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Clinical Trials List

Protocol NumberD8210C00003
Completed

2023-10-01 - 2026-12-31

Phase II

Recruiting10

ICD-10J45.20

Mild intermittent asthma, uncomplicated

ICD-10J45.30

Mild persistent asthma, uncomplicated

ICD-10J45.40

Moderate persistent asthma, uncomplicated

ICD-10J45.50

Severe persistent asthma, uncomplicated

ICD-10J45.909

Unspecified asthma, uncomplicated

ICD-9493.00

Extrinsic asthma without mention of status asthmaticus

A Phase 2a Randomised, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of AZD4604 Twice Daily for Twelve Weeks in Adult Patients with Moderate-to-Severe Asthma Uncontrolled on Medium-High Dose ICS-LABA

  • Trial Applicant

  • Sponsor

    AstraZeneca

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2026/02/01

Investigators and Locations

Principal Investigator Chau-Chyun Sheu Division of Thoracic Medicine

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Ming -Cheng Chan Division of Thoracic Medicine

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Chung-Yu Chen Division of Thoracic Medicine

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 沈聲燁 Division of Thoracic Medicine

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator KUANG-YAO YANG Division of Thoracic Medicine

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Chih-Hsin Lee Division of Thoracic Medicine

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 李世偉 Division of Thoracic Medicine

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Jung-Yien Chien Division of Thoracic Medicine

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Chung-Yu Chen Division of Thoracic Medicine

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Pai-Chien Chou

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Condition/Disease

Moderate-to-Severe Asthma

Objectives

To evaluate the clinical efficacy of AZD4604 1.4 mg BID as compared to placebo in adult participants with moderate-to-severe uncontrolled asthma

Test Drug

inhale

Active Ingredient

AZD4604

Dosage Form

105

Dosage

1 mg、0.2 mg

Endpoints

Population: Analysis will include participants randomised to
either placebo or AZD4604 1.4 mg BID arms.
Endpoint: Time to first CompEx event.
Population-level summary measure: Hazard ratio, survival
estimates by Kaplan-Meier estimator.
Strategy of intercurrent events a:
Primary estimand: While on treatment – if an intercurrent event
occurs before first CompEx event, the participant will be
censored at the time of intercurrent event.
Supportive estimand: Treatment policy (reflects ITT principle) –
after intercurrent event, participants remain in the study so that
the endpoint could be studied until Week 12. Treatment policy
strategy used to estimate the efficacy of AZD4604 in “real
world” conditions.

Inclution Criteria

Age
1 Participant must be 18 to 80 years of age inclusive, at the time of signing the informed
consent.
Type of Participant and Disease Characteristics
2 Participants treated with medium-high dose ICS (as per GINA 2024 ICS dose level table
in Appendix F) in combination with LABA at a stable dose for at least 28 days prior to
Visit 1 (the ICS can be contained within an ICS-LABA fixed dose combination
product).
Note: Participants being recruited from within the EU must be treated with high dose
ICS (per Appendix F) in combination with LABA at a stable dose for at least 28 days
prior to Visit 1; see Appendix H for EU-specific requirements.
− Treatment with additional asthma controller therapies (eg, LAMA, LTRA) at a
stable dose for ≥ 28 days prior to Visit 1 is allowed. Treatment with maintenance
systemic corticosteroids (oral or injectable) is not allowed (see Section 5.2,
Exclusion Criterion 12).
3 A documented history of ≥ 1 severe asthma exacerbation within 1 year prior to Visit 1.
A severe asthma exacerbation is defined as a worsening of asthma that leads to any of the
following:
− Use of systemic corticosteroids for at least 3 consecutive days to treat symptoms
of asthma worsening (a single depo-injectable dose of corticosteroids will be
considered equivalent to a 3-day bolus/burst of systemic corticosteroids).
− An emergency room visit (defined as evaluation and treatment for < 24 hours in an
emergency department) due to asthma that required systemic corticosteroids (as
per the above).
− An inpatient hospitalisation (defined as admission to an inpatient facility and/or
evaluation and treatment in a healthcare facility for ≥ 24 hours) due to asthma.

Exclusion Criteria

Medical Conditions
1 A severe asthma exacerbation within 8 weeks of prior to randomisation. (For definition of
severe exacerbation see Section 5.1, Inclusion Criterion 3).
2 History of herpes zoster reactivation eg, shingles.
3 Participants with a significant COVID-19 illness within 6 months of enrolment:
− Participants with a diagnosis of COVID-19 pneumonia based on radiological
assessment.
− Participants with a diagnosis of COVID-19 requiring hospitalisation and/or
oxygen supplementation therapy.
4 Clinically important pulmonary disease other than asthma eg, active lung infection,
COPD, bronchiectasis, pulmonary fibrosis, cystic fibrosis, hypoventilation syndrome
associated with obesity, lung cancer, history or planned lung lobectomy, alpha-1
anti-trypsin deficiency, primary ciliary dyskinesia, Churg-Strauss syndrome, allergic
bronchopulmonary aspergillosis and hyper-eosinophilic syndrome.
5 Any disorder, including, but not limited to, cardiovascular, gastrointestinal, hepatic, renal,
neurological, musculoskeletal, infectious, endocrine, metabolic, haematological,
psychiatric, or major physical impairment that is not stable in the opinion of the
investigator and could:
− affect the safety of the participant throughout the study,
− influence the findings of the study or the interpretation, or
− impede the participant’s ability to complete the entire duration of study.

The Estimated Number of Participants

  • Taiwan

    13 participants

  • Global

    320 participants