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AZD9773

Phase 2

Severe Sepsis | Small molecule | Infectious Disease |AstraZeneca PLC|Last Updated: Oct 6, 2014

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials3
Total Enrollment390

FDA Designations

No designations recorded

Clinical trial landscape

AZD9773 · 3 trials · 2 indications

Phase 2 3
NCT01145560A Study to Compare the Efficacy and Safety of 2 Dosing Regimens of IV Infusions of AZD9773 (CytoFab™) With Placebo in Adult Patients With Severe Sepsis and/or Septic ShockSevere Sepsis
COMPLETED300 Analytics
NCT01144624A Study to Assess Safety,and Tolerability of 2 Doses of AZD9773 (CytoFab™) in Japanese With Severe Sepsis/Septic ShockSevere Sepsis
COMPLETED20 Analytics
NCT00615017AZD9773 Dose Escalation StudySevere Sepsis
COMPLETED70 Analytics
PHASE2COMPLETED
A Study to Compare the Efficacy and Safety of 2 Dosing Regimens of IV Infusions of AZD9773 (CytoFab™) With Placebo in Adult Patients With Severe Sepsis and/or Septic Shock
Severe SepsisUnlock trial analytics
PHASE2COMPLETED
A Study to Assess Safety,and Tolerability of 2 Doses of AZD9773 (CytoFab™) in Japanese With Severe Sepsis/Septic Shock
Severe SepsisUnlock trial analytics
PHASE2COMPLETED
AZD9773 Dose Escalation Study
Severe SepsisUnlock trial analytics

Study Endpoints

Primary Endpoints

Ventilator-free Days (VFDs) Over 28 Days
Over 28 days following first dose

Number of ventilator-free days (VFDs)

Safety and Tolerability of AZD9773
28 day study period

Number of patients with treatment-emergent adverse events and number of patients who died over 28 days

Pharmacokinetics of AZD9773
From first dose to last dose (Day 5/6 or at premature treatment discontinuation)

Maximum concentration at steady state (Cmax ss) for serum total and specific fabs

Change From Baseline in Creatinine Values
End of study (Day 28)

Change in creatinine values from baseline (pre-infusion) to follow-up (28 days after the start of study drug administration) \[calculated as Day 28 mean minus baseline mean\]. Safety analysis set (ie all patients who started study drug infusion).

Change From Baseline in Alanine Aminotransferase Values
End of study (Day 28)

Change in alanine aminotransferase values from baseline (pre-infusion) to follow-up (28 days after the start of study drug administration) \[calculated as Day 28 mean minus baseline mean\]. Safety analysis set (ie all patients who started study drug infusion).

Change From Baseline in Aspartate Aminotransferase Values
End of study (Day 28)

Change in aspartate aminotransferase values from baseline (pre-infusion) to follow-up (28 days after the start of study drug administration) \[calculated as Day 28 mean minus baseline mean\]. Safety analysis set (ie all patients who started study drug infusion).

Change From Baseline in Bilirubin Values
End of study (Day 28)

Change in bilirubin values from baseline (pre-infusion) to follow-up (28 days after the start of study drug administration) \[calculated as Day 28 mean minus baseline mean\]. Safety analysis set (ie all patients who started study drug infusion).

Change From Baseline in Haemoglobin Values
End of study (Day 28)

Change in haemoglobin values from baseline (pre-infusion) to follow-up (28 days after the start of study drug administration) \[calculated as Day 28 mean minus baseline mean\]. Safety analysis set (ie all patients who started study drug infusion).

Change From Baseline in White Blood Cell Values
End of study (Day 28)

Change in white blood cell values from baseline (pre-infusion) to follow-up (28 days after the start of study drug administration) \[calculated as Day 28 mean minus baseline mean\]. Safety analysis set (ie all patients who started study drug infusion).

Change From Baseline in Platelet Count Values
End of study (Day 28)

Change in platelet count values from baseline (pre-infusion) to follow-up (28 days after the start of study drug administration) \[calculated as Day 28 mean minus baseline mean\]. Safety analysis set (ie all patients who started study drug infusion).

Change From Baseline in Prothrombin Time Values
Day 7

Change in prothrombin time values from baseline (pre-infusion) to Day 7 \[calculated as Day 7 mean minus baseline mean\]. Safety analysis set (ie all patients who started study drug infusion).

Change From Baseline in Troponin I
Day 6

Change in troponin I values from baseline (pre-infusion) to Day 6 \[calculated as Day 6 mean minus baseline mean\]. Safety analysis set (ie all patients who started study drug infusion).

Change From Baseline in QT With Fridericia Correction (QTcF), Where QT is Measured by ECG, and is the Time Interval Between the Start of the Q Wave and the End of the T Wave in the Heart's Electrical Cycle.
Day 1 (end of infusion) for Cohorts 1 and 2; Day 5 (end of infusion) for Cohorts 3 to 5 and placebo

Change in QTcF from baseline (pre-infusion) to Day 1 (end of infusion) for Cohorts 1 and 2 \[calculated as Day 1 mean minus baseline mean\] and Day 5 (end of infusion) for Cohorts 3 to 5 and placebo \[calculated as Day 5 mean minus baseline mean\]. Safety analysis set (ie all patients who started study drug infusion).

Change From Baseline in Calculated Mean Arterial Blood Pressure
Day 14

Change in calculated mean arterial pressure from baseline (pre-infusion) to Day 14 \[calculated as Day 14 mean minus baseline mean\]. Safety analysis set (ie all patients who started study drug infusion).

Change From Baseline in Body Weight
Day 6

Change in body weight from baseline (pre-infusion) to Day 6 \[calculated as Day 6 mean minus baseline mean\]. Safety analysis set (ie all patients who started study drug infusion).

Secondary Endpoints

7-day Mortality
Over 7 days following first dose
28-day Mortality
Over 28 days following first dose
Safety and Tolerability
All study visits (over 90 days following first dose)
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
1EXPERIMENTALAZD9773 250/50 units/kg
2EXPERIMENTALAZD9773 500/100 units/kg
3PLACEBO_COMPARATOR -
AZD9773 cohort 1 (50 units/kg)EXPERIMENTALAZD9773: single infusion of 50 units/kg
AZD9773 cohort 2 (250 units/kg)EXPERIMENTALAZD9773: single infusion of 250 units/kg
AZD9773 cohort 3 (250/50 units/kg)EXPERIMENTALAZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs
AZD9773 cohort 4 (500/100 units/kg)EXPERIMENTALAZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs
AZD9773 cohort 5 (750/250 units/kg)EXPERIMENTALAZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs
PlaceboPLACEBO_COMPARATORPlacebo

Interventions

NameTypeDescription
AZD9773DRUGA single loading dose following by up to 9 maintenance doses; doses to be given every 12 hours over a period of 5 days
PlaceboDRUGPlacebo
AZD9773 (CytoFab)DRUGintravenous infusions
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites52

Inclusion Criteria: * Adults with a first episode of sepsis during this hospitalisation and objective evidence of infection that requires parenteral antibiotics. * At least 2 of 4 SIRS criteria in the 24 hours before organ dysfunction (must include either fever OR elevated white blood cells \[WBC\]...

Countries:AustraliaBelgiumCanadaCzechiaFinlandFranceSpainJapanUnited States
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Frequently asked questions about AZD9773

What is AZD9773 used for?

AZD9773 is an investigational small molecule being developed for the treatment of severe sepsis, including septic shock. It is being studied in adult patients with these serious infectious disease conditions. The drug is administered as an intravenous infusion and is currently in clinical development, though it is not approved for use.

Who makes AZD9773?

AZD9773 is being developed by AstraZeneca PLC, a biopharmaceutical company listed on the stock exchange under the ticker symbol AZN. The company is conducting clinical trials to evaluate the safety and efficacy of this investigational drug for severe sepsis and septic shock.

What phase is AZD9773 in?

AZD9773 is in Phase 2 clinical development. It has completed three Phase 2 trials, including dose escalation, safety and tolerability, and efficacy studies. The drug remains investigational and has not received regulatory approval for any use.

What clinical trials is AZD9773 in?

AZD9773 has been studied in three completed Phase 2 trials. These include NCT00615017, a dose escalation study in the United States; NCT01144624, a safety and tolerability study in Japanese patients; and NCT01145560, a placebo-controlled efficacy and safety study conducted in multiple countries. All trials enrolled patients with severe sepsis or septic shock.

Is AZD9773 the same as CytoFab?

Yes, AZD9773 is also known as CytoFab. This alternative name appears in the titles of two clinical trials, which refer to the drug as AZD9773 (CytoFab). The drug is being developed by AstraZeneca for severe sepsis and septic shock.