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Staphylococcus AureusPhase 1/2PEAKNCT06749457

A Study to Evaluate AZD7760 Safety and Pharmacokinetics in Healthy Adults (Phase I) and Adults With End-stage Kidney Disease on Hemodialysis With a Central Venous Catheter (Phase IIa)

A Phase 1/2 study testing AZD7760 in people with Staphylococcus Aureus, run by AstraZeneca at 40 sites in United States.

Active, not recruiting

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

Official record
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Trial summary

The purpose of this study is to evaluate the safety and pharmacokinetics (PK) of AZD7760 when given as an intravenous infusion to healthy participants (Phase I) or participants with end-stage kidney disease receiving hemodialysis through a central venous catheter (Phase IIa). Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Staphylococcus Aureus
What is being tested?
AZD7760
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
242 participants
Where
40 sitesUnited States
Study dates
30 Dec 2024to 13 Dec 2027
Phase
Phase 1/2
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 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Phase I:
  • Participant must be 18 to 55 years of age (inclusive), at the time of signing the informed consent.
  • Body weight ≥ 45 kilograms (kg) and ≤ 110 kg and Body Mass Index (BMI) within the range ≥ 18.0 to ≤ 30.0 kilograms per square meter (kg/m2) (inclusive) at screening.
  • Healthy participants with no clinically significant concomitant diseases or medications (except for those specifically permitted by the protocol) according to medical history, physical examination, screening safety laboratory tests, and screening parameters, as per the judgement of the investigator.
  • Phase IIa:
  • Participant must be ≥ 18 years of age at the time of signing the informed consent.
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  • Participants who meet all of the following disease status requirements:
  • Diagnosed with End-stage kidney disease (ESKD).
  • Requiring hemodialysis through a tunneled central venous catheter as the primary vascular access for hemodialysis.
  • Receiving hemodialysis for treatment of ESKD for at least 60 days before randomization.
  • At least 3 previous dialysis sessions using current dialyzer.
  • Receiving adequate hemodialysis based on a single-pool Kt/V measurement > 1.2 within the last 30 days.
  • No new medications have been added to the participant's regimen in the last 2 weeks prior to dosing. 'New medication' is defined as any medication that has not been prescribed or used by the participant previously (including formulation changes). Medication previously prescribed or used by the participant with dose adjustments is allowed and not considered as new medication for the purpose of this study.
  • Not taking long-term systemic antibiotics with activity against S aureus.

Who cannot join

  • Phase I:
  • Known hypersensitivity to any component of the study intervention
  • Previous hypersensitivity, infusion-related reaction, or severe adverse reaction following administration of monoclonal antibodies (mAbs).
  • Clinically significant bleeding disorder (eg, factor deficiency, coagulopathy, or platelet disorder), or prior history of significant bleeding or bruising following intramuscular injections or venipuncture.
  • Aspartate Aminotransferase (AST) or alanine Aminotransferase (ALT) above 1.5 × upper limit of normal (ULN) at screening. Testing may be repeated once at the investigator's discretion.
  • Estimated glomerular filtration rate < 90 mL/min/1.73 m2 calculated using the Chronic Kidney Disease Epidemiology Collaboration equation at screening.
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  • Hemoglobin or platelet count below the lower limit of normal at screening. Testing may be repeated once at the investigator's discretion.
  • White blood cell counts outside normal reference ranges unless judged by the investigator to be out of range given the known variation in white blood cell count reference interval by ethnicity. Testing may be repeated once at the investigator's discretion.
  • History of malignancy other than treated non-melanoma skin cancers or locally treated cervical cancer in the previous 5 years.
  • Any laboratory value in the screening panel that, in the opinion of the investigator, is clinically significant or might confound analysis of study results. Testing may be repeated once at the investigator's discretion.
  • Any clinically significant abnormalities on 12-lead electrocardiogram (ECG) at screening, as judged by the investigator.
  • Acute (time-limited) illness, including fever ≥ 38 °C (100.4 °F), one day prior to or on day of planned dosing; participants excluded for transient acute illness may be dosed if illness resolves within the 28-day Screening Period or may be rescreened once.
  • Known or suspected congenital or acquired immunodeficiency, or receipt of immunosuppressive therapy, including any course of glucocorticoid therapy exceeding 2 weeks of prednisone or equivalent at a dose of 20 mg daily or every other day within 6 months prior to screening.
  • Any condition that has the potential to increase clearance of the study intervention (eg, protein loss conditions such as severe enteropathies, or plasmapheresis).
  • Blood drawn in excess of a total of 450 milliliters (mL) (1 unit) for any reason within 2 months prior to screening.
  • Absence of suitable veins for blood sampling and administration of study intervention.
  • Any other condition that would compromise safety of the participants.
  • Any condition that, in the opinion of the investigator, might interfere with evaluation of the study intervention or interpretation of participant safety or study results.
  • Phase IIa:
  • Known hypersensitivity to any component of the study intervention.
  • History of allergic disease or reactions likely to be exacerbated by any component of the study intervention as listed in dose formulation section.
  • Previous hypersensitivity, infusion-related reaction, or severe adverse reaction following administration of mAbs.
  • Hemoglobin < 9 g/dL at screening considered by the investigator to be due to acute condition(s). Testing may be repeated once at the investigator's discretion.
  • Serum albumin of < 3 g/dL at screening considered by the investigator to be due to acute condition(s). Testing may be repeated once at the investigator's discretion.
  • Myocardial infarction, acute coronary syndrome, stroke, seizure, or a thrombotic/thromboembolic event (eg, deep vein thrombosis or pulmonary embolism, but excluding vascular access thrombosis) within 90 days prior to randomization.
  • Known S aureus infection within 90 days of study entry.
  • Known acute viral or bacterial infection or symptoms/signs consistent with such an infection within the 21 days prior to infusion or study intervention. Mild intercurrent viral illness with a temperature of 38.1 °C (100.6 °F) or less does not require exclusion, if in the judgement of the investigator this illness will not interfere with the evaluation of the mAb.
  • Participants with malignancy undergoing chemotherapy.
  • Scheduled date for living donor kidney transplant.
  • Plans to switch to peritoneal dialysis within the primary endpoint time period (181 days).
  • Regarding arteriovenous fistula (AVF) or arteriovenous graft (AVG):
  • Future AVG or AVG: (i) Participants with central venous catheters currently in use for dialysis, and future plans for AVF or AVG use within 90 days of randomization are not eligible.
  • Participants with central venous catheters currently in use for dialysis, and future plans for AVF or AVG placement, but no plans for AVF or AVG use within 90 days of randomization are eligible.
  • Existing AVG or AVG: (i) Participants with central venous catheters in use for dialysis, but also with an existing AVF or AVG that is not in use and with no future plans for use are eligible.

Trial locations and contacts

40 sites in 1 country.

40 sites in 1 country

United States40 sites
  • Research Site

    Albuquerque, New Mexico, 87109

  • Research Site

    Baltimore, Maryland, 21225

  • Research Site

    Beaumont, Texas, 77706

  • Research Site

    Bethlehem, Pennsylvania, 18017

  • Research Site

    Bradenton, Florida, 34209

  • Research Site

    Chicago, Illinois, 60640

  • Research Site

    Chicago, Illinois, 60643

  • Research Site

    Chula Vista, California, 91910

  • Research Site

    Coral Springs, Florida, 33071

  • Research Site

    Dallas, Texas, 75246

  • Research Site

    Detroit, Michigan, 48202

  • Research Site

    Englewood, Colorado, 80110

  • Research Site

    Glendale, California, 91206

  • Research Site

    Granada Hills, California, 91344

  • Research Site

    Hollywood, Florida, 33024

  • Research Site

    Houston, Texas, 77074

  • Research Site

    Huntsville, Alabama, 35805

  • Research Site

    Iowa City, Iowa, 52242

  • Research Site

    Jersey City, New Jersey, 07305

  • Research Site

    Kansas City, Missouri, 64111

  • Research Site

    Las Vegas, Nevada, 89128

  • Research Site

    Lawrenceville, Georgia, 30046

  • Research Site

    Lexington, Kentucky, 40503

  • Research Site

    Lincoln, Nebraska, 68510

  • Research Site

    Los Angeles, California, 90027

  • Research Site

    McAllen, Texas, 78503

  • Research Site

    Northridge, California, 91324

  • Research Site

    Northridge, California, 91325

  • Research Site

    Orlando, Florida, 32806

  • Research Site

    Oxnard, California, 93036

  • Research Site

    Pontiac, Michigan, 48341

  • Research Site

    Ridgewood, New York, 11385

  • Research Site

    Riverside, California, 92503

  • Research Site

    San Dimas, California, 91773

  • Research Site

    Tampa, Florida, 33603

  • Research Site

    Tarzana, California, 91356

  • Research Site

    Tupelo, Mississippi, 38801

  • Research Site

    Valencia, California, 91355

  • Research Site

    Victorville, California, 92392

  • Research Site

    Winston-Salem, North Carolina, 27103

Other trials in United States

About this study

Official title: A Phase I/IIa Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety and Pharmacokinetics of AZD7760 in Healthy Participants and in Patients With End-stage Kidney Disease Receiving Hemodialysis Through a Central Venous Catheter

The purpose of this study is to evaluate the safety and pharmacokinetics (PK) of AZD7760 when given as an intravenous infusion to healthy participants (Phase I) or participants with end-stage kidney disease receiving hemodialysis through a central venous catheter (Phase IIa).

Read the detailed description

In the Phase I portion of the study, participants will be randomized to receive one of 3 dosages of AZD7760 or placebo as a single intravenous infusion.

Study details include:

  • A 28-day Screening Period.
  • A Dosing Period of 3 days in which a single intravenous infusion will be given on Day 1.
  • A Follow-up Period of 12 months from the time of administration of the study intervention.

In the Phase IIa portion of the study, participants will be randomized to receive either AZD7760 or placebo as 2 intravenous infusions given 3 months apart.

Study details include:

  • A 28-day Screening Period.
  • A Dosing Period in which 2 intravenous infusions will be given 3 months apart (Day 1 and Day 91).
  • A Follow-up Period of 12 months after the last administration of the study intervention on Day 91.
Being tested
AZD7760, Placebo
Keywords
Bloodstream infection, End-stage kidney disease
Medical subject headings
Staphylococcal Infections, Sepsis, Kidney Failure, Chronic

What participants receive

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

  • AZD7760Drug

    Participants will receive AZD7760 as a single intravenous infusion.

  • PlaceboOther

    Participants will be administered placebo through intravenous infusion.

Study groups in NCT06749457
Study groupRoleWhat they receive
Phase I: AZD7760 Dose AExperimentalParticipants will receive a single dose of AZD7760 Dose A intravenously on Day 1.
Receives: Drug: AZD7760
Phase I: AZD7760 Dose BExperimentalParticipants will receive a single dose of AZD7760 Dose B intravenously on Day 1.
Receives: Drug: AZD7760
Phase I: AZD7760 Dose CExperimentalParticipants will receive a single dose of AZD7760 Dose C intravenously on Day 1.
Receives: Drug: AZD7760
Phase I: PlaceboPlacebo comparatorParticipants will receive a single dose of placebo on Day 1.
Receives: Other: Placebo
Phase IIa: AZD7760 Dose D and PlaceboExperimentalParticipants will receive AZD7760 Dose D and placebo on Day 1 on Day 91.
Receives: Drug: AZD7760; Other: Placebo
Phase IIa: AZD7760 Dose EExperimentalParticipants will receive AZD7760 Dose E on Day 1 and Day 91.
Receives: Drug: AZD7760
Phase IIa: PlaceboPlacebo comparatorParticipants will receive placebo on Day 1 and on Day 91.
Receives: Other: Placebo

What is being measured

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

  1. Phase I: Occurence of adverse events (AEs)

    To evaluate the safety of AZD7760 administered as a single intravenous (IV) Dose A, B, or C.

    Measured: Day 1 to Day 181

  2. Phase I: Occurence of medically-attended adverse events (MAAEs), serious adverse events (SAEs), and adverse events of special interest (AESIs)

    To evaluate the safety of AZD7760 administered as a single IV Dose A, B, or C.

    Measured: Day 1 to Day 361

  3. Phase IIa: Occurrence of AEs, MAAEs, SAEs, and AESIs

    To evaluate the safety of AZD7760 compared with placebo as:

    • A single IV dose (at Day 1) of Dose D followed by placebo (at Day 91)
    • 2 IV doses (at Day 1 and Day 91) of Dose E

    Measured: Day 1 to Day 181

Secondary outcomes (18)
  1. Phase I: Maximum observed plasma (peak) drug concentration (Cmax)

    To characterize the pharmacokinetics (PK) of AZD7760 in serum.

    Measured: Day 1 to Day 361

  2. Phase I: Time to reach peak or maximum observed concentration following drug administration (tmax)

    To characterize the PK of AZD7760 in serum.

    Measured: Day 1 to Day 361

  3. Phase I: Half-life associated with terminal slope (λz) of a semi-logarithmic concentration-time curve (t1/2λz)

    To characterize the PK of AZD7760 in serum.

    Measured: Day 1 to Day 361

  4. Phase I: Area under the plasma concentration-curve from zero to the last quantifiable concentration (AUClast)

    To characterize the PK of AZD7760 in serum.

    Measured: Day 1 to Day 361

  5. Phase I: Area under plasma concentration-time curve from zero extrapolated to infinity (AUCinf)

    To characterize the PK of AZD7760 in serum.

    Measured: Day 1 to Day 361

  6. Phase I: Apparent volume of distribution at steady state (Vss)

    To characterize the PK of AZD7760 in serum.

    Measured: Day 1 to Day 361

  7. Phase I: Apparent volume of distribution at the terminal phase (Vz)

    To characterize the PK of AZD7760 in serum.

    Measured: Day 1 to Day 361

  8. Phase I: Incidence of ADA

    To evaluate ADA responses to AZD7760 in serum.

    Measured: Day 1 to Day 361

  9. Phase IIa: Cmax

    To characterize the serum PK profiles of AZD7760 administered as:

    • A single IV dose (at Day 1) of Dose D followed by placebo (at Day 91)
    • 2 IV doses (at Day 1 and Day 91) of Dose E

    Measured: Day 1 to Day 181 and Day 1 to Day 451

  10. Phase IIa: tmax

    To characterize the serum PK profiles of AZD7760 administered as:

    • A single IV dose (at Day 1) of Dose D followed by placebo (at Day 91)
    • 2 IV doses (at Day 1 and Day 91) of Dose E

    Measured: Day 1 to Day 181 and Day 1 to Day 451

  11. Phase IIa: t1/2λz

    To characterize the serum PK profiles of AZD7760 administered as:

    • A single IV dose (at Day 1) of Dose D followed by placebo (at Day 91)
    • 2 IV doses (at Day 1 and Day 91) of Dose E

    Measured: Day 1 to Day 181 and Day 1 to Day 451

  12. Phase IIa: AUClast

    To characterize the serum PK profiles of AZD7760 administered as:

    • A single IV dose (at Day 1) of Dose D followed by placebo (at Day 91)
    • 2 IV doses (at Day 1 and Day 91) of Dose E

    Measured: Day 1 to Day 181 and Day 1 to Day 451

  13. Phase IIa: AUCinf

    To characterize the serum PK profiles of AZD7760 administered as:

    • A single IV dose (at Day 1) of Dose D followed by placebo (at Day 91)
    • 2 IV doses (at Day 1 and Day 91) of Dose E

    Measured: Day 1 to Day 181 and Day 1 to Day 451

  14. Phase IIa: Vss

    To characterize the serum PK profiles of AZD7760 administered as:

    • A single IV dose (at Day 1) of Dose D followed by placebo (at Day 91)
    • 2 IV doses (at Day 1 and Day 91) of Dose E

    Measured: Day 1 to Day 181 and Day 1 to Day 451

  15. Phase IIa: Vz

    To characterize the serum PK profiles of AZD7760 administered as:

    • A single IV dose (at Day 1) of Dose D followed by placebo (at Day 91)
    • 2 IV doses (at Day 1 and Day 91) of Dose E

    Measured: Day 1 to Day 181 and Day 1 to Day 451

  16. Phase IIa: Incidence of anti-drug antibodies (ADAs) to AZD7760 in serum

    To evaluate ADA responses to AZD7760 administered as:

    • A single IV dose (at Day 1) of Dose D followed by placebo (at Day 91)
    • 2 IV doses (at Day 1 and Day 91) of Dose E

    Measured: Day 1 to Day 181 and Day 1 to Day 451

  17. Phase IIa: Occurrence of AEs

    To evaluate the safety to Day 181 of AZD7760 administered as:

    • A single IV dose (at Day 1) of Dose D followed by placebo (at Day 91)
    • 2 IV doses (at Day 1 and Day 91) of Dose E

    Measured: Day 1 to Day 181

  18. Phase IIa: Occurrence of MAAEs, SAEs, and AESIs

    To evaluate the safety to Day 451 of AZD7760 administered as:

    • A single IV dose (at Day 1) of Dose D followed by placebo (at Day 91)
    • 2 IV doses (at Day 1 and Day 91) of Dose E

    Measured: Day 1 to Day 451

Timeline

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

  1. First posted27 Dec 2024
  2. Study start30 Dec 2024
  3. Primary completion8 Mar 2027 (estimated)
  4. Study completion13 Dec 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 1/2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
242 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06749457
Sponsor's protocol ID
D7480C00001
Acronym
PEAK
Status last verified
Oct 2026
First submitted
23 Dec 2024
Last updated
28 Oct 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 shared.

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing AZD7760 in people with Staphylococcus Aureus, run by AstraZeneca at 40 sites in United States.

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 14 inclusion and 34 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 28 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 40 sites in United States. 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 combined 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.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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?

Phase I: Occurence of adverse events (AEs) (time frame: Day 1 to Day 181). The study lists 3 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 28 Oct 2026.

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