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Type 2 DiabetesPhase 1NCT04208620

Safety and Tolerability Study of Cotadutide in Japanese Obese Subjects With Type 2 Diabetes Melitus

A Phase 1 study testing Cotadutide in people with Type 2 Diabetes, run by AstraZeneca at 3 sites in Japan.

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 is a Phase 1 study designed to assess the safety and tolerability of MEDI0382 (Cotadutide) in Japanese T2DM patients. Read more about this study

Who is it for?
Ages 20 to 74 years
Conditions the study is for
Type 2 Diabetes
What is being tested?
Cotadutide
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
16 participants
Where
3 sitesJapan
Study dates
21 Jan 2020to 8 Jul 2020
Phase
Phase 1
Are there results?
None posted in the registry

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 20 to 74 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Provision of signed and dated written informed consent prior to any mandatory study specific procedures, sampling, and analyses.
  • Subject must be 20 to 74 years of age at screening.
  • HbA1c range of 6.5% to 8.5% at screening and run-in visit.
  • Willing and able to self-inject investigational product for the duration of the study.
  • Individuals who are diagnosed with T2DM and have inadequate glycaemic control with diet and exercise.
  • Individuals whose current condition at enrolment are drug naïve defined as
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  • Never received medical treatment for diabetes (insulin and/or other anti-diabetic agents [oral or injection]) OR
  • Received medical treatment for diabetes for less than 30 days since diagnosis.Subjects also should not have a history of insulin therapy within 2 weeks of screening (with the exception of insulin therapy during a hospitalization for other causes or use in gestational diabetes) OR
  • Previously received medical treatment for diabetes but have not been treated within 6 weeks of randomization.
  • BMI within the range 25 to 35 kg/m2 at screening.
  • Negative pregnancy test for female subjects.
  • Female subjects of childbearing potential who are sexually active with a male partner must be willing to use at least one highly effective method of contraception from screening and up to 4 weeks after the last dose of investigational product.

Who cannot join

  • Subjects with any of the following results at screening and run-in visit
  • History of, or any existing condition that, in the opinion of the investigator, would interfere with evaluation of the investigational product, 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.
  • Acute pancreatitis at screening or history of chronic pancreatitis or serum triglyceride levels > 11 mmol/L (1000 mg/dL) at screening.
  • Significant inflammatory bowel disease, gastroparesis or other severe disease or surgery affecting the upper GI tract (including weight-reducing surgery and procedures), which may affect gastric emptying or could affect the interpretation of safety and tolerability data.
  • Significant hepatic disease (except for NASH or non-alcoholic fatty liver disease without portal hypertension or cirrhosis) and/or subjects with any of the following results at screening or run-in visit.
  • Aspartate transaminase (AST) ≥ 3 × upper limit of normal (ULN)
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  • Alanine transaminase (ALT) ≥ 3 × ULN
  • Total bilirubin (TBL) ≥ 2 × ULN
  • Impaired renal function defined as estimated glomerular filtration rate (GFR) < 60 mL/minute/1.73m2 at screening or run-in visit (GFR estimated according to Modification of Diet in Renal Disease [MDRD] using MDRD Study Equation IDMS-traceable [International System of Units (SI)]).
  • Poorly controlled hypertension defined as, For age ≤ 55 years; Systolic BP > 140 mmHg Diastolic BP ≥ 90 mmHg For age > 55 years; Systolic BP > 150 mmHg Diastolic BP ≥ 90 mmHg After 10 minutes of supine rest and confirmed by repeated measurement at screening or run-in visit. Subjects who fail BP screening criteria may be considered for 24-hour or day time ABPM at the discretion of the investigator. Subjects who maintain a mean 24-hour BP < 130/80 mmHg with a preserved nocturnal dip of > 15% or day time BP < 135/85 mmHg will be considered eligible
  • Resting heart rate is ≥ 80 bpm at screening or run-in visit.
  • Any clinically important abnormalities in rhythm, conduction, or morphology of the 12-lead ECG or any abnormalities that may interfere with the interpretation of serial ECG changes, including QTc interval changes at screening, as judged by the investigator.
  • Prolonged QT intervals corrected for heart rate using Fridericia's formula (QTcF) > 450 msec, or family history of long QT-segment at screening or run-in visit.
  • PR (PQ) interval prolongation (> 220 msec), intermittent second (Wenckebach block while asleep is not exclusive), or third-degree atrioventricular (AV) block, or AV dissociation at screening or run-in visit.
  • Persistent or intermittent complete bundle branch block. A QRS duration < 120 msec is acceptable if there is no evidence of ventricular hypertrophy or preexcitation at screening or run-in visit.
  • Abnormal findings during the exercise stress test, such as chest pain, dyspnoea, presyncope, arrhytmias, signs of cardiac ischemia on ECG as judged by the investigator.
  • History of, unstable angina pectoris, myocardial infarction, transient ischemic attack, or stroke, or subjects who have undergone percutaneous coronary intervention or a coronary artery bypass graft 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.
  • Hemoglobinopathy, hemolytic anemia or chronic anemia (hemoglobin, < 11.5 g/dL [115 g/L]) for males, < 10.5 g/dL (105 g/L) for females) at screening or run-in visit, or any other condition known to interfere with the interpretation of HbA1c measurement.
  • 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, hepatitis C antibody, and human HIV antibody.
  • History of substance dependence, alcohol abuse, or excessive alcohol intake (defined as an average weekly intake of > 21 alcoholic drinks for men or > 10 alcoholic drinks for women) within 3 years prior to screening and/or a positive screen for drugs of abuse or alcohol at screening or run-in visit. Subjects who use benzodiazepines for chronic anxiety or sleep disorders may be permitted to enter the study.
  • Symptoms of depression or any other psychiatric disorder requiring treatment with medication (eg, anti-depressants, anti-psychotics) at screening. However, subjects who use benzodiazepines for chronic anxiety or sleep disorders may be permitted to enter the study.
  • History of severe allergy/hypersensitivity, including to any component of the investigational product formulation including excipients or other biological agent, any of the proposed study treatments, or ongoing clinically important allergy/hypersensitivity.
  • 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 within the specified timeframe prior to the start of the study.
  • Herbal preparations within one week prior to the start of screening or drugs licensed for control of body weight or appetite within 30 days (or 5 half-lives of the drug) prior to the start of screening
  • Opiates, domperidone, metoclopramide, or other drugs known to alter gastric emptying and within 2 weeks prior to the start of dosing
  • Antimicrobials within the quinolone, macrolide or azole class within 2 weeks prior to the start of dosing
  • Any change in antihypertensive medication within 3 months prior to screening
  • Any change in thyroid replacement therapy within 2 months prior to screening
  • Aspirin at a total daily dose of greater than 150 mg
  • Paracetamol or paracetamol-containing preparations at a total daily dose of greater than 3000 mg
  • Ascorbic acid (vitamin C) supplements at a total daily dose of greater than 1000 mg
  • Concurrent participation in another study of any kind and repeat randomization in this study.
  • Received Cotadutide in another clinical study prior to enrolment in this study.

Trial locations and contacts

3 sites in 1 country.

Japan3 sites
  • Research Site

    Shinjuku-ku, 160-0008

  • Research Site

    Shinjuku-ku, 162-0053

  • Research Site

    Suita-shi, 565-0853

Other trials in Japan

About this study

Official title: A Phase 1 Randomized, Blinded, Placebo-controlled Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of Cotadutide in Japanese Obese Subjects With Type 2 Diabetes Mellitus

This is a Phase 1 study designed to assess the safety and tolerability of MEDI0382 (Cotadutide) in Japanese T2DM patients.

Read the detailed description

This is a randomized, blinded, placebo-controlled study designed to evaluate the safety, tolerability, PK and efficacy of ascending doses of Cotadutide in Japanese obese subjects with T2DM. Approximately 20 subjects will be screened in total and 16 subjects will be randomized to Cotadutide or placebo in a 3:1 ratio. Those subjects who receive Cotadutide will be titrated up to HCTD. The study has a 2-week screening period, a run-in period of 9 days and an up to 7-week up-titration treatment period followed by a 3-week treatment extension period (if applicable), followed by a 28-day follow-up period.

Conditions
Type 2 Diabetes
Being tested
Placebo, Cotadutide
Keywords
Diabetes, Cotadutide, MEDI0382, D5671C00003, Type 2 Diabetes
Medical subject headings
Diabetes Mellitus, Type 2, Diabetes Mellitus

What participants receive

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

  • PlaceboDrug

    Placebo administered subcutaneously

  • CotadutideDrug

    Cotadutide administered subcutaneously

Study groups in NCT04208620
Study groupRoleWhat they receive
PlaceboPlacebo comparatorPlacebo administered subcutaneously
Receives: Drug: Placebo
CotadutideExperimentalCotadutide administered subcutaneously
Receives: Drug: Cotadutide

What is being measured

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

  1. Incidence of treatment-emergent adverse events (TEAEs)

    To assess the safety and tolerability of Cotadutide

    Measured: Baseline until the follow-up period, 28 days post-last dose

  2. Incidence of treatment-emergent serious adverse events (TESAEs)

    To assess the safety and tolerability of Cotadutide

    Measured: Baseline until the follow-up period, 28 days post-last dose

  3. Clinically important changes in 12-lead electrocardiogram (ECG)

    To assess the safety and tolerability of Cotadutide

    Measured: Baseline until the follow-up period, 28 days post-last dose

  4. Vital signs as measured by pulse rate (bpm)

    To assess the safety and tolerability of Cotadutide

    Measured: Baseline until the follow-up period, 28 days post-last dose

  5. Vital signs as measured by blood pressure (mmHg)

    To assess the safety and tolerability of Cotadutide

    Measured: Baseline until the follow-up period, 28 days post-last dose

  6. ABPM (Ambulatory blood pressure monitoring) to measure pulse rate (bpm) and blood pressure (mmHg)

    To assess the safety and tolerability of Cotadutide

    Measured: Baseline until the follow-up period, 28 days post-last dose

  7. Physical examination (abnormality to be reported as part of adverse events)

    To assess the safety and tolerability of Cotadutide

    Measured: Baseline until the follow-up period, 28 days post-last dose

  8. Clinical laboratory evaluations

    To assess the safety and tolerability of Cotadutide

    Measured: Baseline until the follow-up period, 28 days post-last dose

Secondary outcomes (16)
  1. Area under the concentration-time curve (AUC) during the dosing interval (AUCtau)

    To characterize the PK profile of Cotadutide

    Measured: Day1 of Up-titration treatment period to Day 21 of Treatment extension period, total of up to 10 weeks

  2. Maximum observed concentration (Cmax)

    To characterize the PK profile of Cotadutide

    Measured: Day1 of Up-titration treatment period to Day 21 of Treatment extension period, total of up to 10 weeks

  3. Time to Cmax (tmax)

    To characterize the PK profile of Cotadutide

    Measured: Day1 of Up-titration treatment period to Day 21 of Treatment extension period, total of up to 10 weeks

  4. Trough plasma concentration (Ctrough)

    To characterize the PK profile of Cotadutide

    Measured: Day1 of Up-titration treatment period to Day 21 of Treatment extension period, total of up to 10 weeks

  5. Anti-drug antibodies (ADAs) to Cotadutide

    To characterize the immunogenicity of Cotadutide

    Measured: At baseline through end of study, 98 days in total

  6. Change in average glucose levels (mg/dL)

    To assess the effect of Cotadutide on glucose control as measured by continuous glucose monitoring (CGM)

    Measured: At baseline through end of study, 98 days in total

  7. Change in coefficient of variation

    To assess the effect of Cotadutide on glucose control as measured by continuous glucose monitoring (CGM)

    Measured: At baseline through end of study, 98 days in total

  8. Change in percentage time spent in hyperglycemia (> 140 mg/dL)

    To assess the effect of Cotadutide on glucose control as measured by continuous glucose monitoring (CGM)

    Measured: At baseline through end of study, 98 days in total

  9. Change in percentage time spent in normoglycemia (70 -140 mg/dL)

    To assess the effect of Cotadutide on glucose control as measured by continuous glucose monitoring (CGM)

    Measured: At baseline through end of study, 98 days in total

  10. Change in percentage time spent in clinically significant hypoglycemia (< 54 mg/dL)

    To assess the effect of Cotadutide on glucose control as measured by continuous glucose monitoring (CGM)

    Measured: At baseline through end of study, 98 days in total

  11. Change in estimated hemoglobin A1c (HbA1c)

    To assess the effect of Cotadutide on glucose control as measured by continuous glucose monitoring (CGM)

    Measured: At baseline through end of study, 98 days in total

  12. Change in fasting plasma glucose (mg/dL)

    To assess the effect of Cotadutide on glucose control as measured by additional measrues of glucose control

    Measured: At baseline through end of study, 98 days in total

  13. Change in HbA1c

    To assess the effect of Cotadutide on glucose control as measured by additional measrues of glucose control

    Measured: At baseline through end of study, 98 days in total

  14. Percentage change in body weight

    To assess the effect of Cotadutide on body weight

    Measured: At baseline through end of study, 98 days in total

  15. Absolute change in body weight (kg)

    To assess the effect of Cotadutide on body weight

    Measured: At baseline through end of study, 98 days in total

  16. Proportion of subjects achieving > 5% body weight loss

    To assess the effect of Cotadutide on body weight

    Measured: At baseline through end of study, 98 days in total

Timeline

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

  1. First posted23 Dec 2019
  2. Study start21 Jan 2020
  3. Primary completion8 Jul 2020
  4. Study completion8 Jul 2020

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
16 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04208620
Sponsor's protocol ID
D5671C00003
Status last verified
Jul 2020
First submitted
1 Dec 2019
Last updated
31 Jul 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Cotadutide in people with Type 2 Diabetes, run by AstraZeneca at 3 sites in Japan.

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 12 inclusion and 37 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 31 Jul 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Japan. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Incidence of treatment-emergent adverse events (TEAEs) (time frame: Baseline until the follow-up period, 28 days post-last dose). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 31 Jul 2020.

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