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AZD5148

Phase 2

Clostridioides Difficile Infection | Small molecule | Other |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-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment246
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07285213Prevention of Recurrent C. Difficile Infection Study With AZD5148 Monoclonal AntibodyPHASE2 RECRUITING 230Dec 10, 2025Jan 18, 2028Jun 3, 2026114 United States, Australia +12
NCT06639997Safety and Tolerability of AZD5148 in Japanese ParticipantsPHASE1 COMPLETED 16Oct 31, 2024Dec 25, 2025Jan 30, 20261 Japan
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Study Endpoints
Primary Endpoints
First occurrence of recurrence of C difficile infection
Day 1 through day 91

rCDI is a recurrence of C difficile infection (CDI) occurring after initial clinical cure of the qualifying CDI. CDI is defined as a history of diarrhea (\>=3 unformed stools, ie, type 6 or 7 stool on Bristol Stool Scale in \<=24 hours for 2 consecutive calendar days) accompanied by a positive stool test for C difficile toxin.

Number of Japanese participants with adverse events (AEs).
From Randomization (Day -1 or Day 1) to Day 91

To evaluate the safety and tolerability of AZD5148 administered as a single IV or IM dose to healthy Japanese adult participants.

Number of participants with serious adverse events (SAEs)
From Screening (Day -28 to Day -2) to final Follow-up Visit (Day 361)

To evaluate the safety and tolerability of AZD5148 administered as a single IV or IM dose to healthy Japanese adult participants.

Number of participants with adverse events of special interest (AESIs)
From Randomization (Day -1 or Day 1) to final Follow-up Visit (Day 361)

To evaluate the safety and tolerability of AZD5148 administered as a single IV or IM dose to healthy Japanese adult participants.

Secondary Endpoints
Sustained clinical cure
Day 91
Duration of recurrent C difficile infection
Day 1 through Day 91
First occurrence of severe recurrent C difficile infection
Day 1 through Day 91
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
AZD5148: dose AEXPERIMENTALParticipants will receive a single dose A of AZD5148 administered via either intramuscular injection or intravenous push.
PlaceboPLACEBO_COMPARATORParticipants will receive a single dose of placebo via intramuscular or intravenous push.
Cohort 1 - AZD5148 IMEXPERIMENTALBiological: AZD5148 (Cohort 1) ・Single dose of AZD5148 IM
Cohort 1 - Placebo IMPLACEBO_COMPARATORBiological: Placebo (Cohort 1) Single dose of Placebo IM
Cohort 2 - AZD5148 IVEXPERIMENTALBiological: AZD5148 (Cohort 2) ・Single dose of AZD5148 IV
Cohort 2 - Placebo IVPLACEBO_COMPARATORBiological: Placebo (Cohort 2) Single dose of Placebo IV
Interventions
NameTypeDescription
AZD5148DRUGParticipants will receive a single dose A of AZD5148 administered via either intramuscular injection or intravenous push.
PlaceboOTHERParticipants will receive a single dose of placebo (0.9% (w/v) sodium chloride for injection) administered via either intramuscular injection or intravenous push.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites114

Inclusion Criteria: Participant must be ≥ 18 years of age at the time of signing the informed consent, capable of giving signed informed consent. Participants with a qualifying C. difficile infection episode at the time of providing informed consent defined by: * Positive local C. difficile toxin...

Countries:United StatesAustraliaCanadaDenmarkFranceGermanyGreeceHungaryItalyJapanPolandSpainSwedenUnited Kingdom
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Recent Changes (Last 90 Days)
LOWJun 4, 2026NCT07285213lastUpdatePostDate: changed
LOWJun 4, 2026NCT07285213lastUpdatePostDate: changed
LOWJun 4, 2026NCT07285213lastUpdatePostDate: changed
LOWJun 4, 2026NCT07285213lastUpdatePostDate: changed
LOWJun 4, 2026NCT07285213lastUpdatePostDate: changed
LOWMay 26, 2026NCT07285213primaryCompletionDate: changed
LOWMay 24, 2026NCT07285213studyFirstPostDate: changed