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AstraZeneca PLC

AstraZeneca PLC works on 45 rare diseases tracked on Trial Friend, including Adrenocortical Carcinoma, ATTR Amyloidosis (Transthyretin Amyloidosis), Atypical Hemolytic Uremic Syndrome and 42 more, with 11 active clinical trials (4 recruiting) and 5 FDA-approved rare disease drugs.

AstraZeneca was formed in 1999 by the merger of Astra and Zeneca. It entered rare disease with Alexion, a deal announced at $39 billion and completed on July 21, 2021, and Alexion now runs as AstraZeneca's rare disease unit. Alexion's medicines, including Soliris, Ultomiris and Voydeya, are covered on the Alexion Pharmaceuticals page. AstraZeneca's own rare disease medicines include Koselugo (selumetinib) for plexiform neurofibromas in people with NF1 aged 1 and older, Wainua (eplontersen) for the nerve damage of hereditary ATTR amyloidosis in adults, and Fasenra (benralizumab) for adults with EGPA. The FDA is reviewing Ultomiris for IgA nephropathy, efzimfotase alfa for hypophosphatasia and gefurulimab for generalized myasthenia gravis.

Type
Diversified Pharma
Ticker
AZN
Headquarters
Cambridge, United Kingdom
Founded
1999
11
Active Rare Disease Trials
5
Approved Rare Disease Drugs
45
Rare Diseases in Portfolio
27
Years Active
FDA decision ahead
The FDA is due to decide on Ultomiris (ravulizumab) for IgA nephropathy in Q4 2026.
The FDA is due to decide on Efzimfotase alfa (ALXN1850) for Hypophosphatasia in the first half of 2027.
Email me the day the FDA decides →See all upcoming rare disease FDA decisions →

AstraZeneca PLC Drug Pipeline

AstraZeneca PLC has 11 active clinical trials across 3 development stages, with 4 currently recruiting participants. Clinical trials advance through phases: Phase 1 tests safety in a small group, Phase 2 evaluates effectiveness and side effects, Phase 3 confirms benefit in a larger population, and Phase 4 monitors long-term safety after FDA approval.

Note: This pipeline counts the active and recruiting trials listed on this page, from ClinicalTrials.gov. For companies that work outside rare disease, we list only trials for rare diseases we track, so the company's full pipeline may be larger.

Understand AstraZeneca PLC's pipeline
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6
Phase 26 trials
1
Phase 31 trial
4
Other4 trials
Recruiting
Neurofibroma, Plexiform
Active Not Recruiting
Active Not Recruiting

AstraZeneca PLC Clinical Trials (11)

Active and recruiting clinical trials sponsored by AstraZeneca PLC, sourced live from ClinicalTrials.gov. Each trial card shows the study phase, current recruitment status, conditions under investigation, study locations, eligibility criteria, and a direct link to the full ClinicalTrials.gov record. You can also download a one-page PDF summary to share with your doctor.

Note: Recruitment statuses on ClinicalTrials.gov may not immediately reflect recent FDA decisions, sponsor announcements, or enrollment changes. Always confirm a trial's current status directly with the study coordinator.

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RECRUITINGPHASE2Recently updatedNCT06728410

A Phase II Study of Pemigatinib Plus Durvalumab in Previously Treated Advanced Intrahepatic Cholangiocarcinoma Patients With FGFR-2 Fusion or Rearrangement

Intervention: Pemigatinib, Durvalumab

Intrahepatic CholangiocarcinomaFGFR2 Gene RearrangementFGFR2 Gene Mutation

This is a single arm phase II study of pemigatinib and durvalumab combination in patients with FGFR-2 fusion or rearrangement positive intrahepatic cholangiocarcinoma. Each cycle will be 3 weeks. Pemigatinib is administered at 13.5 mg orally daily 2 weeks on and 1 week off. Durvalumab is administered at 1500 mg intravenously once every 3 weeks. Subjects will require a visit with appropriate laboratory work prior to the start of each cycle. Disease assessment will occur every 9 weeks. Subjects will continue treatment until progression per RECIST 1.1, toxicity or subject/physician decision. A maximum of 24 months (about 35 cycles) of pemigatinib and durvalumab treatment from Cycle 1 Day 1 is allowed.

Ages 18 Years+3 locations
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RECRUITINGRecently updatedNCT06465810

Non-interventional Study of Patients With Transthyretin (ATTR) Amyloidosis

Intervention: Treatment of transthyretin (ATTR) amyloidosis in observational study setting

Transthyretin AmyloidosisATTR-CMATTRv-PNATTRATTR-Mixed

The MaesTTRo study aims to enroll a global cohort of patients with transthyretin (ATTR) amyloidosis to longitudinally observe the natural course of the disease and describe real-world treatment patterns and outcomes. In addition, information on the effectiveness of ATTR amyloidosis treatments, including eplontersen, which is a ligand-conjugated antisense oligonucleotide gene silencing treatment targeting activity against both the mutant and wild-type TTR protein, will be collected.

Ages 18 Years - 130 Years89 locations
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RECRUITINGPHASE2Recently updatedNCT07652658

A Phase IIb Study to Evaluate AZD8965 in Participants With IPF.

Intervention: Placebo for AZD8965, AZD8965 low dose, AZD8965 medium dose, AZD8965 high dose

This Phase IIb study aims to evaluate the efficacy, safety, and tolerability of 3 doses of AZD8965 treatment compared to placebo in participants with IPF, including those on antifibrotic therapy (nintedanib, pirfenidone, nerandomilast), either alone or in combination, or in those not on antifibrotic therapy.

Ages 40 Years+195 locations
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RECRUITINGRecently updatedNCT07205666

The Eplontersen Pregnancy and Lactation Outcomes Study

The overall objective of this DPSS is to describe the occurrence of pregnancy and maternal complications, adverse effects on the developing fetus and neonate, and adverse effects on the infant associated with exposure to eplontersen during pregnancy and/or lactation.

Ages not specified1 location
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ACTIVE NOT RECRUITINGPHASE1, PHASE2Recently updatedNCT02180711

Study of Acalabrutinib Alone or in Combination Therapy in Subjects With B-cell Non-Hodgkin Lymphoma

Intervention: acalabrutinib, rituximab (IV), Lenalidomide

Part 1: To characterize the safety profile of acalabrutinib alone or in combination with rituximab in subjects with R/R FL. Part 2: To characterize the activity of acalabrutinib alone or in combination with rituximab in subjects with R/R MZL, as measured by ORR. Part 3: To characterize the safety of acalabrutinib in combination with rituximab and lenalidomide in subjects with R/R FL

Ages 18 Years+29 locations
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ACTIVE NOT RECRUITINGRecently updatedNCT06175637

Observational Study to Evaluate the Effect and Safety of Selumetinib in Pediatric Patients With NF1-PNs

Neurofibroma, Plexiform

This is a prospective, multicenter, observational study of Chinese pediatric NF1-PN patients treated with selumetinib. The study will be conducted at approximately 12 centers in China and will include approximately 80-100 patients. Treatment centers that have PN diagnosis and/or selumetinib treatment experience will be targeted for recruitment. Patients/caregivers who are eligible and willing to participate will be enrolled into the study. Patients will start selumetinib treatment after enrollment. The study will have a 16-month enrollment period. Patients will be followed up until the end of a 24-month observation period after first dose of selumetinib, or patient death, lost to follow-up, withdrawal of consent, whichever occurs first. Patients will be followed within a 24-month period (starting after first dose received) in the study even if selumetinib is discontinued. The aims of this study are to expand understanding of disease characteristics and treatment pattern of NF1-PN in China in a real-world setting and to evaluate real-world effectiveness and safety of selumetinib for Chinese pediatric patients with NF1-PN

Ages 3 Years - 16 Years25 locations
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ACTIVE NOT RECRUITINGPHASE2Recently updatedNCT04307953

Saracatinib Trial TO Prevent FOP

Intervention: AZD0530 Difumarate, Matching placebo

This is a phase 2 study, designed as a European multicentre 6-month double blind random-ized controlled trial (RCT) of AZD0530 versus matched placebo, followed by a 12 month trial comparing open-label extended AZD0530 treatment with historical control data. Study population: Male and female adult patients aged 18 years and older with a diagnosis of FOP who meet the inclusion (active disease) and exclusion criteria will be eligible for participation in this study. The total number of enrolled patients will be 20. Intervention: Patients will be randomized to receive either AZD0530 100mg once daily or matched placebo, taken orally for the first 6 months, immediately followed by an open-label extension in which all patients will receive AZD0530 100mg once daily oral dose for a further 12 months. Endpoints: Endpoints include change in number of active heterotopic bone lesions measured by low-dose whole-body computer tomography (CT)/ \[18F\] NaF Positron Emission Tomography (PET) activity

Ages 18 Years - 65 Years3 locations
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AstraZeneca PLC FDA-Approved Drugs (5)

Medications developed or marketed by AstraZeneca PLC that have received U.S. Food and Drug Administration approval. Drug data is sourced from the openFDA database and includes brand names, generic names, approval dates, and matched rare disease indications. Where a drug treats a condition covered by Trial Friend, the disease name links directly to that disease page.

Drug NameBrand NameRare DiseasesApproval Date
ACALABRUTINIB
Kinase Inhibitor [EPC]
CALQUENCE
oral
—Oct 31, 2017
BENRALIZUMAB
Interleukin-5 Receptor alpha-directed Cytolytic Antibody [EPC]
FASENRA
subcutaneous
Nov 14, 2017
DURVALUMABIMFINZIMay 1, 2017
SELUMETINIB
Kinase Inhibitor [EPC]
KOSELUGO
oral
Apr 10, 2020
EPLONTERSEN
Transthyretin-directed RNA Interaction [EPC]
WAINUA
subcutaneous
—Dec 21, 2023

AstraZeneca PLC Trial Locations

AstraZeneca PLC clinical trials are running at 503 sites in 24 countries. Click any country to drill down by state, city, and individual research facility. Proximity to a trial site is one of the most important factors in deciding whether to participate.

China
150▼
United States
119▼
Germany
43▼
Canada
24▼
Spain
23▼
Italy
20▼
Japan
20▼
United Kingdom
12▼
France
12▼
Mexico
9▼
Taiwan
8▼
Bulgaria
7▼

Rare Disease Focus Areas (45)

Diseases targeted by AstraZeneca PLC's clinical trial and drug development programs

Adrenocortical CarcinomaRare Cancers

Adrenocortical carcinoma is a rare, aggressive cancer of the adrenal cortex, the outer layer of the adrenal glands that sit on top of each kidney. These glands produce essential hormones including cor...

Prevalence: About 1-2 per million people per year; approximately 600 new cases per year in the U.S.
ATTR Amyloidosis (Transthyretin Amyloidosis)Metabolic & Lysosomal

ATTR amyloidosis is a rare progressive disease where abnormal transthyretin protein accumulates as amyloid deposits in the heart, nerves, and other organs. It can be inherited (hereditary ATTR) or dev...

Prevalence: Approximately 5,000 to 7,000 new cases diagnosed annually in the U.S.
Atypical Hemolytic Uremic SyndromeKidney & Renal

Atypical Hemolytic Uremic Syndrome (aHUS) is a rare kidney disease caused by uncontrolled activation of the complement system, a part of the immune system that normally helps fight infection. This act...

Prevalence: Approximately 1-2 cases per million people per year; rare form of HUS accounting for 5-10% of all HUS cases
Bullous PemphigoidDermatologic

Bullous pemphigoid is an autoimmune blistering disorder caused by autoantibodies against basement membrane proteins, particularly BP180 and BP230. The condition leads to formation of large fluid-fille...

Prevalence: Approximately 2-23 per million people per year; incidence increases sharply with age
CholangiocarcinomaRare Cancers

Cholangiocarcinoma is a rare and aggressive cancer that forms in the bile ducts, the thin tubes that carry digestive fluid (bile) from the liver to the small intestine. It can occur inside the liver (...

Prevalence: About 8,000 new cases per year in the U.S.; rising incidence worldwide
Chronic Graft-versus-Host DiseaseBlood & Immune

Chronic graft-versus-host disease is an immune-mediated complication after allogeneic stem cell or bone marrow transplant, in which donor immune cells attack the recipient's tissues. It can affect the...

Prevalence: Affects 30 to 70% of patients who receive allogeneic hematopoietic stem cell transplant; approximately 14,000 new cases annually in the U.S.

Patient Resources

Organizations and resources related to AstraZeneca PLC's rare disease focus areas

Frequently Asked Questions About AstraZeneca PLC

Common questions about AstraZeneca PLC's rare disease programs, clinical trials, and treatments.