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AZD9773

Phase 2

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

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
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment390
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
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 ShockPHASE2 COMPLETED 300Oct 1, 2010May 1, 2012Oct 6, 201452 Australia, Belgium +5
NCT01144624A Study to Assess Safety,and Tolerability of 2 Doses of AZD9773 (CytoFab™) in Japanese With Severe Sepsis/Septic ShockPHASE2 COMPLETED 20Jul 1, 2010Aug 1, 2011Oct 6, 20147 Japan
NCT00615017AZD9773 Dose Escalation StudyPHASE2 COMPLETED 70Jan 1, 2008Jul 1, 2009Aug 22, 201326 United States
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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 — 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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