AZD6234: a new option for adults with type 2 diabetes and excess weight
Official title: A Phase III Randomized, Double-Blind, Placebo-Controlled Multicentre Trial to Evaluate the Efficacy and Safety of AZD6234 in Participants With Type 2 Diabetes Mellitus and Obesity or Overweight (SELENE 2)
Run by AstraZeneca · NCT07784270 · Data updated 2026-11-12
A phase 3 trial tests whether AZD6234 helps adults with type 2 diabetes and overweight or obesity more than placebo over about 68 weeks.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 1500 (estimated) |
| Sponsor | AstraZeneca Industry-sponsored |
| Locations | 230 sites (Fairhope, Alabama and 229 other locations) |
| Status | Recruiting |
| Started | August 20, 2026 |
| Main results expected | August 9, 2028 |
| Study ends | August 9, 2028 |
| Registry record updated | October 28, 2026 |
| Trial ID | NCT07784270 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18 and older with type 2 diabetes and BMI ≥27 kg/m2, with stable weight and a history of weight loss attempts.
✕Probably not a fit
Patients without type 2 diabetes, with very high liver enzyme levels, or non-diabetic overweight conditions may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This global, randomized, double-blind, parallel-group study compares AZD6234 with placebo in adults who have type 2 diabetes and body weight above 27 kg/m2. Participants will continue stable diabetes management and will be assigned to AZD6234 or placebo for 68 weeks to measure percent change in body weight from baseline. The trial also monitors safety and tolerability in a diverse, multicenter setting. Eligible participants include adults with type 2 diabetes for at least 90 days, a BMI of 27 or higher, and prior unsuccessful weight loss attempts. Enrollment is at sites in Alabama, with AstraZeneca as lead sponsor.
Why it matters
Potential benefit: If successful, AZD6234 could help some patients lose weight while managing diabetes.
How similar studies have gone: Previous lines of similar obesity-diabetes trials have shown weight loss benefits with comparable approaches; this trial builds on that framework.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Males \& females (inclusive of all gender identities) age ≥18 years * BMI ≥27 kg/m2 * Diagnosed with T2DM ≥90 days prior to Screening * HbA1c value at Screening of ≥6.0% (42 mmol/mol) and ≤10% (86 mmol/mol) managed with diet and exercise alone or with a stable dose of any oral glycaemic-lowering agent (as per local labelling) * Stable body weight (≤5% body weight change) for at least 3 months prior to Randomisation * History of at least one self-reported unsuccessful attempt to lose body weight in lifetime Exclusion Criteria: * Obesity primarily caused by other endocrine disorders * Type 1 diabetes mellitus (or any other diabetes mellitus that is not clearly Type 2 diabetes), OR have history of ketoacidosis or hyperosmolar coma/state within 3 months prior to Screening * Significant hepatobiliary disease and/or any of the following results at Screening: * ALT ≥ 3.0 X ULN * AST ≥ 3.0 X ULN * TBL \> 1.5 X ULN (except for cases of known Gilbert's Syndrome) * Has received treatment with a GLP-1 receptor agonist or GLP-1 containing medication for any indication within 3 months before Randomisation * Use of insulin therapy for T2DM within 3 months prior to screening
Where it's running
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Fairhope, Alabama, United States Recruiting -
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Phoenix, Arizona, United States Recruiting -
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Gardena, California, United States Recruiting -
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Lincoln, California, United States Recruiting -
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Ocoee, Florida, United States Recruiting -
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Woodstock, Georgia, United States Recruiting
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Kaohsiung City, Taiwan Recruiting
+180 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: AstraZeneca Clinical Study Information Center
- Email: information.center@astrazeneca.com
- Phone: 1-877-240-9479
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Other studies for the same condition or treatment. Recruiting studies are listed first.
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Proliverenol for liver fat and insulin resistance in type 2 diabetes
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This trial tests whether a coformulation of eloralintide and tirzepatide helps people with obesity or overweight and type 2 diabetes lose weight compared with tirzepatide alone.
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.