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Clinical Trials in the UK / NCT06916806
Recruiting Phase 1

A Study to Investigate Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of AZD5492 in Adult Participants With Systemic Lupus Erythematosus or Idiopathic Inflammatory Myopathies or Rheumatoid Arthritis.

NCT06916806 · tracked via the Priya Life Science UK tracker
Sponsor
AstraZeneca
Phase
Phase 1
Started
2025-05-01
Last updated
2026-09-15

Condition(s) studied

Systemic Lupus ErythematosusIdiopathic Inflammatory MyopathiesRheumatoid Arthritis

Investigational drug(s) / intervention(s)

AZD5492

AZD5492: IMP: subcutaneous.

Study summary

The purpose of this study is to measure the safety, tolerability, PK, and PD of AZD5492 administered subcutaneously in adult participants with SLE or IIM or RA

Study details include:

• The study duration will be a minimum of 180 days in addition to the screening period.

Additional follow-up visits may be required up to 12 months from study start.

• Depending on the study part they are assigned to, participants will be administered AZD5492 once (Part 1), twice (Part 2a), or three times (Part 2b).

Eligibility

Sex
ALL
Min age
18 Years
Max age
70 Years
Healthy volunteers
No
Inclusion Criteria: 1. Participant must be 18 to 70 years of age inclusive, at the time of signing the informed consent. 2. Diagnosis of SLE: 1. Diagnosis of SLE according to the 2019 EULAR/ACR classification criteria for SLE 2. Positive for one or more of: anti-nuclear antibodies (titre ≥ 1:80), anti-dsDNA or anti-Sm at screening. 3. Active, moderate-severe disease at screening, defined as clinical SLEDAI-2K ≥ 4. 4. Intolerance to, or inadequate response following at least 3 months of use to, ≥ 3 available treatments, such as the following: corticosteroids, anti-malarial drugs, calcineurin inhibitor, methotrexate, azathioprine, leflunomide, mycophenolic acid or its derivatives, cyclophosphamide, belimumab, anifrolumab, telitacicept, or B-cell depleting monoclonal antibodies. 3. Diagnosis of IIM: 1. Must have "probable" or "definite" diagnosis of PM or DM (excluding IBM and cancer associated myositis) according to the 2017 EULAR/ACR classification criteria for adult myositis. 2. Positive for ≥ 1 disease-specific autoantibody at screening. 3. MMT-8 score of ≤ 142/150 and/or CDASI-A ≥ 6 4. Fulfill at least one of the following criteria of active disease at screening: (i) One or more muscle enzyme elevation (CK, AST, ALT, aldolase, LDH) ≥ 1.3 × ULN (ii) If criterion 3(d)(i) is not met, then at least one of the following criteria must be met: a. Report from MRI performed within 3 months prior to screening with evidence of muscle inflammation b. Report from muscle biopsy performed within 3 months prior to screening that demonstrates active inflammation c. Report from electromyography performed within 3 months prior to screening that exhibits irritable myopathic pattern. (e) Intolerance or inadequate response to corticosteroids and ≥2 other SoC treatments, used for at least 3 months each, for which at least one must be a biologic SoC, immunoglobulin or cyclophosphamide. 4. Diagnosis of RA: (a) Diagnosis of RA as defined by the 2010 EULAR/ACR classification criteria (b) Positive for ≥ 1 disease-specific autoantibody performed by the central laboratory at screening: RF or ACPA (c) Moderate or severe disease activity defined as: (i) ≥6 tender joints and ≥6 swollen joints AND (ii) DAS28-CRP \>3.2. (d) Intolerance to or inadequate response following approximately 3 month's treatment or longer to ≥2 b/tsDMARDs (with different mechanisms of action) after failing csDMARD therapy (unless csDMARD therapy is contraindicated). There is no minimum duration for taking a treatment in cases of intolerance. Exclusion Criteria: 1. Any complications of the disease under study which are judged by the investigator to be life or organ threatening or to require treatments which are not permitted in the protocol, including but not limited to: 1. Active severe SLE-driven renal disease. 2. History of, or current diagnosis of, catastrophic or severe APS (for example diagnosis of an arterial or central/pulmonary venous clot) within 1 year prior to signing the ICF. 3. Rapidly progressive and/or severe ILD or ILD that requires oxygen supplementation/therapy (of any type). 4. Inclusion Body Myositis or cancer associated myositis. 2. Active severe, unstable or history of neuropsychiatric SLE. 3. IIM: Pulmonary function tests at screening (or within one month of screening, provided participant confirms no change in respiratory symptoms in the interim) which meet any of the following criteria: 1. FVC ≤60% of predicted 2. DLCO ≤70% of predicted 3. Deterioration in either FVC or DLCO at screening compared to pulmonary function tests performed ≥3 months previously. 4. Significant history of or at risk of severe infections. 5. Participants with HIV infection. 6. Participants with evidence of chronic or active hepatitis B defined as HBsAg positive or HBcAB positive 7. Participants with evidence of chronic or active hepatitis C 8. Participants with positive COVID-19 PCR. 9. Known history of a primary immunodeficiency, splenectomy, or any underlying condition that predisposes the participant to infection. 10. Significant CNS pathology. 11. Receipt of B-cell-depleting therapy including CD19 or CD20 directed monoclonal antibodies (including but not limited to, ocrelizumab, ofatumumab, obinutuzumab, or rituximab) \<3 months prior to Day 1.

Primary outcome measure(s)

Trial sites (37)

FacilityCityRegionStatus
Research Site Anniston Alabama Recruiting
Research Site Birmingham Alabama Withdrawn
Research Site La Jolla California Not Yet Recruiting
Research Site Sacramento California Not Yet Recruiting
Research Site Iowa City Iowa Recruiting
Research Site Omaha Nebraska Not Yet Recruiting
Research Site Chapel Hill North Carolina Not Yet Recruiting
Research Site Hamilton Ontario Not Yet Recruiting
Research Site Sherbrooke Quebec Recruiting
Research Site Beijing China Recruiting
Research Site Shanghai China Recruiting
Research Site Wuhan China Recruiting
Research Site Zhengzhou China Not Yet Recruiting
Research Site Bordeaux France Recruiting
Research Site Montpellier France Recruiting
Research Site Nancy France Recruiting
Research Site Paris France Recruiting
Research Site Strasbourg France Recruiting
Research Site Toulouse France Recruiting
Research Site Cologne Germany Recruiting
Research Site Erlangen Germany Recruiting
Research Site Magdeburg Germany Not Yet Recruiting
Research Site Pok Fu Lam Hong Kong Recruiting
Research Site Bunkyō City Japan Recruiting
Research Site Kita-gun Japan Recruiting
Research Site Kitakyushu-shi Japan Recruiting
Research Site Kyoto Japan Recruiting
Research Site Nagasaki Japan Recruiting
Research Site Amsterdam Netherlands Recruiting
Research Site Leiden Netherlands Withdrawn
Research Site Mérida Spain Recruiting
Research Site Seville Spain Recruiting
Research Site Valladolid Spain Recruiting
Research Site Glasgow United Kingdom Recruiting
Research Site London United Kingdom Recruiting
Research Site London United Kingdom Recruiting
Research Site Southampton United Kingdom Recruiting
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06916806 on ClinicalTrials.gov ↗ ← All trials in the UK