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AZD9773

Phase 2

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

AZD9773 development status

Highest phase Phase 2
Registered trials 2 across 1 sponsor since Jun 2010

AZD9773 target and mechanism

ModalitySmall molecule

Also known as AZD9773 (CytoFab), CytoFab™

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials3
Total Enrollment390

FDA Designations

No designations recorded

AZD9773 clinical trials

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 was developed for the treatment of severe sepsis and septic shock in adult patients. It was studied as an intravenous infusion in hospitalized adults with these serious systemic inflammatory conditions. All three of its clinical trials enrolled patients with severe sepsis or septic shock, and the program is no longer active.

Who makes AZD9773?

AZD9773 was developed by AstraZeneca PLC, which trades on the New York Stock Exchange under the ticker AZN. AstraZeneca sponsored the clinical program evaluating the drug in severe sepsis and septic shock, including trials conducted in North America, Europe, Japan, and Australia.

What phase is AZD9773 in?

AZD9773 is a Phase 2 investigational agent that is no longer in active clinical development. Three Phase 2 trials were completed, and no trials are currently recruiting or ongoing. The studies together enrolled approximately 390 patients with severe sepsis or septic shock.

What clinical trials was AZD9773 studied in?

AZD9773 was evaluated in three completed Phase 2 trials. NCT01145560 compared two dosing regimens of intravenous AZD9773 with placebo in 300 adults with severe sepsis or septic shock across seven countries. NCT01144624 assessed two doses in 20 Japanese patients, and NCT00615017 was a dose escalation study in 70 patients in the United States.

Is AZD9773 the same as CytoFab?

Yes, AZD9773 is also known as CytoFab. CytoFab is the alternative name used for the same investigational compound in study titles and publications. Both names refer to the AstraZeneca Phase 2 candidate studied in severe sepsis and septic shock.

How was AZD9773 administered in its trials?

AZD9773 was given as an intravenous infusion in its clinical trials. The Phase 2 studies used randomized, double-blind, placebo-controlled designs, and NCT01145560 specifically compared two different dosing regimens of intravenous AZD9773 infusions against placebo in adults with severe sepsis or septic shock.