Safety and Tolerability Study of AZD4831 in Patients With Heart Failure.

Stopped early · Phase 2 · Has a placebo group

Conditions studied: Heart Failure

In brief

A randomized, double-blind, placebo-controlled, parallel group, multicentre study in patients with Heart Failure with preserved Ejection Fraction (HFpEF). The study will be conducted at approximately 15 sites in 5 countries. Approximately 96 patients will be randomized to AZD4831 or placebo (treatment duration 90 days).

Key facts

Study ID

NCT03756285

Run by

AstraZeneca

People needed

41

Starts

2018-12-11

Expected to finish

2020-05-07

Last updated by the study team

2021-07-19

Who can join

Age: 45 and older, up to 85. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Informed consent
• Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this CSP
• Provision of signed and dated, written informed consent form prior to any mandatory study specific procedures, sampling, and analyses
• Age
• Patient must be 45 to 85 years of age inclusive, at the time of signing the informed consent form
• Type of patient and disease characteristics
• Signs and symptoms of HF in judgement of Investigator AND
• Stable NYHA II-IV and
• Ejection fraction (EF) ≥ 40 % and
• Elevated NT-proBNP or BNP in the last 1 year defined as:
• o Measured as out-patient: NT-proBNP ≥125 ng/L or BNP≥35 ng/L with sinus rhythm, NT-proBNP ≥750 ng/L or BNP ≥200 ng/L with atrial fibrillation (AF),
• or
• o Measured when hospitalized acutely: NT-proBNP ≥500 (ng/L) or BNP ≥125 ng/L with sinus rhythm, NT-proBNP ≥1250 (ng/L) or BNP ≥350 ng/L with AF
• And at least one of the following:
• Hospitalization with HF as primary cause in last 12 months
• Structural heart disease on echo according to ESC guidelines i.e. either enlarged Left atrial volume index (LAVI > 34 ml/m2) or increased LVM (LVM index > 95 g/m2 in women and > 115 g/m2 in men)
• Pulmonary capillary wedge pressure (PCWP) at rest >15 mmHg or >25 mmHg at exercise
• Spectral tissue Doppler echocardiography - E/e' ratio ≥13 at rest
• Weight
• Body Mass Index (BMI) range 18-40kg/m2
• Sex
• Male or female of nonchildbearing potential
• Reproduction
• Female patients must be 1 year post-menopausal or surgically sterile
• Male patients must be surgically sterile or using an acceptable method of contraception (defined as barrier methods in conjunction with spermicides) for the duration of the study (from the time they sign consent) and for 3 months after the last dose of AZD4831/matching placebo to prevent pregnancy in a partner. Male patients must not donate or bank sperm during this same time period

You may not qualify if…

• Creatinine clearance by Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) eGFR <30 ml/min/1.73m2 or dialysis
• Life expectancy < 3 years due to other reasons than cardiovascular disease
• Any ongoing skin disorder, history of or ongoing clinically significant allergy/hypersensitivity.
• Current decompensated HF
• Primary cardiomyopathy (e.g. constrictive, restrictive, infiltrative, toxic, hypertrophic, congenital or any primary cardiomyopathy) in judgment of investigator
• Current hemodynamically significant valve disease in opinion of investigator
• EF ever documented < 40%
• Any current life-threatening dysrhythmia
• Probable alternative primary reason for patient's symptoms in judgment of investigator, including but not limited to:
• Isolated pulmonary arterial hypertension or right ventricular (RV) failure; in the absence of left-sided HF
• Anaemia: Hb <100 mg/L (10g/dL)
• Severe chronic obstructive pulmonary disease (COPD) or lung disease (chronic O2, nebulizer or oral steroid therapy)
• Cardiac surgery, acute coronary syndrome (ACS), or non-elective percutaneous coronary intervention (PCI) < 3 months
• Known or clinically judged significant macrovascular coronary artery disease (CAD) that has not been revascularized
• Heart transplantation or left ventricular assist device ever
• Patients with uncontrolled or clinically significant thyroid disease as judged by the investigator.
• Alanine transaminase (ALT) or aspartate aminotransferase (AST) ≥2 x upper limit of normal (ULN). Resampling will not be allowed during the same screening period if detected abnormal values do not have reasonable explanation and are not expected to return to normal level within few days.
• Known positive HIV, hepatitis C antibody, hepatitis B virus surface antigen or hepatitis B virus core antibody, at screening

Where it is running

• Research Site — Chicago, Illinois, United States
• Research Site — Boston, Massachusetts, United States
• Research Site — Aarhus N, Denmark
• Research Site — Herlev, Denmark
• Research Site — Hvidovre, Denmark
• Research Site — Odense C, Denmark
• Research Site — Turku, Finland
• Research Site — Deventer, Netherlands
• Research Site — Dordrecht, Netherlands
• Research Site — Groningen, Netherlands
• Research Site — Gothenburg, Sweden
• Research Site — Lund, Sweden
• Research Site — Stockholm, Sweden

Full record on ClinicalTrials.gov

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