Trial Outcomes & Findings for A Study to Evaluate the Safety and Efficacy of AZD5718 in Participants With Proteinuric Chronic Kidney Disease (NCT NCT04492722)

NCT ID: NCT04492722

Last Updated: 2024-12-20

Results Overview

The dose response effect of AZD5718 on urine ACR at 20 weeks was evaluated. Values less than 1 indicate improvement from baseline.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

613 participants

Primary outcome timeframe

Week 1 (Baseline) to Week 20

Results posted on

2024-12-20

Participant Flow

Participants were enrolled in this study from 01 October 2020 to 06 September 2022. The study was terminated early on 01 July 2022 due to lack of efficacy.

The screening period was for 4 weeks. Participants who met all the inclusion and none of the exclusion criteria were enrolled to the study. All study assessments were performed as per the schedule of assessment.

Participant milestones

Participant milestones
Measure
AZD5718 Dose 1 + Dapagliflozin 10 mg
Participants received once daily oral dose of AZD5718 Dose 1 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
AZD5718 Dose 2 + Dapagliflozin 10 mg
Participants received once daily oral dose of AZD5718 Dose 2 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
AZD5718 Dose 3 + Dapagliflozin 10 mg
Participants received once daily oral dose of AZD5718 Dose 3 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
Placebo + Dapagliflozin 10 mg
Participants received once daily oral dose of placebo matched to AZD5718 for 12 weeks, thereafter add-on therapy of 10 mg dapagliflozin for 8 weeks.
Overall Study
STARTED
154
153
153
153
Overall Study
COMPLETED
72
82
82
82
Overall Study
NOT COMPLETED
82
71
71
71

Reasons for withdrawal

Reasons for withdrawal
Measure
AZD5718 Dose 1 + Dapagliflozin 10 mg
Participants received once daily oral dose of AZD5718 Dose 1 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
AZD5718 Dose 2 + Dapagliflozin 10 mg
Participants received once daily oral dose of AZD5718 Dose 2 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
AZD5718 Dose 3 + Dapagliflozin 10 mg
Participants received once daily oral dose of AZD5718 Dose 3 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
Placebo + Dapagliflozin 10 mg
Participants received once daily oral dose of placebo matched to AZD5718 for 12 weeks, thereafter add-on therapy of 10 mg dapagliflozin for 8 weeks.
Overall Study
Adverse Event
7
2
3
0
Overall Study
Death
0
0
0
1
Overall Study
Lost to Follow-up
0
1
0
1
Overall Study
Physician Decision
0
3
1
1
Overall Study
Withdrawal by Subject
6
6
0
3
Overall Study
Development of Study Specific Withdrawal Criteria
3
1
2
2
Overall Study
Due to Covid-19 pandemic
7
3
7
6
Overall Study
Failure to meet randomisation criteria
2
3
4
2
Overall Study
Early termination from the study
54
51
50
50
Overall Study
Missing
3
0
0
5
Overall Study
Participants who did not receive treatment
0
1
4
0

Baseline Characteristics

A Study to Evaluate the Safety and Efficacy of AZD5718 in Participants With Proteinuric Chronic Kidney Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
AZD5718 Dose 1 + Dapagliflozin 10 mg
n=154 Participants
Participants received once daily oral dose of AZD5718 Dose 1 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
AZD5718 Dose 2 + Dapagliflozin 10 mg
n=152 Participants
Participants received once daily oral dose of AZD5718 Dose 2 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
AZD5718 Dose 3 + Dapagliflozin 10 mg
n=149 Participants
Participants received once daily oral dose of AZD5718 Dose 3 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
Placebo + Dapagliflozin 10 mg
n=153 Participants
Participants received once daily oral dose of placebo matched to AZD5718 for 12 weeks, thereafter add-on therapy of 10 mg dapagliflozin for 8 weeks.
Total
n=608 Participants
Total of all reporting groups
Age, Continuous
64.9 Years
STANDARD_DEVIATION 10.70 • n=5 Participants
63.7 Years
STANDARD_DEVIATION 10.63 • n=7 Participants
65.1 Years
STANDARD_DEVIATION 9.39 • n=5 Participants
64.3 Years
STANDARD_DEVIATION 10.71 • n=4 Participants
64.5 Years
STANDARD_DEVIATION 10.37 • n=21 Participants
Sex: Female, Male
Female
57 Participants
n=5 Participants
53 Participants
n=7 Participants
45 Participants
n=5 Participants
53 Participants
n=4 Participants
208 Participants
n=21 Participants
Sex: Female, Male
Male
97 Participants
n=5 Participants
99 Participants
n=7 Participants
104 Participants
n=5 Participants
100 Participants
n=4 Participants
400 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
32 Participants
n=5 Participants
37 Participants
n=7 Participants
28 Participants
n=5 Participants
32 Participants
n=4 Participants
129 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
122 Participants
n=5 Participants
115 Participants
n=7 Participants
121 Participants
n=5 Participants
121 Participants
n=4 Participants
479 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
54 Participants
n=5 Participants
55 Participants
n=7 Participants
56 Participants
n=5 Participants
52 Participants
n=4 Participants
217 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
20 Participants
n=5 Participants
16 Participants
n=7 Participants
15 Participants
n=5 Participants
15 Participants
n=4 Participants
66 Participants
n=21 Participants
Race (NIH/OMB)
White
68 Participants
n=5 Participants
73 Participants
n=7 Participants
67 Participants
n=5 Participants
77 Participants
n=4 Participants
285 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
12 Participants
n=5 Participants
8 Participants
n=7 Participants
11 Participants
n=5 Participants
9 Participants
n=4 Participants
40 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Week 1 (Baseline) to Week 20

Population: Per-protocol analysis set consisted of all participants who received the additional treatment with dapagliflozin post-Week 12 and who did not violate the terms of the protocol in a way that could affect the primary efficacy endpoint significantly.

The dose response effect of AZD5718 on urine ACR at 20 weeks was evaluated. Values less than 1 indicate improvement from baseline.

Outcome measures

Outcome measures
Measure
AZD5718 Dose 1 + Dapagliflozin 10 mg
n=69 Participants
Participants received once daily oral dose of AZD5718 Dose 1 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
AZD5718 Dose 2 + Dapagliflozin 10 mg
n=67 Participants
Participants received once daily oral dose of AZD5718 Dose 2 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
AZD5718 Dose 3 + Dapagliflozin 10 mg
n=75 Participants
Participants received once daily oral dose of AZD5718 Dose 3 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
Placebo + Dapagliflozin 10 mg
n=76 Participants
Participants received once daily oral dose of placebo matched to AZD5718 for 12 weeks, thereafter add-on therapy of 10 mg dapagliflozin for 8 weeks.
Change From Baseline in Reduction of Urine Albumin to Creatinine Ratio (ACR) to Week 20
0.79 milligram/gram (mg/g)
Interval 0.69 to 0.9
0.81 milligram/gram (mg/g)
Interval 0.7 to 0.92
0.77 milligram/gram (mg/g)
Interval 0.67 to 0.87
0.84 milligram/gram (mg/g)
Interval 0.73 to 0.95

SECONDARY outcome

Timeframe: Week 1 (Baseline) to Week 12

Population: Per-protocol analysis set consisted of all participants who received the additional treatment with dapagliflozin post-Week 12 and who did not violate the terms of the protocol in a way that could affect the primary efficacy endpoint significantly.

The dose response effect of AZD5718 on urine ACR at 12 weeks was evaluated. Values less than 1 indicate improvement from baseline.

Outcome measures

Outcome measures
Measure
AZD5718 Dose 1 + Dapagliflozin 10 mg
n=99 Participants
Participants received once daily oral dose of AZD5718 Dose 1 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
AZD5718 Dose 2 + Dapagliflozin 10 mg
n=97 Participants
Participants received once daily oral dose of AZD5718 Dose 2 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
AZD5718 Dose 3 + Dapagliflozin 10 mg
n=101 Participants
Participants received once daily oral dose of AZD5718 Dose 3 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
Placebo + Dapagliflozin 10 mg
n=104 Participants
Participants received once daily oral dose of placebo matched to AZD5718 for 12 weeks, thereafter add-on therapy of 10 mg dapagliflozin for 8 weeks.
Change From Baseline in Reduction of Urine ACR to Week 12
0.94 mg/g
Interval 0.84 to 1.04
1.03 mg/g
Interval 0.92 to 1.15
0.96 mg/g
Interval 0.86 to 1.06
1.10 mg/g
Interval 0.99 to 1.22

SECONDARY outcome

Timeframe: From Screening (Week -4 to 0) to Week 24

Population: All participants who were randomised and received any study treatment. Participants were evaluated according to the actual treatment they received. If a participant had received a different treatment dose than randomised throughout the study, they would have been analysed according to the treated dose, not the randomisation dose.

The safety and tolerability profile of AZD5718 treatment was assessed

Outcome measures

Outcome measures
Measure
AZD5718 Dose 1 + Dapagliflozin 10 mg
n=154 Participants
Participants received once daily oral dose of AZD5718 Dose 1 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
AZD5718 Dose 2 + Dapagliflozin 10 mg
n=152 Participants
Participants received once daily oral dose of AZD5718 Dose 2 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
AZD5718 Dose 3 + Dapagliflozin 10 mg
n=149 Participants
Participants received once daily oral dose of AZD5718 Dose 3 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
Placebo + Dapagliflozin 10 mg
n=153 Participants
Participants received once daily oral dose of placebo matched to AZD5718 for 12 weeks, thereafter add-on therapy of 10 mg dapagliflozin for 8 weeks.
Number of Participants With Adverse Events and Serious Adverse Events
Any AE
82 Participants
81 Participants
104 Participants
80 Participants
Number of Participants With Adverse Events and Serious Adverse Events
Any AE with outcome = death
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Adverse Events and Serious Adverse Events
Any SAE (including events with outcome = death)
12 Participants
8 Participants
11 Participants
6 Participants
Number of Participants With Adverse Events and Serious Adverse Events
Any AE leading to discontinuation of study treatment
12 Participants
2 Participants
3 Participants
6 Participants
Number of Participants With Adverse Events and Serious Adverse Events
Any AE leading to dose interruption
7 Participants
6 Participants
5 Participants
10 Participants
Number of Participants With Adverse Events and Serious Adverse Events
Any AE leading to withdrawal from study
7 Participants
0 Participants
1 Participants
1 Participants
Number of Participants With Adverse Events and Serious Adverse Events
Any AE possibly related to study treatment as assessed by investigator
14 Participants
12 Participants
8 Participants
14 Participants

SECONDARY outcome

Timeframe: Week 1 (Baseline) to Week 12

Population: All participants in the Full Analysis Population who had valid Ambulatory Blood Pressure data for change from baseline analyses.

The effect of AZD5718 on ambulatory blood pressure was assessed

Outcome measures

Outcome measures
Measure
AZD5718 Dose 1 + Dapagliflozin 10 mg
n=69 Participants
Participants received once daily oral dose of AZD5718 Dose 1 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
AZD5718 Dose 2 + Dapagliflozin 10 mg
n=78 Participants
Participants received once daily oral dose of AZD5718 Dose 2 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
AZD5718 Dose 3 + Dapagliflozin 10 mg
n=70 Participants
Participants received once daily oral dose of AZD5718 Dose 3 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
Placebo + Dapagliflozin 10 mg
n=85 Participants
Participants received once daily oral dose of placebo matched to AZD5718 for 12 weeks, thereafter add-on therapy of 10 mg dapagliflozin for 8 weeks.
Change From Baseline in 24-hours Mean Systolic Blood Pressure to Week 12
-2.06 millimeter mercury (mm Hg)
Standard Deviation 10.782
1.56 millimeter mercury (mm Hg)
Standard Deviation 11.407
-1.83 millimeter mercury (mm Hg)
Standard Deviation 9.986
3.76 millimeter mercury (mm Hg)
Standard Deviation 11.779

SECONDARY outcome

Timeframe: From Week 2 to Week 20

Population: All participants in the Full Analysis Population who have at least one detectable AZD5718 plasma concentration measurement post-treatment. The Pharmacokinetic Population was used for all PK analyses. Here "n" is the number of participants included in the analysis.

The PK of AZD5718 after repeated oral dosing for 20 weeks was evaluated

Outcome measures

Outcome measures
Measure
AZD5718 Dose 1 + Dapagliflozin 10 mg
n=88 Participants
Participants received once daily oral dose of AZD5718 Dose 1 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
AZD5718 Dose 2 + Dapagliflozin 10 mg
n=91 Participants
Participants received once daily oral dose of AZD5718 Dose 2 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
AZD5718 Dose 3 + Dapagliflozin 10 mg
n=96 Participants
Participants received once daily oral dose of AZD5718 Dose 3 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
Placebo + Dapagliflozin 10 mg
Participants received once daily oral dose of placebo matched to AZD5718 for 12 weeks, thereafter add-on therapy of 10 mg dapagliflozin for 8 weeks.
Plasma Concentrations of AZD5718
Week 2 (pre-dose)
4.771 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 113.047
12.181 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 116.038
37.346 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 138.565
Plasma Concentrations of AZD5718
Week 4 (pre-dose)
3.975 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 85.449
11.207 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 111.951
37.525 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 127.660
Plasma Concentrations of AZD5718
Week 8 (pre-dose)
3.947 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 77.097
11.579 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 113.404
35.903 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 116.207
Plasma Concentrations of AZD5718
Week 12 (pre-dose)
4.107 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 79.068
11.041 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 81.967
33.568 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 127.405
Plasma Concentrations of AZD5718
Week 16 (pre-dose)
4.115 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 76.378
10.006 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 97.216
35.662 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 130.148
Plasma Concentrations of AZD5718
Week 20 (pre-dose)
3.813 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 65.605
10.200 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 122.277
33.063 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 100.320
Plasma Concentrations of AZD5718
Week 4 (post-dose, 1-2 hours)
16.321 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 115.673
71.279 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 128.551
340.794 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 147.394
Plasma Concentrations of AZD5718
Week 4 (post-dose, 2-5 hours)
18.376 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 77.409
86.464 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 103.733
464.721 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 79.567
Plasma Concentrations of AZD5718
Week 4 (post-dose, 5-8 hours)
16.713 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 65.648
76.834 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 59.503
343.531 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 90.628
Plasma Concentrations of AZD5718
Week 4 (post dose, 8-12 hours)
14.434 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 52.414
53.706 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 68.160
234.913 nanomoles per liter (nmol/L)
Geometric Coefficient of Variation 97.174

SECONDARY outcome

Timeframe: Week 1 (Baseline), Week 2, Week 4, Week 8, and Week 12

Population: Per-protocol analysis set consisted of all participants who received the additional treatment with dapagliflozin post-Week 12.

The effect of AZD5718 on renal function was evaluated

Outcome measures

Outcome measures
Measure
AZD5718 Dose 1 + Dapagliflozin 10 mg
n=100 Participants
Participants received once daily oral dose of AZD5718 Dose 1 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
AZD5718 Dose 2 + Dapagliflozin 10 mg
n=101 Participants
Participants received once daily oral dose of AZD5718 Dose 2 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
AZD5718 Dose 3 + Dapagliflozin 10 mg
n=105 Participants
Participants received once daily oral dose of AZD5718 Dose 3 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
Placebo + Dapagliflozin 10 mg
n=106 Participants
Participants received once daily oral dose of placebo matched to AZD5718 for 12 weeks, thereafter add-on therapy of 10 mg dapagliflozin for 8 weeks.
Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) to Week 12
Week 12
-0.612 milliliter/minute/1.73m^2
Standard Deviation 6.2138
-1.149 milliliter/minute/1.73m^2
Standard Deviation 6.1783
-0.394 milliliter/minute/1.73m^2
Standard Deviation 6.4678
-0.257 milliliter/minute/1.73m^2
Standard Deviation 6.4508
Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) to Week 12
Week 2
-0.470 milliliter/minute/1.73m^2
Standard Deviation 6.3936
-0.140 milliliter/minute/1.73m^2
Standard Deviation 5.2801
-0.429 milliliter/minute/1.73m^2
Standard Deviation 5.7175
0.547 milliliter/minute/1.73m^2
Standard Deviation 5.7124
Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) to Week 12
Week 4
-0.735 milliliter/minute/1.73m^2
Standard Deviation 6.5764
0.140 milliliter/minute/1.73m^2
Standard Deviation 5.2628
-0.817 milliliter/minute/1.73m^2
Standard Deviation 6.1986
0.058 milliliter/minute/1.73m^2
Standard Deviation 6.3583
Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) to Week 12
Week 8
-0.760 milliliter/minute/1.73m^2
Standard Deviation 6.0304
-0.535 milliliter/minute/1.73m^2
Standard Deviation 5.8865
-1.144 milliliter/minute/1.73m^2
Standard Deviation 6.5142
-0.068 milliliter/minute/1.73m^2
Standard Deviation 5.3729

Adverse Events

AZD5718 Dose 1 + Dapagliflozin 10 mg

Serious events: 12 serious events
Other events: 16 other events
Deaths: 0 deaths

AZD5718 Dose 2 + Dapagliflozin 10 mg

Serious events: 8 serious events
Other events: 8 other events
Deaths: 0 deaths

AZD5718 Dose 3 + Dapagliflozin 10 mg

Serious events: 11 serious events
Other events: 9 other events
Deaths: 0 deaths

Placebo + Dapagliflozin 10 mg

Serious events: 6 serious events
Other events: 8 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
AZD5718 Dose 1 + Dapagliflozin 10 mg
n=154 participants at risk
Participants received once daily oral dose of AZD5718 Dose 1 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
AZD5718 Dose 2 + Dapagliflozin 10 mg
n=152 participants at risk
Participants received once daily oral dose of AZD5718 Dose 2 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
AZD5718 Dose 3 + Dapagliflozin 10 mg
n=149 participants at risk
Participants received once daily oral dose of AZD5718 Dose 3 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
Placebo + Dapagliflozin 10 mg
n=153 participants at risk
Participants received once daily oral dose of placebo matched to AZD5718 for 12 weeks, thereafter add-on therapy of 10 mg dapagliflozin for 8 weeks.
Infections and infestations
Pneumonia
0.65%
1/154 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
1.3%
2/149 • Number of events 2 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Infections and infestations
Urinary tract infection
0.65%
1/154 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.67%
1/149 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Infections and infestations
COVID-19
0.65%
1/154 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Infections and infestations
COVID-19 pneumonia
0.00%
0/154 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.67%
1/149 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Infections and infestations
Liver abscess
0.65%
1/154 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Infections and infestations
Pelvic abscess
0.65%
1/154 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Infections and infestations
Peritonitis bacterial
0.65%
1/154 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Infections and infestations
Septic shock
0.00%
0/154 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.67%
1/149 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Infections and infestations
Cellulitis
0.00%
0/154 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.65%
1/153 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Acute leukaemia
0.00%
0/154 • From Screening (Week -4 to 0) to Week 24
0.66%
1/152 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastric cancer
0.65%
1/154 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Blood and lymphatic system disorders
Leukocytosis
0.00%
0/154 • From Screening (Week -4 to 0) to Week 24
0.66%
1/152 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Endocrine disorders
Pituitary apoplexy
0.00%
0/154 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.67%
1/149 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Metabolism and nutrition disorders
Diabetes mellitus
0.00%
0/154 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.67%
1/149 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Psychiatric disorders
Conversion disorder
0.00%
0/154 • From Screening (Week -4 to 0) to Week 24
0.66%
1/152 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Nervous system disorders
Ischaemic stroke
0.65%
1/154 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.65%
1/153 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
Eye disorders
Cataract
0.00%
0/154 • From Screening (Week -4 to 0) to Week 24
0.66%
1/152 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Eye disorders
Vitreous haemorrhage
0.00%
0/154 • From Screening (Week -4 to 0) to Week 24
0.66%
1/152 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Cardiac disorders
Acute myocardial infarction
0.65%
1/154 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Cardiac disorders
Cardiac failure
0.65%
1/154 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Cardiac disorders
Cardiac failure chronic
0.00%
0/154 • From Screening (Week -4 to 0) to Week 24
0.66%
1/152 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Cardiac disorders
Coronary artery disease
0.00%
0/154 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.67%
1/149 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Cardiac disorders
Angina unstable
0.00%
0/154 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.65%
1/153 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
Vascular disorders
Peripheral ischaemia
0.00%
0/154 • From Screening (Week -4 to 0) to Week 24
0.66%
1/152 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Vascular disorders
Venous haemorrhage
0.00%
0/154 • From Screening (Week -4 to 0) to Week 24
0.66%
1/152 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Gastrointestinal disorders
Diverticulum
0.00%
0/154 • From Screening (Week -4 to 0) to Week 24
0.66%
1/152 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Gastrointestinal disorders
Pancreatitis
0.00%
0/154 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.65%
1/153 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
Hepatobiliary disorders
Cholangitis
0.65%
1/154 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Hepatobiliary disorders
Cholecystitis acute
0.65%
1/154 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.65%
1/153 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
Hepatobiliary disorders
Cholelithiasis
0.00%
0/154 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.65%
1/153 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
Skin and subcutaneous tissue disorders
Stevens-Johnson syndrome
0.65%
1/154 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/154 • From Screening (Week -4 to 0) to Week 24
0.66%
1/152 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Renal and urinary disorders
Chronic kidney disease
0.65%
1/154 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Renal and urinary disorders
Diabetic nephropathy
0.00%
0/154 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.67%
1/149 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Renal and urinary disorders
Acute kidney injury
0.00%
0/154 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.65%
1/153 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
General disorders
Asthenia
0.65%
1/154 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
General disorders
Chest pain
0.00%
0/154 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.67%
1/149 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
General disorders
Sudden death
0.00%
0/154 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.65%
1/153 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
Injury, poisoning and procedural complications
Foreign body ingestion
0.65%
1/154 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Injury, poisoning and procedural complications
Hand fracture
0.00%
0/154 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.67%
1/149 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Injury, poisoning and procedural complications
Limb injury
0.00%
0/154 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.67%
1/149 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Injury, poisoning and procedural complications
Limb traumatic amputation
0.00%
0/154 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.67%
1/149 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24
Injury, poisoning and procedural complications
Radius fracture
0.65%
1/154 • Number of events 1 • From Screening (Week -4 to 0) to Week 24
0.00%
0/152 • From Screening (Week -4 to 0) to Week 24
0.00%
0/149 • From Screening (Week -4 to 0) to Week 24
0.00%
0/153 • From Screening (Week -4 to 0) to Week 24

Other adverse events

Other adverse events
Measure
AZD5718 Dose 1 + Dapagliflozin 10 mg
n=154 participants at risk
Participants received once daily oral dose of AZD5718 Dose 1 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
AZD5718 Dose 2 + Dapagliflozin 10 mg
n=152 participants at risk
Participants received once daily oral dose of AZD5718 Dose 2 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
AZD5718 Dose 3 + Dapagliflozin 10 mg
n=149 participants at risk
Participants received once daily oral dose of AZD5718 Dose 3 for 12 weeks, and thereafter an add-on therapy of 10 mg dapagliflozin for 8 weeks.
Placebo + Dapagliflozin 10 mg
n=153 participants at risk
Participants received once daily oral dose of placebo matched to AZD5718 for 12 weeks, thereafter add-on therapy of 10 mg dapagliflozin for 8 weeks.
Infections and infestations
Urinary tract infection
5.2%
8/154 • Number of events 8 • From Screening (Week -4 to 0) to Week 24
5.3%
8/152 • Number of events 8 • From Screening (Week -4 to 0) to Week 24
0.67%
1/149 • Number of events 2 • From Screening (Week -4 to 0) to Week 24
3.9%
6/153 • Number of events 6 • From Screening (Week -4 to 0) to Week 24
Investigations
Glomerular filtration rate decreased
5.2%
8/154 • Number of events 9 • From Screening (Week -4 to 0) to Week 24
2.0%
3/152 • Number of events 3 • From Screening (Week -4 to 0) to Week 24
3.4%
5/149 • Number of events 9 • From Screening (Week -4 to 0) to Week 24
5.2%
8/153 • Number of events 10 • From Screening (Week -4 to 0) to Week 24
Metabolism and nutrition disorders
Hyperkalaemia
3.9%
6/154 • Number of events 6 • From Screening (Week -4 to 0) to Week 24
4.6%
7/152 • Number of events 7 • From Screening (Week -4 to 0) to Week 24
6.0%
9/149 • Number of events 9 • From Screening (Week -4 to 0) to Week 24
3.9%
6/153 • Number of events 9 • From Screening (Week -4 to 0) to Week 24

Additional Information

Global Clinical Lead

AstraZeneca

Phone: 1-877-240-9479

Results disclosure agreements

  • Principal investigator is a sponsor employee No unpublished information contained herein may be disclosed without prior written approval from AstraZeneca. Access to this document must be restricted to relevant parties.
  • Publication restrictions are in place

Restriction type: OTHER