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AZD2693

Phase 2

Nonalcoholic Steatohepatitis | Small molecule | Metabolic |AstraZeneca PLC|Last Updated: May 11, 2026

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment220

FDA Designations

No designations recorded

Clinical trial landscape

AZD2693 · 5 trials · 6 indications

Phase 2 1Phase 1 4
NCT05809934A Study to Evaluate AZD2693 in Participants Who Are Carriers of the PNPLA3 148M Risk Allele With Non-cirrhotic Non-alcoholic Steatohepatitis With FibrosisNonalcoholic Steatohepatitis
COMPLETED220 Analytics
PHASE2COMPLETED
A Study to Evaluate AZD2693 in Participants Who Are Carriers of the PNPLA3 148M Risk Allele With Non-cirrhotic Non-alcoholic Steatohepatitis With Fibrosis
Nonalcoholic SteatohepatitisUnlock trial analytics

Study Endpoints

Primary Endpoints

Proportion of participants achieving NASH resolution without worsening of fibrosis based on histology after 52 weeks treatment
after 52 weeks

To assess the effect of AZD2693 versus placebo on histological resolution of NASH in participants with non-cirrhotic NASH with fibrosis and PNPLA3 risk allele carriers after 52 weeks

PK parameters AUCinf
85 days

area under the concentration-time curve (AUC) from zero to infinity (AUCinf)

PK parameters AUClast
85 days

area under the concentration-time curve from time zero to last time of quantifiable concentration

PK parameters Cmax
85 days

maximum observed plasma concentration

Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Until Day 162 (Final/Early termination visit)

Safety and tolerability of AZD2693 compared to placebo following multiple dose SC administration in healthy participants will be evaluated.

Number of participants with adverse events
Up to 32 weeks (From Screening to Final Visit)
Number of subjects experiencing adverse events and serious adverse events
From baseline (Day 1) until Day 112 (Week 16, Final follow-up)

To investigate the safety and tolerability of SC administration of SAD of AZD2693

Secondary Endpoints

Proportion of participants with at least one stage of liver fibrosis improvement with no worsening of NASH based on biopsy after 52 weeks treatment
after 52 weeks
Proportion of participants with ≥ 2-point improvement from baseline in NAS based on biopsy after 52 weeks treatment
after 52 weeks
Proportion of participants with improvement in fibrosis by at least one stage based on biopsy after 52 weeks treatment
after 52 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AZD2693 dose 1EXPERIMENTALParticipants will receive AZD2693 dose 1
AZD2693 dose 2EXPERIMENTALParticipants will receive AZD2693 dose 2
PlaceboPLACEBO_COMPARATORParticipants in this arm will receive placebo
Group 1EXPERIMENTALParticipants with mild hepatic impairment (CP Class A, score of 5 or 6)
Group 2EXPERIMENTALParticipants with moderate hepatic impairment (CP Class B, score of 7 to 9)
Group 3EXPERIMENTALParticipants with severe hepatic impairment (CP Class C, score of 10 to 15)
Group 4EXPERIMENTALParticipants with normal hepatic function matched on a group level regarding age, body weight, and sex to the impaired groups
Cohort 1: AZD2693EXPERIMENTALJapanese Participants will receive Dose A of AZD2693.
Cohort 2: AZD2693EXPERIMENTALJapanese Participants will receive Dose B of AZD2693.
Cohort 3: AZD2693EXPERIMENTALJapanese Participants will receive Dose C of AZD2693.
Cohort 4: AZD2693EXPERIMENTALNon-Asian Participants will receive Dose C of AZD2693
Cohort 1EXPERIMENTAL15 participants will receive AZD2693 dose 1 and 5 participants will receive placebo
Cohort 2EXPERIMENTAL15 participants will receive AZD2693 dose 2 and 5 participants will receive placebo
Cohort 3EXPERIMENTAL15 participants will receive AZD2693 dose 1 and 5 participants will receive placebo
Cohort 4EXPERIMENTAL15 participants will receive AZD2693 dose 3 and 5 participants will receive placebo
Cohort 1 healthy subjects: AZD2693 Dose 1EXPERIMENTALSubjects will receive a subcutaneous (SC) injection of single dose 1 of AZD2693 or placebo matched to AZD2693 on Day 1.
Cohort 2 healthy subjects: AZD2693 Dose 2EXPERIMENTALSubjects will receive a SC injection of single dose 2 of AZD2693 or placebo matched to AZD2693 on Day 1.
Cohort 3 healthy subjects: AZD2693 Dose 3EXPERIMENTALSubjects will receive a SC injection of single dose 3 of AZD2693 or placebo matched to AZD2693 on Day 1.
Cohort 4 healthy subjects: AZD2693 Dose 4EXPERIMENTALSubjects will receive a SC injection of single dose 4 of AZD2693 or placebo matched to AZD2693 on Day 1.
Cohort 5 healthy subjects: AZD2693 Dose 5EXPERIMENTALSubjects will receive a SC injection of single dose 5 of AZD2693 or placebo matched to AZD2693 on Day 1.
Cohort 6 healthy subjects: AZD2693 Dose 6EXPERIMENTALSubjects will receive a SC injection of single dose 6 of AZD2693 or placebo matched to AZD2693 on Day 1.
Cohort 7 healthy Japanese subjects: AZD2693 Dose 7EXPERIMENTALSubjects will receive a SC injection of single dose 7 of AZD2693 or placebo matched to AZD2693 on Day 1.
Cohort 8 healthy Japanese subjects: AZD2693 Dose 8EXPERIMENTALSubjects will receive a SC injection of single dose 8 of AZD2693 or placebo matched to AZD2693 on Day 1.
Cohort 9 healthy Chinese subjects: AZD2693 Dose 9EXPERIMENTALSubjects will receive a SC injection of single dose 9 of AZD2693 or placebo matched to AZD2693 on Day 1.

Interventions

NameTypeDescription
AZD2693DRUGAZD2693 solution SC once per month
PlaceboOTHERSodium chloride 0.9% solution SC once per month
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites164

Key Inclusion Criteria : Participants are eligible to be included in the study only if all the following criteria apply: Age 1. Participant must be 18 to 75 years of age (inclusive) at the time of signing the informed consent. Type of Participant and Disease Characteristics 2. Participants wh...

Countries:United StatesArgentinaBrazilChileChinaColombiaGermanyHong KongIndiaItalyJapanMalaysiaMexicoPeruPhilippinesSingaporeSouth KoreaSpainTaiwanThailandTurkey (Türkiye)Vietnam
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Recent Changes (Last 90 Days)

MEDIUMJun 11, 2026NCT05919069TRIAL_REMOVED: changed
MEDIUMJun 11, 2026NCT05919069TRIAL_REMOVED: changed
MEDIUMJun 11, 2026NCT05919069TRIAL_REMOVED: changed

Frequently asked questions about AZD2693

What is AZD2693 used for?

AZD2693 is an investigational small molecule being studied for nonalcoholic steatohepatitis (NASH), hepatic impairment, metabolic disorders, and in healthy participants. It is in Phase 1 clinical development and is not approved by the FDA. Studies have assessed its safety, tolerability, and pharmacokinetics in various populations.

Who makes AZD2693?

AZD2693 is being developed by AstraZeneca PLC, a biopharmaceutical company listed on the stock exchange under the ticker AZN. The drug is currently in Phase 1 clinical trials, with studies conducted in the United States and Japan.

What phase is AZD2693 in?

AZD2693 is in Phase 1 clinical development. It is an investigational drug, meaning it has not been approved by regulatory authorities. All four clinical trials for AZD2693 have been completed, with a total enrollment of 220 participants across studies in the United States and Japan.

What clinical trials is AZD2693 in?

AZD2693 has completed four Phase 1 clinical trials. These include NCT04142424 in overweight healthy subjects and healthy Chinese and Japanese subjects, NCT04483947 in NASH patients, NCT05107336 in healthy Japanese participants, and NCT05919069 in participants with hepatic impairment. All trials were completed in the United States or Japan.

Is AZD2693 the same as other names?

AZD2693 is the only name provided for this drug. No alternative names or aliases have been reported for this investigational compound. It is being studied under this identifier in clinical trials registered with ClinicalTrials.gov.

How does AZD2693 work?

The mechanism of action for AZD2693 has not been specified in available information. It is classified as a small molecule therapeutic being investigated for metabolic disorders and nonalcoholic steatohepatitis. Clinical trials have focused on evaluating its safety, tolerability, and pharmacokinetics rather than its molecular target.