1. The development of AZD7624 for prevention of exacerbations in COPD: a randomized controlled trial
- Author
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Patel,Naimish, Cunoosamy,Danen, Fagerås,Malin, Taib,Ziad, Asimus,Sara, Hegelund-Myrbäck,Tove, Lundin,Sofia, Pardali,Katerina, Kurian,Nisha, Ersdal,Eva, Kristensson,Cecilia, Korsback,Katarina, Palmér,Robert, Brown,Mary N, Greenaway,Steven, Siew,Leonard, Clarke,Graham W, Rennard,Stephen I, Make,Barry J, Wise,Robert A, Jansson,Paul, Patel,Naimish, Cunoosamy,Danen, Fagerås,Malin, Taib,Ziad, Asimus,Sara, Hegelund-Myrbäck,Tove, Lundin,Sofia, Pardali,Katerina, Kurian,Nisha, Ersdal,Eva, Kristensson,Cecilia, Korsback,Katarina, Palmér,Robert, Brown,Mary N, Greenaway,Steven, Siew,Leonard, Clarke,Graham W, Rennard,Stephen I, Make,Barry J, Wise,Robert A, and Jansson,Paul
- Abstract
Naimish R Patel,1,2 Danen M Cunoosamy,1 Malin Fagerås,1 Ziad Taib,1 Sara Asimus,1 Tove Hegelund-Myrbäck,1 Sofia Lundin,1 Katerina Pardali,1 Nisha Kurian,1 Eva Ersdal,1 Cecilia Kristensson,1 Katarina Korsback,1 Robert Palmér,1 Mary N Brown,3 Steven Greenaway,4 Leonard Siew,4 Graham W Clarke,4,5 Stephen I Rennard,6,7 Barry J Make,8 Robert A Wise,9 Paul Jansson11Innovative Medicines and Early Development, AstraZeneca, Gothenburg, Sweden; 2Division of Pulmonary, Critical Care, and Sleep Medicine, Beth Israel Deaconess Hospital, Boston, MA, 3Innovative Medicines and Early Development, AstraZeneca, Boston, MA, USA; 4Quintiles Drug Research Unit at Guy’s Hospital, London, 5Department of Cardiothoracic Pharmacology, NHLI, Imperial College London, London, UK; 6Division of Pulmonary, Critical Care, Sleep and Allergy, University of Nebraska, Omaha, NE, USA; 7Clinical Discovery Unit, Innovative Medicines and Early Development, AstraZeneca, Cambridge, UK; 8Division of Pulmonary Sciences and Critical Care Medicine, National Jewish Health, University of Colorado, Denver, CO, 9Division of Pulmonary and Critical Care, School of Medicine, Johns Hopkins University, Baltimore, MD, USABackground: p38 mitogen-activated protein kinase (MAPK) plays a central role in the regulation and activation of pro-inflammatory mediators. COPD patients have increased levels of activated p38 MAPK, which correlate with increased lung function impairment, alveolar wall inflammation, and COPD exacerbations.Objectives: These studies aimed to assess the effect of p38 inhibition with AZD7624 in healthy volunteers and patients with COPD. The principal hypothesis was that decreasing lung inflammation via inhibition of p38α would reduce exacerbations and improve quality of life for COPD patients at high risk for acute exacerbations.Methods: The p38 isoform most relevant to lung inflammation was assessed using an in situ proximity ligation assay in severe COPD pat
- Published
- 2018