ClinicalTrials.gg
RecruitingNCT07241104PULSEUpdated Sep 4, 2026

A Study of AZD4063 in PLN R14del Dilated Cardiomyopathy

A Phase 1 interventional study of AZD4063 in Dilated Cardiomyopathy, sponsored by AstraZeneca. Recruiting at 4 sites in Netherlands. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-09-04.

Sponsored by AstraZeneca · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Dec 2025; still recruiting 11 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
23
Allocation
Non-randomized
Ages
18 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 15 studies in Cardiomyopathy, Dilated with a site in Netherlands — 3 open to participants now, 4 under way, 2 of them phase 3. Cardiomyopathy, Dilated · Netherlands.

Planned enrollment
10th of 11
23 · median 77
Started
2025
the only one that year
Phase 1
Only one
of the 15
Registered
14th of 15
by date
Lead sponsor
1 of 15
AstraZeneca

Among the 15 studies in Cardiomyopathy, Dilated with a site in Netherlands, this one is the 10th largest by planned enrollment of the 11 interventional ones, is the only one that started in 2025, is the only one in phase 1, and was the 14th registered.

By phase

15 studies; the count open now beside each. This study's row is marked.

Observational4 · 0 open
Phase 2/34 · 1 open
Phase 33 · 1 open
No phase2 · 0 open
Phase 1this study1 · 1 open
Phase 1/21 · 0 open

By the year they started

First in 2010; this study’s year is marked. 1 started in 2025.

Size and results

Median enrollment 77 across the 11 interventional studies, 97 across the 4 observational. Of the 7 that completed or were terminated, 2 (29%) have results posted.

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02

Study summary

The purpose of the study is to assess the safety, tolerability and the pharmacokinetics (PK) of AZD4063 after single dose administration in participants with phospholamban (PLN) R14del dilated cardiomyopathy.

Read the detailed description

This is a Phase 1, first in human, unblinded, ascending dose study which will consist of a SAD (single ascending dose) part and an Optional part.

The SAD part of the study will assess the single doses of AZD4063 across 4 cohorts. It will consist of:

  • A Screening period
  • A Treatment period: The participants will receive a single dose of AZD4063 by subcutaneous (SC) injection
  • A Follow-up period

Optional cohorts may be added based on emerging safety, PK and PD data of the preceding cohorts.

03

Conditions studied

  • Dilated Cardiomyopathy

Keywords

  • Single Ascending Dose
  • Phospholamban
04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Participants must be 18 to 80 years of age inclusive, at the time of Screening
  • Participants with pre-existing positive screening for R14 del PLN mutation
  • Participants with screening Left ventricular eject fraction ≤ 45% as assessed by echocardiography
  • Participants with (NYHA) function class I-III
  • Participants on stable medical therapy for at least 6 weeks prior to Screening and during the Screening period, with no significant improvement in heart failure
  • Participants with implantable cardioverter-defibrillator (ICD) or Cardiac resynchronization therapy device (CRT-D)
  • Participants with (BMI) within the range 18-35 kg/m2
  • Females of must not be lactating, and if heterosexually active must agree to use an approved method of highly effective
  • All women of childbearing potential must have a negative pregnancy test at the Screening Visit.

Exclusion criteria

Exclusion Criteria:

  • Participants with positive antibody, virus surface antigen or hepatitis B virus core antibody
  • Known to have tested positive for (HIV)
  • Any known genetic mutation associated with hereditary electrical or structural disease
  • Congenital long syndrome
  • QTcF \< 350 ms
  • Known Short QT syndrome (SQTS) or family history of SQTS
  • Catecholaminergic polymorphic ventricular tachycardia (CPVT as calcium ion channelopathy) and recent hospitalization for heart failure or significant ventricular arrhythmia within 3 months
  • Participants with sustained ventricular arrhythmia requiring treatment and considered clinically not stable by the Investigator
  • History of subendocardial Late Gadolinium Enhancement (LGE) suggestive of previous myocardial infarction and/or significant coronary artery disease (50% > stenosis in one major epicardial coronary artery or need for previous percutaneous coronary intervention or coronary artery bypass grafting)
  • Routinely scheduled outpatient intravenous infusions for heart failure
  • Uncontrolled hypertension
  • Significant primary valvular disease
  • Congenital heart disease
  • Left ventricular wall thickness of > 13 mm or with any relative with hypertrophic cardiomyopathy (HCM)
  • Recent acute presentation of myocarditis
  • Restrictive or peripartum cardiomyopathy; infiltrative disorders (sarcoidosis)
  • Alcohol consumption in excess
  • Any laboratory values with the following deviations:

    1. >2 upper normal limit ()
    2. Aspartate Transaminase >2 ULN
    3. Total > 2 x ULN
    4. Estimated \< 30 mL/min/1.73 m2
    5. \<10g/dL
  • Any vital sign values with the following deviations at Screening

    1. Systolic blood pressure > 160 mmHg
    2. Diastolic blood pressure > 100 mmHg
    3. Pulse rate > 100 beats per minute
  • Toxin exposure, systemic disease known to cause Dilated Cardiomyopathy (DCM)
  • History of severe allergy/ or ongoing allergy/hypersensitivity
  • Any history of cardiotoxic drug exposure with documented cardiomyopathy
  • Noncardiac condition that limits expected lifespan to less than 1 year
  • Participation in another clinical study with a study intervention administered in the last 3 months
  • Participants with a known hypersensitivity to AZD4063
  • Participants who have previously received AZD4063 as part of this study
  • Participants who are part of a gene therapy trial
Terms in these criteria, in plain language(15)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
23 participants (estimated)

Study arms

  • Experimental
    Cohort 1 (SAD): Dose 1 of AZD4063

    Participants will receive Dose 1 of AZD4063 via SC injection in Cohort 1 of SAD.

    Drug: AZD4063

  • Experimental
    Cohort 2 (SAD): Dose 2 of AZD4063

    Participants will receive Dose 2 of AZD4063 via SC injection in Cohort 2 of SAD.

    Drug: AZD4063

  • Experimental
    Cohort 3 (SAD): Dose 3 of AZD4063

    Participants will receive Dose 3 of AZD4063 via SC injection in Cohort 3 of SAD.

    Drug: AZD4063

  • Experimental
    Cohort 4 (SAD): Dose 4 of AZD4063

    Participants will receive Dose 4 of AZD4063 via SC injection in Cohort 4 of SAD.

    Drug: AZD4063

  • Experimental
    Optional Cohort 1 (SAD): Dose 5 of AZD4063

    Participants will receive Dose 5 of AZD4063 via SC injection in the optional cohort of the study. This additional cohort will be added depending on the findings.

    Drug: AZD4063

  • Experimental
    Optional Cohort 2 (SAD): Dose 6 of AZD4063

    Participants will receive Dose 6 of AZD4063 via SC injection in the optional cohort of the study. This additional cohort will be added depending on the findings.

    Drug: AZD4063

  • Experimental
    Optional Cohort 3 (SAD): Dose 7 of AZD4063

    Participants will receive Dose 7 of AZD4063 via SC injection in the optional cohort of the study. This additional cohort will be added depending on the findings.

    Drug: AZD4063

  • Experimental
    Optional Cohort 4 (SAD): Dose 8 of AZD4063

    Participants will receive Dose 8 of AZD4063 via SC injection in the optional cohort of the study. This additional cohort will be added depending on the findings.

    Drug: AZD4063

Interventions

  • DrugAZD4063

    AZD4063 will be administered as solution for injection via subcutaneous route of administration.

06

What researchers measure

Primary outcomes

  1. Number of participants with adverse events (AEs)

    The safety and tolerability of AZD4063 following the SC administration of single doses in participants with PLN R14del dilated cardiomyopathy will be evaluated.

    Time frame: Cohorts 1 and 2: Day 1 to 80; Cohorts 3 and 4: Day 1 to 210

Secondary outcomes

  1. Area under plasma concentration-time curve from 0 to infinity (AUCinf)

    The AUCinf of single ascending doses of AZD4063 following SC administration will be evaluated.

    Time frame: Cohorts 1 and 2: Day 1 to 80; Cohorts 3 and 4: Day 1 to 210

  2. Area under the plasma concentration-curve from 0 to the last quantifiable concentration (AUClast)

    The AUClast of single doses of AZD4063 following SC administration will be evaluated.

    Time frame: Cohorts 1 and 2: Day 1 to 80; Cohorts 3 and 4: Day 1 to 210

  3. Maximum plasma drug concentration (Cmax)

    The Cmax of single doses of AZD4063 following SC administration will be evaluated.

    Time frame: Cohorts 1 and 2: Day 1 to 80; Cohorts 3 and 4: Day 1 to 210

  4. Renal clearance (CLR)

    The CLR of the single doses of AZD4063 following SC administration will be evaluated.

    Time frame: Cohorts 1 and 2: Day 1 to 94; Cohorts 3 and 4: Day 1 to Follow up (Day 224)

  5. Cumulative amount of analyte excreted (Ae)

    The Ae of single doses of AZD4063 following SC administration will be evaluated.

    Time frame: Cohorts 1 and 2: Day 1 to 94; Cohorts 3 and 4: Day 1 to Follow up (Day 224)

  6. Fraction of dose excreted unchanged in urine (Fe)

    The Fe of single doses of AZD4063 following SC administration will be evaluated.

    Time frame: Cohorts 1 and 2: Day 1 to 94; Cohorts 3 and 4: Day 1 to Follow up (Day 224)

  7. Change in endomyocardial biopsy PLN messenger ribonucleic acid (mRNA levels) from baseline to estimated peak knockdown and estimated return-to-baseline

    The effects of single ascending doses of AZD4063 on knockdown of PLN mRNA will be evaluated.

    Time frame: Cohorts 1 and 2: Day 1 to 94; Cohorts 3 and 4: Day 1 to Follow up (Day 224)

07

Study locations

4 of 4 sites recruiting
  • Research Site
    Amsterdam, 1081 HV, Netherlands
    Recruiting
  • Research Site
    Groningen, 9713 GZ, Netherlands
    Recruiting
  • Research Site
    Rotterdam, 3015 GD, Netherlands
    Recruiting
  • Research Site
    Utrecht, 3584 CX, Netherlands
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. "Yes", indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Time frame: AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please refer to our disclosure commitment at: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

Access criteria: When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.

Data sharing details ↗ · vivli.org

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Dec 2025 (actual). Primary completion is estimated for Nov 2027, 23 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 17, 2025
First posted
Nov 21, 2025
StartActual
Dec 1, 2025
Primary completionEst.
Nov 22, 2027
CompletionEst.
Nov 22, 2027
Last update
Sep 4, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07241104
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Nov 21, 2025
Start date
Dec 1, 2025
Primary completion
Nov 22, 2027 (estimated)
Completion
Nov 22, 2027 (estimated)
Last update
Sep 4, 2026

Study contacts

AstraZeneca Clinical Study Information Center
Contact
information.center@astrazeneca.com
1-877-240-9479

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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