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Elecoglipron

Phase 3

Chronic Kidney Disease | Small molecule | Nephrology |AstraZeneca PLC|Last Updated: Sep 2, 2026

Success Probability

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment7,000

FDA Designations

No designations recorded

Clinical trial landscape

Elecoglipron · 10 trials · 9 indications

Phase 3 9Phase 1 1
NCT07753993A Study to Investigate Outcomes With Elecoglipron Compared With Placebo in Adult Participants With Chronic Kidney Disease.Chronic Kidney Disease
NOT YET_RECRUITING7,000 Analytics
NCT07761117A Study to Investigate CV Outcomes With Elecoglipron Compared With Placebo in Adult Participants With HFpEF or HFmrEFHeart Failure With Preserved Ejection Fraction (HFpEF)
NOT YET_RECRUITING6,950 Analytics
NCT07775404A Study to Investigate the Efficacy and Safety of Elecoglipron in Asian Participants With Obesity or Overweight With or Without Type 2 Diabetes MellitusObesity
RECRUITING351 Analytics
NCT07664553A Phase III Study to Investigate the Efficacy and Safety of Elecoglipron Compared With Placebo in Adults With Type 2 Diabetes Mellitus on Background InsulinType 2 Diabetes Mellitus
RECRUITING600 Analytics
NCT07662044A Phase III Study to Investigate the Efficacy and Safety of Elecoglipron Alone or in Combination With Dapagliflozin Compared With Placebo in Adults With Type 2 Diabetes MellitusType 2 Diabetes Mellitus
RECRUITING800 Analytics
NCT07662109A Phase III Study to Investigate the Efficacy and Safety of the Combination of Elecoglipron and Dapagliflozin in Adults With Type 2 Diabetes MellitusType 2 Diabetes Mellitus
RECRUITING2,000 Analytics
NCT07662135A Phase III Study to Investigate the Efficacy and Safety of Elecoglipron Compared With Placebo in Adults With Type 2 Diabetes Mellitus and Impaired Renal Function on Background DapagliflozinType 2 Diabetes Mellitus
RECRUITING900 Analytics
NCT07662213A Study to Find Out if the Study Drug Elecoglipron Helps Adults With Type 2 Diabetes Mellitus by Comparing it With Semaglutide, a Medicine Already Used to Treat Type 2 Diabetes MellitusType 2 Diabetes Mellitus
RECRUITING1,200 Analytics
NCT07667803A Master Protocol to Investigate Efficacy and Safety of Elecoglipron in Participants With Obesity or Overweight With or Without T2DMWeight Management
RECRUITING4,500 Analytics
PHASE3NOT YET_RECRUITING
A Study to Investigate Outcomes With Elecoglipron Compared With Placebo in Adult Participants With Chronic Kidney Disease.
Chronic Kidney DiseaseUnlock trial analytics
PHASE3NOT YET_RECRUITING
A Study to Investigate CV Outcomes With Elecoglipron Compared With Placebo in Adult Participants With HFpEF or HFmrEF
Heart Failure With Preserved Ejection Fraction (HFpEF)Unlock trial analytics
PHASE3RECRUITING
A Study to Investigate the Efficacy and Safety of Elecoglipron in Asian Participants With Obesity or Overweight With or Without Type 2 Diabetes Mellitus
ObesityUnlock trial analytics
PHASE3RECRUITING
A Phase III Study to Investigate the Efficacy and Safety of Elecoglipron Compared With Placebo in Adults With Type 2 Diabetes Mellitus on Background Insulin
Type 2 Diabetes MellitusUnlock trial analytics
PHASE3RECRUITING
A Phase III Study to Investigate the Efficacy and Safety of Elecoglipron Alone or in Combination With Dapagliflozin Compared With Placebo in Adults With Type 2 Diabetes Mellitus
Type 2 Diabetes MellitusUnlock trial analytics
PHASE3RECRUITING
A Phase III Study to Investigate the Efficacy and Safety of the Combination of Elecoglipron and Dapagliflozin in Adults With Type 2 Diabetes Mellitus
Type 2 Diabetes MellitusUnlock trial analytics
PHASE3RECRUITING
A Phase III Study to Investigate the Efficacy and Safety of Elecoglipron Compared With Placebo in Adults With Type 2 Diabetes Mellitus and Impaired Renal Function on Background Dapagliflozin
Type 2 Diabetes MellitusUnlock trial analytics
PHASE3RECRUITING
A Study to Find Out if the Study Drug Elecoglipron Helps Adults With Type 2 Diabetes Mellitus by Comparing it With Semaglutide, a Medicine Already Used to Treat Type 2 Diabetes Mellitus
Type 2 Diabetes MellitusUnlock trial analytics
PHASE3RECRUITING
A Master Protocol to Investigate Efficacy and Safety of Elecoglipron in Participants With Obesity or Overweight With or Without T2DM
Weight ManagementUnlock trial analytics

Study Endpoints

Primary Endpoints

To evaluate the effect of elecoglipron compared with placebo in reducing the risk of the composite of ≥ 50% sustained decline in eGFR, ESKD, or all-cause mortality
Event-driven, trial is estimated to be up to 4.5 years

Time to the first occurrence of any component of this composite: * ≥ 50% sustained decline in eGFR * ESKD defined as: Sustained eGFR \< 10 mL/min/1.73 m2, or Chronic dialysis treatment, or Receiving a renal transplant \- All-cause mortality

To evaluate the effect of elecoglipron compared with placebo in reducing the risk of CV death or HHF/urgent HF visit
Up to 42 months

Time to first event of the composite of: CV death HHF Urgent HF visit

Percent change from baseline to Week 52 in body weight
Week 52

Percent change from baseline to Week 52 in body weight.

Participants achieving at least 5% body weight loss at Week 52
Week 52

Achieved at least 5% body weight loss from baseline at Week 52.

Change from baseline in Hemoglobin A1c (HbA1c)
Baseline to Week 40

Summary statistics

Percent body weight loss
72 weeks

Percent change from baseline to Week 72 in body weight

Area under concentration-time curve from time 0 to infinity (AUCinf) of atorvastatin
Group 1: Day 1 to Day 71

To assess the effect of multiple doses of elecoglipron on the PK of a single dose of atorvastatin in healthy participants.

Area under concentration-curve from time 0 to the last quantifiable concentration (AUClast) of atorvastatin
Group 1: Day 1 to Day 71

To assess the effect of multiple doses of elecoglipron on the PK of a single dose of atorvastatin in healthy participants.

Maximum observed drug concentration (Cmax) of atorvastatin
Group 1: Day 1 to Day 71

To assess the effect of multiple doses of elecoglipron on the PK of a single dose of atorvastatin in healthy participants.

AUCinf of rosuvastatin
Group 2: Day 1 to Day 76

To assess the effect of multiple doses of elecoglipron on the PK of a single dose of rosuvastatin in healthy participants.

AUClast of rosuvastatin
Group 2: Day 1 to Day 76

To assess the effect of multiple doses of elecoglipron on the PK of a single dose of rosuvastatin in healthy participants.

Cmax of rosuvastatin
Group 2: Day 1 to Day 76

To assess the effect of multiple doses of elecoglipron on the PK of a single dose of rosuvastatin in healthy participants.

Ratio of Atorvastatin (Atorvastatin + elecoglipron) to Atorvastatin (alone) based on AUCinf (R AUCinf) of atorvastatin
Group 1: Day 1 to Day 71

To assess the effect of multiple doses of elecoglipron on the PK of a single dose of atorvastatin in healthy participants.

Ratio of Atorvastatin (Atorvastatin + elecoglipron) to Atorvastatin (alone) based on AUClast (R AUClast) of atorvastatin
Group 1: Day 1 to Day 71

To assess the effect of multiple doses of elecoglipron on the PK of a single dose of atorvastatin in healthy participants.

Ratio of Atorvastatin (Atorvastatin + elecoglipron) to Atorvastatin (alone) based on Cmax (R Cmax) of atorvastatin
Group 1: Day 1 to Day 71

To assess the effect of multiple doses of elecoglipron on the PK of a single dose of atorvastatin in healthy participants.

Terminal elimination half-life (t1/2λz) of atorvastatin
Group 1: Day 1 to Day 71

To assess the effect of multiple doses of elecoglipron on the PK of a single dose of atorvastatin in healthy participants.

Terminal rate constant (λz) of atorvastatin
Group 1: Day 1 to Day 71

To assess the effect of multiple doses of elecoglipron on the PK of a single dose of atorvastatin in healthy participants.

Time to reach maximum observed concentration (tmax) of atorvastatin
Group 1: Day 1 to Day 71

To assess the effect of multiple doses of elecoglipron on the PK of a single dose of atorvastatin in healthy participants.

Ratio of Rosuvastatin (Rosuvastatin + elecoglipron) to Rosuvastatin (alone) based on AUCinf (R AUCinf) of rosuvastatin
Group 2: Day 1 to Day 76

To assess the effect of multiple doses of elecoglipron on the PK of a single dose of rosuvastatin in healthy participants.

Ratio of Rosuvastatin (Rosuvastatin + elecoglipron) to Rosuvastatin (alone) based on AUClast (R AUClast) of rosuvastatin
Group 2: Day 1 to Day 76

To assess the effect of multiple doses of elecoglipron on the PK of a single dose of rosuvastatin in healthy participants.

Ratio of Rosuvastatin (Rosuvastatin + elecoglipron) to Rosuvastatin (alone) based on Cmax (R Cmax) of rosuvastatin
Group 2: Day 1 to Day 76

To assess the effect of multiple doses of elecoglipron on the PK of a single dose of rosuvastatin in healthy participants.

t1/2λz of rosuvastatin
Group 2: Day 1 to Day 76

To assess the effect of multiple doses of elecoglipron on the PK of a single dose of rosuvastatin in healthy participants.

λz of rosuvastatin
Group 2: Day 1 to Day 76

To assess the effect of multiple doses of elecoglipron on the PK of a single dose of rosuvastatin in healthy participants.

tmax of rosuvastatin
Group 2: Day 1 to Day 76

To assess the effect of multiple doses of elecoglipron on the PK of a single dose of rosuvastatin in healthy participants.

Secondary Endpoints

To evaluate the effect of elecoglipron compared with placebo in reducing the risk of the composite of ≥ 50% sustained decline in eGFR, ESKD, or CV and renal death
Event-driven, trial is estimated to be up to 4.5 years
To evaluate the effect of elecoglipron compared with placebo in reducing the risk of composite of all-cause mortality, MI, or stroke
Event-driven, trial is estimated to be up to 4.5 years
To evaluate the effect of elecoglipron compared with placebo in reducing the risk of MACE (CV death, MI, or stroke)
Event-driven, trial is estimated to be up to 4.5 years
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ElecoglipronEXPERIMENTALElecoglipron tablet once daily
PlaceboACTIVE_COMPARATORPlacebo matching Elecoglipron tablet once daily
Arm 1 - Dose 1EXPERIMENTALActive IMP
Arm 2 - Dose 2EXPERIMENTALActive IMP
Arm 3 - PlaceboPLACEBO_COMPARATORPlacebo matching elecoglipron
Elecoglipron dose level 1EXPERIMENTALParticipants will receive elecoglipron at dose level 1 administered orally once daily.
Elecoglipron dose level 2EXPERIMENTALParticipants will receive elecoglipron at dose level 2 administered orally once daily.
Elecoglipron dose level 1 + dapagliflozin-matched placeboEXPERIMENTALParticipants will receive elecoglipron at dose level 1 and dapagliflozin-matched placebo, administered orally once daily.
Elecoglipron dose level 2 + dapagliflozin-matched placeboEXPERIMENTALParticipants will receive elecoglipron at dose level 2 and dapagliflozin-matched placebo, administered orally once daily.
Elecoglipron (one of the studied dose levels) + dapagliflozinEXPERIMENTALParticipants will receive elecoglipron at one of the study dose levels in combination with dapagliflozin, administered orally once daily.
Elecoglipron-matched placebo + dapagliflozin-matched placeboPLACEBO_COMPARATORParticipants will receive elecoglipron-matched placebo and dapagliflozin-matched placebo, administered orally once daily.
Elecoglipron dose level 1 + dapagliflozinEXPERIMENTALParticipants will receive elecoglipron at dose level 1 and dapagliflozin, administered orally once daily.
Elecoglipron dose level 2 + dapagliflozinEXPERIMENTALParticipants will receive elecoglipron at dose level 2 and dapagliflozin, administered orally once daily.
Elecoglipron-matched placebo + dapagliflozinACTIVE_COMPARATORParticipants will receive elecoglipron-matched placebo + dapagliflozin, administered orally once daily.
SemaglutideACTIVE_COMPARATORParticipants will receive semaglutide dose XX mg administered orally once daily.
Group 1: Period 1EXPERIMENTALParticipants will receive a single dose of atorvastatin on Day 1.
Group 1: Period 2EXPERIMENTALParticipants will receive single dose of atorvastatin on Day 5 and then receive multiple doses of elecoglipron from Day 7 to Day 40.
Group 1: Period 3EXPERIMENTALParticipants will receive single dose of atorvastatin on Day 41 and then receive multiple doses of elecoglipron from Day 41 to Day 43.
Group 1: Period 4EXPERIMENTALParticipants will receive elecoglipron in the morning and a single dose of atorvastatin in the evening on Day 44. Participant will continue elecoglipron on Day 45. Participants will receive daily administration of different doses of elecoglipron alone from Day 46 to Day 58.
Group 1: Period 5EXPERIMENTALParticipants will receive single dose of atorvastatin and elecoglipron on Day 59. Participants will receive elecoglipron alone on Day 60 to Day 61.
Group 1: Period 6EXPERIMENTALParticipants will receive elecoglipron in the morning and a single dose of atorvastatin in the evening on Day 62. Participant will continue elecoglipron alone from Day 63 to Day 64.
Group 2: Period 1EXPERIMENTALParticipants will receive single dose of rosuvastatin on Day 1 and then multiple doses of elecoglipron from Day 5 to Day 38.
Group 2: Period 2EXPERIMENTALParticipants will receive elecoglipron in the morning along with a single dose of rosuvastatin on Day 39. Participant will continue elecoglipron alone from Day 40 to Day 44.
Group 2: Period 3EXPERIMENTALParticipants will receive elecoglipron in the morning and a single dose of rosuvastatin in the evening on Day 45. Participant will continue on different doses of elecoglipron alone from Day 46 to Day 59.
Group 2: Period 4EXPERIMENTALParticipants will receive elecoglipron in the morning along with a single dose of rosuvastatin on Day 60. Participant will continue elecoglipron alone from Day 61 to Day 65.
Group 2: Period 5EXPERIMENTALParticipants will receive elecoglipron in the morning and a single dose of rosuvastatin in the evening on Day 66. Participant will continue on elecoglipron alone from Day 67 to Day 69 and from Day 73 to Day 86.
Group 2: Period 6EXPERIMENTALParticipants will receive elecoglipron and a single dose of rosuvastatin in the morning on Day 87. Participants will continue elecoglipron from Day 87 to Day 91.
Group 2: Period 7EXPERIMENTALParticipants will receive a single dose of rosuvastatin in the morning on Day 106.

Interventions

NameTypeDescription
ElecoglipronDRUGElicoglipron tablet
PlaceboDRUGPlacebo tablet
DapagliflozinDRUGDapagliflozin administered orally once daily.
Elecoglipron-matched placeboDRUGA placebo matching elecoglipron, administered orally once daily.
Dapagliflozin-matched placeboDRUGA placebo matching dapagliflozin, administered orally once daily.
SemaglutideDRUGSemaglutide is administered orally once daily.
AtorvastatinDRUGAtorvastatin will be administered as oral tablet.
RosuvastatinDRUGRosuvastatin will be administered as oral tablet.
Unlock Study Design Details

Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites426

Inclusion Criteria: * Adults with confirmed CKD; UACR ≥30 mg/g and eGFR ≥20 mL/min/1.73 m² within specified ranges. * On stable, patient maximum tolerated, labeled daily dose of ACEI or ARB for ≥4 weeks at least 28 days before screening. Exclusion Criteria: * BMI \<23 kg/m² at screening * History...

Countries:United StatesArgentinaAustraliaBrazilBulgariaCanadaChileCzechiaDenmarkFinlandGermanyGreeceHungaryIndiaIsraelItalyJapanMalaysiaNorwayPeruPhilippinesPolandRomaniaSerbiaSouth KoreaSpainSwedenTaiwanThailandUkraineUnited KingdomVietnamAustriaChinaNetherlandsSlovakiaHong KongSouth AfricaTurkey (Türkiye)MexicoPuerto RicoSaudi Arabia
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Recent Changes (Last 90 Days)

LOWSep 2, 2026NCT07662135lastUpdatePostDate: changed
LOWSep 2, 2026NCT07662135lastUpdatePostDate: changed
LOWSep 2, 2026NCT07662135lastUpdatePostDate: changed
LOWAug 31, 2026NCT07662109lastUpdatePostDate: changed
LOWAug 31, 2026NCT07662044lastUpdatePostDate: changed
LOWAug 31, 2026NCT07662109lastUpdatePostDate: changed
LOWAug 31, 2026NCT07662044lastUpdatePostDate: changed
LOWAug 28, 2026NCT07534592primaryCompletionDate: changed
LOWAug 28, 2026NCT07534592primaryCompletionDate: changed
LOWAug 27, 2026NCT07775404Status: NOT_YET_RECRUITING → RECRUITING
LOWAug 27, 2026NCT07775404Status: NOT_YET_RECRUITING → RECRUITING
LOWAug 20, 2026NCT07775404NEW_TRIAL: changed
LOWAug 20, 2026NCT07775404NEW_TRIAL: changed
LOWAug 12, 2026NCT07761117NEW_TRIAL: changed
LOWAug 12, 2026NCT07761117NEW_TRIAL: changed
LOWAug 11, 2026NCT07753993NEW_TRIAL: changed
LOWAug 11, 2026NCT07753993NEW_TRIAL: changed
LOWAug 11, 2026NCT07753993NEW_TRIAL: changed
LOWAug 4, 2026NCT07662109lastUpdatePostDate: changed
LOWAug 4, 2026NCT07662044lastUpdatePostDate: changed

Frequently asked questions about Elecoglipron

What is Elecoglipron used for?

Elecoglipron is an investigational small molecule being studied for obesity, heart failure with preserved ejection fraction (HFpEF), type 2 diabetes mellitus, weight management, chronic kidney disease, and in healthy participants. It is being developed by AstraZeneca PLC (AZN) and is currently in Phase 3 clinical trials.

What does Elecoglipron target?

Elecoglipron is a small molecule therapeutic being developed by AstraZeneca. Its specific molecular target has not been disclosed in the available information. The drug is being investigated for its effects on metabolic and cardiovascular conditions, including type 2 diabetes and heart failure.

Who makes Elecoglipron?

Elecoglipron is being developed by AstraZeneca PLC, a multinational pharmaceutical company listed on the stock exchange under the ticker symbol AZN. The drug is currently in Phase 3 clinical development for multiple indications, including type 2 diabetes mellitus and heart failure.

What phase is Elecoglipron in?

Elecoglipron is currently in Phase 3 clinical trials. It is an investigational drug and has not yet been approved by regulatory authorities. AstraZeneca is conducting multiple Phase 3 studies to evaluate its efficacy and safety in conditions such as type 2 diabetes and heart failure.

What clinical trials is Elecoglipron in?

Elecoglipron is being studied in several Phase 3 trials, including NCT07662044, NCT07662135, NCT07662213, and NCT07761117. These trials are recruiting or about to recruit participants with type 2 diabetes, chronic kidney disease, and heart failure with preserved or mildly reduced ejection fraction.

Is Elecoglipron the same as dapagliflozin or semaglutide?

No, Elecoglipron is a distinct investigational drug. In clinical trials, it is being studied alone or in combination with dapagliflozin, and compared against semaglutide, which are already approved medicines for type 2 diabetes. Elecoglipron is not the same as either of these drugs.