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AZD5492

Phase 1

Systemic Lupus Erythematosus | Small molecule | Immunology |AstraZeneca PLC|Last Updated: May 27, 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
CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment72
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06916806A Study to Investigate Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of AZD5492 in Adult Participants With Systemic Lupus Erythematosus or Idiopathic Inflammatory Myopathies or Rheumatoid Arthritis.PHASE1 RECRUITING 72May 1, 2025Sep 15, 2027May 27, 202637 United States, Canada +8
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Study Endpoints
Primary Endpoints
Safety evaluation of AZD5492: Number of participants with treatment-emergent adverse events.
Day 1 to end of the study (up to 52 weeks)

Number and percentage of participants with AEs, AESIs, and SAEs

Safety evaluation of AZD5492: Number of participants with related treatment-emergent adverse events.
Day 1 to end of the study (up to 52 weeks)

Number and percentage of participants with AEs related to IMP as assessed by the investigator

Safety evaluation of AZD5492: Frequency of dose limiting toxicities (DLTs).
Day 1 to end of the study (up to 52 weeks)

Number and percentage of participants with DLTs (dose-limiting toxicities) as defined in the study protocol.

Safety evaluation of AZD5492: Number of SAEs leading to death
Day 1 to end of the study (up to 52 weeks)

Number and percentage of participants with SAEs leading to death.

Safety evaluation of AZD5492: Number of participants with treatment-emergent adverse events by grade.
Day 1 to end of the study (up to 52 weeks)

Number and percentage of participants with AEs according ASTCT, IEC-HS, and CTCAE grades.

Tolerability evaluation of AZD5492: Number of participants with treatment-emergent vital signs abnormalities.
Day 1 to end of the study (up to 52 weeks)

Number and percentage of participants with treatment-related vital signs abnormalities.

Tolerability evaluation of AZD5492: Number of participants with treatment-emergent clinical laboratory abnormalities.
Day 1 to end of the study (up to 52 weeks)

Number and percentage of participants with treatment-related clinical laboratory abnormalities.

Tolerability evaluation of AZD5492: Number of participants with abnormal ECG.
From Day 1 up to Day 180

Number and percentage of participants with abnormal ECG.

Secondary Endpoints
Serum Pharmacokinetics (PK) parameters of AZD5492 (Cmax)
From Day 1 through Day 60
Serum Pharmacokinetics (PK) parameters of AZD5492 (AUC)
From Day 1 through Day 60
Serum Pharmacokinetics (PK) parameters of AZD5492 (t1/2λz)
From Day 1 through Day 60
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Part 1: Single Ascending Dose with AZD5492EXPERIMENTALParticipants will receive AZD5492 at an assigned dose as subcutaneous (SC) injection on Day 1.
Part 2: Step-Up Dosing with AZD5492EXPERIMENTALParticipants will receive AZD5492 as SC injection at the priming dose determined in Part 1, on Day 1, and at a target dose, based on the emergent safety data, on Day 8.
Interventions
NameTypeDescription
AZD5492DRUGIMP: subcutaneous.
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Eligibility Criteria
Age Range18 Years — 70 Years
SexALL
Healthy VolunteersNo
Study Sites37

Inclusion Criteria: 1. Participant must be 18 to 70 years of age inclusive, at the time of signing the informed consent. 2. Diagnosis of SLE: 1. Diagnosis of SLE according to the 2019 EULAR/ACR classification criteria for SLE 2. Positive for one or more of: anti-nuclear antibodies (titre ≥ 1...

Countries:United StatesCanadaChinaFranceGermanyHong KongJapanNetherlandsSpainUnited Kingdom
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Recent Changes (Last 90 Days)
LOWMay 28, 2026NCT06916806lastUpdatePostDate: changed
LOWMay 28, 2026NCT06916806lastUpdatePostDate: changed
LOWMay 26, 2026NCT06916806primaryCompletionDate: changed
LOWMay 24, 2026NCT06916806studyFirstPostDate: changed