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AZD4954

Phase 1

Healthy Participants | Small molecule | Metabolic |AstraZeneca PLC|Last Updated: Jun 3, 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-BlindCONTROLLEDBiomarker
Total Trials2
Total Enrollment168
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07513571A Study to Assess the Effect of AZD0780 on the Pharmacokinetics of AZD4954 and Vice Versa in Healthy AdultsPHASE1 RECRUITING 32Apr 10, 2026Jul 9, 2026May 11, 20261 United States
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 DyslipidemiaPHASE1 RECRUITING 136May 27, 2025Dec 4, 2026Jun 3, 20266 United States
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Study Endpoints
Primary Endpoints
Area under concentration time curve from time 0 to infinity (AUCinf) of AZD4954
Cohort 1: Day 1 to Day 41

To assess the effect of a single dose of oral laroprovstat on the PK of a single dose of oral AZD4954 in healthy participants.

Maximum observed drug concentration (Cmax) of AZD4954
Cohort 1: Day 1 to Day 41

To assess the effect of a single dose of oral laroprovstat on the PK of a single dose of oral AZD4954 in healthy participants.

AUCinf of laroprovstat
Cohort 2: Day 1 to Day 25

To assess the effect of a single dose of oral AZD4954 on the PK of a single dose of oral laroprovstat in healthy participants.

Cmax of laroprovstat
Cohort 2: Day 1 to Day 25

To assess the effect of a single dose of oral AZD4954 on the PK of a single dose of oral laroprovstat in healthy participants.

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
Area under concentration curve from time 0 to the last quantifiable concentration (AUClast) of AZD4954
Cohort 1: Day 1 to Day 41; Cohort 2: Day 11 to Day 31
Apparent total body clearance (CL/F) of AZD4954
Cohort 1: Day 1 to Day 41; Cohort 2: Day 11 to Day 31
Terminal elimination half-life (t½λz) of AZD4954
Cohort 1: Day 1 to Day 41; Cohort 2: Day 11 to Day 31
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Cohort 1: Treatment Sequence ACEXPERIMENTALParticipant will receive single dose of AZD4954 alone (Treatment A) followed by single doses of laroprovstat+AZD4954 (Treatment C).
Cohort 2: Treatment Sequence BCEXPERIMENTALParticipant will receive single dose of laroprovstat alone (Treatment B) followed by single doses of laroprovstat+AZD4954 (Treatment C).
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.
LaroprovstatDRUGLaroprovstat will be administered orally.
PlaceboDRUGPlacebo will be administered orally.
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Eligibility Criteria
Age Range18 Years — 55 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * All females must have a negative pregnancy test at the Screening Visit. * Females of childbearing potential must not be lactating and if heterosexually active must agree to use an approved method of highly effective contraception. * Females of non-childbearing potential must b...

Countries:United States
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Recent Changes (Last 90 Days)
LOWJun 4, 2026NCT06980428lastUpdatePostDate: changed
LOWJun 4, 2026NCT06980428lastUpdatePostDate: changed
LOWJun 4, 2026NCT06980428lastUpdatePostDate: changed
LOWJun 4, 2026NCT06980428lastUpdatePostDate: changed
LOWJun 4, 2026NCT06980428lastUpdatePostDate: changed
LOWMay 26, 2026NCT06980428primaryCompletionDate: changed
LOWMay 24, 2026NCT07513571studyFirstPostDate: changed
LOWMay 24, 2026NCT06980428studyFirstPostDate: changed