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ALXN1820

Phase 2

Undisclosed | Small molecule | Other |AstraZeneca PLC|Trials Updated: Jun 16, 2026

ALXN1820 development status

Highest phase Phase 2 (NCT05565092)
Phase scored for AZNPhase 1
Registered trials 2 across 1 sponsor since Oct 2022

ALXN1820 target and mechanism

ModalitySmall molecule

Also known as ALXN1820 SC, Tarperprumig

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment141

FDA Designations

No designations recorded

ALXN1820 clinical trials

ALXN1820 · 2 trials · 2 indications

Phase 2 1Phase 1 1
NCT07160608Safety and Efficacy of Tarperprumig in Adult Participants With Anti-Neutrophil Cytoplasmic Antibody (ANCA)-Associated VasculitisAnti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis
RECRUITING75 Analytics
PHASE2RECRUITING
Safety and Efficacy of Tarperprumig in Adult Participants With Anti-Neutrophil Cytoplasmic Antibody (ANCA)-Associated Vasculitis
Anti-Neutrophil Cytoplasmic Antibody-Associated VasculitisUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Baseline through Week 70
Number of Participants With Treatment-related Adverse Events (TEAEs) For ALXN1820 SC And ALXN1820 IV
Cohorts 1 to 6: Baseline up to Day 127; Cohorts 8 to 9: Baseline up to Day 155

An adverse event (AE) was defined as any unfavorable and unintended sign (for example, including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product or procedure, whether or not considered related to the medicinal product or procedure, which occurred during the course of the clinical study. TEAEs were defined as any AEs that commenced after the start of administration of study intervention. Serious AEs (SAEs) were defined as any untoward medical occurrence that met at least 1 of the following serious criteria: resulted in death, was life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, other medically important serious event. A summary of all SAEs and Other AEs (nonserious) regardless of causality is located in the 'Reported AEs' Section.

Secondary Endpoints

Number of Participants Achieving Disease Remission at Week 26
Week 26
Number of Participants Achieving Sustained Remission at Week 52
Week 52
Number of Participants Achieving a Birmingham Vasculitis Activity Score (BVAS) of 0
Baseline through Week 52
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Tarperprumig Group 1EXPERIMENTALParticipants will be administered tarperprumig dose regimen #1 or dose regimen #2.
Tarperprumig Group 2EXPERIMENTALParticipants will be administered tarperprumig dose regimen #1 or dose regimen #2.
Placebo Group 3EXPERIMENTALParticipants will be administered placebo.
ALXN1820EXPERIMENTALParticipants will receive ALXN1820 SC or ALXN1820 IV according to their assigned cohort. ALXN1820 SC will be evaluated in single and multiple ascending doses while ALXN1820 IV will be evaluated in a single dose cohort only.
PlaceboPLACEBO_COMPARATORParticipants will receive Placebo SC or Placebo IV according to their assigned cohort.

Interventions

NameTypeDescription
PlaceboDRUGParticipants will receive placebo.
TarperprumigDRUGParticipants will receive tarperprumig.
ALXN1820 SCDRUGALXN1820 SC will be administered as a manual SC push or SC infusion via a syringe pump. Doses will range from 12.5 milligrams (mg) to a maximum of 2250 mg. Multiple dosing duration will range from 3 to 5 weeks.
ALXN1820 IVDRUGALXN1820 IV (450 mg) will be administered as an IV infusion.
Placebo SCDRUGPlacebo SC will be administered as a manual SC push or SC infusion via a syringe pump.
Placebo IVDRUGPlacebo IV will be administered as an IV infusion.
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Eligibility Criteria

Age Range18 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites78

Inclusion Criteria: * Newly diagnosed or relapsing ANCA-associated vasculitis, GPA and MPA subtypes consistent with the 2022 ACR/EULAR classification criteria for GPA and MPA for whom treatment with rituximab or cyclophosphamide is considered. * Positive test for antibodies to either PR3-ANCA or MP...

Countries:ArgentinaAustraliaBrazilCanadaChinaFranceGermanyItalyPolandSouth KoreaSpainTaiwanTurkey (Türkiye)United Kingdom
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Frequently asked questions about ALXN1820

What is ALXN1820?

ALXN1820 is an investigational small molecule drug developed by AstraZeneca PLC. It has been studied in a Phase 1 clinical trial in healthy adult participants. The specific disease or condition it is intended to treat has not been disclosed.

Who is developing ALXN1820?

ALXN1820 is being developed by AstraZeneca PLC, which trades on the Nasdaq under the ticker AZN. AstraZeneca is the sole developer listed for this asset.

What phase is ALXN1820 in?

ALXN1820 is in Phase 1 clinical development. One Phase 1 trial has been completed, and no active trials are currently listed. The drug remains investigational and has not been approved by the FDA.

What clinical trials has ALXN1820 been studied in?

ALXN1820 has been evaluated in a single Phase 1 trial, NCT04631562, titled "Study of ALXN1820 in Healthy Adult Participants." The trial enrolled 66 healthy volunteers, was randomized, double-blind, and placebo-controlled, and was conducted in Australia and the United Kingdom.

Is ALXN1820 the same as ALXN1820 SC?

Yes, ALXN1820 SC is an alternative name for ALXN1820. Both names refer to the same investigational small molecule developed by AstraZeneca PLC.