ClinicalTrials.gg
RecruitingNCT07000357AZURE-OutcomesUpdated Aug 24, 2026

A Phase III Study of AZD0780 on Major Adverse CV Events in Patients With a History of ASCVD Events or at High Risk for a First Event

A Phase 3 interventional study of AZD0780 and Placebo in Cardiovascular Disease, sponsored by AstraZeneca. Recruiting at 1,452 sites in 36 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-24.

Sponsored by AstraZeneca · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2025; still recruiting 1 year 5 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
15,100
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this phase 3, randomized, placebo controlled, event-driven study is to assess the effect of AZD0780, an oral PCSK9 inhibitor, compared with placebo in reducing the risk of MACE-PLUS in patients with established ASCVD or at high risk for a first ASCVD event. The effect of AZD0780 vs placebo on the risk of MACE-PLUS will be evaluated from randomisation until the primary analysis censoring date (PACD). The Study Closure Visit will be scheduled to occur after the PACD and will be the final visit for each participant in the study.

02

Conditions studied

  • Cardiovascular Disease

Keywords

  • Atherosclerotic Cardiovascular Disease
03

In context

Cardiovascular Diseases

5,370 studies on the registry are indexed under Cardiovascular Diseases; 940 are open to participants now.

This study's planned enrollment of 15,100 is above the median of 100 across 3,084 interventional studies indexed under Cardiovascular Diseases.

Browse Cardiovascular Diseases studies →

Lead sponsor

AstraZeneca is the lead sponsor of 3,502 studies on the registry; 273 are open to participants now.

Of its 368 completed or terminated interventional studies of FDA-regulated products, 178 (48%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Meets one of the following:

    1. Participants with history of an ASCVD event: Participants ≥ 18 years of age at the time of signing the ICF with a history of MI or ischaemic stroke suspected to be due to atherosclerotic vascular disease ≥ 1 month prior to randomisation (presumed lacunar or cardioembolic strokes are not qualifying events), or revascularisation for symptomatic lower limb PAD any time prior to screening

      Additional risk factors based on the level of the LDL-C and timing of MI or stroke:

      o Participants with an LDL-C ≥ 75 mg/dL (≥ 1.9 mmol/L) need to have at least one of the other additional risk factors (i to viii) below.

      ii) T2DM requiring ongoing medical therapy iii) Age ≥ 65 years v) Previous above ankle amputation due to PAD vi) Previous diagnosis of non-end stage CKD

    2. Participants at increased risk of a first ASCVD event: Male participant ≥ 50 years of age or female participant ≥ 55 years of age at the time of signing the ICF with LDL-C ≥ 100 mg/dL (≥ 2.6 mmol/L), with no prior history of MI, ischaemic stroke due to atherosclerotic disease, or leg revascularisation for symptomatic lower limb PAD, and with diagnostic evidence of at least one of the following disease categories (i, ii, or iii):

    (i) Significant atherosclerotic artery disease (ii) High-risk Type 1 or Type 2 diabetes mellitus with manifestation of at least one of the following end-organ diseases:

    1. Nephropathy - Persistent (≥ 2 readings) microalbuminuria (urine albumin/creatinine ratio ≥ 30 mg/g) and/or persistent \< 60 mL/min/1.73 m2. At least one reading must come from the medical record within the last 12 months in addition to the reading from screening
    2. Retinopathy - Treated diabetic retinopathy (surgical intervention or injectable therapy) or prior diagnosis made by a relevant healthcare specialist
    3. Neuropathy - Treated neuropathy (medical therapy for pain relief or symptom alleviation) or prior diagnosis made by a relevant healthcare specialist
    4. ABI \< 0.9 or > 1.4 - confirmed either in study during screening or randomisation, or from the medical record within the last 5 years (iii) Documented atherosclerosis of less significance

      For (ii) and (iii), participants need to have at least one of the additional risk factors below:

    <!-- -->

    1. CKD with eGFR x mL/min/1.73 m2
    2. Current tobacco use
    3. Age ≥ 65
    4. T2DM (if included on the less significant atherosclerosis criterion iii)
  • Participants should receive a background lipid lowering regimen anticipated to achieve at least a \~50% reduction in LDL-C. Except in cases of intolerance, the regimen should include a high intensity statin therapy or lower intensity statin therapy in combination with an oral agent with proven outcome benefit (eg, ezetimibe and/or bempedoic acid).

Participants must achieve a stable background lipid lowering therapy > 28 days before screening.

Exclusion criteria

Exclusion criteria:

  • Any underlying known disease, or condition including homozygous familial hypercholesterolaemia, or LDL or plasma apheresis within 12 months prior to randomisation, that, in the opinion of the investigator, might interfere with the interpretation of the clinical study results.
  • Any revascularisation procedure planned within the next 3 months.
  • Available imaging assessment within the last 3 years showing either coronary calcium score of zero, or a coronary computed tomography angiography with no atherosclerosis.
  • Calculated \< 15 mL /min/1.73 m2 at screening.
  • Any laboratory values with the following deviations at screening:

    • or ALT > 3 ×
    • TBL > 2 × ULN (except for participants with Gilbert's syndrome where TBL 3 × ULN is acceptable provided direct \< 1.5 × ULN)
    • Fasting triglycerides ≥ 400 mg/dL (≥ 4.52 mmol/L).
    • Creatine kinase > 5 × ULN
    • Urine albumin/creatinine ratio ≥ 500 mg/g
  • Uncontrolled T2DM defined as ≥ 9.5% at screening.
  • Inadequately treated hypothyroidism defined as TSH > 1.5 × ULN at screening or participants whose thyroid replacement therapy was initiated or modified within the last 3 months prior to screening.
  • Use of mipomersen or lomitapide (cholesterol-lowering medications) within 12 months of screening or planned use during the study.
  • Use of gemfibrozil within one week prior to the Screening Visit or planned use during the study.
  • Use of PCSK9 inhibitors: evolocumab/alirocumab within 12 weeks of the Screening Visit or planned use during the study, or inclisiran within 18 months of the Screening Visit or planned use during the study, or any other approved PCSK9 inhibitor use within 5 half lives prior to the Screening Visit or planned use during the study.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
15,100 participants (estimated)

Study arms

  • Experimental
    AZD0780

    Participants will receive oral AZD0780 once daily

    Drug: AZD0780

  • Placebo comparator
    Placebo

    Participants will receive oral placebo once daily

    Drug: Placebo

Interventions

  • Participants will receive oral AZD0780 once daily

  • DrugPlacebo

    Participants will receive oral placebo once daily

06

What researchers measure

Primary outcomes

  1. Time to first event of any component of MACE-PLUS

    To compare the effect of treatment with AZD0780 to placebo in reducing the risk of MACE-PLUS (the composite of CV death, myocardial infarction \[MI\], ischaemic stroke, acute lower limb ischaemia, major amputation of a vascular aetiology, and urgent arterial revascularisation)

    Time frame: Up to approximately 54 months

Secondary outcomes

  1. Time to first event of any component of 3P MACE

    To compare the effect of treatment with AZD0780 to placebo in reducing the risk of 3-point (3P)-MACE (the composite of CV death, MI, and ischaemic stroke)

    Time frame: Up to approximately 54 months

  2. Time to first event of any component of MACE PLUS

    To compare the effect of treatment with AZD0780 to placebo in reducing the risk of MACE-PLUS in patients with a history of ASCVD

    Time frame: Up to approximately 54 months

  3. Time to first event of MI

    To compare the effect of treatment with AZD0780 to placebo in reducing the risk of MI

    Time frame: Up to approximately 54 months

  4. Time to first event of urgent coronary revascularisation

    To compare the effect of treatment with AZD0780 to placebo in reducing the risk of urgent coronary revascularisation

    Time frame: Up to approximately 54 months

  5. Time to CV death

    To compare the effect of treatment with AZD0780 to placebo in reducing the risk of CV death

    Time frame: Up to approximately 54 months

  6. Time to first event of MALE

    To compare the effect of treatment with AZD0780 to placebo in reducing the risk of major adverse limb event (MALE) (the composite of acute lower limb ischaemia, major amputation of vascular aetiology, and urgent lower extremity revascularisation)

    Time frame: Up to approximately 54 months

  7. Time to all-cause mortality

    To compare the effect of treatment with AZD0780 to placebo in reducing the risk of all-cause mortality

    Time frame: Up to approximately 54 months

07

Study locations

1,106 of 1,452 sites recruiting
  • Research Site
    Athens, Alabama 35611, United States
    Recruiting
  • Research Site
    Birmingham, Alabama 35205, United States
    Recruiting
  • Research Site
    Birmingham, Alabama 35205, United States
    Not yet recruiting
  • Research Site
    Fairhope, Alabama 36532, United States
    Recruiting
  • Research Site
    Foley, Alabama 36535, United States
    Recruiting
  • Research Site
    Huntsville, Alabama 35801, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Huntsville, Alabama 35801, United States
    Not yet recruiting
  • Research Site
    Irondale, Alabama 35210, United States
    Not yet recruiting
  • Research Site
    Mobile, Alabama 36608, United States
    Recruiting
  • Research Site
    Northport, Alabama 35476, United States
    Not yet recruiting
  • Research Site
    Saraland, Alabama 36571, United States
    Recruiting
  • Research Site
    Vestavia Hills, Alabama 35216, United States
    Recruiting
  • Research Site
    Gilbert, Arizona 85295, United States
    Not yet recruiting
  • Research Site
    Gilbert, Arizona 85296, United States
    Recruiting
  • Research Site
    Glendale, Arizona 85308, United States
    Terminated

    Not enrolling at this site — choose another above.

  • Research Site
    Mesa, Arizona 85206, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Peoria, Arizona 85382, United States
    Recruiting
  • Research Site
    Phoenix, Arizona 85006, United States
    Not yet recruiting
  • Research Site
    Phoenix, Arizona 85014, United States
    Recruiting
  • Research Site
    Phoenix, Arizona 85051, United States
    Recruiting
  • Research Site
    Phoenix, Arizona 85053, United States
    Recruiting
  • Research Site
    Scottsdale, Arizona 85260, United States
    Recruiting
  • Research Site
    Tempe, Arizona 85283, United States
    Recruiting
  • Research Site
    Tucson, Arizona 85715, United States
    Recruiting
  • Research Site
    Tucson, Arizona 85741, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Tucson, Arizona 85745, United States
    Recruiting
  • Research Site
    Little Rock, Arkansas 72205, United States
    Recruiting
  • Research Site
    Beverly Hills, California 90211, United States
    Recruiting
  • Research Site
    Canoga Park, California 91303, United States
    Recruiting
  • Research Site
    Castroville, California 95012, United States
    Recruiting
  • Research Site
    Chula Vista, California 91911, United States
    Recruiting
  • Research Site
    Fountain Valley, California 92708, United States
    Recruiting
  • Research Site
    Garden Grove, California 92844, United States
    Recruiting
  • Research Site
    La Jolla, California 92037, United States
    Not yet recruiting
  • Research Site
    Lake Forest, California 92630, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Lancaster, California 93534, United States
    Recruiting
  • Research Site
    Loma Linda, California 92350, United States
    Recruiting
  • Research Site
    Loma Linda, California 92357, United States
    Recruiting
  • Research Site
    Los Angeles, California 90017, United States
    Recruiting
  • Research Site
    Los Angeles, California 90035, United States
    Recruiting
  • Research Site
    Lynwood, California 90262, United States
    Recruiting
  • Research Site
    Monterey Park, California 91754, United States
    Recruiting
  • Research Site
    Newport Beach, California 92663, United States
    Recruiting
  • Research Site
    Norco, California 92860, United States
    Recruiting
  • Research Site
    Northridge, California 91325, United States
    Recruiting
  • Research Site
    Pomona, California 91768, United States
    Recruiting
  • Research Site
    Poway, California 92064, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Riverside, California 92503, United States
    Recruiting
  • Research Site
    Sacramento, California 95817, United States
    Not yet recruiting
  • Research Site
    San Diego, California 92111, United States
    Recruiting
  • Research Site
    San Diego, California 92123, United States
    Not yet recruiting
  • Research Site
    San Dimas, California 91773, United States
    Recruiting
  • Research Site
    San Francisco, California 94143, United States
    Not yet recruiting
  • Research Site
    Santa Ana, California 92705, United States
    Suspended

    Not enrolling at this site — choose another above.

  • Research Site
    Stanford, California 94305, United States
    Not yet recruiting
  • Research Site
    Tarzana, California 91356, United States
    Recruiting
  • Research Site
    Thousand Oaks, California 91360, United States
    Recruiting
  • Research Site
    Torrance, California 90502, United States
    Recruiting
  • Research Site
    West Hills, California 91307, United States
    Recruiting
  • Research Site
    Thornton, Colorado 80023, United States
    Not yet recruiting
  • Research Site
    Stamford, Connecticut 06905, United States
    Withdrawn

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  • Research Site
    Waterbury, Connecticut 06708, United States
    Recruiting
  • Research Site
    Newark, Delaware 19713, United States
    Not yet recruiting
  • Research Site
    Boca Raton, Florida 33486, United States
    Suspended

    Not enrolling at this site — choose another above.

  • Research Site
    Clearwater, Florida 33756, United States
    Recruiting
  • Research Site
    Coral Gables, Florida 33134, United States
    Recruiting
  • Research Site
    Crystal River, Florida 34429, United States
    Recruiting
  • Research Site
    DeLand, Florida 32720, United States
    Recruiting
  • Research Site
    Fleming Island, Florida 32003, United States
    Recruiting
  • Research Site
    Fort Lauderdale, Florida 33308, United States
    Recruiting
  • Research Site
    Fort Lauderdale, Florida 33316, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Gainesville, Florida 32608, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Gainesville, Florida 32610, United States
    Not yet recruiting
  • Research Site
    Hallandale, Florida 33009, United States
    Recruiting
  • Research Site
    Hialeah, Florida 33012, United States
    Recruiting
  • Research Site
    Hialeah, Florida 33012, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Hollywood, Florida 33021, United States
    Recruiting
  • Research Site
    Homestead, Florida 33030, United States
    Recruiting
  • Research Site
    Inverness, Florida 34452, United States
    Suspended

    Not enrolling at this site — choose another above.

  • Research Site
    Jacksonville, Florida 32204, United States
    Suspended

    Not enrolling at this site — choose another above.

  • Research Site
    Jacksonville, Florida 32205, United States
    Terminated

    Not enrolling at this site — choose another above.

  • Research Site
    Jacksonville, Florida 32209, United States
    Not yet recruiting
  • Research Site
    Jacksonville, Florida 32216, United States
    Recruiting
  • Research Site
    Lake City, Florida 32055, United States
    Recruiting
  • Research Site
    Lake Worth, Florida 33462, United States
    Recruiting
  • Research Site
    Lakeland, Florida 33805, United States
    Recruiting
  • Research Site
    Lakeland, Florida 33813, United States
    Recruiting
  • Research Site
    Largo, Florida 33777, United States
    Recruiting
  • Research Site
    Longwood, Florida 32750, United States
    Recruiting
  • Research Site
    Maitland, Florida 32751, United States
    Recruiting
  • Research Site
    Margate, Florida 33063, United States
    Recruiting
  • Research Site
    Miami, Florida 33176, United States
    Recruiting
  • Research Site
    Miami, Florida 33186, United States
    Recruiting
  • Research Site
    Miami, Florida 33269, United States
    Recruiting
  • Research Site
    Miami Lakes, Florida 33014, United States
    Recruiting
  • Research Site
    Miami Lakes, Florida 33016, United States
    Recruiting
  • Research Site
    Naples, Florida 34102, United States
    Recruiting
  • Research Site
    New Port Richey, Florida 34652, United States
    Recruiting
  • Research Site
    New Port Richey, Florida 34653, United States
    Recruiting
  • Research Site
    Ocala, Florida 34470, United States
    Recruiting

Showing the first 100 of 1,452 sites across 36 countries. Choose a country and city above to see the rest.

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 Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure "Yes", indicates that AZ are accepting requests for IPD, but this does not mean all requests will be approved.

Supporting information: Study protocol, Statistical analysis plan

Time frame: AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA/PhRMA Data-Sharing Principles. For details of our timelines, please refer to our disclosure commitment at: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure

Access criteria: When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. A Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.

Data sharing details ↗ · vivli.org

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jun 2025 (actual). Primary completion is estimated for Oct 2029, 52 months after the start.

Of 42 industry-sponsored phase 3 interventional studies under Cardiovascular Diseases, half reached primary completion within 48 months of starting (the median), counting those still running; a quarter within 29 and three quarters within 79. This study's planned 52 months is close to that.

Counting every sponsor, half of 82 studies reached it within 57 months; a quarter within 34 and three quarters within 83.

Cardiovascular Diseases covers many different conditions, not one, so the studies compared here vary widely. Read these figures as a rough guide.

How these figures are worked out, and which studies are left out of them.

Registered
May 30, 2025
First posted
Jun 2, 2025
StartActual
Jun 4, 2025
Primary completionEst.
Oct 26, 2029
CompletionEst.
Oct 26, 2029
Last update
Aug 24, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07000357
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Jun 2, 2025
Start date
Jun 4, 2025
Primary completion
Oct 26, 2029 (estimated)
Completion
Oct 26, 2029 (estimated)
Last update
Aug 24, 2026

Study contacts

AstraZeneca Clinical Study Information Center
Contact
information.center@astrazeneca.com
1-877-240-9479

Oversight

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

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Studies of the drug tested here: Laroprovstat

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