- Home
- Medical news & Guidelines
- Anesthesiology
- Cardiology and CTVS
- Critical Care
- Dentistry
- Dermatology
- Diabetes and Endocrinology
- ENT
- Gastroenterology
- Medicine
- Nephrology
- Neurology
- Obstretics-Gynaecology
- Oncology
- Ophthalmology
- Orthopaedics
- Pediatrics-Neonatology
- Psychiatry
- Pulmonology
- Radiology
- Surgery
- Urology
- Laboratory Medicine
- Diet
- Nursing
- Paramedical
- Physiotherapy
- Health news
- Fact Check
- Bone Health Fact Check
- Brain Health Fact Check
- Cancer Related Fact Check
- Child Care Fact Check
- Dental and oral health fact check
- Diabetes and metabolic health fact check
- Diet and Nutrition Fact Check
- Eye and ENT Care Fact Check
- Fitness fact check
- Gut health fact check
- Heart health fact check
- Kidney health fact check
- Medical education fact check
- Men's health fact check
- Respiratory fact check
- Skin and hair care fact check
- Vaccine and Immunization fact check
- Women's health fact check
- AYUSH
- State News
- Andaman and Nicobar Islands
- Andhra Pradesh
- Arunachal Pradesh
- Assam
- Bihar
- Chandigarh
- Chattisgarh
- Dadra and Nagar Haveli
- Daman and Diu
- Delhi
- Goa
- Gujarat
- Haryana
- Himachal Pradesh
- Jammu & Kashmir
- Jharkhand
- Karnataka
- Kerala
- Ladakh
- Lakshadweep
- Madhya Pradesh
- Maharashtra
- Manipur
- Meghalaya
- Mizoram
- Nagaland
- Odisha
- Puducherry
- Punjab
- Rajasthan
- Sikkim
- Tamil Nadu
- Telangana
- Tripura
- Uttar Pradesh
- Uttrakhand
- West Bengal
- Medical Education
- Industry
CDSCO panel opines Paraxel to study either CKD or heart failure in phase IIb trial of AZD9977,Dapagliflozin FDC
New Delhi: In line with Paraxel's clinical trial protocol to study efficacy and safety of AZD9977 in combination with dapagliflozin in patients with heart failure and chronic kidney disease, the Subject Expert Committee(SEC) functional under the Central Drug Standard Control Organization (CDSCO) has opined the firm that only one disease either chronic kidney disease (CKD) or heart failure should be studied in proposed phase IIb study.
This came after global clinical research organization Paraxel presented Phase IIb clinical trial protocol no. D6402C00001, amendment 6 version 7.0 dated 02/02/2022 before the committee.
In relation to Innovation vis-a-vis existing therapeutic option, it is noted that the proposed study is to evaluate the efficacy, safety and tolerability of Oral AZD9977 and Dapagliflozin treatment in patients with heart failure and chronic kidney disease.
In relation to the risk versus benefit to the patients, the proposal claimed that the safety profile of the study drug from preclinical and clinical studies justify the conduct of the trial.
In addition, the proposal further mentioned that the test drug may be alternative treatment option for patients with heart failure and chronic kidney disease.
Various studies reported that AZD9977 is a first-in-class mineralocorticoid receptor (MR) modulator which shows cardio-renal protection despite a mechanism-based reduced liability to cause hyperkalemia.
AZD9977 is a potent, selective, and orally active mineralocorticoid receptor (MR) modulator. AZD9977 is used for heart failure, and chronic kidney disease research.
Dapagliflozin is a selective sodium-glucose co-transporter subtype 2 (SGLT2) inhibitor with antihyperglycemic activity. Dapagliflozin selectively and potently inhibits SGLT2 compared to SGLT1, which is the cotransporter of glucose in the gut. When combined with diet and exercise in adults, dapagliflozin helps to improve glycemic control by inhibiting glucose resorption in the proximal tubule of the nephron and causing glycosuria.
At recent SEC meeting for cardiovascular and renal, the expert panel reviewed Phase IIb clinical trial protocol of fixed dose combination drug AZD9977 and Dapagliflozin presented by Paraxel.
After detailed deliberation, the committee opined that only one disease either chronic kidney disease (CKD) or heart failure should be studied in proposed phase IIb study.
In accordance with the above, the expert panel directed the firm that the applicant should submit revised protocol.
Mpharm (Pharmacology)
Susmita Roy, B pharm, M pharm Pharmacology, graduated from Gurunanak Institute of Pharmaceutical Science and Technology with a bachelor's degree in Pharmacy. She is currently working as an assistant professor at Haldia Institute of Pharmacy in West Bengal. She has been part of Medical Dialogues since March 2021.