A Phase 1b Study to Assess the Safety, Tolerability, and Pharmacodynamics of AZD4144 in Participants With Established Atherosclerotic Cardiovascular and Chronic Kidney Disease.

NCT ID: NCT06675175

Last Updated: 2025-11-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

29 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-09

Study Completion Date

2025-10-27

Brief Summary

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The purpose of this study is to evaluate the safety, tolerability and the pharmacodynamics (PD) of AZD4144 following oral administration in participants with atherosclerotic cardiovascular disease (ASCVD) and chronic kidney disease (CKD).

Detailed Description

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This is a Phase 1b, randomized, double blind, placebo-controlled study and will be conducted in participants with established ASCVD and CKD with persistent inflammation (High-sensitivity C-reactive protein \[hsCRP\] \> 2 mg/L and eGlomerular filtration rate \[eGFR\] ≥ 30 to \< 60 mL/min/1.73m2). The participants will be randomized in the 1:1 ratio to either receive treatment with AZD4144 or placebo.

The study will be comprised of:

* A screening period of 28 days
* Treatment period where each participant will either receive oral dose of AZD4144 or placebo for 28 days.
* A follow-up visit (Day 35 ±1) and a Final Follow-up (on Day 56±1) post first dose administration.

The total duration of the study will be approximately 12 weeks.

Conditions

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Chronic Kidney Disease Atherosclerotic Cardiovascular Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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AZD4144

Participants will receive oral dose of AZD4144 for 28 days.

Group Type EXPERIMENTAL

AZD4144

Intervention Type DRUG

Oral solution of AZD4144 will be given to randomised participants as per the arm they have been assigned.

Placebo

Participants will receive oral dose of Placebo for 28 days.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo will be given orally to randomized participants as per the arm they are assigned.

Interventions

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AZD4144

Oral solution of AZD4144 will be given to randomised participants as per the arm they have been assigned.

Intervention Type DRUG

Placebo

Placebo will be given orally to randomized participants as per the arm they are assigned.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Participants with established ASCVD history of one or more of the following

1. Prior Myocardial infarction (MI) (\>60 days from index event) or coronary revascularization procedure like coronary stenting or Coronary artery bypass graft (CABG)
2. Prior ischemic stroke (\>60 days from index event)
3. Symptomatic Peripheral Arterial Disease
* Chronic kidney disease defined as eGlomular filtration rate (eGFR) ≥ 30 to \< 60 mL/min/1.73 m2
* Serum hsCRP \> 2 mg/L
* Body mass index ≥ 18 to ≤ 45 kg/m2
* All females must have a negative pregnancy test at the Screening Visit and at the randomization visit

1. Sexually active male participants with partner of childbearing potential must adhere to the contraception methods
2. Females of childbearing potential must not be lactating and if heterosexually active must agree to use an approved method of highly effective contraception
3. Females of non-childbearing potential must be confirmed at the Screening visit

Exclusion Criteria

* History of malignancy within the last 5 years
* History of MI, coronary revascularization, stroke or revascularization for peripheral arterial disease in the 60 days prior to Screening
* Active systemic infection within 30 days
* Clinically significant active and chronic infections within 60 days prior to randomization
* Clinically significant recurrent infection (≥ 2× during the last 12-month period).
* Renal transplant participants, participants on dialysis, and those with a history of acute kidney injury in the past 12 month
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Site

Glendale, California, United States

Site Status

Research Site

Daytona Beach, Florida, United States

Site Status

Research Site

Jacksonville, Florida, United States

Site Status

Research Site

Miami, Florida, United States

Site Status

Research Site

Port Orange, Florida, United States

Site Status

Research Site

Tampa, Florida, United States

Site Status

Research Site

Farmington Hills, Michigan, United States

Site Status

Research Site

The Bronx, New York, United States

Site Status

Research Site

Sherman, Texas, United States

Site Status

Research Site

Pleven, , Bulgaria

Site Status

Research Site

Sofia, , Bulgaria

Site Status

Research Site

Gyöngyös, , Hungary

Site Status

Research Site

Kistarcsa, , Hungary

Site Status

Research Site

Bucharest, , Romania

Site Status

Research Site

Cluj-Napoca, , Romania

Site Status

Countries

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United States Bulgaria Hungary Romania

Other Identifiers

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2024-516840-24-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

D9441C00001

Identifier Type: -

Identifier Source: org_study_id

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