AZD9773 Dose Escalation Study

Sponsor
AstraZeneca (Industry)
Overall Status
Completed
CT.gov ID
NCT00615017
Collaborator
(none)
70
26
6
18
2.7
0.1

Study Details

Study Description

Brief Summary

This is a double-blind, placebo-controlled, multi-center, dose-escalation study to assess the safety, tolerability, Pharmacokinetics and Pharmacodynamics of single and multiple ascending intravenous infusions of CytoFab (AZD9773) in adult patients with severe sepsis.

Condition or Disease Intervention/Treatment Phase
  • Drug: AZD9773 (CytoFab)
  • Other: Placebo
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
70 participants
Allocation:
Randomized
Intervention Model:
Single Group Assignment
Masking:
Triple (Participant, Care Provider, Investigator)
Primary Purpose:
Treatment
Official Title:
A Placebo-controlled, Double-blind, Dose-escalation Study to Assess the Safety, Tolerability, and Pharmacokinetics and Pharmacodynamics of Single and Multiple Intravenous Infusions of CytoFab (AZD9773) in Patients With Severe Sepsis
Study Start Date :
Jan 1, 2008
Actual Primary Completion Date :
Jul 1, 2009
Actual Study Completion Date :
Jul 1, 2009

Arms and Interventions

Arm Intervention/Treatment
Experimental: AZD9773 cohort 1 (50 units/kg)

AZD9773: single infusion of 50 units/kg

Drug: AZD9773 (CytoFab)
intravenous infusions

Experimental: AZD9773 cohort 2 (250 units/kg)

AZD9773: single infusion of 250 units/kg

Drug: AZD9773 (CytoFab)
intravenous infusions

Experimental: AZD9773 cohort 3 (250/50 units/kg)

AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs

Drug: AZD9773 (CytoFab)
intravenous infusions

Experimental: AZD9773 cohort 4 (500/100 units/kg)

AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs

Drug: AZD9773 (CytoFab)
intravenous infusions

Experimental: AZD9773 cohort 5 (750/250 units/kg)

AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs

Drug: AZD9773 (CytoFab)
intravenous infusions

Placebo Comparator: Placebo

Placebo

Other: Placebo
Placebo

Outcome Measures

Primary Outcome Measures

  1. Change From Baseline in Creatinine Values [End of study (Day 28)]

    Change in creatinine values from baseline (pre-infusion) to follow-up (28 days after the start of study drug administration) [calculated as Day 28 mean minus baseline mean]. Safety analysis set (ie all patients who started study drug infusion).

  2. Change From Baseline in Alanine Aminotransferase Values [End of study (Day 28)]

    Change in alanine aminotransferase values from baseline (pre-infusion) to follow-up (28 days after the start of study drug administration) [calculated as Day 28 mean minus baseline mean]. Safety analysis set (ie all patients who started study drug infusion).

  3. Change From Baseline in Aspartate Aminotransferase Values [End of study (Day 28)]

    Change in aspartate aminotransferase values from baseline (pre-infusion) to follow-up (28 days after the start of study drug administration) [calculated as Day 28 mean minus baseline mean]. Safety analysis set (ie all patients who started study drug infusion).

  4. Change From Baseline in Bilirubin Values [End of study (Day 28)]

    Change in bilirubin values from baseline (pre-infusion) to follow-up (28 days after the start of study drug administration) [calculated as Day 28 mean minus baseline mean]. Safety analysis set (ie all patients who started study drug infusion).

  5. Change From Baseline in Haemoglobin Values [End of study (Day 28)]

    Change in haemoglobin values from baseline (pre-infusion) to follow-up (28 days after the start of study drug administration) [calculated as Day 28 mean minus baseline mean]. Safety analysis set (ie all patients who started study drug infusion).

  6. Change From Baseline in White Blood Cell Values [End of study (Day 28)]

    Change in white blood cell values from baseline (pre-infusion) to follow-up (28 days after the start of study drug administration) [calculated as Day 28 mean minus baseline mean]. Safety analysis set (ie all patients who started study drug infusion).

  7. Change From Baseline in Platelet Count Values [End of study (Day 28)]

    Change in platelet count values from baseline (pre-infusion) to follow-up (28 days after the start of study drug administration) [calculated as Day 28 mean minus baseline mean]. Safety analysis set (ie all patients who started study drug infusion).

  8. Change From Baseline in Prothrombin Time Values [Day 7]

    Change in prothrombin time values from baseline (pre-infusion) to Day 7 [calculated as Day 7 mean minus baseline mean]. Safety analysis set (ie all patients who started study drug infusion).

  9. Change From Baseline in Troponin I [Day 6]

    Change in troponin I values from baseline (pre-infusion) to Day 6 [calculated as Day 6 mean minus baseline mean]. Safety analysis set (ie all patients who started study drug infusion).

  10. Change From Baseline in QT With Fridericia Correction (QTcF), Where QT is Measured by ECG, and is the Time Interval Between the Start of the Q Wave and the End of the T Wave in the Heart's Electrical Cycle. [Day 1 (end of infusion) for Cohorts 1 and 2; Day 5 (end of infusion) for Cohorts 3 to 5 and placebo]

    Change in QTcF from baseline (pre-infusion) to Day 1 (end of infusion) for Cohorts 1 and 2 [calculated as Day 1 mean minus baseline mean] and Day 5 (end of infusion) for Cohorts 3 to 5 and placebo [calculated as Day 5 mean minus baseline mean]. Safety analysis set (ie all patients who started study drug infusion).

  11. Change From Baseline in Calculated Mean Arterial Blood Pressure [Day 14]

    Change in calculated mean arterial pressure from baseline (pre-infusion) to Day 14 [calculated as Day 14 mean minus baseline mean]. Safety analysis set (ie all patients who started study drug infusion).

  12. Change From Baseline in Body Weight [Day 6]

    Change in body weight from baseline (pre-infusion) to Day 6 [calculated as Day 6 mean minus baseline mean]. Safety analysis set (ie all patients who started study drug infusion).

Secondary Outcome Measures

  1. 28-Day Mortality [End of study (Day 28)]

    The number of patients who had died at Day 28. Safety analysis set (ie all patients who started study drug infusion).

  2. Change From Baseline in Sequential Organ Failure Assessment (SOFA) Scores [Day 6]

    Change in SOFA (Sequential Organ Failure Assessment) scores from baseline (pre-infusion) to Day 6 [calculated as Day 6 mean minus baseline mean]. The SOFA score is out of a maximum of 24 (units on a scale 0 to 24). The higher the score, the worse the organ system functioning. Safety analysis set (ie all patients who started study drug infusion).

  3. Area Under the Serum Concentration-time Curve From 0 to 12 Hours (AUC(0-12)) of Single Dose AZD9773 Serum Total Fabs (Cohorts 1 and 2) [Day 1 [PK samples taken pre-dose, the end of each infusion rate and then at 0.5, 1, 2, 8, and 12h post-(last) infusion]]

    AUC(0-12) for single dose AZD9773 serum total Fabs (cohorts 1 and 2). PK analysis set (ie a subset of the safety analysis set including only those patients without important deviations that could affect the PK).

  4. Terminal Half-life (t1/2) of Single Dose AZD9773 Serum Total Fabs (Cohorts 1 and 2) [Day 1 [PK samples taken pre-dose, the end of each infusion rate and then at 0.5, 1, 2, 8, 12, 24, 48, and 72 h post-(last) infusion]]

    t1/2 of single dose AZD9773 serum total Fabs (cohorts 1 and 2). PK analysis set (ie a subset of the safety analysis set including only those patients without important deviations that could affect the PK).

  5. Total Apparent Clearance (CL) of Single Dose AZD9773 Serum Total Fabs (Cohorts 1 and 2) [Day 1 [PK samples taken pre-dose, the end of each infusion rate and then at 0.5, 1, 2, 8, 12, 24, 48, and 72 h post-(last) infusion]]

    CL of single dose AZD9773 serum total Fabs (cohorts 1 and 2). PK analysis set (ie a subset of the safety analysis set including only those patients without important deviations that could affect the PK).

  6. AUC(0-12) of Loading Dose AZD9773 Serum Total Fabs (Cohorts 3, 4 and 5) [Day 1 [PK samples taken pre-dose, the end of each infusion rate and then at 0.5, 1, 2, 8 and 12 h post-(last) infusion]]

    AUC(0-12) of loading dose AZD9773 serum total Fabs (cohorts 3, 4 and 5). PK analysis set (ie a subset of the safety analysis set including only those patients without important deviations that could affect the PK).

  7. Maximum (End of Infusion) Serum Concentration (Cinf) of Loading Dose AZD9773 Serum Total Fabs (Cohorts 3,4 and 5) [Day 1 [PK samples taken pre-dose, the end of each infusion rate and then at 0.5, 1, 2, 8 and 12 h post-(last)infusion]]

    Cinf of loading dose AZD9773 serum total Fabs (cohorts 3, 4 and 5). PK analysis set (ie a subset of the safety analysis set including only those patients without important deviations that could affect the PK).

  8. Time to Reach Cinf (Tmax) of Loading Dose AZD9773 Serum Total Fabs (Cohorts 3, 4 and 5) [Day 1 [PK samples taken pre-dose, the end of each infusion rate and then at 0.5, 1, 2, 8 and 12 h post-(last)infusion]]

    tmax of loading dose AZD9773 serum total Fabs (cohorts 3, 4 and 5). PK analysis set (ie a subset of the safety analysis set including only those patients without important deviations that could affect the PK).

  9. AUC(0-12) of Maintenance Dose AZD9773 Serum Total Fabs (Cohorts 3, 4 and 5) [PK samples taken pre-dose of Doses 5,7 and 9, then at 0, 0.5, 1, 2, 8 and 12 h post dose 9 infusion]

    AUC(0-12) of maintenance dose AZD9773 serum total Fabs (cohorts 3, 4 and 5). PK analysis set (ie a subset of the safety analysis set including only those patients without important deviations that could affect the PK).

  10. Cinf of Maintenance Dose AZD9773 Serum Total Fabs (Cohorts 3, 4 and 5) [PK samples taken pre-dose of Doses 5,7 and 9, then at 0, 0.5, 1, 2, 8 and 12 h post dose 9 infusion]

    Cinf of maintenance dose AZD9773 serum total Fabs (cohorts 3, 4 and 5). PK analysis set (ie a subset of the safety analysis set including only those patients without important deviations that could affect the PK).

  11. Tmax of Maintenance Dose AZD9773 Serum Total Fabs (Cohorts 3, 4 and 5) [PK samples taken pre-dose of Doses 5,7 and 9, then at 0, 0.5, 1, 2, 8 and 12 h post dose 9 infusion]

    tmax of maintenance dose AZD9773 serum total Fabs (cohorts 3, 4 and 5). PK analysis set (ie a subset of the safety analysis set including only those patients without important deviations that could affect the PK).

  12. Number of Patients Below Tumour Necrosis Factor (TNF)-Alpha Limit of Quantification (LOQ) at 24 Hours (n< LOQ) [24 hours]

    Number of patients below tumour necrosis factor (TNF)-alpha limit of quantification (LOQ) at 24 hours (n< LOQ) measured by ELISA (LOQ = 1.3 pg/mL). Safety analysis set (ie all patients who started study drug infusion).

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Clinical evidence of infection requiring treatment with parenteral antibiotics

  • Patients must meet multiple Systemic Inflammatory Response Syndrome (SIRS) criteria

  • Patients must meet criteria for cardiovascular and/or respiratory dysfunction

  • Sepsis (infection plus SIRS criteria) must be present prior to organ dysfunction

Exclusion Criteria:
  • Moribund and death is considered imminent, or patient not expected to survive 90 days because of underlying medical condition, or classified as Do Not Resuscitate or Do Not Treat

  • Patient cannot attain a MAP >60 mmHg when measured via an arterial line and/or a Systolic Blood Pressure (SBP) >80 mmHg in the presence of vasopressors and iv fluids for a period of ≥2 hours

  • Receiving immunosuppressants, or high dose steroids within 2 months of provision of informed consent

  • Any history of hypersensitivity reaction to sheep products, latex, papain or papaya, or chymopapain or previously administered antivenom manufactured using ovine serum, digoxin immune fab (DigiFab™ , DIGIBIND® ), crotalidae polyvalent immune fab (ovine) (CroFab™ ), or other sheep derived product.

  • Treatment with anti Tumor-Necrosis-Factor (anti-TNF) antibodies within 8 weeks before provision of written informed consent.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Research Site Birmingham Alabama United States
2 Research Site Newark Delaware United States
3 Research Site Bay Pines Florida United States
4 Research Site Miami Florida United States
5 Research Site Chicago Illinois United States
6 Research Site Oak Park Illinois United States
7 Research Site Peoria Illinois United States
8 Research Site Indianapolis Indiana United States
9 Research Site Iowa City Iowa United States
10 Research Site Hazard Kentucky United States
11 Research Site Lexington Kentucky United States
12 Research Site Baltimore Maryland United States
13 Research Site Kansas City Missouri United States
14 Research Site Camden New Jersey United States
15 Research Site Newark New Jersey United States
16 Research Site Brooklyn New York United States
17 Research Site New York New York United States
18 Research Site Rochester New York United States
19 Research Site Durham North Carolina United States
20 Research Site Greensboro North Carolina United States
21 Research Site Winston Salem North Carolina United States
22 Research Site Columbus Ohio United States
23 Research Site Oklahoma City Oklahoma United States
24 Research Site Nashville Tennessee United States
25 Research Site Galveston Texas United States
26 Research Site Houston Texas United States

Sponsors and Collaborators

  • AstraZeneca

Investigators

  • Study Director: Steven Simonson, MD, AstraZeneca
  • Study Director: Wayne Dankner, MD, Parexel

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
AstraZeneca
ClinicalTrials.gov Identifier:
NCT00615017
Other Study ID Numbers:
  • D0620C00004
First Posted:
Feb 14, 2008
Last Update Posted:
Aug 22, 2013
Last Verified:
Jul 1, 2013
Keywords provided by AstraZeneca
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details The first patient was enrolled on January 18, 2008 and the last patient had their last visit on July 30, 2009. Patients were randomised at 17 centres in the United States of America
Pre-assignment Detail 70 adult patients with severe sepsis, clinical evidence of infection requiring parenteral antibiotics, meeting systemic inflammatory response syndrome criteria, and with cardiovascular/respiratory dysfunction were randomised to receive AZD9773 (2 single dose and 3 multiple dose cohorts) in a double-blind, placebo controlled, dose escalation study
Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo
Period Title: Overall Study
STARTED 8 9 12 10 8 23
COMPLETED 8 8 7 9 7 20
NOT COMPLETED 0 1 5 1 1 3

Baseline Characteristics

Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo Total
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo Total of all reporting groups
Overall Participants 8 9 12 10 8 23 70
Age (Year) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Year]
53
(11.8)
49.7
(15)
55.1
(10.8)
53
(17.9)
63.5
(16.1)
58.9
(17.4)
56.1
(15.5)
Sex: Female, Male (Count of Participants)
Female
2
25%
4
44.4%
7
58.3%
7
70%
6
75%
12
52.2%
38
54.3%
Male
6
75%
5
55.6%
5
41.7%
3
30%
2
25%
11
47.8%
32
45.7%
Mechanical ventilation (Number) [Number]
Yes
7
87.5%
8
88.9%
9
75%
8
80%
8
100%
20
87%
60
85.7%
No
1
12.5%
0
0%
2
16.7%
1
10%
0
0%
3
13%
7
10%
Missing
0
0%
1
11.1%
1
8.3%
1
10%
0
0%
0
0%
3
4.3%
Organ failure site (Number) [Number]
Cardiovascular
2
25%
2
22.2%
3
25%
3
30%
2
25%
7
30.4%
19
27.1%
Pulmonary dysfunction
2
25%
2
22.2%
3
25%
1
10%
2
25%
3
13%
13
18.6%
Cardiovascular and pulmonary dysfunction
4
50%
5
55.6%
6
50%
6
60%
4
50%
13
56.5%
38
54.3%
Shock (Number) [Number]
Yes
5
62.5%
6
66.7%
9
75%
9
90%
7
87.5%
20
87%
56
80%
No
3
37.5%
3
33.3%
3
25%
1
10%
1
12.5%
3
13%
14
20%

Outcome Measures

1. Primary Outcome
Title Change From Baseline in Creatinine Values
Description Change in creatinine values from baseline (pre-infusion) to follow-up (28 days after the start of study drug administration) [calculated as Day 28 mean minus baseline mean]. Safety analysis set (ie all patients who started study drug infusion).
Time Frame End of study (Day 28)

Outcome Measure Data

Analysis Population Description
Participants analyzed relates to the number of evaluable patients at the specified time point.
Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo
Measure Participants 5 4 7 8 6 15
Mean (Full Range) [μmol/L]
-78.6
(-239)
-196.8
(-681)
-25.1
(-126)
-10.9
(-68)
159.0
(-89)
-57.4
(-191)
2. Primary Outcome
Title Change From Baseline in Alanine Aminotransferase Values
Description Change in alanine aminotransferase values from baseline (pre-infusion) to follow-up (28 days after the start of study drug administration) [calculated as Day 28 mean minus baseline mean]. Safety analysis set (ie all patients who started study drug infusion).
Time Frame End of study (Day 28)

Outcome Measure Data

Analysis Population Description
Participants analyzed relates to the number of evaluable patients at the specified time point.
Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo
Measure Participants 5 3 7 7 6 15
Mean (Full Range) [μkat/L]
-0.998
(-3.24)
0.017
(-0.25)
-3.133
(-20.62)
-0.520
(-2.05)
-0.825
(-4.53)
-0.111
(-0.79)
3. Primary Outcome
Title Change From Baseline in Aspartate Aminotransferase Values
Description Change in aspartate aminotransferase values from baseline (pre-infusion) to follow-up (28 days after the start of study drug administration) [calculated as Day 28 mean minus baseline mean]. Safety analysis set (ie all patients who started study drug infusion).
Time Frame End of study (Day 28)

Outcome Measure Data

Analysis Population Description
Participants analyzed relates to the number of evaluable patients at the specified time point.
Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo
Measure Participants 5 3 7 7 6 15
Mean (Full Range) [μkat/L]
-2.298
(-5.56)
-0.213
(-0.43)
-3.647
(-21.36)
-0.926
(-3.27)
-0.998
(-3.29)
-0.253
(-1.54)
4. Primary Outcome
Title Change From Baseline in Bilirubin Values
Description Change in bilirubin values from baseline (pre-infusion) to follow-up (28 days after the start of study drug administration) [calculated as Day 28 mean minus baseline mean]. Safety analysis set (ie all patients who started study drug infusion).
Time Frame End of study (Day 28)

Outcome Measure Data

Analysis Population Description
Participants analyzed relates to the number of evaluable patients at the specified time point.
Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo
Measure Participants 5 3 7 7 6 15
Mean (Full Range) [μmol/L]
-11.30
(-17.1)
-13.10
(-34.2)
-10.04
(-49.6)
-23.71
(-71.8)
-2.58
(-29.1)
-10.00
(-37.6)
5. Primary Outcome
Title Change From Baseline in Haemoglobin Values
Description Change in haemoglobin values from baseline (pre-infusion) to follow-up (28 days after the start of study drug administration) [calculated as Day 28 mean minus baseline mean]. Safety analysis set (ie all patients who started study drug infusion).
Time Frame End of study (Day 28)

Outcome Measure Data

Analysis Population Description
Participants analyzed relates to the number of evaluable patients at the specified time point.
Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo
Measure Participants 5 4 6 4 5 13
Mean (Full Range) [g/L]
7
(-18)
-16.3
(-42)
-0.8
(-31)
6.5
(-5)
-13.8
(-35)
-4.5
(-47)
6. Primary Outcome
Title Change From Baseline in White Blood Cell Values
Description Change in white blood cell values from baseline (pre-infusion) to follow-up (28 days after the start of study drug administration) [calculated as Day 28 mean minus baseline mean]. Safety analysis set (ie all patients who started study drug infusion).
Time Frame End of study (Day 28)

Outcome Measure Data

Analysis Population Description
Participants analyzed relates to the number of evaluable patients at the specified time point.
Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo
Measure Participants 5 4 6 4 5 13
Mean (Full Range) [10^9 cells/L]
-17.552
(-46.67)
-8.975
(-22.58)
0.413
(-8.11)
-0.225
(-5.60)
-3.482
(-13.42)
-9.987
(-26.40)
7. Primary Outcome
Title Change From Baseline in Platelet Count Values
Description Change in platelet count values from baseline (pre-infusion) to follow-up (28 days after the start of study drug administration) [calculated as Day 28 mean minus baseline mean]. Safety analysis set (ie all patients who started study drug infusion).
Time Frame End of study (Day 28)

Outcome Measure Data

Analysis Population Description
Participants analyzed relates to the number of evaluable patients at the specified time point.
Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo
Measure Participants 5 3 5 4 4 13
Mean (Full Range) [10^9/L]
287
(-41)
117.3
(18)
162
(-56)
72.3
(-114)
252.5
(40)
145.1
(-232)
8. Primary Outcome
Title Change From Baseline in Prothrombin Time Values
Description Change in prothrombin time values from baseline (pre-infusion) to Day 7 [calculated as Day 7 mean minus baseline mean]. Safety analysis set (ie all patients who started study drug infusion).
Time Frame Day 7

Outcome Measure Data

Analysis Population Description
Participants analyzed relates to the number of evaluable patients at the specified time point.
Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo
Measure Participants 5 4 6 7 5 17
Mean (Full Range) [sec]
-3.20
(-8.6)
0.53
(-0.8)
-1.00
(-2.4)
-5.31
(-14.7)
4.36
(-23.8)
1.68
(-7.5)
9. Primary Outcome
Title Change From Baseline in Troponin I
Description Change in troponin I values from baseline (pre-infusion) to Day 6 [calculated as Day 6 mean minus baseline mean]. Safety analysis set (ie all patients who started study drug infusion).
Time Frame Day 6

Outcome Measure Data

Analysis Population Description
Participants analyzed relates to the number of evaluable patients at the specified time point.
Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo
Measure Participants 8 3 4 9 3 19
Mean (Full Range) [μg/L]
-16.454
(-127.37)
-9.523
(-28.58)
-0.630
(-1.61)
-1.434
(-7.21)
-0.027
(-0.07)
-0.735
(-6.77)
10. Primary Outcome
Title Change From Baseline in QT With Fridericia Correction (QTcF), Where QT is Measured by ECG, and is the Time Interval Between the Start of the Q Wave and the End of the T Wave in the Heart's Electrical Cycle.
Description Change in QTcF from baseline (pre-infusion) to Day 1 (end of infusion) for Cohorts 1 and 2 [calculated as Day 1 mean minus baseline mean] and Day 5 (end of infusion) for Cohorts 3 to 5 and placebo [calculated as Day 5 mean minus baseline mean]. Safety analysis set (ie all patients who started study drug infusion).
Time Frame Day 1 (end of infusion) for Cohorts 1 and 2; Day 5 (end of infusion) for Cohorts 3 to 5 and placebo

Outcome Measure Data

Analysis Population Description
Participants analyzed relates to the number of evaluable patients at the specified time point.
Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo
Measure Participants 7 9 6 9 6 13
Mean (Full Range) [msec]
-9.9
(-37)
3.6
(-35)
-21.5
(-43)
-9.2
(-47)
21.4
(-32)
-3.4
(-61)
11. Primary Outcome
Title Change From Baseline in Calculated Mean Arterial Blood Pressure
Description Change in calculated mean arterial pressure from baseline (pre-infusion) to Day 14 [calculated as Day 14 mean minus baseline mean]. Safety analysis set (ie all patients who started study drug infusion).
Time Frame Day 14

Outcome Measure Data

Analysis Population Description
Participants analyzed relates to the number of evaluable patients at the specified time point.
Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo
Measure Participants 3 6 4 6 5 11
Mean (Full Range) [mmHg]
20
(3)
7.3
(2)
5.3
(-19)
28.7
(4)
6.8
(-9)
18
(-4)
12. Primary Outcome
Title Change From Baseline in Body Weight
Description Change in body weight from baseline (pre-infusion) to Day 6 [calculated as Day 6 mean minus baseline mean]. Safety analysis set (ie all patients who started study drug infusion).
Time Frame Day 6

Outcome Measure Data

Analysis Population Description
Participants analyzed relates to the number of evaluable patients at the specified time point.
Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo
Measure Participants 7 6 3 5 5 12
Mean (Full Range) [kg]
1.3
(-2)
0.2
(-7)
4
(1)
7.4
(-10)
0.2
(-11)
9.9
(0)
13. Secondary Outcome
Title 28-Day Mortality
Description The number of patients who had died at Day 28. Safety analysis set (ie all patients who started study drug infusion).
Time Frame End of study (Day 28)

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo
Measure Participants 8 9 12 10 8 23
Number [Participants]
2
25%
4
44.4%
5
41.7%
1
10%
1
12.5%
6
26.1%
14. Secondary Outcome
Title Change From Baseline in Sequential Organ Failure Assessment (SOFA) Scores
Description Change in SOFA (Sequential Organ Failure Assessment) scores from baseline (pre-infusion) to Day 6 [calculated as Day 6 mean minus baseline mean]. The SOFA score is out of a maximum of 24 (units on a scale 0 to 24). The higher the score, the worse the organ system functioning. Safety analysis set (ie all patients who started study drug infusion).
Time Frame Day 6

Outcome Measure Data

Analysis Population Description
Participants analyzed relates to the number of evaluable patients at the specified time point.
Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo
Measure Participants 2 3 3 6 3 9
Mean (Full Range) [units on a scale (0 to 24)]
-6
(-7)
-2
(-5)
-3.3
(-5)
-3
(-7)
-6
(-11)
-4.3
(-8)
15. Secondary Outcome
Title Area Under the Serum Concentration-time Curve From 0 to 12 Hours (AUC(0-12)) of Single Dose AZD9773 Serum Total Fabs (Cohorts 1 and 2)
Description AUC(0-12) for single dose AZD9773 serum total Fabs (cohorts 1 and 2). PK analysis set (ie a subset of the safety analysis set including only those patients without important deviations that could affect the PK).
Time Frame Day 1 [PK samples taken pre-dose, the end of each infusion rate and then at 0.5, 1, 2, 8, and 12h post-(last) infusion]

Outcome Measure Data

Analysis Population Description
Participants analyzed relates to the number of evaluable patients at the specified time point.
Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo
Measure Participants 7 8 0 0 0 0
Geometric Mean (Full Range) [μg.h/mL]
125.22
581.01
16. Secondary Outcome
Title Terminal Half-life (t1/2) of Single Dose AZD9773 Serum Total Fabs (Cohorts 1 and 2)
Description t1/2 of single dose AZD9773 serum total Fabs (cohorts 1 and 2). PK analysis set (ie a subset of the safety analysis set including only those patients without important deviations that could affect the PK).
Time Frame Day 1 [PK samples taken pre-dose, the end of each infusion rate and then at 0.5, 1, 2, 8, 12, 24, 48, and 72 h post-(last) infusion]

Outcome Measure Data

Analysis Population Description
Participants analyzed relates to the number of evaluable patients at the specified time point.
Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo
Measure Participants 7 6 0 0 0 0
Mean (Full Range) [Hours]
17.97
(7.8)
19.76
(10.5)
17. Secondary Outcome
Title Total Apparent Clearance (CL) of Single Dose AZD9773 Serum Total Fabs (Cohorts 1 and 2)
Description CL of single dose AZD9773 serum total Fabs (cohorts 1 and 2). PK analysis set (ie a subset of the safety analysis set including only those patients without important deviations that could affect the PK).
Time Frame Day 1 [PK samples taken pre-dose, the end of each infusion rate and then at 0.5, 1, 2, 8, 12, 24, 48, and 72 h post-(last) infusion]

Outcome Measure Data

Analysis Population Description
Participants analyzed relates to the number of evaluable patients at the specified time point.
Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo
Measure Participants 7 6 0 0 0 0
Mean (Full Range) [mL/min/kg]
6.11
(1.2)
7.61
(0.8)
18. Secondary Outcome
Title AUC(0-12) of Loading Dose AZD9773 Serum Total Fabs (Cohorts 3, 4 and 5)
Description AUC(0-12) of loading dose AZD9773 serum total Fabs (cohorts 3, 4 and 5). PK analysis set (ie a subset of the safety analysis set including only those patients without important deviations that could affect the PK).
Time Frame Day 1 [PK samples taken pre-dose, the end of each infusion rate and then at 0.5, 1, 2, 8 and 12 h post-(last) infusion]

Outcome Measure Data

Analysis Population Description
Participants analyzed relates to the number of evaluable patients at the specified time point.
Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo
Measure Participants 0 0 8 9 5 0
Geometric Mean (Full Range) [μg.h/mL]
449.18
691.53
1872.73
19. Secondary Outcome
Title Maximum (End of Infusion) Serum Concentration (Cinf) of Loading Dose AZD9773 Serum Total Fabs (Cohorts 3,4 and 5)
Description Cinf of loading dose AZD9773 serum total Fabs (cohorts 3, 4 and 5). PK analysis set (ie a subset of the safety analysis set including only those patients without important deviations that could affect the PK).
Time Frame Day 1 [PK samples taken pre-dose, the end of each infusion rate and then at 0.5, 1, 2, 8 and 12 h post-(last)infusion]

Outcome Measure Data

Analysis Population Description
Participants analyzed relates to the number of evaluable patients at the specified time point.
Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo
Measure Participants 0 0 8 9 5 0
Geometric Mean (Full Range) [μg/mL]
107.84
160.09
351.52
20. Secondary Outcome
Title Time to Reach Cinf (Tmax) of Loading Dose AZD9773 Serum Total Fabs (Cohorts 3, 4 and 5)
Description tmax of loading dose AZD9773 serum total Fabs (cohorts 3, 4 and 5). PK analysis set (ie a subset of the safety analysis set including only those patients without important deviations that could affect the PK).
Time Frame Day 1 [PK samples taken pre-dose, the end of each infusion rate and then at 0.5, 1, 2, 8 and 12 h post-(last)infusion]

Outcome Measure Data

Analysis Population Description
Participants analyzed relates to the number of evaluable patients at the specified time point.
Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo
Measure Participants 0 0 8 9 5 0
Median (Full Range) [Hours]
0.92
1.08
1.12
21. Secondary Outcome
Title AUC(0-12) of Maintenance Dose AZD9773 Serum Total Fabs (Cohorts 3, 4 and 5)
Description AUC(0-12) of maintenance dose AZD9773 serum total Fabs (cohorts 3, 4 and 5). PK analysis set (ie a subset of the safety analysis set including only those patients without important deviations that could affect the PK).
Time Frame PK samples taken pre-dose of Doses 5,7 and 9, then at 0, 0.5, 1, 2, 8 and 12 h post dose 9 infusion

Outcome Measure Data

Analysis Population Description
Participants analyzed relates to the number of evaluable patients at the specified time point.
Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo
Measure Participants 0 0 6 7 4 0
Geometric Mean (Full Range) [μg.h/mL]
162.82
251.59
980.95
22. Secondary Outcome
Title Cinf of Maintenance Dose AZD9773 Serum Total Fabs (Cohorts 3, 4 and 5)
Description Cinf of maintenance dose AZD9773 serum total Fabs (cohorts 3, 4 and 5). PK analysis set (ie a subset of the safety analysis set including only those patients without important deviations that could affect the PK).
Time Frame PK samples taken pre-dose of Doses 5,7 and 9, then at 0, 0.5, 1, 2, 8 and 12 h post dose 9 infusion

Outcome Measure Data

Analysis Population Description
Participants analyzed relates to the number of evaluable patients at the specified time point.
Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo
Measure Participants 0 0 6 7 4 0
Geometric Mean (Full Range) [μg/mL]
28.37
42.51
151.76
23. Secondary Outcome
Title Tmax of Maintenance Dose AZD9773 Serum Total Fabs (Cohorts 3, 4 and 5)
Description tmax of maintenance dose AZD9773 serum total Fabs (cohorts 3, 4 and 5). PK analysis set (ie a subset of the safety analysis set including only those patients without important deviations that could affect the PK).
Time Frame PK samples taken pre-dose of Doses 5,7 and 9, then at 0, 0.5, 1, 2, 8 and 12 h post dose 9 infusion

Outcome Measure Data

Analysis Population Description
Participants analyzed relates to the number of evaluable patients at the specified time point.
Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo
Measure Participants 0 0 6 7 4 0
Median (Full Range) [Hours]
0.54
1.00
0.74
24. Secondary Outcome
Title Number of Patients Below Tumour Necrosis Factor (TNF)-Alpha Limit of Quantification (LOQ) at 24 Hours (n< LOQ)
Description Number of patients below tumour necrosis factor (TNF)-alpha limit of quantification (LOQ) at 24 hours (n< LOQ) measured by ELISA (LOQ = 1.3 pg/mL). Safety analysis set (ie all patients who started study drug infusion).
Time Frame 24 hours

Outcome Measure Data

Analysis Population Description
Participants analyzed relates to the number of evaluable patients at the specified time point.
Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo
Measure Participants 7 9 10 9 5 22
Number [Participants]
1.0
12.5%
3.0
33.3%
5.0
41.7%
6.0
60%
4.0
50%
0.0
0%

Adverse Events

Time Frame
Adverse Event Reporting Description
Arm/Group Title AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Arm/Group Description AZD9773: single infusion of 50 units/kg AZD9773: single infusion of 250 units/kg AZD9773: loading infusion of 250 units/kg then 9 maintenance doses of 50 units/kg q12hrs AZD9773: loading infusion of 500 units/kg then 9 maintenance doses of 100 units/kg q12hrs AZD9773: loading infusion of 750 units/kg then 9 maintenance doses of 250 units/kg q12hrs Placebo
All Cause Mortality
AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 3/8 (37.5%) 6/9 (66.7%) 7/12 (58.3%) 3/10 (30%) 4/8 (50%) 13/23 (56.5%)
Cardiac disorders
Cardiac Arrest 1/8 (12.5%) 1 1/9 (11.1%) 1 0/12 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 2/23 (8.7%) 2
Acute Myocardial Infarction 0/8 (0%) 0 0/9 (0%) 0 0/12 (0%) 0 1/10 (10%) 1 0/8 (0%) 0 1/23 (4.3%) 1
Cardiac Failure 0/8 (0%) 0 0/9 (0%) 0 1/12 (8.3%) 1 0/10 (0%) 0 0/8 (0%) 0 0/23 (0%) 0
Supraventricular Tachycardia 0/8 (0%) 0 0/9 (0%) 0 0/12 (0%) 0 1/10 (10%) 1 0/8 (0%) 0 2/23 (8.7%) 2
Atrial Fibrillation 0/8 (0%) 0 0/9 (0%) 0 0/12 (0%) 0 1/10 (10%) 1 0/8 (0%) 0 4/23 (17.4%) 4
Gastrointestinal disorders
Enterocutaneous Fistula 0/8 (0%) 0 1/9 (11.1%) 1 0/12 (0%) 0 0/10 (0%) 0 1/8 (12.5%) 1 0/23 (0%) 0
Intestinal Ischaemia 0/8 (0%) 0 1/9 (11.1%) 1 0/12 (0%) 0 0/10 (0%) 0 1/8 (12.5%) 1 1/23 (4.3%) 1
Intestinal Perforation 0/8 (0%) 0 0/9 (0%) 0 0/12 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 1/23 (4.3%) 1
Infections and infestations
Sepsis 1/8 (12.5%) 1 0/9 (0%) 0 3/12 (25%) 3 0/10 (0%) 0 0/8 (0%) 0 1/23 (4.3%) 1
Pneumonia 1/8 (12.5%) 1 1/9 (11.1%) 1 1/12 (8.3%) 1 1/10 (10%) 1 0/8 (0%) 0 3/23 (13%) 3
Septic Shock 0/8 (0%) 0 1/9 (11.1%) 1 0/12 (0%) 0 0/10 (0%) 0 1/8 (12.5%) 1 2/23 (8.7%) 2
Empyema 0/8 (0%) 0 0/9 (0%) 0 1/12 (8.3%) 1 0/10 (0%) 0 0/8 (0%) 0 0/23 (0%) 0
Endocarditis 0/8 (0%) 0 1/9 (11.1%) 1 0/12 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 0/23 (0%) 0
Cellulitis 0/8 (0%) 0 0/9 (0%) 0 0/12 (0%) 0 0/10 (0%) 0 1/8 (12.5%) 1 1/23 (4.3%) 2
Injury, poisoning and procedural complications
Medical Device Complication 0/8 (0%) 0 1/9 (11.1%) 1 0/12 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 0/23 (0%) 0
Metabolism and nutrition disorders
Acidosis 0/8 (0%) 0 1/9 (11.1%) 1 0/12 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 1/23 (4.3%) 1
Musculoskeletal and connective tissue disorders
Muscle Haemorrhage 0/8 (0%) 0 0/9 (0%) 0 0/12 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 1/23 (4.3%) 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung Neoplasm Malignant 0/8 (0%) 0 1/9 (11.1%) 1 0/12 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 0/23 (0%) 0
Nervous system disorders
Cerebral Infarction 0/8 (0%) 0 0/9 (0%) 0 1/12 (8.3%) 1 0/10 (0%) 0 0/8 (0%) 0 0/23 (0%) 0
Haemorrhage Intracranial 0/8 (0%) 0 0/9 (0%) 0 0/12 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 1/23 (4.3%) 1
Respiratory, thoracic and mediastinal disorders
Pulmonary Embolism 0/8 (0%) 0 1/9 (11.1%) 1 0/12 (0%) 0 0/10 (0%) 0 1/8 (12.5%) 1 1/23 (4.3%) 1
Respiratory Failure 0/8 (0%) 0 0/9 (0%) 0 0/12 (0%) 0 2/10 (20%) 2 0/8 (0%) 0 3/23 (13%) 3
Pneumonia Aspiration 0/8 (0%) 0 0/9 (0%) 0 0/12 (0%) 0 1/10 (10%) 1 0/8 (0%) 0 0/23 (0%) 0
Hypoxia 0/8 (0%) 0 0/9 (0%) 0 0/12 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 2/23 (8.7%) 2
Skin and subcutaneous tissue disorders
Toxic Epidermal Necrolysis 1/8 (12.5%) 1 0/9 (0%) 0 0/12 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 0/23 (0%) 0
Vascular disorders
Deep Vein Thrombosis 0/8 (0%) 0 0/9 (0%) 0 1/12 (8.3%) 2 1/10 (10%) 1 0/8 (0%) 0 1/23 (4.3%) 1
Shock 0/8 (0%) 0 0/9 (0%) 0 1/12 (8.3%) 1 0/10 (0%) 0 0/8 (0%) 0 0/23 (0%) 0
Shock Haemorrhagic 0/8 (0%) 0 0/9 (0%) 0 1/12 (8.3%) 1 0/10 (0%) 0 0/8 (0%) 0 1/23 (4.3%) 1
Peripheral Ischaemia 0/8 (0%) 0 0/9 (0%) 0 2/12 (16.7%) 2 0/10 (0%) 0 0/8 (0%) 0 1/23 (4.3%) 1
Other (Not Including Serious) Adverse Events
AZD9773 Cohort 1 (50 Units/kg) AZD9773 Cohort 2 (250 Units/kg) AZD9773 Cohort 3 (250/50 Units/kg) AZD9773 Cohort 4 (500/100 Units/kg) AZD9773 Cohort 5 (750/250 Units/kg) Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 8/8 (100%) 8/9 (88.9%) 11/12 (91.7%) 7/10 (70%) 7/8 (87.5%) 22/23 (95.7%)
Blood and lymphatic system disorders
Anaemia 1/8 (12.5%) 1 3/9 (33.3%) 3 2/12 (16.7%) 2 1/10 (10%) 1 2/8 (25%) 3 4/23 (17.4%) 4
Hypercoagulation 1/8 (12.5%) 1 0/9 (0%) 0 0/12 (0%) 0 0/10 (0%) 0 1/8 (12.5%) 1 0/23 (0%) 0
Leucocytosis 1/8 (12.5%) 1 1/9 (11.1%) 1 0/12 (0%) 0 1/10 (10%) 1 1/8 (12.5%) 1 2/23 (8.7%) 2
Thrombocytopenia 1/8 (12.5%) 1 0/9 (0%) 0 2/12 (16.7%) 2 1/10 (10%) 1 1/8 (12.5%) 1 2/23 (8.7%) 2
Coagulopathy 0/8 (0%) 0 0/9 (0%) 0 2/12 (16.7%) 2 0/10 (0%) 0 0/8 (0%) 0 1/23 (4.3%) 1
Heparin-Induced Thrombocytopenia 0/8 (0%) 0 0/9 (0%) 0 0/12 (0%) 0 1/10 (10%) 1 0/8 (0%) 0 1/23 (4.3%) 1
Thrombocythaemia 0/8 (0%) 0 0/9 (0%) 0 0/12 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 3/23 (13%) 3
Cardiac disorders
Atrial Flutter 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 1/23 (4.3%)
Arrhythmia 0/8 (0%) 1/9 (11.1%) 0/12 (0%) 1/10 (10%) 0/8 (0%) 0/23 (0%)
Bradycardia 0/8 (0%) 0/9 (0%) 0/12 (0%) 2/10 (20%) 0/8 (0%) 3/23 (13%)
Bundle Branch Block Right 0/8 (0%) 0/9 (0%) 1/12 (8.3%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Supraventricular Tachycardia 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 2/23 (8.7%)
Tachycardia 0/8 (0%) 1/9 (11.1%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Ventricular Tachycardia 1/8 (12.5%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 1/23 (4.3%)
Endocrine disorders
Adrenal Insufficiency 0/8 (0%) 1/9 (11.1%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 2/23 (8.7%)
Hypothyroidism 0/8 (0%) 0/9 (0%) 0/12 (0%) 1/10 (10%) 0/8 (0%) 0/23 (0%)
Eye disorders
Conjunctivitis 1/8 (12.5%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Scleral Haemorrhage 2/8 (25%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Scleral Oedema 0/8 (0%) 0/9 (0%) 1/12 (8.3%) 0/10 (0%) 0/8 (0%) 1/23 (4.3%)
Gastrointestinal disorders
Abdominal Compartment Syndrome 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 0/23 (0%)
Cheilitis 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 0/23 (0%)
Diarrhoea 2/8 (25%) 0/9 (0%) 0/12 (0%) 1/10 (10%) 1/8 (12.5%) 4/23 (17.4%)
Gastric Ulcer 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 1/23 (4.3%)
Nausea 1/8 (12.5%) 1/9 (11.1%) 1/12 (8.3%) 1/10 (10%) 1/8 (12.5%) 3/23 (13%)
Abdominal Pain 0/8 (0%) 0/9 (0%) 0/12 (0%) 1/10 (10%) 0/8 (0%) 0/23 (0%)
Constipation 2/8 (25%) 2/9 (22.2%) 2/12 (16.7%) 1/10 (10%) 0/8 (0%) 6/23 (26.1%)
Dyspepsia 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 2/23 (8.7%)
Dysphagia 1/8 (12.5%) 0/9 (0%) 1/12 (8.3%) 1/10 (10%) 0/8 (0%) 1/23 (4.3%)
Flatulence 0/8 (0%) 0/9 (0%) 0/12 (0%) 1/10 (10%) 0/8 (0%) 0/23 (0%)
Gastrointestinal Motility Disorder 0/8 (0%) 1/9 (11.1%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Ileus 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 2/23 (8.7%)
Intestinal Ischaemia 0/8 (0%) 1/9 (11.1%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 1/23 (4.3%)
Rectal Haemorrhage 0/8 (0%) 1/9 (11.1%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 1/23 (4.3%)
Salivary Hypersecretion 0/8 (0%) 0/9 (0%) 0/12 (0%) 1/10 (10%) 0/8 (0%) 0/23 (0%)
Vomiting 2/8 (25%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 2/23 (8.7%)
General disorders
General Oedema 0/8 (0%) 1/9 (11.1%) 3/12 (25%) 2/10 (20%) 3/8 (37.5%) 3/23 (13%)
Asthenia 1/8 (12.5%) 0/9 (0%) 0/12 (0%) 1/10 (10%) 1/8 (12.5%) 1/23 (4.3%)
Hypothermia 0/8 (0%) 0/9 (0%) 2/12 (16.7%) 0/10 (0%) 1/8 (12.5%) 0/23 (0%)
Oedema Periheral 2/8 (25%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 4/23 (17.4%)
Chest Pain 0/8 (0%) 0/9 (0%) 1/12 (8.3%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Chills 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 2/23 (8.7%)
Face Oedema 0/8 (0%) 0/9 (0%) 2/12 (16.7%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Multi-Organ Failure 0/8 (0%) 1/9 (11.1%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Pain 1/8 (12.5%) 0/9 (0%) 1/12 (8.3%) 1/10 (10%) 0/8 (0%) 4/23 (17.4%)
Pyrexia 1/8 (12.5%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 2/23 (8.7%)
Hepatobiliary disorders
Hyperbilirubinaemia 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 1/23 (4.3%)
Ischaemic Hepatitis 1/8 (12.5%) 0/9 (0%) 1/12 (8.3%) 1/10 (10%) 1/8 (12.5%) 0/23 (0%)
Cholelithiasis 0/8 (0%) 1/9 (11.1%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Jaundice 0/8 (0%) 1/9 (11.1%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 1/23 (4.3%)
Infections and infestations
Enterobacter Pneumonia 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 0/23 (0%)
Infected Skin Ulcer 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 0/23 (0%)
Pelvic Abscess 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 0/23 (0%)
Sinusitis 1/8 (12.5%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 0/23 (0%)
Systemic Candida 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 0/23 (0%)
Tracheobronchitis 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 0/23 (0%)
Urinary Tract Infection Enterococcal 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 0/23 (0%)
Bacteraemia 0/8 (0%) 1/9 (11.1%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Candiduria 0/8 (0%) 1/9 (11.1%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Central Line Infection 0/8 (0%) 0/9 (0%) 0/12 (0%) 1/10 (10%) 0/8 (0%) 0/23 (0%)
Clostridial Infection 1/8 (12.5%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Clostridium Difficile Colitis 0/8 (0%) 1/9 (11.1%) 1/12 (8.3%) 0/10 (0%) 0/8 (0%) 1/23 (4.3%)
Escherichia Urinary Tract Infection 0/8 (0%) 0/9 (0%) 0/12 (0%) 1/10 (10%) 0/8 (0%) 0/23 (0%)
Fungal Skin Infection 1/8 (12.5%) 1/9 (11.1%) 1/12 (8.3%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Gangrene 1/8 (12.5%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Herpes Simplex 0/8 (0%) 0/9 (0%) 1/12 (8.3%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Lung Infection Pseudomonal 1/8 (12.5%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Oral Herpes 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 2/23 (8.7%)
Pneumonia Bacterial 0/8 (0%) 0/9 (0%) 1/12 (8.3%) 1/10 (10%) 0/8 (0%) 1/23 (4.3%)
Pneumonia Escherichia 0/8 (0%) 0/9 (0%) 0/12 (0%) 1/10 (10%) 0/8 (0%) 0/23 (0%)
Pneumonia Staphylococcal 0/8 (0%) 1/9 (11.1%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Urinary Tract Infection 1/8 (12.5%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 1/23 (4.3%)
Vulvovaginal Mycotic Infection 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 2/23 (8.7%)
Injury, poisoning and procedural complications
Bloody Airway Discharge 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 0/23 (0%)
Procedural Hypotension 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 0/23 (0%)
Contusion 0/8 (0%) 0/9 (0%) 1/12 (8.3%) 0/10 (0%) 0/8 (0%) 1/23 (4.3%)
Endotracheal Intubation Complication 0/8 (0%) 0/9 (0%) 0/12 (0%) 1/10 (10%) 0/8 (0%) 0/23 (0%)
Excoriation 1/8 (12.5%) 1/9 (11.1%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 2/23 (8.7%)
Fall 0/8 (0%) 1/9 (11.1%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Gastrointestinal Stoma Complication 0/8 (0%) 0/9 (0%) 0/12 (0%) 1/10 (10%) 0/8 (0%) 0/23 (0%)
Skin Laceration 0/8 (0%) 0/9 (0%) 0/12 (0%) 1/10 (10%) 0/8 (0%) 1/23 (4.3%)
Investigations
Airway Peak Pressure Increased 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 0/23 (0%)
Blood Albumin Decreased 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 0/23 (0%)
Blood Alkaline Phosphatase Decreased 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 0/23 (0%)
Blood Phosphorus Decreased 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 0/23 (0%)
Blood Sodium Decreased 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 0/23 (0%)
Aspartate Aminotransferase Increased 1/8 (12.5%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 1/23 (4.3%)
Blood Creatine Phosphokinase Increased 0/8 (0%) 0/9 (0%) 0/12 (0%) 1/10 (10%) 0/8 (0%) 0/23 (0%)
Blood Lactate Dehydrogenase Increased 0/8 (0%) 0/9 (0%) 0/12 (0%) 1/10 (10%) 0/8 (0%) 0/23 (0%)
Brain Natriuretic Peptide Increased 0/8 (0%) 0/9 (0%) 0/12 (0%) 1/10 (10%) 0/8 (0%) 0/23 (0%)
Breath Sounds Abnormal 0/8 (0%) 1/9 (11.1%) 1/12 (8.3%) 0/10 (0%) 0/8 (0%) 2/23 (8.7%)
Clostridium Difficile Toxin Test Positive 0/8 (0%) 0/9 (0%) 1/12 (8.3%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Ejection Fraction Decreased 1/8 (12.5%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Fibrin D Dimer Increased 0/8 (0%) 1/9 (11.1%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Haemoglobin Decreased 0/8 (0%) 0/9 (0%) 1/12 (8.3%) 0/10 (0%) 0/8 (0%) 1/23 (4.3%)
Hepatic Enzyme Increased 0/8 (0%) 0/9 (0%) 1/12 (8.3%) 0/10 (0%) 0/8 (0%) 1/23 (4.3%)
Oxygen Saturation Decreased 1/8 (12.5%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Troponin Increased 1/8 (12.5%) 0/9 (0%) 0/12 (0%) 1/10 (10%) 0/8 (0%) 0/23 (0%)
Urinary Sediment Present 0/8 (0%) 0/9 (0%) 0/12 (0%) 1/10 (10%) 0/8 (0%) 0/23 (0%)
Urine Output Decreased 0/8 (0%) 0/9 (0%) 0/12 (0%) 1/10 (10%) 0/8 (0%) 0/23 (0%)
Metabolism and nutrition disorders
Hypoglycaemia 1/8 (12.5%) 1/9 (11.1%) 1/12 (8.3%) 4/10 (40%) 3/8 (37.5%) 2/23 (8.7%)
Hypernatraemia 1/8 (12.5%) 1/9 (11.1%) 0/12 (0%) 3/10 (30%) 2/8 (25%) 2/23 (8.7%)
Hypercalcaemia 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 0/23 (0%)
Hyperglycaemia 0/8 (0%) 1/9 (11.1%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 2/23 (8.7%)
Hypermagnesaemia 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 0/23 (0%)
Hypophosphataemia 2/8 (25%) 1/9 (11.1%) 0/12 (0%) 2/10 (20%) 1/8 (12.5%) 2/23 (8.7%)
Feeding Disorder 1/8 (12.5%) 2/9 (22.2%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 1/23 (4.3%)
Fluid Overload 0/8 (0%) 2/9 (22.2%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 1/23 (4.3%)
Hyperkalaemia 0/8 (0%) 0/9 (0%) 0/12 (0%) 1/10 (10%) 0/8 (0%) 2/23 (8.7%)
Hypokalaemia 2/8 (25%) 1/9 (11.1%) 0/12 (0%) 2/10 (20%) 0/8 (0%) 7/23 (30.4%)
Hypomagnesaemia 0/8 (0%) 1/9 (11.1%) 2/12 (16.7%) 1/10 (10%) 0/8 (0%) 0/23 (0%)
Hyponatraemia 0/8 (0%) 0/9 (0%) 0/12 (0%) 1/10 (10%) 0/8 (0%) 0/23 (0%)
Lactic Acidosis 0/8 (0%) 1/9 (11.1%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Malnutrition 0/8 (0%) 1/9 (11.1%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 2/23 (8.7%)
Metabolic Acidosis 0/8 (0%) 1/9 (11.1%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 1/23 (4.3%)
Musculoskeletal and connective tissue disorders
Musculoskeletal Pain 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 0/23 (0%)
Pain In Extremity 0/8 (0%) 0/9 (0%) 1/12 (8.3%) 0/10 (0%) 0/8 (0%) 1/23 (4.3%)
Nervous system disorders
Aphasia 0/8 (0%) 0/9 (0%) 1/12 (8.3%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Convulsion 0/8 (0%) 1/9 (11.1%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Depressed Level Of Consciousness 0/8 (0%) 0/9 (0%) 1/12 (8.3%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Headache 1/8 (12.5%) 0/9 (0%) 1/12 (8.3%) 0/10 (0%) 0/8 (0%) 1/23 (4.3%)
Unresponsive To Stimuli 0/8 (0%) 1/9 (11.1%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Psychiatric disorders
Agitation 2/8 (25%) 2/9 (22.2%) 1/12 (8.3%) 3/10 (30%) 1/8 (12.5%) 4/23 (17.4%)
Anxiety 1/8 (12.5%) 0/9 (0%) 2/12 (16.7%) 0/10 (0%) 1/8 (12.5%) 2/23 (8.7%)
Confusional State 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 2/23 (8.7%)
Depression 1/8 (12.5%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Disorientation 0/8 (0%) 0/9 (0%) 1/12 (8.3%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Hallucination 1/8 (12.5%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Insomnia 1/8 (12.5%) 2/9 (22.2%) 0/12 (0%) 1/10 (10%) 0/8 (0%) 2/23 (8.7%)
Mental Status Changes 1/8 (12.5%) 0/9 (0%) 1/12 (8.3%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Renal and urinary disorders
Renal Failure Acute 1/8 (12.5%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 0/23 (0%)
Renal Failure 0/8 (0%) 0/9 (0%) 1/12 (8.3%) 0/10 (0%) 0/8 (0%) 1/23 (4.3%)
Renal Impairment 0/8 (0%) 0/9 (0%) 0/12 (0%) 1/10 (10%) 0/8 (0%) 0/23 (0%)
Reproductive system and breast disorders
Menorrhagia 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 0/23 (0%)
Scrotal Oedema 0/8 (0%) 0/9 (0%) 1/12 (8.3%) 0/10 (0%) 0/8 (0%) 2/23 (8.7%)
Respiratory, thoracic and mediastinal disorders
Aspiration 0/8 (0%) 0/9 (0%) 1/12 (8.3%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Atelectasis 0/8 (0%) 0/9 (0%) 1/12 (8.3%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Dyspnoea 0/8 (0%) 0/9 (0%) 0/12 (0%) 1/10 (10%) 0/8 (0%) 0/23 (0%)
Hiccups 1/8 (12.5%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Lung Disorder 0/8 (0%) 1/9 (11.1%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Nasal Congestion 0/8 (0%) 1/9 (11.1%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Oropharyngeal Pain 0/8 (0%) 1/9 (11.1%) 0/12 (0%) 1/10 (10%) 0/8 (0%) 0/23 (0%)
Pleural Effusion 0/8 (0%) 1/9 (11.1%) 0/12 (0%) 1/10 (10%) 0/8 (0%) 3/23 (13%)
Pulmonary Congestion 0/8 (0%) 0/9 (0%) 0/12 (0%) 1/10 (10%) 0/8 (0%) 0/23 (0%)
Pulmonary Oedema 1/8 (12.5%) 1/9 (11.1%) 1/12 (8.3%) 1/10 (10%) 0/8 (0%) 3/23 (13%)
Respiratory Alkalosis 0/8 (0%) 0/9 (0%) 1/12 (8.3%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Respiratory Distress 1/8 (12.5%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Rhonchi 1/8 (12.5%) 1/9 (11.1%) 1/12 (8.3%) 0/10 (0%) 0/8 (0%) 1/23 (4.3%)
Wheezing 1/8 (12.5%) 2/9 (22.2%) 0/12 (0%) 1/10 (10%) 0/8 (0%) 1/23 (4.3%)
Skin and subcutaneous tissue disorders
Decubitus Ulcer 1/8 (12.5%) 0/9 (0%) 0/12 (0%) 2/10 (20%) 1/8 (12.5%) 0/23 (0%)
Drug Eruption 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 0/23 (0%)
Erythema 0/8 (0%) 0/9 (0%) 1/12 (8.3%) 0/10 (0%) 1/8 (12.5%) 6/23 (26.1%)
Rash 1/8 (12.5%) 0/9 (0%) 1/12 (8.3%) 1/10 (10%) 1/8 (12.5%) 2/23 (8.7%)
Rash Maculo-Papular 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 0/23 (0%)
Skin Discolouration 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 0/23 (0%)
Skin Disorder 0/8 (0%) 1/9 (11.1%) 1/12 (8.3%) 1/10 (10%) 1/8 (12.5%) 2/23 (8.7%)
Blister 0/8 (0%) 0/9 (0%) 1/12 (8.3%) 0/10 (0%) 0/8 (0%) 1/23 (4.3%)
Periorbital Oedema 1/8 (12.5%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Petechiae 0/8 (0%) 0/9 (0%) 1/12 (8.3%) 0/10 (0%) 0/8 (0%) 0/23 (0%)
Vascular disorders
Hypertension 0/8 (0%) 1/9 (11.1%) 0/12 (0%) 2/10 (20%) 1/8 (12.5%) 0/23 (0%)
Hypotension 0/8 (0%) 1/9 (11.1%) 2/12 (16.7%) 1/10 (10%) 1/8 (12.5%) 2/23 (8.7%)
Peripheral Coldness 0/8 (0%) 0/9 (0%) 0/12 (0%) 0/10 (0%) 1/8 (12.5%) 0/23 (0%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

Results Point of Contact

Name/Title Justin Lindemann
Organization AstraZeneca
Phone
Email ClinicalTrialTransparency@astrazeneca.com
Responsible Party:
AstraZeneca
ClinicalTrials.gov Identifier:
NCT00615017
Other Study ID Numbers:
  • D0620C00004
First Posted:
Feb 14, 2008
Last Update Posted:
Aug 22, 2013
Last Verified:
Jul 1, 2013