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AZD9668

Phase 2

Bronchiectasis | Small molecule | Respiratory |AstraZeneca PLC|Trials Updated: Jan 29, 2013

AZD9668 development status

Highest phase Phase 2
Registered trials 10 across 1 sponsor since Jun 2008

AZD9668 target and mechanism

ModalitySmall molecule

Also known as [C14]AZD9668

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials8
Total Enrollment1,660

FDA Designations

No designations recorded

AZD9668 clinical trials

AZD9668 · 8 trials · 4 indications

Phase 2 6Phase 1 2
NCT01054170Effect on Structural Changes in Airways, Measured by MSCT, of Twice Daily 60mg AZD9668 for 12 Weeks in Chronic Obstructive Pulmonary Disease (COPD) PatientsChronic Obstructive Pulmonary Disease (COPD)
COMPLETED52 Analytics
NCT01023516Efficacy and Safety of Twice Daily 60mg AZD9668 in COPD for 12 Weeks in Patients on Background Budesonide/FormoterolChronic Obstructive Pulmonary Disease (COPD)
COMPLETED615 Analytics
NCT00949975A Dose Range Finding Study to Evaluate the Efficacy and Safety of AZD9668 Administered Orally at Three Dose Levels to Patients With Chronic Obstructive Pulmonary Disease (COPD) on Treatment With TiotropiumChronic Obstructive Pulmonary Disease
COMPLETED838 Analytics
NCT00757848A Phase II , Placebo-controlled Study to Assess Efficacy of 28 Day Oral AZD9668 in Patients With Cystic FibrosisCystic Fibrosis
COMPLETED56 Analytics
NCT00769119A Phase II , Placebo-controlled Study to Assess Efficacy of 28 Day Oral AZD9668 in Patients With BronchiectasisBronchiectasis
COMPLETED38 Analytics
NCT00703391A Two Week Study to Assess the Tolerability of AZD9668 in Chronic Obstructive Pulmonary Disease (COPD) PatientsChronic Obstructive Pulmonary Disease (COPD)
COMPLETED18 Analytics
PHASE2COMPLETED
Effect on Structural Changes in Airways, Measured by MSCT, of Twice Daily 60mg AZD9668 for 12 Weeks in Chronic Obstructive Pulmonary Disease (COPD) Patients
Chronic Obstructive Pulmonary Disease (COPD)Unlock trial analytics
PHASE2COMPLETED
Efficacy and Safety of Twice Daily 60mg AZD9668 in COPD for 12 Weeks in Patients on Background Budesonide/Formoterol
Chronic Obstructive Pulmonary Disease (COPD)Unlock trial analytics
PHASE2COMPLETED
A Dose Range Finding Study to Evaluate the Efficacy and Safety of AZD9668 Administered Orally at Three Dose Levels to Patients With Chronic Obstructive Pulmonary Disease (COPD) on Treatment With Tiotropium
Chronic Obstructive Pulmonary DiseaseUnlock trial analytics
PHASE2COMPLETED
A Phase II , Placebo-controlled Study to Assess Efficacy of 28 Day Oral AZD9668 in Patients With Cystic Fibrosis
Cystic FibrosisUnlock trial analytics
PHASE2COMPLETED
A Phase II , Placebo-controlled Study to Assess Efficacy of 28 Day Oral AZD9668 in Patients With Bronchiectasis
BronchiectasisUnlock trial analytics
PHASE2COMPLETED
A Two Week Study to Assess the Tolerability of AZD9668 in Chronic Obstructive Pulmonary Disease (COPD) Patients
Chronic Obstructive Pulmonary Disease (COPD)Unlock trial analytics

Study Endpoints

Primary Endpoints

AWT-Pi10 (Airway Wall Thickness of a Theoretical Airway With an Internal Perimeter of 10 mm)
Measured after 12 weeks treatment (day 84)

AWT-Pi10 (mm) as a measure of structural changes in airways. End of treatment Least Squares Mean.

Baseline Pre-bronchodilator FEV1 (L)
Day 1

Forced expiratory volume in 1 second (FEV1) as a measure of lung function, measured before bronchodilator (salbutamol) use in the clinic.

End-value Pre-bronchodilator FEV1 (L)
up to week 12

End of treatment value - week 12 for completers, otherwise Last Observation Carried forward (LOCF)

Ratio of Sputum Absolute Neutrophil Count at End of Treatment Compared to Baseline
Baseline and Values from day 21 to 28

Ratio of the mean of 2 visits at the end of the treatment period to the mean of 2 baseline visits

Sputum Percentage Neutrophil Count
Baseline and Values from day 21 to 28

Percentage of neutrophils in white blood cell count.Change from Baseline (mean of 2 baseline visits) to the end of the treatment period (mean of 2 visits at the end of the treatment)

24-hour Sputum Weight
Baseline and day 28

Sputum weight (g) collected during 24 hour periods. Change from Baseline to day 28.

Forced Expiratory Volume in 1 Second (FEV1)
Baseline and day 28

Forced Expiratory Volume in 1 second (L) as a measure of lung function.Change from Baseline to day 28.

Slow Vital Capacity (SVC)
Baseline and day 28

Slow Vital capacity (L) as a measure of lung function. Change from Baseline to day 28.

Forced Expiratory Flow Between 25 and 75% of Forced Vital Capacity (FEF25-75%)
Baseline and day 28

FEF25-75% (L) as a measure of lung function. Change from Baseline to day 28.

Forced Vital Capacity (FVC)
Baseline and day 28

Forced Vital Capacity (L) as a measure of lung function. Change from Baseline to day 28.

Morning Peak Expiratory Flow (PEF)
Last 7 days on treatment

Morning Peak Expiratory Flow (L/min) as a measure of lung function.Change from baseline value to mean of the last 7 days on treatment

Evening Peak Expiratory Flow (PEF)
The last 7 days on treatment

Evening Peak Expiratory Flow (L/min) as a measure of lung function.Change from baseline value to mean of the last 7 days on treatment

Bronkotest Diary Card Signs and Symptoms
The last 7 days on treatment

The Bronkotest diary card includes 8 questions on signs and symptoms. Symptom scores were recorded for night-time symptoms, breathing, sputum colour, sputum amount, sputum type, wellbeing, and cough, generally scored on a scale from 0 (no symptoms) to 4 (worst symptoms). ANOVA models were fitted to compare the change from baseline between AZD9668 and placebo for each question separately, with a p-value of 0.1 considered statistically significant. The number of number of these 8 measures with significant differences is reported.

Cystic Fibrosis Questionnaire (CFQ-R) - Quittner
Baseline and day 28

Cystic Fibrosis Questionnaire Overall Score as a measure of quality of life and disease symptoms. Scores range from 0 to 100, with higher scores indicating better health. The overall score is the sum of 12 subscores. Change from baseline to day 28.

Ratio of Absolute Neutrophil Count at End of Treatment Compared to Baseline
End of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.

Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits

Ratio of the Percentage Neutrophil Count at End of Treatment Compared to Baseline
End of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.

Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits

24-hour Sputum Weight(g)
Baseline and day 28

Sputum weight (g) collected during 24 hour periods.Change from Baseline to day 28

St George's Respiratory Questionnaire for COPD Patients (SGRQ-C)
Baseline and day 28

SGRQ total score shows the impact of COPD on patient's health status, and expressed as a percentage of impairment with scale from 0 (best health status) to 100 (worst possible status). Change from baseline to day 28.

Alanine Aminotransferase (ALT)
Throughout the duration of the study (pre-dose, cmax, steady state, end of dosing and post dose)

ALT level greater than 3 times the upper limit of normal

Aspartate Aminotransferase (AST)
Throughout the duration of the study (pre-dose, cmax, steady state, end of dosing and post dose)

AST level greater than 3 times the upper limit of normal

Creatine Kinase (CK)
Throughout the duration of the study (pre-dose, cmax, steady state, end of dosing and post dose)

Change from baseline to Day 14

Total Bilirubin
Throughout the duration of the study (pre-dose, cmax, steady state, end of dosing and post dose)

Change from baseline to Day 14

Creatinine
Throughout the duration of the study (pre-dose, cmax, steady state, end of dosing and post dose)

Creatinine level greater than the upper limit of normal

Haemoglobin (Hb)
Throughout the duration of the study (pre-dose, cmax, steady state, end of dosing and post dose)

Change from baseline to Day 14

Reticulocytes
Throughout the duration of the study (pre-dose, cmax, steady state, end of dosing and post dose)

Change from baseline to Day 14

Leucocytes
Throughout the duration of the study (pre-dose, cmax, steady state, end of dosing and post dose)

Change from baseline to Day 14

QTcF (QT Interval Corrected for Heart Rate by Fridericia's Method)
Throughout the duration of the study (pre-dose, cmax, steady state, end of dosing and post dose)

QTcF interval greater than 450 ms

QTcF
Throughout the duration of the study (pre-dose, cmax, steady state, end of dosing and post dose)

QTcF change from baseline greater than 60 ms

FEV1 (Forced Expiratory Volume in the First Second)
Throughout the duration of the study (pre-dose, cmax, steady state, end of dosing and post dose)

Change from baseline to Day 14

Area Under the Plasma Concentration-time Curve From Time Zero to 12 Hours Post-dose (AUC(0-12))
Pre-dose on day -1 to day 15 (end of dosing)

AUC(0-12) following 14 days' dosing

Observed Peak or Maximum Plasma Concentration Following Drug Administration (Cmax)
Pre-dose on day -1 to day 15 (end of dosing)

Cmax following 14 days' dosing

Time to Reach Observed Peak or Maximum Concentration Following Oral Drug Administration (Tmax)
Pre-dose on day -1 to day 15 (end of dosing)

tmax following 14 days' dosing

Terminal Half-life of Drug in Plasma (t1/2)
Pre-dose on day -1 to day 15 (end of dosing)

t1/2 following 14 days' dosing

Renal Clearance of Drug From Plasma (CLR)
Pre-dose on day -1 to day 15 (end of dosing)

CLR following 14 days' dosing

Relative bioavailability (Frel): to assess the relative systemic bioavailability after oral administration of the free base of AZD9668 dosed as a suspension compared to the tosylate salt of AZD9668 dosed as a tablet formulation at two dose levels.
Frequent sampling occasions during the study
Relative bioavailability (Frel): to assess the relative systemic bioavailability after oral administration of a tablet variant of AZD9668 compared to AZD9668 tablets.
Frequent sampling occasions during the study

Secondary Endpoints

5th Generation Wall Area Percentage
Measured after 12 weeks treatment (day 84)
Air Trapping Index (ATI) on Expiratory Scans
Measured after 12 weeks treatment (day 84)
Pre-bronchodilator Inspiratory Capacity (IC)
Measured after 12 weeks treatment (day 84)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AZD9668EXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
1EXPERIMENTAL -
2PLACEBO_COMPARATOR -
3ACTIVE_COMPARATORAZD9668 active treatment
4PLACEBO_COMPARATORAZD9668 placebo treatment
AZD9668 active treatmentEXPERIMENTAL -
AZD9668 placebo treatmentPLACEBO_COMPARATOR -

Interventions

NameTypeDescription
AZD9668DRUG2 x 30 mg oral tablets twice daily (bid) for 12 weeks
PlaceboDRUG2 x matched placebo to oral tablet twice daily (bid) for 12 weeks
AZD9668 PlaceboDRUG2 x Matched placebo to oral tablet twice daily (bid) for 12 weeks
AZD9668 Placebo equivalentDRUGMatch placebo to 60 mg, oral tablet, twice daily for 28 days
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Eligibility Criteria

Age Range50 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites9

Inclusion Criteria: * Diagnosis of COPD with symptoms over 1 year * FEV1/FVC \< 70% and FEV1 \>= 40 and \< =70 % of predicted post-bronchodilator * Ex-smokers for at least 12 months Exclusion Criteria: * Past history or current evidence of clinically significant heart disease * Current diagnosis ...

Countries:CanadaDenmarkNetherlandsRomaniaUkraineBulgariaCzechiaHungaryPolandSlovakiaUnited StatesAustraliaGermanyJapanPhilippinesRussiaSouth KoreaTaiwanSwedenUnited Kingdom
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Competitive Landscape -Bronchiectasis 13 trials

Top 4 of 6 competitors

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Frequently asked questions about AZD9668

What is AZD9668 used for?

AZD9668 is an investigational small molecule developed for respiratory conditions, specifically bronchiectasis, chronic obstructive pulmonary disease (COPD), and cystic fibrosis. It has been studied in clinical trials as a treatment for patients with these chronic lung diseases, but it is not an approved therapy.

Who is developing AZD9668?

AZD9668 is developed by AstraZeneca PLC, which trades on the Nasdaq under the ticker AZN. AstraZeneca sponsored the clinical trial program for the drug across multiple countries including Canada, Denmark, the Netherlands, Romania, Ukraine, Germany, Bulgaria, Czechia, Hungary, Poland, and Slovakia.

What phase is AZD9668 in?

AZD9668 reached Phase 2 clinical development. Six trials have been completed in total, including Phase 1 bioavailability studies and Phase 2 efficacy and safety trials in COPD. No trials are currently active, and the drug is not approved for any indication.

What clinical trials is AZD9668 in?

Completed AZD9668 trials include NCT01054170, a Phase 2 study of twice daily 60mg AZD9668 for 12 weeks in COPD, and NCT01023516, a Phase 2 efficacy and safety trial of the same dose in 615 COPD patients on background budesonide/formoterol. Phase 1 bioavailability studies NCT01035411 and NCT01034982 were also completed.

Is AZD9668 the same as C14AZD9668?

Yes, C14AZD9668 is an alternative designation for AZD9668, the AstraZeneca small molecule studied in respiratory disease. Both names refer to the same investigational compound, which has been evaluated in bronchiectasis, chronic obstructive pulmonary disease, and cystic fibrosis.

How many patients were enrolled in AZD9668 trials?

Across six completed trials, AZD9668 enrolled a total of 1,566 participants. The studies were randomized, double-blind, and placebo-controlled. The largest trial, NCT01023516, enrolled 615 COPD patients, while the smallest, NCT01035411, enrolled 15 healthy volunteers.