Clinical trials appendix

Full year and Q4 2020 results update

Movement since Q3 2020 update

New to Phase I

New to Phase II

New to Pivotal trial

New to registration

NME AZD3366

CD39L3 CV disease

AZD3427

Relaxin ThP CV disease

AZD5305

PARP1Sel solid tumours

MEDI5752 + Axitinib PD-1/CTLA-4 bispecific mAb + VEGF advanced renal cell carcinoma

MEDI9253 rNDV IL12 solid tumor

NME AZD8233 hypercholesterolemia CV disease

MEDI6570

LOX-1 mAb CV disease

Imfinzi + imaradenant# (AZD4635) + cabazitaxel PD-L1 mAb + A2aR inhibitor + chemotherapy prostate cancer

Additional indication adavosertib#

Wee1 inhibitor uterine serous cancer

AZD5718

FLAP CKD

Lifecycle Management

Enhertu# DESTINY-PanTumour01

HER2 targeting antibody drug conjugate HER2-expressing solid tumors

Fasenra ARROYO

IL-5R mAb atopic dermatitis

Fasenra HILLIER

IL-5R mAb chronic spontaneous urticaria

NME AZD7442

COVID-19 long-acting antibody combination prevention and treatment of COVID-19

monalizumab# + cetuximab (INTERLINK-1)

NKG2a mAb + EGFR mAb 2L+ relapsed metastatic head and neck squamous cell cancer

Lifecycle Management Breztri LABA/LAMA/ICS asthma

Enhertu# DESTINY-Breast05

HER2 targeting antibody drug conjugate HER2-positive post-neoadjuvant high-risk breast cancer

Farxiga/Forxiga2 DAPA-MI

SGLT2 inhibitor prevention of heart failure and CV death following a myocardial infarction in patients without type-2 diabetes

Imfinzi# + CRT KUNLUN

PD-L1 mAb + CRT locally advanced esophageal squamous cell carcinoma

Imfinzi# + CTx MATTERHORN

PD-L1 mAb + CTx neoadjuvant/adjuvant gastric cancer

Tagrisso +/- CTx neoadjuvant NeoADAURA

EGFR inhibitor +/- CTx stage II/III resectable EGFRm NSCLC

NME

COVID-19 Vaccine AstraZeneca [EU] 1

SARS-CoV-2 COVID vaccine

Lifecycle Management

Farxiga/Forxiga2 Dapa-CKD [US, EU, JP & CN] 1

SGLT2 inhibitor renal outcomes and CV mortality in patients with CKD

Phase progressions based on first patient dose achievement.

¶ Registrational Phase II/III trial # Partnered and/or in collaboration 1 Submission accepted

2 Farxiga in the US; Forxiga in ROW

Movement since Q3 2020 update

Removed from Phase I

Removed from Phase II

Removed from Phase III

Removed from registration

NME AZD5153

BRD4 inhibitor solid tumours, haematological malignancies

AZD5634 inhaled ENaC cystic fibrosis

AZD6615 hypercholesterolemia CV disease

AZD9496 selective oestrogen, oestrogen receptor +ve breast cancer

NME abediterol#

LABA asthma / COPD

imaradenant# (AZD4635)

A2aR inhibitor prostate cancer

oleclumab + imaradenant# (AZD4635)

CD73 mAb + A2aR inhibitor prostate cancer

velsecorat inhaled SGRM asthma / COPD

Lifecycle Management Calquence CALAVI BTK inhibitor COVID-19

Additional indication

Imfinzi# + tremelimumab KESTREL PD-L1 mAb + CTLA-4 mAb 1st-line HNSCC

Lifecycle Management

Farxiga/Forxiga2 DETERMINE-Preserved SGLT-2 inhibitor heart failure with preserved ejection fraction

Farxiga/Forxiga2 DETERMINE-Reduced SGLT-2 inhibitor heart failure with reduced ejection fraction

NME

COVID-19 Vaccine AstraZeneca# [EU] 1

SARS-CoV-2 COVID vaccine

Lifecycle Management Brilinta3 THALES [US] 1

P2Y12 receptor antagonist acute ischaemic stroke or transient ischaemic attack

Symbicort SYGMA [CN] 1

ICS/LABA as-needed use in mild asthma

Tagrisso ADAURA [US] 1

EGFR inhibitor adjuvant EGFRm NSCLC

Phase progressions based on first patient dose achievement.

¶ Registrational Phase II/III trial # Partnered and/or in collaboration 1 Approved

2 Farxiga in the US; Forxiga in ROW 3 Brilinta in the US and Japan; Brilique in ROW

Q4 2020 new molecular entity (NME)1 pipeline

Phase I

21 New Molecular Entities

AZD0466

BCL2/xL haematological and solid tumours

AZD1390 glioblastomaAZD4573

CDK9 haematological malignanciesAZD5305

PARP1Sel solid tumoursAZD5991

MCL1 haematological malignanciesAZD7648#

DNAPK solid and haematological tumours

AZD8701

FOXP3 solid tumoursCalquence (platform) PRISM

BTK + multiple novel onc therapies r/r aggressive NHLCalquence+ceralasertib BTK+ATR haematological tumoursImfinzi#+adavosertib# PD-L1+Wee1 solid tumoursImfinzi#+tremelimumab PD-L1+CTLA-4 solid tumoursImfinzi#+tremelimumab+chemo PD-L1+CTLA-4 1L PDAC oesophageal SCLC

Imfinzi+selumetinib# PD-L1+MEK solid tumoursIPH5201#

CD39 solid tumoursMEDI1191

IL12 mRNA solid tumoursMEDI2228

BCMA ADC multiple myelomaMEDI5395 rNDV GMCSF solid tumoursMEDI5752+Axitinib PD-1/CTLA-4+VEGF advanced renal cell carcinoma

MEDI9253 rNDV IL12 solid tumoursTagrisso combo# TATTON EGFR+MEK/MET advanced EGFRm NSCLC

Phase II

21 New Molecular Entities

adavosertib#

Wee1 ovarian / uterine serous / solid tumours

AZD2811 nanoparticle

Aurora solid tumours, haematological malignancies

camizestrant (AZD9833) SERD ER+ breastcapivasertib# AKT prostateImfinzi (platform) HUDSON PD-L1+multiple novel ONC therapies post IO NSCLC

Imfinzi# (platform) BALTIC PD-L1+CTLA-4, WEE1+Carboplatin, ATR+PARP ES-SCLC R/R

Imfinzi# (platform) COAST PD-L1+multiple novel ONC therapies NSCLC

Imfinzi# (platform) NeoCOAST PD-L1+multiple novel ONC therapies NSCLC

Imfinzi# + imaradenant# (AZD4635) + cabazitaxel

PD-L1+A2aR+CTx prostate cancerImfinzi#+Lynparza# ORION PD-L1+PARP 1L mNSCLC

1 Includes novel combinations and additional indications for assets where the lead is not yet launched. # Partnered and/or in collaboration; Registrational Phase II/III trial

Imfinzi#+monalizumab# PD-L1+NKG2a solid tumoursImfinzi#+tremelimumab

PD-L1+CTLA-4 biliary tract oesophagealImfinzi#+tremelimumab PD-L1+CTLA-4 gastric cancerImfinzi+FOLFOX+bevacizumab (platform) COLUMBIA1 PD-L1+chemo+VEGF+multiple novelImfinzi+Lynparza# BAYOU PD-L1+PARP bladderLynparza#+AZD6738 VIOLETTE PARP+ATR breast

MEDI5752

PD-1/CTLA-4 solid tumoursoleclumab+chemo or Imfinzi#+ oleclumab+chemo CD73+chemo or PD-L1+CD73+chemo pancreatic

Post-1L Tagrisso (platform) ORCHARDEGFR+multiple novel ONC therapies EGFRm NSCLC

Tagrisso+savolitinib# SAVANNAH EGFR+MET advanced EGFRm NSCLC

Phase III

10 New Molecular Entities

capivasertib# + abiraterone CAPItello-281AKT+abiraterone PTEN deficient metastatic hormone sensitive prostate cancer

capivasertib#+fulvestrant CAPItello-291 AKT+fulvestrant locally-advanced (inoperable) or metastatic breast cancercapivasertib+chemotherapy CAPItello-290AKT+chemotherapy mTNBC 1LImfinzi#+/-tremelimumab+chemo POSEIDON PD-L1+/-CTLA-4+SoC 1L NSCLCImfinzi#+/-tremelimumab+CRT ADRIATICPD-L1+/-CTLA-4+CRT LS-SCLCImfinzi#+tremelimumab HIMALAYA PD-L1+CTLA-4 1L HCCImfinzi#+tremelimumab+SoC NILE PD-L1+CTLA-4+SoC 1L urothelial cancerLynparza#+Imfinzi# DUO-E PARP+PD-L1 1L endometrial cancerLynparza#+Imfinzi#+bevacizumab DUO-OPARP+PD-L1+VEGF 1L ovarian cancermonalizumab#+cetuximab INTERLINK-1 NKG2a+EGFR 2L+ relapsed metastatic HNSCC

Under Review

0 New Molecular Entities

Q4 2020 new molecular entity (NME)1 pipeline

Phase I

14 New Molecular Entities

AZD0284

RORg psoriasis / respiratoryAZD0449

Inhaled JAK inhibitor asthmaAZD1402# inhaled IL-4Ra asthmaAZD2373

Podocyte health nephropathyAZD2693 nonalcoholic steatohepatitisAZD3366

CD39L3 CV diseaseAZD3427

Relaxin ThP CV diseaseAZD4041# orexin 1 receptor antagonist opioid use disorder

AZD8154

Inhaled PI3Kgd asthmaAZD9977

MCR CV diseaseMEDI0618#

PAR2 antagonist mAb osteooarthritis pain

MEDI1341# alpha synuclein parkinson's diseaseMEDI1814# amyloidβ alzheimer's diseaseMEDI8367 avb8 chronic kidney disease

Phase II

21 New Molecular Entities

anifrolumab#

Type I IFN receptor lupus nephritisanifrolumab#

Type I IFN receptor SLE SCAZD4831 MPO HFpEFAZD5718

FLAP coronary artery disease / CKDAZD7986# DPP1 COPDAZD8233 hypercholesterolemia cardiovascularAZD8601#

VEGF-A cardiovascularAZD9567

SGRM chronic inflammatory diseasesbrazikumab

IL23 ulcerative colitiscotadutide

GLP-1/glucagon T2D / obesity / NASH / DKD

1 Includes novel combinations and additional indications for assets where the lead is not yet launched # Partnered and/or in collaboration; Registrational Phase II/III trial

MEDI3506

IL-33 AD / COPD / asthma / COVID-19

MEDI5884# cholesterol modulation cardiovascularMEDI6012

LCAT cardiovascularMEDI6570

LOX-1 CV diseaseMEDI7352

NGF/TNF OA pain / painful diabetic neuropathy

navafenterol# MABA COPDsuvratoxumab α-Toxin Staphylococcus pneumoniatezepelumab#

TSLP atopic dermatitistezepelumab# TSLP COPDverinurad

URAT-1 CKD / HFpEF

Phase III

5 New Molecular Entities

AZD7442 long-acting antibody combination COVID-19

brazikumab¶

IL23 crohns diseasenirsevimab#

RSV mAb-YTE passive RSV immunisation

PT027 ICS/SABA asthmatezepelumab# NAVIGATOR SOURCE TSLP severe uncontrolled asthma

Under review

1 New Molecular Entity

anifrolumab# TULIP Type I IFN receptor SLE

Q4 2020 lifecycle management (LCM)1 pipeline

Phase I

1 Project

Imfinzi#+azacitidine# PD-L1+azacitidine MDS

Phase II

8 Projects

Enhertu# DESTINY-CRC-01 ADC colorectal cancerEnhertu# DESTINY-Gastric02 ADC gastric

Enhertu# DESTINY-Lung01 ADC NSCLC

Enhertu# DESTINY-PanTumor01 HER2 targeting ADC HER2-expressing solid tumours

Enhertu# DESTINY-PanTumor02 HER2 targeting ADC HER2-expressing solid tumours

Imfinzi# (platform) BEGONIA PD-L1 1L mTNBC

Imfinzi# (platform) MAGELLAN PD-L1 1L mNSCLCLynparza# (basket) MK-7339-002 / LYNK002

PARP HRRm cancer

Phase III

30 Projects

Calquence#

BTK inhibitor 1st line MCL

Calquence#

BTK inhibitor r/r CLL, high riskCalquence#+venetoclax+obinutuzumab BTK+BCL-2+anti-CD20 1st line CLLCalquence+R-CHOP ESCALADE BTK+R-CHOP 1L DLBCLEnhertu# DESTINY-Breast02 ADC breast

Enhertu# DESTINY-Breast03 ADC breast

Enhertu# DESTINY-Breast04 ADC breast

Enhertu# DESTINY-Breast05 ADC breast

Enhertu# DESTINY-Breast06 ADC breast

Imfinzi# + FLOT MATTERHORN PD-L1+CTx neo-adjuvant/adjuvant gastic

Imfinzi# CALLA

PD-L1 adj. locally-advanced cervical cancer

Imfinzi# PEARL

PD-L1 1L metastatic NSCLCImfinzi# post-SBRT PACIFIC-4 PD-L1 post-SBRT stage I/II NSCLCImfinzi# POTOMAC

PD-L1 non muscle invasive bladder cancerImfinzi#+CRT KUNLUN

PD-L1+CRT locally-advanced esophageal squamous cell carcinoma

Imfinzi#+CRT PACIFIC-2 PD-L1+CRT NSCLCImfinzi#+CRT PACIFIC-5 (China) PD-L1+CRT locally-advanced stage III NSCLC

Imfinzi#+Ctx MERMAID-1

PD-L1 stage II-III adjuvant NSCLCImfinzi#+CTx neoadjuvant AEGEAN PD-L1+CTx locally-advanced stage II-III NSCLC

Imfinzi#+CTx NIAGARA

PD-L1+CTx muscle invasive bladder cancerImfinzi#+CTx TOPAZ-1 PD-L1+CTx 1L biliary tract cancerImfinzi#+VEGF EMERALD-2 PD-L1+VEGF adjuvant HCCImfinzi#+VEGF+TACE EMERALD-1 PD-L1+VEGF+TACE locoregional HCCLynparza# LYNK-003

PARP platinum sensitive 1L colorectal cancer

Lynparza# OlympiA

PARP gBRCA adjuvant breast

Lynparza# SOLO-3

PARP BRCAm PSR ovarianLynparza+abiraterone# PROpel PARP+NHA prostate cancerTagrisso +/- CTx neoadjuvant NeoADAURA EGFR stage II/III resectable EGFRm NSCLC

Tagrisso LAURA

EGFRm locally-advanced unresectable NSCLC

Tagrisso+chemo FLAURA2 EGFR+chemo 1L adv EGFRm NSCLC

Under Review

0 Projects

Q4 2020 lifecycle management (LCM)1 pipeline

Phase I

0 Projects

Phase II

3 Projects

Fasenra ARROYO

IL-5R chronic spontaneous urticariaFasenra HILLIER IL-5R atopic dermatitisroxadustat#

HIF-PH inhibitor chemo induced anaemia

Phase III

9 Projects

Breztri

LABA/LAMA/ICS asthma

Farxiga/Forxiga DAPA-MI

SGLT2 prevention of HF and CV death following a myocardial infarction

Farxiga/Forxiga DELIVER SGLT2 HFpEF

Under Review

1 Project

Farxiga/Forxiga DAPA-CKD SGLT2 CKD

Estimated key regulatory submission acceptances

NMELCM

Calquence r/r CLL, high risk

ELEVATE-RR Imfinzi + CRT NSCLC

PACIFIC-2

COVID-19 Vaccine AstraZeneca

SARS-CoV-2 (US / Japan)

Fasenra nasal polyps

OSTRO

Note. NME section includes novel

Enhertu DESTINY-Breast02

DESTINY-Breast04 Imfinzi + CTx biliary tract

Imfinzi + VEGF + TACE locoregional HCC

EMERALD-1

Lynparza ovarian

SOLO-3

Duaklir Genuair COPD (China)

Xigduo XR/Xigduo type-2 diabetes (China)

assets where the lead is not yet launchedOncologyBioPharmaceuticals

Calquence + R-CHOP 1L DLBCL

ESCALADE

Enhertu

Calquence + venetoclax + obinutuzumab 1L CLL AMPLIFY

Calquence 1L MCL

TOPAZ-1

ECHO

Enhertu DESTINY-Breast05

Enhertu

DESTINY-Breast06 Imfinzi + CRT LA ESCC

KUNLUN

Imfinzi + CRT neo-adjuvant/adjuvant gastric

MATTERHORN

Imfinzi + CTx stage II-III adjuvant NSCLC

MERMAID-1

Imfinzi + VEGF adjuvant HCC

EMERALD-2

Imfinzi post-SBRT NSCLC

PACIFIC-4

Imfinzi cervical

CALLA

Imfinzi adjuvant NSCLC

BR.31

Imfinzi non muscle invasive bladder POTOMAC

Lynparza platinum sensitive 1L colorectal

LYNK-003 monalizumab + cetuximab 2L+ relapsed metastatic

HNSCC INTERLINK-1

Tagrisso stage II/III resectable EGFRm NSCLC

NeoADAURA

Tagrisso locally adv. unresectable NSCLC LAURA

Tagrisso + CTx EGFRm NSCLC

FLAURA2

Farxiga prevention of HF and CV death following a myocardial infarction DAPA-MI

Fasenra COPD

RESOLUTE

Fasenra eosinophilic esophagitis

MESSINA

Fasenra EGPA

MANDARA

Fasenra HES

NATRON

Fasenra nasal polyps ORCHID (China / Japan)

Designations

ACCELERATED APPROVAL, these regulations allowed medicines for serious conditions that addressed an unmet medical need to be approved based on a surrogate endpoint.

5

17

12

36

29

Accelerated approvals

Breakthrough / PRIME1 / Sakigake2

Fast Track

Priority Review / RTOR3

Orphan

Lynparza ovarian cancer SOLO-2 (US)

Tagrisso EGFRm T790M NSCLC (US)

MEDI3902 Psl-PcrV pneumo Px (US)

Tagrisso EGFRm T790M NSCLC (JP)

Tagrisso EGFRm T790M NSCLC (US)

Lynparza prostate cancer PROFOUND (US)

savratoxumab Staph HAP (US)

Tagrisso EGFRm T790M NSCLC (US)

tezepelumab asthma (US)nirsevimab RSV mAB (US)nirsevimab RSV mAB (EU)1

Imfinzi bladder cancer (US) Calquence MCL (US)

Enhertu unresectable or HER2+ MBC 3L DESTINY-Breast01 (US)

Imfinzi stage III NSCLC PACIFIC (JP)

selumetinib NFI type 1 SPRINT (US) Enhertu DESINTY-BREAST01 (US) Calquence CLL (US)

Lynparza tablet (US)

Lynparza tablet (CN)

Tagrisso NSCLC 1L FLAURA (JP)

Lumoxiti HCL PLAIT (US)

Lynparza ovarian SOLO-1 (US)

Lynparza ovarian SOLO-1 (CN)

Lynparza breast cancer OLYMPIAD (JP)

Calquence MCL (US) Calquence WM (US) Calquence CLL 1L (EU)

selumetinib thyroid cancer ASTRA (US) Lynparza breast cancer OLYMPIAD (JP) Lynparza ovarian cancer SOLO-2 (JP) Koselugo/ selumetinib NFI type 1 SPRINT (US) Koselugo/ selumetinib NFI type 1 SPRINT (EU)

Farxiga HF DAPA-HF (US)

Imfinzi +treme HCC 1L HIMALAYA (US)

BREAKTHROUGH DESIGNATION is a process designed to expedite the development and review of medicines which may demonstrate substantial improvement over available therapy. 1PRIME is a scheme launched by the EMA to enhance support for the development of medicines that target an unmet medical need. 2SAKIGAKE is aimed at early introduction of innovative medicines, medical devices, etc. that are initially developed in Japan.

FAST TRACK is a process designed to facilitate the development, and expedite the review of medicines to treat serious conditions and fill an unmet medical need. 3REAL-TIME ONCOLOGY REVIEW (RTOR) and Project Orbis is an initiative of the FDA Oncology Centre of Excellence (OCE) providing a framework for concurrent submission and review of oncology products among international partners.

PRIORITY REVIEW DESIGNATION is the US FDA's goal to take action on an application within 6 months.

ORPHAN DRUG DESIGNATION, intended for treatment, diagnosis or prevention of rare diseases/disorders that affect fewer than 200,000 patients in the US, or that affect more than 200,000 patients but are not expected to recover the costs of developing and marketing a treatment drug.

Imfinzi +/-treme+SOC SCLC 1L CASPIAN (US) Lynparza prostate PROfound (US)

Lynparza +Avastin ovarian 1L PAOLA-1 (US) Koselugo/ selumetinib NFI type 1 SPRINT (US) Calquence CLL ELEVATE-TN, ASCEND3 (US)

Lynparza prostate PROfound (CN)

Brilinta stroke THALES (US)

Lynparza pancreatic cancer POLO (JP)

Enhertu HER2+/HER2low gastric 3L DESTINY-Gastric01 (US)

Imfinzi Q4W regimen NSCLC, bladder (US) Tagrisso adjuvant NSCLC ADAURA (US)

Enhertu HER2+/HER2low gastric 3L DESTINY-Gastric01 (US)

Koselugo /selumetinib NFI type 1 SPRINT (JP) Imfinzi+CTx biliary tract 1L TOPAZ-1 (US)

Oncology - approved medicines and late-stage pipeline

Tagrisso (highly-selective, irreversible EGFRi)

NSCLC

Trial

Population

Patients

Design

Endpoints

Status

Phase III ADAURA

NCT02511106

Adjuvant EGFRm NSCLC

682

  • Arm 1: Tagrisso QD following complete tumour resection, with or without chemo

  • Arm 2: placebo

Global trial - 25 countries

  • Primary endpoint: DFS

  • Secondary endpoints: DFS Rate, OS, OS Rate, QoL

  • FPCD: Q4 2015

  • LPCD: Q1 2019

  • Data readout: Q2 2020

  • Trial unblinded due to efficacy

  • DFS primary endpoint met

Phase III LAURA

NCT03521154

Maintenance therapy in patients with locally advanced, unresectable EGFRm Stage III NSCLC whose disease has not progressed following platinum-based chemoradiation therapy

200

  • Arm 1: Tagrisso

  • Arm 2: placebo

Global trial - 17 countries

  • Primary endpoint: PFS (BICR)

  • Secondary endpoints: CNS PFS, OS, DoR, ORR, DCR

  • FPCD: Q4 2018

  • Data anticipated: 2022+

Phase III ASTRIS

NCT02474355

Real world setting in adult patients with advanced or metastatic, EGFRm T790M+ NSCLC

3,020

Single-arm trial - Tagrisso

Global trial - 16 countries

  • Primary endpoints: OS and safety

  • Secondary endpoint: PFS

  • FPCD: Q3 2015

  • LPCD: Q4 2017

Phase II ELIOS

NCT03239340

EGFR TKI treatment-naïve patients with locally-advanced or metastatic EGFRm NSCLC

150

Single arm trial - Tagrisso

Global trial - five countries

  • Primary Endpoint: proportion of patients with a given tumour genetic and proteomic marker at the point of disease progression as defined by the investigator

  • Secondary endpoint: PFS, ORR, DoR

  • FPCD: Q2 2018

Phase I ODIN-BM

NCT03463525

Patients with EGFRm NSCLC with brain metastases

8

Single-arm trial - Tagrisso

  • Primary Endpoints: assessments of brain standard uptake value (SUV) and pharmacokinetics (PK)

  • Secondary endpoints: PK

  • FPCD: Q4 2018

  • LPCD: Q1 2020

  • Data anticipated: H1 2021

Tagrisso (highly-selective, irreversible EGFRi)

NSCLC, combinations

Trial

Population

Patients

Design

Endpoints

Status

Phase III NeoADAURA

NCT04351555

Neoadjuvant EGFRm NSCLC

351

Arm 1: placebo plus plus pemetrexed/carboplatin or pemetrexed/cisplatin

Arm 2: Tagrisso plus pemetrexed/carboplatin or pemetrexed/cisplatin

Arm 3: Tagrisso

Global trial - 23 countries

  • Primary endpoint: mPR

  • Secondary endpoints cPR, EFS, DFS, OS

  • FPCD Q1 2021

  • Data anticipated: 2022+

Phase III FLAURA2

NCT04035486

1st-line EGFRm NSCLC

586

Arm 1: Tagrisso plus pemetrexed/carboplatin or pemetrexed/cisplatin

Arm 2: Tagrisso

Global trial - 22 countries

  • Primary endpoint: PFS

  • Secondary endpoints: OS, LOS, ORR DoR, Depth of response, PFS2. QoL, PK

  • FPCD: Q4 2019

  • Data anticipated: 2022+

Phase II ORCHARD

NCT03944772

Advanced EGFRm NSCLC patients who have progressed on first line Tagrisso treatment

182

Modular design platform trial:

  • Module 1: Tagrisso + savolitinib

  • Module 2: Tagrisso + gefitinib

  • Module 3: Tagrisso + necitumumab

  • Module 4: carboplatin + pemetrexed + Imfinzi

  • Module 5: Tagrisso + alectinib

  • Module 6: Tagrisso + selpercatinib

  • No intervention: observational cohort

Global trial - 8 countries

  • Primary endpoint: ORR

  • Secondary endpoints: PFS, DoR, OS, safety and tolerability

  • FPCD: Q3 2019

  • Data anticipated: 2022+

Phase II SAVANNAH

NCT03778229

EGFRm / MET+, locally advanced or metastatic NSCLC who have progressed following treatment with Tagrisso

172

  • Single arm trial: Tagrisso + savolitinib

Global trial

  • Primary endpoint: ORR

  • Secondary endpoints include PFS, DoR and OS

  • FPCD Q1 2019

  • Data anticipated: 2022+

Phase Ib TATTON

NCT02143466

Advanced EGFRm NSCLC TKI failure

344

  • Arm 1: Tagrisso + Imfinzi

  • Arm 2: Tagrisso + savolitinib

  • Arm 3: Tagrisso + selumetinib

Enrolment to Tagrisso + Imfinzi arm will not restart

Global trial

  • Safety, tolerability, pharmacokinetics and preliminary anti-tumour activity

  • FPCD: Q3 2014

  • Data anticipated: H2 2020

Imfinzi (PD-L1 mAb)

NSCLC, early disease

Trial

Population

Patients

Design

Endpoints

Status

Phase III MERMAID-1

NCT04385368

Completely resected Stage II and III NSCLC

332

  • Arm 1: Imfinzi + SoC chemo

  • Arm 2: placebo + SoC chemo

Primary endpoint:

  • DFS

Secondary endpoint

  • DFS, OS,

  • FPCD: Q3 2020

  • Data anticipated: 2022+

Phase III MERMAID-2

NCT04642469

Completely resected Stage II-III NSCLC

284

  • Arm 1: Imfinzi

  • Arm 2: placebo

Primary endpoint:

  • DFS

Secondary endpoint

  • DFS, PFS, OS

  • Initiating

  • Data anticipated: 2022+

Phase III AEGEAN

NCT03800134

Neoadjuvant NSCLC patients Stage II and III resected NSCLC

(incl. EGFR/ALK positive)

800

  • Arm 1: Imfinzi + platinum-based chemo

  • Arm 2: placebo + platinum-based chemo

Primary endpoint:

  • mPR, EFS

Secondary endpoint

  • pCR

  • FPCD: Q1 2019

  • Data anticipated: 2022+

Phase III ADJUVANT BR.31

NCT02273375 Partnered

Adjuvant NSCLC patients

Ib (≥4cm) - stage IIIa resected NSCLC

(incl. EGFR/ALK positive)

1,360

  • Arm 1: Imfinzi mg/kg i.v. Q4W x 12m

  • Arm 2: placebo

Global trial

Primary endpoint:

  • DFS

Secondary endpoint:

  • OS

  • FPCD: Q1 2015

  • LPCD Q1 2020

  • Data anticipated: 2022+

Phase III PACIFIC-2

NCT03519971

Unresected, locally-advanced NSCLC

300

  • Arm 1: Imfinzi i.v. Q4W + chemo/RT

  • Arm 2: placebo + chemo/RT

ex US global trial

Primary endpoint:

  • PFS

  • ORR

Secondary endpoint:

  • OS

  • FPCD: Q2 2018

  • LPCD: Q3 2019

  • Data anticipated: H1 2021

Phase III PACIFIC-4

NCT03833154

Imfinzi with SBRT in unresected, Stage I/II NSCLC

630

  • Arm 1: Imfinzi i.v. Q4W with definitive SBRT

  • Arm 2: placebo with definitive SBRT

Primary endpoint:

  • PFS

Secondary endpoint:

  • OS

FPCD: Q2 2019

Data anticipated: 2022+

Phase III PACIFIC-5

NCT03706690

Unresected, locally-advanced NSCLC

360

  • Arm 1: Imfinzi i.v. Q4W following chemo/RT

  • Arm 2: placebo following chemo/RT

ex US global trial, China focus

Primary endpoint:

  • PFS

Secondary endpoint:

  • OS

  • FPCD: Q1 2019

  • Data anticipated: 2022+

Phase II/III Lung Master Protocol

NCT02154490

Partnered

Stage IV squamous NSCLC patients

Biomarker-targeted 2L therapy

140

  • Subtrial A: Imfinzi (non-match for other biomarker driven subtrials) i.v. Q2W single arm Imfinzi Phase II only

  • Subtrial B: PI3K inhibitor vs. docetaxel

  • Subtrial C: CDK4/6 inhibitor vs, docetaxel

  • Subtrial D: AZD4547 (FGFR inhibitor) vs. docetaxel

  • Subtrial E: C-MET/HGFR Inhibitor + erlotinib vs. erlotinib

Primary endpoints:

  • ORR

  • PFS

  • OS

  • FPCD: Q2 2014

  • Data anticipated: 2022+

Imfinzi (PD-L1 mAb) +/- treme (CTLA-4 mAb)

Lung cancer, advanced disease

Approved medicines Late-stage development

Early development

Trial

Population

Patients

Design

Endpoints

Status

Phase III PEARL

NCT03003962

NSCLC 1L

650

  • Arm 1: Imfinzi Q4W

  • Arm 2: chemotherapy

Asia trial

Primary endpoint:

  • OS

  • FPCD: Q1 2017

  • LPCD: Q1 2019

  • Data anticipated: 2022

Phase III POSEIDON

NCT03164616

NSCLC 1L

1,000

  • Arm 1: Imfinzi + chemo

  • Arm 2: Imfinzi + tremelimumab + chemo

  • Arm 3: SoC

Primary endpoint:

  • OS

  • PFS

  • FPCD: Q2 2017

  • LPCD: Q4 2018

  • Data readout: Q4 2019

  • PFS primary endpoint met

  • OS data anticipated: H1 2021

Phase II MAGELLAN

NCT03819465

NSCLC 1L

200

  • Arm A1: Imfinzi

  • Arm A2: Imfinzi + danvatirsen

  • Arm A3: Imfinzi + oleclumab

  • Arm A3: MEDI5752

  • Arm B1: Imfinzi + Investigator's choice of chemo

  • Arm B2: Imfinzi + danvatirsen + Investigator's choice of chemo

  • Arm B3: Imfinzi + oleclumab + Investigator's choice of chemo

  • Arm B4: MEDI5752

Primary endpoint:

  • Safety & tolerability Secondary endpoint:

  • ORR, DoR, PFS, OS, PK, ADA

  • FPCD: Q1 2019

  • Data anticipated: 2022+

Phase III ADRIATIC

NCT03703297

Limited stage SCLC 1L following platinum-based concurrent chemoradiation therapy

600

  • Arm 1: Imfinzi + tremelimumab (4 doses)

  • Arm 2: Imfinzi

  • Arm 3: placebo

Primary endpoints:

  • PFS

  • OS

  • FPCD: Q4 2018

  • Data anticipated: 2022

Phase III CASPIAN

NCT03043872

Extensive stage SCLC 1L

805

  • Arm 1: Imfinzi + tremelimumab + EP (carboplatin or cisplatin + etoposide)

  • Arm 2: Imfinzi + EP (carboplatin or cisplatin + etoposide)

  • Arm 3: EP (carboplatin or cisplatin + etoposide)

Primary endpoint:

  • OS

  • FPCD: Q1 2017

  • LPCD: Q2 2018

  • Data readout: Q2 2019

  • OS Primary endpoint met for Imfinzi monotherapy

  • OS primary endpoint not met for Imfinzi + tremelimumab

Phase II BALTIC

NCT02937818

SCLC

72

  • Arm A: Imfinzi + tremelimumab Q4W

  • Arm B: adavosertib and carboplatin BID

  • Arm C: ceralasertib and Lynparza

  • Primary endpoint: ORR

  • FPCD: Q4 2016

  • Data anticipated: 2022+

Imfinzi (PD-L1 mAb)

Other cancers, early disease

Trial

Population

Patients

Design

Endpoints

Status

Phase III POTOMAC

NCT03528694

Non-muscle invasive bladder cancer

975

  • Arm 1: BCG (Induction + maintenance)

  • Arm 2: Imfinzi + BCG (Induction only)

  • Arm 3: Imfinzi + BCG (Induction + maintenance)

Primary endpoints:

  • DFS

  • FPCD: Q2 2018

  • LPCD: Q4 2020

  • Data anticipated: 2022+

Phase III NIAGARA

NCT03732677

Muscle-invasive bladder cancer

960

  • Arm 1: Imfinzi in combination with gemcitabine + cisplatin, Imfinzi maintenance

  • Arm 2: gemcitabine + cisplatin

Coprimary endpoints:

  • pCR

  • EFS

  • FPCD: Q4 2018

  • Data anticipated: 2022+

Phase III EMERALD-1

NCT03778957

Locoregional HCC

710

  • Arm 1: TACE in combination with Imfinzi

  • Arm 2: TACE in combination with Imfinzi + bevacizumab

  • Arm 3: TACE in combination with placebo

Primary endpoint

PFS for Arm 1 vs Arm 3

Secondary endpoint

PFS for Arm 2 vs Arm 3 , OS

  • FPCD: Q1 2019

  • Data anticipated: 2022

Phase III EMERALD-2

NCT03847428

Adjuvant therapy in HCC

888

  • Arm 1: Imfinzi + bevacizumab

  • Arm 2: Imfinzi + placebo

  • Arm 3: placebo + placebo

Primary endpoint:

  • RFS for Arm 2 vs Arm 3

Secondary endpoint:

  • RFS Arm 1 vs Arm 3, OS, RFS at 24m

  • FPCD: Q2 2019

  • Data anticipated: 2022+

Phase III KUNLUN

NCT04550260

Locally advanced, unresectable ESCC

600

  • Arm 1: Imfinzi + definitive CRT

  • Arm 2: placebo + definitive CRT

Primary endpoint:

  • PFS

Secondary endpoint:

  • OS

  • FPCD: Q4 2020

  • Data anticipated: 2022+

Phase III MATTERHORN

NCT04592913

Resectable GC/GEJC

900

  • Arm 1: Imfinzi + FLOT

  • Arm 2: placebo + FLOT

Primary endpoint:

  • EFS

Secondary endpoint:

  • OS Arm 1 vs Arm 2

  • pCR Arm 1 vs Arm 2

  • FPCD: Q4 2020

  • Data anticipated: 2022+

Imfinzi (PD-L1 mAb) +/- treme (CTLA-4 mAb)

Other cancers, advanced disease

Trial

Population

Patients

Design

Endpoints

Status

Phase III NILE

NCT03682068

Bladder cancer 1L

885

  • Arm 1: Imfinzi + tremelimumab + SoC

  • Arm 2: Imfinzi + SoC

  • Arm 3: SoC

Primary endpoints:

  • PFS

  • OS

  • FPCD: Q4 2018

  • Data anticipated: 2022+

Phase III KESTREL

NCT02551159

HNSCC 1L

823

  • Arm 1: Imfinzi

  • Arm 2: Imfinzi + tremelimumab

  • Arm 3: SoC

Primary endpoints:

  • OS

Secondary endpoint:

  • PFS, ORR, DoR, safety, biomarkers

  • FPCD: Q4 2015

  • LPCD Q1 2017

  • Data readout: Q1 2021

  • Primary endpoint not met

Phase III HIMALAYA

NCT03298451

HCC 1L

1,324

  • Arm 1: Imfinzi + tremelimumab

  • Arm 2: Imfinzi

  • Arm 3: sorafenib

Primary endpoint:

  • OS

Secondary endpoint:

  • PFS, TTP, ORR

  • FPCD: Q4 2017

  • LPCD: Q4 2019

  • Data anticipated: H2 2021

Phase II

NCT02527434

Urothelial bladder cancer triple-negative breast cancer pancreatic ductal-adenocarcinoma

76

  • Arm 1 tremelimumab (urothelial bladder cancer)

  • Arm 2 tremelimumab (triple-negative breast cancer)

  • Arm 3 tremelimumab (pancreatic ductal-adenocarcinoma)

Primary endpoint:

  • ORR

Secondary endpoints:

  • Safety, DoR

  • FPCD: Q4 2015

  • LPCD: Q4 2016

  • Data readout: Q4 2018

Phase III TOPAZ-1

NCT03875235

BTC 1L

757

  • Treatment Arm 1 Imfinzi + gemcitabine + cisplatin

  • Treatment Arm 2 placebo + gemcitabine + cisplatin

Global trial

Primary endpoint:

  • OS

Secondary endpoint:

  • PFS, ORR, DoR

  • FPCD Q2 2019

  • Data anticipated: 2022

Phase III CALLA

NCT03830866

Locally advanced cervical cancer

714

  • Arm 1 Imfinzi + EBRT + brachytherapy with platinum

  • Arm 2 placebo + EBRT + brachytherapy with platinum

Global trial

Primary

  • PFS

Secondary

  • OS, CR rate, DoR, ORR, safety/tolerability

  • FPCD: Q1 2019

  • Data anticipated: 2022+

Imfinzi (PD-L1 mAb) +/- treme (CTLA-4 mAb)

Other cancers, advanced disease

Trial

Population

Patients

Design

Endpoints

Status

Phase III STRONG

NCT03084471

Advanced solid malignancies

1,200

  • Arm 1: Imfinzi

  • Arm 2: Imfinzi + tremelimumab

  • Primary endpoint: safety

  • FPCD: Q2 2017

  • Data anticipated: 2022+

Phase I NCT02658214

Solid tumours

80

  • Arm 2 SCLC: Imfinzi + tremelimumab + carboplatin + etoposide

  • Arm 3 TNBC: Imfinzi + tremelimumab + chemo

  • Arm 4 TNBC: Imfinzi + tremelimumab + chemo

  • Arm 5 GEJ: Imfinzi + tremelimumab + oxaliplatin + 5-FU + leucovorin

  • Arm 6 PDAC: Imfinzi + tremelimumab + chemo

  • Arm 7 ESSC: Imfinzi + tremelimumab + chemo

  • Safety

  • FPCD: Q1 2016

  • LPCD: Q1 2019

  • Data anticipated: 2022+

Phase I

CLOVER

NCT03509012

HNSCC, NSCLC, SCLC

102

  • HNSCC Arm 1

  • NSCLC Arm 1

  • NSCLC Arm 2

  • NSCLC Arm 3

  • SCLC Arm 2

  • SCLC Arm 3

  • SCLC Arm 4

  • Safety

  • FPCD: Q2 2018

  • Data anticipated: H1 2021

Phase II BEGONIA

NCT03742102

mTNBC 1L

110

  • Arm 1 Imfinzi + paclitaxel

  • Arm 2 Imfinzi + paclitaxel + capivasertib

  • Arm 4 Imfinzi + paclitaxel + danvatirsen

  • Arm 5 Imfinzi + paclitaxel + oleclumab

  • Arm 6 Imfinzi + Enhertu

Global trial

Primary endpoint:

  • Safety and tolerability

Secondary endpoint:

  • ORR, PFS, DoR, OS, PK, ADA

  • FPCD: Q1 2019

  • Data anticipated: 2022+

Lynparza (PARP inhibitor)

Multiple cancers

Trial

Population

Patients

Design

Endpoints

Status

Phase III OlympiA

NCT02032823

Partnered

BRCAm adjuvant breast cancer

1,836

  • Arm 1: Lynparza BiD 12 month duration

  • Arm 2: placebo 12-month duration

Global trial partnership with BIG and NCI/NRG

  • Primary endpoint: invasive disease-free survival (IDFS)

  • Secondary endpoint: distant disease-free survival and OS

  • FPCD: Q2 2014

  • LPCD: Q2 2019

  • Data anticipated: H1 2021

Phase III PROfound

NCT02987543

Metastatic castration-resistant prostate cancer

HRRm, 2L+

387

  • Arm 1: Lynparza BID

  • • Arm 2: physician's choice: enzalutamide 160mg once daily or abiraterone acetate 1,000mg once daily

Global trial

  • Primary endpoint: radiologic PFS

  • Secondary endpoints: ORR, Time to Pain Progression, OS

  • FPCD: Q2 2017

  • LPCD: Q4 2018

  • Data readout : Q3 2019

  • Primary endpoint met

Lynparza (PARP inhibitor)

Imfinzi combinations

Trial

Population

Patients

Design

Endpoints

Status

Phase III DuO-O

NCT03737643

Advanced ovarian cancer 1L

1,256

Non tBRCAm (tumour BRCA) patients

  • Arm 1: bevacizumab

  • Arm 2: bevacizumab + Imfinzi

  • Arm 3: bevacizumab + Imfinzi + Lynparza tBRCAm patients

  • bevacizumab (optional) + Imfinzi + Lynparza

Global trial

Primary endpoint:

  • PFS

Secondary endpoints:

  • OS, PFS2

  • FPCD: Q1 2019

  • Data anticipated: 2022+

Phase III DUO-E

NCT04269200

Advanced and recurrent endometrial cancer 1L

699

  • Arm 1: chemo + Imfinzi placebo followed by Imfinzi placebo and Lynparza placebo

  • Arm 2: chemo + Imfinzi followed by Imfinzi + Lynparza placebo

  • Arm 3: chemo + Imfinzi followed by Imfinzi + Lynparza

Global Trial

Primary endpoint

  • PFS

Secondary endpoints:

  • OS, PFS2, ORR, DoR

  • FPCD: Q2 2020

  • Data anticipated: 2022+

Phase II ORION

NCT03775486

Stage IV NSCLC whose disease has not progressed following SoC chemo + Imfinzi Maintenance therapy 1L

250

  • Arm 1: Imfinzi + Lynparza

  • Arm 2: Imfinzi + placebo

Global trial

Primary endpoint:

  • PFS

Secondary enpoints:

  • OS, ORR, DoR, PFS in HRRm, PK, ADA

  • FPCD Q1 2019

  • Data anticipated: H1 2021

Phase II BAYOU

NCT03459846

Platinum-Ineligible unresectable Stage IV urothelial cancer

154

  • Arm 1: Imfinzi + Lynparza

  • Arm 2: Imfinzi + placebo

Global trial

  • Primary endpoint: PFS

  • Secondary endpoints: OS, DoR, ORR, PFS in HRRm, PFS6, PK, ADA, PRO

  • FPCD: Q2 2018

  • LPCD: Q3 2019

  • Data anticipated : H1 2021

Phase I / II MEDIOLA

NCT02734004

gBRCAm ovarian cancer 2L+ gBRCAm HER2-negative breast

cancer 1-3L

SCLC 2L+

Gastric cancer 2L+

148

  • Arm 1: Lynparza + Imfinzi

  • Dose until progression

Global trial

Primary endpoints:

  • DCR at 12 weeks

  • Safety and tolerability

  • FPCD: Q2 2016

  • LPCD: Q2 2017

Phase I / II MEDIOLA

(Ovarian expansion)

NCT02734004

gBRCAm ovarian cancer 2L+ Non-gBRCAm ovarian cancer 2L+ Non-gBRCAm ovarian cancer 2L+

115

  • Arm 1: Lynparza + Imfinzi

  • Arm 2: Lynparza + Imfinzi

  • Arm 3: Lynparza + Imfinzi + bevacizumab

  • Dose until progression

Global trial

Primary endpoints:

  • DCR at 12 weeks

  • ORR

  • Safety and tolerability

  • FPCD: Q2 2018

  • LPCD: Q2 2020

Lynparza (PARP inhibitor)

Other combinations

Trial

Population

Patients

Design

Endpoints

Status

Phase III PAOLA-1

NCT02477644 Externally sponsored

Advanced ovarian cancer 1L maintenance

806

  • Arm 1: Lynparza maintenance therapy for two years or until disease progression

  • Arm 2: placebo for two years or until disease progression

Global trial

Primary endpoint:

  • PFS

Secondary endpoints:

  • OS, PFS2

  • FPCD: Q2 2015

  • LPCD: Q2 2018

  • Data readout: Q3 2019

  • Primary endpoint met

Phase III PROpel

NCT03732820

Metastatic castration-resistant prostate cancer 1L

720

  • Arm 1: Lynparza + abiraterone

  • Arm 2: placebo + abiraterone

Global trial

Primary Endpoint:

  • rPFS

Secondary endpoints:

  • TFST, TTPP, OS

  • FPCD: Q4 2018

  • Data anticipated: H2 2021

Phase II

VIOLETTE NCT03330847

TNBC

350

  • Arm 1: Lynparza + ceralasertib

  • Arm 2: Lynparza

Trial conducted in 15 countries: North America, Europe and Asia

  • PFS

  • ORR / OS

  • Safety and tolerability

  • FPCD: Q2 2018

  • Data anticipated: H2 2021

Phase II/III GY005

NCT02502266 Externally sponsored

Recurrent platinum resistant/refractory ovarian cancer

680

  • Arm 1: chemo

  • Arm 2: cediranib + Lynparza

  • Arm 3: cediranib

  • Arm 4: Lynparza

US/Canada sites

Primary endpoints:

  • PFS, OS

Secondary endpoints:

  • ORR, QoL, safety

  • FPCD: Q2 2016

  • Data anticipated: 2022+

Phase II LYNK-002

NCT03742895 Partnered

HRRm or HRD-positive advanced cancer

370

  • Arm 1: Lynparza

Global trial

Primary endpoints:

  • ORR

Secondary endpoints:

  • DOR, OS, PFS, AE, Prog by CA-125

  • FPCD: Q1 2019

Phase III LYNK-003

NCT04456699 Partnered

Advanced colorectal cancer 1L maintanence

525

  • Arm 1: bevacizumab + 5-FU maintenance

  • Arm 2: bevacizumab + Lynparza maintenance

  • Arm 3: Lynparza maintenance

Global trial

Primary endpoints:

  • PFS

Secondary endpoints:

  • OS, ORR, DoR, AEs

  • FPCD: Q3 2020

  • Data anticipated: 2022+

Phase II

DUETTE NCT04239014

Ovarian post-PARPi maintenance PSR

192

  • Arm 1: Lynparza + ceralasertib

  • Arm 2: Lynparza

  • Arm 3: placebo

Global trial

Primary endpoint

  • PFS

Secondary endpoints

  • TTSP, ORR, OS

  • Safety and tolerability

  • Initiating

  • Data anticipated: 2022+

Enhertu (trastuzumab deruxtecan, HER2 ADC)

Breast cancer

Trial

Population

Patients

Design

Endpoints

Status

Phase II DESTINY-Breast01

NCT03248492

HER2-positive, unresectable and/or metastatic breast cancer patients previously treated with trastuzumab emtansine

230

Randomised, open label, sequential assignment

  • Enhertu

Primary endpoint ORR

Secondary end points DoR, CBR, CBR, PFS, OS

  • FPCD: Q4 2017

  • LPCD: Q4 2018

  • Data readout: Q2 2019

  • Primary objective met

Phase III DESTINY-Breast02

NCT03523585

HER2-positive, unresectable and/or metastatic breast cancer pretreated with prior standard of care HER2 therapies, including trastuzumab emtansine

600

Randomised open label parallel assignment

  • Enhertu

Physicians choice of

  • Lapatinib + capecitabine

  • Trastuzumab + capecitabine

Primacy endpoint PFS

Secondary endpoints OS, ORR, DoR, CBR

  • FPCD: Q4 2018

  • Data anticipated H2 2021

Phase III DESTINY-Breast03

NCT03529110

HER2-positive, unresectable and/or metastatic breast cancer patients previously treated with trastuzumab and taxane

500

Randomised open label parallel assignment

  • Enhertu

  • Ado-trastuzumab emtansine

Primary endpoint PFS

Secondary endpoints OS, ORR, DoR, CBR

  • FPCD: Q4 2018

  • Data anticipated H2 2021

Phase III DESTINY-Breast04

NCT03734029

HER2-low, unresectable and/or metastatic breast cancer patients

540

Randomised open label parallel assignment

  • Enhertu

  • Physicians choice of SoC chemo (choice of capecitabine, eribulin, gemcitabine, paclitaxel or nab-paclitaxel)

Primary end point PFS

Secondary end points OS, DoR, ORR

  • FPCD: Q4 2018

  • Data anticipated H2 2021

Phase III DESTINY-Breast05

NCT04622319

High-risk HER2-positive patients with residual invasive breast cancer following neoadjuvant therapy

1,600

Randomised open label parallel assignment

  • Enhertu

  • Ado-trastuzumab emtansine

Primary end point IDFS

Secondary end points DFS, OS, DRFI, BMFI

  • FPCD: Q4 2020

  • Data anticipated 2022+

Phase III DESTINY-Breast06

NCT04494425

HER2-Low, HR+ breast cancer patients whose disease has progressed on endocrine therapy in the metastatic setting

850

Randomised open label parallel assignment

  • Enhertu

  • Investigator's choice standard of care chemotherapy (capecitabine, paclitaxel, nab-paclitaxel)

Primary end point PFS

Secondary end points OS, DoR, ORR

  • FPCD Q2 2020

  • Data anticipated 2022+

Phase Ib/II DESTINY-Breast07

NCT04538742

HER2-positive metastatic breast cancer

350

Randomised open label sequential assignment

  • Enhertu

  • Enhertu + Imfinzi

  • Enhertu + pertuzumab

  • Enhertu + paclitaxel

  • Enhertu + Imfinzi + paclitaxel

Primary end point AE, SAE

Secondary end points ORR, PFS, DoR, OS

  • FPCD: Q1 2021

  • Data anticipated 2022+

Phase Ib DESTINY-Breast08

NCT04556773

HER2-low metastatic breast cancer

185

Non-Randomised open label parallel assignment

  • Enhertu + capecitabine

  • Enhertu + Imfinzi + paclitaxel

  • Enhertu + capivasertib

  • Enhertu + anastrozole

  • Enhertu + Faslodex

Primary end point AE, SAE

Secondary end points ORR, PFS, DoR, OS

  • FPCD: Q1 2021

  • Data anticipated 2022+

Enhertu (trastuzumab deruxtecan, HER2 ADC)

Gastric cancer

Trial

Population

Patients

Design

Endpoints

Status

Phase II DESTINY-Gastric01

NCT03329690

HER2-overexpressing advanced gastric or gastroeosophogeal junction adenocarcinoma patients who have progressed on two prior treatment regimens

233

Randomised open label parallel assignment

  • Enhertu

  • SoC chemo

Asian trial 2 countries

Primary end point ORR

Secondary end points PFS, OS, DoR, DCR, TTF, range of PK endpoints

  • FPCD: Q4 2017

  • LPCD: Q2 2019

  • Data readout Q1 2020

  • Primary endpoint met

Phase II DESTINY-Gastric02

NCT04014075

HER2-positive gastric cancer that cannot be surgically removed or has spread

79

Open label single group assignment

  • Enhertu

Primary endpoint ORR

Secondary endpoints PFS, ORR, OS, DoR

  • FPCD: Q4 2019

  • Data anticipated: H2 2021

Phase Ib/II DESTINY-Gastric03

NCT04379596

HER2-overexpressing gastric or gastroeosophogeal junction cancer patients

220

  • Open label parallel assignment

  • Part 1: To determine recommended Phase 2 dose

  • 5 Arms combine Enhertu with standard of care chemotherapies

    (5-FU, capecitabine, oxaliplatin) and / or durvalumab

  • Part 2: To assess efficacy of the selected combinations

  • Arm 2A Standard chemotherapy (control)

  • Arm 2B Enhertu monotherapy

  • Arm 2C Enhertu with chemotherapy

  • Arm 2D Enhertu with chemotherapy and durvalumab

Global trial 8 countries

Part 1

Primary endpoint safety

Part 2

Primary endpoint ORR

Secondary end points

DoR, DCR, PFS, OS, range of PK endpoints, ADAs

  • FPCD Q2 2020

Phase III DESTINY-Gastric04

NCT04704934

HER2-positive gastric cancer or gastro-esophageal junction adenocarcinoma patients who have progressed on or after a trastuzumab-containing regimen and have not received any additional systemic therapy

490

Open label randomised parallel group assignment

  • Enhertu

  • SoC chemo

Primary endpoint: OS

Secondary endpoints: ORR, DoR, PFS, DcR, safety

  • Initiating

Enhertu (trastuzumab deruxtecan, HER2 ADC)

Other cancers

Trial

Population

Patients

Design

Endpoints

Status

Phase II DESTINY-Lung01

NCT03505710

Partnered

HER2-over-expressing or mutated, unresectable and/or metastatic NSCLC

170

Non randomised parallel group assignment

  • Enhertu

Primary endpoint ORR

Secondary endpoints DoR, PFS, OS

  • FPCD Q2 2018

  • Data anticipated H2 2021

Phase II DESTINY-Lung02

NCT04644237

Partnered

HER2-Mutated, Unresectable and/or Metastatic NSCLC

150

Randomised parallel group assignment

  • Arm 1 Enhertu 6.4 mg/kg

  • Arm 2 Enhertu 5.4mg/kg

Primary endpoint: ORR

Secondary endpoints: DoR, DCR, PFS, OS, PK

  • FPCD Q1 2021

Phase Ib DESTINY-Lung03

NCT04686305

HER2-over-expressing, unresectable and/or metastatic NSCLC

120

Non randomised parallel group assignment

  • Arm 1 Enhertu + Cisplatin + Imfinzi

  • Arm 2 Enhertu + Carboplatin + Imfinzi

  • Arm 3 Enhertu + Pemetrexed + Imfinzi

  • Arm 4 Enhertu + Imfinzi

Primary endpoint: safety

Secondary endpoints: ORR, DoR, DCR, PFS, OS, range of PK endpoints

  • Initiating

Enhertu (trastuzumab deruxtecan, HER2 ADC)

Other cancers

Trial

Population

Patients

Design

Endpoints

Status

Phase II DPT02

NCT04482309

HER2 expressing tumours

280

Non randomised single group assignment

  • Enhertu

Primary endpoint: ORR

Secondary endpoints: DoR, DCR, PFS, OS

  • FPCD Q4 2020

Phase II DPT01

NCT04639219

HER2m expressing tumours

100

Non-randomised single group assignment

  • Enhertu

Primary endpoint: ORR

Secondary endpoints: DoR, DCR, PFS, PK

  • FPCD Q1 2021

Phase II DESTINY-CRC01

NCT03384940

HER2-expressing advanced colorectal cancer

90

Non randomised single group assignment

  • Enhertu

Primary endpoint ORR

Secondary endpoints PFS, OS, DoR, range of PK endpoints

  • FPCD Q1 2018

  • LPCD Q2 2019

  • Data readout: Q2 2020

  • Primary endpoint met

Phase I J101

NCT02564900

Advanced solid malignant tumours

278

Non randomised single group assignment

  • Enhertu

Primary end points ORR, number of subjects with AEs, tumour response

Secondary endpoints PK

  • FPCD Q3 2015

  • Data read out Q3 2018

Phase I

NCT04042701

HER2-expressing locally advanced/metastatic breast or NSCLC

115

  • Non randomised parallel group assignment

  • Enhertu + pembrolizumab

Global trial 2 countries

Primary end points DLT, ORR

Secondary endpoints DoR, DCR, PFS, TTR, OS

  • FPCD Q2 2020

Phase I

NCT03523572

HER2-expressing breast and urothelial cancer

99

  • Non randomised sequential assignment

  • Enhertu + nivolumab

Global trial 7 countries

Primary end points DLT, ORR, TEAEs

Secondary endpoints DoR, DCR, PFS, TTR, OS, ORR (investigator)

  • FPCD Q3 2018

Calquence (BTK inhibitor)

Blood cancers

Trial

Population

Patients

Design

Endpoint(s)

Status

Phase III

ACE-CL-007 (ELEVATE-TN)

NCT02475681

Previously untreated CLL

535

  • Arm A: chlorambucil + obinutuzumab

  • Arm B: Calquence + obinutuzumab

  • Arm C: Calquence

  • Primary endpoint: PFS (Arm A vs. Arm B)

  • Secondary endpoints: IRC (independent review committee) assessed ORR, OS (Arm A vs. Arm B vs. Arm C)

  • FPCD: Q2 2015

  • Data readout: Q2 2019

  • Primary endpoint met

Phase III

ACE-CL-311 NCT03836261

Previously untreated CLL fit

780

  • Arm A; Calquence + venetoclax

  • Arm B: Calquence + venetoclax + obinutuzumab

  • Arm C: FCR or BR

  • Primary - IRC PFS (A vs C)

  • Secondary - IRC PFS (B vs C); INV PFS (A vs C; B vs C)

  • FPCD: Q1 2019

  • Data anticipated: 2022+

Phase III

ACE-CL-309 (ASCEND) NCT02970318

Relapsed/refractory CLL

306

  • Arm A: Calquence

  • Arm B: rituximab + idelalisib or bendamustine (investigator's choice)

  • Primary endpoint: IRC assessed PFS (arm A vs. Arm B)

  • Secondary endpoints: INV-assessed ORR, OS, DoR, PROs

  • FPCD Q3 2016

  • Data readout: Q2 2019

  • Primary endpoint met

Phase III

ACE-CL-006 (ELEVATE-RR)

NCT02477696

Relapsed/refractory high risk CLL

533

  • Arm A: Calquence

  • Arm B: ibrutinib

  • Primary endpoint: PFS

  • Secondary endpoints: comparison of incidence of infections, RTs (Richter's

    Transformation) and atrial fibrillation, OS

  • FPCD: Q2 2015

  • Data readout: Q1 2021

  • Primary endpoint met

Phase III ACE-LY-308

NCT02972840

Previously untreated MCL

546

  • Arm A: Calquence + bendamustine + rituximab

  • Arm B: bendamustine + rituximab

  • Primary endpoint: PFS by Lugano Classification for NHL

  • Secondary endpoints: IA, PFS, ORR, DoR, time to response, OS

  • FPCD: Q1 2017

  • Data anticipated: 2022

Phase III ESCALADE

NCT04529772

DLBCL

600

Calquence + rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone

  • Safety, ORR

  • FPCD: Q2 2020

  • Data anticipated: 2022+

Phase II ACE-CL-208

NCT02717611

Relapsed/ refractory CLL, intolerant to ibrutinib

60

Calquence monotherapy

  • ORR at 36 cycles

  • FPCD: Q1 2016

  • Data anticipated: H1 2020

Phase II 15-H-0016

NCT02337829

Relapsed/refractory and treatment naïve/del17p CLL/SLL

48

Calquence monotherapy

  • Arm A: lymph node biopsy

  • Arm B: bone marrow biopsy

  • ORR

  • FPCD: Q4 2014

  • Data anticipated: 2022+

Phase I/II ACE-CL-001

NCT02029443

CLL/SLL/Richter's transformation

306

Calquence monotherapy

Dose escalation and expansion

  • Safety, PK, PD

  • FPCD: Q1 2014

  • Data anticipated: 2021

Calquence (BTK inhibitor)

Blood cancers

Trial

Population

Patients

Design

Endpoint(s)

Status

Phase I/II ACE-LY-001

NCT02328014

B-cell malignancies

40

Dose escalation and expansion trial of the combination of Calquence and ACP-319 (Pi3K inhibitor)

  • Safety

  • ORR

  • FPCD: Q1 2015

  • Data anticipated: H1 2020

Phase I/II ACE-LY-005

NCT02362035

Haematological malignancies

161

Calquence + pembrolizumab

  • Safety

  • Secondary endpoints: ORR, DoR, PFS, OS, TTNT (time to next therapy)

  • FPCD: Q1 2015

  • Data anticipated: 2021

Phase I/II ACE-WM-001

NCT02180724

Waldenstrom microglobulinaemia

106

Calquence monotherapy

  • ORR

  • FPCD: Q3 2014

  • Data readout: Q4 2019

Phase Ib ACE-LY-002

NCT02112526

Relapsed/refractory de novo activated B-cell DLBCL

21

Calquence monotherapy

  • Safety

  • FPCD: Q3 2014

  • Data anticipated: H2 2019

Phase Ib ACE-LY-106

NCT02717624

MCL

70

Calquence in combination with bendamustine and rituxumab

  • Arm A: treatment naive

  • Arm B: relapsed/refractory

  • Arm C: treatment naïve: Calquence + venetoclax + rituxumab

  • Safety

  • FPCD: Q1 2016

  • Data anticipated: 2022+

Phase Ib ACE-MY-001

NCT02211014

Relapsed/refractory MM

28

  • Arm A: Calquence

  • Arm B: Calquence + dexamethasone

  • Safety

  • FPCD: Q1 2015

  • Data readout: Q2 2019

Phase I ACE-LY-003

NCT02180711

Relapsed/refractory follicular lymphoma

80

  • Arm A: Calquence

  • Arm B: Calquence + rituximab

  • Arm C: Calquence + rituximab + lenolidomide

  • Safety

  • FPCD: Q1 2015

  • Data anticipated: 2022+

Phase I ACE-CL-002

NCT02157324

Relapsed/refractory CLL/ SLL

12

Calquence in combination with ACP-319 dose escalation

  • Safety, PK, PD

  • FPCD: Q3 2014

  • Data anticipated: H2 2020

Phase I ACE-CL-003

NCT02296918

CLL/SLL/PLL

69

Calquence + obinutuzumab

  • Arm A: relapsed/refractory

  • Arm B: treatment naïve

Calquence + venetoclax + rituxumab

  • Arm C: relapsed/refractory

  • Arm D: treatment naïve

  • Safety, ORR

  • Secondary endpoints: PD, PFS, TTNT, OS

  • FPCD: Q4 2014

  • Data anticipated: 2022+

Calquence (BTK inhibitor)

Blood and other cancers

Trial

Population

Patients

Design

Endpoint(s)

Status

Phase I

NCT03198650

Japanese adults with advanced B-cell malignancies

34

  • Calquence monotherapy

  • Dose confirmation and expansion

  • Calquence + obinutuzumab

  • Safety

  • PK

  • FPCD: Q2 2017

  • Data anticipated: 2022+

Phase I/II CL-110

NCT03328273

CLL r/r

62

  • Arm A: ceralasertib (AZD6738) monotherapy

  • Arm B: Calquence + ceralasertib (AZD6738)

  • Identify dose of ceralasertib and safety of co-administration of Calquence + ceralasertib

FPCD: Q1 2018

Data anticipated: H1 2021

Phase I/II LY-110

NCT03205046

B-cell malignancies r/r

25

  • Part 1: Calquence daily + vistusertib daily

  • Part 2: Calquence daily + vistusertib 5 days on/2 days off

  • MTD and optimal dosing schedule

  • Safety

FPCD: Q3 2017

Data anticipated: H2 2020

Phase III CL-312

NCT04008706

CLL TN and r/r

600

  • Arm A: treatment naïve

  • Arm B: relapsed/refractory

  • Arm C: prior BTKi therapy

  • Arm D: concomitant vitamin K antagonists

  • Safety

Data anticipated: 2022+

Phase Ib/II PRISM

NCT03527147

Relapsed/refractory aggressive NHL

88

  • Arm 1: Calquence + danvatirsen

  • Arm 2: Calquence + ceralasertib

  • Arm 3: Calquence + Hu5F9G4 + Rituxan

  • Arm 4: Calquence + AZD5153

An open-label platform trial with trial centres in US and UK

  • Primary outcome; safety & tolerability

  • Secondary outcomes; ORR, DOR, PFS, OS

FPCD: Q2 2018

Data anticipated: 2021

Phase Ib/II ACE-ST-209

NCT02586857

≥ 2L glioblastoma multiforme

52

  • Arm A: Calquence 200mg BID

  • Arm B: Calquence 400mg QD

  • Safety, ORR

  • FPCD: Q1 2016

  • Data anticipated: H2 2019

Phase I/II D8220C0007

NCT03932331

Chinese adults r/r MCL and r/r CLL

105

  • Part 1: R/r B-cell MalignanciesPhase II

  • Part 2: Cohort A: r/r MCL

  • Part 2: Cohort B: r/r CLL

  • Safety, ORR

  • FPCD: Q2 2020

Phase I D8220C00018

NCT04488016

Healthy volunteers

28

Part 1: Rel bioavailabilty for capsule vs tablet Part 2: Rel bioavailabilty for oral solution of tablet

  • Safety

  • FPCD: Q2 2019

  • Data anticipated: H1 2021

Koselugo (selumetinib, MEK inhibitor)

Paediatric neurofibromatosis type 1, solid tumours

Trial

Population

Patients

Design

Endpoints

Status

Phase II SPRINT

NCT01362803

Partnered

Paediatric NF1

50 (stratum 1) 25 (Stratum 2)

  • Single arm: Koselugo 25mg/m2 BID with 2 strata:

    • Stratum 1: PN related morbidity present at enrolment

    • Stratum 2: no PN related morbidity present at enrolment

  • Complete partial and complete response rate measured by volumetric MRI;

  • Duration of response and functional outcomes/QoL

  • FPCD: Q3 2015

  • LPCD: Q4 2016

  • Data readout: Q1 2019

  • Primary endpoint met

Phase Ib

Koselugo + MK-8353 (ERK inhibitor)

NCT03745989

Partnered (Merck Lead trial)

Advanced solid tumours

80 (dose escalation trial)

Phase Ib open-label trial of MK-8353 in combination with

Koselugo in participants with advanced solid tumours

  • DLTs

  • AEs

  • Trial drug discontinuations due to an AE

  • FPCD: Q1 2019

Phase I Japan PK / Safety study

Partnered

Paediatric Inoperable NF1-PN patients

9-12

Open-label Phase I clinical study to assess safety and PK of Koselugo in Japanese paediatric NF1-PN patients

  • Primary endpoints safety

  • Secondary endpoints of PK/anti-tumour effect

  • FPCD: Q3 2020

Phase I China PK / Safety / Efficacy study

Pediatric (2-17 years old), adult NF1

32

Single arm with 3 phases;

  • Dose confirmation phase (n=6 for 3 cycles),

  • Expansion phase (24mths post LSD)

  • Long term Follow up (60mths post LSD)

Primary: Safety/tolerability and PK Secondary: Efficacy (ORR, DoR; TTR; PFS)

FPCD: Q4 2020

Lumoxiti (moxetumomab pasudotox,CD22 mAb)

Blood cancer

Trial

Population

Patients

Design

Endpoints

Status

Phase III PLAIT

NCT01829711

Partnered

Adults with relapsed or refractory HCL

80

  • Multicentre, single-arm, open-label Phase III trial

  • Lumoxiti i.v. at the recommended dose

  • Primary endpoint: rate of durable CR (complete response): CR maintained for > 180 days

  • Secondary endpoints

    • Efficacy: CR rate, ORR, Duration of

      CR and ORR, TTR, PFS

    • Safety and tolerability

    • PK and immunogenicity

  • FPCD: Q2 2013

  • Data readout: Q3 2017

  • Primary endpoint met

Savolitinib (MET inhibitor)

NSCLC and other cancers

Trial

Population

Patients

Design

Endpoints

Status

Phase I

NCT01985555

Partnered

Advanced NSCLC (all comers)

85

  • Dose escalation trial

Conducted in China

  • Primary endpoint: safety and tolerability

  • Secondary endpoint: PK profile

  • FPCD: Q2 2013

  • Data anticipated: H2 2020

Phase II

NCT02897479

Partnered

Lung PSC and other NSCLC

65

  • Single arm trial: savolitinib QD

Conducted in China

  • Primary endpoint: ORR

  • Secondary endpoint: PFS, safety parameters

  • FPCD: Q1 2017

  • Data anticipated: H1 2020

Phase II

NCT04606771

EGFRm/MET amplified advanced NSCLC

56

  • Tagrisso and savolitinib contribution of components

  • Primary endpoint: ORR

  • Secondary endpoint: PFS, DoR, OS

  • FPCD: Q4 2020

  • Data anticipated: 2022

Capivasertib (AKT inhibitor)

Breast cancer, prostate cancer

Trial

Population

Patients

Design

Endpoints

Status

Phase III CAPItello-290

NCT03997123

Locally advanced or metastatic TNBC

800

Double-blind randomised comparative trial

  • Arm 1: capivasertib + paclitaxel

  • Arm 2: placebo + paclitaxel

  • PFS

  • OS

  • FPCD Q3 2019

  • Data anticipated: 2022+

Phase III CAPItello-291

NCT04305496

Locally advanced (Inoperable)

or metastatic HR+/HER2− breast cancer

834

Double-blind randomised comparative trial

  • Arm 1: capivasertib + Faslodex

  • Arm 2: placebo +Faslodex

  • PFS

  • FPCD Q2 2020

  • Data anticipated: 2022+

Phase III CAPItello-281

NCT04493853

De novo PTEN deficient metastatic hormone sensitive prostate cancer

1,000

Double-blind randomised comparative trial

  • Arm 1: capivasertib + abiraterone

  • Arm 2: placebo + abiraterone

  • rPFS

  • FPCD Q3 2020

  • Data anticipated 2022+

Monalizumab (NKG2a mAb)

Cancers

Trial

Population

Patients

Design

Endpoints

Status

Phase III INTERLINK-1

NCT04590963

Recurrent or Metastatic SCCHN, 2L

600

  • Arm A: monalizumab + cetuximab i.v.

  • Arm B: placebo + cetuximab i.v.

Global trial

  • Primary: OS

  • Secondary: PFS, ORR, DoR

  • FPCD: Q4 2020

  • Data anticipated: 2022+

Phase I/II

NCT02671435

Advanced solid tumours

381

Escalation phase

  • monalizumab + Imfinzi i.v.

Expansion phase

  • monalizumab + Imfinzi i.v. recommended dose

Exploration phase

  • monalizumab + Imfinzi i.v. recommended dose + SoC systemic therapy with or without biologic agent and monalizumab in combination with a biologic agent in adult subjects with CRC

Global trial

Primary endpoints:

  • Safety

  • Exploration Phase: Objective Response per RECIST

  • Secondary endpoints include tumour response (OR, DC, DoR, PFS and OS), immunogenicity, pharmacokinetics, pharmacodynamics

  • FPCD: Q2 2016

  • Data anticipated: 2022

Camizestrant (AZD9833, oral SERD)

Breast cancer

Trial

Population

Patients

Design

Endpoints

Status

Phase III

NCT04711252

ER+ HER2- breast cancer

1,342

A randomised, multicentre, double-blind, Phase III trial of camizestrant plus palbociclib versus anastrozole plus palbociclib for the treatment of patients with oestrogen receptor-positive, HER2-negative advanced breast cancer who have not received any systemic treatment for advanced disease

  • Primary endpoint: PFS

  • Secondary endpoint: OS, PFS2

  • FPCD: Q1 2021

  • Data anticipated: 2022+

Phase I

NCT03616587

ER+ breast cancer

266

  • Open label multicentre trial of camizestrant administered orally in patients with advanced ER+ HER2 negative breast cancer. The trial design allows an escalation of dose with intensive safety monitoring to ensure the safety of patients. The trial will determine the maximum tolerated dose of AZD9833 as monotherapy and in combination with palbociclib or abemeciclib. In addition, randomised expansion cohort(s) at potential therapeutic dose(s) in patients will be enrolled to further determine the safety, tolerability, pharmacokinetics and biological activity of camizestrant alone and in combination with Palbociclib or abemaciclib

  • Primary outcome measures: safety and tolerability

  • Secondary outcome measures: multiple dose PK of AZD9833 alone and in combination with palbociclib antitumour activity

  • FPCD: Q4 2018

Phase II

NCT04214288

ER+ breast cancer

288

  • Randomised, open-label, parallel-group, multicentre trial aimed to compare the efficacy and safety of oral camizestrant versus intramuscular (IM) Faslodex in women with advanced breast cancer.

  • Primary outcome measure: mPFS

  • FPCD: Q2 2020

Phase II

NCT04588298

ER+ breast cancer

84

  • Randomised, open-label, parallel-group, multicentre trial to investigate the biological effects of camizestrant in women with ER positive, HER2 negative primary breast cancer

  • Primary outcome measure: change in ER expression between pre- and on-treatment tumour biopsies

  • FPCD: Q4 2020

Phase I

NCT04541433

ER+ breast cancer

18

  • Open-label study designed to evaluate the safety, tolerability, pharmacokinetics, and anti-tumour activity of camizestrant in Japanese women with endocrine resistant ER+ HER2- breast cancer that is not amenable to treatment with curative intent.

  • Primary outcome measures: safety and tolerability

  • Secondary outcome measures: multiple dose PK of AZD9833

  • FPCD: Q4 2020

Phase I

NCT04546347

Healthy volunteers

32

  • Randomsied, open-label study to determine the relative bioavailability of different oral camizestrant tablet formulations and an camizestrant oral solution, the effect of food on the pharmacokinetics of an oral camizestrant tablet formulation, and the absolute bioavailability of camizestrant study in healthy post-menopausal female volunteers.

  • Primary outcome measure: relative bioavailability of AZD9833 delivered as different tablet formulations and the effect of food

  • FPCD: Q3 2020

  • LPCD: Q4 2020

  • Data anticipated H1 2021

Datopotamab deruxtecan (TROP2 ADC)

NSCLC

Trial

Population

Patients

Design

Endpoints

Status

Phase III TROPION-Lung01

NCT04656652 Partnered

NSCLC (without actionable mutation)

590

Randomised, open label

  • Datopotamab deruxtecan

  • Docetaxel

Global trial

  • Primary endpoints: PFS, OS

  • Secondary endpoints: ORR, DoR, TTR, DCR, PK, anti-drug antibodies

  • FPCD: Q4 2020

  • Data anticipated: 2022+

Phase II TROPION-Lung05

NCT04484142 Partnered

NSCLC (with actionable mutation)

150

Randomised, open label

  • Datopotamab deruxtecan

Global trial

  • Primary endpoint: ORR

  • Secondary endpoint: DOR, PFS, OS, safety, PK, anti-drug antibodies

  • Initiating

Phase I

NCT03401385 Partnered

NSCLC TNBC

350

Open label, two-part (dose escalation, dose expansion)

  • Datopotamab deruxtecan

Japan, US

  • Primary endpoint: safety

  • Secondary endpoint: PK, antitumor activity, anti-drug antibodies

  • FPCD: Q1 2018

Phase I TROPION-Lung02

NCT04526691 Partnered

NSCLC (without actionable mutation)

86

Open label, combination with pembrolizumab, two-part (dose escalation, dose expansion)

  • Datopotamab deruxtecan + pembrolizumab

Japan, US

  • Primary endpoint: safety

  • Secondary endpoint: ORR, DOR,

  • PFS, OS, PK, anti-drug antibodies

  • FPCD: Q4 2020

Phase I TROPION-Lung04

NCT04612751 Partnered

NSCLC (without actionable mutation)

74

Open label, combination with Imfinzi, two-part (dose escalation, dose expansion)

  • Datopotamab deruxtecan + Imfinzi

US, Japan

  • Primary endpoint: safety

  • Secondary endpoint: : ORR, DOR,

  • PFS, OS, PK,

  • Initiating

Oncology - early-stage development

Imfinzi (PD-L1 mAb)

Cancer

Trial

Compound

Population

Patients

Design

Endpoints

Status

Phase I/II STUDY 1108

NCT01693562

Imfinzi

Solid tumours

1,022

  • Dose escalation: 5 cohorts at Q2W and 1 cohort at Q3W

  • Dose expansion: 16 tumour type cohorts at the Q2W MTD defined during dose escalation

  • Dose exploration: cohort at 20mg Q4W

Global trial - nine countries

  • Safety

  • Optimal biologic dose

  • Secondary endpoints include PK, immunogenicity and antitumour activity

  • FPCD: Q3 2012

  • LPCD: Q4 2016

  • Data readout: Q2 2020

Phase I

NCT02117219

Imfinzi, azacitidine

Myelodysplastic syndrome

79

Dose escalation and dose expansion trial

  • Part 1: Imfinzi

  • Part 2 Arm 1: Imfinzi and tremelimumab

  • Part 2 Arm 2: Imfinzi, tremelimumab and azacitidine

Global trial - four countries

  • Safety and tolerability of monotherapy and combination

  • Secondary endpoints include duration of response, PFS and OS, PK and immunogenicity

  • FPCD: Q2 2014

  • Data anticipated: Q2 2020

Phase I

NCT02900157

MEDI9090

Solid tumours

42

Multi-centre, open-label, single-arm trial for adult subjects

US and Japan trial centers

  • Safety, PK, number of subjects reporting infusion related reaction

  • FPCD: Q3 2016

  • LPCD: Q1 2017

  • Data readout: Q2 2020

Phase II HUDSON

NCT03334617

Imfinzi Lynparza vistusertib ceralasertib (AZD6738) danvatirsen oleclumab Enhertu cediranib

NSCLC

340

5 modules encompassing 16 cohorts

  • Module 1; Imfinzi and Lynparza

  • Module 2; Imfinzi and danvatirsen

  • Module 3; Imfinzi and ceralasertib (AZD6738)

  • Module 4; Imfinzi and vistusertib

  • Module 5; Imfinzi and oleclumab

  • Module 6; Imfinzi and Enhertu

  • Module 7; Imfinzi and cedirinib

  • Module 8; Ceralasertib

Open-label, biomarker-directed, multi-centre Phase II umbrella trial in patients with NSCLC, who progressed on an anti-PD-1/PD-L1 containing therapy

  • Primary outcome; ORR

  • Secondary outcomes; efficacy including OS, PFS, DCR, and safety and tolerability, DoR

  • FPCD: Q1 2018

  • Data anticipated: 2022+

Phase II COAST

NCT03822351

Imfinzi

Stage III NSCLC unresectable

189

  • Arm A: Imfinzi

  • Arm B: Imfinzi + oleclumab

  • Arm C: Imfinzi + monalizumab

Primary

  • OR per RECIST v1.1

  • FPCD: Q4 2018

  • Data anticipated: H2 2021

Phase II NeoCOAST

NCT03794544

Imfinzi

Resectable, early stage NSCLC

84

  • Arm A: Imfinzi

  • Arm B: Imfinzi + oleclumab

  • Arm C: Imfinzi + monalizumab

  • Arm D: Imfinzi + danvatirsen

Primary

  • Major pathological response rate

  • FPCD: Q1 2019

  • Data anticipated: H2 2021

Imfinzi (PD-L1 mAb)

Cancer

Trial

Compound

Population

Patients

Design

Endpoints

Status

Phase Ib/II COLUMBIA 1

NCT04068610

Imfinzi

1L metastatic MSS-CRC

112

  • Part 1 S1 FOLFOX + bevacizumab + Imfinzi + oleclumab

  • Part 2 Control 1 FOLFOX + bevacizumab

  • Part 2 E1 FOLFOX + bevacizumab + Imfinzi + oleclumab

Primary

  • Part 1: Safety

  • Part 2: Efficacy - OR

Secondary

  • Part 1: Efficacy - OR, BOR, DoR, PFS

  • Part 2: Safety and Efficacy ( BOR,

    DoR, DC, PFS, OS)

  • FPCD: Q3 2019

  • Data anticipated: H2 2020

Imfinzi (PD-L1 mAb) + tremelimumab (CTLA-4 mAb)

Cancer

Trial

Population

Patients

Design

Endpoints

Status

Phase Ib/II STUDY 22

NCT02519348

Hepatocellular carcinoma

545

  • Arm A: Imfinzi + tremelimumab

  • Arm B: Imfinzi 2L

  • Arm C: tremelimumab 2L

  • Arm D: Imfinzi + tremelimumab

  • Arm E: Imfinzi in combination with bevacizumab

  • Primary endpoints: Safety & tolerability, DLTs

  • Secondary endpoints: ORR, DoR, OS

  • FPCD: Q4 2015

  • Data anticipated: H2 2020

Phase Ib STUDY 006

NCT02000947

NSCLC

(Immunotx naïve and Immunotx pretreated patient cohorts)

459

  • Dose escalation: minimum 5 cohorts exploring various treme Q4W and Imfinzi i.v. Q4W dose combinations, higher dose levels and alternate Q2 schedule added with amendment

  • Dose expansion: MTD for the combination in escalation to be explored in expansion

North American, EU and ROW trial centres

Primary endpoints:

  • Safety

  • Optimal biologic dose for the combination

  • OR

  • Secondary endpoints include antitumour activity, PK and immunogenicity

  • FPCD: Q4 2013

  • LPCD: Q4 2016

  • Data readout: Q3 2020

Phase I STUDY 10

NCT02261220

Solid tumours (basket trial)

380

  • Dose expansion: MTD for the combination in escalation to be explored in expansion cohorts specific for each of 7 tumour types

  • Dose exploration: 2 cohorts exploring various Q4W treme and Imfinzi dose combinations and 2 cohorts exploring various Q2W treme and Imfinzi dose combinations

North American, EU and ROW trial centres

Primary endpoints:

  • Safety

  • Optimal biologic dose for the combination

  • Secondary endpoints include anti-tumour activity, PK/PD and immunogenicity

  • FPCD: Q4 2014

  • LPCD: Q2 2017

  • Data readout: Q4 2020

Imfinzi (PD-L1 mAb) + MEDI0457 (DNA HPV Vaccine)

Head and neck squamous cell carcinoma (HNSCC)

Trial

Population

Patients

Design

Endpoints

Status

Phase Ib/IIa

NCT03162224

HPV associated recurrent/metastatic head and neck cancer

50

Multi-centre, open label trial to evaluate the safety and efficacy of combination treatment with MEDI0457 and Imfinzi

Primary endpoints:

Safety & Tolerability, ORR

Secondary endpoints: PK, ADA, DCR, OS, PFS

  • FPCD: Q3 2017

  • Data anticipated: H1 2021

AZD0466 (Bcl2/xL inhibitor)

Cancer

Trial

Population

Patients

Design

Endpoints

Status

Phase I

NCT04214093

Advanced hematologic malignancies or solid tumours

102

Monotherapy dose escalation, consisting of two arms:

  • Arm A: Patients with low risk for tumour lysis syndrome (solid tumours, lymphomas, myelomas)

  • Arm B: Patients with high risk for tumour lysis syndrome

    (relapsed/refractory haem malignancies)

  • Primary: safety

  • Secondary: PK, anti-tumour activity

  • FPCD: Q4 2019

  • Data anticipated: H2 2021

MEDI1191 (IL12 modRNA)

Cancer

Trial

Population

Patients

Design

Endpoints

Status

Phase I

NCT03946800

Advanced solid tumours

87

First-time-in-human Phase I, open-label, dose-escalation and expansion trial of MEDI1191 administered intratumourally as monotherapy and in combination with Imfinzi

  • Primary endpoint: safety and tolerability

  • Secondary endpoints: PK, immunogenicity and efficacy

  • FPCD: Q2 2019

  • Data anticipated: 2022

AZD1390 (ATM inhibitor)

Cancer

Trial

Population

Subjects

Design

Endpoints

Status

Phase I

NCT03423628

Recurrent glioblastoma eligible for re-irradiation, brain metastases and leptomeningeal disease, newly-diagnosed glioblastoma patients

132

  • Designed to evaluate the safety, tolerability and PK of

AZD1390 in combination with radiation therapy in patients with GBM and brain metastases from solid tumours

  • Dose and schedule of AZD1390 administration will be adjusted during assessment of safety and tolerability during this Phase I trial

Conducted across seven sites in USA and UK

  • Primary: investigate the safety, tolerability, and MTD of AZD1390 administered in combination with radiation therapy in brain malignancies

  • FPCD Q2 2018

  • Data anticipated: 2022

Adavosertib (WEE-1 inhibitor)

Ovarian cancer, uterine serous cancer, solid tumours

Trial

Population

Patients

Design

Endpoints

Status

Phase II

D6010C00004

NCT02272790

Platinum-resistant (PR) ovarian cancer

95

  • Arm B: paclitaxel + adavosertib

  • Arm C: carboplatin + adavosertib

Global trial

  • Primary endpoint: ORR

  • Secondary endpoints: DoR, PFS, OS, DCR, safety and tolerability

  • FPCD: Q1 2015

  • LPCD: Q2 2018

  • Data readout: Q3 2019

Phase I

D6015C00002

NCT02617277

Advanced solid tumours

56

  • Dose escalation trial to determine MTD (adavosertib + Imfinzi)

Conducted in US

  • Safety and tolerability

  • FPCD: Q4 2015

  • LPCD: Q4 2018

  • Data readout Q4 2019

Phase II

D601HC00002

NCT04590248

Uterine serous carcinoma

120

  • Adavosertib monotherapy

  • Phase IIb, open-label, single-arm, multi-center study

  • Global trial

  • Primary endpoint: ORR

  • Secondary endpoints: DoR, depth of response, PFS

  • FPCD: Q4 2020

MEDI2228 (BCMA antibody drug conjugate)

Cancer

Trial

Population

Patients

Design

Endpoints

Status

Phase I

NCT03489525

Relapsed/refractory multiple myeloma

142

First-time-in-human Phase I, multi-centre, open-label, single-arm, dose-escalation, and dose-expansion trial for adult subjects

Primary endpoints:

  • Safety

  • Determination of MTD

  • Secondary endpoints: pPK, immunogenicity, ORR, DCR, DoR, PFS, OS

  • FPCD: Q2 2018

  • Data anticipated: H2 2021

AZD2811NP (AURN)

Cancer

Trial

Population

Patients

Design

Endpoints

Status

Phase I

NCT02579226

Solid tumours

72

  • Arm 1: AZD2811NP dose escalation

  • Arm 2: AZD2811NP dose expansion SCLC

  • Safety and tolerability

  • PK and efficacy

  • FPCD: Q4 2015

  • Data anticipated: H1 2021

Phase I

NCT03217838

AML/high-risk MDS

124

  • Part A: AZD2811NP monotherapy / azacitidine combination / venetoclax combination dose escalation cohorts

  • Part B: AZD2811NP monotherapy / azacitidine combination / venetoclax combination dose expansions to further explore the tolerability, PK and clinical activity

  • Safety and tolerability

  • PK and efficacy

  • FPCD: Q3 2017

  • Data anticipated: 2022+

AZD4573 (CDK9 inhibitor)

Cancer

Trial

Population

Patients

Design

Endpoints

Status

Phase I

NCT03263637

Relapsed/refractory haematologic malignancies

45

Arm 1: dose escalation in haematological malignancies excluding AML/ALL/high-risk MDS/CMML/CLL.

Arm 2: dose escalation in relapsed or refractory AML, ALL, high-risk MDS, CMML, CLL and Richter's syndrome.

i.v. route of administration

Trial conducted in NL, UK, GE

Primary:

  • safety/PK;

Secondary:

  • efficacy

  • FPCD: Q4 2017

  • Data anticipated: H1 2021

Phase I/II

NCT04630756

Relapsed/refractory haematologic malignancies

78

Modular design platform trial:

  • Module 1: AZD4573 + Calquence (100mg twice daily)

    combination

  • Arm 1: dose setting (DLBCL, all comers); ramp-up across 3 dose levels (Part A)

  • Arm 2: dose expansion (GCB vs. non-GCB DLBCL); target dose (Part B)

  • I.V. route of administration

  • Trial conducted in10 countries across North America, EU,

    ROW

Primary:

  • Safety (Part A)

  • ORR (Part B)

Secondary:

  • Safety, anti-tumour activity (Part B)

  • PK (Parts A & B)

  • Initiating

AZD4635 (A2AR inhibitor)

Cancer

Trial

Population

Patients

Design

Endpoints

Status

Phase I

NCT02740985

Phase Ia: patients with advanced solid tumours

Phase Ib: Post-immunotherapy NSCLC Other post-immunotherapy solid tumours

Immune checkpoint-naïve mCRPC Immune checkpoint-naïve CRC

Other immune checkpoint-naïve solid tumours

313

Phase Ia - solid tumours or mCPRC:

  • AZD4635 monotherapy

  • AZD4635 + Imfinzi

  • AZD4635 + abiraterone

  • AZD4635 + enzalutamide

  • AZD4635 + Imfinzi + oleclumab

  • AZD4635 + docetaxel.

Phase Ib: AZD4635 monotherapy or AZD4635 + Imfinzi dose expansions in NSCLC, mCRPC, CRC and other post-immunotherapy and immune checkpoint-naïve solid tumours

Conducted at sites in the US

Primary outcome measure:

  • Safety and tolerability

Secondary outcome measures:

  • Preliminary assessment of anti-tumour activity

  • FPCD: Q2 2016

  • Data anticipated: H1 2021

Phase I

NCT03710434

Healthy male volunteers

21

  • Part A 2-period randomised crossover trial of single doses of AZD4635, nanosuspension or solid oral formulation in fasted state

  • Part B, 4-period, open-label, randomised, crossover trial of single doses of AZD4635 in the same subjects from Part A to assess food effect, pH effect and formulation variants

Both parts conducted at a site in the UK

Primary outcome measures:

  • Cmax and exposure (AUC) of AZD4635 solid oral formulation and nano-suspension

  • FPCD: Q4 2018

  • LPCD: Q2 2019

Phase II

NCT04089553

Prostate cancer

60

ARM 1: AZD4635 + Imfinzi ARM 2: AZD4635 + oleclumab

Conducted at sites in the US

  • Primary outcome measure: Efficacy; (ORR and PSA response)

  • Secondary outcome measure: Efficacy, PK, safety and tolerability

  • FPCD: Q3 2019

  • Data anticipated: H1 2021

Phase I

NCT03980821

Japanese patients with advanced solid malignancies

12

AZD4635 dose escalation

Conducted at sites in Japan

Primary outcome measure:

  • Safety and tolerability

Secondary outcome measure:

  • PK and preliminary anti-tumour activity

  • FPCD: Q3 2019

  • LPCD: Q3 2020

Phase II

NCT04495179

Prostate cancer

160

ARM A: AZD4635 + Imfinzi

ARM B: AZD4635+ Imfinzi + cabazitaxel

Conducted at sites in US, Europe, UK and Korea

  • Primary outcome measure: Efficacy

    (rPFS)

  • Secondary outcome measure: Efficacy

    (OS, PSA response, ORR, DoR)

  • FPCD: Q3 2020

  • Data anticipated: 2022+

AZD5153 (BRD4 inhibitor)

Cancer

Trial

Population

Patients

Design

Endpoints

Status

Phase I/Ib

NCT03205176

Relapsed/refractory solid tumours, lymphomas

60

Monotherapy dose escalation in advanced solid tumours and lymphomas

Dose escalation of AZD5153 in combination with Lynparza in platinum resistant/refractory HGS patients.

  • Primary: safety

  • Secondary: efficacy, PK

  • FPCD: Q2 2017

  • Data anticipated: H1 2021

AZD5305 (PARP inhibitor)

Solid tumours

Trial

Population

Patients

Design

Endpoints

Status

Phase I

NCT04644068

Advanced, metastatic HER2 neg. with BRCAm, PALB2m or RAD51C/Dm Breast cancer

Advanced, metastatic TNBC

BRCAm, PALB2m or RAD51C/Dm PSR ovarian cancer

HRD+ve1 (non-BRCAm or PALB2m or RAD51C/Dm) PSR ovarian cancer

PSR ovarian cancer

612

A modular phase I/IIa, open-label, multicentre trial to assess the safety, tolerability, pharmacokinetics, pharmacodynamics and preliminary efficacy of ascending doses of AZD5305 as monotherapy and in combination with anti-cancer agents in patients with advanced solid malignancies

  • Primary endpoint: safety/tolerability & PK

  • Secondary endpoints: efficacy

  • FPCD: Q4 2020

  • Data anticipated: 2022+

MEDI5395 (rNDV GMCSF)

Cancer

Trial

Population

Patients

Design

Endpoints

Status

Phase I

NCT03889275

Select advanced solid tumours

188

First-time-in-human Phase I, open-label, dose-escalation and expansion arm of MEDI5395 in combination with Imfinzi

  • Primary endpoint: safety and tolerability

  • Secondary endpoints: PK, PD, immunogenicity and efficacy

  • FPCD: Q4 2019

  • Data anticipated: 2022+

MEDI5752 (PD-1/CTLA-4 bispecific mAb)

Cancer

Trial

Population

Patients

Design

Endpoints

Status

Phase I/IIa

NCT03530397

Advanced solid tumours

261

Open-label, dose-escalation and dose-expansion:

  • Dose-escalation: MEDI5752 i.v.

  • Dose-expansion: MEDI5752 i.v. as monotherapy and in combination with chemotherapy

  • Arm A: MEDI5752 i.v.

  • Arm B: MEDI5752 i.v., pemetrexed and carboplatin

  • Arm C: Pembrolizumab, pemetrexed and carboplatin

Primary endpoints:

  • dose-escalation: safety & determination of MTD

  • dose-expansion: assessment of antitumour activity based on OR

Secondary endpoints:

  • PK, ADA, tumoural baseline PD-L1, assessment of antitumour activity based on OR, DoR, DCR, PFS, OS

  • FPCD: Q2 2018

  • Data anticipated: 2022+

Phase Ib

NCT04522323

Advanced renal cell carcinoma

77

Open-label, dose-escalation and dose-expansion to explore the safety, tolerability and anti-tumour activity of MEDI5752 in combination with axitinib:

Primary endpoint:

  • dose-escalation: safety & tolerability

Secondary endpoints:

  • PK, ADA and antitumour activity of

    MEDI5752 + axitinib based on PFS, OR, DoR, DCR, TTR, OS

  • FPCD: Q3 2020

  • Data anticipated: 2022+

AZD5991 (MCL1 inhibitor)

Cancer

Trial

Population

Patients

Design

Endpoints

Status

Phase I/Ib/IIa

NCT03218683

Relapsed/refractory haematologic malignancies

121

  • Arm1: monotherapy dose escalation & expansions in relapsed/refractory haematological malignancies

  • Arm2: combination dose escalation (AZD5991+venetoclax) in relapsed/refractory AML/MDS;.

  • i.v. route of administration

  • US only

  • Primary: safety

  • Secondary: PK, efficacy

  • FPCD: Q3 2017

  • Data anticipated: H2 2021

Ceralasertib (AZD6738, ATR inhibitor)

Cancer

Trial

Population

Patients

Design

Endpoints

Status

Phase I

NCT02264678

Solid tumours

250

  • Arm 1: ceralasertib + carboplatin

  • Arm 2: ceralasertib dose escalation, ceralasertib + Lynparza

  • Arm 3: ceralasertib + Imfinzi

Trial conducted in North America, Europe and South Korea

  • Safety and tolerability

  • PK and efficacy

  • FPCD: Q4 2014

  • Data anticipated: 2022+

Phase I

NCT03022409

HNSCC

44

Window of opportunity

  • Arm 1: ceralasertib

  • Arm 2: Lynparza

Trial conducted in US, France, Taiwan and the UK

  • Biomarker change

  • FPCD: Q4 2017

  • Data anticipated: H2 2021

Phase II PLANETTE

NCT04564027

Solid tumours mCRPC

52

  • Cohort A: ceralasertib; ATM-altered AST

  • Cohort B: ceralasertib; ATM-altered mCRPC

Cohort A: ORR

Cohort B: Composite RR

  • FPCD: Q1 2021

  • Data anticipated: 2022+

AZD7648 (selective DNA-PK inhibitor)

Advanced solid tumours

Trial

Population

Patients

Design

Endpoints

Status

Phase I

NCT03907969

Advanced malignancies

234

  • First in human modular dose escalation and dose expansion trial

  • Arm 1 - AZD7648 monotherapy

  • Arm 2 - AZD7648 + Pegylated Liposomal Doxorubicin

  • Arm 3 - AZD7648 + Lynparza

  • Countries: US, UK

  • Primary outcome measures: safety and tolerability

  • Secondary outcome measures: PK, Cytochromes P450, preliminary anti-tumour activity

  • FPCD: Q4 2019

  • Data anticipated: 2022

AZD8701 (FOXP3 antisense oligonucleotide)

Solid tumours

Trial

Population

Patients

Design

Endpoints

Status

Phase I/Ib NCT04504669

Advanced solid tumours

123

Dose escalation and dose expansion trial

Arm 1: AZD8701 monotherapy

Arm 2: AZD8701 & Imfinzi combination therapy

Global trial - four countries - US, CA, FR, ES i.v. route of administration

Primary endpoints: safety & tolerability

Secondary endpoints:

PK, PD, preliminary anti-tumour activity

  • FPCD: Q3 2020

  • Data Anticipated: 2022+

MEDI9253 (rNDV-IL12)

Solid tumours

Trial

Population

Patients

Design

Endpoints

Status

Phase I

NCT04613492

Advanced solid tumours

86

First-time-in-human Phase I, open-label, dose-escalation and expansion arm of MEDI9253 in combination with Imfinzi

  • Primary endpoint: safety and tolerability

  • Secondary endpoints: PK,

    PD, immunogenicity and efficacy

  • FPCD: Q4 2020

  • Data anticipated: 2022+

Oleclumab (CD73 mAb)

Cancer

Trial

Population

Patients

Design

Endpoints

Status

Phase I

NCT02503774

Advanced malignancies

348

Dose escalation phase

  • oleclumab i.v.

  • oleclumab i.v. + Imfinzi i.v.

Dose expansion phase

  • oleclumab i.v. recommended dose + Imfinzi i.v.

US, South Korean and Australian trial centres

Primary endpoints:

  • Safety

  • Determination of MTD

  • Secondary endpoints include preliminary anti-tumour activity, PK, PD, immunogenicity and biomarker activity

  • FPCD: Q3 2015

  • Data anticipated: H1 2021

Phase Ib/II

NCT03611556

Pancreatic

1L and 2L with prior gemcitabine-based chemotherapy

339

  • Arm A1: gemcitabine and nab paclitaxel i.v.

  • Arm A2: gemcitabine and nab paclitaxel i.v. + oleclumab i.v.

  • Arm A3: gemcitabine and nab paclitaxel i.v. + oleclumab i.v. +

    Imfinzi i.v.

  • Arm B1: mFOLFOX (oxaliplatin, leucovorin, 5-FU) i.v.

  • Arm B2: mFOLFOX (oxaliplatin, leucovorin, 5-FU) i.v. + oleclumab i.v.

  • Arm B3: mFOLFOX (oxaliplatin, leucovorin, 5-FU) i.v. + oleclumab i.v. + Imfinzi i.v.

US, Norway, Spain and Australian trial centres

Primary endpoints:

  • Safety and anti-tumour activity

  • Secondary endpoints include PFS, PK, immunogenicity, safety and anti-tumour activity

  • FPCD: Q2 2018

  • Data anticipated: H2 2021

IPH5201 (CD39 mAb)

Solid tumours

Trial

Population

Patients

Design

Endpoints

Status

Phase I

NCT04261075 Partnered

Advanced Solid tumours

204

  • First time in human Phase I, open-label, dose-escalation trial to determine MTD of IPH5201 as monotherapy, or in combination with Imfinzi +/-oleclumab.

  • Part 1: IPH5201 monotherapy dose escalation to MTD

  • Part 2: IPH5201 + Imfinzi dose escalation to MTD

  • Part 3: IPH5201 + Imfinzi + Oleclumab dose escalation to MTD

  • Route of Administration: IV

  • Geographical Regions: 4 countries - US and 3 in EU.

Primary endpoints: AE, SAE, DLT

Secondary endpoints: OR, DC, PK, ADA

  • FPCD: Q1 2020

  • Data anticipated: 2022

BioPharmaceuticals - approved medicines and late-stage pipeline

Farxiga (SGLT2 inhibitor)

Heart failure and chronic kidney disease

Trial

Population

Patients

Design

Endpoints

Status

Phase III Dapa-HF

NCT03036124

CHF patients with HFrEF

4,744

  • Arm 1: Farxiga 10mg or 5 mg QD + SoC therapy

  • Arm 2: placebo + SoC therapy

  • Global trial - 20 countries

  • Primary endpoint: time to the first occurrence of any of the components of the composite: CV death or hospitalisation for HF or an urgent HF visit

  • FPCD: Q1 2017

  • LPCD Q4 2018

  • Data readout: Q3 2019

  • Primary endpoint met

Phase III Dapa-CKD

NCT03036150

Patients With CKD

4,304

  • Arm 1: Farxiga 10mg or 5 mg QD

  • Arm 2: placebo

Global trial - 21 countries

  • Primary endpoint: time to the first occurrence of any of the components of the composite: ≥50% sustained decline in eGFR or reaching ESRD or CV death or renal death

  • FPCD: Q1 2017

  • LPCD: Q2 2020

  • Data readout: Q2 2020

  • Primary endpoint met

Phase III DELIVER

NCT03619213

CHF patients with HFpEF

6,100

  • Arm 1: Farxiga 10mg QD

  • Arm 2: placebo

  • Global trial - 21 countries

  • Primary endpoint: time to the first occurrence of any of the components of the composite: CV death or hospitalisation for HF or an urgent HF visit

  • FPCD: Q4 2018

  • Data anticipated: H2 2021

Phase III DETERMINE-preserved

NCT03877224

CHF patients with HFpEF

504

  • Arm 1: Farxiga 10mg QD

  • Arm 2: placebo

  • Global trial - 12 countries

Family of primary endpoints:

  • Change from baseline in the KCCQ-

    TSS at Week 16.

  • Change from baseline in the KCCQ-

    PLS at Week 16.

  • Change from baseline in 6 min walking distance at Week 16

  • FPCD: Q2 2019

  • LPCD: Q3 2020

  • Data readout: Q4 2020

  • Primary endpoints not met

Phase III DETERMINE-reduced

NCT03877237

CHF patients with HFrEF

313

  • Arm 1: Farxiga 10mg QD

  • Arm 2: placebo

  • Global trial - 9 countries

Family of primary endpoints:

  • Change from baseline in the KCCQ-

    TSS at Week 16.

  • Change from baseline in the KCCQ-

    PLS at Week 16.

  • Change from baseline in 6 min walking distance at Week 16

  • FPCD: Q2 2019

  • LPCD Q1 2020

  • Data readout: Q4 2020

  • One primary endpoint met

Phase III DAPA-MI

NCT04564742

Patients with myocardial infarction

6,400

  • Arm 1: Farxiga 10mg QD

  • Arm 2: placebo

  • Global trial - 2 countries

  • Primary endpoint: time to the first occurrence of any of the components of the composite: hospitalization for HF or CV death

  • FPCD: Q4 2020

  • Data anticipated: 2022+

Brilinta (P2Y12 receptor antagonist)

Cardiovascular risk reduction

Trial

Population

Patients

Design

Endpoints (primary)

Status

Phase III THEMIS

NCT01991795

Patients with type-2 diabetes and coronary artery disease without a previous history of MI or stroke

19,000

  • Arm 1: Brilinta 60mg BiD

  • Arm 2: placebo BID on a background of acetylsalicylic acid if not contra-indicated or not tolerated

Global trial - 42 countries

  • Primary endpoint: composite of CV death, non-fatal MI and non-fatal stroke

Secondary endpoints:

  • Prevention of CV death

  • Prevention of MI

  • Prevention of ischaemic stroke

  • Prevention of all-cause death

  • FPCD: Q1 2014

  • LPCD: Q2 2016

  • Data readout: Q1 2019

  • Primary endpoint met

Phase III THALES

NCT03354429

Patients with acute ischaemic stroke or transient ischaemic attack

11,000

  • Arm 1: Brilinta 90mg BiD

  • Arm 2: placebo BiD on a background of acetylsalicylic acid if not contra-indicated or not tolerated

Global trial - 28 countries

Primary endpoint:

  • Prevention of the composite of subsequent stroke and death at 30 days

Secondary endpoints include:

  • Prevention of subsequent ischaemic stroke at 30 days

  • Reduction of overall disability at 30 days

  • FPCD: Q1 2018

  • LPCD: Q4 2019

  • Data readout: Q1 2020

  • Primary endpoint met

Lokelma (sodium zirconium cyclosilicate)

Hyperkalaemia

Trial

Population

Patients

Design

Endpoints

Status

Phase II PRIORITIZE HF

NCT03532009

Patients with chronic heart failure and hyperkalaemia or at high risk of developing hyperkalaemia

182

  • Arm 1: Lokelma 5g QD for 12 weeks. Option to uptitrate to 10 and 15g QD or downtitrate to 5g QOD

  • Arm 2: placebo QD for 12 weeks

Global trial - nine countries

  • Primary endpoint: difference between Lokelma and placebo in RAAS (renin- angiotensin-aldosterone system) blockade treatment.

  • FPCD: Q3 2018

  • LPCD: Q2 2020

  • Data readout: Q4 2020

Phase IIIb DIALIZE China

NCT04217590

Patients with ESRD with hyperkalemia and on stable haemodialysis

134

  • Arm 1: Lokelma 5g QD for 8 weeks on non-dialysis days. Option to uptitrate to 10 and15g QD.

  • Arm 2: placebo QD for 8 weeks on non-dialysis days

China

  • Primary endpoint: proportion of patients who maintain a pre-dialysis serum K between 4.0-5.0 mmol/L on 3 out of 4 dialysis treatments following the long interdialytic interval

  • FPCD: Q4 2020

  • Data readout:H2 2021

Phase III HARMONIZE Asia

NCT03528681

Hyperkalaemia

337

Open-label Lokelma 10g TID for 48 hours followed by:

  • Arm 1: Lokelma 5g QD for 28 days

  • Arm 2: Lokelma 10g QD for 28 days

  • Arm 3: placebo QD for 28 days

China, India

  • Primary endpoint: maintenance of normokalaemia

  • Initiating

  • Data readout: 2022+

Roxadustat (HIF-PH inhibitor)

Anaemia

Trial

Population

Patients

Design

Endpoints

Status

Phase III ANDES

NCT01750190 Partnered

Anaemia in CKD in patients not receiving dialysis

922

  • Arm 1: roxadustat

  • Arm 2: placebo

Global trial

  • Primary endpoint: Haemoglobin response

  • FPCD: Q4 2012

  • LPCD: Q3 2018

  • Data readout: Q4 2018

  • Primary endpoint met Sponsored by FibroGen

Phase III ALPS

NCT01887600 Partnered

597

  • Arm 1: roxadustat

  • Arm 2: placebo

Global trial

  • Primary endpoint: Haemoglobin response

  • FPCD: Q2 2013

  • LPCD: Q4 2017

  • Data readout: Q3 2018

  • Primary endpoint met

Sponsored by Astellas

Phase III DOLOMITES

NCT02021318 Partnered

616

  • Arm 1: roxadustat

  • Arm 2: darbepoetin alfa

Global trial

  • Primary endpoint: Haemoglobin response

  • FPCD: Q1 2014

  • LPCD: Q4 2019

  • Data readout: Q1 2020

  • Primary endpoint met

Sponsored by Astellas

Phase III OLYMPUS

NCT02174627

2,781

  • Arm 1: roxadustat

  • Arm 2: placebo

Global trial

  • Primary efficacy endpoint: Haemoglobin response

  • Primary safety objective: Contribute CV safety data to pooled safety

  • analyses across the Phase III program

  • FPCD: Q3 2014

  • LPCD: Q4 2018

  • Data readout: Q4 2018

  • Primary endpoint met

Sponsored by AstraZeneca

Phase III ROCKIES

NCT02174731

Anaemia in CKD in patients receiving dialysis

2,133

  • Arm 1: roxadustat

  • Arm 2: epoetin alfa

Global trial

  • Primary efficacy endpoint: Haemoglobin response

  • Primary safety objective:Contribute CV safety data to pooled safety

  • analyses across the Phase III program

  • FPCD: Q3 2014

  • LPCD: Q3 2018

  • Data readout: Q4 2018

  • Primary endpoint met

Sponsored by AstraZeneca

Phase III SIERRAS

NCT02273726 Partnered

741

  • Arm 1: roxadustat

  • Arm 2: epoetin alfa

Global trial

  • Primary endpoint: Haemoglobin response

  • FPCD: Q4 2014

  • LPCD: Q3 2018

  • Data readout: Q4 2018

  • Primary endpoint met Sponsored by FibroGen

Phase III PYRENEES

NCT02278341 Partnered

838

  • Arm 1: roxadustat

  • Arm 2: epoetin alfa or darbepoetin alfa

Global trial

  • Primary endpoint: Haemoglobin response

  • FPCD: Q4 2014

  • LPCD: Q3 2018

  • Data readout: Q3 2018

  • Primary endpoint met

Sponsored by Astellas

Roxadustat (HIF-PH inhibitor)

Anaemia

Trial

Population

Patients

Design

Endpoints

Status

Phase III HIMALAYAS

NCT02052310 Partnered

Anaemia in newly initiated dialysis patients

1,043

  • Arm 1: roxadustat

  • Arm 2: epoetin alfa

Global trial

  • Primary endpoint: Haemoglobin response

  • FPCD: Q4 2013

  • LPCD: Q3 2018

  • Data readout: Q4 2018

  • Primary endpoint met Sponsored by FibroGen

Phase III

NCT03263091 Partnered

Anaemia in lower risk MDS patients

184

Open label roxadustat lead-in Arm 1: roxadustat

Arm 2: placebo

US/global trial

  • Primary endpoint: Proportion of patients achieving transfusion independence

  • FPCD: Q3 2017

  • Data anticipated: 2022

Sponsored by FibroGen

Phase II/III

NCT03303066 Partnered

Anaemia in lower risk MDS patients

175

Open label roxadustat lead-in Arm 1: roxadustat

Arm 2: placebo

China

  • Primary endpoint: Haemoglobin response

  • FPCD: Q2 2018

  • Data anticipated: 2022

Sponsored by FibroGen

Phase II

NCT04076943 Partnered

Anemia in patients receiving chemotherapy treatment for non-myeloid malignancies

100

US

  • Primary endpoint: Maximum change in hemoglobin within 16 weeks from baseline without RBC transfusion

  • FPCD: Q3 2019

  • LPCD: Q3 2020

  • Data anticipated: H1 2021

Sponsored by FibroGen

Eklira/Tudorza (LAMA, DPI)

COPD

Trial

Population

Number of patients

Design

Endpoints

Status

Phase I

NCT03276052

Healthy Chinese volunteers

20

Open-label, 2-period ascending dose incomplete block, cross-over trial

  • aclidinium bromide 400 μg DPI

Global trial - one Country

  • To investigate the PK of aclidinium bromide and its metabolites after single and multiple doses (BID) of aclidinium bromide 200 μg, 400 μg and 800 μg

  • To evaluate the safety, and tolerability of aclidinium bromide 200 μg, 400 μg and 800 μg after single and multiple dose administration (BID)

  • Initiating

  • Data anticipated: 2022+

Duaklir Genuair (LAMA/LABA, DPI)

COPD

Trial

Population

Patients

Design

Endpoints

Status

Phase III AVANT

NCT03022097

Patients with stable COPD

1,060

  • Arm 1: Duaklir Genuair 400/12 μg DPI

  • Arm 2: aclidinium bromide 400 μg DPI

  • Arm 3: formoterol fumarate 12 μg DPI

  • Arm 4: tiotropium 18 μg DPI

Global trial - five countries

Primary endpoints:

  • Change from baseline in one hour morning post-dose dose FEV1 Duaklir Genuair 400/12 μg compared to Aclidinium bromide at Week 24

  • Change from baseline in morning pre-dose (trough) FEV1 of Duaklir Genuair 400/12 μg compared to Formoterol fumarate at Week 24

  • Change from baseline in trough FEV1 of

    Aclidinium bromide 400 µg compared to placebo at Week 24

  • FPCD: Q1 2017

  • Data anticipated: 2022+

Breztri, Trixeo (PT010, LAMA/LABA/ICS, pMDI)

Asthma

Trial

Population

Patients

Design

Endpoints

Status

Phase III KALOS

NCT04609878

Severe asthma

2,800

Treatments (24 to 52 week variable length)

  • BGF MDI 320/28.8/9.6µg BID pMDI

  • BGF MDI 320/14.4/9.6µg BID pMDI

  • BFF MDI 320/9.6µg BID pMDI

  • Symbicort 320/9µg BID pMDI

Randomised, double-blind, double dummy, parallel group and multicentre

Multi-country

  • Primary endpoint: Change from baseline in forced expiratory volume in 1 second (FEV1) area under the curve 0 to 3 hours (AUC0-3) at Week 24

  • Primary endpoint of Pooled Studies

    D5982C00007 and D5982C00008: Rate of severe asthma exacerbations

  • Secondary endpoint: Change from baseline in morning pre-dose trough FEV1 at Week 24

  • FPCD: Q1 2021

  • Data anticipated: 2022+

Phase III LOGOS

NCT04609904

Severe asthma

2,800

Treatments (24 to 52 week variable length)

  • BGF MDI 320/28.8/9.6µg BID pMDI

  • BGF MDI 320/14.4/9.6µg BID pMDI

  • BFF MDI 320/9.6µg BID pMDI

  • Symbicort 320/9µg BID pMDI

Randomised, double-blind, double dummy, parallel group and multicentre

Multi-country

  • Primary endpoint: Change from baseline in forced expiratory volume in 1 second (FEV1) area under the curve 0 to 3 hours (AUC0-3) at Week 24

  • Primary endpoint of Pooled Studies

    D5982C00007 and D5982C00008: Rate of severe asthma exacerbations

  • Secondary endpoint: Change from baseline in morning pre-dose trough FEV1 at Week 24

  • Initiating

  • Data anticipated: 2022+

Daliresp/Daxas (PDE4 inhibitor, oral)

COPD

Trial

Population

Patients

Design

Endpoints

Status

Post Launch PASS

NCT03381573

COPD

124,080

  • This is a retrospective cohort trial comparing COPD patients aged 40 years and older with new exposure to roflumilast with up to 5 unexposed (i.e., not roflumilast-exposed) COPD controls matched by propensity score (PS), age, sex, and year of cohort entry. The trial is using electronic healthcare databases in the US (Military Health System database), Germany (German Pharmacoepidemiological Research Database), and Sweden (national databases including healthcare, death, and demographics data).

  • Primary endpoint: all-cause mortality (up to five years)

  • Data anticipated: 2022+

Fasenra (IL5R mAb)

Severe, uncontrolled asthma

Trial

Population

Patients

Design

Endpoints

Status

Phase III MELTEMI

NCT02808819

A multi-centre, open-label, safety extension trial with Fasenra for asthmatic adults on ICS plus LABA2 Agonist Age 18-75 years

447

  • Arm 1: Fasenra 30mg Q4W s.c.

  • Arm 2: Fasenra 30mg Q8W s.c.

Global trial - 15 countries

  • Primary endpoint: safety and tolerability

  • FPCD: Q2 2016

  • LPCD: Q3 2019

  • Data readout: Q3 2020

  • Primary endpoint met

Phase IIIb PONENTE

NCT03557307

Severe eosinophilic asthmatics receiving HD ICS + LABA and chronic OCS with or without additional asthma controller(s).

Age 18 Years and older

598

Arm 1: Fasenra 30mg Q8W s.c.

38-week trial

Global trial - 16 countries

  • Primary endpoint: reduction of oral corticosteroid dose

  • FPCD: Q3 2018

  • LPCD: Q3 2019

  • Data anticipated: Q4 2020

  • Primary endpoint met

D3250C00036 China ICS/LABA Trial (MIRACLE)

NCT03186209

Severe, uncontrolled asthma, despite background controller medication, MD & HD ICS + LABA ± chronic OCS

Age 12-75 years

666

  • Arm 1: Fasenra 30mg Q8W s.c.

  • Arm 2: placebo s.c.

56-week trial

Global trial - 4 countries

  • Primary endpoint: annual asthma exacerbation rate

  • Secondary endpoints: assess pulmonary function, asthma symptoms, other asthma control metrics

  • FPCD: Q4 2017

  • Data readout: 2022+

Fasenra (IL5R mAb)

Severe, uncontrolled asthma

Trial

Population

Patients

Design

Endpoints

Status

Phase III BORA

NCT02258542

Severe asthma, inadequately controlled despite background controller medication, MD & HD ICS + LABA ± chronic OCS

Age 12-75 years

2,133

  • Arm 1: Fasenra 30mg Q4W s.c.

  • Arm 2: Fasenra 30mg Q8W s.c.*

  • placebo administered at select interim visits to maintain blind between treatment arms 56-week (adults)

108-week (adolescents) Global trial - 24 countries

  • Primary endpoint: safety and tolerability

  • FPCD: Q4 2014

  • Data readout: Q3 2018

  • Primary endpoint met

Phase III GREGALE

NCT02417961

Severe asthma, inadequately controlled despite background controller medication, MD & HD ICS + LABA ± chronic OCS

Age 18-75 years

162

  • Arm 1: Fasenra 30mg Q4W s.c.

28-week (adults)

Global trial - two countries

  • Primary endpoint: functionality, reliability, and performance of a pre-filled syringe with Fasenra administered at home

  • FPCD: Q2 2015

  • Data readout: Q2 2016

  • Primary endpoint met

Phase lll ARIA

NCT02821416

A double-blind, randomised, parallel group, placebo-controlled multi-centre trial to evaluate the effect of Fasenra on allergen-induced inflammation in Mild, atopic asthmatic

Age 18-65 years

46

  • Arm 1 : Fasenra 30mg Q4W s.c.

  • Arm 2: placebo s.c.

37-week trial

  • Primary endpoint: safety and tolerability

  • Primary endpoint: the effect of Fasenra on allergen induced eosinophil changes in sputum and allergen-induced late asthmatic response

  • FPCD Q4 2016

  • LPCD: Q2 2019

  • Data readout: Q4 2020

  • Primary endpoint met

Phase lll ALIZE

NCT02814643

A multi-centre, randomised, double-blind, parallel group, placebo-controlled, Phase IIIb trial to evaluate the potential effect of Fasenra on the humoral immune response to the seasonal influenza vaccination in adolescent and young adult patients with severe asthma

Ages 12-21 years

103

  • Arm 1: Fasenra 30mg Q4W s.c. with one dose of seasonal influenza virus vaccine IM

  • Arm 2: placebo Q4W s.c. with one dose of seasonal influenza virus vaccine intra muscular

12-week trial

Primary endpoints:

  • Post-dose strain-specific HAI) antibody

    GMFRs

  • Post-dose strain-specific serum HAI antibody GMTs

  • Proportion of patients who experience a strain-specific post-dose antibody response with antibody response defined as a ≥4-fold rise in HAI antibody titer

  • FPCD: Q3 2016

  • Data readout: Q3 2017

  • Primary endpoint met

Fasenra (IL5R mAb)

Severe, uncontrolled asthma, COPD

Trial

Population

Patients

Design

Endpoints

Status

Phase III GRECO

NCT02918071

Severe asthma on ICS-LABA Age 18-75 years

121

Open label Fasenra 30mg Q4w 28-week trial

Global trial - two countries

  • Primary endpoint: percentage of patients/ caregivers who successfully self administer at home

  • FPCD: Q4 2016

  • Data readout: Q4 2017

  • Primary endpoint met

Phase lllb ANDHI

NCT03170271

A multi-centre, randomised, double-blind, parallel group, placebo controlled, Phase IIIb trial to evaluate the safety and efficacy of Fasenra 30 mg s.c. in patients with severe asthma uncontrolled on SoC treatment.

Age 18-75

659

  • Arm 1: Fasenra 30mg Q8W s.c.

  • Arm 2: placebo s.c.

24-week trial

Global trial - 15 countries

  • Primary endpoint: rate of asthma exacerbations

  • Secondary outcome measures: Saint George Respiratory Questionnaire (SGRQ)

  • FPCD: Q3 2017

  • LPCD: Q1 2019

  • Data readout: Q4 2019

  • Primary endpoint met

Phase I AMES

NCT02968914

Healthy volunteers age 18-55 years

180

Open label trial to compare 30 mg Fasenra PK administered by APFS or AI device

8-week trial

Global trial - two countries

  • Primary endpoint: PK comparability

  • FPCD: Q1 2017

  • Data readout: Q3 2017

Phase III RESOLUTE

NCT04053634

Patients with moderate to very severe COPD with a history of frequent exacerbations on a background triple therapy (ICS/LABA/LAMA)

Age 40-85 years

868

  • Double-blind, placebo controlled, single dose (100mg q8w)

  • 56-week treatment

  • Global trial

  • Primary endpoint: annualized rate of moderate or severe exacerbations over 56 weeks

  • FPCD Q4 2019

  • Data anticipated: 2022+

Fasenra (IL5R mAb)

Nasal polyposis and other eosinophilic diseases

Trial

Population

Patients

Design

Endpoints

Status

Phase III OSTRO

NCT03401229

Patients with severe bilateral nasal polyposis who are still symptomatic despite standard of care therapy

Age 18-75 years

413

  • Arm 1: Fasenra 30mg Q8W s.c.

  • Arm 2: placebo s.c.

56-week trial

Global trial- 8 countries

  • Primary endpoint: effect of Fasenra on nasal polyp burden and on patient reported nasal blockage

  • FPCD: Q1 2018

  • LPCD: Q2 2019

  • Data readout: Q3 2020

  • Co-primary enpoints met

Phase III ORCHID

NCT04157335

Patients with eosinophilic chronic rhinosinusitis with severe nasal polyposis

Age 18-75 years

148

Arm 1: Fasenra 30mg Q8W s.c. Arm 2: placebo Q8W s.c.

56-week trial

Asian countries (4 countries)

  • Primary endpoint: Change in endoscopic total nasal polyp score and Change in mean nasal blockage score

  • FPCD: Q4 2019

  • Data anticipated: 2022+

Phase III MANDARA

NCT04157348

Patients with relapsing or refractory EGPA on corticosteroid therapy with or without stable immunosuppressive therapy

Age 18 years and older

140

  • Arm 1: Fasenra 30mg Q4W s.c.

  • Arm 2: mepolizumab 300mg Q4W s.c.

52-week trial with a minimum 1 year open label extension Global trial- 9 countries

  • Primary endpoint: Proportion of patients achieving remission (BVAS=0 and OCS dose ≤ 4mg/day) at both weeks 36 and 48.

  • FPCD: Q4 2019

  • Data anticipated: 2022+

Phase III NATRON

NCT04191304

Patients with HES (history of persistent eosinophilia >1500 cells/μL with evidence of end organ manifestations attributable to eosinophilia) and signs or symptoms of HES worsening/flare at Visit 1

Age 12 years and older

120

  • Arm 1: Fasenra 30mg Q4W s.c.

  • Arm 2: placebo Q4W s.c.

24-week trial with a minimum 1 year open label extension Global trial- 9-12 countries

  • Primary endpoint: Time to first HES worsening/flare.

  • FPCD Q3 2020

  • Data anticipated: 2022

Phase III MESSINA

NCT04543409

Documented diagnosis of EoE Age 12 to 65 years

170

  • Arm 1: Fasenra 30mg Q4W s.c.

  • Arm 2: placebo Q4W s.c.

24-week double blind treatment period and open label period(s)

  • Primary endpoints:

Histologic response at week 24 Change from baseline in DSQ score at week 24

  • FPCD Q4 2020

  • Data anticipated: 2022

Fasenra (IL5R mAb)

Dermatology

Trial

Population

Patients

Design

Endpoints

Status

Phase III FJORD

Patients with symptomatic (newly diagnosed or relapsing) Bullous Pemphigoid

120

  • Arm 1: Fasenra regimen

  • Arm 2: placebo

36-week double blind treatment period and open label period

Global trial

  • Primary endpoint:

Proportion of patients with sustained (≥2 months) remission off OCS at 36 weeks

  • Initiating

  • Data anticipated: 2022+

Phase II ARROYO

Patients with moderate/severe Chronic Spontaneous Urticaria, and resistant to H1 treatment

160

  • Arm 1: Fasenra regimen 1

  • Arm 2: Fasenra regimen 2

  • Arm 3: placebo

24-week double blind treatment period and open label period

Global trial

  • Primary endpoint:

Change from baseline in ISS7 at week 12

  • FPCD: Q4 2020

  • Data anticipated: 2022+

Phase II HILLIER

NCT04605094

Patients with moderate to severe Atopic Dermatitis despite treatment with topical medications

160-200

  • Arm 1: Fasenra regimen

  • Arm 2: placebo

16-week double blind treatment period and open label periods

Global trial

  • Primary endpoint:

Proportion of patients with an IGA 0/1 and a decrease in IGA of ≥ 2 points at week 16

  • FPCD: Q4 2020

  • Data anticipated: 2022+

Tezepelumab (TSLP mAb)

Severe, uncontrolled asthma

Trial

Population

Patients

Design

Endpoints

Status

Phase III NAVIGATOR

NCT03347279

Partnered

Severe asthma Age 12-80 years

1,061

  • Arm 1: tezepelumab s.c.

  • Arm 2: placebo s.c.

52 week trial

Global trial - 18 countries

  • Primary endpoint: Annual asthma exacerbation rate

  • Secondary endpoints: Change from baseline in pre-BD FEV1, asthma related QoL (AQLQ(S)+12), asthma control (ACQ-6)

  • FPCD: Q1 2018

  • LPCD: Q3 2019

  • Data readout: Q4 2020

  • Primary endpoint met

Phase III SOURCE

NCT03406078

Partnered

Severe asthma Age 18-80 years

150

  • Arm 1: tezepelumab s.c.

  • Arm 2: placebo s.c.

48 week trial

Global trial - seven countries

  • Primary endpoint: Reduction from baseline in daily OCS dose while not losing asthma control

  • Secondary endpoint: Annual asthma exacerbation rate

  • FPCD: Q2 2018

  • LPCD: Q4 2019

  • Data readout: Q4 2020

  • Primary endpoint not met

Phase III DESTINATION

NCT03706079

Partnered

Severe asthma Age 12-80 years

~975

  • Arm 1: tezepelumab s.c.

  • Arm 2: placebo s.c.

Extension trial to NAVIGATOR and SOURCE. 52 week trial (subjects from NAVIGATOR); 56 week trial (subjects from SOURCE)

Global trial - 18 countries

  • Primary endpoint: Exposure adjusted rates of AEs/SAEs Secondary endpoints: Annual asthma exacerbation rate

  • FPCD: Q1 2019

  • LPCD: Q4 2020

  • Data anticipated: H2 2022

Phase III PATH-HOME

NCT03968978

Partnered

Severe asthma Age 12-80 years

216

  • Arm 1: tezepelumab s.c. via autoinjector (AI)

  • Arm 2: tezepelumab s.c. via accessorized pre-filled syringe

    (APFS)

24 week trial

Global trial - 4 countries

Primary endpoint: Proportion of health care professionals and patients /caregivers who successfully administrated tezepelumab in clinic and at home with an APFS or an AI, respectively

  • FPCD: Q2 2019

  • LPCD: Q3 2019

  • Data readout: Q4 2020

  • Primary endpoint met

Tezepelumab (TSLP mAb)

Severe, uncontrolled asthma & COPD

Trial

Population

Patients

Design

Endpoints

Status

Phase II CASCADE

NCT03688074

Partnered

Severe asthma Age 18-75 years

116

  • Arm 1: tezepelumab s.c.

  • Arm 2: placebo s.c.

28 week trial

Global trial - five countries

  • Primary endpoint: number of airway submucosal inflammatory cells/mm2 of bronchoscopic biopsies

  • FPCD: Q4 2018

  • LPCD: Q4 2019

  • Data anticipated: H1 2021

Phase III DIRECTION

NCT03927157

Partnered

Severe asthma Age 18-80 years

396

  • Arm 1: tezepelumab s.c.

  • Arm 2: placebo s.c.

52 week trial

Regional Asia trial - three countries

  • Primary endpoint: Annual asthma exacerbation rate

  • Secondary endpoints: Change from baseline in pre-BD FEV1, asthma related QoL (AQLQ(S)+12), asthma control (ACQ-6)

  • FPCD: Q3 2019

Phase III NOZOMI

NCT04048343

Partnered

Severe asthma 12-80 years

65

Arm 1: tezepelumab s.c. 52 week trial

Local trial - Japan

  • Primary endpoint: Number of patients with adverse events

  • FPCD: Q2 2019

  • LPCD: Q4 2019

  • Data anticipated: H1 2021

Phase IIa COURSE

NCT04039113

Partnered

Moderate to very severe COPD

Age 40-80

282

  • Arm 1: tezepelumab s.c.

  • Arm 2: placebo s.c.

52 week trial

Global trial - 10 countries

  • Primary endpoint: Rate of moderate or severe COPD exacerbations

  • FPCD Q3 2019

  • Data anticipated: 2022+

PT027 (SABA/ICS, pMDI)

Asthma

Trial

Population

Patients

Design

Endpoints

Status

Phase III MANDALA

NCT03769090

Managed by Avillion

Moderate to severe asthma

3,100

Treatments (minimum 24-week treatment period)

  • BDA (budesonide albuterol) MDI 80/180 μg prn

  • BDA MDI 160/180 μg prn

  • AS (albuterol sulphate) MDI 180 μg prn

Randomised, double-blind, multi-centre, parallel group

Multi-country

Primary endpoint:

  • Time to first severe asthma exacerbation

Secondary endpoints:

  • Severe exacerbation rate (annualised)

  • Total corticosteroid exposure over the treatment period

  • Asthma Control Questionnaire -5 change from baseline and responder analysis at Week 24

  • Asthma quality of life questionnaire for 12 years and older/paediatric asthma quality of life questionnaire change from baseline and responder analysis at week 24

  • FPCD: Q4 2018

  • Data anticipated: H2 2021

Phase III DENALI

NCT03847896

Managed by Avillion

Mild to moderate asthma

1,000

Treatments (12 week treatment period)

  • • BDA MDI 80/180 μg QID

  • • BDA MDI 160/180 μg QID

  • • BD MDI 160 μg QID

  • • AS MDI 180 μg QID

  • • placebo MDI QID

Randomised, double-blind, multi-centre and parallel-group

Multi-country

Dual primary endpoints:

  • Change from baseline in FEV1 AUC0-6 hours over 12 weeks

  • Change from baseline in trough FEV1 at week 12

  • FPCD: Q2 2019

  • Data anticipated: H2 2021

Phase III TYREE

NCT04234464

Managed by Avillion

Asthma with exercise induced bronchoconstriction

60

Treatments (single dose)

  • • BDA MDI 160/180 μg

  • • placebo MDI QID

Randomised, double-blind, multi-centre crossover

Country: US

Primary endpoint:

  • The maximum percentage fall from post-dose, pre-exercise baseline in forced expiratory volume in 1 second (FEV1) observed up to 60 minutes post-exercise challenge

  • FPCD Q1 2020

  • LPCD: Q3 2020

  • Data Readout: Q4 2020

  • Primary endpoint met

Anifrolumab (type I interferon receptor mAb)

Lupus (SLE / LN)

Patients

Trial

Population

Endpoints

Status

Design

450

  • Primary endpoint: response in SLE responder index at week 52

  • FPCD: Q4 2015

  • LPCD: Q4 2017

  • Data readout: Q3 2018

  • Primary endpoint not met

Phase III TULIP SLE 1

NCT02446912

Moderate to severe SLE

  • Arm 1: 300mg i.v. anifrolumab Q4W for 48 weeks

  • Arm 2: 150mg i.v. anifrolumab Q4W for 48 weeks

  • Arm 3: placebo i.v. Q4W for 48 weeks

  • Arm 1: 300mg i.v. anifrolumab Q4W for 48 weeks

  • Arm 2: placebo i.v. Q4W for 48 weeks

  • FPCD: Q4 2015

  • LPCD: Q4 2017

  • Data readout: Q3 2019

  • Primary endpoint met

Phase III TULIP SLE 2

NCT02446899

  • Primary endpoint: response in SLE responder index at week 52 BICLA at week 52

360

Moderate to severe SLE

Moderate to severe SLE

630

  • FPCD: Q2 2016

  • LPCD: Q4 2018

  • Data anticipated: 2022+

Phase III TULIP LTE

NCT02794285

  • Arm 1: 300mg i.v. anifrolumab Q4W for 152 weeks

  • Arm 2: placebo i.v. Q4W for 152 weeks

  • Primary endpoint: extension to evaluate long-term safety and tolerability

Moderate to severe SLE patients

  • Arm 1: 300mg i.v. anifrolumab Q4W for 48 weeks

  • Arm 2: 1000mg i.v. anifrolumab Q4W for 48 weeks

  • Arm 3: placebo i.v. Q4W for 48 weeks

  • Primary endpoint: response in SLE responder index at 6 months

307

Phase ll

NCT01438489

  • FPCD: Q1 2012

  • LPCD: Q1 2015

  • Data readout: Q3 2014

  • Primary endpoint: open-label extension to evaluate long-term safety and tolerability

Moderate to severe SLE patients

Phase II

NCT01753193

218

  • Arm 1: anifrolumab, i.v. Q4W for 104 weeks

  • FPCD: Q1 2013

  • Data readout: Q4 2018

  • FPCD: Q1 2017​

  • LPCD: Q4 2017

  • Data readout: Q1 2018​

  • PK/PD, safety, tolerability, primary analysis at week 12, secondary analysis at week 52​

32​

Moderate to severe SLE patients​

Phase II​

NCT02962960​

  • Arm 1: 150mg s.c. every other week​

  • Arm 2: 300mg s.c. every other week​

  • Arm 3: placebo s.c. every other week​

150

  • FPCD: Q4 2015

  • LPCD: Q4 2018

  • Data anticipated: H1 2021

  • Response in proteinuria at week 52

Phase II TULIP-LN1

NCT02547922

Active Proliferative LN

  • Arm 1: 900 mg i.v. Q4W for 12 weeks then 300mg i.v. anifrolumab Q4W for 36 weeks

  • Arm 2: 300 mg i.v. anifrolumab Q4W for 48 weeks

  • Arm 3: placebo i.v. Q4W for 48 weeks

Brazikumab (IL23 inhibitor)

Inflammatory bowel disease (Crohn's disease, ulcerative colitis)

Trial

Population

Patients

Design

Endpoints

Status

Phase IIb / III INTREPID

NCT03759288

Crohn's Disease

1,140

  • Arm 1: brazikumab high IV dose on day 1, 29 and 57 + SC brazikumab on day 85 and every 4 weeks through week 48

  • Arm 2: brazikumab low IV dose on day 1, 29 and 57 + 240 mg

    SC brazikumab on day 85 and every 4 weeks through week 48

  • Arm 3: adalimumab SC on day 1, 15, 29 and every 2 weeks through week 50

  • Arm 4: placebo

Primary

  • Endoscopic response and clinical remission at week 12

Secondary

  • Endoscope response and clinical remission at both weeks 12 and 52

  • Endoscopic remission and clinical remission at week 52

  • FPCD: Q4 2018

  • Data anticipated: H2 2022

Phase III

NCT03961815

Crohn's Disease

1,000

  • Open label extension

  • Safety of long-term treatment with brazikumab

  • FPCD: Q2 2019

  • Data anticipated: 2022+

Phase II EXPEDITION

NCT03616821

Ulcerative Colitis

375

  • Arm 1: brazikumab dose 1 IV on day 1, 15 and 43 + SC brazikumab from day 71 and every 4 weeks

  • Arm 2: brazikumab dose 2 IV on day 1, 15 and 43 + SC brazikumab from day 71 and every 4 weeks

  • Arm 3: brazikumab dose 3 IV on day 1, 15 and 43 + SC brazikumab from day 71 and every 4 weeks

  • Arm 4: vedolizumab 300 mg IV on day 1, 15 and 43 + IV vedolizumab from day 99 and every 8 weeks

  • Arm 5: placebo

Primary

  • Clinical remission at week 10

Secondary

  • Sustained clinical remission at week 10 and 54

  • FPCD: Q3 2018

  • Data anticipated: H2 2022

Phase II

NCT04277546

Ulcerative Colitis

300

  • Open label extension

  • Clinically significant adverse events

  • FPCD: Q1 2020

  • Data anticipated: 2022+

Nirsevimab (Respiratory syncytial virus mAb-YTE )

Infection

Trial

Population

Patients

Design

Endpoints

Status

Phase IIb

NCT02878330

29-35 WK GA (Gestational age) infants

1,453

  • Randomised, double-blind, placebo-controlled trial

  • Route of administration: intramuscular

  • Safety and efficacy

  • FPCD: Q4 2016

  • LPCD: Q4 2017

  • Data readout: Q4 2018

  • Primary endpoint met

Phase II/III

MEDLEY

NCT03959488

High risk preterm (born 35 weeks 0 day or less GA), CHD and CLD infants eligible to receive palivizumab

1,500

  • Randomised, Double-blind, palivizumab-controlled

  • Route of administration: intramuscular

Global trial - 32 countries

  • Primary: Safety and tolerability

  • Secondary: PK, ADA and descriptive efficacy

  • FPCD: Q3 2019

  • Data readout: H2 2021

Phase III

MELODY

NCT03979313

Healthy infants (born 35 weeks 0 days or greater GA)

3,000

  • Randomised, Double-blind, placebo-controlled

  • Route of administration: intramuscular

Global trial - 31 countries

  • Primary: Efficacy

  • Secondary: Safety, PK, ADA

  • FPCD: Q3 2019

  • Data readout: 2022+

Phase II

Japan IC

NCT04484935

Immunocompromised

Japanese children who are ≤ 24 months of age at the time of dose administration

30

  • Open-label, Uncontrolled, single-dose Study

  • Route of administration: intramuscular

Japan only

  • Primary: Safety and tolerability

  • Secondary: PK, ADA, efficacy

  • FPCD: Q3 2020

  • Data readout: 2022+

AZD1222 (SARS-CoV-2)

Prevention of COVID-19

Trial

Population

Patients

Design

Endpoints

Status

Phase I/II COV001 (UK)

NCT04324606 Partnered

Healthy adults Age 18-55 years

1,077

Single-blinded, randomised, controlled, multi-centre trial

  • AZD1222

  • Control vaccine: MenACWY

UK

  • Primary endpoint: efficacy and safety

  • Secondary endpoints: safety, tolerability, reactogenicity, and immunogenicity

  • FPCD: Q2 2020

  • LPCD: Q2 2020

Phase I/II COV005 (SA)

NCT04444674 Partnered

Healthy adults Age 18-65 years

HIV+ subgroup

2,125

Adaptive, double-blinded, randomised placebo-controlled trial

  • AZD1222

  • Placebo

South Africa

  • Primary endpoint: efficacy, safety, and immunogenicity

  • FPCD: Q2 2020

  • LPCD: Q4 2020

  • Data anticipated: H1 2021

Phase II/III COV002 (UK)

NCT04400838 Partnered

Main efficacy trial: healthy adults aged ≥18 years

Healthy adults 56 - <70 years Healthy adults70 years Healthy children 5 - 12 years

10,812

Single-blinded, randomised, controlled, multi-centre trial with sequential age escalation/de-escalation immunogenicity sub-studies that include prime boost

  • AZD1222

  • Control vaccine: MenACWY

UK

  • Primary endpoint: efficacy and safety

  • Secondary endpoints: safety, tolerability, reactogenicity, and immunogenicity

  • FPCD: Q2 2020

  • LPCD: Q4 2020

Phase III

D8110C00001 (US, global)

NCT04516746

Healthy adults Age 18-65 years

32,429

Adaptive, double-blinded, randomised placebo-controlled trial

  • AZD1222

  • Placebo

US, with intent to expand to other countries

  • Primary endpoints: efficacy, safety, tolerability, and reactogenicity

  • Secondary endpoints: immunogenicity

  • FPCD: Q3 2020

  • Data anticipated: H1 2021

Phase III COV003 (Brazil)

NCT04536051 Partnered

Health professionals and adults with high potential for exposure to SARS-CoV-2 Age 18-55 years

10,414

Single-blinded, randomised, controlled multi-centre trial

  • AZD1222

  • Control vaccine: MenACWY

Brazil

  • Primary endpoint: efficacy

  • Secondary endpoints: safety, tolerability, reactogenicity, and immunogenicity

  • FPCD: Q2 2020

  • LPCD: Q4 2020

Phase III D8111C00001

NCT04540393

Healthy adults

Age ≥18 years

100

Open-label, non-comparative trial Russia

  • Primary endpoints: safety, tolerability

  • Secondary endpoints: immunogenicity

  • Paused

Phase I/II D8111C00002

NCT04568031

Healthy adults

Age ≥18 years

256

Double-blinded, randomised, placebo-controlled multi-centre trial

  • AZD1222

  • Placebo

Japan

  • Primary endpoints: safety, tolerability, reactogenicity, immunogenicity

  • Secondary endpoints: immunogenicity

  • FPCD: Q3 2020

Phase I/II COV004 (Kenya)

Healthy adults

400

Double-blinded, randomised, placebo-controlled multi-centre trial

  • AZD1222

  • Control vaccine: rabies

Kenya

  • Primary endpoints: safety, tolerability, reactogenicity, immunogenicity

  • Secondary endpoints: immunogenicity

  • FPCD: Q4 2020

AZD7442 (LAAB combination of AZD8895 & AZD1061)

Prevention and treatment of COVID-19

Trial

Population

Patients/Subjects

Design

Endpoints

Status

Phase I

NCT04507256

Healthy adults Age 18-55 years

60

Double-blinded, randomised, placebo controlled, single ascending dose study

AZD7442/placebo (10:2)

Single center, UK

  • Primary endpoint: safety, tolerability and

    PK

  • Secondary endpoints: immunogenicity

  • FPFD: August 2020

  • LPCD: October 2020

Phase III PROVENT D8850C00002

NCT04625725

Adults having increased risk for inadequate response to active immunization or having increased risk for SARS-CoV-2 infection

5,000

Double-blinded, randomized, placebo controlled, multi center study to determine safety and efficacy

AZD7442/placebo (2:1)

Pre-exposure

Countries: USA, UK, Belgium, France, Spain

  • Primary endpoint: positive symptomatic illness post -dose

  • Secondary endpoints: Incidence of nucleocapsid antibodies, incidence of emergency visits, incidence of PCR positive, incidence of ADA to AZD7442 in serum and AZD7442 serum concentrations

  • FPCD: Q4 2020

  • Data anticipated: H2 2021

Phase III STORMCHASER D8850C00003

NCT04625972

Adults with potential exposure To an identified individual with confirmed SARS-COV2 infection and at risk of developing COVID-19

1,125

Double-blinded, randomized, placebo controlled, multi center study to determine safety and efficacy

AZD7442/placebo (2:1)

Post-exposure

Countries: USA and UK

  • Primary endpoint: positive symptomatic illness post -dose

  • Secondary endpoints: Incidence of nucleocapsid antibodies, incidence of COVID-19 related death, incidence of all cause mortality, incidence of ADA to AZD7442 in serum and ZD7442 serum concentrations

  • FPCD: Q4 2020

  • Data anticipated: H1 2021

PHASE III TACKLE

NCT04723394

Adults with confirmed mild to moderate SARS-COV2 infection. Symptomatic patients with documented positive SARS-Cov-2 molecular test.

1,700

Double-blinded, randomized, placebo controlled, multi center study to determine safety and efficacy of AZD7442 for treatment of Covid-19 in non-hospitalized patients

AZD7442/placebo (1:1)

Countries: UK, Germany, Spain, Italy, Hungary, Russia, US, Mexico and Japan

  • Primary endpoint: efficacy in the prevention of the composite endpoint of either severe COVID-19 or death from any cause through study Day 29

  • FPCD: Q1 2021

  • Data anticipated: H1 2021

COVID-19 trials Treatment of COVID-19

Trial

Compound

Population

Patients

Design

Endpoints

Status

Phase III DARE-19

NCT04350593

Farxiga

COVID-19

1,250

  • Current SoC or current SoC + Farxiga

  • Primary outcome measures: time to first occurrence of either death from any cause or new/worsened organ dysfunction through 30 days of follow up or improving clinical recovery; hierarchical composite outcome measures including time to death from any cause through day 30, new/worsened organ dysfunction, clinical status at day 30 and hospital discharge before day 30 and alive at day 30

  • FPCD: Q2 2020

  • LPCD: Q1 2021

  • Data anticipated H1 2021

Phase II TACTIC-E

NCT04393246

Farxiga

COVID-19

1,407

  • Current SoC or current SoC + Farxiga + ambrisentan

  • Primary Outcome Measures: time to incidence of the composite endpoint of: death, mechanical ventilation, extracorporeal membrane oxygenation, cardiovascular organ support, or renal failure

  • FPCD: Q4 2020

  • Data anticipated H1 2021

Phase IIIa TACTIC-COVID

NCT04355637

Pulmicort

COVID-19

300

  • Current SoC or SoC + Pulmicort

  • Primary outcome measures: proportion of patients in both arms fulfilling the criteria for treatment failure

  • FPCD: Q2 2020

  • Data anticipated H1 2021

Phase IIIa STOIC

NCT04416399

Pulmicort

COVID-19

478

  • Current SoC or SoC + Pulmicort

  • Primary Outcome Measures: emergency department attendance of hospitalisation related to COVID-19

  • FPCD: Q2 2020

  • Data readout Q1 2021

Phase IIIa INHASCO

NCT04331054

Symbicort

COVID-19

436

  • Current SoC or SoC + Symbicort

  • Primary Outcome Measures: time (in days) to clinical improvement within 30 days after randomisation

  • FPCD: Q2 2020

  • Data anticipated H1 2021

Phase II ACCORD

MEDI3506

COVID-19

180

  • Current SoC or current SoC + MEDI3506

  • Primary endpoints: time to a 2-point improvement on a 9-point category ordinal scale, discharge from hospital, or considered fit for discharge whichever comes first by Day 29

  • FPCD: Q2 2020

  • Data anticipated H1 2021

BioPharmaceuticals - early-stage development

Cotadutide (GLP-1-glucagon agonist)

Diabetes/CKD, NASH

Trial

Population

Patients

Design

Endpoints

Status

Phase II NCT03555994

Adults with type-2 diabetes

44

  • Part A: cotadutide or placebo s.c.

  • Part B: cotadutide s.c. or placebo s.c. or liraglutide s.c.

  • Sweden, Netherlands, UK

  • Primary: change in hepatic glycogen concentration postprandially, adjusted by liver volume

  • Secondary: safety

  • Secondary: tolerability

  • Secondary: immunogenicity

  • FPCD: Q2 2018

Part A LPCD: Q4 2018

Data readout: Q1 2019

Part B FPCD: Q1 2020

  • LPCD: H1 2021

Phase II NCT03596177

Overweight and obese patients with type-2 diabetes

27

  • Cotadutide or placebo s.c.

  • UK

  • Primary: efficacy body weight loss

  • Secondary: change in total energy intake

  • Secondary: change in total energy expenditure, active energy expenditure, resting energy expenditure

  • Secondary: safety

  • FPCD: Q4 2018

  • LPCD: Q4 2019

  • Data readout: Q4 2020

Phase II NCT04019561

Obese patients with non-alcoholic fatty liver disease (NAFLD)/non-alcoholic steatohepatitis (NASH)

72

  • Arm1: cotadutide high dose s.c.

  • Arm2: placebo high dose s.c.

  • Arm3: cotadutide low dose s.c.

  • Arm4: placebo low dose s.c.

  • US

  • Primary: safety and tolerability

  • Secondary: change in hepatic fat fraction,

  • Secondary: change in liver fat volume

  • Secondary: change in visceral adipose tissue

  • FPCD: Q4 2019

  • LPCD: H1 2021

  • Data Readout: H2 2021

Phase II

NCT04515849

A Study of Cotadutide in participants who have chronic kidney disease with type 2 diabetes mellitus

225

  • Arm1: cotadutide 100 micrograms

  • Arm2: cotadutide 300 micrograms

  • Arm3: cotadutide 600 micrograms

  • Arm4: semaglutide

  • Arm5: placebo

  • Primary: efficacy change in UACR

  • Secondary: Change in HbA1c

  • Secondary: Change in glucose measured by CGM

  • Secondary: Effects on body weight

  • Secondary: Safety, tolerability, Immunogenicity

  • FPCD: Q4 2020

  • LPCD: H2 2021

  • Data readout: H2 2021

Phase I NCT04091373

Healthy adult patients

36

  • Primary: to evaluate exposure following a single s.c of cotadutide at each of 3 different sites of injection

  • Secondary: immunogenicity

  • Secondary: safety and tolerability

  • FPCD: Q4 2019

  • LPCD: Q1 2020

  • Data readout: Q4 2020

Verinurad (URAT1 inhibitor)

CKD, HFpEF

Trial

Population

Patients

Design

Endpoints

Status

Phase II

NCT03990363

Patients with:

  • • sUA ≥6.0 mg/dL

  • • eGFR ≥25 mL/min/1.73 m2 Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI formula)

  • Mean UACR between 30 mg/g and 5000 mg/g

725

  • Arm A; Verinurad 12 mg + allopurinol 300 mg

  • Arm B Verinurad 7.5 mg + allopurinol 300 mg

  • Arm C; Verinurad 3 mg + allopurinol 300 mg

  • Arm D; Verinurad placebo + allopurinol 300 mg

  • Arm E; Verinurad placebo + allopurinol placebo

This trial is multi-centre trial conducted in USA, China, Czech Republic, France, Hungary, Israel, Italy, Mexico, Poland, Romania, Slovakia, South Africa, Spain

Ratio of urinary albumin to urinary creatinine

Changes in eGFR, Cystatin C, and uric acid

  • FPCD: Q3 2019

  • Data anticipated: H2 2021

Phase I

NCT03118739

Healthy volunteers

24

  • Treatment A: Verinurad 24 mg ER8 formulation + 300 mg

  • allopurinol

  • Treatment B: Verinurad 40 mg IR formulation + 300 mg

  • allopurinol

  • Treatment C: Matched placebos for both verinurad and allopurinol

The trial is a single-centre, randomised, placebo-controlled, double-blind, 3-period, cross-over trial conducted in Germany

To assess the effect of a single dose of verinurad given as either a 24 mg extended-release (ER8) formulation (therapeutic exposure) or a 40 mg immediate-release (IR) formulation (supra-therapeutic exposure), both in combination with allopurinol 300 mg, on the QT interval corrected for heart rate using Fridericia's formula (QTcF) compared to placebo

  • FPCD: Q3 2020

  • Data readout: H2 2020

Phase I

NCT04532918

Healthy volunteers

14

  • Treatment A: Verinurad 7.5 mg ER8 formulation + 300 mg

Allopurinol under fasted conditions

  • Treatment B: Verinurad 7.5 mg IR formulation + 300 mg allopurinol + cyclosporin 600 mg under fasted conditions

  • Treatment C: Verinurad 7.5 mg IR formulation + 300 mg allopurinol + rifampicin 600 mg under fasted conditions

The trial is a single-centre, randomised, open-label, 3-period, fixed sequence, trial conducted in Germany

To quantify the effects of cyclosporine, a broad transporter inhibitor, and rifampicin, an OATP1B1/3 inhibitor,on verinurad pharmacokinetics (PK).

  • FPCD: Q3 2020

  • LPCD: Q4 2020

  • Data anticipated: H1 2021

Phase II

NCT04327024

Patients with heart failure with preserved ejection fraction

435

  • Arm A: verinurad 12 mg + allopurinol 300 mg

  • Arm B: verinurad placebo + allopurinol 300 mg

  • Arm C: verinurad placebo + allopurinol placebo

The trial is a multi-centre trial conducted in Argentina, Australia, Austria, Bulgaria, Canada, Germany, Mexico, Poland, Russia, Slovakia South Korea, USA

Peak V02 Change from baseline at Week 28 in exercise capacity

Change from baseline at Week 28 in Kansas-City Cardiomyopathy Questionnaire-Total Symptom Score (KCCQ-TSS)

  • FPCD: Q3 2020

  • Data readout: 2022+

AZD2373

Chronic kidney disease

Trial

Population

Patients

Design

Endpoints

Status

Phase I

NCT04269031

Healthy volunteers

48

SAD

Dose escalation in 6 cohorts with 6 volunteers receiving AZD2373 and 2 volunteers receiving placebo in each cohort

Trial conducted in the US

Primary:

  • Safety and tolerability

Secondary;

  • PK parameters

  • FPCD: Q1 2020

AZD2693 (resolution of NASH)

NASH

Trial

Population

Patients

Design

Endpoints

Status

Phase I

NCT04142424

Healthy volunteers

48

SAD

6 cohorts with 6 volunteers receiving AZD2693 and 2 volunteers receiving placebo in each cohort

Route of administration: subcutaneous injections

Trial conducted in the US.

Primary:

  • Safety and tolerability

Secondary;

  • PK

  • FPCD: Q4 2019

  • Data anticipated: H2 2021

Phase I

NCT04142424

NAFLD F0-F3

60

MAD

3 cohorts receiving AZD2693 and placebo in each cohort

Route of administration: subcutaneous injections

Trial conducted in the US.

Primary:

  • Safety and tolerability

Secondary;

  • PK

  • FPCD: Q1 2021

  • Data anticipated: H2 2021

AZD3427 (relaxin)

Heart failure

Trial

Population

Patients

Design

Endpoints

Status

Phase I

NCT04630067

SAD - Healthy Volunteers MAD - Heart Failure

96

  • Multi-center single and multiple ascending dose study (SAD and MAD) planned in 96 participants (US)

  • Part A (SAD) will include 6 cohorts randomized to AZD3427 or placebo

  • Part B (MAD) will include cohorts randomized to AZD3427 or placebo

Safety & Tolerability

  • FPCD: Q4 2020

  • Data anticipated: 2022+

AZD3366 Cardiovascular disease

Trial

Population

Patients

Design

Endpoints

Status

Phase I

NCT04588727

Healthy volunteers

87

SAD

Part A Dose escalation in 6 cohorts with 6 volunteers receiving AZD3366 and 2 volunteers receiving placebo in each cohort

Part B 12 subjects receiving AZD3366 and ticagrelor and ASA

Trial conducted in the US

Primary:

  • Safety and tolerability

Secondary;

  • PK parameters

  • FPCD: Q4 2020

MEDI3506 (IL33 ligand mAb)

Diabetic kidney disease

Trial

Population

Patients

Design

Endpoints

Status

Phase II

NCT04170543

Adult patients with diabetic kidney disease

565

  • Arm A- MEDI3506 Dose 1 + dapagliflozin

  • Arm B- MEDI3506 Dose 2 + dapagliflozin

  • Arm C- MEDI3506 Dose 3 + dapagliflozin

  • Arm D- MEDI3506 Dose 4 + dapagliflozin

  • Arm E- placebo + dapagliflozin

This trial is multi-centre trial conducted in USA, Canada, Japan and additional countries.

  • Efficacy and safety

  • FPCD: Q4 2019

AZD4831 (MPO inhibitor)

Cardiovascular disease

Trial

Population

Patients

Design

Endpoints

Status

Phase I

NCT02712372

Healthy patients

c. 96

SAD trial (one trial site in Germany)

  • Planned to investigate 6 different dose levels vs. placebo but up to 10 cohort may be used

  • Safety and tolerability

  • PK parameters

  • FPCD: Q3 2016

  • LPCD: Q4 2016

  • Data readout Q2 2017

Phase I

NCT03136991

Healthy patients

c. 40

MAD (one trial site in USA)

  • The planned number of cohorts is four but up to five cohorts may be included

  • Safety and tolerability

  • PK parameters

  • FPCD: Q2 2017

  • LPCD: Q4 2017

  • Data readout: Q1 2018

Phase IIa

NCT03756285

HFpEF

96

Arm 1: AZD4831 Arm 2: placebo

Global trial - five countries

  • Primary endpoint: The change from baseline in MPO activity in % after AZD4831 treatment

  • FPCD: Q4 2018

  • Data readout: H2 2020

Phase I

NCT04232345

Healthy patients

32

SAD trial in Japanese and Chinese patients

  • Safety and tolerability

  • FPCD Q1 2020

  • Data anticipated: H1 2021

AZD5718 (FLAP inhibitor)

Cardiovascular disease

Trial

Population

Patients

Design

Endpoints

Status

Phase IIa

NCT03317002

CAD

129

  • Arm 1: AZD5718 Dose A

  • Arm 2: AZD5718 Dose B

  • Arm 3: placebo

Global trial - three countries in Europe

  • Primary endpoint: PD effect of AZD5718 by assessment of u-LTE4

  • FPCD: Q4 2017

  • LPCD: Q4 2019

Phase I

NCT03948451

Healthy patients

6

hADME trial (one trial site in UK)

  • Oral administration

Open-label trial to characterize the absorption, distribution, metabolism and excretion following a single oral dose of [14C]AZD5718 in healthy male volunteers

  • Mass balance, with routes and rates of elimination of [14C]AZD5718.

  • Metabolite profiling and structural identification

  • PK and total radioactivity

  • FPCD: Q2 2019

  • LPCD: Q2 2019

Phase I

NCT04087187

Healthy patients

14

BA trial (one trial site in UK)

An open-label, randomized, 3-period, 3-treatment, crossover trial to assess the drug absorption into the blood after administration of 3 doses of AZD5718

  • To evaluate the pharmacokinetics and exposure of 3 different doses of AZD5718

  • Safety and tolerability

  • FPCD: Q4 2019

  • LPCD: Q4 2019

Phase I

NCT04210388

Healthy patients

12

BA trial (one trial site in UK)

The trial is a randomized, single-dose, open-label, combined 2x2 dose and 3x3 dose crossover design in fixed sequence.

To evaluate:

  • The relative bioavailability of different formulations

  • Safety and tolerability

  • FPCD: Q1 2020

  • LPCD: Q1 2020

Phase IIb

NCT04492722

CKD

632

Interventional

A Phase IIb randomised, double-blind, placebo-controlled, multi-centre, dose-ranging trial of AZD5718 in participants with proteinuric CKD

To evaluate:

  • dose-response efficacy

  • Safety

  • pharmacokinetics (PK)

  • FPCD: Q4 2020

AZD8233 (PCSK9 inhibitor, sub-cutaneious)

Dyslipidemia

Trial

Population

Patients

Design

Endpoints

Status

Phase I

NCT03593785

Healthy subjects

72

SAD

7 cohorts with 6 subjects receiving AZD8233 and 2 subjects receiving placebo in each cohort

Trial conducted in the US.

Primary:

  • Safety and tolerability

Secondary;

  • PK and PD parameters

  • FPCD: Q3 2018

  • LPCD: Q3 2019

Phase I

NCT04155645

Dyslipidemia

33

MAD

Up to 3 cohorts with 8 subjects receiving AZD8233 and 3 subjects receiving placebo in each cohort

Trial conducted in the US

Primary:

  • Safety and tolerability

Secondary;

  • PK and PD parameters

  • FPCD Q1 2020

Phase II

NCT04641299

Dyslipidemia

108

Subjects are randomized across four different treatment arms in a 1:1:1:1 ratio for a 12-week treatment period

Arm 1: High AZD8233 dose

Arm 2: Medium AZD8233 dose Arm 3: Low AZD8233 dose Arm 4: placebo

Trial conducted in 3 countries (US, Slovakia and Denmark)

Primary:

  • Efficacy

  • FPCD: Q4 2020

MEDI8367

Chronic kidney disease

Trial

Population

Patients

Design

Endpoints

Status

Phase I

NCT04365218

Healthy volunteers CKD

70

Single ascending dose 6 cohorts

Arm 1: MEDI8367 Arm 2: placebo

Subcutaneous administration

Trial conducted in the US

Primary:

  • Safety and tolerability

Secondary;

  • PK parameters

  • ADA

  • FPCD: Q3 2020

AZD8601 (VEGF-A modified RNA)

Cardiovascular disease

Trial

Population

Patients

Design

Endpoints

Status

Phase I

NCT02935712

Type 2 diabetic patients

c. 60

SAD trial (one trial site in Germany)

  • Planned to investigate 3 different dose levels vs. placebo but up to 5 cohort may be used

  • Safety and tolerability

  • FPCD: Q1 2017

  • LPCD: Q3 2017

  • Data readout: Q1 2018

Phase IIa

NCTT03370887

HF

Up to 33

Phase IIa trial (two trial sites in Finland, two in Germany)

  • Arm 1: AZD8601 Dose A

  • Arm 2: AZD 8601 Dose B

  • Arm 3: placebo

  • Safety and tolerability

  • FPCD: Q1 2018

AZD9977 Heart failure

Trial

Population

Patients

Design

Endpoints

Status

Phase I

NCT03435276

Healthy volunteers

27

MAD

Dose escalation in 3 cohorts with 6 subjects receiving AZD9977 and 3 volunteers receiving placebo in each cohort

Trial conducted in the UK.

Primary:

  • Safety and tolerability

Secondary;

  • PK parameters

  • FPCD: Q1 2018

  • LPCD: Q2 2018

  • Data readout: Q3 2018

Phase I

NCT03450759

Healthy volunteers

12

Bioavailability trial

Investigation of four different oral formulations of AZD9977 and influence of food.

Trial conducted in the UK.

Primary:

  • relative bioavailability vs. oral suspension (reference)

  • PK parameters

  • FPCD: Q2 2018

  • LPCD: Q2 2018

  • Data readout: Q3 2018

Phase I

NCT03682497

HF

60

Proof of differentiation

To compare the effect of AZD9977 with spironolactone on serum potassium

Primary:

  • serum potassium

  • FPCD Q4 2018

  • LPCD Q1 2019

Phase I

NCT03843060

Healthy volunteers

14

DDI

To assess the effect of itraconazole on the pharmacokinetics of AZD9977

Trial conducted in the US

Primary:

  • PK parameters

Secondary;

  • Safety and tolerability

  • FPCD: Q1 2019

  • LPCD: Q1 2019

  • Data readout: Q3 2019

Phase I

NCT03801967

Healthy volunteers

45

JSMAD

Single and multiple-ascending dose administration in Japanese healthy volunteers.

Trial conducted in the UK

Primary:

  • Safety and tolerability

Secondary;

  • PK parameters

  • FPCD: Q1 2019

  • LPCD: Q2 2019

  • Data readout: Q3 2019

Phase I

NCT03804645

Healthy volunteers

12

Bioavailability trial

Investigation of four different oral formulations of AZD9977 and influence of food.

Trial conducted in the UK

Primary:

  • relative bioavailability vs. capsule formulation (reference)

  • PK parameters

  • FPCD: Q1 2019

  • LPCD: Q2 2019

  • Data readout: Q3 2019

Phase I NCT04469907

Renal Impairment

32

Renal Impairment

Single dose administration of AZD9977 conducted in participants with severe renal impairment and compared with matched participants with normal renal function

Trial conducted in the US

Primary:

  • PK parameters

Secondary:

  • Safety and tolerability

  • FPCD: Q3 2020

  • LPCD: H1 2021

  • Data readout: H1 2021

Phase I NCT04686591

Healthy volunteers

8

ADME

Study of absorption-distribution-metabolism-excretion (ADME) of 14C-AZD9977 following a single oral dose and absolute bioavailability of a single oral dose with respect to AZD9977 Trial conducted in the UK

Primary:

  • Absolute bioavailability

  • The mass balance, rates and routes of

  • elimination

Secondary:

  • Safety and tolerability

  • FPCD: Q1 2021

  • LPCD: Q1 2021

  • Data readout: H2 2021

Zibotentan (endothelin receptor antagonist)

Chronic kidney disease

Trial

Population

Patients

Design

Endpoints

Status

Phase IIb

NCT04724837

Chronic Kidney Disease

660

Global recruitment

Part A: 132 participants equally randomised across 4 arms: Arm 1: Zibotentan dose A + Dapagliflozin 10 mg once daily. Arm 2: Zibotentan dose A once daily.

Arm 3: Dapagliflozin 10 mg once daily. Arm 4: Placebo once daily.

Part B: 528 participants equally randomised across 6 arms: Arm 1: Zibotentan dose C + Dapagliflozin 10 mg once daily. Arm 2: Zibotentan dose B + Dapagliflozin 10 mg once daily. Arm 3: Zibotentan dose A + Dapagliflozin 10 mg once daily. Arm 4: Zibotentan dose A once daily.

Arm 5: Dapagliflozin 10 mg once daily. Arm 6: Placebo once daily.

Primary Endpoint:

Change in log-transformed UACR from baseline to week 12.

Secondary Endpoints:

Change in log-transformed UACR from baseline to week 12.

Change in blood pressure from baseline (Visit 2) to week 12.

The least squares mean change of UACR at week 12 from the 3 Zibo/Dapa dose groups and the dapagliflozin monotherapy group.

Change in eGFR from baseline to week 1, week 12 and week 14.

Change in eGFR from week 1 to week 12.

  • Initiating

Biologics

Cardiovascular & metabolic diseases

Trial

Compound

Population

Patients

Design

Endpoints

Status

Phase IIb

EudraCT 2017-004521-32

MEDI6012 rhLCAT

Subjects 30-80 years of age inclusive, presenting with acute STEMI

595

  • Cohort A: 2-dose regimen 300 mg of MEDI6012 or placebo on day 1 (loading dose) prior to pPCI followed by a second inpatient dose of 150 mg or placebo on Day 3 by i.v. push.

  • Cohort B: 6-dose regimen 300 mg of MEDI6012 or placebo on day 1 prior to pPCI followed by a second inpatient dose of 150 mg or placebo on day 3 and outpatient maintenance doses of 100 mg or placebo on days 10, 17, 24, and 31 by i.v. push.

Primary endpoints: Infarct size as a percentage of left ventricle (LV) mass at 10-12 weeks post-MI (myocardial infarction) compared to placebo

Secondary endpoints:

  • • Ejection Fraction at 10-12 weeks post-MI compared to placebo.

  • • Change in NCPV in the coronary arteries from at10-12 weeks post-MI compared with placebo

  • • Myocardial mass and LV volumes at end-systole and end-diastole

  • • Incidence of TEAEs and treatment-emergent SAEs.

  • • LCAT mass and ADAs

  • FPCD: Q2 18

  • LPCD: Q4 2020

  • Data anticipated: 2022+

Phase IIa

NCT03351738

MEDI5884 cholesterol modulation

Adults with stable CHD

133

  • MEDI5884 (5 dose cohorts) vs. placebo in stable CHD patients

  • Safety profile in terms of AEs, vital signs, ECG, lab variables

  • Changes in HDL-C over time

  • PK, immunogenicity, and Apolipoprotein B

  • FPCD Q4 2017

  • Data readout: Q4 2018

Phase I

NCT03654313

MEDI6570

Atherosclerotic cardiovascular disease

88

  • SAD followed by multi ascending dose with 3 monthly doses in T2DM subjects

  • Primary endpoints: Safety and tolerability

  • FPCD: Q4 2018

  • Data anticipated: 2021

Phase IIb

NCT04610892

MEDI6570

Post MI

792

Evaluation of anti-inflammatory potential of MEDI6570 and its effect on surrogates for atherosclerotic and heart failure (HF) events . Subjects are randomized across four different treatment arms in a 1:1:1:1 ratio

Arm 1: High AZD6570 dose Arm 2: Medium AZD6570 dose Arm 3: Low AZD6570 dose Arm 4: Placebo

Trial conducted in 9 countries (US, Canada, Hungary, Japan, Czech Republic, Italy, Spain, Netherlands, Poland,)

  • Efficacy and safety

  • FPCD: Q42020

AZD0449 (inhaled JAK-1 inhibitor)

Asthma

Trial

Population

Patients

Design

Endpoints

Status

Phase I

NCT03766399

Healthy subjects and patients with mild asthma

156

SAD/MAD/Bridge trial (UK) Part 1 SAD

  • Dose escalation in 6 cohorts with 6 subjects receiving

    AZD0449 and 2 subjects receiving placebo in each cohort

  • i.v. cohort with 2x6 subjects

Part 2 MAD:

  • 2 cohorts of (6, 6,) mild asthmatics receiving two different doses of AZD0449 and (3,3) patients receiving placebo in each cohort

  • 1 cohort of 6 patients receiving 1 dose of AZD0449 and 2 patients receiving placebo

Part 3 bridge

  • 1 cohort of 6 patients receiving 1 dose of AZD0449 (DPI formulation) and 2 patients receiving placebo.

  • Up to 18 mild asthmatic patients will receive AZD0449 (DPI)

    and 18 patients receiving placebo. Interim analysis planned after 9 +9 patients.

Trial conducted in the UK

Primary endpoint:

  • Safety and tolerability

Secondary endpoint:

  • PK parameters

  • FENO

  • FPCD: Q4 2018

  • Data anticipated: H1 2021

AZD1402 (IL4 receptor alpha antagonist)

Asthma

Trial

Population

Patients

Design

Endpoints

Status

Phase Ib

NCT03574805

Partnered

Patients with mild asthma

84

PoM.

A dose-escalating, single blind trial to assess the safety, tolerability, and pharmacokinetics of multiple doses of PRS-060 administered by oral Inhalation In subjects with mild asthma

Australia

Primary endpoint:

  • Safety and tolerability

Secondary endpoint:

  • PK parameters

  • Potential immunogenicity

  • Change in FENO

  • LPCD: Q3 2018

100

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AstraZeneca plc published this content on 11 February 2021 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 11 February 2021 09:34:05 UTC.