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MEDI8367

Phase 1

Chronic Kidney Disease | Small molecule | Nephrology |AstraZeneca PLC|Last Updated: Apr 21, 2022

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-BlindCONTROLLEDBiomarker
Total Trials1
Total Enrollment12
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04365218A Study to Evaluate the Safety and Pharmacokinetics With MEDI8367 Administered in Healthy Subjects, and in Subjects With Chronic Kidney DiseasePHASE1 COMPLETED 12Jul 22, 2020Jan 3, 2021Apr 21, 20221 United States
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Study Endpoints
Primary Endpoints
Number of subjects with adverse events (AEs) and serious adverse events (SAEs)
From screening (Day -28) to follow-up period (Day 90 ± 4 days)

To assess AEs as a variable of safety and tolerability of SC of MEDI8367

Number of subjects with abnormal systolic blood pressure (SBP)
From screening (Day -28) up to follow-up period (Day 90 ± 4 days)

To assess supine position SBP as a variable of safety and tolerability of MEDI8367

Number of patients with abnormal diastolic blood pressure (DBP)
From screening (Day -28) up to follow-up period (Day 90 ± 4 days)

To assess supine position DBP as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal HR
From screening (Day -28) up to follow-up period (Day 90 ± 4 days)

To assess change in supine position HR as a variable of safety and tolerability of MEDI8367

Number of subjects with respiratory rate
From screening (Day -28) up to follow-up period (Day 90 ± 4 days)

To assess change in supine position respiratory rate as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal oral body temperature
From screening (Day -28) up to follow-up period (Day 90 ± 4 days)

To assess change in oral body temperature as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal electrocardiogram (ECG)
From screening (Day -28) up to follow-up period (Day 90 ± 4 days)

To assess electrical activity changes in ECG as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal physical examination
From screening (Day -28) up to follow-up period (Day 90 ± 4 days)

To assess change in physical examination as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal structured neurological assessment
From screening (Day -28 ) up to follow-up period (Day 90 ± 4 days)

To assess change in structured neurological assessment as safety and tolerability of MEDI8367. Any new or aggravated clinically relevant abnormal neurological examination finding compared to the baseline assessment will be reported as an AE

Number of subjets with abnormal retinal imaging
From screening (Day -28) up to follow-up period (Day 90 ± 4 days)

To assess retinal imaging as a variable of safety and tolerability of MEDI8367. The presence of proliferative retinopathy or any other new retinal changes will be recorded. Any new or aggravated clinically relevant abnormal retinal imaging finding compared to the baseline assessment will be reported as an AE

Number of subjects with abnormal Hemoglobin (Hb) level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess change in Hb as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal red blood cells (RBC) count
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess RBC count as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal white blood cells (WBC) count
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess WBC count as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal differential WBC count
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess differential WBC count as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal hematocrit (HCT)
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess HCT as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal mean corpuscular volume (MCV)
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess MCV as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal mean corpuscular hemoglobin (MCH)
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess MCH as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal reticulocytes absolute count
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess reticulocytes absolute count as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal mean corpuscular hemoglobin concentration (MCHC)
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess MCHC as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal platelets count
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess platelets count as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal creatinine level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess creatinine level as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal blood urea nitrogen level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess blood urea nitrogen level as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal urea level.
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To asses urea level as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal bicarbonate level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To asses bicarbonate level as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal creatine kinase (CK) level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To asses CK level as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal follicle stimulating hormone (FSH)/luteinizing hormone (LH) level
From screening (Day -28) to treatment period (Day -1)

To asses FSH/LH level for postmenopausal females as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal C-reactive protein (CRP) level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To asses CRP level as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal cystatin C level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To asses cystatin C level in Cohort 6 only (subjects with CKD) as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal glucose (fasting) level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To asses glucose (fasting) level as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal potassium level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess potassium level as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal sodium level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess sodium level as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal phosphate level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess phosphate level as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal calcium level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess calcium level as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal chloride level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess chloride level as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal alkaline phosphatase (ALP)
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess ALP level as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal bilirubin level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess bilirubin level as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal alanine aminotransferase (ALT)
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess ALT as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal aspartate aminotransferase (AST)
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess AST as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal albumin level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess albumin level as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal urine protein level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess change in urine protein as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal urine glucose level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess changes in abnormal urine glucose as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal urine pH
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess change in urine pH as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal urine ketone level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess change in urine ketone as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal urine bilirubin level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess change in urine bilirubin as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal urine blood level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess change in urine blood as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal urine color.
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess change in urine color as a variable of safety and tolerability of MEDI8367 following SC administration of SAD.

Number of subjects with abnormal urine appearance.
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess change in urine apperance as a variable of safety and tolerability of MEDI8367 following SC administration of SAD.

Number of subjects with abnormal urine specific gravity level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess change in urine specific gravity as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal urine leukocyte esterase level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess change in urine leukocyte esterase as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal urine urobilinogen level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess change in urine urobilinogen as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal urine nitrite level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess change in urine nitrite as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal urine RBC level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess change in urine microscopy included RBC as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal urine WBC level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess change in urine microscopy included WBC as a variable of safety and tolerability of MEDI8367

Number of subjects with abnormal urine casts level
From screening (Day -28 to Day -2) through follow-up period (up to Day 90 ± 4 days)

To assess change in urine microscopy casts as a variable of safety and tolerability of MEDI8367

Secondary Endpoints
Plasma PK analysis: Maximum observed serum drug concentration (Cmax)
From treatment period (Day 1) to follow-up period (up to Day 90 ± 4 days)
Plasma PK analysis: Time to reach maximum observed concentration (tmax)
From treatment period (Day 1) to follow-up period (up to Day 90 ± 4 days)
Plasma PK analysis: Terminal half-life (t½)
From treatment period (Day 1) to follow-up period (up to Day 90 ± 4 days)
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Cohort 1 (Dose A)EXPERIMENTAL6 subjects will be randomized to receive MEDI8367 Dose A and 2 subjects will be randomized to receive placebo.
Cohort 2 (Dose B)EXPERIMENTAL6 subjects will be randomized to receive MEDI8367 Dose B and 2 subjects will be randomized to receive placebo.
Cohort 3 (Dose C)EXPERIMENTAL6 subjects will be randomized to receive MEDI8367 Dose C and 2 subjects will be randomized to receive placebo.
Cohort 4 (Dose D)EXPERIMENTAL6 subjects will be randomized to receive MEDI8367 Dose D and 2 subjects will be randomized to receive placebo.
Cohort 5 (Dose D)EXPERIMENTAL6 subjects will be randomized to receive MEDI8367 Dose D or the highest tolerable dose based on Cohorts 1 to 4 and 2 subjects will be randomized to receive placebo.
Cohort 6 (Dose D)EXPERIMENTAL15 subjects will be randomized to receive MEDI8367 Dose D or the highest tolerable dose based on Cohorts 1 to 4 and 15 subjects will be randomized to receive placebo.
Interventions
NameTypeDescription
MEDI8367DRUGSubjects will receive subcutaneous (SC) single dose of MEDI8367, depending upon dose escalation strategy and Safety Review Committee results. The maximum dose will not exceed 600 mg. The dose will be administered as a single injection or multiple injections in the abdomen region.
PlaceboDRUGSaline solution for injection and the placebo volume to be administered will be equivalent to the MEDI8367 volume administered for each dosing cohort.
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Eligibility Criteria
Age Range18 Years — 55 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Provision of signed and dated, written informed consent and any locally required authorization (eg, Health Insurance Portability and Accountability Act in the USA) prior to any study specific procedures. * Male and/or female subjects aged 18 to 55 years (for Cohort 6 see below...

Countries:United States
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