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D9421-C,

Phase 3

Crohn's Disease | Small molecule | Immunology |AstraZeneca PLC|Last Updated: Oct 31, 2016

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_CONTROLLEDBiomarker
Total Trials2
Total Enrollment198
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01514240Phase III Study of D9421-C 9 mg in Patients With Active Crohn's Disease in JapanPHASE3 COMPLETED 123Feb 1, 2012Sep 1, 2014Oct 31, 201625 Japan
NCT00573469Efficacy and Safety Study of D9421-C 9 mg and 15 mg Versus Placebo in Japanese Patients With Active Crohn's DiseasePHASE2 COMPLETED 75Oct 1, 2006Mar 1, 2008Jul 12, 201222 Japan
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Study Endpoints
Primary Endpoints
Remission After 8-week of Treatment
8 Week

For the primary efficacy variable "Remission after 8 weeks of treatment", Crohn's Disease Activity Index CDAI scores was used to determine the patient's response. Remission for this study is defined as a CDAI score of ≤150. A patient who drops out without any remission before week 8 was considered as a nonresponder (no remission) for this analysis. A patient who drops out before Week 8, but was in remission at the time of dropout, was considered in remission after dropout in this analysis.

Number of Participants Who Had Remission of Crohn's Disease After 8-week Treatment
Baseline to 8 weeks

Remission is defined by a Crohn's Disease Activity Index (CDAI) score of ≤ 150. That is, if a participant had 150 or less of CDAI score after 8-week treatment, the participant had the remission of Crohn's disease. The number of participants who had remission of Crohn's disease after 8-week treatment was the primary measure of this study.

Secondary Endpoints
Remission After 2-week of Treatment
2 Week
Remission After 4-week of Treatment
4 Week
Change in Observed CDAI Scores From Baseline to Weeks 2
2 Week
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
D9421-CEXPERIMENTALD9421-C 9 mg once daily
MesalazineACTIVE_COMPARATORMesalazine 1 g three times a day
1ACTIVE_COMPARATORD9421-C 9 mg
2ACTIVE_COMPARATORD9421-C 15 mg
3PLACEBO_COMPARATORPlacebo
Interventions
NameTypeDescription
D9421-C capsule 3 mgDRUGPatients randomised to D9421-C 9 mg will take 3 capsules of D9421-C capsule 3 mg once daily before breakfast and 4 tablets of Mesalazine tablets placebo three times a day after each meal for 8 weeks.
Mesalazine tabletsDRUGPatients randomised to Mesalazine 3 g will take 3 capsules of D9421-C capsule placebo once daily before breakfast and 4 tablets of Mesalazine tablets 250 mg three times a day after each meal for 8 weeks.
D9421-C, 9mgDRUGD9421-C 9 mg was given once daily for 8 weeks.
D9421-C, 15mgDRUGD9421-C 15 mg was given once daily for 8 weeks.
PlaceboDRUGD9421-C matching placebo was given once daily for 8 weeks.
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Eligibility Criteria
Age Range15 Years — 130 Years
SexALL
Healthy VolunteersNo
Study Sites25

Inclusion Criteria: * 15 years of age or older * Main active disease of the ileal, ileocecal region, and/or ascending colon - - If treated with partial nutrition treatment (≤1200 kcal/day) or if treated with azathioprine (≤2.0 mg/kg/day) or 6-mercaptopurine (≤1.2 mg/kg/day), prior to randomisation ...

Countries:Japan
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