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Elecoglipron

Phase 3

Chronic Kidney Disease | Small molecule | Nephrology |AstraZeneca PLC|Trials Updated: Oct 13, 2026

Elecoglipron development status

Highest phase Phase 3
Registered trials 10 across 1 sponsor since Apr 2026

Elecoglipron target and mechanism

ModalitySmall molecule

Also known as Elecoglipron Test formulation 1 Dose B, Active IMP

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials9
Total Enrollment24,301

FDA Designations

No designations recorded

Elecoglipron clinical trials

Elecoglipron · 9 trials · 8 indications

Phase 3 9
NCT07761117A Study to Investigate CV Outcomes With Elecoglipron Compared With Placebo in Adult Participants With HFpEF or HFmrEFHeart Failure With Preserved Ejection Fraction (HFpEF)
RECRUITING6,950 Analytics
NCT07753993A Study to Investigate Outcomes With Elecoglipron Compared With Placebo in Adult Participants With Chronic Kidney Disease.Chronic Kidney Disease
RECRUITING7,000 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
PHASE3RECRUITING
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 Outcomes With Elecoglipron Compared With Placebo in Adult Participants With Chronic Kidney Disease.
Chronic Kidney DiseaseUnlock 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 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

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

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

Secondary Endpoints

To evaluate the effect of elecoglipron compared with placebo in reducing the rate of HF events (HHF or urgent HF visit)
Up to 42 months
To evaluate the effect of elecoglipron compared to placebo on improving patient-reported outcomes using a questionnaire.
Baseline and 52 weeks
To evaluate the effect of elecoglipron compared with placebo in reducing the risk of the 4-point composite of all-cause death, HHF, MI, or stroke
Up to 42 months
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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.

Interventions

NameTypeDescription
ElecoglipronDRUGElecoglipron 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.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites679

Inclusion Criteria: * Left ventricular ejection fraction (LVEF) of \> 40% within 12 months prior to screening. * Structural heart disease evidence. * HF diagnosed with New York Heart Association (NYHA) Class II-IV at the time of screening. Exclusion Criteria: * BMI \<25 kg/m² at screening. * Diab...

Countries:United StatesArgentinaAustraliaAustriaBrazilBulgariaCanadaChinaCzechiaFranceGermanyGreeceHungaryIndiaItalyJapanMalaysiaMexicoNetherlandsPolandRomaniaSlovakiaSouth KoreaSpainSwedenTaiwanThailandTurkey (Türkiye)UkraineUnited Arab EmiratesUnited KingdomVietnamChileDenmarkFinlandIndonesiaIsraelNorwayPeruPhilippinesSerbiaHong KongSouth AfricaPuerto RicoSaudi Arabia
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Recent Changes (Last 90 Days)

LOWOct 13, 2026NCT07667803lastUpdatePostDate: changed
LOWOct 13, 2026NCT07667803lastUpdatePostDate: changed
MEDIUMOct 1, 2026NCT07775404primaryCompletionDate: changed
MEDIUMOct 1, 2026NCT07775404primaryCompletionDate: changed
LOWSep 28, 2026NCT07761117lastUpdatePostDate: changed
LOWSep 28, 2026NCT07761117lastUpdatePostDate: changed
LOWSep 9, 2026NCT07662213lastUpdatePostDate: changed
LOWSep 9, 2026NCT07667803lastUpdatePostDate: changed
LOWSep 9, 2026NCT07753993Status: NOT_YET_RECRUITING → RECRUITING
LOWSep 9, 2026NCT07761117Status: NOT_YET_RECRUITING → RECRUITING
LOWSep 9, 2026NCT07662213lastUpdatePostDate: changed
LOWSep 9, 2026NCT07667803lastUpdatePostDate: changed
LOWSep 9, 2026NCT07761117Status: NOT_YET_RECRUITING → RECRUITING
LOWSep 9, 2026NCT07753993Status: NOT_YET_RECRUITING → RECRUITING
LOWSep 2, 2026NCT07662135lastUpdatePostDate: changed
LOWSep 2, 2026NCT07662135lastUpdatePostDate: changed
LOWSep 2, 2026NCT07662135lastUpdatePostDate: changed
LOWAug 31, 2026NCT07662044lastUpdatePostDate: changed
LOWAug 31, 2026NCT07662109lastUpdatePostDate: changed
LOWAug 31, 2026NCT07662044lastUpdatePostDate: changed

Frequently asked questions about Elecoglipron

What is Elecoglipron?

Elecoglipron is an investigational small molecule developed by AstraZeneca PLC (ticker AZN). It is being studied in Phase 3 clinical trials for chronic kidney disease, heart failure with preserved ejection fraction (HFpEF), obesity, type 2 diabetes mellitus, and weight management. It is not yet approved and remains in clinical development.

What is Elecoglipron used for?

Elecoglipron is being evaluated for chronic kidney disease, heart failure with preserved ejection fraction (HFpEF), obesity, type 2 diabetes mellitus, and weight management. These are the indications under study in its Phase 3 program. No approved use has been established, as the drug is still investigational.

Who makes Elecoglipron?

Elecoglipron is developed by AstraZeneca PLC, which trades under the ticker AZN. AstraZeneca is the sponsor of the Phase 3 clinical program evaluating the drug across nephrology, cardiology, and metabolic indications.

What phase is Elecoglipron in?

Elecoglipron is in Phase 3 clinical development. Five trials are active and recruiting, with no completed trials. The program includes randomized, double-blind, active-controlled studies. Elecoglipron is investigational and has not been approved by the FDA or any other regulatory agency.

What clinical trials is Elecoglipron in?

Elecoglipron is being studied in five active Phase 3 trials. These include NCT07775404 in Asian participants with obesity or overweight, NCT07761117 in HFpEF or HFmrEF, NCT07753993 in chronic kidney disease, and NCT07667803, a master protocol in obesity or overweight with or without type 2 diabetes. All are currently recruiting.

Is Elecoglipron the same as Elecoglipron Reference Formulation Dose A?

Yes. Elecoglipron Reference Formulation Dose A, Elecoglipron Test formulation 1 Dose A, and Elecoglipron Test formulation 1 Dose B are alternative names referring to the same investigational drug, Elecoglipron. These names describe different formulation doses used in its clinical studies.