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Effects of AZD5004 in Adults Who Are Living With Obesity or Overweight With at Least 1 Weight-related Comorbidity

A Phase IIb Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy, Safety and Tolerability of AZD5004 in Participants Living With Obesity or Overweight With Comorbidity

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06579092
Acronym
VISTA
Enrollment
310
Registered
2024-08-30
Start date
2024-10-08
Completion date
2025-11-21
Last updated
2025-12-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Obesity or Overweight

Brief summary

A Phase IIb, global, randomized, parallel-group, double-blind, placebo-controlled, multicenter study to assess the efficacy and safety of AZD5004 compared with placebo, given once daily as an oral tablet(s) for 36 weeks, in male and female participants at least 18 years of age who are living with obesity (body mass index \[BMI\] ≥ 30 kg/m2), or overweight (BMI ≥ 27 kg/m2) who have at least 1 weight-related comorbidity

Detailed description

This is a Phase IIb, global, randomized, parallel-group, double-blind, placebo-controlled, multicenter study to assess the efficacy and safety of 5 doses of AZD5004 compared with placebo, given once daily as an oral tablet or tablets for a duration of 36 weeks, in adults aged 18 years and above, who are living with obesity (BMI ≥ 30 kg/m2), or overweight (BMI ≥ 27 kg/m2) and have at least 1 weight-related comorbidity (Hypertension, Dyslipidemia or hyperlipidemia, CV disease and/or Obstructive sleep apnea). Approximately 304 participants will be randomized in the study. The dual primary endpoints are percent change in body weight from baseline at 26 weeks and the proportion of participants with weight loss ≥ 5% of baseline weight at 26 weeks.

Interventions

AZD5004 film-coated tablet once daily during 36 weeks

DRUGPlacebo

Placebo matching AZD5004 film-coated tablet once daily during 36 weeks

Sponsors

AstraZeneca
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Adults ≥ 18 years of age. * BMI of (a) ≥ 30 kg/m2, or (b) ≥ 27 kg/m2 and have a current diagnosis of at least 1 of the following weight-related comorbidities (treated or untreated): (i) Hypertension (ii) Dyslipidemia or hyperlipidemia (iii) CV disease (iv) Obstructive sleep apnea * A stable body weight for 3 months prior to Screening (± 5% body weight change).

Exclusion criteria

* Have obesity induced by other endocrine disorders, such as Cushing's syndrome or monogenic or syndromic obesity such as Prader-Willi syndrome. * Has received prescription or non-prescription medication for weight loss within the last 3 months prior to Screening. * Previous or planned (within study period) bariatric surgery or fitting of a weight loss device (eg, gastric balloon or duodenal barrier). * History of type 1 diabetes mellitus or type 2 diabetes mellitus. * Clinically significant inflammatory bowel disease, gastroparesis, severe disease, or surgery affecting the upper GI tract. * History of acute or chronic pancreatitis.

Design outcomes

Primary

MeasureTime frameDescription
Percent change in body weight from baseline26 weeksTo determine whether AZD5004 is superior to placebo for weight loss
Achieved Weight Loss ≥ 5% From Baseline26 weeksTo determine whether AZD5004 is superior to placebo on achieving weight loss ≥ 5% from baseline

Secondary

MeasureTime frameDescription
Percent change in body weight from baseline36 weeksTo determine whether AZD5004 is superior to placebo for weight loss
Achieved weight loss ≥ 5% from baseline36 weeksTo determine whether AZD5004 is superior to placebo on achieving weight loss ≥ 5% from baseline
Absolute change from baseline in body weightWeek 26 and Week 36To determine whether AZD5004 is superior to placebo for absolute weight loss
Achieved weight loss ≥ 10% as well as ≥ 15% from baselineWeek 26 and Week 36To assess the effect of AZD5004 versus placebo on achieving weight loss ≥ 10% as well as ≥ 15% from baseline

Countries

Australia, Canada, Germany, Japan, Taiwan, United Kingdom, United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 6, 2026