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A multiple dosing (14 days) crossover, multi-center study to assess efficacy and safety of three dose levels of AZD7594, given once daily by inhalation, in patients with mild to moderate asthma

A randomized, double-blind, multiple dosing (14 days), placebo-controlled, incomplete block crossover, multi-center study to assess efficacy and safety of three dose levels of AZD7594, given once daily by inhalation, in patients with mild to moderate asthma

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2014-005306-37-DE
Enrollment
48
Registered
2015-03-25
Start date
2015-05-27
Completion date
Unknown
Last updated
2016-10-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Patients with mild to moderate asthma MedDRA version: 18.1 Level: PT Classification code 10003553 Term: Asthma System Organ Class: 10038738 - Respiratory, thoracic and mediastinal disorders

Interventions

Product Name: AZD7594 inhalation powder hard capsule 29 - 450 µg Product Code: AZD7594 inhalation powder hard capsule 29 - 450 µg Pharmaceutical Form: Inhalation powder, hard capsule Current Sponsor c

Sponsors

AstraZeneca AB
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: • Men and women 18 to 75 years of age, inclusive • Patients need to be non-smokers or ex-smokers (quit = 6 months before the Visit 1) with total smoking history of =65 years) yes F.1.3.1 Number of subjects for this age range 5

Exclusion criteria

Exclusion criteria: • Known or suspected hypersensitivity to the IMPs or excipients, including lactose • Systemic steroid use in the 6 weeks before Visit 1 • Any active disease other than asthma • Patients on medium to high-dose ICS (equivalent of budesonide > 400 µg per day) or on inhaled anticholinergic combination within the 6 weeks prior to Visit 1 • Compliance with the eDiary of at least 80% of the days is expected in both Run-in and Treatment Periods. Patients with < 80% eDiary compliance during Run-in Periods would not be randomized

Design outcomes

Primary

MeasureTime frame
Main Objective: The primary objective is to investigate the efficacy of AZD7594 as measured by change in trough forced expiratory volume in 1 second (FEV1) from baseline, as compared to placebo.;Secondary Objective: The secondary objectives are: To investigate the effect of AZD7594 on patient-reported outcomes of Asthma Control Questionnaire (ACQ-5), daily symptoms, nighttime awakenings, use of daily rescue medication and morning peak expiratory flow (mPEF) and evening peak expiratory flow (ePEF) • To investigate the effect of AZD7594 on airway inflammation and hyper-reactivity, as measured by fractional exhaled nitric oxide (FeNO) • To investigate the pharmacokinetic (PK) profile of AZD7594 in patients with mild to moderate asthma • To investigate cortisol suppression from AZD7594, as measured by 24-hour plasma cortisol level;Primary end point(s): Efficacy: Change from baseline in morning trough FEV1 on Day 15 (defined as the average of the values at 23:00 and 23:30 hours after last dose of IMP on Day 14 ;Timepoint(s) of evaluation of this end point: Efficacy: In each period: before the first dose and in the morning of Day 15

Secondary

MeasureTime frame
Secondary end point(s): Efficacy: • Change from baseline in FeNO on Day 8 • Change from baseline in FeNO on Day 15 • Change from baseline in morning trough FEV1 on Day 8 (defined as the average of the values at 23:00 and 23:30 hours after the dose of IMP on Day 7) • Change from baseline in morning trough forced vital capacity (FVC) on Day 15 (defined as the average of the values at 23:00 and 23:30 hours after the dose of IMP on Day 14) • Change from baseline in morning trough FVC on Day 8 (defined as the average of the values at 23:00 and 23:30 hours after the dose of IMP on Day 7) • Change from baseline in mPEF before administration over the Treatment Period • Change from baseline in ePEF over the Treatment Period • Change from baseline in average daily use of rescue salbutamol over the Treatment Period • Change from baseline in ACQ-5 on Day 15 • Change from baseline in ACQ-5 on Day 8 • Change from baseline in nighttime awakenings over the Treatment Period • Change from baseline in daily symptom score over the Treatment Period • Change from baseline in asthma control days over the Treatment Period Pharmacokinetics (PK, intense PK subgroup): • Observed maximum plasma concentration (Cmax, Day 1 only) • Area under the plasma concentration-time curve from time zero to 4 hours after administration (AUC[0-4], Day 1 only) • Observed maximum plasma concentration at steady state (Cmax,ss, Day 14 only) • Area under the plasma concentration-time curve from time zero to 24 hours after administration (AUC[0-24], Day 14 only) • Area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration (AUC[0-last], Days 1 and 14) • Time to reach maximum plasma concentration (tmax, Day 1 only) • Time to reach maximum plasma concentration at steady state (tmax,ss, Day 14 only) • Average plasma concentration during a dosing interval at steady state (Cavg,ss, Day 14 only) • Dose-normalized Cmax (Cmax/D) • Dose-normaliz

Countries

Bulgaria, Germany

Contacts

Public ContactInformation Centre

AstraZeneca

information.center@astrazeneca.com

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026