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Trial · Interventional

CompletedPhase 2Results postedRegistry data

A Study to Investigate the Effect of MEDI0382 on Hepatic Glycogen Metabolism in Overweight and Obese Subjects With Type 2 Diabetes Mellitus.

NCTNCT03555994 (opens ClinicalTrials.gov in a new tab)Other idD5670C00022Other id2017-005081-22Other id2017

Overview

Status
Completed
Phase
Phase 2
Enrollment
51 participants (actual)
Sponsor
MedImmune LLC · Industry
Design
Randomized · Double masking
Countries
3 countries

Netherlands, Sweden, United Kingdom

Start
31 May 2018
Primary completion
14 Apr 2021
Completion
14 Apr 2021
First posted
14 Jun 2018
Last update posted
12 Nov 2024
Conditions
Type 2 Diabetes Mellitus

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
20182019202020212022
  1. Ph 2

    A Study to Investigate the Effect of MEDI0382 on Hepatic Glycogen Metabolism in Overweight and Obese Subjects With Type 2 Diabetes Mellitus.

    NCT03555994

    31 May 2018 to 14 Apr 2021

Registry summary

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

A phase 2 study in two parts (A \& B) designed to evaluate the effect of MEDI0382 on Hepatic Glycogen Metabolism in subjects with Type 2 Diabetes Mellitus (T2DM). Approximately 20 subjects will be enrolled in Part A and approximately 30 subjects in Part B.

Interventions

  • MEDI0382Drug
  • PlaceboDrug
  • LiraglutideDrug

Arms5

  • Experimental

    MEDI0382 (Part A)

    MEDI0382 administered subcutaneously (Part A)

  • Placebo comparator

    Placebo (Part A)

    Placebo comparator administered subcutaneously (Part A)

  • Active comparator

    Liraglutide (Part B)

    Active comparator administered subcutaneously (Part B)

  • Experimental

    MEDI0382 (Part B)

    MEDI0382 administered subcutaneously (Part B)

  • Placebo comparator

    Placebo (Part B)

    Placebo comparator administered subcutaneously (Part B)

Primary outcomes2

Outcomes the sponsor listed as primary.

  1. Change in Hepatic Glycogen Concentration Adjusted for Liver Volume as Measured by MRS at T = 4 Hours Post Standardised Morning Meal From Baseline (Day -1) to the End of 28 Days of Treatment (Part A Only)

    Time frame · Day -1 to Day 28

    Registry description

    To assess the effect of MEDI0382 on hepatic glycogen levels postprandially versus placebo after 28 days of treatment

  2. Percentage Change in Fasting Hepatic Glycogen Concentration Adjusted for Liver Volume as Measured by MRS at T = 24 Hours Post Standardised Morning Meal From Baseline (Day -1) to the End of 35 Days of Treatment (Day 36) (Part B)

    Time frame · Day -1 to Day 36

    Registry description

    To assess the effect of MEDI0382 on hepatic glycogen levels versus placebo after 35 days (Part B) of treatment

Secondary outcomes(8)
  1. Percentage Change in Fasting Hepatic Glycogen Concentration Adjusted for Liver Volume as Measured by MRS at T = 24 Hours Post Standardised Morning Meal From Baseline (Day 1) to the End of 35 Days of Treatment (Day 36, Part B Only)

    Time frame · Fom baseline (Day -1) to Day 35

    Registry description

    To assess the effect of MEDI0382 on hepatic glycogen levels versus liraglutide after 35 days of treatment (Part B only)

  2. Change of Hepatic Fat Fraction From Baseline as Measured by Magnetic Resonance Imaging (Day -1) to the End of 35 Days of Treatment (Part B Only)

    Time frame · Day -1 to Day 36

  3. Development of ADA

    Time frame · Baseline to (Follow-up Period) 28 days post last dose + (3-month poststudy)

  4. Measures of Safety and Tolerability of Daily SC Doses of MEDI0382 Titrated up to a Dose Level of 300μg (Parts A and B) by Assessment of Number of Participants withTreatment Emergent Adverse Events (TEAEs) as Assessed by CTCAE V4.0

    Time frame · Post dosing (Day 1) to final follow-up (28 Days post last dose)

    Registry description

    Safety and tolerability of daily SC doses of MEDI0382 by assessment of the following using CTCAE V4.0: The number of Treatment Emergent Adverse events (TEAEs)

  5. Measures of Safety and Tolerability of Daily SC Doses of MEDI0382 Titrated up to a Dose Level of 300μg (Parts A and B) by Assessment of Number of Participants With Treatment Emergent Serious Adverse Events (TESAEs) as Assessed by CTCAE V4.0

    Time frame · Post dosing (Day 1) to final follow-up (28 Days post last dose)

    Registry description

    Safety and tolerability of daily SC doses of MEDI0382 by assessment of the following using CTCAE V4.0: The number of Treatment-Emergent Serious Adverse Events (TESAEs)

  6. Measures of Safety and Tolerability of Daily SC Doses of MEDI0382 Titrated up to a Dose Level of 300μg (Parts A and B) by Assessment of Changes in Heart Rate and Blood Pressure

    Time frame · Post dosing (Day 1) to final follow-up (28 Days post last dose)

    Registry description

    Number of subjects with clinically significant changes in heart rate (BPM) or systolic and diastolic blood pressure (mmHg)

  7. Measures of Safety and Tolerability of Daily SC Doses of MEDI0382 Titrated up to a Dose Level of 300μg (Parts A and B) by Assessment of Changes in ECG

    Time frame · Post dosing (Day 1) to final follow-up (28 Days post last dose)

    Registry description

    Number of subjects with an ECG determined to be abnormal and clinically significant

  8. Measures of Safety and Tolerability of Daily SC Doses of MEDI0382 Titrated up to a Dose Level of 300μg (Parts A and B) by Assessment of Changes in Haematology and Clinical Chemistry Parameters

    Time frame · Post dosing (Day 1) to final follow-up (28 Days post last dose)

    Registry description

    Number of subjects with clinically significant changes in in haematology and or clinical chemistry parameters

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· Day -1 to Day 28

Change in Hepatic Glycogen Concentration Adjusted for Liver Volume as Measured by MRS at T = 4 Hours Post Standardised Morning Meal From Baseline (Day -1) to the End of 28 Days of Treatment (Part A Only)

GroupValue (mmol/L)
Placebo (Part A)5.5
MEDI0382 (Part A)-100.2
Primary outcomeLeast squares mean· Day -1 to Day 36

Percentage Change in Fasting Hepatic Glycogen Concentration Adjusted for Liver Volume as Measured by MRS at T = 24 Hours Post Standardised Morning Meal From Baseline (Day -1) to the End of 35 Days of Treatment (Day 36) (Part B)

GroupValue (percent change from baseline)
MEDI0382 (Part B)-27.02
Placebo (Part B)-1.15
Secondary and other outcome results(6)
Secondary outcomeLeast squares mean· Fom baseline (Day -1) to Day 35

Percentage Change in Fasting Hepatic Glycogen Concentration Adjusted for Liver Volume as Measured by MRS at T = 24 Hours Post Standardised Morning Meal From Baseline (Day 1) to the End of 35 Days of Treatment (Day 36, Part B Only)

GroupValue (percentage change from baseline)
Liraglutide-5.33
MEDI0382-27.31
Secondary outcomeLeast squares mean· Day -1 to Day 36

Change of Hepatic Fat Fraction From Baseline as Measured by Magnetic Resonance Imaging (Day -1) to the End of 35 Days of Treatment (Part B Only)

GroupValue (percent)
Liraglutide (Part B)-15.40
MEDI0382 (Part B)-26.26
Placebo (Part B)8.79
Secondary outcomeCount of participants· Baseline to (Follow-up Period) 28 days post last dose + (3-month poststudy)

Development of ADA

GroupValue (Participants)
Placebo (Part A)0
MEDI0382 (Part A)0
MEDI0382 (Part B)0
Liraglutide0
Placebo (Part B)0
Secondary outcomeCount of participants· Post dosing (Day 1) to final follow-up (28 Days post last dose)

Measures of Safety and Tolerability of Daily SC Doses of MEDI0382 Titrated up to a Dose Level of 300μg (Parts A and B) by Assessment of Number of Participants withTreatment Emergent Adverse Events (TEAEs) as Assessed by CTCAE V4.0

GroupValue (Participants)
Placebo (Part A)7
MEDI0382 (Part A)11
Liraglutide (Part B)8
MEDI0382 (Part B)7
Placebo (Part B)6
Secondary outcomeCount of participants· Post dosing (Day 1) to final follow-up (28 Days post last dose)

Measures of Safety and Tolerability of Daily SC Doses of MEDI0382 Titrated up to a Dose Level of 300μg (Parts A and B) by Assessment of Number of Participants With Treatment Emergent Serious Adverse Events (TESAEs) as Assessed by CTCAE V4.0

GroupValue (Participants)
Placebo (Part A)0
MEDI0382 (Part A)0
Liraglutide (Part B)0
MEDI0382 (Part B)0
Placebo (Part B)0
Secondary outcomeCount of participants· Post dosing (Day 1) to final follow-up (28 Days post last dose)

Measures of Safety and Tolerability of Daily SC Doses of MEDI0382 Titrated up to a Dose Level of 300μg (Parts A and B) by Assessment of Changes in Heart Rate and Blood Pressure

GroupValue (Participants)
Placebo (Part A)0
MEDI0382 (Part A)0
Liraglutide (Part B)0
MEDI0382 (Part B)0
Placebo (Part B)0

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
Placebo (Part A)Placebo comparator administered subcutaneously (Part A)0 / 90 / 97 / 9
MEDI0382 (Part A)MEDI0382 administered subcutaneously (Part A)0 / 120 / 1211 / 12
Liraglutide (Part B)Active Comparator administered subcutaneously (Part B)0 / 100 / 108 / 10
MEDI0382 (Part B)MEDI0382 administered subcutaneously (Part B)0 / 90 / 97 / 9
Placebo (Part B)Placebo administered subcutaneously (Part B)0 / 110 / 116 / 11

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.

Studies with results

0 studies on this page

Indexing hint: Randomized controlled trial · 2023

Cotadutide promotes glycogenolysis in people with overweight or obesity diagnosed with type 2 diabetes.

Parker et al. 2023Nature metabolismcited by 42

PMID 38066113PMC10730390DOI 10.1038/s42255-023-00938-0PUB-38066113

CC BY
Download PDF

Eligibility

Who could join, as posted.

Sex
All
Age
from 18 Years up to 99 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Body mass index (BMI) ≥ 27 and ≤ 40 kg/m2 (inclusive) at screening * Glycated haemoglobin (HbA1c) ≤ 8.0% at screening * Diagnosed with T2DM with glucose control managed with metformin monotherapy where no significant dose change (increase or decrease ≥ 500 mg/day) has occurred in the 3 months prior to screening Exclusion criteria: * Any subject who has received another investigational product as part of a clinical study or a GLP-1 analogue-containing preparation within the last 30 days or 5 half-lives of the drug (whichever is longer) at the time of screening * Any subject who has received any of the following medications prior to the start of the study: * Herbal preparations or drugs licensed for control of body weight or appetite (eg, orlistat, bupropion naltrexone, phentermine-topiramate, phentermine, lorcaserin) * Opiates, domperidone, metoclopramide or other drugs known to alter gastric emptying * Glucagon * Warfarin * Any contraindication to magnetic resonance imaging/MRS scanning including claustrophobia or dislike of confined spaces * Symptoms of acutely decompensated blood glucose control (eg, thirst, polyuria, weight loss), a history of type 1 diabetes mellitus (T1DM) or diabetic ketoacidosis, or if the subject has been treated with daily SC insulin within 90 days prior to screening * Recurrent unexplained hypoglycaemic episodes (defined as glucose \< 3.0 mmol/L or \< 54 mg/dL on more than 2 occasions in 6 months prior to screening) * Significant inflammatory bowel disease, gastroparesis, or other severe disease or surgery affecting the upper GI tract (including weightreducing surgery and procedures) which may affect gastric emptying or could affect the interpretation of safety and tolerability data * Acute or chronic pancreatitis * Significant hepatic disease (except for NASH or nonalcoholic fatty liver disease without portal hypertension or cirrhosis) and/or subjects with any of the following results at screening: * Aspartate transaminase (AST) ≥ 3 × upper limit of normal (ULN) * Alanine transaminase (ALT) ≥ 3 × ULN * Total bilirubin ≥ 2 × ULN * Impaired renal function defined as estimated glomerular filtration rate (eGFR) \< 30 mL/minute/1.73m2 at screening (glomerular filtration rate estimated according to Modification of Diet in Renal Disease (MDRD) using MDRD Study Equation IDMS-traceable (International System of Units \[SI\] units) * Poorly controlled hypertension defined as: * Systolic blood pressure (BP) \> 180 mm Hg * Diastolic BP \> 105 mm Hg After 10 minutes of supine rest and confirmed by repeated measurement at screening. * Unstable angina pectoris, myocardial infarction, transient ischemic attack or stroke within 3 months prior to screening, or subjects who have undergone percutaneous coronary intervention or a coronary artery bypass graft within the past 6 months or who are due to undergo these procedures at the time of screening * Severe congestive heart failure (New York Heart Association Class III or IV) * Basal calcitonin level \> 50 ng/L at screening or history/family history of medullary thyroid carcinoma or multiple endocrine neoplasia * History of neoplastic disease within 5 years prior to screening, except for adequately treated basal cell, squamous cell skin cancer, or in situ cervical cancer * Any positive results for serum hepatitis B surface antigen (HBsAg), hepatitis C antibody and human immunodeficiency virus (HIV) antibody * Substance dependence or history of alcohol abuse and/or excess alcohol intake (defined as \> 21 units per week for a male subject, and \>14 units per week for a female subject). Subjects must have a negative alcohol test result at screening and prior to randomisation.

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