, 1 = Mild symptoms, 2 = Moderate symptoms and 3 = Severe symptoms. The scores of each individual symptom (runny nose, blocked nose and the maximum score of nasal itching or sneezing) will be added together to give a TNSS of 0 to 9. TNSS Score 0 indicates better outcome and TNSS score 9 indicates worse outcome. Allergen challenge period starts 24 hrs post last dose (visit 15). Number of Participants Analyzed is based on all patients with evaluable efficacy and/or biomarker data from the challenge period (Visit 15).

Mean of Morning Measurements of Reflective (12 Hrs) Total Nasal Symptom Score (TNSS)
During evening of the 1st day to the morning of the 8th day of Allergen challenge period.

Mean of morning measurements of Reflective Total Nasal Symptom Score (absolute values) of symptoms over the last 12 hours during allergen challenge, collected in patient diary. The Mean is calculated over the evening of the 1st day to the morning of 8th day of the Allergen challenge period. Each individual symptom is scored 0 to 3, which 0 = Absence of symptoms, 1 = Mild symptoms, 2 = Moderate symptoms and 3 = Severe symptoms. The scores of each individual symptom (runny nose, blocked nose and the maximum score of nasal itching or sneezing) will be added together to give a TNSS of 0 to 9. TNSS Score 0 indicates better outcome and TNSS score 9 indicates worse outcome. Allergen challenge period starts 24 hrs post last dose. Number of Participants Analyzed is based on all patients with evaluable efficacy and/or biomarker data from the challenge period (Visit 15).

Mean of Evening Measurements of Reflective (12 Hrs) Total Nasal Symptom Score (TNSS)
During the evening of the 1st day to the morning of the 8th day of Allergen challenge period.

Mean of evening measurements of Reflective Total Nasal Symptom Score (absolute values) of symptoms over the last 12 hours during allergen challenge, collected in patient diary. The Mean is calculated over the evening of the 1st day to the morning of 8th day of the Allergen challenge period. Each individual symptom is scored 0 to 3, which 0 = Absence of symptoms, 1 = Mild symptoms, 2 = Moderate symptoms and 3 = Severe symptoms. The scores of each individual symptom (runny nose, blocked nose and the maximum score of nasal itching or sneezing) will be added together to give a TNSS of 0 to 9. TNSS Score 0 indicates better outcome and TNSS score 9 indicates worse outcome. Allergen challenge period starts 24 hrs post last dose. Number of Participants Analyzed is based on all patients with evaluable efficacy and/or biomarker data from the challenge period (Visit 15).

Mean of Peak Nasal Inspiratory Flow (PNIF) (10 Min)
During 1st day to 7th day of Allergen challenge period.

Mean of Peak Nasal Inspiratory Flow (absolute values) recorded immediately after TNSS scoring (recall period 10 min), during Allergen challenge period. The Mean is calculated over the Allergen challenge period, which is a seven day period. The patient will breathe out as much as he can. Then a mask (Portable Inspiratory Flow Meter) will be placed over the nose and mouth and the patient will inspire forcefully through the nose while the lips remain tightly closed. The highest PNIF (L/minute) out of 3 measurements will be recorded. Allergen challenge period starts 24 hrs post last dose. Number of Participants Analyzed is based on all patients with evaluable efficacy and/or biomarker data from the challenge period (Visit 15).

Mean of Morning Measurements of Peak Nasal Inspiratory Flow (PNIF) (12 Hrs)
During evening of the 1st day to the morning of the 8th day of Allergen challenge period.

Mean of morning measurements of Peak Nasal Inspiratory Flow (absolute values) of symptoms over the last 12 hours during allergen challenge, collected in patient diary. The Mean is calculated over the evening of the 1st day to the morning of 8th day of the Allergen challenge period. The patient will breathe out as much as he can. Then a mask (Portable Inspiratory Flow Meter) will be placed over the nose and mouth and the patient will inspire forcefully through the nose while the lips remain tightly closed. The highest PNIF (L/minute) out of 3 measurements will be recorded. Allergen challenge period starts 24 hrs post last dose. Number of Participants Analyzed is based on all patients with evaluable efficacy and/or biomarker data from the challenge period (Visit 15).

of Evening Measurements of Peak Nasal Inspiratory Flow (PNIF) (12 Hrs)
During evening of the 1st day to the morning of the 8th day of Allergen challenge period.

Mean of evening measurements of Peak Nasal Inspiratory Flow (absolute values) of symptoms over the last 12 hours during allergen challenge, collected in patient diary. The Mean is calculated over the evening of the 1st day to the morning of 8th day of the Allergen challenge period. The patient will breathe out as much as he can. Then a mask (Portable Inspiratory Flow Meter) will be placed over the nose and mouth and the patient will inspire forcefully through the nose while the lips remain tightly closed. The highest PNIF (L/minute) out of 3 measurements will be recorded. Allergen challenge period starts 24 hrs post last dose. Number of Participants Analyzed is based on all patients with evaluable efficacy and/or biomarker data from the challenge period (Visit 15).

FEV1, Late Asthmatic Response (LAR) - Pre-treatment
Pre-treatment (Baseline measurement)

Forced Expiratory Volume in 1 second (FEV1), Late Asthmatic Response (LAR), is derived as the ratio of FEV1 Area Under Curve 4-10 hour post allergen challenge (AUC 4-10h) (computed using the trapezoidal formula divided by time) and the pre-challenge FEV1 measurement.

FEV1, Late Asthmatic Response (LAR) - 1 Week After Last Dose
1 week after last dose

FEV1, Late Asthmatic Response (LAR), is derived as the ratio of FEV1 AUC 4-10h (computed using the trapezoidal formula divided by time) and the pre-challenge FEV1 measurement.

FEV1, Late Asthmatic Response (LAR) - 4 Weeks After Last Dose
4 weeks after last dose

FEV1, Late Asthmatic Response (LAR), is derived as the ratio of FEV1 AUC 4-10h (computed using the trapezoidal formula divided by time) and the pre-challenge FEV1 measurement.

Change from baseline up to 77 days in safety variables (adverse events, vital signs, body temperature, physical exams, ECGs, clinical laboratory tests, pulse oximetry, spirometry).
From screening visit (Day -42) through the Treatment Follow Up visit (Day 35) at multiple timepoints up to 77 days.
Adverse Events
Screening up to Day 13

Summary of number of subjects who had at least one adverse event

Summary for Lymphocytes Laboratory Results
Baseline, Day 1, Day 2, Day 3, and Follow up (up to Day 13)
CXCL 10 (IP-10) and mRNA expression of IFNα regulated genes in blood and nasal lavage
Samples collected pre-dose and 1 day after first dose.
Safety and tolerability will be assessed by a panel of measurements including adverse events (AEs), vital signs, ECG, laboratory variables, physical examination, and clinical inspection of the nose
Immediately prior to administration of the IP (Day 0)
Incidence/nature of adverse events,pulse, BP, body temperature, ECG parameters, lab assessments
During the study
Nasal symptoms, peak nasal inspiratory flow
During the study
Incidence/nature of adverse events, 12-lead ECG, pulse, BP, body temperature, spirometry
During the study

Secondary Endpoints

Absolute Mean Value of Instantaneous Total Nasal Symptom Score (TNSS)
Pre-dose on visit 2 (baseline)
Absolute Mean Value of Peak Nasal Inspiratory Flow (PNIF)
Pre-dose on visit 2 (baseline)
Change From Baseline of C-X-C Motif Chemokine 10 (CXCL10) in Plasma
Baseline to 1st day of visit 15
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
1. AZD8848EXPERIMENTAL20 μg AZD8848 three times weekly
2. PlaceboPLACEBO_COMPARATORPlacebo three times weekly
3. AZD8848 and placeboEXPERIMENTAL60 μg AZD8848 once weekly and placebo twice weekly
1EXPERIMENTALAZD8848 (30 μg PILOT part and 60 μg MAIN part)
2PLACEBO_COMPARATORPlacebo
AZD8848EXPERIMENTALSubjects will participate in 1 of 3 groups and receive multiple doses of AZD8848 or matching placebo In each group 6 subjects will receive AZD8848 and 2 subjects will receive matching placebo.
Placebo to match AZD8848PLACEBO_COMPARATORSubjects will participate in 1 of 3 groups and receive multiple doses of AZD8848 or matching placebo. In each group 6 subjects will receive AZD8848 and 2 subjects will receive matching placebo.
PlaceboPLACEBO_COMPARATOR -
3EXPERIMENTALActive treatment at Day 1, 4 and 7. Placebo on Day 2, 3, 5 and 6.
4EXPERIMENTALActive treatment at Day 1, 3, 5 and 7. Placebo on Day 2, 4 and 6.
5EXPERIMENTALActive treatment once daily on 7 days

Interventions

NameTypeDescription
AZD8848DRUGNasal spray solution, intranasal, three times weekly for one month
PlaceboDRUGNasal spray solution, intranasal, three times weekly for one month
AZD8848 and placeboDRUGNasal spray solution, intranasal, three times weekly for one month
Placebo to match AZD8848DRUGMultiple doses inhaled matching placebo via a nebulizer
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Eligibility Criteria

Age Range18 Years to 55 Years
SexALL
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: * Seasonal allergic rhinitis patients out of pollen season * Have a history and presence of birch and/or timothy grass pollen induced seasonal allergic rhinitis for at least the previous 2 years (verified by a positive skin prick test) * Patients with need of treatment for their...

Countries:SwedenUnited KingdomDenmark
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Frequently asked questions about AZD8848

What is AZD8848 used for?

AZD8848 is an investigational small molecule being studied for respiratory conditions, including allergic rhinitis and allergic asthma. It has also been evaluated in healthy volunteers and in subjects with butyrylcholinesterase deficiency. The drug is administered intranasally and is currently in clinical development, with studies completed through Phase 2.

Who makes AZD8848?

AZD8848 is being developed by AstraZeneca PLC, a biopharmaceutical company listed on the stock exchange under the ticker symbol AZN. AstraZeneca is conducting clinical trials to evaluate the safety, tolerability, and effects of AZD8848 in various populations, including those with allergic rhinitis and allergic asthma.

What phase is AZD8848 in?

AZD8848 has completed clinical trials in Phase 1 and Phase 2. The Phase 2 trial investigated its tolerability and effects in allergic asthma subjects challenged with inhaled allergen. All trials listed for AZD8848 are completed, and the drug remains investigational, not yet approved by regulatory authorities.

What clinical trials is AZD8848 in?

AZD8848 has been studied in four completed clinical trials. NCT00688779 assessed tolerability and safety in healthy male volunteers and seasonal allergic rhinitis patients. NCT00999466 evaluated tolerability and effects in allergic asthma subjects. NCT01205867 studied safety in butyrylcholinesterase deficient subjects, and NCT01818869 assessed safety, tolerability, pharmacokinetics, and pharmacodynamics in healthy subjects.

Is AZD8848 FDA approved?

AZD8848 is not FDA approved. It is an investigational drug that has completed clinical trials, including a Phase 2 study in allergic asthma. The drug remains in clinical development, and its safety and efficacy have not been established for any indication. Approval status is not indicated in the available trial information.