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ALXN2030

Phase 2

Antibody-Mediated Rejection | Small molecule | Nephrology |AstraZeneca PLC|Last Updated: Apr 27, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment45
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06744647Phase 2 Study of ALXN2030 in Patients With Antibody-Mediated Rejection After Kidney TransplantationPHASE2 RECRUITING 45Mar 7, 2025Nov 7, 2028Apr 27, 202655 United States, Brazil +6
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Study Endpoints
Primary Endpoints
Biopsy-proven histologic resolution
Week 52
Secondary Endpoints
Biopsy-proven histologic resolution
Week 28
Change From Baseline in biopsy-proven histologic scores
Baseline, Weeks 28 and 52
Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) at Week 52
Baseline up to week 52
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PlaceboPLACEBO_COMPARATORPlacebo will be administered during the Double-Blind Treatment Period of 52 weeks.
ALXN2030 Dose AEXPERIMENTALDuring the Double-Blind Treatment Period, participants will receive ALXN2030 dose A over 52 weeks. At Week 52, participants may continue into the Open Label Extension (OLE).
ALXN2030 Dose BEXPERIMENTALDuring the Double-Blind Treatment Period, participants will receive ALXN2030 dose B over 52 weeks. At Week 52, participants may continue into the OLE Period.
Interventions
NameTypeDescription
ALXN2030DRUGALXN2030 will be administered subcutaneously (SC).
PlaceboDRUGPlacebo will be administered SC.
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Eligibility Criteria
Age Range18 Years — 75 Years
SexALL
Healthy VolunteersNo
Study Sites55

Inclusion Criteria: * Kidney transplant received ≥ 6 months * Active or chronic active AMR according to Banff 2022 classification, based on Screening kidney biopsy * Either positive C4d on Screening kidney biopsy based on the Central Pathology Laboratory report and/or positive HLA Class I and/or II...

Countries:United StatesBrazilCanadaChinaSouth KoreaSpainTaiwanUnited Kingdom
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT06744647primaryCompletionDate: changed
LOWMay 24, 2026NCT06744647studyFirstPostDate: changed