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NCT07276581PHASE2Recruiting

A Study to Investigate Efficacy and Safety of AZD1163 in Participants With Rheumatoid Arthritis

AstraZeneca

Start Date

12/15/2025

Completion Date

8/18/2028

Summary

Phase II study in participants with moderately-to-severely active rheumatoid Arthritis (RA) to evaluate efficacy and safety of AZD1163.

Detailed Description

AZD1163 is a novel bispecific antibody that inhibits the activity of extracellular peptidyl arginine deiminase 2 (PAD2) and peptidyl arginine deiminase 4 (PAD4) enzymes, which are responsible for protein citrullination. In RA, citrullinated proteins lead to the production of pathogenic anti-citrullinated peptide antibodies (ACPA). This is a Phase II, randomised, double-blind, multicentre, 4 arm placebo-controlled study designed to evaluate the efficacy and safety of AZD1163 in ACPA + adults with moderate-to-severely active RA on standard of care (SoC) (conventional synthetic disease-modifying antirheumatic drugs \[csDMARDs\] or tumour necrosis factor inhibitor \[TNFi\] +/- csDMARD). The study will have a screening period followed by a randomisation period wherein approximately 320 participants will be randomised in a 1:1:1:1 ratio to receive study intervention. Participants will receive subcutaneous (SC) injection of one of three different doses of AZD1163 or placebo, along with SoC until Week 24 followed by a safety follow-up (FU) period of 28 weeks.

Eligibility Criteria

Age Range: 18 years to No maximum

* Inclusion * Diagnosed with adult-onset RA as defined by the 2010 ACR/EULAR classification criteria for at least 12 weeks prior to screening. * Moderately-to-severely active RA as defined by: a. \>= 6 swollen joints on 66SJC and \>= 6 tender joints on 68TJC; b. CRP \> upper limit of normal. * Have a positive ACPA at screening. * A history of inadequate response, or loss of response, or intolerance to: a. at least one csDMARD treatment, AND/OR b. At least one and at most 2 TNFi. * A history of at least 12 weeks treatment and \>= 4 weeks stable on a csDMARD and/or SC TNFi prior to the day of randomisation. * Exclusion * History or evidence of an alternate autoimmune or other condition that could confound the diagnosis of RA. Participants with RA and secondary Sjogren's disease are eligible. * Have received or planning to receive any biologic DMARDs (except for TNFi) or targeted synthetic DMARDs.

Interventions

DRUG

AZD1163

OTHER

Placebo

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Conditions

Rheumatoid Arthritis

Locations

Research Site

Glendale, Arizona 85306

United States

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Prescott Valley, Arizona 86314

United States

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Tucson, Arizona 85748

United States

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La Jolla, California 92037

United States

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San Dimas, California 91773

United States

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San Leandro, California 94578

United States

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Aurora, Colorado 80045

United States

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Boynton Beach, Florida 33435

United States

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Jacksonville, Florida 32216

United States

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South Miami, Florida 33143

United States

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Tampa, Florida 33607

United States

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Winter Haven, Florida 33880

United States

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Marietta, Georgia 30060

United States

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Skokie, Illinois 60076

United States

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Willowbrook, Illinois 60527

United States

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Lake Charles, Louisiana 70605

United States

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Baltimore, Maryland 21224

United States

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New Bedford, Massachusetts 02740

United States

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Kansas City, Missouri 64151

United States

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St Louis, Missouri 63131

United States

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Henderson, Nevada 89052

United States

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Myrtle Beach, South Carolina 29572

United States

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Austin, Texas 78745

United States

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Baytown, Texas 77521

United States

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Houston, Texas 77027

United States

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Houston, Texas 77089

United States

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Mesquite, Texas 75150

United States

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Tomball, Texas 77375

United States

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Caba, C1128AAF

Argentina

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Ciudad de Buenos Aires, C1015ABO

Argentina

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Ciudad de Buenos Aires, C1428DUQ

Argentina

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Córdoba, X5000EDC

Argentina

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San Isidro, 1643

Argentina

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San Miguel de Tucumán, T4000AXL

Argentina

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Juiz de Fora, 36010 570

Brazil

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Pelotas, 96040-010

Brazil

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Porto Alegre, 90035-903

Brazil

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Porto Alegre, 9061-000

Brazil

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Salvador, 41820-020

Brazil

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São Paulo, 04266-010

Brazil

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São Paulo, 05403-9000

Brazil

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Haskovo, 6304

Bulgaria

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Pleven, 5800

Bulgaria

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Sofia, 1113

Bulgaria

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Sofia, 1336

Bulgaria

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Sofia, 1606

Bulgaria

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Sofia, 1612

Bulgaria

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Windsor, Ontario N8X 5A7

Canada

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Trois-Rivières, Quebec G9A 3Y2

Canada

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Providencia, 7510186

Chile

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Santiago, 7500571

Chile

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Santiago, 7500587

Chile

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Temuco, 4810345

Chile

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Valdivia, 5110683

Chile

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Victoria, 4720097

Chile

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Viña del Mar, 2531172

Chile

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Beijing, 100144

China

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Beijing, 100730

China

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Changchun, 130021

China

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Changsha, 410008

China

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Guangzhou, 510515

China

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Jiujiang, 332000

China

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Kunming, 650032

China

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Linyi, CN-276003

China

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Nanchong, 637000

China

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Panjin, 124000

China

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Pingxiang, 337055

China

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Shantou, 515041

China

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Xuzhou, 221009

China

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Yangzhou, 225001

China

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Zhengzhou, 450000

China

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Bad Doberan, 18209

Germany

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Berlin, 10777

Germany

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Hamburg, 20095

Germany

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Sendenhorst, 48324

Germany

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Budapest, 1023

Hungary

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Budapest, 1027

Hungary

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Budapest, 1036

Hungary

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Debrecen, 4032

Hungary

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Gyula, 5700

Hungary

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Szeged, 6725

Hungary

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Székesfehérvár, 8000

Hungary

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Veszprém, 8200

Hungary

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Aomori, 030-8553

Japan

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Bunkyō City, 113-8655

Japan

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Fukuoka, 815-8555

Japan

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Hamamatsu, 430-0906

Japan

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Hitachi-Naka, 312-0057

Japan

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Iizuka-shi, 820-8505

Japan

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Kawachinagano-shi, 586-8521

Japan

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Matsuyama, 790-8524

Japan

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Meguro-ku, 152-8902

Japan

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Miyazaki, 880-0834

Japan

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Nagoya, 457-8511

Japan

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Okayama, 700-8557

Japan

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Sagamihara-shi, 252-0315

Japan

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Sapporo, 060-0001

Japan

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Sasebo-shi, 857-1195

Japan

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Sayama-shi, 350-1305

Japan

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Yokohama, 236-0037

Japan

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Chihuahua City, 31000

Mexico

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Estado de México, 50090

Mexico

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Guadalajara, 44160

Mexico

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Guadalajara, 44650

Mexico

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Guadalajara, 44690

Mexico

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Gustavo A. Madero, 07300

Mexico

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Mexicali, 021100

Mexico

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Mexico City, 06700

Mexico

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Mérida, 97070

Mexico

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Monterrey, 64460

Mexico

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San Luis Potosí City, 78213

Mexico

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Krakow, 30-002

Poland

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Krakow, 30-727

Poland

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Torun, 87-100

Poland

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Warsaw, 00-874

Poland

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Wroclaw, 50-244

Poland

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Caguas, 00725

Puerto Rico

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Brackenfell, 7560

South Africa

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Cape Town, 7500

South Africa

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Durban, 4319

South Africa

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Pinelands, 7405

South Africa

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Pretoria, 0002

South Africa

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Pretoria,

South Africa

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Somerset West, 7130

South Africa

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Barcelona, 08003

Spain

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Barcelona, 08035

Spain

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Barcelona, 08041

Spain

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Málaga, 29009

Spain

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Sabadell, 08208

Spain

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Santiago de Compostela, 15706

Spain

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Valencia, 46026

Spain

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Ivano-Frankivsk, 76018

Ukraine

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Kyiv, 02002

Ukraine

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Kyiv, 03037

Ukraine

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Kyiv, 03049

Ukraine

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Kyiv, 04050

Ukraine

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Kyiv, 04210

Ukraine

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Uzhhorod, 88000

Ukraine

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Vinnytsia, 21018

Ukraine

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Vinnytsia, 21029

Ukraine

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Glasgow, G31 2ER

United Kingdom

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Leeds, LS7 4SA

United Kingdom

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Luton, LU4 0DZ

United Kingdom

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Staffordshire, WS11 5XY

United Kingdom