Research and trials

AstraZeneca to present AZD6234 data this fall as elecoglipron enters Phase 3

AstraZeneca's mid-stage obesity data due this fall and its Phase 3 oral GLP-1 program are both years from any approval decision, and no results have been released yet.

By the Semaglutides news desk·

AstraZeneca is expected to present results for its experimental amylin drug AZD6234 at a major diabetes conference this fall, and analysts expect two more mid-stage readouts from the company's obesity pipeline before the end of 2026 [1].

Analysts at William Blair expect the AZD6234 data at the European Association for the Study of Diabetes annual meeting, scheduled for Sept. 28 to Oct. 2 in Italy [1]. AZD6234 is a selective amylin receptor peptide agonist, a mechanism that differs from the GLP-1 medicines now on the market, including semaglutide (Ozempic, Wegovy and Rybelsus) and tirzepatide (Mounjaro and Zepbound) [1]. Detailed Phase 2 results for AZD6234 have not been released [1].

William Blair also expects results during the rest of 2026 from a Phase 2 trial of AZD6234 in people with overweight or obesity and type 2 diabetes who are already on stable background GLP-1 therapy, and from the Phase 2b ASCEND study, which tests AZD6234 combined with AZD9550, a GLP-1/glucagon dual agonist, in obesity [1]. The add-on study is designed to test the amylin drug in people already taking a GLP-1 medicine rather than as a first treatment [1].

AstraZeneca has also moved its oral GLP-1 drug elecoglipron into a Phase 3 trial in obesity and type 2 diabetes, and the drug is in a separate late-stage study in type 2 diabetes alone [1]. William Blair expects those trials to read out in 2027 or 2028 [1]. Chief Executive Pascal Soriot said in February, on a media call about the company's full-year 2025 earnings, that elecoglipron has "a very competitive profile" [1]. Detailed results for elecoglipron have not been disclosed [1].

The competition reflects the size of the market. Obesity medicines generated $66 billion in sales last year and could reach between $105 billion and $200 billion by 2027 and beyond, according to IQVIA [1]. AstraZeneca is among the companies competing for position behind market leaders Eli Lilly and Novo Nordisk [1]. AstraZeneca's pipeline page lists 183 projects, including 116 new molecular entities or major life-cycle projects in Phase II or Phase III, as of July 27, 2026 [2]. Other amylin drugs in development include Roche's petrelintide, which Roche is testing with partner Zealand Pharma [1].

Why it matters for patients

Neither AZD6234 nor elecoglipron is approved for any use, and AstraZeneca has not announced an approval timeline for either one [1]. The AZD6234 results expected this fall come from Phase 2 trials, which are mid-stage studies and not the last step before a regulatory decision [1].

For people who already take a GLP-1 medicine, one of the studies now reading out tests AZD6234 in people with overweight or obesity and type 2 diabetes who are on stable background GLP-1 therapy [1]. That means researchers are looking at the drug as an addition to a treatment patients already take [1].

On the pill side, the oral GLP-1 options now on the market include Foundayo (orforglipron) and an oral version of Wegovy (semaglutide) [1]. Novo Nordisk's oral Wegovy accounted for about 90% of weekly oral prescriptions as of July, or roughly 1.5 million people [1]. Elecoglipron is another oral candidate, but with Phase 3 readouts expected in 2027 or 2028, it is years from any possible market [1].

What happens next

  • Sept. 28 to Oct. 2: The European Association for the Study of Diabetes annual meeting in Italy, where AZD6234 data are expected [1].
  • By the end of 2026: Expected results from the Phase 2 trial of AZD6234 in people on stable background GLP-1 therapy and from the Phase 2b ASCEND study of AZD9550 plus AZD6234 in obesity [1].
  • 2027 or 2028: William Blair's expected timing for Phase 3 readouts of elecoglipron in obesity and type 2 diabetes [1].

Sources

  1. https://www.biospace.com/drug-development/myriad-catalysts-on-deck-for-obesitys-brightest-stars-as-market-continues-to-accelerate
  2. https://www.astrazeneca.com/our-therapy-areas/pipeline.html

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