AZD4144 for Acute Kidney Injury

(SERENIA Trial)

Not yet recruiting at 57 trial locations
AC
Overseen ByAstraZeneca Clinical Study Information Center
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called AZD4144 for individuals who develop acute kidney injury (AKI) following sepsis, a serious infection. The goal is to determine if AZD4144 can improve kidney function compared to a placebo, a substance with no active drug. Participants will receive daily doses of either AZD4144 or the placebo, with close monitoring of their kidney function. The trial seeks individuals hospitalized for no more than 7 days, with sepsis from a bacterial infection, and who developed AKI within three days of the onset of sepsis. As a Phase 2 trial, this research focuses on assessing the treatment's effectiveness in an initial, smaller group of people.

Will I have to stop taking my current medications?

The trial information does not specify if you need to stop taking your current medications. However, it mentions that participants will be excluded if they have received certain medications before enrollment or are expected to need specific medications during the trial. It's best to discuss your current medications with the trial team.

Is there any evidence suggesting that AZD4144 is likely to be safe for humans?

Research has shown that AZD4144 has generally been well-tolerated in earlier studies. One study examined individuals with severe kidney problems and found AZD4144 safe for them. Another report indicated that AZD4144 reduced harmful inflammation in lab tests and helped protect kidney function in animals.

While these studies suggest AZD4144 is safe, it's important to remember that this treatment remains under investigation. This trial is in the middle phase, meaning AZD4144 has shown some safety in earlier research, but more information is needed to confirm this in humans. Researchers will closely monitor participants for any side effects.12345

Why do researchers think this study treatment might be promising?

AZD4144 is unique because it represents a new approach to treating acute kidney injury. Unlike the standard treatments, which often involve supportive care like dialysis or medications to manage symptoms, AZD4144 is an experimental drug delivered via IV infusion that aims to directly address kidney function. Researchers are excited about AZD4144 because it might work by a novel mechanism that offers a more targeted intervention, potentially improving outcomes for patients with acute kidney injury faster and more effectively than current options.

What evidence suggests that AZD4144 might be an effective treatment for acute kidney injury?

Research has shown that AZD4144, which participants in this trial may receive, could help treat sudden kidney problems caused by sepsis. Studies have found that AZD4144 is safe and well-tolerated in people with serious kidney issues. This medication works by affecting certain pathways that may improve kidney function. Early results suggest that AZD4144 might help reduce kidney damage and aid recovery. Although more information is needed, these findings offer hope for those facing kidney problems due to sepsis.13678

Are You a Good Fit for This Trial?

Adults aged 18-80 with sepsis from a bacterial infection, hospitalized within the past week, and who developed acute kidney injury within 72 hours of sepsis onset. Participants must not have conditions that would exclude them as per the trial's specific criteria.

Inclusion Criteria

Outpatient pre-AKI reference eGFR must be ≥ 30 mL/min/1.73 m2 or admission pre-AKI reference eGFR must be ≥ 45 mL/min/1.73 m2
All FOCBP must have a negative pregnancy test at the Screening visit
My weight is between 40 kg and 125 kg.
See 8 more

Exclusion Criteria

Any clinical evidence that makes it undesirable for the potential participant to enroll in the study
Sepsis diagnosed > 7 days after hospital admission
Expected survival from sepsis < 24 hours
See 40 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1 week

Treatment

Participants receive intravenous AZD4144 or placebo daily with daily safety monitoring and sample collection

7 days
Daily visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment, including daily assessments while hospitalized and up to two outpatient visits after discharge

Up to 30 days
Daily visits (in-person) while hospitalized, 2 visits (outpatient)

What Are the Treatments Tested in This Trial?

Interventions

  • AZD4144
Trial Overview The study tests AZD4144 against a placebo in patients with sepsis-associated acute kidney injury. It involves daily IV treatment during hospitalization, with safety monitoring and assessments including blood and urine tests.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Placebo Group
Group I: Arm 1 (AZD4144)Experimental Treatment1 Intervention
Group II: Arm 2 (Placebo)Placebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

AstraZeneca

Lead Sponsor

Trials
4,491
Recruited
290,540,000+

Sir Pascal Soriot

AstraZeneca

Chief Executive Officer since 2012

Veterinary Medicine from École nationale vétérinaire d'Alfort, MBA from HEC Paris

Dr. Cristian Massacesi

AstraZeneca

Chief Medical Officer since 2021

MD from Marche Polytechnic University, Oncology training at Royal Marsden Hospital, Kaplan Comprehensive Cancer Center, and European Institute of Oncology

Pascal Soriot

AstraZeneca

Chief Executive Officer since 2012

Veterinary Medicine from École nationale vétérinaire d'Alfort, MBA from HEC Paris

Cristian Massacesi

AstraZeneca

Chief Medical Officer since 2021

MD from Marche Polytechnic University, Medical Oncology training at Royal Marsden Hospital, Kaplan Comprehensive Cancer Center, and European Institute of Oncology

Citations

NCT07215702 | A Study to Investigate the Efficacy, Safety, ...This is a Phase IIa, randomised, double-blind, placebo-controlled, multicenter study that will be conducted in adult participants (aged 18-80) ...
NCT06693765 | A Study to Investigate the ...A study to investigate the pharmacokinetics, safety, and tolerability of AZD4144 in participants with severe renal impairment, end-stage kidney disease, and in ...
A Phase 1b study to assess the safety, tolerability, and ...The purpose of this study is to evaluate the safety, tolerability and the pharmacodynamics (PD) of AZD4144 following oral administration in participants ...
AstraZeneca's New Trial Targets Sepsis-Related Kidney ...' The study aims to evaluate the efficacy, safety, and tolerability of AZD4144 in treating acute kidney injury caused by sepsis. This ...
A study to investigate the pharmacokinetics, safety, and ...A study to investigate the pharmacokinetics, safety, and tolerability of AZD4144 in participants with severe renal impairment, end-stage kidney disease, and in ...
Safety, Tolerability, Pharmacokinetics, and Target...AZD4144 has demonstrated inhibition of IL-1β and IL-18 release and NETosis in vitro and preserved renal function in preclinical models of AKI. We assessed the ...
NCT07215702 | A Study to Investigate the Efficacy, Safety, ...Also called a data safety and monitoring board, or DSMB. Early Phase 1 ... AZD4144 in Participants With Sepsis-associated Acute Kidney Injury (SERENIA).
AZD4144 / AstraZenecaSafety, Tolerability, Pharmacokinetics, and Target Engagement of Single and Multiple Ascending Doses of Intravenous AZD4144, a Small Molecule NLRP3 ...
Unbiased ResultsWe believe in providing patients with all the options.
Your Data Stays Your DataWe only share your information with the clinical trials you're trying to access.
Verified Trials OnlyAll of our trials are run by licensed doctors, researchers, and healthcare companies.
Terms of Service·Privacy Policy·Cookies·Security