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AZD5148

Phase 2

Clostridioides Difficile Infection | Small molecule | Infectious Disease |AstraZeneca PLC|Last Updated: Aug 12, 2026

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment246

FDA Designations

No designations recorded

Clinical trial landscape

AZD5148 · 3 trials · 2 indications

Phase 2 1Phase 1 2
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.

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

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

Number of participants with serious adverse events (SAEs) and adverse events of special interest (AESIs)
From Screening (Day -28 to Day -1) to final Follow-up Visit (Day 361 ± 14)

To evaluate the safety and tolerability of AZD5148 administered as a single IV or IM dose to healthy 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
Cohort 1: AZD5148 (dose 1) IMEXPERIMENTALParticipants will receive AZD5148 (dose 1) or matching placebo as an IM injection
Cohort 2a: AZD5148 (dose 2) IMEXPERIMENTALParticipants will receive AZD5148 (dose 2) or matching placebo as an IM injection
Cohort 2b: AZD5148 (dose 2) IMEXPERIMENTALParticipants of Chinese descent will receive AZD5148 (dose 2) or matching placebo as an IM injection
Cohort 3: AZD5148 (dose 2) IVEXPERIMENTALParticipants will receive AZD5148 (dose 2) or matching placebo as an IV bolus
Cohort 4a: AZD5148 (dose 3) IVEXPERIMENTALParticipants will receive AZD5148 (dose 3) or matching placebo as an IV bolus
Cohort 4b: AZD5148 (dose 3) IVEXPERIMENTALParticipants of Chinese descent will receive AZD5148 (dose 3) or matching placebo as an IV bolus
Cohort 5: AZD5148 (dose 4) IVEXPERIMENTALParticipants will receive AZD5148 (dose 4) or matching placebo as an IV bolus

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 Sites116

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)

LOWAug 12, 2026NCT07285213lastUpdatePostDate: changed
LOWAug 12, 2026NCT07285213lastUpdatePostDate: changed
LOWJul 14, 2026NCT07285213lastUpdatePostDate: changed
LOWJul 14, 2026NCT07285213lastUpdatePostDate: changed
LOWJun 24, 2026NCT07285213lastUpdatePostDate: changed
LOWJun 24, 2026NCT07285213lastUpdatePostDate: changed

Frequently asked questions about AZD5148

What is AZD5148 used for?

AZD5148 is an investigational small molecule being studied for the prevention of recurrent Clostridioides difficile infection. It is also being evaluated in healthy participants to assess its safety, tolerability, and pharmacokinetics. The drug is in Phase 2 clinical development for the C. difficile infection indication.

Who makes AZD5148?

AZD5148 is being developed by AstraZeneca PLC, a biopharmaceutical company traded on the NASDAQ under the ticker symbol AZN. AstraZeneca is conducting clinical trials of AZD5148 in multiple countries, including the United States, Japan, and several European nations.

What phase is AZD5148 in?

AZD5148 is currently in Phase 2 clinical development for the prevention of recurrent Clostridioides difficile infection. The drug is investigational and has not been approved by regulatory authorities. Two Phase 1 studies in healthy participants have been completed, and a Phase 2 trial is actively recruiting participants.

What clinical trials is AZD5148 in?

AZD5148 has three clinical trials listed on ClinicalTrials.gov. NCT06469151 and NCT06639997 are completed Phase 1 studies in healthy adults. NCT07285213 is a recruiting Phase 2 trial studying prevention of recurrent C. difficile infection with an enrollment target of 230 participants across multiple countries.

Is AZD5148 the same as a monoclonal antibody?

AZD5148 is described as a small molecule in the development data. However, one of its clinical trials, NCT07285213, is titled 'Prevention of Recurrent C. Difficile Infection Study With AZD5148 Monoclonal Antibody,' which suggests the drug may be evaluated as a monoclonal antibody in that specific study context.