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AZD5004

Phase 2

Diabetes Mellitus, Type 2 | Small molecule | Metabolic |AstraZeneca PLC|Last Updated: Jan 13, 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-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment406
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06579105Efficacy, Safety, and Tolerability of Once Daily Oral Administration of AZD5004 Versus Placebo for 26 Weeks in Adults With Type 2 Diabetes Mellitus.PHASE2 COMPLETED 406Oct 8, 2024Dec 19, 2025Jan 13, 202697 United States, Canada +7
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Study Endpoints
Primary Endpoints
Change in HbA1c
Baseline to Week 26

To evaluate the effect of AZD5004 versus placebo on glycemic control

Secondary Endpoints
Change in fasting glucose
Baseline to Weeks 4, 12, 16 and 26
Achievement of HbA1c ≤ 6.5%
Week 26
Baseline HbA1c ≥ 7.0% and achieved HbA1c < 7.0%
Week 26
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Arm 1EXPERIMENTALParticipants will receive xx mg once daily dose of AZD5004
Arm 2EXPERIMENTALParticipants will receive xx mg once daily dose of AZD5004
Arm 3EXPERIMENTALParticipants will receive xx mg once daily dose of AZD5004
Arm 4EXPERIMENTALParticipants will receive xx mg once daily dose of AZD5004
Arm 5EXPERIMENTALParticipants will receive xx mg once daily dose of AZD5004
Arm 6EXPERIMENTALParticipants will receive xx mg once daily dose of AZD5004
Arm 7ACTIVE_COMPARATORParticipants will receive once daily dose of Semaglutide as active comparator
Arm 8PLACEBO_COMPARATORParticipants will receive matching placebo for each AZD5004 arm
Interventions
NameTypeDescription
Placebo (placebo matching AZD5004 film-coated tablet)DRUGPlacebo film-coated tablet (matching AZD5004)
AZD5004DRUGAZD5004 film-coated tablet, once daily during 26 weeks
SemaglutideDRUG3-14 mg tablets of Semaglutide
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites97

Inclusion Criteria: Adults ≥ 18 years of age. Diagnosed with T2DM for at least 6 months. HbA1c ≥ 7.0% and ≤ 10.5% managed with diet and exercise alone or with a stable dose of metformin or an SGLT2 inhibitor for at least one month prior to screening. Body mass index of ≥ 23 kg/m2. Stable self-r...

Countries:United StatesCanadaGermanyHungaryJapanPolandSlovakiaSpainUnited Kingdom
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