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AD04

Phase 3

Alcohol Use Disorder | Small molecule | Psychiatry |Azora Therapeutics, Inc.|Trials Updated: Apr 17, 2024

AD04 target and mechanism

Molecular targetserotonin-3 receptor
Target classReceptor
ModalitySmall molecule

Also known as AD04 (ondansetron)

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment302

FDA Designations

No designations recorded

AD04 clinical trials

AD04 · 1 trial · 1 indication

Phase 3 1
NCT04101227Study to Evaluate AD04 in Adults With Alcohol Use Disorder (AUD) and Selected Serotonin Transporter PolymorphismsAlcohol Use Disorder
COMPLETED302 Analytics
PHASE3COMPLETED
Study to Evaluate AD04 in Adults With Alcohol Use Disorder (AUD) and Selected Serotonin Transporter Polymorphisms
Alcohol Use DisorderUnlock trial analytics

Study Endpoints

Primary Endpoints

Change from baseline in the percentage of monthly heavy drinking days (PHDD)
Weeks 16 to 24

Change from baseline in the percentage of monthly HDDs, where (heavy) drinking is defined as the consumption of ≥ 60 g alcohol/day (if male) or ≥ 40 g alcohol/day (if female).

Secondary Endpoints

Change from baseline in the primary efficacy endpoint at each study month
Weeks 4, 8, 12, 16, 20, and 24
Change from baseline in AUD symptoms and clinical status
Weeks 12 and 24
Change from baseline in Drinking Risk Levels (DRL), 1-level shift
Week 24
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Treatment ArmEXPERIMENTALAD04 (ondansetron)
Placebo ArmPLACEBO_COMPARATORMatching Placebo

Interventions

NameTypeDescription
AD04 (ondansetron)DRUGAD04 (ondansetron) 0.33 mg, orally (p.o.) twice a day (BID)
Matching placeboDRUGMatching placebo to AD04 (ondansetron), orally (p.o.) twice a day (BID)
Companion Diagnostic for Genetic TestingDEVICECompanion Diagnostic for Genetic Testing
Brief Psychological CounselingBEHAVIORALBrief Psychological Counseling
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites25

Inclusion Criteria: 1. The subject has signed the Informed Consent Form. 2. The subject has breath alcohol concentration (BAC) of 0.00% at the Screening and \< 0.02 % at the Baseline visit. 3. The subject has moderate to severe diagnosis of AUD as measured by Diagnostic and Statistical Manual of Me...

Countries:BulgariaCroatiaEstoniaFinlandLatviaPolandSweden
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Frequently asked questions about AD04

What is AD04 used for?

AD04 is being developed for the treatment of alcohol use disorder (AUD) in adults. It is a small molecule studied in a Phase 3 trial that enrolled adults aged 18 years and older with AUD across sites in Bulgaria, Croatia, Estonia, Finland, Latvia, Poland, and Sweden.

What does AD04 target?

AD04 targets the serotonin-3 receptor, a receptor target. Its mechanism is directed at this serotonin receptor subtype, and the Phase 3 study also enrolled patients selected for serotonin transporter polymorphisms, linking the drug's serotonin pathway focus to the trial population.

Who is developing AD04?

AD04 is being developed by Azora Therapeutics, Inc., which trades under the ticker AZR. The company is advancing the small molecule as a treatment for alcohol use disorder in adults through Phase 3 clinical development.

What phase is AD04 in?

AD04 is in Phase 3 development for alcohol use disorder. It is investigational and has not been approved by the FDA. One Phase 3 trial has been completed, and no trials are currently active according to available tracking.

What clinical trials is AD04 in?

AD04 has been studied in the Phase 3 trial NCT04101227, titled Study to Evaluate AD04 in Adults With Alcohol Use Disorder (AUD) and Selected Serotonin Transporter Polymorphisms. The trial was randomized, double-blind, and placebo-controlled, enrolled 302 participants, and is completed.

Is AD04 the same as ondansetron?

Yes, AD04 is also known as AD04 (ondansetron). Ondansetron is the underlying drug name, and AD04 is the development designation used by Azora Therapeutics for its alcohol use disorder program. Readers searching either name are looking at the same small molecule asset.