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AZD9550

Phase 2

Obesity or Overweight | Small molecule | Metabolic |AstraZeneca PLC|Last Updated: Aug 26, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials1
Total Enrollment377

FDA Designations

No designations recorded

Clinical trial landscape

AZD9550 · 3 trials · 3 indications

Phase 2 1Phase 1 2
NCT06862791A Weight Loss Study Evaluating Subcutaneous Treatment With AZD9550 and AZD6234 in Combination Against Placebo or Each of the Drugs AloneObesity or Overweight
COMPLETED377 Analytics
PHASE2COMPLETED
A Weight Loss Study Evaluating Subcutaneous Treatment With AZD9550 and AZD6234 in Combination Against Placebo or Each of the Drugs Alone
Obesity or OverweightUnlock trial analytics

Study Endpoints

Primary Endpoints

Percent change in body weight from baseline after 36 weeks of treatment
36 weeks

To determine whether treatment with AZD9550 and AZD6234 in combination is superior to placebo for weight loss

Weight loss ≥ 5% from baseline after 36 weeks of treatment
36 weeks

To assess the effect of treatment with AZD9550 and AZD6234 in combination vs placebo on the proportion of participants with weight loss ≥ 5%

Number and percentage of participants with any AE, SAEs, AEs leading to discontinuation of study intervention, AEs with outcome of death, and AEs leading to withdrawal from study.
Day - 35 to Day 261

Applicable for Parts A, B, C, D, E, F.

Number and percentage of participants with clinically significant changes from baseline in Vital Sign Parameters.
Day - 35 to Day 261

Applicable for Parts A, B, C, D, E, F.

Number and percentage of participants with clinically significant changes in ECG parameters.
Day - 35 to Day 261

Applicable for Parts A, B, C, D, E, F.

Number and percentage of participants with clinically significant changes from baseline in Clinical Laboratory Parameters
Day - 35 to Day 261

Applicable for Parts A, B, C, D, E, F.

Area Under Concentration-Time Curve of AZD9550 following repeat weekly SC doses
Day 1 to Day 65

* AUC from 0 to the time of the last measured concentration (AUClast) at first dose and last dose * AUC over a dosing interval (AUCtau) at first dose and last dose. Applicable for Part A.

Maximum observed concentration of AZD9550 following repeat weekly SC doses
Day 1 to Day 65

• Cmax at first dose and last dose Applicable for Part A.

Half life associated with terminal phase elimination rate constant of AZD9550 following repeat weekly SC doses
Day 1 to Day 65

• t1/2λz at first dose and last dose Applicable for Part A.

Time to maximum observed concentration of AZD9550 following repeat weekly SC doses
Day 1 to Day 65

• tmax at first dose and last dose Applicable for Part A.

Apparent oral clearance of AZD9550 following repeat weekly SC doses
Day 1 to Day 65

• CL/F at first dose and last dose Applicable for Part A.

Apparent volume of distribution of AZD9550 following repeat weekly SC doses
Day 1 to Day 65

• Vz/F at first dose and last dose Applicable for Part A.

Ratio for AUC of AZD9550 following repeat weekly SC doses
Day 1 to Day 65

• Rac AUCtau at last dose Applicable for Part A.

Ratio for Cmax of AZD9550 following repeat weekly SC doses
Day 1 to Day 65

• Rac Cmax at last dose Applicable for Part A.

Adverse Events (AEs) and Serious Adverse Events (SAEs)
Throughout the study (up to 6 months)

The safety and tolerability of AZD9550 following SC administration of single ascending doses to healthy participants, SC administration of a single dose to Japanese participants, and IV administration of a single dose to healthy participants will be assessed.

Secondary Endpoints

Absolute change in body weight from baseline after 36 weeks of treatment
36 weeks
Weight loss ≥ 5% from baseline after 36 weeks of treatment
36 weeks
Weight loss ≥ 10% and ≥ 15% from baseline after 36 weeks of treatment
36 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm 1EXPERIMENTALAZD9550 low dose + AZD6234 low dose or placebos
Arm 2EXPERIMENTALAZD9550 medium dose + AZD6234 medium dose or placebos
Arm 3EXPERIMENTALAZD9550 high dose + AZD6234 high dose or placebos
Arm 4EXPERIMENTALAZD9550 low dose + AZD6234 medium dose or placebos
Arm 5EXPERIMENTALAZD9550 medium dose + AZD6234 low dose or placebos
Arm 6EXPERIMENTALAZD9550 high dose + AZD6234 medium dose or placebos
Arm 7EXPERIMENTALAZD9550 medium dose + AZD6234 high dose or placebos
Arm 8EXPERIMENTALAZD9550 high dose or placebo
Arm 9EXPERIMENTALAZD6234 high dose or placebo
Part A: AZD9550EXPERIMENTALMultiple repeat doses of AZD9550 given as 4 once weekly SC doses for 4 weeks to 2 sequential cohorts in overweight/obese participants with or without T2DM, evaluating 2 low dose levels of AZD9550
Part B: AZD9550EXPERIMENTALOnce weekly up-titration over 5 doses of AZD9550 in overweight/obese participants with or without T2DM
Part C: AZD9550EXPERIMENTALBi-weekly/monthly up-titration of AZD9550 for 24 weeks in overweight/obese participants with or without T2DM.
Part D: AZD9550EXPERIMENTALBi-weekly/monthly up-titration of AZD9550 for 24 weeks in overweight/obese Japanese participants with T2DM.
Part A: placeboEXPERIMENTALMultiple repeat doses of placebo given as 4 once weekly SC doses for 4 weeks to 2 sequential cohorts in overweight/obese participants with or without T2DM, evaluating 2 low dose levels of AZD9550
Part B: placeboEXPERIMENTALOnce weekly administration of placebo over 5 doses, volume matched to the active treatment being up-titrated, in overweight/obese participants with or without T2DM
Part C: placeboEXPERIMENTALBi-weekly/monthly administration of placebo - volume matched to the active treatment being up-titrated - for 24 weeks in overweight/obese participants with or without T2DM.
Part D: placeboEXPERIMENTALBi-weekly/monthly administration of placebo - volume matched to the active treatment being up-titrated - 24 weeks in overweight/obese Japanese participants with T2DM.
Part E: AZD9550 and AZD6234EXPERIMENTALBi-weekly/monthly up-titration of AZD9550 and AZD6234 for 24 weeks in overweight/obese participants with T2DM.
Part E: placeboEXPERIMENTALBi-weekly/monthly administration of placebo - volume matched to the active treatments being up-titrated - 24 weeks in overweight/obese participants with T2DM.
Part F: AZD9550EXPERIMENTALBi-weekly/monthly up-titration of AZD9550 for 28 weeks in obese participants without T2DM.
Part F: placeboEXPERIMENTALBi-weekly/monthly administration of placebo - volume matched to the active treatment - 28 weeks in obese participants without T2DM.
Part AEXPERIMENTALParticipants will be administered single ascending SC doses of AZD9550 or a placebo.
Part BEXPERIMENTALParticipants will be administered one SC dose of AZD9550 or a placebo.
Part CEXPERIMENTALParticipants will be administered one IV dose of AZD9550 or a placebo.

Interventions

NameTypeDescription
AZD9550DRUGIMP injected subcutaneous, once weekly. Unit dose strength as per CSP
AZD6234DRUGIMP injected subcutaneous, once weekly. Unit dose strength as per CSP.
Placebo comparatorDRUGPlacebo matching IMP dose injected subcutaneously, once weekly.
placeboDRUGMatching administration volumes for SC injection. For Part E placebo two injections of two different placebos.
AZD9550 and AZD6234DRUGPart E: Doses of AZD9550 and AZD6234 that increase every 2 weeks, then every 4 weeks
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites53

Inclusion Criteria: * Participant must be 18 to 75 years of age inclusive. * BMI: ≥ 30 kg/m2, or ≥ 27 kg/m2 with at least one weight related comorbidity. * A stable, self-reported body weight for 3 months prior to screening. * Male and female participants: Contraceptive use by males or females shou...

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

LOWAug 26, 2026NCT06151964lastUpdatePostDate: changed
LOWAug 26, 2026NCT06151964lastUpdatePostDate: changed
MEDIUMJul 4, 2026NCT06862791TRIAL_REMOVED: changed
MEDIUMJul 4, 2026NCT06862791TRIAL_REMOVED: changed
MEDIUMJul 4, 2026NCT06862791TRIAL_REMOVED: changed
MEDIUMJun 23, 2026NCT06151964Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMJun 23, 2026NCT06151964Status: RECRUITING → ACTIVE_NOT_RECRUITING

Frequently asked questions about AZD9550

What is AZD9550 used for?

AZD9550 is an investigational small molecule being developed for metabolic conditions including overweight and obesity, and non-alcoholic steatohepatitis (NASH). It is being studied in people with or without type 2 diabetes who are living with obesity and overweight, as well as in healthy participants in early-stage trials.

Who is developing AZD9550?

AZD9550 is being developed by AstraZeneca PLC, a biopharmaceutical company listed on the stock exchange under the ticker AZN. The company is conducting clinical trials of AZD9550 as a monotherapy and in combination with another investigational drug, AZD6234, for weight management and related metabolic conditions.

What phase is AZD9550 in?

AZD9550 is in clinical development, with trials listed as Phase 1 and Phase 2. The Phase 1 trials assess safety, tolerability, and pharmacokinetics, while a Phase 2 trial evaluates weight loss with AZD9550 alone and in combination with AZD6234. It is not yet approved and remains investigational.

What clinical trials is AZD9550 in?

AZD9550 has been studied in several clinical trials. NCT05848440 is a completed Phase 1 single ascending dose study in healthy participants with non-alcoholic steatohepatitis. NCT06151964 is an active Phase 1 trial of AZD9550 alone and with AZD6234 in people with or without type 2 diabetes who are overweight or obese. NCT06862791 is a completed Phase 2 weight loss study comparing AZD9550 and AZD6234 in combination against placebo or each drug alone.

Is AZD9550 being studied in combination with other drugs?

Yes, AZD9550 is being studied in combination with AZD6234, another investigational drug. Clinical trials evaluate AZD9550 monotherapy and combined with AZD6234 in people with or without type 2 diabetes who are living with obesity and overweight, as well as in a weight loss study comparing the combination against placebo or each drug alone.

What is the enrollment and design of AZD9550 trials?

AZD9550 clinical trials are randomized, double-blind, and controlled. The trials have enrolled a total of 377 participants across studies, with individual trial enrollments of 48, 166, and 377 participants. The studies include healthy volunteers and people with obesity or overweight, with or without type 2 diabetes, across multiple countries.