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AZD5004

Phase 2

Diabetes Mellitus, Type 2 | Small molecule | Metabolic |AstraZeneca PLC|Trials Updated: Jan 13, 2026

AZD5004 development status

Highest phase Phase 2
Registered trials 11 across 1 sponsor since Aug 2024

AZD5004 target and mechanism

Molecular targetGLP-1 receptor
Target classReceptor
ModalitySmall molecule

Also known as AZD5004(Part A), [14C]AZD5004 Oral Solution, ECC5004, Active IMP, AZD5004 film-coated tablet

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials5
Total Enrollment800

FDA Designations

No designations recorded

AZD5004 clinical trials

AZD5004 · 5 trials · 6 indications

Phase 2 2Phase 1 3
NCT06579092Effects of AZD5004 in Adults Who Are Living With Obesity or Overweight With at Least 1 Weight-related ComorbidityObesity or Overweight
COMPLETED310 Analytics
NCT06579105Efficacy, Safety, and Tolerability of Once Daily Oral Administration of AZD5004 Versus Placebo for 26 Weeks in Adults With Type 2 Diabetes Mellitus.Diabetes Mellitus, Type 2
COMPLETED406 Analytics
PHASE2COMPLETED
Effects of AZD5004 in Adults Who Are Living With Obesity or Overweight With at Least 1 Weight-related Comorbidity
Obesity or OverweightUnlock trial analytics
PHASE2COMPLETED
Efficacy, Safety, and Tolerability of Once Daily Oral Administration of AZD5004 Versus Placebo for 26 Weeks in Adults With Type 2 Diabetes Mellitus.
Diabetes Mellitus, Type 2Unlock trial analytics

Study Endpoints

Primary Endpoints

Percent change in body weight from baseline
26 weeks

To determine whether AZD5004 is superior to placebo for weight loss

Achieved Weight Loss ≥ 5% From Baseline
26 weeks

To determine whether AZD5004 is superior to placebo on achieving weight loss ≥ 5% from baseline

Change in HbA1c
Baseline to Week 26

To evaluate the effect of AZD5004 versus placebo on glycemic control

AUCinf
Day 1 to Day 6

Area under plasma concentration-time curve from zero to infinity

AUClast
Day 1 to Day 6

Area under plasma concentration-time curve from time zero to the last measurable concentration

Cmax
Day 1 to Day 6

Maximum observed plasma concentration

PartA: Number of participants with adverse events (AEs) and serious adverse events (SAEs)
From screening (Day -28) to last follow up visit (Day 8)

To assess the safety and tolerability of AZD5004 following single oral doses in healthy participants.

PartB: Number of participants with adverse events (AEs) and serious adverse events (SAEs)
From screening (Day -28) to last follow up visit (Day 119 )

To assess the safety and tolerability of AZD5004 following multiple oral ascending doses in participants with T2DM.

Secondary Endpoints

Percent change in body weight from baseline
36 weeks
Achieved weight loss ≥ 5% from baseline
36 weeks
Absolute change from baseline in body weight
Week 26 and Week 36
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm 1EXPERIMENTALActive IMP
Arm 2EXPERIMENTALActive IMP
Arm 3EXPERIMENTALActive IMP
Arm 4EXPERIMENTALActive IMP
Arm 5EXPERIMENTALActive IMP
Arm 6PLACEBO_COMPARATORMatching placebo for each of the 5 active arms
Arm 7ACTIVE_COMPARATORParticipants will receive once daily dose of Semaglutide as active comparator
Arm 8PLACEBO_COMPARATORParticipants will receive matching placebo for each AZD5004 arm
Group 1EXPERIMENTALA single oral dose of AZD5004 under fasted conditions.
Group 2EXPERIMENTALA single oral dose of AZD5004 under fasted conditions.
Group 3EXPERIMENTALA single oral dose of AZD5004 under fasted conditions.
Group 4EXPERIMENTALA single oral dose of AZD5004 under fasted conditions.
Group 3 (Optional)EXPERIMENTALParticipants with moderate renal impairment will receive a single oral dose of AZD5004 under fasted conditions.
Part A-AZD5004EXPERIMENTALParticipants will receive AZD5004 orally.
Part A-PlaceboPLACEBO_COMPARATORParticipants will receive matching Placebo orally.
Part B-AZD5004EXPERIMENTALParticipants will receive AZD5004 orally.
Part B-PlaceboPLACEBO_COMPARATORParticipants will receive matching Placebo orally.

Interventions

NameTypeDescription
AZD5004DRUGAZD5004 film-coated tablet once daily during 36 weeks
PlaceboDRUGPlacebo matching AZD5004 film-coated tablet once daily during 36 weeks
Placebo (placebo matching AZD5004 film-coated tablet)DRUGPlacebo film-coated tablet (matching AZD5004)
SemaglutideDRUG3-14 mg tablets of Semaglutide
AZD5004(Part A)DRUGSingle dose of AZD5004 oral on Day1
Placebo(Part A)DRUGSingle dose of placebo oral on Day1
AZD5004(Part B)DRUGAZD5004 will be administered as an oral tablet once daily.
Placebo(Part B)DRUGPlacebo will be administered as an oral tablet once daily.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites62

Inclusion Criteria: * Adults ≥ 18 years of age. * BMI of (a) ≥ 30 kg/m2, or (b) ≥ 27 kg/m2 and have a current diagnosis of at least 1 of the following weight-related comorbidities (treated or untreated): (i) Hypertension (ii) Dyslipidemia or hyperlipidemia (iii) CV disease (iv) Obstructive sleep...

Countries:United StatesAustraliaCanadaGermanyJapanTaiwanUnited KingdomHungaryPolandSlovakiaSpain
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Frequently asked questions about AZD5004

What is AZD5004?

AZD5004 is an investigational oral small molecule developed by AstraZeneca PLC for metabolic conditions, including type 2 diabetes, obesity or overweight, and in pharmacokinetic studies of hepatic and renal impairment. It is being studied as a once daily oral treatment and remains in clinical development rather than approved for prescribing.

What is AZD5004 used for in type 2 diabetes?

AZD5004 is being studied for the treatment of type 2 diabetes mellitus, with a Phase 2 trial evaluating once daily oral administration versus placebo over 26 weeks in adults with the condition. It is also being investigated in obesity or overweight and in people with hepatic or renal impairment.

What does AZD5004 target?

AZD5004 targets the GLP-1 receptor, a cell surface receptor involved in metabolic regulation. It is a small molecule designed to act at this receptor, which distinguishes it from peptide-based GLP-1 therapies that are typically given by injection.

Who makes AZD5004?

AZD5004 is developed by AstraZeneca PLC, which trades on the Nasdaq under the ticker AZN. AstraZeneca sponsors the clinical program, including the Phase 2 type 2 diabetes trial and the earlier Phase 1 studies in hepatic impairment, renal impairment, and Japanese participants.

What phase is AZD5004 in?

AZD5004 is in Phase 2 development. A Phase 2 trial in adults with type 2 diabetes has been completed, and Phase 1 studies in hepatic impairment, renal impairment, and healthy Japanese participants or participants with type 2 diabetes have also been completed. AZD5004 is investigational and has not been approved by the FDA.

What clinical trials is AZD5004 in?

AZD5004 has been studied in completed trials including NCT06579105, a Phase 2 placebo-controlled trial in type 2 diabetes with 406 participants, plus Phase 1 studies NCT06813781 in hepatic impairment, NCT06742762 in renal impairment, and NCT06703658 in healthy Japanese participants and participants with type 2 diabetes.

Is AZD5004 the same as AZD5004(Part A) or [14C]AZD5004 Oral Solution?

Yes, AZD5004(Part A) and [14C]AZD5004 Oral Solution are alternative names used for AZD5004 in study documentation. The [14C] label refers to a carbon-14 radiolabeled oral solution formulation used in clinical research, while AZD5004(Part A) denotes a portion of a study.