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AZD7798

Phase 2

Crohn Disease | Small molecule | Gastrointestinal |AstraZeneca PLC|Trials Updated: Sep 18, 2026

AZD7798 development status

Highest phase Phase 2
Registered trials 5 across 1 sponsor since Jul 2022

AZD7798 target and mechanism

ModalitySmall molecule

Also known as Study Drug

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials5
Total Enrollment278

FDA Designations

No designations recorded

AZD7798 clinical trials

AZD7798 · 5 trials · 5 indications

Phase 2 2Phase 1 3
NCT06681324Study Evaluating AZD7798 for Treatment in Crohn's Disease Patients With an IleostomyCrohn's Disease
ACTIVE NOT_RECRUITING24 Analytics
NCT06450197Phase IIa Study Evaluating AZD7798 in Crohn's DiseaseModerate to Severe Crohn's Disease
ACTIVE NOT_RECRUITING120 Analytics
PHASE2ACTIVE NOT_RECRUITING
Study Evaluating AZD7798 for Treatment in Crohn's Disease Patients With an Ileostomy
Crohn's DiseaseUnlock trial analytics
PHASE2ACTIVE NOT_RECRUITING
Phase IIa Study Evaluating AZD7798 in Crohn's Disease
Moderate to Severe Crohn's DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of participants with adverse events
from Week 0 to Week 12

Summary of any adverse events and also by MedDRA SOC and Preferred term

Number of participants with abnormal Vital signs: Blood pressure
from Week 0 to Week 12

Systolic and diastolic blood pressure will be summarized by descriptive statistics

Number of participants with abnormal Vital signs: Pulse rate
from Week 0 to Week 12

Pulse rate will be summarized by descriptive statistics

Number of participants with abnormal values in haematology: complete blood count (CBC)
from Week 0 to Week 12

The variables platelet count, red blood cell (RBC) count, haemoglobin, haematocrit will be summarized with descriptive statistics

Number of participants with abnormal values in haematology: white blood cell (WBC) count
from Week 0 to Week 12

The variables neutrophils, lymphocytes, monocytes, eosinophils, and basophils will be summarized with descriptive statistics

Number of participants with abnormal values in haematology: RBC
from Week 0 to Week 12

The variables mean corpuscular volume (MCV), mean corpuscular haemoglobin (MCH) and percentage of reticulocytes will be summarized with descriptive statistics

Number of participants with abnormal values in clinical chemistry: kidney function
from Week 0 to Week 12

The variables creatinine and blood urea nitrogen (BUN) will be summarized with descriptive statistics

Number of participants with abnormal values in clinical chemistry: electrolytes
from Week 0 to Week 12

The variables potassium, sodium, and calcium will be summarized with descriptive statistics

Number of participants with abnormal values in clinical chemistry: liver function
from Week 0 to Week 12

The variables ALT (Alanine Aminotransferase), AST (Aspartate Aminotransferase), and ALP (alkaline phosphatase), and albumin will be summarized with descriptive statistics

Number of participants with abnormal values in clinical chemistry: hs-CRP
from Week 0 to Week 12

The variable hs-C-reactive protein will be summarized with descriptive statistics

Number of participants with abnormal values in clinical chemistry: glucose
from Week 0 to Week 12

The variable glucose will be summarized with descriptive statistics

Number of participants with abnormal values in ECG readings
from Week 0 to Week 12

12-lead ECGs will be obtained using an ECG machine, that automatically measures RR/HR, PR, QRS, QT and Corrected QT (QTc) intervals, and summarized with descriptive statistics

CDAI remission
Week 12

Crohn's Disease Activity Index (CDAI) is a research tool used to quantify the symptoms of patients with Crohn's disease. It is based on: number of loose stools, abdominal pain, general well-being, extraintestinal complications, antidiarrheal agents used in the previous 7 days, abdominal mass felt on palpation, hematocrit and body weight

Change from baseline in intestinal SUV/SUVR
Weeks 13, 16, 20 and 24 (may vary between participants)

Standardized uptake value (SUV) is the radioactivity concentration in given region of interest normalized for injected radioactivity and body weight. Standardised uptake value ratio (SUVR) is the ratio of SUV in a given region of interest to a reference region without significant radioligand uptake

Percentage Change in Small Bowel Partition Coefficient (Kp) From Baseline (Positron Emission Tomography [PET]1 Visit) to PET2 Visit
PET1 visit (baseline; Day -7 to Day -1) and PET2 visit (Day 14 for all panels except Day 2 for Panel 3)

Kp is the partition coefficient that denotes radioactivity concentration ratio (area under the concentration-time curve \[AUC\] 0-60 min, intestines/AUC 0-60 min, blood). Kp denotes that denominator is the radioactivity measurement in blood (aorta), this is the reference region used in calculations. Percentage change in small bowel Kp from baseline (PET1 Visit) to PET2 visit is reported.

Percentage Change in Small Bowel Kp From Baseline (PET1 Visit) to PET3 Visit
PET1 visit (baseline; Day -7 to Day -1) and PET3 visit (Day 42 for all panels except Days 56 and 28 for Panels 2 and 6, respectively)

Kp is the partition coefficient that denotes radioactivity concentration ratio (area under the concentration-time curve \[AUC\] 0-60 min, intestines/AUC 0-60 min, blood). Kp denotes that denominator is the radioactivity measurement in blood (aorta), this is the reference region used in calculations. Percentage change in small bowel Kp from baseline (PET1 Visit) to PET3 visit is reported.

Number of participants with Adverse Events (AEs)
Until follow-up (Day 85) or Early termination (ET)

The safety and tolerability of AZD7798 following administration of single ascending doses will be assessed.

Secondary Endpoints

Difference in mean change from baseline in endoscopic score between active and placebo
Week 12
Number of participants with endoscopic response
Week 12
Number of participants with endoscopic remission
Week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeOTHER

Treatment Arms

ArmTypeDescription
AZD7798EXPERIMENTALAZD7798
PlaceboPLACEBO_COMPARATORPlacebo
Panel 1EXPERIMENTALHealthy participants will receive a single IV bolus dose of radioligand \[11\^C\]AZ14132516 between Day -7 to Day -1 followed by a single IV infusion of AZD7798 Dose Level 1 on Day 1. Thereafter, again will receive IV bolus dose of radioligand \[11\^C\]AZ14132516 on Day 14 and Day 42.
Panel 2EXPERIMENTALHealthy participants will receive a single IV bolus dose of radioligand \[11\^C\]AZ14132516 between Day -7 to Day -1 followed by a single IV infusion of AZD7798 Dose Level 2 on Day 1. Thereafter, again will receive IV bolus dose of radioligand \[11\^C\]AZ14132516 on Day 14 and Day 56.
Panel 3EXPERIMENTALHealthy participants will receive a single IV bolus dose of radioligand \[11\^C\]AZ14132516 between Day -7 to Day -1 followed by a single IV infusion of AZD7798 Dose Level 2 on Day 1. Thereafter, again will receive IV bolus dose of radioligand \[11\^C\]AZ14132516 on Day 2 and Day 42.
Panel 4EXPERIMENTALParticipants with Crohn's disease will receive a single IV bolus dose of radioligand \[11\^C\]AZ14132516 between Day -7 to Day -1 followed by a single IV infusion of AZD7798 Dose Level 1 on Day 1. Thereafter, again will receive IV bolus dose of radioligand \[11\^C\]AZ14132516 on Day 14 and Day 42.
Panel 5EXPERIMENTALParticipants with Crohn's disease will receive a single IV bolus dose of radioligand \[11\^C\]AZ14132516 between Day -7 to Day -1 followed by a single IV infusion of AZD7798 Dose Level 2 on Day 1. Thereafter, again will receive IV bolus dose of radioligand \[11\^C\]AZ14132516 on Day 14 and Day 42.
Panel 6EXPERIMENTALParticipants with Crohn's disease will receive a single IV bolus dose of radioligand \[11\^C\]AZ14132516 between Day -7 to Day -1 followed by IV infusion of AZD7798 Dose Level 1 on Day 1 (Dose 1) and Day 15 (Dose 2). Thereafter, again will receive IV bolus dose of radioligand \[11\^C\]AZ14132516 on Day 14 and Day 28.
Part 1a - Cohort 1: AZD7798 dose 1EXPERIMENTALA total of 6 subjects will receive single ascending doses of AZD7798.
Part 1a - Cohort 2: AZD7798 dose 2EXPERIMENTALA total of 6 subjects will receive single ascending doses of AZD7798.
Part 1a - Cohort 3: AZD7798 dose 3EXPERIMENTALA total of 6 subjects will receive single ascending doses of AZD7798.
Part 1a - Cohort 4: AZD7798 dose 4EXPERIMENTALA total of 6 subjects will receive single ascending doses of AZD7798.
Part 1a - Cohort 5: AZD7798 dose 5EXPERIMENTALA total of 6 subjects will receive single ascending doses of AZD7798.
Part 1a - Cohort 6: AZD7798 dose 6EXPERIMENTALA total of 6 subjects will receive single ascending doses of AZD7798.
Part 1a - Cohort 7: AZD7798 dose 7EXPERIMENTALA total of 6 subjects will receive single ascending doses of AZD7798.
Part 1b - Cohort 8: AZD7798 dose 8EXPERIMENTALA total of 6 subjects will receive repeat doses of AZD7798.
Part 1a - Spare Cohort 9: AZD7798 dose 9EXPERIMENTALA total of 6 subjects will receive a single ascending dose of AZD7798.
Part 2 - Cohort 10: AZD7798 + AZD7798EXPERIMENTALA total of 4 subjects will receive a single dose on Day 1 followed by a single dose on Day 15.
Part 2 - Cohort 11: Placebo + AZD7798EXPERIMENTALA total of 2 subjects will receive placebo on day 1 followed by AZD7798 on day 15.
Part 2 - Cohort 12: AZD7798 + PlaceboEXPERIMENTALA total of 2 subjects will receive AZD7798 on day 1 followed by placebo on day 15.
Placebo: Part 1a and Part 1bEXPERIMENTALA total of 2 subjects per cohort will receive placebo.
Part 3a - Cohort 12: AZD7798EXPERIMENTALA total of 6 subjects will receive single ascending doses of AZD7798.
Part 3b - Cohort 13: AZD7798EXPERIMENTALA total of 6 subjects will receive single ascending doses of AZD7798.
Placebo: Part 3a and Part 3bEXPERIMENTALA total of 2 subjects per cohort will receive placebo.

Interventions

NameTypeDescription
AZD7798DRUGAZD7798
PlaceboOTHERPlacebo
[11C]AZ14132516DRUGA single microdose (≤ 10 μg) of radiopharmaceutical \[11C\]AZ14132516 will be extemporaneously prepared and administered to each participant prior to each PET examination
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Eligibility Criteria

Age Range18 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites17

Inclusion Criteria: * 18 to 80 years of age. * Diagnosis of Crohn's disease established with clinical AND at least one of imaging, endoscopic, and/or histopathologic evidence. * Ileostomy (including Kock pouch) for at least 3 months. * Prior to screening endoscopy, clinical suspicion of active ilea...

Countries:BelgiumItalyNetherlandsPolandSwedenUkraineUnited KingdomUnited StatesArgentinaAustraliaBrazilBulgariaCanadaChileChinaFranceGermanyHungaryJapanMalaysiaRomaniaSlovakiaSouth AfricaSpainTaiwanTurkey (Türkiye)Vietnam
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Recent Changes (Last 90 Days)

LOWSep 19, 2026NCT06450197lastUpdatePostDate: changed
LOWSep 19, 2026NCT06450197lastUpdatePostDate: changed
LOWSep 19, 2026NCT06450197lastUpdatePostDate: changed
LOWSep 9, 2026NCT06450197lastUpdatePostDate: changed
LOWSep 9, 2026NCT06450197lastUpdatePostDate: changed
LOWSep 3, 2026NCT06450197lastUpdatePostDate: changed
LOWSep 3, 2026NCT06450197lastUpdatePostDate: changed
LOWAug 27, 2026NCT06681324primaryCompletionDate: changed
LOWAug 27, 2026NCT06681324primaryCompletionDate: changed
LOWAug 4, 2026NCT06450197lastUpdatePostDate: changed
LOWAug 4, 2026NCT06450197lastUpdatePostDate: changed

Frequently asked questions about AZD7798

What is AZD7798 used for?

AZD7798 is an investigational small molecule being developed for the treatment of Crohn disease, including moderate to severe Crohn disease. It is a gastrointestinal therapy and is not yet approved for commercial use. AstraZeneca is studying it in adults aged 18 and older, including patients with an ileostomy.

Who is developing AZD7798?

AZD7798 is being developed by AstraZeneca PLC, which trades under the ticker AZN. The company is running the clinical program for the drug across multiple countries, including the United States, Canada, and several European and Asian nations.

What phase is AZD7798 in?

AZD7798 is in Phase 2 clinical development for Crohn disease. Two Phase 2 trials are currently active but not recruiting, and two earlier Phase 1 positron emission tomography studies have been completed. The drug remains investigational and has not been approved by the FDA.

What clinical trials is AZD7798 in?

AZD7798 has been studied in four clinical trials. The Phase 2a study NCT06450197 enrolled 120 patients with moderate to severe Crohn disease, and NCT06681324 is a Phase 2 study in Crohn disease patients with an ileostomy. Completed Phase 1 PET studies include NCT06432764 and NCT06053424.

How many patients have been enrolled in AZD7798 trials?

Across the four listed trials, 158 participants have been enrolled in studies of AZD7798. The largest is the Phase 2a trial NCT06450197 with 120 patients, followed by NCT06681324 with 24, and the two completed Phase 1 PET studies with 13 and 9 participants respectively.

Are AZD7798 trials placebo controlled?

Yes, the AZD7798 clinical program includes randomized, double-blind, placebo-controlled trials. This design is used to compare the investigational small molecule against placebo in patients with Crohn disease, including moderate to severe cases, without biomarker-based patient selection.