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NCT04964557: SOLANO

A Study to Assess the Safety, Efficacy and Tolerability of AZD8233 Treatment in Participants With Hyperlipidaemia

Completed Phase 2 Results posted Last updated 15 December 2023
What this trial tests

Phase 2 trial testing AZD8233 in Hyperlipidaemia in 411 participants. Completed in 15 July 2022.

Timeline
7 July 2021
Primary endpoint
15 July 2022
15 July 2022

Quick facts

Lead sponsorAstraZeneca
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment411
Start date7 July 2021
Primary completion15 July 2022
Estimated completion15 July 2022
Sites66 locations across Denmark, Netherlands, Slovakia, Hungary, Poland, United States, Spain, Czechia

Drugs / interventions tested

Conditions studied

Sponsor

AstraZeneca — full company profile →

Who can join

Adults 18 to 75, any sex, with Hyperlipidaemia. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage Change From Baseline on Serum LDL-C Primary · From baseline to Day 197

Percentage change in Low-density Lipoprotein Cholesterol (LDL-C) from baseline to Day 197.

GroupValue95% CI
AZD8233-56.7-60.8 – -52.7
Placebo5.61.5 – 9.6
Percentage Change From Baseline on Serum PCSK9 Secondary · From baseline to Day 197

Percentage change in Proprotein convertase subtilisin/kexin type-9 (PCSK9) from baseline to Day 197.

GroupValue95% CI
AZD8233-77.5-81.1 – -74
Placebo-0.8-4.3 – 2.6
Plasma Concentration of AZD8233 Secondary · Pre-dose of Day 29, Day 85, Day 141, Day 183, Day 197

AZD8233 full length ASO concentrations in plasma were summarised by descriptive statistics by sampling time point and listed on individual level based on the PK analysis set.

Day 29
GroupValue95% CI
AZD82330.2648± 82.8352
Day 85
GroupValue95% CI
AZD82330.3927± 84.9378
Day 141
GroupValue95% CI
AZD82330.5749± 161.9301
Day 183
GroupValue95% CI
AZD82331.0441± 178.5196
Day 197
GroupValue95% CI
AZD82330.6975± 208.2431
Anti-drug Antibodies (ADAs) During the Treatment Period and Follow-up Period Secondary · Pre-dose of Day 1, Day 29, Day 57, Day 85, Day 113, Day 141, Day 169, Day 197, Day 281

Number of ADA positive subjects at each time point during the treatment period and follow-up period.

Day 1
GroupValue95% CI
AZD82336
Placebo4
Day 29
GroupValue95% CI
AZD823315
Placebo3
Day 57
GroupValue95% CI
AZD823316
Placebo3
Day 85
GroupValue95% CI
AZD823318
Placebo3
Day 113
GroupValue95% CI
AZD823321
Placebo3
Day 141
GroupValue95% CI
AZD823325
Placebo2
Day 169
GroupValue95% CI
AZD823331
Placebo2
Day 197
GroupValue95% CI
AZD823337
Placebo3
Number of Subjects With Adverse Events (AEs) Primary · On-study includes adverse events with an onset date on or after the date of first dose of IP through study competition, planned visit date Day 281.

Please refer to the adverse event module for specifics.

GroupValue95% CI
AZD8233141
Placebo127
Vital Signs - Temperature Primary · Baseline, Days 15, 29, 57, 85, 113, 141, 169, 197, 225, and 281.

Mean and standard deviation of Temperature at each scheduled visit by treatment.

Baseline
GroupValue95% CI
AZD823336.434± 0.437
Placebo36.369± 0.389
Day 15
GroupValue95% CI
AZD823336.344± 0.404
Placebo36.387± 0.378
Day 29
GroupValue95% CI
AZD823336.360± 0.422
Placebo36.361± 0.386
Day 57
GroupValue95% CI
AZD823336.340± 0.420
Placebo36.396± 0.368
Day 85
GroupValue95% CI
AZD823336.360± 0.416
Placebo36.362± 0.363
Day 113
GroupValue95% CI
AZD823336.359± 0.391
Placebo36.399± 0.348
Day 141
GroupValue95% CI
AZD823336.335± 0.398
Placebo36.373± 0.341
Day 169
GroupValue95% CI
AZD823336.304± 0.454
Placebo36.353± 0.411
Vital Sign - Weight Primary · Baseline and Day 281.

Mean and standard deviation of Weight at each scheduled visit by treatment.

Baseline
GroupValue95% CI
AZD823386.642± 17.054
Placebo88.750± 17.566
Day 281
GroupValue95% CI
AZD823385.493± 16.561
Placebo88.759± 18.110
Number of Participants With an ECG Determined to be Abnormal and Clinically Significant Primary · Baseline, Days 85, 169, 225, and 281.

Number of participants With an ECG Determined to be Abnormal and Clinically Significant at each scheduled visit by treatment

Baseline
GroupValue95% CI
AZD82330
Placebo0
Day 85
GroupValue95% CI
AZD82331
Placebo1
Day 169
GroupValue95% CI
AZD82330
Placebo0
Day 225
GroupValue95% CI
AZD82330
Placebo0
Day 281
GroupValue95% CI
AZD82330
Placebo0
Vital Sign - Systolic Blood Pressure Primary · Baseline, Days 15, 29, 57, 85, 113, 141, 169, 197, 225, and 281.

Mean and standard deviation of Systolic Blood Pressure at each scheduled visit by treatment.

Baseline
GroupValue95% CI
AZD8233130.918± 13.284
Placebo131.325± 11.281
Day 15
GroupValue95% CI
AZD8233130.438± 13.541
Placebo131.198± 12.711
Day 29
GroupValue95% CI
AZD8233130.741± 13.363
Placebo133.152± 11.881
Day 57
GroupValue95% CI
AZD8233130.754± 12.536
Placebo131.465± 14.073
Day 85
GroupValue95% CI
AZD8233131.913± 12.083
Placebo132.111± 12.238
Day 113
GroupValue95% CI
AZD8233131.974± 12.622
Placebo132.493± 12.022
Day 141
GroupValue95% CI
AZD8233131.386± 14.246
Placebo132.041± 14.081
Day 169
GroupValue95% CI
AZD8233130.959± 11.874
Placebo132.706± 12.481
Vital Sign - Diastolic Blood Pressure Primary · Baseline, Days 15, 29, 57, 85, 113, 141, 169, 197, 225, and 281.

Mean and standard deviation of Diastolic Blood Pressure at each scheduled visit by treatment.

Baseline
GroupValue95% CI
AZD823378.937± 7.608
Placebo78.562± 6.134
Day 15
GroupValue95% CI
AZD823378.318± 8.060
Placebo78.559± 6.946
Day 29
GroupValue95% CI
AZD823378.408± 8.157
Placebo79.611± 6.779
Day 57
GroupValue95% CI
AZD823378.714± 7.799
Placebo79.369± 7.120
Day 85
GroupValue95% CI
AZD823378.867± 8.053
Placebo79.081± 7.575
Day 113
GroupValue95% CI
AZD823379.164± 8.393
Placebo79.584± 7.152
Day 141
GroupValue95% CI
AZD823378.698± 8.505
Placebo78.836± 7.758
Day 169
GroupValue95% CI
AZD823378.139± 8.489
Placebo78.402± 7.359
Vital Sign - Pulse Rate Primary · Baseline, Days 15, 29, 57, 85, 113, 141, 169, 197, 225, and 281.

Mean and standard deviation of Pulse rate at each scheduled visit by treatment.

Baseline
GroupValue95% CI
AZD823368.93± 11.52
Placebo67.88± 10.47
Day 15
GroupValue95% CI
AZD823370.63± 10.07
Placebo69.48± 10.42
Day 29
GroupValue95% CI
AZD823368.52± 9.91
Placebo68.90± 10.05
Day 57
GroupValue95% CI
AZD823369.58± 10.59
Placebo69.90± 11.56
Day 85
GroupValue95% CI
AZD823368.90± 9.87
Placebo69.53± 11.10
Day 113
GroupValue95% CI
AZD823370.77± 10.58
Placebo70.03± 10.48
Day 141
GroupValue95% CI
AZD823370.85± 11.10
Placebo70.00± 10.84
Day 169
GroupValue95% CI
AZD823369.35± 10.44
Placebo68.38± 10.31
Treatment Emergent Platelet Count Abnormalities Primary · Treatment emergent includes results after the first dose of IP through study competition, planned visit date Day 281.

Treatment emergent platelet count abnormalities by pre-specified criteria by treatment.

Platelet count < LLN
GroupValue95% CI
AZD82339
Placebo11
Platelet count > ULN
GroupValue95% CI
AZD823326
Placebo20
Platelet count < 50 x 10^9/L
GroupValue95% CI
AZD82330
Placebo0
Platelet count < 75 x 10^9/L
GroupValue95% CI
AZD82331
Placebo1
Platelet count < 100 x 10^9/L
GroupValue95% CI
AZD82332
Placebo2
Platelet count < 150 x 10^9/L
GroupValue95% CI
AZD823319
Placebo21
>30% decrease from baseline
GroupValue95% CI
AZD823314
Placebo14
<150 x 10^9/L or >30% decrease from baseline
GroupValue95% CI
AZD823328
Placebo26

Adverse events — posted to ClinicalTrials.gov

Time frame: On-study includes adverse events with an onset date on or after the date of first dose of IP through study competition, planned visit date Day 281.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

AZD8233
Serious: 18/207 (9%)
Deaths: 3/207
Placebo
Serious: 12/203 (6%)
Deaths: 0/203

Serious adverse events (35 terms)

ReactionSystemAZD8233Placebo
Non-cardiac chest painGeneral disorders
Amaurosis fugaxEye disorders
Duodenal ulcerGastrointestinal disorders
Inguinal herniaGastrointestinal disorders
Sudden deathGeneral disorders
Covid-19 pneumoniaInfections and infestations
Clostridium difficile colitisInfections and infestations
DiverticulitisInfections and infestations
Acute coronary syndromeCardiac disorders
GangreneInfections and infestations
UrosepsisInfections and infestations
Femur fractureInjury, poisoning and procedural complications
Blood creatinine increasedInvestigations
Coagulation time prolongedInvestigations
Back painMusculoskeletal and connective tissue disorders
Bladder transitional cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung adenocarcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastatic malignant melanomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Acute myocardial infarctionCardiac disorders
Squamous cell carcinoma of lungNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Transitional cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Transitional cell carcinoma urethraNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Carotid artery stenosisNervous system disorders
Bipolar i disorderPsychiatric disorders
Mental disorderPsychiatric disorders
Other adverse events (4 terms — click to expand)

ReactionSystemAZD8233Placebo
Covid-19Infections and infestations
Injection site reactionGeneral disorders
Diabetes mellitus inadequate controlMetabolism and nutrition disorders
HypertensionVascular disorders

Most-reported serious reactions: Non-cardiac chest pain, Amaurosis fugax, Duodenal ulcer, Inguinal hernia, Sudden death, Covid-19 pneumonia, Clostridium difficile colitis, Diverticulitis.

Data from ClinicalTrials.gov NCT04964557 adverse events section.

Sponsor's own description

AZD8233 is a PCSK9-targeted ASO for the reduction of circulating levels of LDL-C. This study aims to evaluate safety, efficacy and tolerability of AZD8233.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. RNA-based therapies in liver metabolic diseases.
    Fontanellas A, Berraondo P, Urigo F, Jericó D, et al · · 2025 · cited 9× · PMID 39988358 · DOI 10.1136/gutjnl-2023-331742
  2. Olezarsen and Beyond: Emerging Targeted Treatments for Familial Chylomicronemia Syndrome and Related Triglyceride Disorders.
    N M, C B K, D R S. · · 2026 · PMID 41660532 · DOI 10.12997/jla.2026.15.1.72

Verify or expand the search:

Other trials of AZD8233

Trials testing the same drug.

Other recruiting trials for Hyperlipidaemia

Currently open trials in the same condition.

Other AstraZeneca trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04964557.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing