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

Last updated: November 4, 2025
Sponsor: AstraZeneca
Overall Status: Active - Recruiting

Phase

1

Condition

Systemic Lupus Erythematosus

Dystonias

Collagen Vascular Diseases

Treatment

AZD5492

Clinical Study ID

NCT06916806
D9961C00001
2024-519015-34-00
  • Ages 18-70
  • All Genders

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.

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) or twice (Part 2).

  • Study visits will occur at:

Screening, Days 1-4, 8, 15, 22, 30, 60, 90, 120, 150, and 180 in Part 1, Screening, Days 1-4, 8-11, 15, 22, 29, 43, 60, 90, 120, 150, and 180 in Part 2.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Participant must be 18 to 70 years of age inclusive, at the time of signing theinformed consent.

  2. Diagnosis of SLE:

  3. Diagnosis of SLE according to the 2019 EULAR/ACR classification criteria forSLE

  4. Positive for one or more of: anti-nuclear antibodies (titre ≥ 1:80), anti-dsDNAor anti-Sm at screening.

  5. Active, moderate-severe disease at screening, defined as clinical SLEDAI-2K ≥

  6. Intolerance or inadequate response to ≥ 3 available SOC treatments, used for atleast 3 months each, for which at least one must be a biologic SoC orcyclophosphamide.

  7. Diagnosis of IIM:

  8. Must have "probable" or "definite" diagnosis of PM or DM (excluding IBM andcancer associated myositis) according to the 2017 EULAR/ACR classificationcriteria for adult myositis.

  9. Positive for ≥ 1 disease-specific autoantibody at screening.

  10. MMT-8 score of ≤ 142/150 and/or CDASI-A > 6

  11. 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 criteriamust be met:

  1. Report from MRI performed within 3 months prior to screening with evidence ofmuscle inflammation

  2. Report from muscle biopsy performed within 3 months prior to screening thatdemonstrates active inflammation

  3. Report from electromyography performed within 3 months prior to screening thatexhibits irritable myopathic pattern.

(e) Intolerance or inadequate response to corticosteroids and ≥2 other SoCtreatments, used for at least 3 months each, for which at least one must be abiologic SoC, immunoglobulin or cyclophosphamide.

  1. For participants receiving any of the following therapies at screening:

  2. Oral prednisone (or equivalent): Daily dose ≤ 20 mg/day and must be stable for ≥ 1 week prior to Day 1.

  3. Immunosuppressive treatment: for ≥ 3 months prior to Day 1 and at a stable dosefor ≥ 4 weeks prior to Day 1.

Exclusion

Exclusion Criteria:

  1. Any complications of the disease under study which are judged by the investigator tobe life or organ threatening or to require treatments which are not permitted in theprotocol, including but not limited to:

  2. Active severe SLE-driven renal disease.

  3. History of, or current diagnosis of, catastrophic or severe APS (for examplediagnosis of an arterial or central/pulmonary venous clot) within 1 year priorto signing the ICF.

  4. Rapidly progressive and/or severe ILD or ILD that requires oxygensupplementation/therapy (of any type).

  5. Inclusion Body Myositis or cancer associated myositis.

  6. Active severe, unstable or history of neuropsychiatric SLE

  7. 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:

  8. FVC ≤60% of predicted

  9. DLCO ≤70% of predicted

  10. Deterioration in either FVC or DLCO at screening compared to pulmonary functiontests performed ≥3 months previously.

  11. Significant history of or at risk of severe infections.

  12. Participants with HIV infection

  13. Participants with active EBV or CMV.

  14. Participants with evidence of chronic or active hepatitis B defined as HBsAgpositive or HBcAB positive

  15. Participants with evidence of chronic or active hepatitis C

  16. Participants with positive COVID-19 PCR.

  17. Known history of a primary immunodeficiency, splenectomy, or any underlyingcondition that predisposes the participant to infection.

  18. Significant CNS pathology.

  19. Receipt of B-cell-depleting therapy including CD19 or CD20 directed monoclonalantibodies (including but not limited to, ocrelizumab, ofatumumab, obinutuzumab, orrituximab) <3 months prior to Day 1.

Study Design

Total Participants: 54
Treatment Group(s): 1
Primary Treatment: AZD5492
Phase: 1
Study Start date:
May 01, 2025
Estimated Completion Date:
June 22, 2027

Study Description

This is an open-label, multi-centre Phase I study to assess the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of AZD5492 in adult participants with either SLE or IIM.

The study consists of 2 parts:

Part 1 - Single ascending dose (SAD) Part 1 will be a sequential SAD design in adult participants with SLE. Up to 5 dose levels of AZD5492 are planned to be investigated. Depending on emerging data, up to 4 additional dose levels may be added at the discretion of the Sponsor.

The decision to open Part 2 will be made by the Safety Review Committee (SRC) based on the evaluation of all available data including safety, tolerability, PK, and PD from Part 1, and the dose levels and dosing strategy for Part 2 will be confirmed.

After a screening period of up to 42 days, participants will receive 1 dose of AZD5492 and be followed up for at least 179 days post-dose.

Part 2 - Step-up dosing (SUD) Part 2 will be a SUD design in adult participants with SLE, who previously did not participate in Part 1, and in adult participants with IIM. In Part 2, participants will receive 2 dose administrations, where the second dose will be administered 7 days after the first dose. The first (priming) dose of the step-up regimen will be agreed by the SRC. The second (target) dose will be escalated, and a minimum of 3 target dose levels are planned to be investigated in Part 2.

Connect with a study center

  • Research Site

    Hamilton, Ontario L8S 4K1
    Canada

    Site Not Available

  • Research Site

    Hamilton 5969782, Ontario 6093943 L8S 4K1
    Canada

    Site Not Available

  • Research Site

    Sherbrooke, Quebec J1G 2E8
    Canada

    Site Not Available

  • Research Site

    Sherbrooke 6146143, Quebec 6115047 J1G 2E8
    Canada

    Site Not Available

  • Research Site

    Beijing, 100730
    China

    Site Not Available

  • Research Site

    Beijing 1816670, 100730
    China

    Site Not Available

  • Research Site

    Shanghai, 200001
    China

    Site Not Available

  • Research Site

    Shanghai 1796236, 200001
    China

    Active - Recruiting

  • Research Site

    Wuhan, 430022
    China

    Site Not Available

  • Research Site

    Wuhan 1791247, 430022
    China

    Active - Recruiting

  • Research Site

    Bordeaux, 33000
    France

    Site Not Available

  • Research Site

    Bordeaux 3031582, 33000
    France

    Active - Recruiting

  • Research Site

    Montpellier, 34295
    France

    Site Not Available

  • Research Site

    Montpellier 2992166, 34295
    France

    Active - Recruiting

  • Research Site

    Nancy, 54035
    France

    Site Not Available

  • Research Site

    Nancy 2990999, 54035
    France

    Active - Recruiting

  • Research Site

    Paris, 75013
    France

    Site Not Available

  • Research Site

    Paris 2988507, 75013
    France

    Active - Recruiting

  • Research Site

    Strasbourg 2973783, 67098
    France

    Site Not Available

  • Research Site

    Strasbourg Cedex, 67098
    France

    Site Not Available

  • Research Site

    Toulouse, 31059
    France

    Site Not Available

  • Research Site

    Toulouse 2972315, 31059
    France

    Active - Recruiting

  • Research Site

    Cologne 2886242, 50937
    Germany

    Site Not Available

  • Research Site

    Erlangen, 91054
    Germany

    Site Not Available

  • Research Site

    Erlangen 2929567, 91054
    Germany

    Site Not Available

  • Research Site

    Köln, 50937
    Germany

    Site Not Available

  • Research Site

    Magdeburg, 39120
    Germany

    Site Not Available

  • Research Site

    Magdeburg 2874545, 39120
    Germany

    Site Not Available

  • Research Site

    Bunkyo-ku, 113-8655
    Japan

    Site Not Available

  • Research Site

    Bunkyō City 11790632, 113-8655
    Japan

    Active - Recruiting

  • Research Site

    Kita-gun, 761-0793
    Japan

    Active - Recruiting

  • Research Site

    Kitakyushu-shi, 807-8555
    Japan

    Active - Recruiting

  • Research Site

    Kyoto, 606-8501
    Japan

    Site Not Available

  • Research Site

    Kyoto 1857910, 606-8501
    Japan

    Active - Recruiting

  • Research Site

    Nagasaki 1856177, 852-8501
    Japan

    Active - Recruiting

  • Research Site

    Nagasaki-shi, 852-8501
    Japan

    Site Not Available

  • Research Site

    Amsterdam, 1105 AZ
    Netherlands

    Site Not Available

  • Research Site

    Amsterdam 2759794, 1105 AZ
    Netherlands

    Site Not Available

  • Research Site

    Leiden, 2333
    Netherlands

    Site Not Available

  • Research Site

    Leiden 2751773, 2333
    Netherlands

    Site Not Available

  • Research Site

    Mérida, 06800
    Spain

    Site Not Available

  • Research Site

    Mérida 2513917, 06800
    Spain

    Active - Recruiting

  • Research Site

    Sevilla, 41010
    Spain

    Site Not Available

  • Research Site

    Seville 2510911, 41010
    Spain

    Active - Recruiting

  • Research Site

    Valladolid, 47012
    Spain

    Site Not Available

  • Research Site

    Valladolid 3106672, 47012
    Spain

    Active - Recruiting

  • Research Site

    Glasgow, G31 2ER
    United Kingdom

    Site Not Available

  • Research Site

    Glasgow 2648579, G31 2ER
    United Kingdom

    Active - Recruiting

  • Research Site

    London, WC1E 6JF
    United Kingdom

    Site Not Available

  • Research Site

    London 2643743, WC1E 6JF
    United Kingdom

    Active - Recruiting

  • Research Site

    Southampton, SO16 6YD
    United Kingdom

    Site Not Available

  • Research Site

    Southampton 2637487, SO16 6YD
    United Kingdom

    Active - Recruiting

  • Research Site

    Anniston, Alabama 36207
    United States

    Site Not Available

  • Research Site

    Anniston 4830198, Alabama 4829764 36207
    United States

    Active - Recruiting

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