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This is a Multi-centre, Multi-drug, Platform Study in Chinese Participants Living With Obesity / Overweight
A Phase IIa Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of AZD6234, AZD9550, and AZD6234 in Combination With AZD9550 in Chinese Participants Living With Obesity/Overweight
Lead sponsor
Assets
AZD6234 / AZD9550
Listed sites
3
Recruiting sites
2
Enrollment
871
estimated
Study population
Obesity / overweight
Key I/E criterion
•BMI ≥27
Primary endpoint
•Numbers of participant with Adverse Events (AEs)
Footprint
Where this trial recruits
Site locations as reported to ClinicalTrials.gov. Site count is not enrollment count; per-site enrollment is not available from source.
Identifiers
Registered as
Timeline
Milestones
Assets
Investigational agents
Study populations
Who this study enrolls
Eligibility
Who can enroll
Inclusion criteria
1. Age 18 to 55 years.
2. BMI ≥ 27 kg/m2.
3. Stable body weight for 3 months prior to screening.
4. Male and female (Contraceptive use by participants or participant partners should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies).
5. Participants should refrain from blodd donation throughout the sub-study, including the follow-up period.
6. Negative pregnancy test at screening and randomisation for FOCBP and must not be breastfeeding.
Exclusion criteria
1. Have received prescription medication or non-prescription medication for weight loss within the last 3 months prior to screening.
2. History of type 1 or type 2 diabetes mellitus or symptoms indicative of insulinopenia or poor glucose control.
3. Treatment with diabetes medication in past 3 months prior to screening.
4. HbA1c ≥ 6.5% (48 mmol/mol) at screening.
5. Gastroparesis (or similar) requiring treatment.
6. Significant inflammatory bowel disease or other severe disease or surgery affecting the upper GI tract.
7. Significant hepatic disease (except for non-alcoholic steatohepatitis or non-alcoholic fatty liver disease without portal hypertension or cirrhosis) and/or participants with any of the following results at screening:
1. AST ≥ 2.5 × ULN
2. ALT ≥ 2.5 × ULN
3. TBL ≥ 1.5 × ULN.
8. Prior history of cholecystectomy or untreated cholelithiasis.
9. History of acute or chronic pancreatitis or pancreatic amylase or lipase > 2 × ULN at screening.
10. Severely uncontrolled hypertension defined as systolic BP ≥ 160 mmHg and/or diastolic BP ≥ 100 mmHg on the average of 2 seated measurements after being at rest for at least 5 minutes.
11. HR < 50 bpm or > 100 bpm after being at rest for 5 minutes.
12. Impaired renal function defined as eGFR ≤ 45 mL/minute/1.73 m2 at screening (GFR estimated according to CKD-EPI).
13. History of psychosis or bipolar disorder.
14. Severe vitamin D deficiency defined as a 25-OH vitamin D level < 12 ng/mL.
15. Uncontrolled thyroid disease, defined as TSH > ULN or < LLN for the laboratory reference range, as judged by the PI at screening.
Sub-study 2 only
16. Personal or family history (first-degree relative) of MTC or MEN2.
17. History of marijuana or THC use within 3 months before screening, or unwilling/unable to abstain from marijuana or THC use during the study.
18. Previous hospitalisation for any psychiatric reason.
19. PHQ-9 score ≥ 15 within the 2 years prior to screening or at screening.
Endpoints (20)
What's being measured
Protocol endpoints and posted registry outcome measures, grouped into outcome categories. Composite endpoints show their component event types. Standard codes (LOINC, SNOMED CT) are shown where available.
Coverage by outcome category
Weight & body composition
3 endpointsPercent change in body weight from baseline to Week 16 (sub-study 1)
Time frame:From baseline to Week 16
percent change from baseline, improvement
Percent change in body weight from baseline to Week 28 (sub-study 2 ), placebo as comparator
Time frame:From baseline to Week 28
percent change from baseline, improvement
Percent change in body weight from baseline to Week 28 (sub-study 2, AZD9550 as comparator)
Time frame:From baseline to Week 28
percent change from baseline, improvement
Safety / tolerability / PK
16 endpointsNumbers of participant with Adverse Events (AEs) and Serious adverse events (SAEs) (sub-study 1).
Time frame:From baseline to Day 141
descriptive
Numbers of participant with Adverse Events (AEs) and Serious adverse events (SAEs) (sub-study 2).
Time frame:From baseline to Day 225
descriptive
PK parameters : Cmax (sub-study 1)
Time frame:Days 1, 8, 15, 22, 29, 36, 43, 50, 57, 64, 71, 85,106,113,120,127,141 Pre-dose. Day 1,36,43,57,106 post-dose 2,4,8,12,24,36,48,60,72,96 hours.
concentration, descriptive
PK parameters : Tmax (sub-study 1)
Time frame:Days 1, 8, 15, 22, 29, 36, 43, 50, 57, 64, 71, 85,106,113,120,127,141 Pre-dose. Day 1,36,43,57,106 post-dose 2,4,8,12,24,36,48,60,72,96 hours.
concentration, descriptive
PK parameters : AUClast (sub-study 1)
Time frame:Days 1, 8, 15, 22, 29, 36, 43, 50, 57, 64, 71, 85,106,113,120,127,141 Pre-dose. Day 1,36,43,57,106 post-dose 2,4,8,12,24,36,48,60,72,96 hours.
descriptive
PK parameters : AUCtau (sub-study 1)
Time frame:Days 1, 8, 15, 22, 29, 36, 43, 50, 57, 64, 71, 85,106,113,120,127,141 Pre-dose. Day 1,36,43,57,106 post-dose 2,4,8,12,24,36,48,60,72,96 hours.
descriptive
Incidence of ADA to AZD6234 (sub-study 1).
Time frame:Day 1 to Day 141
event count, event
ADA titer of AZD6234 (sub-study 1).
Time frame:Day 1 to Day 141
descriptive
PK parameters : Cmax (sub-study 2 Cohort A)
Time frame:Days 1, 15, 29, 57, 85, 113, 141, 190, 204, 211, 225 per dose. Days 1, 57, 113, 141,190 post-dose 6, 12, 18, 24 hours (± 10 minutes). Day 190 post-dos 30, 36, 42, 48, 54, 60, 72, 96, 120, 144,168 hours (± 30 minutes).
concentration, descriptive
PK parameters : Tmax (sub-study 2 Cohort A)
Time frame:Days 1, 15, 29, 57, 85, 113, 141, 190, 204, 211, 225 per dose. Days 1, 57, 113, 141,190 post-dose 6, 12, 18, 24 hours (± 10 minutes). Day 190 post-dos 30, 36, 42, 48, 54, 60, 72, 96, 120, 144,168 hours (± 30 minutes).
concentration, descriptive
PK parameters : AUClast (sub-study 2 Cohort A)
Time frame:Days 1, 15, 29, 57, 85, 113, 141, 190, 204, 211, 225 per dose. Days 1, 57, 113, 141,190 post-dose 6, 12, 18, 24 hours (± 10 minutes). Day 190 post-dos 30, 36, 42, 48, 54, 60, 72, 96, 120, 144,168 hours (± 30 minutes).
descriptive
PK parameters : AUCtau (sub-study 2 Cohort A)
Time frame:Days 1, 15, 29, 57, 85, 113, 141, 190, 204, 211, 225 per dose. Days 1, 57, 113, 141,190 post-dose 6, 12, 18, 24 hours (± 10 minutes). Day 190 post-dos 30, 36, 42, 48, 54, 60, 72, 96, 120, 144,168 hours (± 30 minutes).
descriptive
Incidence of ADA to AZD9550 (sub-study 2).
Time frame:Day 1 to Day 225
event count, event
ADA titer of AZD9550 (sub-study 2 Cohort A).
Time frame:Day 1 to Day 225
descriptive
Incidence of ADA to AZD6234 and AZD9550 combination therapy (sub-study 2 Cohort B).
Time frame:Day 1 to Day 225
event count, event
ADA titer of AZD6234 and AZD9550 combination therapy (sub-study 2 Cohort B).
Time frame:Day 1 to Day 225
descriptive
Other (unclassified)
1 endpointPlasma trough concentration (sub-study 2 Cohort B).
Time frame:Day 1 to Day 225
concentration, descriptive
Provenance
Sources
Trial facts come from public ClinicalTrials.gov records. Endpoint categories are Delfa's classification of those records, not a ClinicalTrials.gov field. All figures reflect the July 1, 2026 snapshot.