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Non-alcoholic SteatohepatitisPhase 1NCT05294458

A Randomised, Open-Label Study to Evaluate the Relative and Absolute Bioavailability of Cotadutide in Healthy Subjects

A Phase 1 study testing cotadutide solution for injection in people with Non-alcoholic Steatohepatitis and Type 2 Diabetes Mellitus (T2DM), run by AstraZeneca at 1 site in United Kingdom.

Completed

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

Official record
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Trial summary

The Sponsor is developing the test medicine, cotadutide, for the potential treatment of non-alcoholic steatohepatitis (NASH) and Type 2 Diabetes Mellitus (T2DM) with chronic kidney disease. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
What is being tested?
cotadutide solution for injection
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
10 participants
Where
1 siteUnited Kingdom
Study dates
28 Mar 2022to 12 Sep 2022
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 18 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Provision of signed and dated, written informed consent prior to any study specific procedures.
  • Healthy males or non-pregnant, non-lactating healthy females aged 18 to 55 years at the time of signing informed consent.
  • Females must have a negative serum pregnancy test at screening and a negative urine pregnancy test on admission to the unit, must not be lactating, confirmed at screening and fulfil the criteria detailed in Section 9.4.
  • Have a body mass index (BMI) between 18.0 and 30.0 kg/m2 inclusive and weigh at least 50 kg and no more than 100 kg inclusive.
  • Must be willing and able to communicate and participate in the whole study.
  • Subjects must have been received both doses of the SARS-CoV-2 vaccine.
  • Must agree to adhere to the contraception requirements defined in Section 9.4

Who cannot join

  • History of any clinically significant disease or disorder which, in the opinion of the investigator, may either put the volunteer at risk because of participation in the study, or influence the results or the volunteer's ability to participate in the study.
  • History or presence of any disease or condition known to interfere with absorption, distribution, metabolism, or excretion of drugs.
  • Evidence of renal impairment at screening, as indicated by an estimated eGFR of <60 mL/min using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation.
  • A personal or family history of medullary thyroid carcinoma or have multiple endocrine neoplasia syndrome type 2.
  • Thyroid C-cell hyperplasia (calcitonin level > 50 ng/L) or medullary thyroid carcinoma at screening.
  • History of clinically significant cardiovascular, renal, hepatic, dermatological, respirator, neurological, psychiatric or gastrointestinal disease disorder including a history of pancreatitis.
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  • Any clinically significant illness, medical/surgical procedure, or trauma within 4 weeks of the first administration of IMP.
  • Any clinically significant abnormalities in clinical chemistry, haematology, or urinalysis results, at screening as judged by the investigator.
  • Amylase and/or lipase >1.5 × upper limit of normal (ULN) at screening
  • Any clinically significant abnormal findings in vital signs, at screening and/or first admission to the study unit, as judged by the investigator.
  • Any clinically significant abnormalities on 12-lead ECG, including but not limited to QTcF >450 msec, at screening, as judged by the investigator.
  • Any positive result on screening for serum hepatitis B surface antigen (HBsAg), hepatitis C antibody (HCV Ab), and human immunodeficiency virus (HIV) antibody.
  • Evidence of current infection with SARS-Cov-2.
  • Has received another new chemical entity (defined as a compound which has not been approved for marketing) within the 90 days prior to Day 1, or less than 5 elimination half-lives prior to Day 1, whichever is longer. Note: subjects consented and screened, but not randomised in this study or a previous phase I study, are not excluded.
  • Plasma donation within 1 month of screening or any blood donation/loss more than 500 mL during the 3 months prior to screening.
  • History of severe allergy/hypersensitivity or ongoing allergy/hypersensitivity, as judged by the investigator or history of hypersensitivity to drugs with a similar chemical structure or class to cotadutide. Hay fever is allowed unless it is active
  • Current smokers or those who have smoked or used nicotine products (including e-cigarettes) within the 3 months prior to screening. A confirmed breath carbon monoxide reading of greater than 10 ppm at screening or admission.
  • Positive screen for drugs of abuse at screening or on each admission to the study centre or positive screen for alcohol on each admission to the study centre.
  • Use of any prescribed or nonprescribed medication including antacids, analgesics (other than paracetamol/acetaminophen, hormonal contraception and hormonal replacement therapy), herbal remedies, megadose vitamins (intake of 20 to 600 times the recommended daily dose) and minerals during the two weeks prior to the first administration of IMP or longer if the medication has a long half-life. Exceptions may apply, as determined by the investigator, if each of the following criteria are met: medication with a short half-life if the washout is such that no pharmacodynamic activity is expected by the time of dosing with IMP; and if the use of medication does not jeopardize the safety of the trial subject; and if the use of medication is not considered to interfere with the objectives of the study
  • Known or suspected history of alcohol or drug abuse in the past 2 years or excessive intake of alcohol (>21 units per week for men and >14 units per week or women [1 unit = ½ pint beer, or a 25 mL shot of 40% spirit, 1.5 to 2 units = 125 mL glass of wine, depending on type]) or as judged by the investigator. A confirmed positive alcohol breath test at screening or admission.
  • Excessive intake of caffeine-containing drinks or food (e.g., coffee, tea, chocolate) as judged by the investigator. Excessive intake of caffeine defined as the regular consumption of more than 600 mg of caffeine per day (e.g., >5 cups of coffee) or would likely be unable to refrain from the use of caffeine-containing beverages during confinement at the investigational site.
  • Involvement of any Astra Zeneca, Quotient or study site employee or their close relatives.
  • Subjects who have previously received cotadutide.
  • Any subject who has received 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.
  • Subjects who do not have suitable veins for multiple venepunctures/cannulation as assessed by the investigator or delegate at screening.
  • Skin disorder/condition or tattoos in the area of the proposed injection site which can interfere with assessments required by protocol.
  • Judgment by the investigator that the volunteer should not participate in the study if they have any ongoing or recent (i.e., during the screening period) minor medical complaints that may interfere with the interpretation of study data or are considered unlikely to comply with study procedures, restrictions, and requirements.
  • Subjects who cannot communicate reliably with the investigator.
  • Vulnerable subjects, e.g., kept in detention, protected adults under guardianship, trusteeship, or committed to an institution by governmental or juridical order.
  • Failure to satisfy the investigator of fitness to participate for any other reason.

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • Research Site

    Ruddington, NG11 6JS

Other trials in United Kingdom

About this study

Official title: A Single Part, Three-Way Crossover, Randomised, Open-Label Study Designed to Evaluate the Relative and Absolute Bioavailability Following a Single Subcutaneous Injection of a Novel High Concentration Subcutaneous Formulation of Cotadutide Against a Low Concentration Subcutaneous Formulation and Intravenous (IV) Formulation for Reference, in Healthy Subjects

The Sponsor is developing the test medicine, cotadutide, for the potential treatment of non-alcoholic steatohepatitis (NASH) and Type 2 Diabetes Mellitus (T2DM) with chronic kidney disease. This healthy volunteer study will try to identify how two different concentrations of cotadutide are taken up by the body when dosed under the skin (subcutaneous injection). The study will also try to identify the absolute bioavailability of cotadutide (amount taken up by the body when dosed under the skin compared to an injection directly into the vein (intravenous)). This is a single-part, three-period study taking place at one non-NHS site in the UK and will involve 12 male and female (non-pregnant/non-lactating) volunteers aged 18-55. For each study period, on Day 1 volunteers will receive cotadutide as either a subcutaneous injection (into the stomach) or an intravenous injection following an overnight fast of at least 10 hours. The subcutaneous injections will be given as either a 1 mg/ml or 5 mg/ml concentration. The intravenous injection will be given as a 0.1 mg/ml concentration. Volunteers will be discharged on Day 4 and there will be a washout period of 7 days between dosing.

Blood samples will be taken at regular intervals for pharmacokinetics and safety assessments from Day -1 to discharge. Volunteers will need to return for a follow up visit 28 (±2) days post-first dose for provisional of an anti-drug antibody sample and to ensure wellbeing

Read the detailed description

The Sponsor is developing the test medicine, cotadutide, for the potential treatment of non-alcoholic steatohepatitis (NASH) and Type 2 Diabetes Mellitus (T2DM) with chronic kidney disease. NASH is a common liver disease characteristic of a damaged liver that may no longer work properly. T2DM is a condition that causes sugar (glucose) levels in the blood to become too high which can damage the blood vessels within the kidney leading to chronic kidney disease and also causing problems with eyes, heart and nerves. This healthy volunteer study will try to identify how two different concentrations of cotadutide are taken up by the body when dosed under the skin (subcutaneous injection). The study will also try to identify the absolute bioavailability of cotadutide (amount taken up by the body when dosed under the skin compared to an injection directly into the vein (intravenous)). The study will also assess the safety and tolerability of cotadutide.

This is a single-part, three-period study taking place at one non-NHS site in the UK and will involve 12 male and female (non-pregnant/non-lactating) volunteers aged 18-55. For each study period, on Day 1 volunteers will receive cotadutide as either a subcutaneous injection (into the stomach) or an intravenous injection following an overnight fast of at least 10 hours. The subcutaneous injections will be given as either a 1 mg/ml or 5 mg/ml concentration. The intravenous injection will be given as a 0.1 mg/ml concentration. Volunteers will be discharged on Day 4 and there will be a washout period of 7 days between dosing.

Blood samples will be taken at regular intervals for pharmacokinetics and safety assessments from Day -1 to discharge. Volunteers will need to return for a followup visit 28 (±2) days post-first dose for provisional of an anti-drug antibody sample and to ensure wellbeing

Being tested
cotadutide solution for injection
Keywords
Steatohepatitis, Diabetes, Kidney disease
Medical subject headings
Non-alcoholic Fatty Liver Disease, Diabetes Mellitus, Type 2, Renal Insufficiency, Chronic, Fatty Liver, Diabetes Mellitus, Kidney Diseases

What participants receive

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

  • cotadutide solution for injectionDrug

    cotadutide solution for injection

Study groups in NCT05294458
Study groupRoleWhat they receive
Cotadutide solution for injectionExperimentalPeriod 1, subcutaneous injection of cotadutide solution Period 2, subcutaneous injection of cotadutide solution Period 3, subcutaneous injection of cotadutide solution
Receives: Drug: cotadutide solution for injection

What is being measured

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

  1. Absolute bioavailability of the high and the low concentration cotadutide SC formulations

    Evaluation of the absolute bioavailability (F) of the SC formulations by comparison of AUCsubcut/AUCIV

    Measured: Collection of plasma samples from pre-dose to 72 hours post-dose.

  2. Maximum observed concentration (cmax)

    Assessment of pharmacokinetics and relative bioavailability of cotadutide solution for injection by measuring maximum observed concentration (cmax)

    Measured: Collection of plasma samples from pre-dose to 72 hours post-dose.

  3. Relative bioavailability of a high concentration cotadutide SC formulation in comparison to low concentration formulation, in the fasted state

    Pharmacokinetic parameters AUC0-t for cotadutide in the high concentration and low concentration regimens

    Measured: Collection of plasma samples from pre-dose to 72 hours post-dose.

  4. Relative bioavailability of a high concentration cotadutide SC formulation in comparison to low concentration formulation, in the fasted state

    Pharmacokinetic parameters AUC0-inf for cotadutide in the high concentration and low concentration regimens

    Measured: Collection of plasma samples from pre-dose to 72 hours post-dose.

Secondary outcomes (13)
  1. Provide additional details on the single dose PK of cotadutide

    Pharmacokinetic parameters tmax, for cotadutide, as applicable

    Measured: Collection of plasma samples from pre-dose to 72 hours post-dose.

  2. Provide additional details on the single dose PK of cotadutide

    Pharmacokinetic parameters Cmax, for cotadutide, as applicable

    Measured: Collection of plasma samples from pre-dose to 72 hours post-dose.

  3. Provide additional details on the single dose PK of cotadutide

    Pharmacokinetic parameters AUC0-t, for cotadutide, as applicable

    Measured: Collection of plasma samples from pre-dose to 72 hours post-dose.

  4. Provide additional details on the single dose PK of cotadutide

    Pharmacokinetic parameters AUC0-inf, for cotadutide, as applicable

    Measured: Collection of plasma samples from pre-dose to 72 hours post-dose.

  5. Provide additional details on the single dose PK of cotadutide

    Pharmacokinetic parameters t1/2, for cotadutide, as applicable

    Measured: Collection of plasma samples from pre-dose to 72 hours post-dose.

  6. Provide additional details on the single dose PK of cotadutide

    Pharmacokinetic parameters λz, for cotadutide, as applicable

    Measured: Collection of plasma samples from pre-dose to 72 hours post-dose.

  7. Provide additional details on the single dose PK of cotadutide

    Pharmacokinetic parameters CL (IV dose), for cotadutide, as applicable

    Measured: Collection of plasma samples from pre-dose to 72 hours post-dose.

  8. Provide additional details on the single dose PK of cotadutide

    Pharmacokinetic parameters CL/F, for cotadutide, as applicable

    Measured: Collection of plasma samples from pre-dose to 72 hours post-dose.

  9. Provide additional details on the single dose PK of cotadutide

    Pharmacokinetic parameters Vz, for cotadutide, as applicable

    Measured: Collection of plasma samples from pre-dose to 72 hours post-dose.

  10. Provide additional details on the single dose PK of cotadutide

    Pharmacokinetic parameters Vz/F, for cotadutide, as applicable

    Measured: Collection of plasma samples from pre-dose to 72 hours post-dose.

  11. Provide additional details on the single dose PK of cotadutide

    Pharmacokinetic parameters MRTinf, for cotadutide, as applicable

    Measured: Collection of plasma samples from pre-dose to 72 hours post-dose.

  12. Number of adverse events (AEs) experienced by subjects

    Safety and tolerability assessed through the incidence of AEs

    Measured: Collection of plasma samples from pre-dose to 72 hours post-dose.

  13. Evaluate immunogenicity for cotadutide administered as low and high concentration SC formulations and an IV formulation

    ADA incidence and titre

    Measured: Collection of plasma samples from pre-dose to 72 hours post-dose.

Timeline

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

  1. First posted24 Mar 2022
  2. Study start28 Mar 2022
  3. Primary completion12 Sep 2022
  4. Study completion12 Sep 2022

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
Single group
Masking
None (open label)
Enrolment
10 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05294458
Sponsor's protocol ID
D5671C00009
Other IDs
2021-005442-15
Status last verified
Jul 2025
First submitted
11 Mar 2022
Last updated
20 Jul 2025
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.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing cotadutide solution for injection in people with Non-alcoholic Steatohepatitis and Type 2 Diabetes Mellitus (T2DM), run by AstraZeneca at 1 site in United Kingdom.

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 7 inclusion and 30 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 20 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United Kingdom. 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. 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?

Absolute bioavailability of the high and the low concentration cotadutide SC formulations (time frame: Collection of plasma samples from pre-dose to 72 hours post-dose.). The study lists 4 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 20 Jul 2025.

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