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AZD9977

Phase 2

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

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 Trials2
Total Enrollment181
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04595370Efficacy, Safety and Tolerability of AZD9977 and Dapagliflozin in Participants With Heart Failure and Chronic Kidney DiseasePHASE2 COMPLETED 153Jan 26, 2021Sep 22, 2023Nov 19, 2024156 United States, Belgium +20
NCT03801967A Study to Assess the Safety, Tolerability and Pharmacokinetics of AZD9977 in Japanese Healthy Participants With Single and Multiple Ascending Dose AdministrationPHASE1 COMPLETED 28Jan 24, 2019May 2, 2019May 10, 20191 United Kingdom
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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.

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.

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.
AZD9977EXPERIMENTALEach participant will receive AZD9977 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.
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.
Interventions
NameTypeDescription
AZD9977DRUGParticipants will receive AZD9977 as per the arms they are randomized.
DapagliflozinDRUGParticipants will receive dapagliflozin as per the arms they are randomized.
PlaceboDRUGRandomized participants will receive oral dose of matching placebo.
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Eligibility Criteria
Age Range21 Years — 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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