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AZD4954

Phase 1

Dyslipidemia | Small molecule | Cardiovascular |AstraZeneca PLC|Trials Updated: Aug 24, 2026

AZD4954 development status

Highest phase Phase 1
Registered trials 2 across 1 sponsor since May 2025

AZD4954 target and mechanism

ModalitySmall molecule

Also known as [14C]AZD4954 Oral Solution, AZD4954 film-coated tablet, AZD4954 film-coated, [14C]AZD4954 Solution for Infusion, AZD4954 for Infusion

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials1
Total Enrollment136

FDA Designations

No designations recorded

AZD4954 clinical trials

AZD4954 · 1 trial · 2 indications

Phase 1 1
NCT06980428A Study to Investigate Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of AZD4954 in Healthy Adult Participants With or Without Elevated Lipoprotein (a) (Lp[a]) Levels, and Participants With DyslipidemiaHealthy Participants
RECRUITING136 Analytics
PHASE1RECRUITING
A Study to Investigate Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of AZD4954 in Healthy Adult Participants With or Without Elevated Lipoprotein (a) (Lp[a]) Levels, and Participants With Dyslipidemia
Healthy ParticipantsUnlock trial analytics

Study Endpoints

Primary Endpoints

Part A: Number of participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
From Screening (Day -28 to Day -2) to Follow-up visit (Up to Day 29±2 days)

To assess the safety and tolerability of AZD4954 following oral administration of SAD (Part A).

Part B: Number of participants with AEs and SAEs
From Screening (Day -28 to Day -2) to Follow-up visit (Up to Day 49±2 days)

To assess the safety and tolerability of AZD4954 following oral administration of MAD (Part B).

Secondary Endpoints

Part A: Area under concentration-time curve from time 0 to infinity (AUCinf)
Up to Day 29±2 days
Area under concentration-curve from time 0 to the last quantifiable concentration (AUClast)
Part A: Up to Day 29±2 days; Part B: Up to Day 49±2 days
Part B: Area under concentration-time curve in the dosing interval (AUCtau)
Up to Day 49±2 days
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part A1: SAD Cohort 1 - AZD4954 (Dose 1)EXPERIMENTALParticipants will receive a single dose of AZD4954 (Dose 1) or matching placebo on Day 1.
Part A1: SAD Cohort 2 - AZD4954 (Dose 2)EXPERIMENTALParticipants will receive a single dose of AZD4954 (Dose 2) or matching placebo on Day 1.
Part A1: SAD Cohort 3 - AZD4954 (Dose 3)EXPERIMENTALParticipants will receive a single dose of AZD4954 (Dose 3) or matching placebo on Day 1.
Part A1: SAD Cohort 4 - AZD4954 (Dose 4)EXPERIMENTALParticipants will receive a single dose of AZD4954 (Dose 4) or matching placebo on Day 1.
Part A1: SAD Cohort 5 - AZD4954 (Dose 5)EXPERIMENTALParticipants will receive a single dose of AZD4954 (Dose 5) or matching placebo on Day 1.
Part A1: SAD Optional Cohort 6 - AZD4954 (Dose 6)EXPERIMENTALParticipants will receive a single dose of AZD4954 (Dose 6) or matching placebo on Day 1. This additional cohort may be added depending on the findings.
Part A1: SAD Cohort 1 (Japanese) - AZD4954 (Dose 2)EXPERIMENTALJapanese participants will receive a single dose of AZD4954 (Dose 2) or matching placebo on Day 1.
Part A1: SAD Cohort 2 (Japanese) - AZD4954 (Dose 3)EXPERIMENTALJapanese participants will receive a single dose of AZD4954 (Dose 3) or matching placebo on Day 1.
Part A1: SAD Optional Cohort 3 (Japanese) - AZD4954EXPERIMENTALThis additional cohort may be added depending on the findings.
Part A1: SAD Cohort 1 (Chinese) - AZD4954 (Dose 5)EXPERIMENTALChinese participants will receive a single dose of AZD4954 (Dose 5) or matching placebo at the highest dose level on Day 1.
Part A2: SAD Food Effect Cohort - AZD4954 (Dose 2)EXPERIMENTALParticipants will receive a single dose of AZD4954 (Dose 2) or matching placebo with a high-calorie, high-fat breakfast on Day 1.
Part A2: SAD Food Effect Cohort - AZD4954 (Dose 3)EXPERIMENTALParticipants will receive a single dose of AZD4954 (Dose 3) or matching placebo with a high-calorie, high-fat breakfast on Day 1.
Part B: Global MAD Cohort 1 (healthy participants) - AZD4954 (Dose 1)EXPERIMENTALParticipants will receive multiple doses of AZD4954 (Dose 1) or matching placebo for 21 days.
Part B: Global MAD Cohort 2 (healthy participants) - AZD4954 (Dose 2)EXPERIMENTALParticipants will receive multiple doses of AZD4954 (Dose 2) or matching placebo for 21 days.
Part B: Global MAD Cohort 3 (healthy participants) - AZD4954 (Dose 3)EXPERIMENTALParticipants will receive multiple doses of AZD4954 (Dose 3) or matching placebo for 21 days.
Part B: Optional Global MAD Cohort 4 (healthy participants) - AZD4954EXPERIMENTALParticipants will receive multiple doses of AZD4954 or matching placebo for 21 days. This additional cohort may be added depending on the findings.
Part B: MAD Cohort (Japanese) - AZD4954 (Dose 3)EXPERIMENTALJapanese participants will receive multiple doses of AZD4954 (Dose 3) or matching placebo for 21 days.
Part B: Global MAD Cohort (participants with dyslipidemia) - AZD4954 (Dose 1)EXPERIMENTALParticipants with dyslipidemia will receive multiple doses of AZD4954 (Dose 1) or matching placebo for 21 days.

Interventions

NameTypeDescription
AZD4954DRUGAZD4954 will be administered orally.
PlaceboDRUGPlacebo will be administered orally.
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Eligibility Criteria

Age Range18 Years to 70 Years
SexALL
Healthy VolunteersNo
Study Sites6

Inclusion Criteria: All Parts: * Participants with plasminogen level (concentration) within normal range at the Screening Visit. * All females must have a negative pregnancy test at the Screening Visit and on admission to the study site. * Females of childbearing potential must not be lactating an...

Countries:United States
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Recent Changes (Last 90 Days)

MEDIUMAug 24, 2026NCT06980428primaryCompletionDate: changed
MEDIUMAug 24, 2026NCT06980428primaryCompletionDate: changed

Frequently asked questions about AZD4954

What is AZD4954?

AZD4954 is an investigational small molecule being developed by AstraZeneca for dyslipidemia, a condition involving abnormal lipid levels in the blood. It is currently in Phase 1 clinical development and has not been approved by the FDA. The program includes a study enrolling healthy adults with or without elevated lipoprotein(a) levels, as well as participants with dyslipidemia.

What is AZD4954 used for?

AZD4954 is being studied for dyslipidemia, a cardiovascular condition characterized by abnormal lipid levels in the blood. It is an investigational therapy in Phase 1 development and is not approved for any indication. Clinical evaluation includes participants with dyslipidemia and healthy adults with or without elevated lipoprotein(a) levels.

Who makes AZD4954?

AZD4954 is developed by AstraZeneca PLC, which trades on the Nasdaq under the ticker AZN. AstraZeneca is the sponsor of the Phase 1 clinical program evaluating the compound in dyslipidemia and in healthy participants with or without elevated lipoprotein(a) levels.

What phase is AZD4954 in?

AZD4954 is in Phase 1 clinical development. It is an investigational small molecule and has not been approved by the FDA. The single registered trial is currently recruiting participants, with no completed trials reported to date.

What clinical trials is AZD4954 in?

AZD4954 is being evaluated in one Phase 1 trial, NCT06980428, titled a study to investigate safety, tolerability, pharmacokinetics, and pharmacodynamics of AZD4954 in healthy adult participants with or without elevated lipoprotein(a) levels, and participants with dyslipidemia. The trial is recruiting, randomized, double-blind, controlled, and plans to enroll 136 participants in the United States.

Is AZD4954 the same as [14C]AZD4954 or AZD4954 film-coated tablet?

Yes, those names refer to the same investigational compound. AZD4954 appears in study documentation under several labels, including [14C]AZD4954 oral solution, AZD4954 film-coated tablet, AZD4954 film-coated, [14C]AZD4954 solution for infusion, and AZD4954 for infusion. These reflect different formulations and administration forms used in the clinical program.