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Heterozygous Familial HypercholesterolaemiaPhase 3AZURE-HeFHNCT07000136

A Phase III Study to Assess the Effect of AZD0780 on LDL-C in Patients With HeFH

A Phase 3 study testing AZD0780 in people with Heterozygous Familial Hypercholesterolaemia, run by AstraZeneca at 133 sites in 24 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

This is a study to evaluate the efficacy and safety of AZD0780 in adults with HeFH and elevated LDL-C, either with clinical ASCVD and LDL-C levels of 55 mg/dL or higher or without clinical ASCVD and LDL-C levels of 70 mg/dL or higher. AZD0780 is a small molecule that reduces the amount of LDL-C in the blood. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
AZD0780
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
473 participants
Where
133 sitesin 24 countries
Study dates
10 Jun 2025to 4 Jan 2027
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • •≥ 18 years of age at the time of signing the ICF.
  • Diagnosis of HeFH by genetic confirmation or a definite clinical diagnosis, ie, a score > x using the Dutch Lipid Network [Nordestgaard et al 2013] or equivalent as per internationally accepted diagnostic algorithms (AHA [Gidding et al 2015], US MEDPED [Williams et al 1993], Simon Broome [Scientific Steering Committee on behalf of the Simon Broome Register Group 1991], or Japanese Atherosclerosis Society Guidelines [Okamura et al 2024])
  • Fasting serum by central laboratory at screening as follows: LDL-C ≥ 55 mg/dL (≥ 1.4 mmol/L) in participants with HeFH and clinical ASCVD or ≥ 70 mg/dL (≥ 1.8 mmol/L) in HeFH without clinical ASCVD. Clinical ASCVD is defined as MI, stable or unstable angina, coronary or other arterial revascularisation, ischaemic stroke, or peripheral artery disease.
  • 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).
  • Thus, the background lipid-lowering therapy must consist of one of the following:
  • A high intensity LDL lowering regimen (i) A high intensity statin regimen, as defined by country specific guidelines - Oral combination therapy with ezetimibe and/or bempedoic acid is strongly recommended OR: (ii) A lower intensity statin regimen in combination with ezetimibe and/or bempedoic acid :
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  • OR:
  • A maximally tolerated statin regimen - Oral combination therapy with ezetimibe and/or bempedoic acid is strongly recommended.
  • Participants must achieve a stable background lipid lowering therapy > 28 days before screening.

Who cannot join

  • Homozygous familial hypercholesterolaemia, LDL apheresis or plasma apheresis within 12 months prior to screening, or any other underlying known disease or condition that may interfere with interpretation of the clinical study results as judged by the Investigator.
  • Any of the following laboratory values at screening:
  • Calculated eGFR < 15 mL/min/1.73 m2
  • AST or ALT > 3 × ULN
  • TBL > 2 × ULN (except for patients with Gilberts syndrome, where TBL 3 × ULN is acceptable provided direct bilirubin < 1.5 × ULN)
  • Fasting triglycerides ≥ 400 mg/dL (≥ 4.52 mmol/L)
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  • Creatine kinase > 5 × ULN
  • Urine albumin-to-creatinine ratio ≥ 500 mg/g
  • Uncontrolled type 2 diabetes mellitus defined as HbA1c ≥ 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 prior to screening or planned use during the study.
  • Use of gemfibrozil within 1 week prior to screening or planned use during the study.
  • Use of PCSK-9 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. Any other approved PCSK-9 inhibitor use within 5 half lives prior to the screening visit or planned use during the study.

Trial locations and contacts

133 sites in 24 countries.

133 sites in 24 countries

United States19 sites
  • Research Site

    Chattanooga, Tennessee, 37404

  • Research Site

    Chicago, Illinois, 60607

  • Research Site

    Cincinnati, Ohio, 45227

  • Research Site

    Garden Grove, California, 92844

  • Research Site

    Hammond, Louisiana, 70403

  • Research Site

    Houston, Texas, 77043

  • Research Site

    Humble, Texas, 77338

  • Research Site

    Kingwood, Texas, 77345

  • Research Site

    Las Vegas, Nevada, 89119

  • Research Site

    Lima, Ohio, 45801

  • Research Site

    McAllen, Texas, 78503

  • Research Site

    Mesquite, Texas, 75149

  • Research Site

    Miami Lakes, Florida, 33016

  • Research Site

    Morganton, North Carolina, 28655

  • Research Site

    New York, New York, 10029

  • Research Site

    Orlando, Florida, 32807

  • Research Site

    Peachtree Corners, Georgia, 30092

  • Research Site

    Redmond, Washington, 98052

  • Research Site

    San Diego, California, 92111

Other trials in United States

Japan18 sites
  • Research Site

    Chūōku, 103-0027

  • Research Site

    Fukushima, 960-1295

  • Research Site

    Hamamatsu, 432-8580

  • Research Site

    Ichikawa-shi, 272-8516

  • Research Site

    Kanazawa, 920-8530

  • Research Site

    Kanazawa, 920-8641

  • Research Site

    Kishiwada-shi, 596-8522

  • Research Site

    Kita-gun, 761-0793

  • Research Site

    Komatsu-shi, 923-8560

  • Research Site

    Minatoku, 108-0073

  • Research Site

    Okayama, 700-0804

  • Research Site

    Okayama, 702-8055

  • Research Site

    Osaka, 543-8922

  • Research Site

    Suita-shi, 564-8565

  • Research Site

    Takatsuki-shi, 569-8686

  • Research Site

    Tamanashi, 865-0016

  • Research Site

    Urasoe-Shi, 901-2102

  • Research Site

    Yokohama, 247-8581

Other trials in Japan

Argentina7 sites
  • Research Site

    CABA, C1006ACC

  • Research Site

    Ciudad Autonoma de Bs As, C1023AAB

  • Research Site

    Ciudad de Buenos Aires, C1094AAD

  • Research Site

    Ciudad de Buenos Aires, C1425AGC

  • Research Site

    Mar del Plata, 7600

  • Research Site

    Rosario, 2000

  • Research Site

    Rosario, S2000PBJ

Other trials in Argentina

Denmark7 sites
  • Research Site

    Aarhus N, 8200

  • Research Site

    Copenhagen, 2400

  • Research Site

    Esbjerg, 6700

  • Research Site

    Herlev, 2730

  • Research Site

    Herning, 7400

  • Research Site

    Hvidovre, DK-2650

  • Research Site

    Viborg, 8800

Other trials in Denmark

Canada6 sites
  • Research Site

    Chicoutimi, Quebec, G7H 7K9

  • Research Site

    London, Ontario, N6A 5A5

  • Research Site

    Montreal, Quebec, H2W 1R7

  • Research Site

    Québec, Quebec, G1V 4W2

  • Research Site

    Trois-Rivières, Quebec, G9A 4P3

  • Research Site

    Vancouver, British Columbia, V6Z2H2

Other trials in Canada

Sweden6 sites
  • Research Site

    Gothenburg, 413 46

  • Research Site

    Linköping, 581 85

  • Research Site

    Lund, 22242

  • Research Site

    Stockholm, 117 27

  • Research Site

    Stockholm, 141 86

  • Research Site

    Uppsala, 75185

Other trials in Sweden

Brazil5 sites
  • Research Site

    Campinas, 13060-080

  • Research Site

    São Caetano do Sul, 09521-160

  • Research Site

    São Paulo, 04004-030

  • Research Site

    São Paulo, 04012-180

  • Research Site

    São Paulo, 05403-000

Other trials in Brazil

France5 sites
  • Research Site

    Bron, 69677

  • Research Site

    Dijon, 21079

  • Research Site

    Marseille, 13005

  • Research Site

    Paris, 75013

  • Research Site

    Saint-Herblain, 44093

Other trials in France

Hungary5 sites
  • Research Site

    Budapest, 1036

  • Research Site

    Budapest, 1132

  • Research Site

    Debrecen, 4032

  • Research Site

    Nyíregyháza, 4400

  • Research Site

    Székesfehérvár, 8000

Other trials in Hungary

Norway5 sites
  • Research Site

    Bodø, 8005

  • Research Site

    Grålum, 1712

  • Research Site

    Oslo, 0369

  • Research Site

    Oslo, 0586

  • Research Site

    Trondheim, 7030

Other trials in Norway

Slovakia5 sites
  • Research Site

    Bratislava, 83101

  • Research Site

    Bratislava, 83106

  • Research Site

    Košice, 04022

  • Research Site

    Nitra, 949 11

  • Research Site

    Žilina, 010 01

Other trials in Slovakia

Spain5 sites
  • Research Site

    A Coruña, 15006

  • Research Site

    Barcelona, 08036

  • Research Site

    Córdoba, 14004

  • Research Site

    Reus, 43204

  • Research Site

    Seville, 41013

Other trials in Spain

Turkey (Türkiye)5 sites
  • Research Site

    Adana, 01060

  • Research Site

    Afyonkarahisar, 03030

  • Research Site

    Ankara, 06530

  • Research Site

    Izmir, 35100

  • Research Site

    İzmit, 41380

Other trials in Turkey (Türkiye)

Czechia4 sites
  • Research Site

    Hradec Králové, 500 05

  • Research Site

    Prague, 140 00

  • Research Site

    Prague, 19800

  • Research Site

    Uherské Hradiště, 686 01

Other trials in Czechia

Finland4 sites
  • Research Site

    Helsinki, 00290

  • Research Site

    Kuopio, 70210

  • Research Site

    Tampere, 33520

  • Research Site

    Turku, 20520

Other trials in Finland

Netherlands4 sites
  • Research Site

    Amsterdam, 1105 AZ

  • Research Site

    Roosendaal, 4708 AE

  • Research Site

    Rotterdam, 3015 GD

  • Research Site

    Utrecht, 3584 CX

Other trials in Netherlands

South Korea4 sites
  • Research Site

    Gyeonggi-do, 13620

  • Research Site

    Seoul, 03080

  • Research Site

    Seoul, 120-752

  • Research Site

    Seoul, 5278

Other trials in South Korea

Taiwan4 sites
  • Research Site

    Kaohsiung City, 80756

  • Research Site

    Taichung, 40705

  • Research Site

    Taipei, 10002

  • Research Site

    Taipei, 11217

Other trials in Taiwan

Vietnam4 sites
  • Research Site

    Hanoi, 100000

  • Research Site

    Hồ Chí Minh, 9000

  • Research Site

    Ho Chi Minh City, 700000

  • Research Site

    Ho Chi Minh City, 70000

Other trials in Vietnam

Bulgaria3 sites
  • Research Site

    Plovdiv, 4002

  • Research Site

    Sofia, 1527

  • Research Site

    Sofia, 1618

Other trials in Bulgaria

Germany3 sites
  • Research Site

    Berlin, 10559

  • Research Site

    Dresden, 1307

  • Research Site

    Leipzig, 04103

Other trials in Germany

Chile2 sites
  • Research Site

    Santiago, 7770086

  • Research Site

    Valdivia, 5090000

Other trials in Chile

New Zealand2 sites
  • Research Site

    Christchurch, 8011

  • Research Site

    Grafton, 1010

Other trials in New Zealand

Australia1 site
  • Research Site

    Melbourne, 3004

Other trials in Australia

About this study

Official title: A Phase III, Randomised, Double-Blind, Placebo-Controlled, Parallel-Group Study to Assess the Effect of AZD0780 on Low-Density Lipoprotein Cholesterol in Patients With Heterozygous Familial Hypercholesterolaemia

This is a study to evaluate the efficacy and safety of AZD0780 in adults with HeFH and elevated LDL-C, either with clinical ASCVD and LDL-C levels of 55 mg/dL or higher or without clinical ASCVD and LDL-C levels of 70 mg/dL or higher. AZD0780 is a small molecule that reduces the amount of LDL-C in the blood. Placebo will be used for comparison, and neither the participants nor the Investigators will know who is receiving the AZD0780 medication and who is receiving the placebo until the end of study.

The total length of the study for an individual participant will be up to approximately 56 weeks, including a screening period of up to 14 days, treatment with AZD0780 or placebo for 52 weeks, and a safety follow-up period of 10 days.

Read the detailed description

This is a randomised, double-blind, placebo-controlled, parallel-group Phase III study to evaluate the effect on the reduction of LDL-C and the safety and tolerability of AZD0780 versus placebo, administered as xx mg once daily orally, on top of a high intensity lipid-lowering regimen. The target population is adults ≥ 18 years of age with HeFH either with ASCVD and LDL-C ≥ 55 mg/dL, or without clinical ASCVD and LDL-C ≥ 70 mg/dL. The study will be conducted at approximately 170 centres in approximately 25 countries.

The screening period is up to 14 days (and may be conditionally extended), starts at the date of signed informed consent, and ends on the day before the randomisation visit. Participants will be randomised in a 2:1 ratio to either AZD0780 or placebo for a treatment period of 52 weeks and a 10-day safety follow-up. Those randomised to the AZD0780 group will receive AZD0780 xx mg orally once daily during the treatment period, while those in the placebo group will receive matching placebo. The study will include approximately 405 randomised participants. An independent data monitoring committee will, on a regular basis, review accumulating data from the study, evaluate adverse effects of the IMP, and make recommendations regarding whether to halt or modify the study.

Being tested
AZD0780, Placebo
Keywords
Low-Density Lipoprotein Cholesterol

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AZD0780Drug

    Participants will receive daily oral dose of AZD0780

  • PlaceboDrug

    Participants will receive daily oral dose of placebo

Study groups in NCT07000136
Study groupRoleWhat they receive
AZD0780ExperimentalParticipants will receive daily oral dose of AZD0780
Receives: Drug: AZD0780
PlaceboPlacebo comparatorParticipants will receive daily oral dose of placebo
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Relative change in LDL-C from baseline to 12 weeks

    To compare the effect of treatment with AZD0780 versus placebo on LDL-C at 12 weeks

    Measured: Baseline - 12 weeks

Secondary outcomes (9)
  1. Relative change in LDL-C from baseline to 12 weeks

    To compare the effect of treatment with AZD0780 versus placebo on LDL-C at 12 weeks in patients on background statin therapy at baseline

    Measured: Baseline - 12 weeks

  2. Indicator for LDL-C < 70 mg/dL (< 1.8 mmol/L) at 12 weeks

    To compare the effect of treatment with AZD0780 versus placebo on the probability of LDL-C < 70 mg/dL at 12 weeks in patients with baseline LDL-C ≥ 70 mg/dL

    Measured: Baseline - 12 weeks

  3. Indicator for LDL-C < 55 mg/dL (< 1.4 mmol/L) at 12 weeks

    To compare the effect of treatment with AZD0780 versus placebo on the probability of LDL-C < 55 mg/dL at 12 weeks

    Measured: Baseline - 12 weeks

  4. Relative change in LDL-C from baseline to 28 weeks

    To compare the effect of treatment with AZD0780 versus placebo on LDL-C at 28 weeks

    Measured: Baseline - 28 weeks

  5. Relative change in LDL-C from baseline to 52 weeks

    To compare the effect of treatment with AZD0780 versus placebo on LDL-C at 52 weeks

    Measured: Baseline - 52 weeks

  6. Relative change in Apo B from baseline to 12 weeks

    To compare the effect of treatment with AZD0780 versus placebo on apolipoprotein (Apo) B at 12 weeks

    Measured: Baseline - 12 weeks

  7. Relative change in non-HDL-C from baseline to 12 weeks

    To compare the effect of treatment with AZD0780 versus placebo on non-high-density lipoprotein cholesterol (HDL-C) at 12 weeks

    Measured: Baseline - 12 weeks

  8. Relative change in total cholesterol from baseline to 12 weeks

    To compare the effect of treatment with AZD0780 versus placebo on total cholesterol at 12 weeks

    Measured: Baseline - 12 weeks

  9. Relative change in Lp(a) from baseline to 12 weeks

    To compare the effect of treatment with AZD0780 versus placebo on lipoprotein(a) (Lp[a]) at 12 weeks

    Measured: Baseline - 12 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Jun 2025
  2. Study start10 Jun 2025
  3. Primary completion4 Jan 2027 (estimated)
  4. Study completion4 Jan 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
International, multi-centre, randomised, double-blind, placebo-controlled, parallel-group
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
473 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07000136
Sponsor's protocol ID
D7960C00013
Other IDs
2025-520520-17, 2025
Acronym
AZURE-HeFH
Status last verified
Jul 2026
First submitted
23 May 2025
Last updated
16 Jul 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
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.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing AZD0780 in people with Heterozygous Familial Hypercholesterolaemia, run by AstraZeneca at 133 sites in 24 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 16 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 133 sites in United States, Japan, Argentina, Denmark, Canada and 19 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Relative change in LDL-C from baseline to 12 weeks (time frame: Baseline - 12 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Jul 2026.

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