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AZD4144

Phase 2

Sepsis | Small molecule | Infectious Disease |AstraZeneca PLC|Trials Updated: Sep 2, 2026

AZD4144 development status

Highest phase Phase 2
Registered trials 9 across 1 sponsor since Nov 2024

AZD4144 target and mechanism

ModalitySmall molecule

Also known as [14C]AZD4144 Oral Solution, [14C]AZD4144 Solution for Infusion

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials4
Total Enrollment224

FDA Designations

No designations recorded

AZD4144 clinical trials

AZD4144 · 4 trials · 8 indications

Phase 2 1Phase 1 3
NCT07215702A Study to Investigate the Efficacy, Safety, and Tolerability of AZD4144in Participants With Sepsis-associated Acute Kidney Injury.Sepsis
RECRUITING124 Analytics
PHASE2RECRUITING
A Study to Investigate the Efficacy, Safety, and Tolerability of AZD4144in Participants With Sepsis-associated Acute Kidney Injury.
SepsisUnlock trial analytics

Study Endpoints

Primary Endpoints

Area Under the Curve (AUC) of 24-hour Creatinine Clearance (CrCl).
During the treatment period.

The total area under the curve for 24-hour creatinine clearance measured throughout the treatment period.

PK parameters AUCinf
Day 0 through Day 7 or 9

area under the concentration-time curve from zero to infinity

PK parameter AUClast
Day 0 through Day 7 or 9

area under the concentration-time curve from zero to the last measurable concentration

PK parameters AUC(0-144)
Day 0 through Day 7

area under the curve from time zero to time 144hours post dose

PK parameter Cmax
Day 0 through Day 7 or 9

maximum observed plasma concentration

Number of participants with adverse events
From first dose (Day 1) until Follow-up (Day 56±1)

The safety and the tolerability of AZD4144 compared with placebo will be evaluated.

Relative change from baseline to 4 weeks in systemic Interleukin-6 (IL-6) levels
Day 1 to Day 28

The effect of AZD4144 on circulating inflammatory biomarker IL-6 compared with placebo will be evaluated.

Observed maximum plasma concentration (Cmax)
From Day 1 to Day 14

To assess the PK of a single oral dose of AZD4144 in participants with severe renal impairment and ESKD compared with healthy control participants.

Area under the plasma concentration-time curve from time zero extrapolated to infinity (AUCinf)
From Day 1 to Day 14

To assess the PK of a single oral dose of AZD4144 in participants with severe renal impairment and ESKD compared with healthy control participants.

Area under the plasma concentration-time curve from time zero to time of last quantifiable concentration (AUClast)
From Day 1 to Day 14

To assess the PK of a single oral dose of AZD4144 in participants with severe renal impairment and ESKD compared with healthy control participants.

Apparent total body clearance (CL/F)
From Day 1 to Day 14

To assess the PK of a single oral dose of AZD4144 in participants with severe renal impairment and ESKD compared with healthy control participants.

Non-renal clearance of drug from plasma (CLNR/F)
From Day 1 to Day 14

To assess the PK of a single oral dose of AZD4144 in participants with severe renal impairment and ESKD compared with healthy control participants.

Apparent volume of distribution based on the terminal phase (Vz/F)
From Day 1 to Day 14

To assess the PK of a single oral dose of AZD4144 in participants with severe renal impairment and ESKD compared with healthy control participants.

Terminal elimination half-life (t½λz)
From Day 1 to Day 14

To assess the PK of a single oral dose of AZD4144 in participants with severe renal impairment and ESKD compared with healthy control participants.

Renal clearance of drug from plasma (CLR)
From Day 1 to Day 4

To assess the PK of a single oral dose of AZD4144 in participants with severe renal impairment and ESKD compared with healthy control participants.

Amount excreted (Ae)
From Day 1 to Day 4

To assess the PK of a single oral dose of AZD4144 in participants with severe renal impairment and ESKD compared with healthy control participants.

Percentage of dose excreted unchanged in urine (fe)
From Day 1 to Day 4

To assess the PK of a single oral dose of AZD4144 in participants with severe renal impairment and ESKD compared with healthy control participants.

Number of Treatment Emergent Adverse Events (TEAEs)
From Day 1 to Follow-up (Day 14/28)

To evaluate the safety and tolerability of AZD4144 single dose in participants with severe renal impairment, ESKD, and their healthy controls.

Secondary Endpoints

Days alive and free of KRT.
Through study completion, an average of 30 days.
Days alive and free of modified KDIGO AKI Stage 2 or 3.
Through study completion, an average of 30 days
AUC: SCr
During the treatment period.
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm 1 (AZD4144)EXPERIMENTALAZD4144 solution for IV infusion
Arm 2 (Placebo)PLACEBO_COMPARATORPlacebo concentrate for solution for infusion
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 sex, age, and BMI to the impaired groups
AZD4144EXPERIMENTALParticipants will receive oral dose of AZD4144 for 28 days.
PlaceboPLACEBO_COMPARATORParticipants will receive oral dose of Placebo for 28 days.
Cohort 1: AZD4144EXPERIMENTALParticipants with severe renal impairment will receive a single oral dose of AZD4144 on Day 1.
Cohort 2: AZD4144EXPERIMENTALHealthy participants with normal renal function will receive a single oral dose of AZD4144 on Day 1.
Cohort 3: AZD4144EXPERIMENTALParticipants with ESKD on intermittent haemodialysis will receive a single oral dose of AZD4144 on the first day of Treatment Period 1 and Treatment Period 2.
Cohort 4: AZD4144EXPERIMENTALParticipants with moderate renal impairment will receive a single oral dose of AZD4144 on Day 1.
Cohort 5: AZD4144EXPERIMENTALParticipants with mild renal impairment will receive a single oral dose of AZD4144 on Day 1.

Interventions

NameTypeDescription
AZD4144DRUGIntravenous solution of AZD4144 will be administered to randomised participants according to the treatment arm to which they have been assigned.
PlaceboDRUGIntravenous solution of Placebo will be administered to randomised participants according to the treatment arm to which they have been assigned.
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Eligibility Criteria

Age Range18 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites74

Inclusion Criteria Age ≥ 18 to ≤ 80 years at the time of signing the informed consent. Participants who are admitted to an ICU or an equivalent critical-care unit. Diagnosis of sepsis according to criteria defined by The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-...

Countries:United StatesArgentinaBelgiumCanadaCzechiaDenmarkFranceGermanyGreeceHungaryItalySpainTurkey (Türkiye)United KingdomBulgariaRomania
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Competitive Landscape -Sepsis 24 trials

Top 3 of 7 competitors

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Recent Changes (Last 90 Days)

LOWSep 2, 2026NCT07215702lastUpdatePostDate: changed
LOWSep 2, 2026NCT07215702lastUpdatePostDate: changed
LOWSep 2, 2026NCT07215702lastUpdatePostDate: changed
LOWAug 24, 2026NCT07783308NEW_TRIAL: changed
LOWAug 24, 2026NCT07783308NEW_TRIAL: changed
LOWJul 30, 2026NCT07215702lastUpdatePostDate: changed
LOWJul 30, 2026NCT07215702lastUpdatePostDate: changed

Frequently asked questions about AZD4144

What is AZD4144?

AZD4144 is an investigational small molecule developed by AstraZeneca PLC (ticker AZN). It is being studied in clinical trials for chronic kidney disease, end-stage kidney disease, hepatic impairment, and sepsis. It is a Phase 1 stage asset overall, with one Phase 2 study also underway in sepsis-associated acute kidney injury.

What is AZD4144 used for?

AZD4144 is being studied for chronic kidney disease, end-stage kidney disease, hepatic impairment, and sepsis, including sepsis-associated acute kidney injury. It is investigational and has not been approved for any indication. Clinical work spans pharmacokinetic studies in patients with organ impairment and a Phase 2 efficacy and safety study in sepsis-associated acute kidney injury.

Who makes AZD4144?

AZD4144 is developed by AstraZeneca PLC, which trades under the ticker AZN. AstraZeneca is the sponsor of the clinical program evaluating the drug across kidney, liver, and sepsis-related conditions, including studies conducted in the United States, Europe, Canada, Argentina, and Turkey.

What phase is AZD4144 in?

AZD4144 is in Phase 1 development, with completed Phase 1 studies in renal impairment and in chronic kidney disease with atherosclerotic cardiovascular disease. A Phase 2 study in sepsis-associated acute kidney injury is also recruiting. The drug is investigational and has not been approved by the FDA for any indication.

What clinical trials is AZD4144 in?

AZD4144 has been studied in NCT06693765, a completed Phase 1 trial in severe renal impairment, end-stage kidney disease, and healthy participants, and NCT06675175, a completed Phase 1b trial in chronic kidney disease with atherosclerotic cardiovascular disease. NCT07215702 is a recruiting Phase 2 trial in sepsis-associated acute kidney injury, and NCT07783308 is a Phase 1 hepatic impairment study not yet recruiting.

Is AZD4144 the same as [14C]AZD4144 Oral Solution?

Yes. [14C]AZD4144 Oral Solution is an alternative name for AZD4144. The 14C label denotes a carbon-14 radiolabeled oral solution formulation used in clinical pharmacology work, while AZD4144 is the compound itself. Both names refer to the same AstraZeneca investigational small molecule.