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Writer's pictureDave Knapp

AstraZeneca’s AZD5004: A Power Move in Obesity Medicine

San Antonio, Texas – Obesity Week 2024


Live from Obesity Week here in San Antonio, where AstraZeneca’s strategy in obesity medicine has seemingly taken a bite out of Viking Therapeutics’ spotlight, shifting attention toward its ambitious lineup of combination therapies and an innovative oral weight-loss pill. While Viking’s early-phase data initially generated significant buzz, AstraZeneca’s approach is capturing the crowd with its promise of comprehensive, multi-mechanism treatments aimed at tackling not just weight loss, but the complex web of the accompanying comorbidoties often intertwined with obesity. In a field crowded with new drugs and evolving treatment ideas, AstraZeneca is focusing on a dual path—developing a promising oral weight-loss pill while also testing the boundaries of combination therapies. It’s clear that their innovation is intently focused on improving obesity, but total overall health.


Spotlight on AZD5004: AstraZeneca’s Entry into Oral GLP-1 Therapy


AstraZeneca’s AZD5004 is their latest answer to the growing demand for effective, and scalable obesity treatments. This once-daily oral GLP-1 receptor agonist is already showing some exciting promise. After successful early trials involving both healthy participants and individuals with type 2 diabetes, AstraZeneca moved AZD5004 into Phase II.


Now, to the data shared this week. In the Phase I trial, AZD5004 demonstrated tolerability with side effects consistent with the GLP-1 drug class, including dose-dependent nausea and vomiting, but no serious adverse events were reported. Unlike oral Semaglutide (the only FDA approved oral GLP-1), AZD5004 is designed to be taken with or without food, giving patients added flexibility in managing their treatment.


AstraZeneca’s Three-Tiered Obesity Strategy: Tackling Obesity from Multiple Angles


AstraZeneca’s focus isn’t just on AZD5004; they’ve built a pipeline that incorporates multiple mechanisms to address the complexity of obesity:


1. AZD5004 – AstraZeneca’s new oral option, AZD5004, represents a significant move into oral GLP-1 territory. AZD5004 resulted in 5.8% weight loss after four weeks of treatment in type 2 diabetes patients, also showing significant improvements in reducing post-meal blood sugars. The Phase II study is aimed at obese and overweight patients, with results expected by the end of 2025. AZD5004’s small-molecule structure also makes it ideal for use in combination therapies, a key feature in AstraZeneca’s strategy to tackle obesity holistically.

2. AZD6234 – Another promising candidate, AZD6234, is a long-acting amylin analogue designed to work alongside GLP-1 treatments. Early trials have shown it to be safe and well-tolerated, setting it up for once-weekly dosing with positive effects on weight reduction. Currently in Phase II, AZD6234 targets hunger and metabolic control through a distinct pathway, potentially amplifying the effects of other treatments.

3. AZD9550 + AZD6234 (Combination Therapy) – Taking it a step further, AstraZeneca is testing a combination approach using AZD6234 with AZD9550, their GLP-1/glucagon dual agonist. This “triple mechanism” combination is designed to maximize weight loss while supporting organ health, giving AstraZeneca’s offerings a competitive edge in both efficacy and overall health benefits.


Embracing Combination Therapies for Broader Health Impact


AstraZeneca’s not just focused on weight loss here—they’re tackling the whole mess of health issues that tend to pile up alongside obesity, like type 2 diabetes, heart disease, and high cholesterol. AZD5004, their small-molecule pill, is built for this kind of all-in approach, making it easier to pair up with other tried-and-true treatments. By aiming at the root of these health problems, AstraZeneca’s working toward a more complete solution for those of us dealing with the bigger picture of obesity.


AstraZeneca’s approach shows they’re not just in this game to play the “we can, too” game—they’re here to shake things up in obesity care. They get that treating obesity isn’t just about dropping pounds; it’s about tackling all the tangled-up metabolic issues that come with it. By diving into both solo meds and combo therapies, they’re making it clear they intend on competing in the obesity space in a meaningful way.


Stay tuned to On The Pen as we continue to cover the latest updates from Obesity Week, where AstraZeneca and others are defining new standards in obesity care. If you found this article helpful, consider sharing it within your community to help raise awareness around the latest advances in obesity treatment.

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