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Diabetes Mellitus, Type 2Phase 2NCT03235050

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

A Phase 2 study testing MEDI0382 low dose, MEDI0382 mid dose and MEDI0382 high dose in people with Diabetes Mellitus, Type 2, run by AstraZeneca at 119 sites in 8 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

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 Read more about this study

Who is it for?
Ages 18 to 130 years
Conditions the study is for
Diabetes Mellitus, Type 2
What is being tested?
MEDI0382 low dose, MEDI0382 mid dose and MEDI0382 high dose
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
834 participants
Where
119 sitesin 8 countries
Study dates
2 Aug 2017to 14 Jun 2019
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 130 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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

Who cannot join

  • 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
Show all 11Show fewer
  • 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

Trial locations and contacts

119 sites in 8 countries.

119 sites in 8 countries

United States22 sites
  • Research Site

    Arlington, Virginia, 22206

  • Research Site

    Baton Rouge, Louisiana, 70808

  • Research Site

    Birmingham, Alabama, 35205

  • Research Site

    Bridgeton, Missouri, 63044

  • Research Site

    Brooklyn, New York, 11229

  • Research Site

    Chandler, Arizona, 85224

  • Research Site

    Elkridge, Maryland, 21075

  • Research Site

    Evansville, Indiana, 47715

  • Research Site

    Glendale, Arizona, 85306

  • Research Site

    Glendale, Arizona, 85308

  • Research Site

    Greer, South Carolina, 29651

  • Research Site

    Houston, Texas, 77040

  • Research Site

    Houston, Texas, 77074

  • Research Site

    Las Vegas, Nevada, 89117

  • Research Site

    Layton, Utah, 84014

  • Research Site

    Manassas, Virginia, 20110

  • Research Site

    Marietta, Georgia, 30067

  • Research Site

    Mesa, Arizona, 85213

  • Research Site

    Metairie, Louisiana, 70006

  • Research Site

    Morehead City, North Carolina, 28557

  • Research Site

    Philadelphia, Pennsylvania, 19104

  • Research Site

    Plano, Texas, 75093

Other trials in United States

Germany19 sites
  • Research Site

    Aschaffenburg, 63739

  • Research Site

    Berlin, 10437

  • Research Site

    Berlin, 10787

  • Research Site

    Eschweiler, 52249

  • Research Site

    Essen, 45136

  • Research Site

    Essen, 45359

  • Research Site

    Gelnhausen, 63571

  • Research Site

    Hamburg, 21109

  • Research Site

    Hamburg, 22607

  • Research Site

    Hof, 95030

  • Research Site

    Löhne, 32584

  • Research Site

    Lübeck, 23538

  • Research Site

    Magdeburg, 39120

  • Research Site

    Mannheim, 68163

  • Research Site

    Münster, 48145

  • Research Site

    Oldenburg, 23758

  • Research Site

    Pirna, 01796

  • Research Site

    Rhaunen, 55624

  • Research Site

    Villingen-Schwenningen, 78048

Other trials in Germany

Slovakia17 sites
  • Research Site

    Banská Bystrica, 974 01

  • Research Site

    Bratislava, 831 01

  • Research Site

    Dolný Kubín, 026 01

  • Research Site

    Levice, 934 01

  • Research Site

    Lučenec, 984 01

  • Research Site

    Malacky, 901 01

  • Research Site

    Námestovo, 029 01

  • Research Site

    Nitra, 949 11

  • Research Site

    Nové Mesto nad Váhom, 915 01

  • Research Site

    Prievidza, 971 01

  • Research Site

    Rimavská Sobota, 979 01

  • Research Site

    Rožňava, 048 01

  • Research Site

    Sabinov, 083 01

  • Research Site

    Trebišov, 075 01

  • Research Site

    Trenčín, 911 01

  • Research Site

    Trnava, 917 01

  • Research Site

    Žilina, 010 01

Other trials in Slovakia

Russia16 sites
  • Research Site

    Chelyabinsk, 454091

  • Research Site

    Izhevsk, 426035

  • Research Site

    Kemerovo, 650066

  • Research Site

    Moscow, 119034

  • Research Site

    Moscow, 119435

  • Research Site

    Moscow, 125367

  • Research Site

    Novosibirsk, 630051

  • Research Site

    Perm, 614000

  • Research Site

    Perm, 614068

  • Research Site

    Saint Petersburg, 196084

  • Research Site

    Saint Petersburg, 196601

  • Research Site

    Saint Petersburg, 198013

  • Research Site

    Saint Petersburg, 199226

  • Research Site

    Vladikavkaz, 362007

  • Research Site

    Volgograd, 400131

  • Research Site

    Yekaterinburg, 620039

Other trials in Russia

Canada15 sites
  • Research Site

    Burlington, Ontario, L7M 4Y1

  • Research Site

    Etobicoke, Ontario, M9W 4L6

  • Research Site

    Guelph, Ontario, N1H 1B1

  • Research Site

    Lévis, Quebec, G6W 0M5

  • Research Site

    London, Ontario, N5W 6A2

  • Research Site

    London, Ontario, N6G 5A9

  • Research Site

    Montreal, Quebec, H4A 3T2

  • Research Site

    Montreal, Quebec, H4N 2W2

  • Research Site

    Newmarket, Ontario, L3Y 5G8

  • Research Site

    Red Deer, Alberta, T4N 6V7

  • Research Site

    Saint-Marc-des-Carrieres, Quebec, G0A 4B0

  • Research Site

    Sarnia, Ontario, N7T 4X3

  • Research Site

    Sherwood Park, Alberta, T8L 0N2

  • Research Site

    Thornhill, Ontario, L4J 8L7

  • Research Site

    Toronto, Ontario, M4G 3E8

Other trials in Canada

Bulgaria13 sites
  • Research Site

    Botevgrad, 2140

  • Research Site

    Kozloduy

  • Research Site

    Kyustendil, 2500

  • Research Site

    Lukovit

  • Research Site

    Petrich, 2850

  • Research Site

    Pleven, 5800

  • Research Site

    Plovdiv, 4000

  • Research Site

    Rousse, 7002

  • Research Site

    Sofia, 1223

  • Research Site

    Sofia, 1407

  • Research Site

    Sofia, 1606

  • Research Site

    Sofia, 1618

  • Research Site

    Stara Zagora, 6000

Other trials in Bulgaria

Czechia11 sites
  • Research Site

    Beroun, 266 00

  • Research Site

    Jílové u Prahy, 254 01

  • Research Site

    Pardubice, 530 02

  • Research Site

    Pilsen, 301 66

  • Research Site

    Plzen - Severni Predmesti, 301 00

  • Research Site

    Prague, 104 00

  • Research Site

    Prague, 140 00

  • Research Site

    Prague, 140 59

  • Research Site

    Prague, 149 00

  • Research Site

    Praha Klanovice, 190 14

  • Research Site

    Uherské Hradiště, 686 01

Other trials in Czechia

Mexico6 sites
  • Research Site

    Guadalajara, 44670

  • Research Site

    México, 03300

  • Research Site

    México, 11650

  • Research Site

    Monterrey, 66465

  • Research Site

    Veracruz, 91900

  • Research Site

    Veracruz, 91910

Other trials in Mexico

About this study

Official title: A Phase IIb, Randomised, Parallel, Double-Blind Placebo-Controlled and Open-Label Active Comparator Study to Evaluate the Efficacy and Safety of MEDI0382 in the Treatment of Overweight and Obese Subjects With Type 2 Diabetes Mellitus

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

Being tested
MEDI0382 low dose, MEDI0382 mid dose, MEDI0382 high dose, Placebo, Liraglutide
Medical subject headings
Diabetes Mellitus, Type 2

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MEDI0382 low doseDrug

    Pharmaceutical form: solution Route of administration: subcutaneous

  • MEDI0382 mid doseDrug

    Pharmaceutical form: solution Route of administration: subcutaneous

  • MEDI0382 high doseDrug

    Pharmaceutical form: solution Route of administration: subcutaneous

  • PlaceboDrug

    Pharmaceutical form: solution Route of administration: subcutaneous

  • LiraglutideDrug

    Pharmaceutical form: solution Route of administration: subcutaneous

Study groups in NCT03235050
Study groupRoleWhat they receive
MEDI0382 low dose + MetforminExperimentalDrug: MEDI0382 low dose Drug: Metformin tablets, total daily dose of ≥1500 mg (unless only tolerated at a lower dose)
Receives: Drug: MEDI0382 low dose
MEDI0382 mid dose + MetforminExperimentalDrug: MEDI0382 mid dose Drug: Metformin tablets, total daily dose of ≥1500 mg (unless only tolerated at a lower dose)
Receives: Drug: MEDI0382 mid dose
MEDI0382 high dose + MetforminExperimentalDrug: MEDI0382 high dose Drug: Metformin tablets, total daily dose of ≥1500 mg (unless only tolerated at a lower dose)
Receives: Drug: MEDI0382 high dose
Placebo + MetforminPlacebo comparatorDrug: Placebo Drug: Metformin tablets, total daily dose of ≥1500 mg (unless only tolerated at a lower dose)
Receives: Drug: Placebo
Liraglutide + MetforminActive comparatorDrug: Liraglutide Drug: Metformin tablets, total daily dose of ≥1500 mg (unless only tolerated at a lower dose)
Receives: Drug: Liraglutide

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in HbA1c

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

    Measured: From baseline to 14 weeks

  2. Percent Change in Body Weight

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

    Measured: From baseline to 14 weeks

Secondary outcomes (11)
  1. Change in HbA1c

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

    Measured: from baseline to 26 weeks and 54 weeks

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

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

    Measured: after 14, 26, and 54 weeks

  3. Percent Change in Body Weight

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

    Measured: from baseline to 26 weeks and 54 weeks

  4. Absolute Change in Body Weight

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

    Measured: from baseline to 14 weeks, 26 weeks and 54 weeks

  5. Percent Change in Body Weight Versus Active Comparator

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

    Measured: from baseline to 14 weeks, 26 weeks and 54 weeks

  6. Absolute Change in Body Weight Versus Active Comparator

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

    Measured: from baseline to 14 weeks, 26 weeks and 54 weeks

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

    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

    Measured: after 14 weeks, 26 weeks and 54 weeks

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

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

    Measured: at 14 weeks, 26 weeks and 54 weeks

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

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

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

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

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

    Measured: Baseline through 54-week treatment period and 28-day follow-up

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

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

    Measured: Baseline through 54-week treatment period and 28-day follow-up

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Aug 2017
  2. Study start2 Aug 2017
  3. Primary completion3 May 2018
  4. Study completion14 Jun 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomised, parallel, double-blind, placebo-controlled study with an open-label active comparator.
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
834 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03235050
Sponsor's protocol ID
D5670C00004
Status last verified
Jul 2020
First submitted
21 Jul 2017
Last updated
17 Aug 2020
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Nahra R, Wang T, Gadde KM, Oscarsson J, Stumvoll M, Jermutus L, Hirshberg B, Ambery P. 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. Diabetes Care. 2021 Jun;44(6):1433-1442. doi: 10.2337/dc20-2151. Epub 2021 May 20.

    PubMed 34016612

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing MEDI0382 low dose, MEDI0382 mid dose and MEDI0382 high dose in people with Diabetes Mellitus, Type 2, run by AstraZeneca at 119 sites in 8 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 17 Aug 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 119 sites in United States, Germany, Slovakia, Russia, Canada and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 20 Jul 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in HbA1c (time frame: From baseline to 14 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03235050, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Aug 2020.

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