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Trial · Interventional

CompletedPhase 2Results postedRegistry data

A Study to Evaluate the Efficacy and Safety of MEDI0382 in the Treatment of Overweight and Obese Subjects With Type 2 Diabetes

Overview

Status
Completed
Phase
Phase 2
Enrollment
834 participants (actual)
Sponsor
AstraZeneca · Industry
Design
Randomized · Triple masking
Countries
8 countries

United States, Bulgaria, Canada, Czechia, Germany, Mexico, Russia, Slovakia

Start
2 Aug 2017
Primary completion
3 May 2018
Completion
14 Jun 2019
First posted
1 Aug 2017
Last update posted
17 Aug 2020
Conditions
Diabetes Mellitus, Type 2

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
2017201820192020
  1. Ph 2

    A Study to Evaluate the Efficacy and Safety of MEDI0382 in the Treatment of Overweight and Obese Subjects With Type 2 Diabetes

    NCT03235050

    2 Aug 2017 to 14 Jun 2019

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

This study is designed to evaluate the dose range for MEDI0382 with respect to blood glucose control and weight loss effects, as well as to further explore the safety profile of MEDI0382

Interventions

  • MEDI0382 low doseDrug
  • MEDI0382 mid doseDrug
  • MEDI0382 high doseDrug
  • PlaceboDrug
  • LiraglutideDrug

Arms5

  • Experimental

    MEDI0382 low dose + Metformin

    Drug: MEDI0382 low dose Drug: Metformin tablets, total daily dose of ≥1500 mg (unless only tolerated at a lower dose)

  • Experimental

    MEDI0382 mid dose + Metformin

    Drug: MEDI0382 mid dose Drug: Metformin tablets, total daily dose of ≥1500 mg (unless only tolerated at a lower dose)

  • Experimental

    MEDI0382 high dose + Metformin

    Drug: MEDI0382 high dose Drug: Metformin tablets, total daily dose of ≥1500 mg (unless only tolerated at a lower dose)

  • Placebo comparator

    Placebo + Metformin

    Drug: Placebo Drug: Metformin tablets, total daily dose of ≥1500 mg (unless only tolerated at a lower dose)

  • Active comparator

    Liraglutide + Metformin

    Drug: Liraglutide Drug: Metformin tablets, total daily dose of ≥1500 mg (unless only tolerated at a lower dose)

Primary outcomes2

Outcomes the sponsor listed as primary.

  1. Change in HbA1c

    Time frame · From baseline to 14 weeks

    Registry description

    To assess the effect of 100, 200, 300 μg of cotadutide on HbA1c versus placebo

  2. Percent Change in Body Weight

    Time frame · From baseline to 14 weeks

    Registry description

    To assess the effect of 100, 200, 300 μg of cotadutide on body weight versus placebo

Secondary outcomes(11)
  1. Change in HbA1c

    Time frame · from baseline to 26 weeks and 54 weeks

    Registry description

    To assess the effect of 100, 200, 300 μg of cotadutide on HbA1c versus placebo

  2. Percentage of Participants Achieving an HbA1c Target < 7.0%

    Time frame · after 14, 26, and 54 weeks

    Registry description

    To assess the effect of 100, 200, and 300 μg of cotadutide on percentage of participants achieving an HbA1c target of \<7% versus placebo

  3. Percent Change in Body Weight

    Time frame · from baseline to 26 weeks and 54 weeks

    Registry description

    To assess the effect of 100, 200, and 300 μg of cotadutide on body weight versus placebo

  4. Absolute Change in Body Weight

    Time frame · from baseline to 14 weeks, 26 weeks and 54 weeks

    Registry description

    To assess the effect of 100, 200, 300 μg of cotadutide on body weight versus placebo

  5. Percent Change in Body Weight Versus Active Comparator

    Time frame · from baseline to 14 weeks, 26 weeks and 54 weeks

    Registry description

    To assess the effect of 100, 200, and 300 μg of cotadutide on body weight versus liraglutide 1.8 mg once daily

  6. Absolute Change in Body Weight Versus Active Comparator

    Time frame · from baseline to 14 weeks, 26 weeks and 54 weeks

    Registry description

    To assess the effect of 100, 200, and 300 μg of cotadutide on body weight versus liraglutide 1.8 mg once daily

  7. Percentage of Participants Achieving Weight Loss of ≥5% and ≥10%

    Time frame · after 14 weeks, 26 weeks and 54 weeks

    Registry description

    To assess the effect of 100, 200, and 300 μg of cotadutide on percentage of subjects achieving weight loss of ≥5% and ≥10% versus placebo

  8. Percentage of Participants Rescued or Discontinued for Lack of Glycaemic Control

    Time frame · at 14 weeks, 26 weeks and 54 weeks

    Registry description

    To assess the effect of 100, 200, and 300 μg of cotadutide on the requirement for additional blood glucose-lowering therapies versus placebo

  9. Pharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)

    Time frame · Time points at which outcome measure were assessed for plasma concentration were Weeks 1,2,6,10,14,18,22,26, and 54

    Registry description

    To characterise the PK profile of 100, 200, and 300 μg of cotadutide

  10. Immunogenicity Endpoint: Overall Antidrug Antibody (ADA) Incidence (Number and Percentage of Positive Partipants)

    Time frame · Baseline through 54-week treatment period and 28-day follow-up

    Registry description

    To characterise the immunogenicity of 100, 200, and 300 μg of cotadutide

  11. Immunogenicity Endpoint: Median Titer of the Anti-Drug Antibodies (ADA) to MEDI0382 in the Positive Participants

    Time frame · Baseline through 54-week treatment period and 28-day follow-up

    Registry description

    To characterise the immunogenicity of 100, 200, and 300 μg of cotadutide

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeLeast squares mean· From baseline to 14 weeks

Change in HbA1c

GroupValue (percentage)
Placebo-0.18
MEDI0382 100 mcg-1.01
MEDI0382 200 mcg-1.22
MEDI0382 300 mcg-1.09
Primary outcomeLeast squares mean· From baseline to 14 weeks

Percent Change in Body Weight

GroupValue (percentage)
Placebo-0.70
MEDI0382 100 mcg-2.70
MEDI0382 200 mcg-3.47
MEDI0382 300 mcg-4.33
Secondary and other outcome results(6)
Secondary outcomeLeast squares mean· from baseline to 26 weeks and 54 weeks

Change in HbA1c

GroupValue (percentage)
Placebo-0.40
MEDI0382 100 mcg-1.06
MEDI0382 200 mcg-1.22
MEDI0382 300 mcg-1.12
Secondary outcomeCount of participants· after 14, 26, and 54 weeks

Percentage of Participants Achieving an HbA1c Target < 7.0%

GroupValue (Participants)
Placebo19
MEDI0382 100 mcg50
MEDI0382 200 mcg143
MEDI0382 300 mcg143
Secondary outcomeLeast squares mean· from baseline to 26 weeks and 54 weeks

Percent Change in Body Weight

GroupValue (percentage)
Placebo-1.14
MEDI0382 100 mcg-3.23
MEDI0382 200 mcg-3.94
MEDI0382 300 mcg-4.60
Secondary outcomeLeast squares mean· from baseline to 14 weeks, 26 weeks and 54 weeks

Absolute Change in Body Weight

GroupValue (kg)
Placebo-0.71
MEDI0382 100 mcg-2.66
MEDI0382 200 mcg-3.45
MEDI0382 300 mcg-4.42
Secondary outcomeLeast squares mean· from baseline to 14 weeks, 26 weeks and 54 weeks

Percent Change in Body Weight Versus Active Comparator

GroupValue (percentage)
Liraglutide-3.40
MEDI0382 100 mcg-2.70
MEDI0382 200 mcg-3.47
MEDI0382 300 mcg-4.33
Secondary outcomeLeast squares mean· from baseline to 14 weeks, 26 weeks and 54 weeks

Absolute Change in Body Weight Versus Active Comparator

GroupValue (kg)
Liraglutide-3.25
MEDI0382 100 mcg-2.66
MEDI0382 200 mcg-3.45
MEDI0382 300 mcg-4.42

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
PlaceboPlacebo / Metformin tablets, total daily dose of ≥1500 mg (unless only tolerated at a lower dose)0 / 11212 / 11245 / 112
LiraglutideLiraglutide + Metformin tablets, total daily dose of ≥1500 mg (unless only tolerated at a lower dose)0 / 1108 / 11036 / 110
MEDI0382 100 mcgMEDI0382 low dose / Metformin tablets, total daily dose of ≥1500 mg (unless only tolerated at a lower dose)0 / 10012 / 10051 / 100
MEDI0382 200 mcgMEDI0382 mid dose / Metformin tablets, total daily dose of ≥1500 mg (unless only tolerated at a lower dose)2 / 25633 / 256159 / 256
MEDI0382 300 mcgMEDI0382 high dose / Metformin tablets, total daily dose of ≥1500 mg (unless only tolerated at a lower dose)1 / 25620 / 256164 / 256

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies1

Studies that cite this trial.

More studies

1 study on this page

Indexing hint: Randomized controlled trial · 2021

Corrected

Effects of Cotadutide on Metabolic and Hepatic Parameters in Adults With Overweight or Obesity and Type 2 Diabetes: A 54-Week Randomized Phase 2b Study.

Nahra et al. 2021Diabetes carecited by 247

PMID 34016612PMC8247525DOI 10.2337/dc20-2151PUB-34016612

Rights unknown

Eligibility

Who could join, as posted.

Sex
All
Age
from 18 Years up to 130 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Provision of informed consent * Male and female subjects aged ≥ 18 years at screening * Body mass index ≥ 25 kg/m2 at screening * HbA1c range of 7.0% to 10.5% (inclusive) at screening * Diagnosed with type-2 diabetes mellitus (T2DM) and treated with metformin (stable dose of ≥1500 mg/day or maximal tolerated dose) for at least 2 months prior to screening. Use of another glucose-lowering medication for up to 2 weeks in the 2 months prior to screening is acceptable * Women of childbearing potential (WOCBP), not breastfeeding and using appropriate birth control to avoid pregnancy throughout the study and for up to 4 weeks after the last dose of investigational product (IP), with a negative pregnancy test within 72 hours prior to the start of IP Exclusion Criteria: * History of, or any existing condition that, in the opinion of the Investigator, would interfere with evaluation of the IP, put the subject at risk, influence the subject's ability to participate or affect the interpretation of the results of the study and/or any subject unable or unwilling to follow study procedures * Any subject who has received another IP as part of a clinical study or a GLP-1 receptor agonist containing preparation within the last 30 days or 5 half lives of the drug (whichever is longer) at the time of screening * Severe allergy/hypersensitivity to any of the proposed study treatments or excipients * Symptoms of acutely decompensated blood glucose control, a history of type 1 diabetes mellitus or diabetic ketoacidosis, or if the subject has been treated with daily subcutaneous (SC) insulin for a period longer than 2 weeks within 90 days prior to screening * Acute or chronic pancreatitis. Subjects with serum triglyceride concentrations above 1000 mg/dL (11 mmol/L) at screening * Significant inflammatory bowel disease or other severe disease or surgery affecting the upper Gastrointestinal (GI) tract * Significant hepatic disease * Impaired renal function defined as estimated glomerular filtration rate (eGFR) ≤30 mL/minute/1.73m2 at screening * Severely uncontrolled hypertension * Unstable angina pectoris, myocardial infarction (MI), transient ischaemic attack (TIA), or stroke within 3 months prior to screening * Severe congestive heart failure

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