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AZD9977

Phase 2

Heart Failure | Small molecule | Cardiovascular |AstraZeneca PLC|Last Updated: Nov 19, 2024

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment181

FDA Designations

No designations recorded

Clinical trial landscape

AZD9977 · 9 trials · 11 indications

Phase 2 1Phase 1 8
NCT04595370Efficacy, Safety and Tolerability of AZD9977 and Dapagliflozin in Participants With Heart Failure and Chronic Kidney DiseaseHeart Failure
COMPLETED153 Analytics
PHASE2COMPLETED
Efficacy, Safety and Tolerability of AZD9977 and Dapagliflozin in Participants With Heart Failure and Chronic Kidney Disease
Heart FailureUnlock trial analytics

Study Endpoints

Primary Endpoints

Percent Change From Baseline in Urinary Albumin to Creatinine Ratio (UACR) at Week 12
Baseline (Day 1) to Week 12

The effect of AZD9977 in combination with dapagliflozin compared with dapagliflozin alone on UACR assessed. Urine samples were collected for the analysis of UACR. UACR (milligrams per gram \[mg/g\]) was calculated as 10 x urine albumin (mg per deciliter \[mg/dL\])/urine creatinine (g/dL). Change from baseline in UACR at the end of 12 weeks of study treatment was calculated as the average of the UACR values at Week 12 and was analyzed by a mixed-effects model for repeated measures (MMRM). Due to early removal of arms (AZD9977 150 mg monotherapy and Placebo), the study objectives were revised and the MMRM analysis included the 4 remaining arms (AZD9977 15 mg + Dapagliflozin, AZD9977 50 mg + Dapagliflozin, AZD9977 150 mg + Dapagliflozin, and Dapagliflozin 10 mg). Since 2 arms were removed from the study resulting in fewer participants only descriptive statistics are shown for those two arms without formal comparison.

Absolute bioavailability of AZD9977
Collection of plasma samples from pre-dose until 72 hours post-dose.

Absolute bioavailability based on AUC0-inf of oral formulation compared to IV adjusted for dose

The cumulative amount of AZD9977 excreted (CumAe)
Collection of urine and faecal samples from pre-dose until 168 hours post-dose.

Assessment of the total radioactivity by measuring the cumulative amount of AZD9977 excreted (CumAe)

The cumulative amount of AZD9977 excreted and expressed as a percentage of the administered dose (CumFe)
Collection of urine and faecal samples from pre-dose until 168 hours post-dose.

Assessment of the rates and routes of elimination by measuring the cumulative amount excreted and expressed as a percentage of the administered dose (CumFe)

Assessment of metabolites in plasma by liquid chromatography-radiochemical-detection and subsequent mass spectrometry
Collection of plasma samples from pre-dose until 72 hours post-dose in period 1 and from pre-dose to 168 hours post-dose in period 2.
Assessment of metabolites in urine by liquid chromatography-radiochemical-detection and subsequent mass spectrometry
Collection of urine samples from pre-dose until 72 hours post-dose in period 1 and from pre-dose to 168 hours post-dose in period 2.
Assessment of metabolites in faeces by liquid chromatography-radiochemical-detection and subsequent mass spectrometry
Collection of faecal samples from pre-dose until 168 hours post-dose.
Maximum observed plasma concentration (Cmax)
Day 1 to 3 (Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 8, 12, 16, 20, 24, 36, and 48 hours post-dose), Day 4 to 7

To assess the PK of AZD9977 following administration of AZD9977

Area under the plasma concentration-time curve from time zero to infinity (AUC)
Day 1 to 3 (Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 8, 12, 16, 20, 24, 36, and 48 hours post-dose), Day 4 to 7

To assess the PK of AZD9977 following administration of AZD9977

Area under the plasma concentration-time curve from time zero to time of last quantifiable concentration (AUC0-t)
Day 1 to 3 (Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 8, 12, 16, 20, 24, 36, and 48 hours post-dose), Day 4 to 7

To assess the PK of AZD9977 following administration of AZD9977

Time to reach maximum observed plasma concentration (tmax)
Day 1 to 3 (Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 8, 12, 16, 20, 24, 36, and 48 hours post-dose), Day 4 to 7

To assess the PK of AZD9977 following administration of AZD9977

Half-life associated with terminal slope of a semi-logarithmic concentration time curve (t½λz)
Day 1 to 3 (Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 8, 12, 16, 20, 24, 36, and 48 hours post-dose), Day 4 to 7

To assess the PK of AZD9977 following administration of AZD9977

Terminal elimination rate constant (λz)
Day 1 to 3 (Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 8, 12, 16, 20, 24, 36, and 48 hours post-dose), Day 4 to 7

To assess the PK of AZD9977 following administration of AZD9977

Apparent total body clearance of drug from plasma after oral administration (CL/F)
Day 1 to 3 (Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 8, 12, 16, 20, 24, 36, and 48 hours post-dose), Day 4 to 7

To assess the PK of AZD9977 following administration of AZD9977

Non-renal clearance of drug from plasma after oral administration (CLNR/F)
Day 1 to 3 (Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 8, 12, 16, 20, 24, 36, and 48 hours post-dose), Day 4 to 7

To assess the PK of AZD9977 following administration of AZD9977

Apparent volume of distribution during the terminal phase after oral administration (Vz/F)
Day 1 to 3 (Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 8, 12, 16, 20, 24, 36, and 48 hours post-dose), Day 4 to 7

To assess the PK of AZD9977 following administration of AZD9977

Mean residence time (MRT)
Day 1 to 3 (Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 8, 12, 16, 20, 24, 36, and 48 hours post-dose), Day 4 to 7

To assess the PK of AZD9977 following administration of AZD9977

Renal clearance of the drug from plasma (CLR)
Day 1 to 3 (Pre-dose, 0-4, 4-8, 8-12, 12-24, 24-36, and 36-48 hours post-dose)

To assess the PK of AZD9977 following administration of AZD9977

Cumulative amount of unchanged drug excreted into the urine (Ae)
Day 1 to 3 (Pre-dose, 0-4, 4-8, 8-12, 12-24, 24-36, and 36-48 hours post-dose)

To assess the PK of AZD9977 following administration of AZD9977

Fraction of the drug excreted into the urine (fe)
Day 1 to 3 (Pre-dose, 0-4, 4-8, 8-12, 12-24, 24-36, and 36-48 hours post-dose)

To assess the PK of AZD9977 following administration of AZD9977

Area under plasma concentration-time curve from time zero to infinity (AUC) for AZD9977
Day 1 to 3: Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 8, 12, 16, 24, 36 and 48 hours post-dose. Day 4 to 9: pre-dose on Day 7 and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 8, 12, 16, 24, 36 and 48 hours post-dose

To access pharmacokinetics (PK) of AZD9977 in healthy volunteers when administered alone and in combination with multiple doses of itraconazole

Area under the plasma concentration-time curve from time zero to time of last quantifiable concentration (AUClast) for AZD9977
Day 1 to 3: Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 8, 12, 16, 24, 36 and 48 hours post-dose. Day 4 to 9: pre-dose on Day 7 and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 8, 12, 16, 24, 36 and 48 hours post-dose

To access pharmacokinetics (PK) of AZD9977 in healthy volunteers when administered alone and in combination with multiple doses of itraconazole

Maximum observed plasma concentration (Cmax) for AZD9977
Day 1 to 3: Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 8, 12, 16, 24, 36 and 48 hours post-dose. Day 4 to 9: pre-dose on Day 7 and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 8, 12, 16, 24, 36 and 48 hours post-dose

To access pharmacokinetics (PK) of AZD9977 in healthy volunteers when administered alone and in combination with multiple doses of itraconazole

Number of participants with adverse events (AEs)
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants. Serious AEs will be recorded from the time of screening.

Number of participants with abnormal blood pressure (BP)
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants. Blood pressure includes both systolic and diastolic BP.

Number of participants with abnormal supine pulse
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal findings in 12-lead safety Electrocardiogram (ECG)
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal findings in 12-lead safety Digital Electrocardiogram (dECG)
At week 5 (Visit 2)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal findings in Real-Time ECG (Cardiac Telemetry)
At week 5 (Visit 2)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal physical examination findings
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants. The complete physical examinations will include an assessment of the general appearance, skin, cardiovascular, respiratory, abdomen, head, and neck (including ears, eyes, nose, and throat), lymph nodes, thyroid, musculoskeletal and neurological systems.

Number of participants with abnormal laboratory assessments: Hematology - absolute count of Basophils, Eosinophils, Monocytes, Neutrophils, Lymphocytes and Reticulocytes; Platelets and White blood cell (WBC) count
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assesments: Hematology - Mean corpuscular volume (MCV)
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Hematology-Hematocrit (HCT)
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Hematology - Hemoglobin (Hb)
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Hematology - Red blood cell (RBC) count
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assesments: Heamtology - Mean corpuscular hemoglobin (MCH)
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assssments : Hematology - Mean corpuscular hemoglobin concentration (MCHC)
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Clinical Chemistry - Albumin
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Clinical Chemistry - Urea
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Clinical Chemistry - C-reactive protein (CRP)
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Clinical Chemistry - Alkaline phosphatase
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Clinical Chemistry - Alanine aminotransferase
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Clinical Chemistry - Aspartate aminotransferase
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Clinical Chemistry - Creatinine kinase
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Clinical Chemistry - Creatinine
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Clinical Chemistry - Uric acid
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Clinical Chemistry - Glucose (fasting)
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Clinical Chemistry - Gamma glutamyl transpeptidase
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Clinical Chemistry - Phosphate
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Clinical Chemistry - Total Bilirubin and Unconjugated bilirubin
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Clinical Chemistry - Potassium
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Clinical Chemistry - Sodium
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Clinical Chemistry - Cholesterol
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Clinical Chemistry - Luteinizing hormone
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Clinical Chemistry - Triglycerides
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Clinical Chemistry - Sex hormone binding globulin
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Clinical Chemistry - Follicle-stimulating hormone
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Clinical Chemistry - Testosterone
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Clinical Chemistry - Aldosterone
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Clinical Chemistry - Hemoglobin A1c
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Clinical Chemistry - Electrolytes
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants. Electrolyte Measurements includes Bicarbonate, Calcium, Chloride, Potassium, Sodium

Number of participants with abnormal laboratory assessments: Clinical Chemistry - High-sensitive-CRP
At Visit 2 (Week 5)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: High-sensitivity Troponin T
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: N-terminal pro-brain Natriuretic Peptide
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal urine volume
At Visit 2 (Week 5)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Urinalysis - Glucose
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Urinalysis - Protein
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants.

Number of participants with abnormal laboratory assessments: Urinalysis - Blood
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants. Microscopy should be done (if positive for protein or blood): red blood cells (RBC), white blood cells (WBC), Casts (Cellular, Granular, Hyaline)

Number of participants with abnorml laboratory assessments: Urinalysis - Urinary Electrolytes
From screening (Day -28) till follow-up visit (Up to 6 weeks)

To investigate the safety and tolerability of AZD9977 following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants. Urinary Electrolytes: Calcium, Potassium, Chloride, Sodium, Creatinine and Uric acid.

Relative bioavailability (Frel) of AZD9977 capsule, ER (fast rate) and ER (Int. rate) capsules versus AZD9977 oral suspension (reference): Area under plasma concentration-time curve from time zero to infinity (AUC)
Dosing sessions: Part A: Days 1, 3, 5 and 7; Part B: Day 1

To assess Frel by assessments of PK parameters AUC after administration of single oral dose of AZD9977 capsule and ER (fast rate and Int. rate) capsules by comparison with AZD9977 oral suspension (reference).

Relative bioavailability (Frel) of AZD9977 capsule, ER (fast rate) and ER (Int. rate) capsules versus AZD9977 oral suspension (reference): Area under the plasma concentration-curve from time zero to time of last quantifiable concentration (AUClast)
Dosing sessions: Part A: Days 1, 3, 5 and 7; Part B: Day 1

To assess Frel by assessments of PK parameters AUClast after administration of single oral dose of AZD9977 capsule and ER (fast rate and Int. rate) capsules by comparison with AZD9977 oral suspension (reference).

Relative bioavailability (Frel) of AZD9977 capsule, ER (fast rate) and ER (Int. rate) capsules versus AZD9977 oral suspension (reference): Area under the plasma concentration-time curve from time zero to time 24 hours (AUC[0-24])
Dosing sessions: Part A: Days 1, 3, 5 and 7; Part B: Day 1

To assess Frel by assessments of PK parameters AUC\[0-24\] after administration of single oral dose of AZD9977 capsule and ER (fast rate and Int. rate) capsules by comparison with AZD9977 oral suspension (reference).

Relative bioavailability (Frel) of AZD9977 capsule, ER (fast rate) and ER (Int. rate) capsules versus AZD9977 oral suspension (reference): Maximum observed plasma concentration (Cmax )
Dosing sessions: Part A: Days 1, 3, 5 and 7; Part B: Day 1

To assess Frel by assessments of PK parameters Cmax after administration of single oral dose of AZD9977 capsule and ER (fast rate and Int. rate) capsules by comparison with AZD9977 oral suspension (reference).

Plasma PK parameter: Area under plasma concentration-time curve from time zero to infinity (AUC)
Dosing sessions: Part A: Days 1, 3, 5 and 7; Part B: Day 1

To assess AUC after administration of single oral dose of AZD9977 capsule, ER capsules (fast rate and Int. rate) and oral suspension (reference).

Plasma PK parameter: Area under the plasma concentration-time curve from time zero to time of last quantifiable concentration (AUClast)
Dosing sessions: Part A: Days 1, 3, 5 and 7; Part B: Day 1

To assess AUClast after administration of single oral dose of AZD9977 capsule, ER capsules (fast rate and Int. rate) and oral suspension (reference).

Plasma PK parameter: Maximum observed plasma concentration (Cmax)
Dosing sessions: Part A: Days 1, 3, 5 and 7; Part B: Day 1

To assess Cmax after administration of single oral dose of AZD9977 capsule, ER capsules (fast rate and Int. rate) and oral suspension (reference).

Plasma PK parameter: Area under the plasma concentration-time curve from time zero to time 24 hours (AUC[0-24])
Dosing sessions: Part A: Days 1, 3, 5 and 7

To assess AUC(0-24) after administration of single oral dose of AZD9977 capsule, ER capsules (fast rate and Int. rate) and oral suspension (reference).

The Effect of food on the PK of one of the solid formultaion evaluated in Part A under fasting and fed conditions in Part B
Dosing sessions: Part A: Days 1, 3, 5 and 7; Part B: Day 1

To evaluate the influence of food by comparing AUC and Cmax under fasting and fed conditions for one of the solid formulations evaluated in Part A.

Number of subjects with adverse events (AEs) due to AZD9977
From baseline up to follow-up (5 to 7 days post last dose)

To assess AEs as variable of safety and tolerability after administration of multiple dose of AZD9977 oral suspension. AEs will be collected from the start of screening throughout the treatment period up to and including the follow-up visit. Serious AEs will be recorded from the time of informed consent.

Systolic blood pressure [SBP]
From baseline up to follow-up (5 to 7 days post last dose)

To measure SBP as variable of safety and tolerability after administration of multiple dose of AZD9977 oral suspension. SBP will be collected after the subject has rested in the supine position for at least 10 minutes.

Diastolic blood pressure [DBP]
From baseline up to follow-up (5 to 7 days post last dose)

To measure DBP as variable of safety and tolerability after administration of multiple dose of AZD9977 oral suspension. DBP will be collected after the subject has rested in the supine position for at least 10 minutes.

Pulse rate
From baseline up to follow-up (5 to 7 days post last dose)

To measure pulse as variable of safety and tolerability after administration of multiple dose of AZD9977 oral suspension. Pulse rate will be collected after the subject has rested in the supine position for at least 10 minutes.

Laboratory assessments of urine volume
From baseline up to follow-up (5 to 7 days post last dose)

To assess the urine volume as variable of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Number of participants with abnormal findings in Twelve-lead (12-Lead) electrocardiograms (ECGs) (safety ECGs and 12-lead continuous digital ECG [dECG])
From baseline up to follow-up (5 to 7 days post last dose)

To assess any clinically significant abnormalities on cardiac electrophysiological parameters as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension. 12-lead safety ECG and dECG will be obtained after the participant rested in the supine position for at least 10 minutes. Safety ECG will be collected at the end of each dECG recording. Various dECG variables like time between 2 consecutive R waves on ECG (RR), ECG interval measured form onset of P wave to the onset of QRS complex (PR), ECG interval measured from onset of QRS complex to the J point (QRS) and ECG interval measured form onset of QRS complex to the end of the T wave (QT intervals) will be reported. Derived parameters like QT interval corrected for heart rate using Fridericia's formula (QTcF), heart rate (HR) and others, as applicable are also calculated.

Number of participants with abnormal cardiac telemetry
From baseline up to follow-up (5 to 7 days post last dose)

To assess any clinically significant abnormalities in the cardiovascular system functioning as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension. A 2-lead real-time telemetry ECG will be used to assess the heart rate.

Laboratory assessments: Hematology - Differential count
From baseline up to follow-up (5 to 7 days post last dose)

To assess the differential white blood cell count (absolute count of basophils, eosinophils, lymphocytes, monocyets and neutrophils) as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Hematology - Hematocrit (HCT) and Reticulocyte absolute count
From baseline up to follow-up (5 to 7 days post last dose)

To assess the HCT (red blood cells \[RBC\]) and reticulocyte absolute count (immature RBCs) as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Hematology - Hemoglobin (Hb)
From baseline up to follow-up (5 to 7 days post last dose)

To assess the Hb as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Hematology - Mean corpuscular hemoglobin (MCH)
From baseline up to follow-up (5 to 7 days post last dose)

To assess the MCH as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Hematology - Mean corpuscular hemoglobin concentration (MCHC)
From baseline up to follow-up (5 to 7 days post last dose)

To assess the MCHC as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Hematology - Mean corpuscular volume (MCV)
From baseline up to follow-up (5 to 7 days post last dose)

To assess the MCV as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Hematology - Platelets
From baseline up to follow-up (5 to 7 days post last dose)

To assess platelets count as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Hematology - Blood cells count
From baseline up to follow-up (5 to 7 days post last dose)

To assess RBC and white blood cells (WBC) count as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Serum Clinical chemistry - Albumin
From baseline up to follow-up (5 to 7 days post last dose)

To assess the serum albumin level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Serum Clinical chemistry - C reactive protein (CRP)
From baseline up to follow-up (5 to 7 days post last dose)

To assess the serum CRP level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Serum Clinical chemistry - Creatine kinase (CK)
From baseline up to follow-up (5 to 7 days post last dose)

To assess the serum CK level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Serum Clinical chemistry - Creatinine
From baseline up to follow-up (5 to 7 days post last dose)

To assess the serum creatinine level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Serum Clinical chemistry - Glucose (fasting)
From baseline up to follow-up (5 to 7 days post last dose)

To assess the serum fasting glucose level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Serum Clinical chemistry - Calcium, potassium, phosphate and sodium
From baseline up to follow-up (5 to 7 days post last dose)

To assess the serum calcium, potassium, phosphate and sodium level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Serum Clinical chemistry - Urea and Uric acid
From baseline up to follow-up (5 to 7 days post last dose)

To assess the serum urea and uric acid level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Serum Clinical chemistry - Liver enzymes
From baseline up to follow-up (5 to 7 days post last dose)

To assess the serum Alanine aminotransferase (ALT), Alkaline phosphatase (ALP), Aspartate aminotransferase (AST) and Gamma glutamyl transpeptidase (GGT) level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Serum Clinical chemistry - Bilirubin
From baseline up to follow-up (5 to 7 days post last dose)

To assess the serum bilirubin (total and unconjugated) level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Serum Clinical chemistry - Steroid
From baseline up to follow-up (5 to 7 days post last dose)

To assess the serum cholesterol and triglycerides level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Serum Clinical chemistry - Luteinizing hormone (LH)
From baseline up to follow-up (5 to 7 days post last dose)

To assess the serum LF level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Serum Clinical chemistry - Sex hormone binding globulin (SHBG)
From baseline up to follow-up (5 to 7 days post last dose)

To assess the serum SHBG level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Serum Clinical chemistry - Testosterone
From baseline up to follow-up (5 to 7 days post last dose)

To assess the serum testosterone level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Serum Clinical chemistry - Aldosterone
From baseline up to follow-up (5 to 7 days post last dose)

To assess the serum aldosterone level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Serum Clinical chemistry - Hemoglobin A1c (HbA1c)
From baseline up to follow-up (5 to 7 days post last dose)

To assess the serum HbA1c level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Serum Clinical chemistry - High-sensitivity troponin T
From baseline up to follow-up (5 to 7 days post last dose)

To assess the serum high-sensitivity troponin T level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Serum Clinical chemistry - N-terminal pro-brain natriuretic peptide (NT-proBNP)
From baseline up to follow-up (5 to 7 days post last dose)

To assess the serum NT-proBNP level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Serum Clinical chemistry - Follicle-stimulating hormone (FSH)
From baseline up to follow-up (5 to 7 days post last dose)

To assess the serum FSH level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Clinical Urinalysis - Protein
From baseline up to follow-up (5 to 7 days post last dose)

To assess the urine protein level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension. If urinalysis is positive for protein, a microscopy test will be performed to assess RBC, WBC, casts \[cellular, granular, hyaline\]).

Laboratory assessments: Clinical Urinalysis - Blood
From baseline up to follow-up (5 to 7 days post last dose)

To assess the urine blood level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension. If urinalysis is positive for blood, a microscopy test will be performed to assess RBC, WBC, casts \[cellular, granular, hyaline\]).

Laboratory assessments: Clinical Urinalysis - Glucose
From baseline up to follow-up (5 to 7 days post last dose)

To assess the urine glucose level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Clinical Urinalysis - Uric acid
From baseline up to follow-up (5 to 7 days post last dose)

To assess the urine uric acid level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Clinical Urinalysis - Creatinine
From baseline up to follow-up (5 to 7 days post last dose)

To assess the urine creatinine level as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Laboratory assessments: Urinalysis - Urinary Electrolytes
From baseline up to follow-up (5 to 7 days post last dose)

To assess the urine electrolytes level (calcium, chloride, potassium and sodium) as variables of safety and tolerability after administration of multiple dose of AZD9977 oral suspension.

Pharmacodynamics of AZD9977 Assessed Per Sodium/Potassium Ratio in Urine in Eplerenone Treatment Versus a Combination Treatment of Eplerenone and AZD9977.
From 2 hours post dose to 8 hours post dose

The sum over the urine collection intervals of the logarithm of the urinary sodium/potassium ratio from two hours to eight hours post-dose. NOTE: Data are presented as the sum of the difference between ln(Na+) and ln(K+) over the collected intervals 2-4, 4-6 and 6-8 hours.

Safety and Tolerability of AZD9977 by Assessing the Percentage of Participants With Adverse Events
For up to 45 days, i.e. from Screening to Follow-up

To assess the safety and tolerability of single ascending doses of AZD9977

Safety and Tolerability of AZD9977 by Assessing Number of Participants With Clinically Significant Pulse Rate
For up to 45 days, i.e. from Screening to Follow-up

To assess the safety and tolerability of single ascending doses of AZD9977

Safety and Tolerability of AZD9977 by Assessing Number of Participants With Clinically Significant Trends in 12-lead Electrocardiograms
For up to 45 days, i.e. from Screening to Follow-up

To assess the safety and tolerability of single ascending doses of AZD9977

Safety and Tolerability of AZD9977 by Number of Participants With Clinically Significant Trends in Cardiac Telemetry
For up to 4 days, i.e. on the day before each dosing and for 24 hours after each dosing

To assess the safety and tolerability of single ascending doses of AZD9977

Safety and Tolerability of AZD9977 by Assessing the Number of Subjects With Adverse Events
For up to 45 days, i.e. from Screening to Follow-up

To assess the safety and tolerability of single ascending doses of AZD9977

Safety and Tolerability of AZD9977 by Assessing Number of Participants With Clinically Significant Changes in Blood Pressure
For up to 45 days, i.e. from Screening to Follow-up

To assess the safety and tolerability of single ascending doses of AZD9977

Safety and Tolerability of AZD9977 by Assessing Number of Participants With Clinically Significant Changes in Hematology
For up to 45 days, i.e. from Screening to Follow-up

To assess the safety and tolerability of single ascending doses of AZD9977

Safety and Tolerability of AZD9977 by Assessing Number of Participants With Clinically Significant Changes in Clinical Chemistry
For up to 45 days, i.e. from Screening to Follow-up

To assess the safety and tolerability of single ascending doses of AZD9977

Safety and Tolerability of AZD9977 by Assessing Number of Participants With Clinically Significant Changes in Urinalysis
For up to 45 days, i.e. from Screening to Follow-up

To assess the safety and tolerability of single ascending doses of AZD9977

Secondary Endpoints

Percent Change From Baseline in Urinary Albumin to Creatinine Ratio (UACR) at 12 Weeks to Assess Dose-Response Relationship
Baseline (Day 1) to Week 12
Number of Participants With Adverse Events (AEs)
From baseline (Day 1) until Day 113
Change From Baseline in Serum Potassium (K+)
Baseline (Day 1) and Week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AZD9977 Dose A + dapagliflozin 10 mgEXPERIMENTALParticipants will receive once daily oral dose A of AZD9977 and 10 mg dapagliflozin for 12 weeks.
AZD9977 Dose B + dapagliflozin 10 mgEXPERIMENTALParticipants will receive once daily oral dose B of AZD9977 and 10 mg dapagliflozin for 12 weeks.
AZD9977 Dose C + dapagliflozin 10 mgEXPERIMENTALParticipants will receive once daily oral dose C of AZD9977 and 10 mg dapagliflozin for 12 weeks.
Dapagliflozin 10 mgEXPERIMENTALParticipants will receive once daily oral dose of dapagliflozin 10 mg alone for 12 weeks.
AZD9977EXPERIMENTALIn Period 1, one 100 mg dose of AZD9977 capsule 50 mg (as 2 x 50 mg capsules) and one 100 µg dose of \[14C\]AZD9977 Solution for Infusion, 20 µg/mL (NMT 37.0 kBq/5 mL). In Period 2, one 100 mg dose of \[14C\]AZD9977 Oral Suspension, 100 mg (NMT 9.9 MBq).
Treatment - AZD9977EXPERIMENTALThere are 4 cohorts in this arm based on renal function (mild, moderate, severe, and normal). Each cohort will have 8 participants.
Single AZD9977EXPERIMENTALDuring this treatment period, healthy participants will be administered with a single AZD9977 (Dose 1) dose, in the fed state, on Day 1 followed by at least 3 days washout period.
Itraconazole + AZD9977EXPERIMENTALDuring this treatment period, healthy participants will be administered with Itraconazole (Dose 2) from Day 4 to Day 8 plus will be administrated with AZD9977 (Dose 1, fed state) as a single dose on Day 7. Dose of itraconazole will be taken at -1 hour (1 hour prior to AZD9977 dosing) when co-administered with AZD9977.
PlaceboPLACEBO_COMPARATOREach participant will receive placebo at the selected dose level on Day 1 and from Day 3 to 9, with single dose on Day 1 and Day 9 and twice a day (BID) dosing on Day 3 to Day 8. No dose will be given on Day 2.
Treatment sequence 1EXPERIMENTALIn Part A, randomized subjects will receive orally single dose of all treatments in fasted condition in the following sequence: AZD9977 oral suspension (reference) AZD9977 capsule AZD9977 ER capsule (fast rate) AZD9977 ER capsule (Int. rate)
Treatment sequence 2EXPERIMENTALIn Part A, randomized subjects will receive orally single dose of all treatments in fasted condition in the following sequence: AZD9977 capsule AZD9977 ER capsule (fast rate) AZD9977 ER capsule (Int. rate) AZD9977 oral suspension (reference)
Treatment sequence 3EXPERIMENTALIn Part A, randomized subjects will receive orally single dose of all treatments in fasted condition in the following sequence: AZD9977 ER capsule (fast rate) AZD9977 ER capsule (Int. rate) AZD9977 Oral suspension (reference) AZD9977 capsule
Treatment sequence 4EXPERIMENTALIn Part A, randomized subjects will receive orally single dose of all treatments in fasted condition in the following sequence: AZD9977 ER capsule (Int. rate) AZD9977 Oral suspension (reference) AZD9977 capsule AZD9977 ER capsule (fast rate)
Cohort 1EXPERIMENTALRandomized subjects will receive AZD9977 50 mg or placebo oral suspension single dose on Day 1 and Day 8; twice daily dose Day 2 to Day 7
Cohort 2EXPERIMENTALRandomized subjects will receive AZD9977 150 mg or placebo oral suspension single dose on Day 1 and Day 8; twice daily dose on Day 2 to Day 7
Cohort 3EXPERIMENTALRandomized subjects will receive AZD9977 300 mg or placebo oral suspension single dose on Day 1 and Day 8; twice daily dose on Day 2 to Day 7
Treatment Sequence 5EXPERIMENTALPeriod 1: fludrocortisone + eplerenone + AZD9977 Period 2: fludrocortisone + eplerenone + AZD9977 Placebo Period 3: fludrocortisone + AZD9977 Placebo Period 4: fludrocortisone + AZD9977 Period 5: fludrocortisone + eplerenone and/or AZD9977 or AZD9977 Placebo treatment Period 6: fludrocortisone + eplerenone and/or AZD9977 or AZD9977 Placebo treatment
Treatment Sequence 6EXPERIMENTALPeriod 1: fludrocortisone + AZD9977 Placebo Period 2: fludrocortisone + eplerenone + AZD9977 Period 3: fludrocortisone + AZD9977 Period 4: fludrocortisone + eplerenone + AZD9977 Placebo Period 5: fludrocortisone + eplerenone and/or AZD9977 or AZD9977 Placebo treatment Period 6: fludrocortisone + eplerenone and/or AZD9977 or AZD9977 Placebo treatment
Treatment Sequence 7EXPERIMENTALPeriod 1: fludrocortisone + AZD9977 Period 2: fludrocortisone + AZD9977 Placebo Period 3: fludrocortisone + eplerenone + AZD9977 Placebo Period 4: fludrocortisone + eplerenone + AZD9977 Period 5: fludrocortisone + eplerenone and/or AZD9977 or AZD9977 Placebo treatment Period 6: fludrocortisone + eplerenone and/or AZD9977 or AZD9977 Placebo treatment
Treatment Sequence 8EXPERIMENTALPeriod 1: fludrocortisone + eplerenone + AZD9977 Placebo Period 2: fludrocortisone + AZD9977 Period 3: fludrocortisone + eplerenone + AZD9977 Period 4: fludrocortisone + AZD9977 Placebo Period 5: fludrocortisone + eplerenone and/or AZD9977 or AZD9977 Placebo treatment Period 6: fludrocortisone + eplerenone and/or AZD9977 or AZD9977 Placebo treatment
AZD9977 oral suspension, single dosesEXPERIMENTALIn Part A up to 10 cohorts with single ascending doses with AZD9977 as oral suspension. In Part B AZD9977 as oral suspension in IntelliCap® capsule
Placebo, oral suspension, single dosesPLACEBO_COMPARATORIn Part A up to 10 cohorts with single doses with matching placebo to AZD9977
AZD9977, oral solution, single doseEXPERIMENTALIn Part B, of oral solution of AZD9977 will be used as reference

Interventions

NameTypeDescription
AZD9977DRUGParticipants will receive AZD9977 as per the arms they are randomized.
DapagliflozinDRUGParticipants will receive dapagliflozin as per the arms they are randomized.
AZD9977 capsule 50 mgDRUG100 mg dose of AZD9977 capsule 50 mg (as 2 x 50 mg capusles)
[14C]AZD9977 Solution for Infusion, 20 µg/mL (NMT 37.0 kBq/5 mL)DRUGOne 100 µg dose of \[14C\]AZD9977 Solution for Infusion, 20 µg/mL (NMT 37.0 kBq/5 mL)
[14C]AZD9977 Oral Suspension, 100 mg (NMT 9.9 MBq)DRUGOne 100 mg dose of \[14C\]AZD9977 Oral Suspension, 100 mg (NMT 9.9 MBq)
ItraconazoleDRUGParticipants will receive Itraconazole daily (Dose 2) capsule orally once daily from Day 4 to Day 8 plus will be administered AZD9977 (Dose 1, fed state) as a single dose on Day 7. Dose of itraconazole has to be taken at -1 hour (1 hour prior to AZD9977 dosing) when co-administered with AZD9977.
PlaceboDRUGRandomized participants will receive oral dose of matching placebo.
AZD9977 Oral suspension (reference)DRUGRandomized subjects will receive single oral dose of AZD9977 oral suspension 15 mg/mL on Days 1, 3, 5 and 7 in Part A.
AZD9977 capsuleDRUGRandomized subjects will receive single oral dose of AZD9977 capsule 65 mg on Days 1, 3, 5 and 7 in Part A.
AZD9977 ER capsule (fastvrate)DRUGRandomized subjects will receive single oral dose of AZD9977 ER capsule (fast rate) 65 mg on Days 1, 3, 5 and 7 in Part A.
AZD9977 ER capsule (Int. rate)DRUGRandomized subjects will receive single oral dose of AZD9977 ER capsule (Int rate) 65 mg on Days 1, 3, 5 and 7 in Part A.
AZD9977 oral suspensionDRUGAZD9977 oral suspension, single dose
AZD9977 placebo oral suspensionDRUGoral suspension, single dose
Fludrocortisone, tabletsDRUGLoading dose of 0.5 mg and maintenance doses of 0.1 mg every second hour up to a total dose of 1.0 mg per treatment period (may be modified to up to 1.3 mg based on emerging data)
Eplerenone, tabletsDRUG100 mg (2 x 50 mg tablets) single dose, may be modified based on emerging data (will not exceed 500 mg per treatment period)
AZD9977, oral suspensionDRUGSingle ascending doses of AZD9977 oral suspension (Part A) Single dose of AZD9977 oral suspension in IntelliCap® capsule in regional absorption part (Part B)
Placebo, oral suspensionDRUGMatching placebo
AZD9977, oral solutionDRUGAZD9977, single dose of oral solution in Part B as reference
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Eligibility Criteria

Age Range21 Years to 130 Years
SexALL
Healthy VolunteersNo
Study Sites156

Inclusion Criteria: Participants are included in the study if any of the following criteria apply: * Documented diagnosis of stable symptomatic HF (New York Heart Association class II-III) at screening, and a medical history of typical symptoms and signs of HF in those who are currently receiving ...

Countries:United StatesBelgiumBulgariaCanadaCzechiaDenmarkGermanyHungaryIndiaItalyJapanLithuaniaPolandRussiaSlovakiaSouth KoreaSpainSwedenTaiwanThailandTurkey (Türkiye)UkraineUnited Kingdom
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Frequently asked questions about AZD9977

What is AZD9977 used for?

AZD9977 is an investigational small molecule being developed by AstraZeneca for cardiovascular conditions, including heart failure and heart failure with preserved ejection fraction (HFpEF). It has been studied in healthy volunteers for safety, tolerability, and pharmacodynamics, and in participants with renal impairment. It is not approved and remains in Phase 1 clinical development.

What does AZD9977 target?

AZD9977 is a small molecule in development for heart failure. Its specific molecular target has not been disclosed in the available clinical trial information. The drug is being studied for its effects on safety, tolerability, pharmacokinetics, and pharmacodynamics in early-stage trials.

Who makes AZD9977?

AZD9977 is developed by AstraZeneca PLC, a biopharmaceutical company listed on the stock exchange under the ticker AZN. AstraZeneca is conducting Phase 1 clinical trials to evaluate the drug's safety and pharmacokinetics in healthy volunteers and in patients with renal impairment.

What phase is AZD9977 in?

AZD9977 is in Phase 1 clinical development. All completed trials for AZD9977 are Phase 1 studies, including single and multiple ascending dose studies in healthy participants and a study in participants with renal impairment. The drug is investigational and has not been approved by regulatory authorities.

What clinical trials is AZD9977 in?

AZD9977 has been studied in several completed Phase 1 trials, including NCT02484729, a single ascending dose study in healthy males; NCT03801967, a Japanese healthy participant study; NCT04469907, a renal impairment study; and NCT04686591, an absolute bioavailability and ADME study. These trials assessed safety, tolerability, and pharmacokinetics.

Is AZD9977 the same as any other drug?

AZD9977 is the code name used for this investigational compound in clinical trials. No alternative brand names or other designations have been reported in the available clinical trial information. The drug is identified solely as AZD9977 in the studies conducted by AstraZeneca.