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Autosomal Dominant Polycystic Kidney DiseasePhase 1PIONEER-PKDNCT07228364

Safety, Tolerability and Pharmacokinetics of AZD1613 in Adults With Autosomal Dominant Polycystic Kidney Disease

A Phase 1 study testing AZD1613 - Part A and AZD1613 - Part B in people with Autosomal Dominant Polycystic Kidney Disease, run by AstraZeneca at 15 sites in 3 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

A study to investigate safety, tolerability, and pharmacokinetics of AZD1613 following subcutaneous or intravenous administration in participants with autosomal dominant polycystic kidney disease (ADPKD). Read more about this study

Who is it for?
Ages 18 to 65 years
What is being tested?
AZD1613 - Part A and AZD1613 - Part B
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
40 participants
Where
15 sitesin 3 countries
Study dates
10 Nov 2025to 22 May 2027
Phase
Phase 1
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 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with ADPKD Mayo Class (IB-IE), as per clinical diagnosis (MIC) assessed centrally. Genetic testing results will not be used for eligibility purposes
  • eGFR = 45 to 90 mL/min /1.73m2
  • Body weight ≥ 45 kg and body mass index within the range 18 to 35 kg/m2 (inclusive).
  • Females are to be of non-childbearing potential

Who cannot join

  • As judged by the investigator, any evidence of cardiac, vascular, and other renal conditions which in the investigator's opinion makes it undesirable for the participant to participate in the study.
  • Positive hepatitis C antibody, hepatitis B virus surface antigen, or human immunodeficiency virus test, at screening.
  • History of QT prolongation associated with other medications that required discontinuation of that medication.
  • Congenital long QT syndrome.
  • History of ventricular arrhythmia requiring treatment. Patients with atrial fibrillation/flutter and controlled ventricular rate HR < 100 bpm can be eligible as judged by the investigator.
  • Haemoglobin below the lower limit of the normal range or any other clinically significant haematological abnormality as judged by the investigator.
Show all 10Show fewer
  • Any clinically important abnormalities in clinical chemistry, haematology, coagulation, or urinalysis results other than those specifically described as exclusion criteria herein, as judged by the investigator.
  • Systolic BP > 160 mmHg or diastolic BP > 100mmHg or HR < 50 bpm or > 100 bpm at screening. Patients taking anti-hypertensive medication should be on a stable treatment regimen of antihypertensive therapy for at least 30 days prior to the screening visit.
  • Any clinically important abnormalities in rhythm, conduction, or morphology of the resting ECG and any abnormalities in the 12-lead ECG that, as considered by the investigator, may interfere with the interpretation of QTc interval changes, including abnormal ST-T-wave morphology or left ventricular hypertrophy.
  • Kidney cyst interventions such as cyst aspiration or cyst fenestration within 12 weeks prior to screening and during the screening period, or such interventions planned or anticipated within the follow-up period.

Trial locations and contacts

15 sites in 3 countries. Contact the study team or a site near you to ask about taking part.

AstraZeneca Clinical Study Information Center contact

1-877-240-9479

information.center@astrazeneca.com

15 sites in 3 countries

United States8 sites, 8 recruiting
  • Research Site

    Baltimore, Maryland, 21201

    Recruiting
  • Research Site

    Birmingham, Alabama, 35233

    Not yet recruiting
  • Research Site

    Jacksonville, Florida, 32216

    Recruiting
  • Research Site

    Lenexa, Kansas, 66219

    Recruiting
  • Research Site

    Loma Linda, California, 92354

    Not yet recruiting
  • Research Site

    Orlando, Florida, 32808

    Recruiting
  • Research Site

    Rochester, Minnesota, 55905

    Recruiting
  • Research Site

    San Antonio, Texas, 78212

    Not yet recruiting

Other trials in United States

China6 sites, 6 recruiting
  • Research Site

    Chengdu, 610072

    Recruiting
  • Research Site

    Hangzhou, 310003

    Recruiting
  • Research Site

    Nanjing, 210009

    Recruiting
  • Research Site

    Shanghai, 200025

    Not yet recruiting
  • Research Site

    Wuhan, 430022

    Not yet recruiting
  • Research Site

    Xiamen, 361101

    Recruiting

Other trials in China

United Kingdom1 site, 1 recruiting
  • Research Site

    London, NW3 2QG

    Recruiting

Other trials in United Kingdom

About this study

Official title: A Phase I Randomised, Single-blind, Placebo-controlled Study to Assess the Safety, Tolerability, and Pharmacokinetics of AZD1613 Following Multiple Ascending Dose Administration in Participants With Autosomal Dominant Polycystic Kidney Disease

A study to investigate safety, tolerability, and pharmacokinetics of AZD1613 following subcutaneous or intravenous administration in participants with autosomal dominant polycystic kidney disease (ADPKD).

Read the detailed description

This Phase I, randomised, single-blind, placebo-controlled study will assess the safety and tolerability of AZD1613 and characterise the pharmacokinetics (PK) of AZD1613 in participants with autosomal dominant polycystic kidney disease (ADPKD), following subcutaneous (SC) or intravenous (IV) administration. Inclusion of participants receiving placebo is appropriate for benchmarking the safety and tolerability of AZD1613. Furthermore, the safety and PK profile will be evaluated in Chinese participants with ADPKD to assess any potential race effect in this population.

Being tested
AZD1613 - Part A, Placebo - Part A, AZD1613 - Part B, Placebo - Part B
Medical subject headings
Polycystic Kidney, Autosomal Dominant

What participants receive

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

  • AZD1613 - Part ADrug

    Part A - Participants will be administered doses of AZD1613 on days 1, 29, 57, and 85 according to randomization in IRT.

  • Placebo - Part ADrug

    Part A - Participants will be administered doses of placebo on days 1, 29, 57, and 85 according to randomization in IRT.

  • AZD1613 - Part BDrug

    Part B - Participants will be administered doses of AZD1613 on days 1, 29, 57, and 85 according to randomization in IRT.

  • Placebo - Part BDrug

    Part B - Participants will be administered doses of placebo on days 1, 29, 57, and 85 according to randomization in IRT.

Study groups in NCT07228364
Study groupRoleWhat they receive
Part A - Cohort A1ExperimentalParticipants will receive 4 doses of AZD1613 or placebo on days 1, 29, 57 and 85.
Receives: Drug: AZD1613 - Part A; Drug: Placebo - Part A
Part A - Cohort A2ExperimentalParticipants will receive 4 doses of AZD1613 or placebo on days 1, 29, 57 and 85.
Receives: Drug: AZD1613 - Part A; Drug: Placebo - Part A
Part B - Chinese CohortExperimentalParticipants will receive 4 doses of AZD1613 or placebo on days 1, 29, 57 and 85.
Receives: Drug: AZD1613 - Part A; Drug: AZD1613 - Part B; Drug: Placebo - Part B

What is being measured

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

  1. Incidence of Treatment-Emergent Adverse Events (TEAEs)

    Number of participants with at least one TEAE and SAE, including events leading to discontinuation or death; coded by system organ class and preferred term.

    Unit: participants.

    Measured: From randomization (Day 1) through end of follow-up (up to Day 189 ±3 days)

  2. Change From Baseline in Safety 12-Lead ECG QTcF

    Change from baseline in QT interval corrected using Fridericia's formula (QTcF) measured on single 12-lead safety ECGs.

    Unit: milliseconds (ms).

    Measured: Baseline (Day -1) and post-dose at scheduled visits through Day 189 ±3 days

  3. Change From Baseline in Safety 12-Lead ECG PR Interval

    Change from baseline in PR interval measured on single 12-lead safety ECGs.

    Unit: milliseconds (ms).

    Measured: Baseline (Day -1) and post-dose at scheduled visits through Day 189 ±3 days

  4. Change From Baseline in Safety 12-Lead ECG QRS Duration

    Change from baseline in QRS duration measured on single 12-lead safety ECGs.

    Unit: milliseconds (ms).

    Measured: Baseline (Day -1) and post-dose at scheduled visits through Day 189 ±3 days

  5. Change From Baseline in Heart Rate (12-Lead Safety ECG)

    Change from baseline in heart rate measured on single 12-lead safety ECGs.

    Unit: beats per minute (bpm).

    Measured: Baseline (Day -1) and post-dose at scheduled visits through Day 189 ±3 days

  6. Change From Baseline in ALT

    Change from baseline in alanine aminotransferase.

    Unit: U/L.

    Measured: Baseline (Day -1) and post-dose at scheduled visits through Day 189 ±3 days

  7. Change From Baseline in AST

    Change from baseline in aspartate aminotransferase.

    Unit: U/L.

    Measured: Baseline (Day -1) and post-dose at scheduled visits through Day 189 ±3 days

  8. Change From Baseline in Total Bilirubin

    Change from baseline in total bilirubin.

    Unit: mg/dL.

    Measured: Baseline (Day -1) and post-dose at scheduled visits through Day 189 ±3 days

  9. Change From Baseline in Serum Creatinine

    Change from baseline in serum creatinine.

    Unit: mg/dL.

    Measured: Baseline (Day -1) and post-dose at scheduled visits through Day 189 ±3 days

  10. Change From Baseline in Estimated Glomerular Filtration Rate (eGFR; CKD-EPI 2021)

    Change from baseline in eGFR calculated using CKD-EPI 2021.

    Unit: mL/min/1.73 m².

    Measured: Baseline (Day -1) and post-dose at scheduled visits through Day 189 ±3 days

  11. Change From Baseline in INR

    Change from baseline in international normalized ratio- (INR).

    Unit: unitless.

    Measured: Baseline (Day -1) and post-dose at scheduled visits through Day 189 ±3 days

  12. Change From Baseline in Prothrombin Time (PT)

    Change from baseline in prothrombin time.

    Unit: seconds (s).

    Measured: Baseline (Day -1) and post-dose at scheduled visits through Day 189 ±3 days

  13. Change From Baseline in Activated Partial Thromboplastin Time (aPTT)

    Change from baseline in aPTT.

    Unit: seconds (s).

    Measured: Baseline (Day -1) and post-dose at scheduled visits through Day 189 ±3 days

  14. Change From Baseline in Urinary Albumin-to-Creatinine Ratio (UACR)

    Change from baseline in UACR (geometric mean of triplicates at each visit).

    Unit: mg/g.

    Measured: Baseline (Day -1) and scheduled visits through Day 189 ±3 days; UACR as triplicate first-morning voids per visit

  15. Change From Baseline in Systolic Blood Pressure

    Change from baseline in supine systolic blood pressure.

    Unit: mmHg.

    Measured: Baseline (Day -1) and post-dose at scheduled visits through Day 189 ±3 days

  16. Change From Baseline in Diastolic Blood Pressure

    Change from baseline in supine diastolic blood pressure.

    Unit: mmHg.

    Measured: Baseline (Day -1) and post-dose at scheduled visits through Day 189 ±3 days

  17. Change From Baseline in Heart Rate (Vital Signs)

    Change from baseline in supine heart rate.

    Unit: bpm.

    Measured: Baseline (Day -1) and post-dose at scheduled visits through Day 189 ±3 days

  18. Change From Baseline in Body Temperature

    Change from baseline in oral body temperature.

    Unit: °C.

    Measured: Baseline (Day -1) and post-dose at scheduled visits through Day 189 ±3 days

  19. Change From Baseline in Respiratory Rate

    Change from baseline in respiratory rate.

    Unit: breaths per minute.

    Measured: Baseline (Day -1) and post-dose at scheduled visits through Day 189 ±3 days

  20. Change From Baseline in Oxygen Saturation (SpO2)

    Change from baseline in pulse oximetry oxygen saturation.

    Unit: percent (%).

    Measured: Baseline (Day -1) and post-dose at scheduled visits through Day 189 ±3 days

Secondary outcomes (9)
  1. Maximum Observed Serum Concentration (Cmax) of AZD1613

    Maximum observed serum concentration following subcutaneous or intravenous administration.

    Unit: µg/mL.

    Measured: Intensive PK sampling from Day 1 through Day 189 per protocol schedule

  2. Area Under the Concentration-Time Curve to Last Quantifiable Concentration (AUClast) of AZD1613

    AUC from time zero to last quantifiable concentration.

    Unit: h·µg/mL (or day·µg/mL; align with bioanalytical report).

    Measured: Intensive PK sampling from Day 1 through Day 189 per protocol schedule

  3. Area Under the Concentration-Time Curve From Time Zero to Infinity (AUCinf) of AZD1613

    AUC from time zero extrapolated to infinity.

    Unit: h·µg/mL (or day·µg/mL).

    Measured: Intensive PK sampling from Day 1 through Day 189 per protocol schedule

  4. Area Under the Concentration-Time Curve Over the Dosing Interval at Steady State (AUCtau) of AZD1613

    AUC over the dosing interval at steady state.

    Unit: h·µg/mL (or day·µg/mL).

    Measured: Over the dosing interval (τ = 28 days) at steady state; sampling through Day 189

  5. Time to Maximum Observed Serum Concentration (Tmax) of AZD1613

    Time to reach Cmax after dosing.

    Unit: hours (h).

    Measured: Intensive PK sampling from Day 1 through Day 189 per protocol schedule

  6. Terminal Elimination Half-Life (t½) of AZD1613

    Half-life associated with terminal slope (λz) of the concentration-time curve.

    Unit: hours (h) or days (d).

    Measured: Intensive PK sampling from Day 1 through Day 189 per protocol schedule

  7. Incidence of Anti-Drug Antibodies (ADA) to AZD1613

    Number of participants with ADA-positive response based on validated tiered assay (screen and confirm).

    Unit: participants.

    Measured: Predose on dosing days and during follow-up through Day 189 ±3 days

  8. ADA Titer to AZD1613

    Titer among confirmed ADA-positive samples.

    Unit: reciprocal dilution (titer).

    Measured: Predose on dosing days and during follow-up through Day 189 ±3 days

  9. Change From Baseline in PD Markers of PAPPA-1 Inhibition

    Change from baseline in pharmacodynamic marker of PAPPA-1 inhibition.

    Unit: ng/mL (or assay-specific unit).

    Measured: Baseline to scheduled post-dose time points through Day 189 ±3 days

Timeline

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

  1. First posted14 Nov 2025
  2. Study start10 Nov 2025
  3. Primary completion22 May 2027 (estimated)
  4. Study completion22 May 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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
This is a Phase I, first-in-patient, randomized, single-blind, placebo-controlled study with a sequential MAD design in participants with autosomal dominant polycystic kidney disease (ADPKD). AZD1613 will be administered either subcutaneously or intravenously in up to 5 cohorts.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07228364
Sponsor's protocol ID
D9050C00002
Other IDs
Identifier Number
Acronym
PIONEER-PKD
Status last verified
Oct 2026
First submitted
23 Oct 2025
Last updated
13 Oct 2026
Results posted
No
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 shared.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing AZD1613 - Part A and AZD1613 - Part B in people with Autosomal Dominant Polycystic Kidney Disease, run by AstraZeneca at 15 sites in 3 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 4 inclusion and 10 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: looking for participants now, as of the sponsor's last update on 13 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 sites in United States, China, United Kingdom. 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. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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?

Contact AstraZeneca Clinical Study Information Center (1-877-240-9479, information.center@astrazeneca.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence of Treatment-Emergent Adverse Events (TEAEs) (time frame: From randomization (Day 1) through end of follow-up (up to Day 189 ±3 days)). The study lists 20 primary outcomes in all. 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 13 Oct 2026.

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