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MEDI9929

Phase 2

Asthma | Small molecule | Respiratory |AstraZeneca PLC|Last Updated: Dec 4, 2018

Success Probability

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials2
Total Enrollment605

FDA Designations

No designations recorded

Clinical trial landscape

MEDI9929 · 4 trials · 3 indications

Phase 2 2Phase 1 2
NCT02525094Phase 2a Study to Evaluate the Efficacy and Safety of MEDI9929 in Adults With Atopic DermatitisAtopic Dermatitis
COMPLETED113 Analytics
NCT02054130Study to Evaluate the Efficacy and Safety of MEDI9929 (AMG 157) in Adult Subjects With Inadequately Controlled, Severe AsthmaAsthma
COMPLETED584 Analytics
PHASE2COMPLETED
Phase 2a Study to Evaluate the Efficacy and Safety of MEDI9929 in Adults With Atopic Dermatitis
Atopic DermatitisUnlock trial analytics
PHASE2COMPLETED
Study to Evaluate the Efficacy and Safety of MEDI9929 (AMG 157) in Adult Subjects With Inadequately Controlled, Severe Asthma
AsthmaUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants Achieving Greater Than or Equal to (>=) 50 Percent (%) Reduction From Baseline in Eczema Area and Severity Index (EASI 50) at Week 12
Baseline (Day 1) and Week 12

The eczema area and severity index (EASI) evaluates 4 natural anatomical regions for severity (0 \[none\] to 3 \[severe\]) and extent of key disease signs and focuses on the key acute and chronic signs of inflammation (erythema, induration/papulation, excoriation, and lichenification). The total score is the sum of the four body-region scores, maximum=72, minimum=0. The higher values indicating more severe disease. The EASI50 responder defined as a participant who achieved at least 50% reduction in EASI score from baseline.

Annualized Asthma Exacerbation Rate (AER) Through Week 52
Week 0 (Day 1) up to Week 52

Asthma exacerbation is defined as worsening of asthma that leads to any of the following: use of systemic corticosteroids for at least 3 days, an emergency department visit due to asthma that required systemic corticosteroids, and an inpatient hospitalization due to asthma. The annual AER was presented as the total number of exacerbations for the treatment group divided by the total duration of person follow-up.

Area Under the Concentration-time Curve From Zero to Infinity (AUC [0-infinity])
Predose on Day 1 and Day 2, 4, 7, 11, 15, 22, 29, 43, 57 and 85 post-dose.

The pharmacokinetic (PK) parameter AUC (0 to infinity) was estimated based on the serum concentrations of MEDI9929. Serum concentrations of MEDI9929 were measured by enzyme-linked immunosorbent assay.

Area Under the Concentration-Time Curve From Zero to Last Observation (AUC [0-t])
Predose on Day 1 and Day 2, 4, 7, 11, 15, 22, 29, 43, 57 and 85 post-dose.

The PK parameter AUC (0-t) was estimated based on the serum concentrations of MEDI9929. Serum concentrations of MEDI9929 were measured by enzyme-linked immunosorbent assay.

Dose-normalized AUC (0-infinity) (AUC [0 Infinity]/D)
Predose on Day 1 and Day 2, 4, 7, 11, 15, 22, 29, 43, 57 and 85 post-dose.

The AUC (0-infinity)/D is the area under concentration-time curve extrapolated to infinity postdose normalized by MEDI9929 dose. The PK parameter was estimated based on the serum concentrations of MEDI9929. Serum concentrations of MEDI9929 were measured by enzyme-linked immunosorbent assay.

Maximum Observed Serum Concentration (Cmax)
Predose on Day 1 and Day 2, 4, 7, 11, 15, 22, 29, 43, 57 and 85 post-dose.

The PK parameter Cmax was estimated based on the serum concentrations of MEDI9929. Serum concentrations of MEDI9929 were measured by enzyme-linked immunosorbent assay.

Dose-normalized Cmax (Cmax/D)
Predose on Day 1 and Day 2, 4, 7, 11, 15, 22, 29, 43, 57 and 85 post-dose.

The Cmax/D is the maximum observed concentration post dose normalized by MEDI9929 dose. The PK parameter was estimated based on the serum concentrations of MEDI9929. Serum concentrations of MEDI9929 were measured by enzyme-linked immunosorbent assay.

Time to Reach Cmax (Tmax)
Predose on Day 1 and Day 2, 4, 7, 11, 15, 22, 29, 43, 57 and 85 post-dose.

The Tmax is the time to maximum observed serum concentration of MEDI9929. The PK parameter was estimated based on the serum concentrations of MEDI9929. Serum concentrations of MEDI9929 were measured by enzyme-linked immunosorbent assay.

Terminal Phase Elimination Half Life (t1/2,z)
Predose on Day 1 and Day 2, 4, 7, 11, 15, 22, 29, 43, 57 and 85 post-dose.

The t½,z is the time measured for the serum drug concentration of MEDI9929 to decrease by one half. The PK parameter was estimated based on the serum concentrations of MEDI9929. Serum concentrations of MEDI9929 were measured by enzyme-linked immunosorbent assay.

Apparent Clearance (CL/F)
Predose on Day 1 and Day 2, 4, 7, 11, 15, 22, 29, 43, 57 and 85 post-dose.

The PK parameter CL/F was estimated based on the serum concentrations of MEDI9929. Serum concentrations of MEDI9929 were measured by enzyme-linked immunosorbent assay.

Apparent Steady-state Volume of Distribution (Vss/F)
Predose on Day 1 and Day 2, 4, 7, 11, 15, 22, 29, 43, 57 and 85 post-dose.

The PK parameter Vss/F was estimated based on the serum concentrations of MEDI9929. Serum concentrations of MEDI9929 were measured by enzyme-linked immunosorbent assay.

Description of the Safety and tolerability profile of MEDI9929
84 days for cohort 1/2, 112 days for cohort 3

To investigate the safety and tolerability (Adverse events, blood pressure and pulse, Electrocardiogram, Body temperature, respiratory rate, Haematology, Clinical Chemistry, Urinalysis, and physical examination) of MEDI9929 following administration of single ascending doses.

Secondary Endpoints

Percentage of Participants Achieving >= 75 % Reduction From Baseline in EASI75 at Week 12
Baseline (Day 1) and Week 12
Mean Change From Baseline in EASI Total Score at Week 12
Baseline (Day 1) and Week 12
Percentage of Participants Achieving Investigator's Global Assessment (IGA) Response of 0 (Clear) or 1 (Almost Clear) and at Least a 2-Grade Reduction From Baseline
Baseline (Day 1) and Week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
MEDI9929 280 mgEXPERIMENTALParticipants will receive 6 subcutaneous doses of MEDI9929 280 mg every 2 weeks for 12 weeks, with the last dose at Week 10.
PlaceboPLACEBO_COMPARATORParticipants will receive 6 subcutaneous doses of placebo every 2 weeks for 12 weeks, with the last dose at Week 10.
MEDI9929 70 mgEXPERIMENTALParticipants received 70 milligram (mg) of MEDI9929 subcutaneously once every 4 weeks from Day 1 to Week 48 along with subcutaneous placebo once every 4 weeks from Week 2 to Week 50.
MEDI9929 210 mgEXPERIMENTALParticipants received 210 mg of MEDI9929 subcutaneously once every 4 weeks from Day 1 to Week 48 along with subcutaneous placebo once every 4 weeks from Week 2 to Week 50.
MEDI9929, 140 mg, Cohort 1 (12 to 14 years)EXPERIMENTALOn Day 1, one MEDI9929 subcutaneous injection of 70 mg was given into the anterior aspect of one thigh immediately followed by the second injection of 70 mg into the anterior aspect of the contralateral thigh to make the required dose of 140 mg in participants with 12 to 14 years of age.
MEDI9929, 140 mg, Cohort 2 (15 to 17 years)EXPERIMENTALOn Day 1, one MEDI9929 subcutaneous injection of 70 mg was given into the anterior aspect of one thigh immediately followed by the second injection of 70 mg into the anterior aspect of the contralateral thigh to make the required dose of 140 mg in participants with 15 to 17 years of age.
MEDI9929EXPERIMENTALSolution of MEDI9929, SC

Interventions

NameTypeDescription
MEDI9929BIOLOGICALParticipants will receive 6 subcutaneous doses of MEDI9929 280 mg every 2 weeks for 12 weeks, with the last dose at Week 10.
PlaceboBIOLOGICALParticipants will receive 6 subcutaneous doses of placebo every 2 weeks for 12 weeks, with the last dose at Week 10.
MEDI9929 70 mgDRUGParticipants received 70 milligram (mg) of MEDI9929 subcutaneously once every 4 weeks from Day 1 to Week 48 along with subcutaneous placebo once every 4 weeks from Week 2 to Week 50.
MEDI9929 210 mgDRUGParticipants received 210 mg of MEDI9929 subcutaneously once every 4 weeks from Day 1 to Week 48 along with subcutaneous placebo once every 4 weeks from Week 2 to Week 50.
MEDI9929 280 mgDRUGParticipants received 280 mg of MEDI9929 subcutaneously once every 2 weeks from Day 1 to Week 50.
MEDI9929, 140 mgDRUGOn Day 1, two MEDI9929 subcutaneous injection of 70 mg each were given into the anterior aspect of one thigh immediately followed by the second injection into the anterior aspect of the contralateral thigh to make the required dose of 140 mg in participants of 12 to 17 years of age.
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites29

Inclusion Criteria: * AD meeting Hanifin and Rajka criteria * Age 18-75 years inclusive at screening * Atopic dermatitis that affects greater than/equal to 10% body surface area * Moderate to severe AD * Effective birth control in line with protocol details Exclusion Criteria: * Active dermatolog...

Countries:United StatesAustraliaCanadaGermanyHungaryNew ZealandBulgariaCzechiaIsraelJapanLatviaLithuaniaSerbiaSlovakiaSouth AfricaUkrainePoland
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Frequently asked questions about MEDI9929

What is MEDI9929 used for?

MEDI9929 is an investigational small molecule being studied for asthma, atopic dermatitis, and in healthy volunteers. It has been evaluated in clinical trials for inadequately controlled severe asthma in adults, mild to moderate asthma in adolescents, and atopic dermatitis in adults. The drug is not approved and remains in clinical development.

Who makes MEDI9929?

MEDI9929 is being developed by AstraZeneca PLC, which trades under the ticker AZN. The company has sponsored clinical trials of the drug across multiple countries, including the United States, Japan, and several European nations. AstraZeneca is conducting the development program for this investigational therapy.

What phase is MEDI9929 in?

MEDI9929 has completed Phase 2 clinical trials for asthma and atopic dermatitis. It has also completed Phase 1 trials in healthy volunteers and adolescents with asthma. All four trials listed for the drug are completed, with no active trials currently ongoing. The drug remains investigational and is not FDA approved.

What clinical trials is MEDI9929 in?

MEDI9929 has completed four clinical trials. NCT02054130 was a Phase 2 study in adults with inadequately controlled severe asthma. NCT02525094 was a Phase 2a study in adults with atopic dermatitis. NCT01913028 was a Phase 1 study in healthy Japanese males, and NCT02512900 was a Phase 1 study in adolescents with asthma.

Is MEDI9929 the same as AMG 157?

Yes, MEDI9929 is also known as AMG 157. Two of its clinical trials, NCT02054130 and NCT02512900, explicitly reference AMG 157 in their titles. The drug has been studied under both names in clinical research for asthma and other conditions.

What is the development status of MEDI9929 for asthma?

MEDI9929 has completed Phase 2 testing in adults with inadequately controlled severe asthma and Phase 1 testing in adolescents with mild to moderate asthma. The Phase 2 trial enrolled 584 participants across multiple countries. No active trials are currently listed for the drug, and it has not received regulatory approval.