ClinicalTrials.gg
CompletedNCT03444584Updated Jan 13, 2020Results posted

Study of MEDI0382 in Combination With Dapagliflozin and Metformin in Overweight/Obese Participants With Type 2 Diabetes

A Phase 2 interventional study of MEDI0382 and Placebo in Type 2 Diabetes Mellitus, sponsored by MedImmune LLC. Completed at 8 sites in 3 countries. Open to participants aged 18 Years to 115 Years. Per ClinicalTrials.gov, last updated 2020-01-13.

Sponsored by MedImmune LLC (part of AstraZeneca) · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
49
Allocation
Randomized
Ages
18 Years to 115 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 15 studies testing cotadutide in Diabetes Mellitus, Type 2 — none open to participants now, none under way, none of them phase 3. cotadutide · Diabetes Mellitus, Type 2.

Enrollment
7th of 15
49 · median 41
Started
2018
with 4 others
Phase 2
9 of 15
none open now
Registered
6th of 15
by date
Lead sponsor
9 of 15
MedImmune LLC

Among the 15 studies testing cotadutide in Diabetes Mellitus, Type 2, this one is the 7th largest by enrollment, is one of 5 that started in 2018, is one of 9 in phase 2, and was the 6th registered.

Diabetes Mellitus, Type 2

10,382 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,411 are open to participants now.

Browse Diabetes Mellitus, Type 2 studies →

Open to participants now

None of the 15 studies testing cotadutide in Diabetes Mellitus, Type 2 is open now. The open studies under Diabetes Mellitus, Type 2, anywhere →

About cotadutide

No approval found in the FDA or EMA files read. How studies give it is on its page →

Who these studies take

Of the 883 Diabetes Mellitus, Type 2 studies recruiting now, 374 (42%) set no upper age limit and 383 (43%) stop at 75 or younger; 52 take children under 18; 205 take healthy volunteers.

This study: 18 Years to 115 Years · all sexes · no healthy volunteers.

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Download CSVNarrow it in search →With an account: the 15 studies testing cotadutide in Diabetes Mellitus, Type 2 as a file.
02

Study summary

A Phase 2 study Comparing the effects on glucose control of MEDI0382 in combination with Dapagliflozin and Metformin compared to placebo in combination with Dapagliflozin and Metformin in overweight/obese participants with Type 2 Diabetes Mellitus (T2DM).

Read the detailed description

This is an exploratory randomized, double-blind, placebo-controlled study to evaluate the efficacy and safety of MEDI0382 versus placebo in overweight/obese participants with T2DM treated with metformin and dapagliflozin dual therapy. The study will enroll participants with T2DM treated either with metformin monotherapy or with metformin and dapagliflozin dual therapy. After the screening period, participants treated with metformin monotherapy only will enter a 4-week run-in period where participants will be administered oral dapagliflozin 10 mg a day, which will be provided by the sponsor. Enrolled participants that are already treated with metformin and dapagliflozin dual therapy will continue this dual therapy throughout the study and can be randomized after the screening period without entering the run-in period. All participants (ie, on monotherapy and dual therapy) entering the double-blind treatment period will receive dapagliflozin 10 mg a day, which will be provided by the sponsor.

Participants in this study will participate for up to 20 weeks including a screening period of up to 60 days, a 4-week run-in period (for participants on metformin monotherapy only), a 4-week treatment period, and a 4-week follow-up post-treatment period.

03

Conditions studied

  • Type 2 Diabetes Mellitus

Keywords

  • 0382
  • T2DM
04

Who can participate

Ages eligible
18 Years to 115 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Male and female participants aged >= 18 years at screening.
  2. Provision of signed and dated form (ICF) prior to any study specific procedures.
  3. between 25 kg/m\^2 and 40 kg/m\^2 (inclusive) at screening.
  4. range between 7.0% and 10.0% (inclusive) at the time of screening.
  5. Diagnosed with T2DM and treated with of metformin monotherapy (MTD > 1 g) at least 8 weeks prior to screening or treated with stable, oral doses of dapagliflozin 10 mg and metformin (MTD > 1 g) for at least 3 months prior screening.
  6. Participants prescribed oral dual therapy with sulphonylurea, glitinide, or dipeptidyl peptidase-4 inhibitor (in addition to metformin) may be eligible to enter the study following a of these medications totaling at least 28 days before initial screening evaluations have been completed.
  7. Participants treated with stable doses of metformin (MTD > 1 g) with canagliflozin (maximum dose of 300 mg/day), or metformin (MTD > 1 g) with empaglifozin (maximum dose of 25mg/day) for at least 3 months prior to screening may be eligible to enter the study after switching to dapagliflozin.
  8. Female participants of must have a negative pregnancy test at screening and randomization and must not be lactating.
  9. Females of childbearing potential who are sexually active with a nonsterilized male partner must use at least one highly effective method of from screening and must agree to continue using such precautions through to the end of the study. It is strongly recommended for the male partner of a female participant to also use male condom plus spermicide throughout this period. Cessation of contraception after this point should be discussed with a responsible physician. Periodic abstinence, the rhythm method, and the withdrawal method are not acceptable methods of contraception.

Exclusion criteria

Exclusion Criteria:

  1. History of, or any existing condition that in the opinion of the investigator would interfere with evaluation of the product, put the participant at risk, influence the participant's ability to participate, or affect the interpretation of the results of the study and/or any participant unable or unwilling to follow study procedures.
  2. Any participant who has received another investigational product not included in the protocol as part of a clinical trial or a glucagon-like peptide-1 (GLP-1) analogue or sodium-glucose cotransporter-2 (SGLT2)-containing preparation (excluding dapagliflozin, canagliflozin, empagliflozin) within the last 30 days or 5 half-lives of the drug (whichever is longest) at the time of screening.
  3. Any participant who has received any of the following medications prior to the start of the screening period (Visit 1) or prior to the study start period (Visit 4):

    • Concurrent use of any medicinal products, or herbal or over-the-counter (OTC) preparations licensed for control of body weight or appetite at the time of screening (Visit 1)
    • Concurrent or previous use of drugs approved for weight loss (eg, orlistat, bupropion-naltrexone, phentermine-topiramate, phentermine, lorcaserin) within the last 30 days or 5 half-lives of the drug (whichever is longest) at the time of screening (Visit 1)
    • Concurrent use of aspirin (acetylsalicylic acid) at a dose greater than 150 mg once daily and within the last 72 hours prior to the start of the study (Visit 4)
    • Concurrent use of paracetamol (acetaminophen) or paracetamol-containing preparations at a total daily dose of greater than 3000 mg and within the last 72 hours prior to the start of the study (Visit 4)
    • Concurrent use of ascorbic acid (vitamin C) supplements at a total daily dose greater than 1000 mg and within the last 72 hours prior to the start of the study (Visit 4)
    • Concurrent use of opiates, domperidone, metoclopramide, or other drugs known to alter gastric emptying and within the last 72 hours prior to the start of the study (Visit 4)
  4. Concurrent participation in another study of any kind and repeat randomization in this study is prohibited.
  5. Severe allergy/ to any of the proposed study treatments or .
  6. Diagnosis of type 1 diabetes mellitus, maturity-onset diabetes of the young, or latent diabetes of adulthood or presence of anti-glutamic acid decarboxylase, anti-islet cell, or anti-insulin antibodies.
  7. Symptoms of acutely decompensate blood glucose control (eg, thirst, polyuria, weight loss) at screening or randomization, a history of diabetes ketoacidosis (DKA), or hyperosmolar nonketotic coma or treatment with daily subcutaneous insulin within 90 days prior to screening.
  8. Fasting hyperglycemia (> 250 mg/dL/ > 13.9 mmol/L) prior to randomization.
  9. C-peptide level \< lower limit of normal (LLN).
  10. History of acute or chronic pancreatitis or pancreatectomy.
  11. Hypertriglyceridemia (> 400 mg/dL) at screening.
  12. Significant inflammatory bowel disease, gastroparesis, or other severe disease or surgery affecting the upper gastrointestinal (GI) tract (including weight-reducing surgery and procedures) which may affect gastric emptying or could affect the interpretation of safety and tolerability data.
  13. Significant hepatic disease (except for nonalcoholic steatohepatitis or nonalcoholic fatty liver disease without portal hypertension or cirrhosis) and/or participants with any of the following results at screening:

    • (AST) >= 3 × (ULN)
    • Alanine transaminase (ALT) >= 3 × ULN
    • Total (TBL) >= 2 × ULN
  14. Impaired renal function defined as estimated (eGFR) \<= 60 mL/minute/1.73m\^2 at screening (eGFR according to Modification of Diet in Renal Disease [MDRD] using the isotope dilution mass spectrometry-traceable MDRD Study Equation (SI units).
  15. Use of loop diuretics within 1 month prior to screening.
  16. Poorly controlled hypertension as defined below:

    • Systolic blood pressure (BP) > 160 mm Hg
    • Diastolic BP or >= 100 mm Hg After 10 minutes of supine rest and confirmed by repeated measurement at screening (Visit 1 for all participants).
  17. Unstable angina pectoris, myocardial infarction, , or stroke within 3 months prior to screening, or participants 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.
  18. Severe congestive heart failure ( Class III and IV)
  19. Basal calcitonin level > 50 ng/L at screening or history/family history of medullary thyroid carcinoma or multiple endocrine neoplasia.
  20. Hemoglobinopathy, hemolytic anemia, or chronic anemia ( concentration \< 11.5 g/dL [115 g/L] for males and \< 10.5 g/dL [105 g/L] for females) at screening or any other condition known to interfere with interpretation of measurement.
  21. History of neoplastic disease within 5 years prior to screening, except for adequately treated basal cell skin cancer, squamous cell skin cancer, or in situ cervical cancer.
  22. Any positive results for serum surface antigen, antibody, and antibody.
  23. Recent viral infection or illness requiring the use of antibiotics in the month prior to screening (Visit 1) for participants on dual therapy or prior to run-in period (Visit 2) for participants on monotherapy.
  24. History of recurrent (at least 2) urinary tract and/or genital tract infections (including mycotic infections such as thrush) within 6 months prior to screening.
  25. Substance dependence likely to impact participant safety or compliance with study procedures.
  26. Involvement of any AstraZeneca, MedImmune, contract research organization, or study site employees and their close relatives.
Terms in these criteria, in plain language(20)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorized to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colors or preservatives.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
49 participants (actual)

Study arms

  • Experimental
    MEDI0382

    Participants will receive subcutaneous dose of MEDI0382 daily (titrated up from 100 μg for 7 days to 200 μg for 7 days and to 300 μg for 14 days) for 28 days. Participants were on metformin and dapagliflozin background dual therapy during the treatment period.

    Drug: MEDI0382 · Drug: Dapaglifozin · Drug: Metformin

  • Placebo comparator
    Placebo

    Participants will receive subcutaneous dose of placebo matched to MEDI0382 daily for 28 days. Participants were on metformin and dapagliflozin background dual therapy during the treatment period

    Drug: Placebo · Drug: Dapaglifozin · Drug: Metformin

Interventions

  • Subcutaneous dose of MEDI0382 (titrated up from 100 μg for 7 days to 200 μg for 7 days and to 300 μg for 14 days).

  • DrugPlacebo

    Subcutaneous dose of placebo matched to MEDI0382.

  • Oral dose of dapaglifozin 10 mg tablet.

  • Oral dose of metformin tablet (maximum tolerated dose \[MTD\] \> 1 g).

06

What researchers measure

Primary outcomes

  1. Change From Baseline to Day 28 in Plasma Glucose Area Under the Concentration Time-curve From Time 0 to 4 Hours (AUC0-4hrs) as Measured by Mixed-meal Tolerance Test (MMTT)

    The MMTT test involved the consumption of a standardised liquid meal (nutritional supplement of fat, carbohydrate, and protein) within 5 minutes. On Day -1 and on Day 28, following a minimum 10 hour fast, serial of blood samples were obtained prior and through 240 minutes after consumption of standardized meal for the measurement of glucose metabolism (with no additional food intake during this time).

    Time frame: Zero minutes before and 15, 30, 45, 60, 90, 120, 180, and 240 minutes after consumption of the standardised meal on Day -1 (Baseline) and Day 28

  2. Percent Change From Baseline to Day 28 in Plasma Glucose AUC0-4hrs as Measured by MMTT

    The MMTT test involved the consumption of a standardised liquid meal (nutritional supplement of fat, carbohydrate, and protein)within 5 minutes. On Day -1 and on Day 28, following a minimum 10-hour fast, serial of blood samples were obtained prior and through 240 minutes after consumption of standardized meal for the measurement of glucose metabolism (with no additional food intake during this time).

    Time frame: Zero minutes before and 15, 30, 45, 60, 90, 120, 180, and 240 minutes after consumption of the standardised meal on Day -1 (Baseline) and Day 28

Secondary outcomes

  1. Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)

    An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life threatening experience(immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. The TEAEs are defined as events present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug.

    Time frame: Day 1 through 28 days after the last dose of MEDI0382 (approximately 8 weeks)

  2. Number of Participants With Abnormal 12-lead Electrocardiogram (ECG) Reported as TEAEs

    Number of participants with abnormal 12-lead ECG reported as TEAEs are reported.

    Time frame: Day 1 through 28 days after the last dose of MEDI0382 (approximately 8 weeks)

  3. Number of Participants With Abnormal Vital Signs Reported as TEAEs

    Number of participants with abnormal vital signs reported as TEAEs are reported.

    Time frame: Day 1 through 28 days after the last dose of MEDI0382 (approximately 8 weeks)

  4. Number of Participants With Abnormal Physical Examinations Reported as TEAEs

    Number of participants with abnormal physical examinations reported as TEAEs are reported.

    Time frame: Day 1 through 28 days after the last dose of MEDI0382 (approximately 8 weeks)

  5. Number of Participants With Abnormal Clinical Laboratory Parameters Reported as TEAEs

    Number of participants with abnormal clinical laboratory parameters reported as TEAEs are reported.

    Time frame: Day 1 through 28 days after the last dose of MEDI0382 (approximately 8 weeks)

  6. Area Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUC [0-∞]) of MEDI0382

    Area under the plasma concentration time curve from time zero to infinity (AUC \[0-∞\]) of MEDI0382 is reported.

    Time frame: Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, and 24 hrs post-dose on Days 7, 14, and 28

  7. Area Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUC [0-∞]) of Dapagliflozin

    Area under the plasma concentration time curve from time zero to infinity (AUC \[0-∞\]) of Dapagliflozin is reported.

    Time frame: Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, and 24 hrs post-dose on Days -1, 7, 14, and 28

  8. Area Under the Plasma Concentration-time Curve During the Dosing Period (AUCtau) of MEDI0382

    Area under the plasma concentration-time curve during the dosing period (AUCtau) of MEDI0382 is reported.

    Time frame: Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, and 24 hrs post-dose on Days 7, 14, and 28

  9. Area Under the Plasma Concentration-time Curve During the Dosing Period (AUCtau) of Dapagliflozin

    Area under the plasma Concentration-time curve during the dosing period (AUCtau) of Dapagliflozin is reported.

    Time frame: Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, and 24 hrs post-dose on Days -1, 7, 14, and 28

  10. Maximum Observed Serum Concentration (Cmax) of MEDI0382

    Maximum observed serum concentration (Cmax) of MEDI0382 is reported.

    Time frame: Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, and 24 hrs post-dose on Days 7, 14, and 28

  11. Maximum Observed Serum Concentration (Cmax) of Dapagliflozin

    Maximum observed serum concentration (Cmax) of Dapagliflozin is reported.

    Time frame: Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, and 24 hrs post-dose on Days -1, 7, 14, and 28

  12. Time to Reach Maximum Observed Serum Concentration (Tmax) of MEDI0382

    Time to reach maximum observed serum concentration (Tmax) of MEDI0382 is reported.

    Time frame: Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, and 24 hrs post-dose on Days 7, 14, and 28

  13. Time to Reach Maximum Observed Serum Concentration (Tmax) of Dapagliflozin

    Time to reach maximum observed serum concentration (Tmax) of Dapagliflozin is reported.

    Time frame: Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, and 24 hrs post-dose on Days -1, 7, 14, and 28

  14. Terminal Elimination Half-life (t½) of MEDI0382

    Terminal half-life is the time required for the plasma concentration to fall by 50% during the terminal phase. The t½ of MEDI0382 is reported.

    Time frame: Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, and 24 hrs post-dose on Days 7, 14, and 28

  15. Terminal Elimination Half-life (t½) of Dapagliflozin

    Terminal half-life is the time required for the plasma concentration to fall by 50% during the terminal phase. The t½ of Dapagliflozin is reported.

    Time frame: Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, and 24 hrs post-dose on Days -1, 7, 14, and 28

  16. Apparent Clearance (CL/F) of MEDI0382

    Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. The CL/F of MEDI0382 is reported.

    Time frame: Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, and 24 hrs post-dose on Days 7, 14, and 28

  17. Apparent Clearance (CL/F) of Dapagliflozin

    Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. The CL/F of Dapagliflozin is reported.

    Time frame: Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, and 24 hrs post-dose on Days -1, 7, 14, and 28

  18. Number of Participants With Positive Anti-drug Antibodies (ADA) Titer to MEDI0382

    Number of participants with positive Anti-drug antibodies (ADA) titer to MEDI0382 are reported.

    Time frame: Day 1 (pre-dose), on Day 29 , and 28 days post last dose (end of study visit; approximately 8 weeks)

  19. Change From Baseline in Plasma Glucose AUC24-hrs to the End of Each Dosing Level as Measured by Continuous Glucose Monitoring (CGM)

    Continuous glucose monitoring is a minimally invasive device applied to the skin in the upper arm that provides a measure of interstitial glucose levels every 15 minutes. Continuous glucose monitoring measures glucose excursions during different meals and at different times of the day. End of dosing: Day 7 for MEDI0382 100 μg; Day 14 for MEDI0382 200 μg; and Day 28 for MEDI0382 300 μg.

    Time frame: Day -1 (Baseline) through Day 7 for MEDI0382 100 μg, Day 14 for MEDI0382 200 μg, and Day 28 for MEDI0382 300 μg

  20. Change From Baseline in Mean 24-hrs Plasma Glucose to the End of Each Dosing Level as Measured by CGM

    Continuous glucose monitoring is a minimally invasive device applied to the skin in the upper arm that provides a measure of interstitial glucose levels every 15 minutes. Continuous glucose monitoring measures glucose excursions during different meals and at different times of the day. End of dosing: Day 7 for MEDI0382 100 μg; Day 14 for MEDI0382 200 μg; and Day 28 for MEDI0382 300 μg.

    Time frame: Day -1 (Baseline) through Day 7 for MEDI0382 100 μg, Day 14 for MEDI0382 200 μg, and Day 28 for MEDI0382 300 μg

  21. Change From Baseline in Standard Deviation of 24-hrs Plasma Glucose Readings to the End of Each Dosing Level as Measured by CGM

    Continuous glucose monitoring is a minimally invasive device applied to the skin in the upper arm that provides a measure of interstitial glucose levels every 15 minutes. Continuous glucose monitoring measures glucose excursions during different meals and at different times of the day. End of dosing: Day 7 for MEDI0382 100 μg; Day 14 for MEDI0382 200 μg; and Day 28 for MEDI0382 300 μg.

    Time frame: Day -1 (Baseline) through Day 7 for MEDI0382 100 μg, Day 14 for MEDI0382 200 μg, and Day 28 for MEDI0382 300 μg

  22. Change From Baseline in Coefficient of Variation of 24-hrs Plasma Glucose Readings to the End of Each Dosing Level as Measured by CGM

    Continuous glucose monitoring is a minimally invasive device applied to the skin in the upper arm that provides a measure of interstitial glucose levels every 15 minutes. Continuous glucose monitoring measures glucose excursions during different meals and at different times of the day. End of dosing: Day 7 for MEDI0382 100 μg; Day 14 for MEDI0382 200 μg; and Day 28 for MEDI0382 300 μg.

    Time frame: Day -1 (Baseline) through Day 7 for MEDI0382 100 μg, Day 14 for MEDI0382 200 μg, and Day 28 for MEDI0382 300 μg

  23. Change From Baseline in Mean Amplitude of Glucose Excursions (MAGE) of 24-hrs Plasma Glucose Readings to the End of Each Dosing Level as Measured by CGM

    Continuous glucose monitoring is a minimally invasive device applied to the skin in the upper arm that provides a measure of interstitial glucose levels every 15 minutes. Continuous glucose monitoring measures glucose excursions during different meals and at different times of the day. End of dosing: Day 7 for MEDI0382 100 μg; Day 14 for MEDI0382 200 μg; and Day 28 for MEDI0382 300 μg.

    Time frame: Day -1 (Baseline) through Day 7 for MEDI0382 100 μg, Day 14 for MEDI0382 200 μg, and Day 28 for MEDI0382 300 μg

  24. Change From Baseline in the Percentage of 24-hrs Glucose Readings That Falls Within the Euglycemic Range to the End of Each Dosing as Measured by CGM

    Continuous glucose monitoring is a minimally invasive device applied to the skin in the upper arm that provides a measure of interstitial glucose levels every 15 minutes. Continuous glucose monitoring measures glucose excursions during different meals and at different times of the day. End of dosing: Day 7 for MEDI0382 100 μg; Day 14 for MEDI0382 200 μg; and Day 28 for MEDI0382 300 μg. Euglycemic range is defined as glucose levels of \>= 70 mg/dL (\>= 3.9 mmol/L) and \<= 180 mg/dL (\<= 10.0 mmol/L).

    Time frame: Day -1 (Baseline) through Day 7 for MEDI0382 100 μg, Day 14 for MEDI0382 200 μg, and Day 28 for MEDI0382 300 μg

  25. Change From Baseline in the Percentage of 24-hrs Glucose Readings That Falls Within the Hyperglycemic Range to the End of Each Dosing as Measured by CGM

    Continuous glucose monitoring is a minimally invasive device applied to the skin in the upper arm that provides a measure of interstitial glucose levels every 15 minutes. Continuous glucose monitoring measures glucose excursions during different meals and at different times of the day. End of dosing: Day 7 for MEDI0382 100 μg; Day 14 for MEDI0382 200 μg; and Day 28 for MEDI0382 300 μg. Hyperglycemic (high glucose) range is defined as glucose levels of \> 180 mg/dL (\> 10.0 mmol/L).

    Time frame: Day -1 (Baseline) through Day 7 for MEDI0382 100 μg, Day 14 for MEDI0382 200 μg, and Day 28 for MEDI0382 300 μg

  26. Change From Baseline in the Percentage of 24-hrs Glucose Readings That Falls Within the Hypoglycemic Range to the End of Each Dosing as Measured by CGM

    Continuous glucose monitoring is a minimally invasive device applied to the skin in the upper arm that provides a measure of interstitial glucose levels every 15 minutes. Continuous glucose monitoring measures glucose excursions during different meals and at different times of the day. End of dosing: Day 7 for MEDI0382 100 μg; Day 14 for MEDI0382 200 μg; and Day 28 for MEDI0382 300 μg. Hypoglycemic range is defined as glucose levels of \< 70 mg/dL (\< 3.9 mmol/L).

    Time frame: Day -1 (Baseline) through Day 7 for MEDI0382 100 μg, Day 14 for MEDI0382 200 μg, and Day 28 for MEDI0382 300 μg

  27. Change From Baseline in the Percentage of 24-hrs Glucose Readings That Falls Within Clinically Significant Hypoglycemic Range to the End of Each Dosing as Measured by CGM

    Continuous glucose monitoring is a minimally invasive device applied to the skin in the upper arm that provides a measure of interstitial glucose levels every 15 minutes. Continuous glucose monitoring measures glucose excursions during different meals and at different times of the day. End of dosing: Day 7 for MEDI0382 100 μg; Day 14 for MEDI0382 200 μg; and Day 28 for MEDI0382 300 μg. Clinically significant hypoglycemic range is defined as glucose levels of \< 54 mg/dL (3.0 mmol/L).

    Time frame: Day -1 (Baseline) through Day 7 for MEDI0382 100 μg, Day 14 for MEDI0382 200 μg, and Day 28 for MEDI0382 300 μg

07

Results

Posted Jan 13, 2020

Participant flow

The study was conducted in Germany and Hungary between 08May2018 and 06Dec2018.

Participant flow — Overall Study
MilestonePlaceboMEDI0382
Started2425
Completed2423
Not completed02
Withdrew: Withdrawal by subject01
Withdrew: Other01

Outcome measures

PrimaryChange From Baseline to Day 28 in Plasma Glucose Area Under the Concentration Time-curve From Time 0 to 4 Hours (AUC0-4hrs) as Measured by Mixed-meal Tolerance Test (MMTT)

The MMTT test involved the consumption of a standardised liquid meal (nutritional supplement of fat, carbohydrate, and protein) within 5 minutes. On Day -1 and on Day 28, following a minimum 10 hour fast, serial of blood samples were obtained prior and through 240 minutes after consumption of standardized meal for the measurement of glucose metabolism (with no additional food intake during this time).

Time frame:
Zero minutes before and 15, 30, 45, 60, 90, 120, 180, and 240 minutes after consumption of the standardised meal on Day -1 (Baseline) and Day 28
Reported as:
Least squares mean · hr·mg/dL
Change From Baseline to Day 28 in Plasma Glucose Area Under the Concentration Time-curve From Time 0 to 4 Hours (AUC0-4hrs) as Measured by Mixed-meal Tolerance Test (MMTT)
hr·mg/dLPlaceboMEDI0382
Change From Baseline to Day 28 in Plasma Glucose Area Under the Concentration Time-curve From Time 0 to 4 Hours (AUC0-4hrs) as Measured by Mixed-meal Tolerance Test (MMTT)-11.28 (-51.05 to 28.50)-154.37 (-192.45 to -116.29)
Statistical analysis
  • Placebo vs MEDI0382 · ANCOVA · p = <0.0001 · Ls mean difference: -143.09 · 95% CI -198.20 to -87.98
PrimaryPercent Change From Baseline to Day 28 in Plasma Glucose AUC0-4hrs as Measured by MMTT

The MMTT test involved the consumption of a standardised liquid meal (nutritional supplement of fat, carbohydrate, and protein)within 5 minutes. On Day -1 and on Day 28, following a minimum 10-hour fast, serial of blood samples were obtained prior and through 240 minutes after consumption of standardized meal for the measurement of glucose metabolism (with no additional food intake during this time).

Time frame:
Zero minutes before and 15, 30, 45, 60, 90, 120, 180, and 240 minutes after consumption of the standardised meal on Day -1 (Baseline) and Day 28
Reported as:
Least squares mean · Percent change in Glucose AUC0-4hrs
Percent Change From Baseline to Day 28 in Plasma Glucose AUC0-4hrs as Measured by MMTT
Percent change in Glucose AUC0-4hrsPlaceboMEDI0382
Percent Change From Baseline to Day 28 in Plasma Glucose AUC0-4hrs as Measured by MMTT-0.13 (-5.96 to 5.69)-22.30 (-27.88 to -16.73)
Statistical analysis
  • Placebo vs MEDI0382 · ANCOVA · p = <0.0001 · Ls mean difference: -22.17 · 95% CI -30.24 to -14.10
SecondaryNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)

An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life threatening experience(immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. The TEAEs are defined as events present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug.

Time frame:
Day 1 through 28 days after the last dose of MEDI0382 (approximately 8 weeks)
Reported as:
Count of participants · Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)
ParticipantsPlaceboMEDI0382
TEAEs1413
TESAEs00
SecondaryNumber of Participants With Abnormal 12-lead Electrocardiogram (ECG) Reported as TEAEs

Number of participants with abnormal 12-lead ECG reported as TEAEs are reported.

Time frame:
Day 1 through 28 days after the last dose of MEDI0382 (approximately 8 weeks)
Reported as:
Count of participants · Participants
Number of Participants With Abnormal 12-lead Electrocardiogram (ECG) Reported as TEAEs
ParticipantsPlaceboMEDI0382
Number of Participants With Abnormal 12-lead Electrocardiogram (ECG) Reported as TEAEs00
SecondaryNumber of Participants With Abnormal Vital Signs Reported as TEAEs

Number of participants with abnormal vital signs reported as TEAEs are reported.

Time frame:
Day 1 through 28 days after the last dose of MEDI0382 (approximately 8 weeks)
Reported as:
Count of participants · Participants
Number of Participants With Abnormal Vital Signs Reported as TEAEs
ParticipantsPlaceboMEDI0382
Tachycardia21
Tachycardia paroxysmal10
Palpitations01
SecondaryNumber of Participants With Abnormal Physical Examinations Reported as TEAEs

Number of participants with abnormal physical examinations reported as TEAEs are reported.

Time frame:
Day 1 through 28 days after the last dose of MEDI0382 (approximately 8 weeks)
Reported as:
Count of participants · Participants
Number of Participants With Abnormal Physical Examinations Reported as TEAEs
ParticipantsPlaceboMEDI0382
Number of Participants With Abnormal Physical Examinations Reported as TEAEs00
SecondaryNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as TEAEs

Number of participants with abnormal clinical laboratory parameters reported as TEAEs are reported.

Time frame:
Day 1 through 28 days after the last dose of MEDI0382 (approximately 8 weeks)
Reported as:
Count of participants · Participants
Number of Participants With Abnormal Clinical Laboratory Parameters Reported as TEAEs
ParticipantsPlaceboMEDI0382
Hypoglycemia10
SecondaryArea Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUC [0-∞]) of MEDI0382

Area under the plasma concentration time curve from time zero to infinity (AUC \[0-∞\]) of MEDI0382 is reported.

Time frame:
Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, and 24 hrs post-dose on Days 7, 14, and 28
Reported as:
Geometric mean · ng.hr/mL
Area Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUC [0-∞]) of MEDI0382
ng.hr/mLMEDI0382
Day 7 (MEDI0382 100 µg)106.4 (57.7 to 251.8)
Day 14 ( MEDI0382 200 µg)196.7 (99.4 to 472.0)
Day 28 (MEDI0382 300 µg)314.6 (211.0 to 537.3)
SecondaryArea Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUC [0-∞]) of Dapagliflozin

Area under the plasma concentration time curve from time zero to infinity (AUC \[0-∞\]) of Dapagliflozin is reported.

Time frame:
Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, and 24 hrs post-dose on Days -1, 7, 14, and 28
Reported as:
Geometric mean · ng.hr/mL
Area Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUC [0-∞]) of Dapagliflozin
ng.hr/mLPlaceboMEDI0382
Day -1432.6 (271.5 to 918.6)473.8 (288.8 to 1073.2)
Day 7410.2 (209.9 to 1024.2)438.0 (222.2 to 833.6)
Day 14421.0 (219.0 to 1327.8)448.6 (247.0 to 615.9)
Day 28405.7 (261.1 to 799.5)523.4 (319.5 to 946.0)
SecondaryArea Under the Plasma Concentration-time Curve During the Dosing Period (AUCtau) of MEDI0382

Area under the plasma concentration-time curve during the dosing period (AUCtau) of MEDI0382 is reported.

Time frame:
Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, and 24 hrs post-dose on Days 7, 14, and 28
Reported as:
Geometric mean · ng.hr/mL
Area Under the Plasma Concentration-time Curve During the Dosing Period (AUCtau) of MEDI0382
ng.hr/mLMEDI0382
Day 7 (MEDI0382 100 µg)89.6 (43.1 to 199.4)
Day 14 ( MEDI0382 200 µg)165.0 (86.9 to 365.5)
Day 28 (MEDI0382 300 µg)265.9 (101.7 to 795.1)
SecondaryArea Under the Plasma Concentration-time Curve During the Dosing Period (AUCtau) of Dapagliflozin

Area under the plasma Concentration-time curve during the dosing period (AUCtau) of Dapagliflozin is reported.

Time frame:
Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, and 24 hrs post-dose on Days -1, 7, 14, and 28
Reported as:
Geometric mean · ng.hr/mL
Area Under the Plasma Concentration-time Curve During the Dosing Period (AUCtau) of Dapagliflozin
ng.hr/mLPlaceboMEDI0382
Day -1400.9 (182.4 to 1011.5)430.3 (252.5 to 815.2)
Day 7377.5 (76.4 to 910.7)406.8 (211.5 to 1142.6)
Day 14417.1 (209.0 to 1107.7)396.8 (215.4 to 669.7)
Day 28423.1 (180.6 to 977.3)463.8 (284.3 to 1245.7)
SecondaryMaximum Observed Serum Concentration (Cmax) of MEDI0382

Maximum observed serum concentration (Cmax) of MEDI0382 is reported.

Time frame:
Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, and 24 hrs post-dose on Days 7, 14, and 28
Reported as:
Geometric mean · ng/mL
Maximum Observed Serum Concentration (Cmax) of MEDI0382
ng/mLMEDI0382
Day 7 (MEDI0382 100 µg)5.2 (2.7 to 11.9)
Day 14 ( MEDI0382 200 µg)10.1 (4.4 to 21.7)
Day 28 (MEDI0382 300 µg)17.2 (6.1 to 45.4)
SecondaryMaximum Observed Serum Concentration (Cmax) of Dapagliflozin

Maximum observed serum concentration (Cmax) of Dapagliflozin is reported.

Time frame:
Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, and 24 hrs post-dose on Days -1, 7, 14, and 28
Reported as:
Geometric mean · ng/mL
Maximum Observed Serum Concentration (Cmax) of Dapagliflozin
ng/mLPlaceboMEDI0382
Day -1110.1 (46.3 to 208.3)116.7 (38.2 to 206.8)
Day 792.0 (5.2 to 256.7)84.4 (24.1 to 211.7)
Day 1495.6 (33.5 to 280.7)61.1 (15.8 to 149.9)
Day 28112.2 (47.0 to 235.4)94.2 (25.2 to 182.2)
SecondaryTime to Reach Maximum Observed Serum Concentration (Tmax) of MEDI0382

Time to reach maximum observed serum concentration (Tmax) of MEDI0382 is reported.

Time frame:
Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, and 24 hrs post-dose on Days 7, 14, and 28
Reported as:
Median · Hours
Time to Reach Maximum Observed Serum Concentration (Tmax) of MEDI0382
HoursMEDI0382
Day 7 (MEDI0382 100 µg)5.5 (2 to 8)
Day 14 ( MEDI0382 200 µg)5.1 (2 to 8)
Day 28 (MEDI0382 300 µg)4 (1.9 to 8.1)
SecondaryTime to Reach Maximum Observed Serum Concentration (Tmax) of Dapagliflozin

Time to reach maximum observed serum concentration (Tmax) of Dapagliflozin is reported.

Time frame:
Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, and 24 hrs post-dose on Days -1, 7, 14, and 28
Reported as:
Median · Hours
Time to Reach Maximum Observed Serum Concentration (Tmax) of Dapagliflozin
HoursPlaceboMEDI0382
Day -11 (0.5 to 2)1 (0.4 to 23.9)
Day 71 (0.5 to 11.4)1 (0.5 to 4)
Day 141.1 (0.5 to 6)1 (0 to 8.1)
Day 281 (0.2 to 1.8)1 (0.5 to 8.1)
SecondaryTerminal Elimination Half-life (t½) of MEDI0382

Terminal half-life is the time required for the plasma concentration to fall by 50% during the terminal phase. The t½ of MEDI0382 is reported.

Time frame:
Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, and 24 hrs post-dose on Days 7, 14, and 28
Reported as:
Geometric mean · Hours
Terminal Elimination Half-life (t½) of MEDI0382
HoursMEDI0382
Day 7 (MEDI0382 100 µg)8.8 (6.1 to 11.9)
Day 14 ( MEDI0382 200 µg)9 (5.6 to 11.8)
Day 28 (MEDI0382 300 µg)9.1 (5.1 to 11.6)
SecondaryTerminal Elimination Half-life (t½) of Dapagliflozin

Terminal half-life is the time required for the plasma concentration to fall by 50% during the terminal phase. The t½ of Dapagliflozin is reported.

Time frame:
Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, and 24 hrs post-dose on Days -1, 7, 14, and 28
Reported as:
Geometric mean · Hours
Terminal Elimination Half-life (t½) of Dapagliflozin
HoursPlaceboMEDI0382
Day -18.2 (5.3 to 11.2)7.8 (5.4 to 11.3)
Day 77.9 (4.1 to 10.4)8.3 (5.8 to 11.1)
Day 147.0 (5.1 to 11.4)8.5 (7 to 10)
Day 287.6 (5.8 to 11.0)9.1 (6.1 to 11.8)
SecondaryApparent Clearance (CL/F) of MEDI0382

Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. The CL/F of MEDI0382 is reported.

Time frame:
Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, and 24 hrs post-dose on Days 7, 14, and 28
Reported as:
Geometric mean · L/hr
Apparent Clearance (CL/F) of MEDI0382
L/hrMEDI0382
Day 7 (MEDI0382 100 µg)1.1 (0.5 to 1.9)
Day 14 ( MEDI0382 200 µg)1.3 (0.5 to 2.2)
Day 28 (MEDI0382 300 µg)1.2 (0.8 to 1.8)
SecondaryApparent Clearance (CL/F) of Dapagliflozin

Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. The CL/F of Dapagliflozin is reported.

Time frame:
Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, and 24 hrs post-dose on Days -1, 7, 14, and 28
Reported as:
Geometric mean · L/Hr
Apparent Clearance (CL/F) of Dapagliflozin
L/HrPlaceboMEDI0382
Day -125.5 (13.3 to 38.9)23.3 (12.3 to 39.6)
Day 726.7 (11.0 to 52.8)25.7 (14.2 to 47.3)
Day 1425.9 (9.0 to 47.7)25.5 (18.8 to 46.4)
Day 2826.8 (13.8 to 40.2)22.2 (13.4 to 35.2)
SecondaryNumber of Participants With Positive Anti-drug Antibodies (ADA) Titer to MEDI0382

Number of participants with positive Anti-drug antibodies (ADA) titer to MEDI0382 are reported.

Time frame:
Day 1 (pre-dose), on Day 29 , and 28 days post last dose (end of study visit; approximately 8 weeks)
Reported as:
Count of participants · Participants
Number of Participants With Positive Anti-drug Antibodies (ADA) Titer to MEDI0382
ParticipantsPlaceboMEDI0382
Day 103
Day 2901
End of Study12
SecondaryChange From Baseline in Plasma Glucose AUC24-hrs to the End of Each Dosing Level as Measured by Continuous Glucose Monitoring (CGM)

Continuous glucose monitoring is a minimally invasive device applied to the skin in the upper arm that provides a measure of interstitial glucose levels every 15 minutes. Continuous glucose monitoring measures glucose excursions during different meals and at different times of the day. End of dosing: Day 7 for MEDI0382 100 μg; Day 14 for MEDI0382 200 μg; and Day 28 for MEDI0382 300 μg.

Time frame:
Day -1 (Baseline) through Day 7 for MEDI0382 100 μg, Day 14 for MEDI0382 200 μg, and Day 28 for MEDI0382 300 μg
Reported as:
Mean · hr.mg/dL
Change From Baseline in Plasma Glucose AUC24-hrs to the End of Each Dosing Level as Measured by Continuous Glucose Monitoring (CGM)
hr.mg/dLPlaceboMEDI0382
Day 7 (MEDI0382 100 μg)49.14 ± 667.30-832.66 ± 506.22
Day 14 (MEDI0382 200 μg)57.30 ± 379.95-666.05 ± 647.63
Day 28 (MEDI0382 300 μg)229.47 ± 589.19-726.85 ± 710.71
SecondaryChange From Baseline in Mean 24-hrs Plasma Glucose to the End of Each Dosing Level as Measured by CGM

Continuous glucose monitoring is a minimally invasive device applied to the skin in the upper arm that provides a measure of interstitial glucose levels every 15 minutes. Continuous glucose monitoring measures glucose excursions during different meals and at different times of the day. End of dosing: Day 7 for MEDI0382 100 μg; Day 14 for MEDI0382 200 μg; and Day 28 for MEDI0382 300 μg.

Time frame:
Day -1 (Baseline) through Day 7 for MEDI0382 100 μg, Day 14 for MEDI0382 200 μg, and Day 28 for MEDI0382 300 μg
Reported as:
Mean · mg/dL
Change From Baseline in Mean 24-hrs Plasma Glucose to the End of Each Dosing Level as Measured by CGM
mg/dLPlaceboMEDI0382
Day 7 (MEDI0382 100 μg)2.59 ± 28.96-34.74 ± 20.34
Day 14 (MEDI0382 200 μg)2.83 ± 17.01-28.34 ± 27.12
Day 28 (MEDI0382 300 μg)9.70 ± 24.73-30.55 ± 29.82
SecondaryChange From Baseline in Standard Deviation of 24-hrs Plasma Glucose Readings to the End of Each Dosing Level as Measured by CGM

Continuous glucose monitoring is a minimally invasive device applied to the skin in the upper arm that provides a measure of interstitial glucose levels every 15 minutes. Continuous glucose monitoring measures glucose excursions during different meals and at different times of the day. End of dosing: Day 7 for MEDI0382 100 μg; Day 14 for MEDI0382 200 μg; and Day 28 for MEDI0382 300 μg.

Time frame:
Day -1 (Baseline) through Day 7 for MEDI0382 100 μg, Day 14 for MEDI0382 200 μg, and Day 28 for MEDI0382 300 μg
Reported as:
Mean · mg/dL
Change From Baseline in Standard Deviation of 24-hrs Plasma Glucose Readings to the End of Each Dosing Level as Measured by CGM
mg/dLPlaceboMEDI0382
Day 7 (MEDI0382 100 μg)-3.01 ± 13.84-7.21 ± 11.05
Day 14 (MEDI0382 200 μg)1.38 ± 9.47-7.52 ± 9.73
Day 28 (MEDI0382 300 μg)-4.39 ± 10.67-9.76 ± 10.18
SecondaryChange From Baseline in Coefficient of Variation of 24-hrs Plasma Glucose Readings to the End of Each Dosing Level as Measured by CGM

Continuous glucose monitoring is a minimally invasive device applied to the skin in the upper arm that provides a measure of interstitial glucose levels every 15 minutes. Continuous glucose monitoring measures glucose excursions during different meals and at different times of the day. End of dosing: Day 7 for MEDI0382 100 μg; Day 14 for MEDI0382 200 μg; and Day 28 for MEDI0382 300 μg.

Time frame:
Day -1 (Baseline) through Day 7 for MEDI0382 100 μg, Day 14 for MEDI0382 200 μg, and Day 28 for MEDI0382 300 μg
Reported as:
Mean · Percent of coefficient of variation
Change From Baseline in Coefficient of Variation of 24-hrs Plasma Glucose Readings to the End of Each Dosing Level as Measured by CGM
Percent of coefficient of variationPlaceboMEDI0382
Day 7 (MEDI0382 100 μg)-2.37 ± 9.06-0.45 ± 6.68
Day 14 (MEDI0382 200 μg)0.96 ± 8.74-2.06 ± 6.59
Day 28 (MEDI0382 300 μg)-4.26 ± 7.16-3.21 ± 7.25
SecondaryChange From Baseline in Mean Amplitude of Glucose Excursions (MAGE) of 24-hrs Plasma Glucose Readings to the End of Each Dosing Level as Measured by CGM

Continuous glucose monitoring is a minimally invasive device applied to the skin in the upper arm that provides a measure of interstitial glucose levels every 15 minutes. Continuous glucose monitoring measures glucose excursions during different meals and at different times of the day. End of dosing: Day 7 for MEDI0382 100 μg; Day 14 for MEDI0382 200 μg; and Day 28 for MEDI0382 300 μg.

Time frame:
Day -1 (Baseline) through Day 7 for MEDI0382 100 μg, Day 14 for MEDI0382 200 μg, and Day 28 for MEDI0382 300 μg
Reported as:
Mean · mg/dL
Change From Baseline in Mean Amplitude of Glucose Excursions (MAGE) of 24-hrs Plasma Glucose Readings to the End of Each Dosing Level as Measured by CGM
mg/dLPlaceboMEDI0382
Day 7 (MEDI0382 100 μg)-13.46 ± 32.07-25.74 ± 35.06
Day 14 (MEDI0382 200 μg)18.05 ± 47.60-26.59 ± 25.60
Day 28 (MEDI0382 300 μg)-8.09 ± 27.68-27.92 ± 23.17
SecondaryChange From Baseline in the Percentage of 24-hrs Glucose Readings That Falls Within the Euglycemic Range to the End of Each Dosing as Measured by CGM

Continuous glucose monitoring is a minimally invasive device applied to the skin in the upper arm that provides a measure of interstitial glucose levels every 15 minutes. Continuous glucose monitoring measures glucose excursions during different meals and at different times of the day. End of dosing: Day 7 for MEDI0382 100 μg; Day 14 for MEDI0382 200 μg; and Day 28 for MEDI0382 300 μg. Euglycemic range is defined as glucose levels of \>= 70 mg/dL (\>= 3.9 mmol/L) and \<= 180 mg/dL (\<= 10.0 mmol/L).

Time frame:
Day -1 (Baseline) through Day 7 for MEDI0382 100 μg, Day 14 for MEDI0382 200 μg, and Day 28 for MEDI0382 300 μg
Reported as:
Mean · Percent of Euglycemic Range
Change From Baseline in the Percentage of 24-hrs Glucose Readings That Falls Within the Euglycemic Range to the End of Each Dosing as Measured by CGM
Percent of Euglycemic RangePlaceboMEDI0382
Day 7 (MEDI0382 100 μg)-5.61 ± 19.657.12 ± 20.60
Day 14 (MEDI0382 200 μg)-2.79 ± 10.165.31 ± 17.71
Day 28 (MEDI0382 300 μg)-4.17 ± 15.806.54 ± 24.37
SecondaryChange From Baseline in the Percentage of 24-hrs Glucose Readings That Falls Within the Hyperglycemic Range to the End of Each Dosing as Measured by CGM

Continuous glucose monitoring is a minimally invasive device applied to the skin in the upper arm that provides a measure of interstitial glucose levels every 15 minutes. Continuous glucose monitoring measures glucose excursions during different meals and at different times of the day. End of dosing: Day 7 for MEDI0382 100 μg; Day 14 for MEDI0382 200 μg; and Day 28 for MEDI0382 300 μg. Hyperglycemic (high glucose) range is defined as glucose levels of \> 180 mg/dL (\> 10.0 mmol/L).

Time frame:
Day -1 (Baseline) through Day 7 for MEDI0382 100 μg, Day 14 for MEDI0382 200 μg, and Day 28 for MEDI0382 300 μg
Reported as:
Mean · Percent of hyperglycemic range
Change From Baseline in the Percentage of 24-hrs Glucose Readings That Falls Within the Hyperglycemic Range to the End of Each Dosing as Measured by CGM
Percent of hyperglycemic rangePlaceboMEDI0382
Day 7 (MEDI0382 100 μg)3.62 ± 17.80-13.99 ± 14.95
Day 14 (MEDI0382 200 μg)0.36 ± 10.50-9.81 ± 13.68
Day 28 (MEDI0382 300 μg)6.08 ± 16.96-9.72 ± 20.97
SecondaryChange From Baseline in the Percentage of 24-hrs Glucose Readings That Falls Within the Hypoglycemic Range to the End of Each Dosing as Measured by CGM

Continuous glucose monitoring is a minimally invasive device applied to the skin in the upper arm that provides a measure of interstitial glucose levels every 15 minutes. Continuous glucose monitoring measures glucose excursions during different meals and at different times of the day. End of dosing: Day 7 for MEDI0382 100 μg; Day 14 for MEDI0382 200 μg; and Day 28 for MEDI0382 300 μg. Hypoglycemic range is defined as glucose levels of \< 70 mg/dL (\< 3.9 mmol/L).

Time frame:
Day -1 (Baseline) through Day 7 for MEDI0382 100 μg, Day 14 for MEDI0382 200 μg, and Day 28 for MEDI0382 300 μg
Reported as:
Mean · Percent of hypoglycemic range
Change From Baseline in the Percentage of 24-hrs Glucose Readings That Falls Within the Hypoglycemic Range to the End of Each Dosing as Measured by CGM
Percent of hypoglycemic rangePlaceboMEDI0382
Day 7 (MEDI0382 100 μg)1.17 ± 5.646.08 ± 10.36
Day 14 (MEDI0382 200 μg)2.00 ± 3.793.44 ± 12.72
Day 28 (MEDI0382 300 μg)-2.08 ± 4.142.84 ± 12.20
SecondaryChange From Baseline in the Percentage of 24-hrs Glucose Readings That Falls Within Clinically Significant Hypoglycemic Range to the End of Each Dosing as Measured by CGM

Continuous glucose monitoring is a minimally invasive device applied to the skin in the upper arm that provides a measure of interstitial glucose levels every 15 minutes. Continuous glucose monitoring measures glucose excursions during different meals and at different times of the day. End of dosing: Day 7 for MEDI0382 100 μg; Day 14 for MEDI0382 200 μg; and Day 28 for MEDI0382 300 μg. Clinically significant hypoglycemic range is defined as glucose levels of \< 54 mg/dL (3.0 mmol/L).

Time frame:
Day -1 (Baseline) through Day 7 for MEDI0382 100 μg, Day 14 for MEDI0382 200 μg, and Day 28 for MEDI0382 300 μg
Reported as:
Mean · Percent of hypoglycemic range
Change From Baseline in the Percentage of 24-hrs Glucose Readings That Falls Within Clinically Significant Hypoglycemic Range to the End of Each Dosing as Measured by CGM
Percent of hypoglycemic rangePlaceboMEDI0382
Day 7 (MEDI0382 100 μg)0.76 ± 3.641.61 ± 5.03
Day 14 (MEDI0382 200 μg)0.27 ± 1.19-0.06 ± 2.18
Day 28 (MEDI0382 300 μg)-0.26 ± 0.900.93 ± 4.91

Adverse events

Collected over Day 1 through 28 days after the last dose of MEDI0382 (approximately 8 weeks). Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo0/24 (0%)0/24 (0%)14/24 (58.3%)
MEDI03820/25 (0%)0/25 (0%)13/25 (52%)
Most frequent other events
Showing 10 of 35
Most frequent other events
EventPlaceboMEDI0382
NauseaGastrointestinal disorders2/245/25
VomitingGastrointestinal disorders0/245/25
HeadacheNervous system disorders1/245/25
Viral upper respiratory tract infectionInfections and infestations3/243/25
Abdominal pain upperGastrointestinal disorders0/243/25
ConstipationGastrointestinal disorders0/243/25
TachycardiaCardiac disorders2/241/25
DiarrhoeaGastrointestinal disorders2/241/25
HyperhidrosisSkin and subcutaneous tissue disorders2/240/25
DizzinessNervous system disorders0/242/25

Baseline characteristics

As-treated population included all participants who received any dose of study drugs and analyzed according to the treatment they actually received.

Age, Continuous
Age, Continuous(Years)PlaceboMEDI0382TOTAL
Mean58.4 ± 10.061.0 ± 8.259.7 ± 9.1
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboMEDI0382TOTAL
Female121022
Male121527
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PlaceboMEDI0382TOTAL
Hispanic or Latino101
Not Hispanic or Latino232548
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PlaceboMEDI0382TOTAL
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American000
White242549
More than one race000
Unknown or Not Reported000
08

Study locations

8 sites
  • Research Site
    Magdeburg, 39120, Germany
  • Research Site
    Mannheim, 68167, Germany
  • Research Site
    München, 81241, Germany
  • Research Site
    Balatonfüred, 8230, Hungary
  • Research Site
    Miskolc, 3529, Hungary
  • Research Site
    Szeged, 6720, Hungary
  • Research Site
    Manchester, M13 9NQ, United Kingdom
  • Research Site
    Rotherham, S65 1DA, United Kingdom
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from May 2018 to primary completion in Dec 2018, 6 months.

Results were first posted in Jan 2020, 1 year 1 month after primary completion.

Of 194 industry-sponsored phase 2 interventional studies under Diabetes Mellitus, Type 2, half reached primary completion within 13 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 18. This study's 6 months is below that.

Counting every sponsor, half of 293 studies reached it within 15 months; a quarter within 11 and three quarters within 27.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 18, 2017
First posted
Feb 23, 2018
StartActual
May 8, 2018
Primary completionActual
Dec 6, 2018
CompletionActual
Dec 6, 2018
Results first posted
Jan 13, 2020
Last update
Jan 13, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 13, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03444584
Lead sponsor
MedImmune LLC
Responsible party
Sponsor
First posted
Feb 23, 2018
Start date
May 8, 2018
Primary completion
Dec 6, 2018
Completion
Dec 6, 2018
Results posted
Jan 13, 2020
Last update
Jan 13, 2020

Study contacts

Stephen Bain, MD
principal investigator · Joint Clinical Research Facility

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2020. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drug tested here: Cotadutide

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