CClinicalTrials.gg
CompletedNCT05809934FORTUNAUpdated Oct 28, 2025

A Study to Evaluate AZD2693 in Participants Who Are Carriers of the PNPLA3 148M Risk Allele With Non-cirrhotic Non-alcoholic Steatohepatitis With Fibrosis

A Phase 2 interventional study of AZD2693 and Placebo in Nonalcoholic Steatohepatitis, sponsored by AstraZeneca. Completed at 164 sites in 22 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-10-28.

Sponsored by AstraZeneca · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Jul 2025, 1 year 2 months ago, and no results have been posted to the registry.
Phase
Phase 2
Study type
Interventional
Enrollment
220
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

A Study to Evaluate the Efficacy, Safety and Tolerability of AZD2693 given by subcutaneous injection in adult participants with non-cirrhotic non-alcoholic steatohepatitis with fibrosis and who are carriers of the PNPLA3 148M Risk Allele

02

Conditions studied

  • Nonalcoholic Steatohepatitis

Keywords

  • Nonalcoholic Steatohepatitis
  • NASH
  • fatty liver disease
  • Non alcoholic fatty liver
  • liver fibrosis
  • PNPLA3 148M Risk Allele
  • Non Cirrhotic
03

In context

Non-alcoholic Fatty Liver Disease

1,474 studies on the registry are indexed under Non-alcoholic Fatty Liver Disease; 303 are open to participants now.

This study's enrollment of 220 is above the median of 60 across 1,072 interventional studies indexed under Non-alcoholic Fatty Liver Disease.

Browse Non-alcoholic Fatty Liver Disease studies →

Lead sponsor

AstraZeneca is the lead sponsor of 3,429 studies on the registry; 270 are open to participants now.

Of its 357 completed or terminated interventional studies of FDA-regulated products, 173 (48%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria :

Participants are eligible to be included in the study only if all the following criteria apply:

Age

  1. Participant must be 18 to 75 years of age (inclusive) at the time of signing the informed consent.

    Type of Participant and Disease Characteristics

  2. Participants who are carriers for the PNPLA3 rs738409 148M risk allele.
  3. Participants with histological evidence of NASH based on central pathologist evaluation of a liver biopsy obtained up to 6 months before randomisation, or during screening, fulfilling both criteria:

    1. Definitive NASH with NAS ≥ 4 with ≥ 1 in each component (ie, steatosis, lobular inflammation, and ballooning).

    <!-- -->

    1. Presence of fibrosis stage F2 or F3 according to the NASH CRN fibrosis staging system based on central pathologist evaluation.

Key Exclusion Criteria :

Participants are excluded from the study if any of the following criteria apply:

Medical Conditions

  1. Liver disease of other aetiologies (eg, alcoholic steatohepatitis; drug-induced, viral or autoimmune hepatitis; primary biliary cirrhosis; primary sclerosing cholangitis; hemochromatosis; alpha-1 antitrypsin deficiency; Wilson's disease)
  2. History of cirrhosis and/or hepatic decompensation, including ascites, hepatic encephalopathy, or variceal bleeding.
  3. Historical persistent or pre-existing renal disease marked by eGFR \< 40 mL/min/1.73 m2 (as defined by Kidney Disease Improving Global Outcomes guidelines).
  4. Confirmed platelet count outside the normal range at the screening visit.
  5. Any of the following confirmed at the screening visit:

    1. ALT > 5.0 × ULN
    2. TBL > 1.5 mg/dL (TBL > 1.5 mg/dL is allowed if conjugated bilirubin is \< 1.5 × ULN)
    3. INR > 1.3
    4. ALP > 1.5 × ULN (unless the ALP elevation is not from hepatic origin as determined by a bone-specific ALP)
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
220 participants (actual)

Study arms

  • Experimental
    AZD2693 dose 1

    Participants will receive AZD2693 dose 1

    Drug: AZD2693

  • Experimental
    AZD2693 dose 2

    Participants will receive AZD2693 dose 2

    Drug: AZD2693

  • Placebo comparator
    Placebo

    Participants in this arm will receive placebo

    Other: Placebo

Interventions

  • DrugAZD2693

    AZD2693 solution SC once per month

  • OtherPlacebo

    Sodium chloride 0.9% solution SC once per month

06

What researchers measure

Primary outcomes

  1. Proportion of participants achieving NASH resolution without worsening of fibrosis based on histology after 52 weeks treatment

    To assess the effect of AZD2693 versus placebo on histological resolution of NASH in participants with non-cirrhotic NASH with fibrosis and PNPLA3 risk allele carriers after 52 weeks

    Time frame: after 52 weeks

Secondary outcomes

  1. Proportion of participants with at least one stage of liver fibrosis improvement with no worsening of NASH based on biopsy after 52 weeks treatment

    To assess the effects of AZD2693 versus placebo on histological fibrosis improvement

    Time frame: after 52 weeks

  2. Proportion of participants with ≥ 2-point improvement from baseline in NAS based on biopsy after 52 weeks treatment

    To assess the effect of AZD2693 versus placebo on ≥ 2-point improvement in NAS

    Time frame: after 52 weeks

  3. Proportion of participants with improvement in fibrosis by at least one stage based on biopsy after 52 weeks treatment

    To assess the effect of AZD2693 versus placebo on improvement in fibrosis by at least one stage

    Time frame: after 52 weeks

Other outcomes

  1. Number of participants with Adverse Events/Serious Adverse Events (AEs/SAEs) and abnormal laboratory test results

    Haematology, urinalysis, clinical chemistry and eGFR

    Time frame: 64 weeks

  2. Number of participants with Adverse Events/Serious Adverse Events (AEs/SAEs) and abnormal clinical test results

    Vital signs and electrocardiogram (ECG) assessments

    Time frame: 64 weeks

07

Study locations

164 sites
  • Research Site
    Chandler, Arizona 85224, United States
  • Research Site
    Peoria, Arizona 85381, United States
  • Research Site
    Surprise, Arizona 85378, United States
  • Research Site
    Tucson, Arizona 85712, United States
  • Research Site
    Tucson, Arizona 85715, United States
  • Research Site
    Gardena, California 90247, United States
  • Research Site
    La Mesa, California 91942, United States
  • Research Site
    Lancaster, California 93534, United States
  • Research Site
    Los Angeles, California 90057, United States
  • Research Site
    Montclair, California 91763, United States
  • Research Site
    Orange, California 92868, United States
  • Research Site
    Rialto, California 92377, United States
  • Research Site
    Santa Ana, California 92704, United States
  • Research Site
    Boca Raton, Florida 33434, United States
  • Research Site
    Hialeah, Florida 33016, United States
  • Research Site
    Jacksonville, Florida 32216, United States
  • Research Site
    Port Orange, Florida 32127, United States
  • Research Site
    Winter Park, Florida 32792, United States
  • Research Site
    Marietta, Georgia 30060, United States
  • Research Site
    Topeka, Kansas 66606, United States
  • Research Site
    Detroit, Michigan 48202, United States
  • Research Site
    Las Vegas, Nevada 89101, United States
  • Research Site
    Westlake, Ohio 44145, United States
  • Research Site
    Chickasha, Oklahoma 73018, United States
  • Research Site
    Hershey, Pennsylvania 17033, United States
  • Research Site
    Summerville, South Carolina 29485, United States
  • Research Site
    Cordova, Tennessee 38018, United States
  • Research Site
    Austin, Texas 78757, United States
  • Research Site
    Brownsville, Texas 78520, United States
  • Research Site
    Denison, Texas 75020, United States
  • Research Site
    Edinburg, Texas 78539, United States
  • Research Site
    Houston, Texas 77030, United States
  • Research Site
    Red Oak, Texas 75154, United States
  • Research Site
    San Antonio, Texas 78229, United States
  • Research Site
    Sugar Land, Texas 77479, United States
  • Research Site
    Richmond, Virginia 23249, United States
  • Research Site
    Seattle, Washington 98105, United States
  • Research Site
    CABA, C1119ACN, Argentina
  • Research Site
    CABA, C1426, Argentina
  • Research Site
    Ciudad de Buenos Aires, 1280, Argentina
  • Research Site
    Córdoba, X5000EPU, Argentina
  • Research Site
    La Plata, 1900, Argentina
  • Research Site
    Mar del Plata, B7600GNY, Argentina
  • Research Site
    San Juan Bautista, 1888, Argentina
  • Research Site
    Botucatu, 18618-687, Brazil
  • Research Site
    Porto Alegre, 90035-000, Brazil
  • Research Site
    Porto Alegre, 90035-903, Brazil
  • Research Site
    Salvador, 40110-160, Brazil
  • Research Site
    São José do Rio Preto, 15090-000, Brazil
  • Research Site
    São Paulo, 05403-000, Brazil
  • Research Site
    Santiago, 7620157, Chile
  • Research Site
    Santiago, 8380456, Chile
  • Research Site
    Santiago, Chile
  • Research Site
    Valdivia, 5110683, Chile
  • Research Site
    Baotou, 014010, China
  • Research Site
    Beijing, 100057, China
  • Research Site
    Beijing, 100069, China
  • Research Site
    Chengdu, 610072, China
  • Research Site
    Fuzhou, 350005, China
  • Research Site
    Guangzhou, 510515, China
  • Research Site
    Hangzhou, 310003, China
  • Research Site
    Liaocheng, 252000, China
  • Research Site
    Nanchang, 330000, China
  • Research Site
    Qingdao, 266011, China
  • Research Site
    Shanghai, 200025, China
  • Research Site
    Shanghai, 200080, China
  • Research Site
    Shanghai, 200092, China
  • Research Site
    Shenyang, 110004, China
  • Research Site
    Taiyuan, 030001, China
  • Research Site
    Wenzhou, 325000, China
  • Research Site
    Xi'an, 710061, China
  • Research Site
    Xuzhou, 221000, China
  • Research Site
    Zhenjiang, 212021, China
  • Research Site
    Cartagena, 130013, Colombia
  • Research Site
    Konstanz, 78464, Germany
  • Research Site
    Magdeburg, Germany
  • Research Site
    Mainz, 55131, Germany
  • Research Site
    Münster, 48149, Germany
  • Research Site
    Hong Kong, 999077, Hong Kong
  • Research Site
    Shatin, Hong Kong
  • Research Site
    Hyderabad, 500072, India
  • Research Site
    Jaipur, 302001, India
  • Research Site
    Jaipur, 302018, India
  • Research Site
    Punjab, 160062, India
  • Research Site
    Surat, 395009, India
  • Research Site
    Milan, 20122, Italy
  • Research Site
    Palermo, 90127, Italy
  • Research Site
    Roma, 00128, Italy
  • Research Site
    Rome, 00168, Italy
  • Research Site
    Torino, 10126, Italy
  • Research Site
    Bunkyō City, 113-8655, Japan
  • Research Site
    Fukui-shi, 918-8503, Japan
  • Research Site
    Fukuoka, 810-0065, Japan
  • Research Site
    Gifu, 500-8513, Japan
  • Research Site
    Kagoshima, 890-8520, Japan
  • Research Site
    Kawasaki-shi, 215-0026, Japan
  • Research Site
    Kobe, 650-0017, Japan
  • Research Site
    Kumamoto, 860-8556, Japan
  • Research Site
    Kure-shi, 737-0023, Japan
  • Research Site
    Kurume-shi, 830-0011, Japan

Showing the first 100 of 164 sites across 22 countries.

08

References and documents

Individual participant data

Plan to share: Yes — Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

Supporting information: Study protocol, Sap

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 28, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05809934
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Apr 12, 2023
Start date
Mar 15, 2023
Primary completion
Jul 14, 2025
Completion
Sep 29, 2025
Last update
Oct 28, 2025

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion