Trial Outcomes & Findings for A Study to Assess Safety,and Tolerability of 2 Doses of AZD9773 (CytoFab™) in Japanese With Severe Sepsis/Septic Shock (NCT NCT01144624)

NCT ID: NCT01144624

Last Updated: 2014-10-06

Results Overview

Number of patients with treatment-emergent adverse events and number of patients who died over 28 days

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

20 participants

Primary outcome timeframe

28 day study period

Results posted on

2014-10-06

Participant Flow

Subjects were screened and enrolled at six centres in Japan.

Participant milestones

Participant milestones
Measure
Dose Cohort 1
AZD9773 250/50 units/kg IV
Dose Cohort 2
AZD9773 500/100 units/kg IV
Placebo
Saline
Overall Study
STARTED
7
7
6
Overall Study
Received Treatment
7
7
6
Overall Study
Completed Treatment
7
7
6
Overall Study
COMPLETED
7
7
6
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study to Assess Safety,and Tolerability of 2 Doses of AZD9773 (CytoFab™) in Japanese With Severe Sepsis/Septic Shock

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dose Cohort 1
n=7 Participants
AZD9773 250/50 units/kg IV
Dose Cohort 2
n=7 Participants
AZD9773 500/100 units/kg IV
Placebo
n=6 Participants
Saline
Total
n=20 Participants
Total of all reporting groups
Age, Continuous
71.3 years
STANDARD_DEVIATION 10.89 • n=5 Participants
77.6 years
STANDARD_DEVIATION 10.45 • n=7 Participants
77.7 years
STANDARD_DEVIATION 17.64 • n=5 Participants
75.4 years
STANDARD_DEVIATION 12.78 • n=4 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
11 Participants
n=4 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
3 Participants
n=7 Participants
2 Participants
n=5 Participants
9 Participants
n=4 Participants

PRIMARY outcome

Timeframe: 28 day study period

Population: Safety analysis set

Number of patients with treatment-emergent adverse events and number of patients who died over 28 days

Outcome measures

Outcome measures
Measure
Arm 1 - Dose Cohort 1
n=7 Participants
AZD9773 250/50 units/kg IV
Arm 2 - Dose Cohort 2
n=7 Participants
AZD9773 500/100 units/kg IV
Arm 3 - Placebo
n=6 Participants
Saline
Safety and Tolerability of AZD9773
Number of Patients with Treatment-Emergent AEs
7 Participants
7 Participants
6 Participants
Safety and Tolerability of AZD9773
Number of Patients who Died over 28 days
1 Participants
0 Participants
2 Participants

PRIMARY outcome

Timeframe: From first dose to last dose (Day 5/6 or at premature treatment discontinuation)

Population: Pharmacokinetic analysis set

Maximum concentration at steady state (Cmax ss) for serum total and specific fabs

Outcome measures

Outcome measures
Measure
Arm 1 - Dose Cohort 1
n=7 Participants
AZD9773 250/50 units/kg IV
Arm 2 - Dose Cohort 2
n=5 Participants
AZD9773 500/100 units/kg IV
Arm 3 - Placebo
Saline
Pharmacokinetics of AZD9773
Cmax ss for serum total fabs
38.48 ug/mL
Interval 30.5 to 62.4
71.04 ug/mL
Interval 41.7 to 90.7
Pharmacokinetics of AZD9773
Cmax ss for serum specific fabs
1.823 ug/mL
Interval 1.31 to 2.62
3.335 ug/mL
Interval 1.92 to 4.62

SECONDARY outcome

Timeframe: Levels taken at baseline, over the dosing period (up to Day 5/6)

Population: Safety analysis set

TNF-alpha levels over approximately 6 days following the first dose

Outcome measures

Outcome measures
Measure
Arm 1 - Dose Cohort 1
n=7 Participants
AZD9773 250/50 units/kg IV
Arm 2 - Dose Cohort 2
n=7 Participants
AZD9773 500/100 units/kg IV
Arm 3 - Placebo
n=6 Participants
Saline
Pharmacodynamic Effects of AZD9773 on TNF-alpha
TNF-alpha level at baseline
1.000 pg/ml
Interval 0.92 to 8.89
1.690 pg/ml
Interval 0.92 to 2.65
8.810 pg/ml
Interval 1.13 to 29.17
Pharmacodynamic Effects of AZD9773 on TNF-alpha
TNF-alpha level 1-2 hours post-first dose
0.920 pg/ml
Interval 0.92 to 5.93
0.990 pg/ml
Interval 0.92 to 2.18
7.425 pg/ml
Interval 0.92 to 28.4
Pharmacodynamic Effects of AZD9773 on TNF-alpha
TNF-alpha level on Day 6 (pre-morning dose)
1.710 pg/ml
Interval 0.92 to 14.9
1.140 pg/ml
Interval 0.92 to 1.57
1.560 pg/ml
Interval 0.92 to 3.0

Adverse Events

Dose Cohort 1

Serious events: 4 serious events
Other events: 7 other events
Deaths: 0 deaths

Dose Cohort 2

Serious events: 1 serious events
Other events: 7 other events
Deaths: 0 deaths

Placebo

Serious events: 1 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Dose Cohort 1
n=7 participants at risk
AZD9773 250/50 units/kg IV
Dose Cohort 2
n=7 participants at risk
AZD9773 500/100 units/kg IV
Placebo
n=6 participants at risk
Saline
Cardiac disorders
Acute Myocardial Infarction
14.3%
1/7
0.00%
0/7
0.00%
0/6
Cardiac disorders
Ventricular Tachycardia
14.3%
1/7
0.00%
0/7
0.00%
0/6
Gastrointestinal disorders
Large Intestine Perforation
14.3%
1/7
0.00%
0/7
0.00%
0/6
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastric Cancer
0.00%
0/7
14.3%
1/7
0.00%
0/6
Nervous system disorders
Cerebral Infarction
14.3%
1/7
0.00%
0/7
0.00%
0/6
Nervous system disorders
Parkinsonism
0.00%
0/7
14.3%
1/7
0.00%
0/6
Respiratory, thoracic and mediastinal disorders
Haemothorax
0.00%
0/7
0.00%
0/7
16.7%
1/6

Other adverse events

Other adverse events
Measure
Dose Cohort 1
n=7 participants at risk
AZD9773 250/50 units/kg IV
Dose Cohort 2
n=7 participants at risk
AZD9773 500/100 units/kg IV
Placebo
n=6 participants at risk
Saline
Blood and lymphatic system disorders
Anaemia
28.6%
2/7
14.3%
1/7
0.00%
0/6
Blood and lymphatic system disorders
Haemorrhagic Anaemia
14.3%
1/7
14.3%
1/7
0.00%
0/6
Cardiac disorders
Arrhythmia
0.00%
0/7
0.00%
0/7
16.7%
1/6
Cardiac disorders
Atrial Fibrillation
0.00%
0/7
28.6%
2/7
0.00%
0/6
Cardiac disorders
Bradycardia
14.3%
1/7
14.3%
1/7
0.00%
0/6
Cardiac disorders
Cardiovascular Insufficiency
0.00%
0/7
14.3%
1/7
0.00%
0/6
Cardiac disorders
Mitral Valve Incompetence
14.3%
1/7
0.00%
0/7
0.00%
0/6
Cardiac disorders
Sinus Tachycardia
0.00%
0/7
14.3%
1/7
0.00%
0/6
Cardiac disorders
Supraventricular Extrasystoles
0.00%
0/7
0.00%
0/7
16.7%
1/6
Cardiac disorders
Ventricular Extrasystoles
14.3%
1/7
28.6%
2/7
16.7%
1/6
Cardiac disorders
Ventricular Tachycardia
14.3%
1/7
0.00%
0/7
0.00%
0/6
Congenital, familial and genetic disorders
Pyloric Stenosis
0.00%
0/7
14.3%
1/7
0.00%
0/6
Endocrine disorders
Adrenal Insufficiency
0.00%
0/7
14.3%
1/7
0.00%
0/6
Eye disorders
Conjunctival Hyperaemia
0.00%
0/7
14.3%
1/7
0.00%
0/6
Eye disorders
Conjunctival Oedema
0.00%
0/7
14.3%
1/7
0.00%
0/6
Gastrointestinal disorders
Abdominal Compartment Syndrome
14.3%
1/7
0.00%
0/7
0.00%
0/6
Gastrointestinal disorders
Anal Erosion
28.6%
2/7
0.00%
0/7
0.00%
0/6
Gastrointestinal disorders
Ascites
0.00%
0/7
28.6%
2/7
0.00%
0/6
Gastrointestinal disorders
Cheilitis
14.3%
1/7
0.00%
0/7
0.00%
0/6
Gastrointestinal disorders
Colitis
14.3%
1/7
0.00%
0/7
0.00%
0/6
Gastrointestinal disorders
Constipation
0.00%
0/7
14.3%
1/7
0.00%
0/6
Gastrointestinal disorders
Diarrhoea
14.3%
1/7
14.3%
1/7
50.0%
3/6
Gastrointestinal disorders
Gastric Haemorrhage
0.00%
0/7
0.00%
0/7
16.7%
1/6
Gastrointestinal disorders
Gastritis Erosive
0.00%
0/7
14.3%
1/7
0.00%
0/6
Gastrointestinal disorders
Gastrointestinal Haemorrhage
0.00%
0/7
14.3%
1/7
0.00%
0/6
Gastrointestinal disorders
Gastrointestinal Hypomotility
0.00%
0/7
14.3%
1/7
0.00%
0/6
Gastrointestinal disorders
Haematochezia
0.00%
0/7
14.3%
1/7
0.00%
0/6
Gastrointestinal disorders
Ileus Paralytic
14.3%
1/7
28.6%
2/7
0.00%
0/6
Gastrointestinal disorders
Periodontitis
14.3%
1/7
0.00%
0/7
0.00%
0/6
Gastrointestinal disorders
Stomatitis
14.3%
1/7
0.00%
0/7
0.00%
0/6
Gastrointestinal disorders
Vomiting
0.00%
0/7
14.3%
1/7
0.00%
0/6
General disorders
Catheter Site Haematoma
0.00%
0/7
0.00%
0/7
16.7%
1/6
General disorders
Device Leakage
14.3%
1/7
0.00%
0/7
0.00%
0/6
General disorders
Disuse Syndrome
28.6%
2/7
14.3%
1/7
16.7%
1/6
General disorders
Fat Necrosis
14.3%
1/7
0.00%
0/7
0.00%
0/6
General disorders
Generalised Oedema
28.6%
2/7
0.00%
0/7
0.00%
0/6
General disorders
Injection Site Erythema
14.3%
1/7
0.00%
0/7
0.00%
0/6
General disorders
Oedema
14.3%
1/7
28.6%
2/7
0.00%
0/6
General disorders
Oedema Peripheral
14.3%
1/7
42.9%
3/7
0.00%
0/6
General disorders
Pain
0.00%
0/7
14.3%
1/7
0.00%
0/6
Hepatobiliary disorders
Cholecystitis
0.00%
0/7
0.00%
0/7
16.7%
1/6
Hepatobiliary disorders
Hepatic Function Abnormal
28.6%
2/7
0.00%
0/7
16.7%
1/6
Hepatobiliary disorders
Jaundice
0.00%
0/7
14.3%
1/7
0.00%
0/6
Infections and infestations
Abdominal Abscess
14.3%
1/7
0.00%
0/7
0.00%
0/6
Infections and infestations
Bacteraemia
0.00%
0/7
14.3%
1/7
0.00%
0/6
Infections and infestations
Cellulitis Staphylococcal
14.3%
1/7
0.00%
0/7
0.00%
0/6
Infections and infestations
Colostomy Infection
14.3%
1/7
0.00%
0/7
0.00%
0/6
Infections and infestations
Fungaemia
14.3%
1/7
0.00%
0/7
0.00%
0/6
Infections and infestations
Fungal Skin Infection
0.00%
0/7
14.3%
1/7
0.00%
0/6
Infections and infestations
Herpes Zoster
14.3%
1/7
14.3%
1/7
0.00%
0/6
Infections and infestations
Incision Site Cellulitis
14.3%
1/7
0.00%
0/7
0.00%
0/6
Infections and infestations
Infectious Peritonitis
14.3%
1/7
0.00%
0/7
0.00%
0/6
Infections and infestations
Oral Herpes
14.3%
1/7
14.3%
1/7
16.7%
1/6
Infections and infestations
Pneumonia
14.3%
1/7
0.00%
0/7
0.00%
0/6
Infections and infestations
Pneumonia Bacterial
14.3%
1/7
0.00%
0/7
0.00%
0/6
Infections and infestations
Pneumonia Pneumococcal
14.3%
1/7
0.00%
0/7
0.00%
0/6
Infections and infestations
Pneumonia Staphylococcal
0.00%
0/7
14.3%
1/7
0.00%
0/6
Infections and infestations
Postoperative Wound Infection
28.6%
2/7
0.00%
0/7
33.3%
2/6
Infections and infestations
Pseudomembranous Colitis
0.00%
0/7
0.00%
0/7
16.7%
1/6
Infections and infestations
Septic Shock
0.00%
0/7
14.3%
1/7
0.00%
0/6
Infections and infestations
Tinea Cruris
0.00%
0/7
0.00%
0/7
16.7%
1/6
Infections and infestations
Tracheostomy Infection
0.00%
0/7
0.00%
0/7
16.7%
1/6
Infections and infestations
Urinary Tract Infection
0.00%
0/7
14.3%
1/7
0.00%
0/6
Injury, poisoning and procedural complications
Gastrointestinal Anastomotic Leak
14.3%
1/7
0.00%
0/7
0.00%
0/6
Injury, poisoning and procedural complications
Incision Site Haemorrhage
14.3%
1/7
0.00%
0/7
0.00%
0/6
Injury, poisoning and procedural complications
Post Procedural Complication
14.3%
1/7
14.3%
1/7
0.00%
0/6
Injury, poisoning and procedural complications
Post Procedural Haemorrhage
0.00%
0/7
14.3%
1/7
0.00%
0/6
Injury, poisoning and procedural complications
Tracheal Obstruction
14.3%
1/7
0.00%
0/7
0.00%
0/6
Injury, poisoning and procedural complications
Traumatic Lung Injury
0.00%
0/7
0.00%
0/7
16.7%
1/6
Injury, poisoning and procedural complications
Wound Complication
0.00%
0/7
14.3%
1/7
0.00%
0/6
Investigations
Blood Creatine Phosphokinase Increased
14.3%
1/7
14.3%
1/7
0.00%
0/6
Investigations
Blood Pressure Decreased
14.3%
1/7
0.00%
0/7
0.00%
0/6
Investigations
Body Temperature Increased
0.00%
0/7
14.3%
1/7
0.00%
0/6
Investigations
C-Reactive Protein Increased
14.3%
1/7
0.00%
0/7
0.00%
0/6
Investigations
Heart Rate Increased
0.00%
0/7
14.3%
1/7
0.00%
0/6
Investigations
Hepatic Enzyme Increased
0.00%
0/7
14.3%
1/7
0.00%
0/6
Investigations
Pancreatic Enzymes Increased
0.00%
0/7
14.3%
1/7
0.00%
0/6
Investigations
Urine Output Decreased
0.00%
0/7
14.3%
1/7
0.00%
0/6
Investigations
White Blood Cell Count Decreased
0.00%
0/7
14.3%
1/7
0.00%
0/6
Metabolism and nutrition disorders
Acidosis
0.00%
0/7
14.3%
1/7
0.00%
0/6
Metabolism and nutrition disorders
Gout
14.3%
1/7
0.00%
0/7
0.00%
0/6
Metabolism and nutrition disorders
Hyperglycaemia
14.3%
1/7
0.00%
0/7
16.7%
1/6
Metabolism and nutrition disorders
Hyperkalaemia
14.3%
1/7
0.00%
0/7
16.7%
1/6
Metabolism and nutrition disorders
Hypoalbuminaemia
0.00%
0/7
14.3%
1/7
0.00%
0/6
Metabolism and nutrition disorders
Hypokalaemia
14.3%
1/7
14.3%
1/7
0.00%
0/6
Metabolism and nutrition disorders
Hyponatraemia
14.3%
1/7
0.00%
0/7
0.00%
0/6
Metabolism and nutrition disorders
Hypovolaemia
14.3%
1/7
0.00%
0/7
0.00%
0/6
Metabolism and nutrition disorders
Metabolic Alkalosis
28.6%
2/7
0.00%
0/7
0.00%
0/6
Musculoskeletal and connective tissue disorders
Muscular Weakness
14.3%
1/7
0.00%
0/7
16.7%
1/6
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastric Cancer
14.3%
1/7
0.00%
0/7
0.00%
0/6
Psychiatric disorders
Delirium
0.00%
0/7
0.00%
0/7
16.7%
1/6
Psychiatric disorders
Insomnia
0.00%
0/7
14.3%
1/7
0.00%
0/6
Psychiatric disorders
Mental Disorder Due To A General Medical Condition
28.6%
2/7
0.00%
0/7
16.7%
1/6
Renal and urinary disorders
Renal Impairment
0.00%
0/7
28.6%
2/7
0.00%
0/6
Respiratory, thoracic and mediastinal disorders
Atelectasis
0.00%
0/7
28.6%
2/7
0.00%
0/6
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.00%
0/7
14.3%
1/7
0.00%
0/6
Respiratory, thoracic and mediastinal disorders
Haemoptysis
14.3%
1/7
0.00%
0/7
0.00%
0/6
Respiratory, thoracic and mediastinal disorders
Oropharyngeal Pain
0.00%
0/7
0.00%
0/7
16.7%
1/6
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
71.4%
5/7
57.1%
4/7
0.00%
0/6
Respiratory, thoracic and mediastinal disorders
Pneumomediastinum
14.3%
1/7
0.00%
0/7
0.00%
0/6
Respiratory, thoracic and mediastinal disorders
Pneumonia Aspiration
0.00%
0/7
14.3%
1/7
0.00%
0/6
Respiratory, thoracic and mediastinal disorders
Pneumothorax
14.3%
1/7
14.3%
1/7
0.00%
0/6
Respiratory, thoracic and mediastinal disorders
Productive Cough
0.00%
0/7
14.3%
1/7
0.00%
0/6
Respiratory, thoracic and mediastinal disorders
Pulmonary Congestion
0.00%
0/7
14.3%
1/7
0.00%
0/6
Respiratory, thoracic and mediastinal disorders
Pulmonary Fibrosis
0.00%
0/7
14.3%
1/7
0.00%
0/6
Respiratory, thoracic and mediastinal disorders
Tachypnoea
0.00%
0/7
14.3%
1/7
0.00%
0/6
Respiratory, thoracic and mediastinal disorders
Tracheal Oedema
0.00%
0/7
14.3%
1/7
0.00%
0/6
Respiratory, thoracic and mediastinal disorders
Vocal Cord Polyp
14.3%
1/7
0.00%
0/7
0.00%
0/6
Respiratory, thoracic and mediastinal disorders
Wheezing
0.00%
0/7
0.00%
0/7
16.7%
1/6
Skin and subcutaneous tissue disorders
Decubitus Ulcer
14.3%
1/7
0.00%
0/7
16.7%
1/6
Skin and subcutaneous tissue disorders
Dermatitis
0.00%
0/7
0.00%
0/7
16.7%
1/6
Skin and subcutaneous tissue disorders
Dermatitis Contact
14.3%
1/7
14.3%
1/7
16.7%
1/6
Skin and subcutaneous tissue disorders
Dry Skin
14.3%
1/7
0.00%
0/7
0.00%
0/6
Skin and subcutaneous tissue disorders
Erythema
42.9%
3/7
0.00%
0/7
16.7%
1/6
Skin and subcutaneous tissue disorders
Petechiae
0.00%
0/7
14.3%
1/7
0.00%
0/6
Skin and subcutaneous tissue disorders
Purpura
0.00%
0/7
14.3%
1/7
0.00%
0/6
Skin and subcutaneous tissue disorders
Rash
0.00%
0/7
14.3%
1/7
16.7%
1/6
Skin and subcutaneous tissue disorders
Skin Erosion
14.3%
1/7
14.3%
1/7
0.00%
0/6
Skin and subcutaneous tissue disorders
Skin Exfoliation
14.3%
1/7
0.00%
0/7
0.00%
0/6
Skin and subcutaneous tissue disorders
Skin Haemorrhage
0.00%
0/7
14.3%
1/7
0.00%
0/6
Skin and subcutaneous tissue disorders
Skin Oedema
0.00%
0/7
14.3%
1/7
0.00%
0/6
Skin and subcutaneous tissue disorders
Subcutaneous Emphysema
28.6%
2/7
14.3%
1/7
0.00%
0/6
Skin and subcutaneous tissue disorders
Vascular Purpura
0.00%
0/7
14.3%
1/7
0.00%
0/6
Surgical and medical procedures
Dermabrasion
0.00%
0/7
14.3%
1/7
0.00%
0/6
Vascular disorders
Flushing
0.00%
0/7
0.00%
0/7
16.7%
1/6
Vascular disorders
Hypertension
14.3%
1/7
0.00%
0/7
0.00%
0/6
Vascular disorders
Jugular Vein Thrombosis
0.00%
0/7
0.00%
0/7
16.7%
1/6

Additional Information

Justin Lindemann

AstraZeneca

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60