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AZD6234

Phase 3

Obesity or Overweight | Small molecule | Metabolic |AstraZeneca PLC|Trials Updated: Oct 2, 2026

AZD6234 development status

Highest phase Phase 3
Registered trials 13 across 1 sponsor since Aug 2022

AZD6234 target and mechanism

ModalitySmall molecule

Also known as AZD6234 Formulation 1, AZD6234 Formulation 2 (low concentration), AZD6234 Formulation 2, AZD6234 Formulation 3, AZD6234 Formulation 2 (high concentration), Lenbelintide

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials8
Total Enrollment4,899

FDA Designations

No designations recorded

AZD6234 clinical trials

AZD6234 · 8 trials · 10 indications

Phase 3 3Phase 2 3Phase 1 2
NCT07776509A Study to Evaluate Effect of AZD6234 as an Adjunct to Incretin-based Therapies in Adult Participants With Obesity or Overweight With Weight-related Comorbidity With or Without Type 2 Diabetes MellitusObesity or Overweight
RECRUITING500 Analytics
NCT07784270A Study to Evaluate Effect of AZD6234 in Adult Participants With Type 2 Diabetes Mellitus and Obesity or OverweightObesity or Overweight
RECRUITING1,500 Analytics
NCT07784725A Study to Evaluate Effect of AZD6234 in Adult Participants With Obesity or Overweight With Weight-related Comorbidity Without Type 2 Diabetes MellitusObesity or Overweight
RECRUITING2,500 Analytics
PHASE3RECRUITING
A Study to Evaluate Effect of AZD6234 as an Adjunct to Incretin-based Therapies in Adult Participants With Obesity or Overweight With Weight-related Comorbidity With or Without Type 2 Diabetes Mellitus
Obesity or OverweightUnlock trial analytics
PHASE3RECRUITING
A Study to Evaluate Effect of AZD6234 in Adult Participants With Type 2 Diabetes Mellitus and Obesity or Overweight
Obesity or OverweightUnlock trial analytics
PHASE3RECRUITING
A Study to Evaluate Effect of AZD6234 in Adult Participants With Obesity or Overweight With Weight-related Comorbidity Without Type 2 Diabetes Mellitus
Obesity or OverweightUnlock trial analytics

Study Endpoints

Primary Endpoints

Percent change in body weight from baseline at 68 weeks of treatment
68 weeks

To evaluate the effect of AZD6234 as compared to placebo as an adjunct to incretin-based therapies in percent body weight change

Percent change in body weight from baseline at 68 weeks of treatment.
68 weeks

To evaluate the effect of AZD6234 compared to placebo in percent body weight change

Numbers of participant with Adverse Events (AEs) and Serious adverse events (SAEs) (sub-study 1).
From baseline to Day 141

To assess the safety and tolerability of repeated subcutaneous(SC) doses of AZD6234 compared to placebo.

Numbers of participant with Adverse Events (AEs) and Serious adverse events (SAEs) (sub-study 2).
From baseline to Day 225

To assess the safety and tolerability of repeated SC doses of AZD9550 and AZD6234 in combination with AZD9550 compared to placebo.

Percent change in body weight from baseline at Study Week 26
From baseline to week 26

To determine whether treatment with AZD6234 is superior to placebo for weight loss at Study Week 26

Weight loss ≥ 5% from baseline at Study Week 26
From baseline to week 26

To assess the effect of AZD6234 versus placebo on the proportion of participants with weight loss ≥ 5% from baseline at Study Week 26

Percent change in body weight from baseline to week 26
26 weeks

To determine whether AZD6234 is superior to placebo for weight loss

Weight loss ≥ 5% from baseline weight to week 26
26 weeks

To determine whether AZD6234 is superior to placebo in participants with weight loss ≥ 5% from baseline

PK parameters AUCinf
Day 0 through Day 56

To compare the plasma PK of separate single SC doses of AZD9550 and AZD6234 in participants with severe and moderate hepatic impairment with matched controls with normal hepatic function

PK parameters AUClast
Day 0 through Day 56

To compare the plasma PK of separate single SC doses of AZD9550 and AZD6234 in participants with severe and moderate hepatic impairment with matched controls with normal hepatic function

PK parameters Cmax
Day 0 through Day 56

To compare the plasma PK of separate single SC doses of AZD9550 and AZD6234 in participants with severe and moderate hepatic impairment with matched controls with normal hepatic function

AUClast
Day 1 to Day 36

Area under plasma concentration-time curve from time zero to the last measurable concentration

AUCinf
Day 1 to Day 36

Area under plasma concentration-time curve from zero to infinity

Cmax
Day 1 to Day 36

Maximum observed plasma concentration

Secondary Endpoints

Percent change in body weight from baseline at 68 weeks of treatment
68 weeks
Absolute change in weight (kg) from baseline at 68 weeks of treatment
68 weeks
Achievement of at least 5% body weight loss from baseline at 68 weeks of treatment
68 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AZD6234EXPERIMENTALAZD6234
PlaceboPLACEBO_COMPARATORMatching placebo
AZD6234 Dose 1EXPERIMENTALAZD6234 Dose 1
AZD6234 Dose 2EXPERIMENTALAZD6234 Dose 2
AZD6234 (sub-study 1)EXPERIMENTALParticipants will receive subcutaneous injection of AZD6234 on Day 1 and continue for 16 weeks.
Placebo (sub-study 1)PLACEBO_COMPARATORParticipants will receive subcutaneous injection of matched volume of placebo on Day 1 and continue for 16 weeks.
AZD9550(sub-study 2 Cohort A)EXPERIMENTALParticipants will receive subcutaneous injection of AZD9550 on Day 1 and continue for 28 weeks.
Placebo (sub-study 2 Cohort A)PLACEBO_COMPARATORParticipants will receive subcutaneous injection of matched volume of placebo on Day 1 and continue for 28 weeks.
AZD6234 in combination with AZD9550 (sub-study 2 Cohort B)EXPERIMENTALParticipants will receive subcutaneous injection of AZD6234 and AZD9550 on Day 1 and continue for 28 weeks.
Placebo (sub-study 2 Cohort B)PLACEBO_COMPARATORParticipants will receive subcutaneous injection of matched volume of placebo on Day 1 and continue for 28 weeks.
Placebo for AZD6234PLACEBO_COMPARATORWeekly SC injections of matching placebo
Arm 1EXPERIMENTALDose 1
Arm 2EXPERIMENTALDose 2
Arm 3EXPERIMENTALDose 3
Arm 4PLACEBO_COMPARATORPlacebo - Dose matched with each Experimental arm
Group 1EXPERIMENTALParticipants with severe hepatic impairment (CP Class C, score of 10 to 15).
Group 2EXPERIMENTALParticipants with moderate hepatic impairment (CP Class B, score of 7 to 9).
Group 3EXPERIMENTALParticipants with normal hepatic function matched on a group level regarding sex, age, and BMI to the participants with hepatic impairment.
Group 4 (optional)EXPERIMENTALSubjects with moderate renal impairment will receive a single subcutaneous dose of AZD6234 under fasted conditions
Group 5 (optional)EXPERIMENTALSubjects with mild renal impairment will receive a single subcutaneous dose of AZD6234 under fasted conditions

Interventions

NameTypeDescription
LenbelintideDRUGIMP injected subcutaneously, once a week.
PlaceboDRUGPlacebo matching IMP dose injected subcutaneously, once a week.
AZD6234DRUGIMP injected subcutaneously, once a week. Unit dose strength as per CSP.
AZD9550DRUGParticipants will receive a subcutaneous injection weekly
PloceboDRUGParticipants will receive a subcutaneous injection weekly
AZD6234 in combination with AZD9550DRUGParticipants will receive a subcutaneous injection weekly
Placebo to matchDRUGWeekly SC injections of matching placebo
Placebo comparatorDRUGPlacebo matching IMP dose injected subcutaneously, once a week.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites96

Inclusion Criteria: * Males \& females (inclusive of all gender identities) age ≥18 years * BMI ≥ 30 kg/m2 OR BMI ≥ 27 kg/m2 with at least one of the following weight-related comorbidities (treated or untreated): hypertension, dyslipidaemia, obstructive sleep apnoea, cardiovascular disease, heart f...

Countries:United StatesArgentinaBrazilCanadaChinaDenmarkIsraelJapanSwedenTurkey (Türkiye)United KingdomAustraliaChileGermanyHungaryIndiaPolandSlovakiaSouth KoreaSpainTaiwanBulgariaCzechiaFranceItaly
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Recent Changes (Last 90 Days)

LOWSep 29, 2026NCT07017179Enrollment: 14 → 16
LOWSep 29, 2026NCT07017179Enrollment: 14 → 16
MEDIUMSep 25, 2026NCT07776509lastUpdatePostDate: changed
MEDIUMSep 25, 2026NCT07776509lastUpdatePostDate: changed
HIGHSep 24, 2026NCT06851858Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHSep 24, 2026NCT06851858Status: ACTIVE_NOT_RECRUITING → COMPLETED
LOWSep 22, 2026NCT07784270Status: NOT_YET_RECRUITING → RECRUITING
LOWSep 22, 2026NCT07784270Status: NOT_YET_RECRUITING → RECRUITING
LOWSep 10, 2026NCT07776509Status: NOT_YET_RECRUITING → RECRUITING
LOWSep 10, 2026NCT07776509Status: NOT_YET_RECRUITING → RECRUITING
LOWSep 1, 2026NCT07546760lastUpdatePostDate: changed
LOWSep 1, 2026NCT07546760lastUpdatePostDate: changed
LOWAug 25, 2026NCT07784270NEW_TRIAL: changed
LOWAug 25, 2026NCT07784725NEW_TRIAL: changed
LOWAug 25, 2026NCT07784270NEW_TRIAL: changed
LOWAug 25, 2026NCT07784725NEW_TRIAL: changed
MEDIUMAug 20, 2026NCT06595238TRIAL_REMOVED: changed
LOWAug 20, 2026NCT07776509NEW_TRIAL: changed

Frequently asked questions about AZD6234

What is AZD6234?

AZD6234 is an investigational small molecule being developed by AstraZeneca for metabolic conditions, including obesity or overweight, type 2 diabetes with obesity or overweight, and hepatic impairment. It is in clinical development and has not been approved by the FDA. It is studied in randomized, double-blind, placebo-controlled trials.

What is AZD6234 used for in obesity or overweight?

AZD6234 is being studied for the treatment of adults with obesity or overweight, including people with weight-related comorbidities and people with type 2 diabetes mellitus and obesity or overweight. It is also being evaluated in adults with hepatic impairment. These uses remain investigational and are not approved.

Who makes AZD6234?

AZD6234 is developed by AstraZeneca PLC, which trades on the Nasdaq under the ticker AZN. AstraZeneca sponsors the clinical program, including the Phase 3 obesity studies and the Phase 1 hepatic impairment study of AZD6234.

What phase is AZD6234 in?

AZD6234 is in Phase 2 and Phase 3 clinical development. Two Phase 3 trials in obesity or overweight are recruiting, and a Phase 2 platform study in Chinese participants with obesity or overweight is active but not recruiting. AZD6234 is investigational and has not been approved by the FDA.

What clinical trials is AZD6234 in?

AZD6234 is being studied in NCT07784725, a Phase 3 trial in adults with obesity or overweight and weight-related comorbidity without type 2 diabetes, and NCT07784270, a Phase 3 trial in adults with type 2 diabetes and obesity or overweight. NCT07017179 is a Phase 2 platform study in China, and NCT07546760 is a Phase 1 hepatic impairment study.

Is AZD6234 the same as AZD6234 Formulation 1 or AZD6234 Formulation 2?

Yes. AZD6234 Formulation 1, AZD6234 Formulation 2, AZD6234 Formulation 2 (low concentration), and AZD6234 Formulation 3 are alternative names for AZD6234. These refer to different formulations of the same investigational small molecule developed by AstraZeneca.