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AZD5148

Phase 2

Clostridioides Difficile Infection | Small molecule | Infectious Disease |AstraZeneca PLC|Trials Updated: Oct 7, 2026

AZD5148 development status

Highest phase Phase 2
Registered trials 3 across 1 sponsor since Jun 2024

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment246

FDA Designations

No designations recorded

AZD5148 clinical trials

AZD5148 · 2 trials · 1 indication

Phase 2 1Phase 1 1
NCT07285213Prevention of Recurrent C. Difficile Infection Study With AZD5148 Monoclonal AntibodyClostridioides Difficile Infection
RECRUITING230 Analytics
PHASE2RECRUITING
Prevention of Recurrent C. Difficile Infection Study With AZD5148 Monoclonal Antibody
Clostridioides Difficile InfectionUnlock trial analytics

Study Endpoints

Primary Endpoints

First occurrence of recurrence of C difficile infection
Day 1 through day 91

Recurrence of C difficile infection (rCDI) occurring after initial clinical cure (ICC) of the qualifying C difficile infection (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 to N/A
SexALL
Healthy VolunteersNo
Study Sites117

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: * History of 3 or more unformed sto...

Countries:United StatesAustraliaCanadaDenmarkFranceGermanyGreeceHungaryItalyJapanPolandSpainSwedenUnited Kingdom
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Recent Changes (Last 90 Days)

LOWOct 7, 2026NCT07285213lastUpdatePostDate: changed
LOWOct 7, 2026NCT07285213lastUpdatePostDate: changed
LOWSep 10, 2026NCT07285213lastUpdatePostDate: changed
LOWSep 10, 2026NCT07285213lastUpdatePostDate: changed
LOWAug 12, 2026NCT07285213lastUpdatePostDate: changed
LOWAug 12, 2026NCT07285213lastUpdatePostDate: changed

Frequently asked questions about AZD5148

What is AZD5148 used for?

AZD5148 is being developed for the prevention of recurrent Clostridioides difficile infection, a serious bacterial infection of the gut. It is an investigational small molecule from AstraZeneca PLC, currently in Phase 2 clinical development, and is not yet approved for any use.

Who makes AZD5148?

AZD5148 is developed by AstraZeneca PLC, which trades on the Nasdaq under the ticker AZN. The company is running the clinical program for the drug in Clostridioides difficile infection, including a Phase 2 prevention study and a completed Phase 1 study in Japanese participants.

What phase is AZD5148 in?

AZD5148 is in Phase 2 clinical development. The lead trial, NCT07285213, is a recruiting Phase 2 study evaluating the drug for prevention of recurrent Clostridioides difficile infection. A separate Phase 1 safety and tolerability study in Japanese participants, NCT06639997, has been completed.

What clinical trials is AZD5148 in?

AZD5148 has two registered trials. NCT07285213 is a recruiting Phase 2 study in Clostridioides difficile infection with 230 planned participants across the United States, Australia, Canada, Europe and Japan. NCT06639997 was a completed Phase 1 safety and tolerability study in 16 Japanese participants, including healthy volunteers.

How is the AZD5148 Phase 2 trial designed?

The Phase 2 trial NCT07285213 is a randomized, double-blind, placebo-controlled study of AZD5148 for prevention of recurrent Clostridioides difficile infection. It plans to enroll 230 participants aged 18 years and older of all sexes, and is currently recruiting across multiple countries in North America, Europe and Asia-Pacific.

Is AZD5148 FDA approved?

No. AZD5148 is an investigational drug and has not been approved by the FDA. It remains in clinical development, with a Phase 2 trial currently recruiting and a Phase 1 trial completed, so it is not available as a marketed treatment for Clostridioides difficile infection.