A Phase 2 interventional study of MEDI0382 and Placebo in Type 2 Diabetes Mellitus, sponsored by MedImmune LLC. Completed at 3 sites in 3 countries. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2024-11-12.
Sponsored by MedImmune LLC · Phase 2, Interventional, and Treatment
A phase 2 study in two parts (A \& B) designed to evaluate the effect of MEDI0382 on Hepatic Glycogen Metabolism in subjects with Type 2 Diabetes Mellitus (T2DM). Approximately 20 subjects will be enrolled in Part A and approximately 30 subjects in Part B.
This is a 2-part exploratory Phase 2 study.
Part A is a randomised, double-blind, placebo-controlled study to evaluate the effect of MEDI0382 (also known as Cotadutide) administered once daily subcutaneously (SC) for 28 days on hepatic glycogen metabolism in overweight and obese subjects with T2DM. Part A is planned to randomise up to 20 subjects. Subjects from Part A will not be re-enrolled in Part B.
Part B is an exploratory Phase 2 randomised, double-blind, placebo-controlled and open-label active comparator study to evaluate the effect of MEDI0382 on hepatic glycogen metabolism in overweight and obese subjects with T2DM. Part B is planned to randomise approximately 30 subjects (not to exceed a maximum of 35 subjects). Subjects in Part B will be randomised to receive double-blind MEDI0382 or placebo, or open-label liraglutide once daily for 35 days.
10,925 studies on the registry are indexed under Diabetes Mellitus; 1,319 are open to participants now.
This study's enrollment of 51 is below the median of 80 across 8,367 interventional studies indexed under Diabetes Mellitus.
Browse Diabetes Mellitus studies →MedImmune LLC is the lead sponsor of 265 studies on the registry; none are open to participants now.
Of its 50 completed or terminated interventional studies of FDA-regulated products, 28 (56%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion criteria:
Any subject who has received any of the following medications prior to the start of the study:
Significant hepatic disease (except for NASH or nonalcoholic fatty liver disease without portal hypertension or cirrhosis) and/or subjects with any of the following results at screening:
Poorly controlled hypertension defined as:
MEDI0382 administered subcutaneously (Part A)
Drug: MEDI0382
Placebo comparator administered subcutaneously (Part A)
Drug: Placebo
Active comparator administered subcutaneously (Part B)
Drug: Liraglutide
MEDI0382 administered subcutaneously (Part B)
Drug: MEDI0382
Placebo comparator administered subcutaneously (Part B)
Drug: Placebo
MEDI0382 administered subcutaneously
Placebo administered subcutaneously
Liraglutide administered subcutaneously
Change in Hepatic Glycogen Concentration Adjusted for Liver Volume as Measured by MRS at T = 4 Hours Post Standardised Morning Meal From Baseline (Day -1) to the End of 28 Days of Treatment (Part A Only)
To assess the effect of MEDI0382 on hepatic glycogen levels postprandially versus placebo after 28 days of treatment
Time frame: Day -1 to Day 28
Percentage Change in Fasting Hepatic Glycogen Concentration Adjusted for Liver Volume as Measured by MRS at T = 24 Hours Post Standardised Morning Meal From Baseline (Day -1) to the End of 35 Days of Treatment (Day 36) (Part B)
To assess the effect of MEDI0382 on hepatic glycogen levels versus placebo after 35 days (Part B) of treatment
Time frame: Day -1 to Day 36
Percentage Change in Fasting Hepatic Glycogen Concentration Adjusted for Liver Volume as Measured by MRS at T = 24 Hours Post Standardised Morning Meal From Baseline (Day 1) to the End of 35 Days of Treatment (Day 36, Part B Only)
To assess the effect of MEDI0382 on hepatic glycogen levels versus liraglutide after 35 days of treatment (Part B only)
Time frame: Fom baseline (Day -1) to Day 35
Change of Hepatic Fat Fraction From Baseline as Measured by Magnetic Resonance Imaging (Day -1) to the End of 35 Days of Treatment (Part B Only)
Time frame: Day -1 to Day 36
Development of ADA
Time frame: Baseline to (Follow-up Period) 28 days post last dose + (3-month poststudy)
Measures of Safety and Tolerability of Daily SC Doses of MEDI0382 Titrated up to a Dose Level of 300μg (Parts A and B) by Assessment of Number of Participants withTreatment Emergent Adverse Events (TEAEs) as Assessed by CTCAE V4.0
Safety and tolerability of daily SC doses of MEDI0382 by assessment of the following using CTCAE V4.0: The number of Treatment Emergent Adverse events (TEAEs)
Time frame: Post dosing (Day 1) to final follow-up (28 Days post last dose)
Measures of Safety and Tolerability of Daily SC Doses of MEDI0382 Titrated up to a Dose Level of 300μg (Parts A and B) by Assessment of Number of Participants With Treatment Emergent Serious Adverse Events (TESAEs) as Assessed by CTCAE V4.0
Safety and tolerability of daily SC doses of MEDI0382 by assessment of the following using CTCAE V4.0: The number of Treatment-Emergent Serious Adverse Events (TESAEs)
Time frame: Post dosing (Day 1) to final follow-up (28 Days post last dose)
Measures of Safety and Tolerability of Daily SC Doses of MEDI0382 Titrated up to a Dose Level of 300μg (Parts A and B) by Assessment of Changes in Heart Rate and Blood Pressure
Number of subjects with clinically significant changes in heart rate (BPM) or systolic and diastolic blood pressure (mmHg)
Time frame: Post dosing (Day 1) to final follow-up (28 Days post last dose)
Measures of Safety and Tolerability of Daily SC Doses of MEDI0382 Titrated up to a Dose Level of 300μg (Parts A and B) by Assessment of Changes in ECG
Number of subjects with an ECG determined to be abnormal and clinically significant
Time frame: Post dosing (Day 1) to final follow-up (28 Days post last dose)
Measures of Safety and Tolerability of Daily SC Doses of MEDI0382 Titrated up to a Dose Level of 300μg (Parts A and B) by Assessment of Changes in Haematology and Clinical Chemistry Parameters
Number of subjects with clinically significant changes in in haematology and or clinical chemistry parameters
Time frame: Post dosing (Day 1) to final follow-up (28 Days post last dose)
In Part A, a total of 21 participants participated in the study from 31 May 2018 (date first participant enrolled for Part A) to 23 November 2018 (date of last participant last visit for Part A) at one site in Sweden. In Part B, a total of 30 participants participated in the study from 17 December 2019 (date first participant enrolled for Part B) to 14 April 2021 (date of last participant last visit for Part B) at 2 sites (one in Sweden and one in the Netherlands).
| Milestone | Placebo (Part A) | MEDI0382 (Part A) | Liraglutide (Part B) | MEDI0382 (Part B) | Placebo (Part B) |
|---|---|---|---|---|---|
| Started | 9 | 12 | 10 | 9 | 11 |
| Completed | 9 | 10 | 10 | 9 | 11 |
| Not completed | 0 | 2 | 0 | 0 | 0 |
To assess the effect of MEDI0382 on hepatic glycogen levels postprandially versus placebo after 28 days of treatment
| mmol/L | Placebo (Part A) | MEDI0382 (Part A) |
|---|---|---|
| Change in Hepatic Glycogen Concentration Adjusted for Liver Volume as Measured by MRS at T = 4 Hours Post Standardised Morning Meal From Baseline (Day -1) to the End of 28 Days of Treatment (Part A Only) | 5.5 (-47.2 to 58.3) | -100.2 (-150.2 to -50.1) |
To assess the effect of MEDI0382 on hepatic glycogen levels versus placebo after 35 days (Part B) of treatment
| percent change from baseline | MEDI0382 (Part B) | Placebo (Part B) |
|---|---|---|
| Percentage Change in Fasting Hepatic Glycogen Concentration Adjusted for Liver Volume as Measured by MRS at T = 24 Hours Post Standardised Morning Meal From Baseline (Day -1) to the End of 35 Days of Treatment (Day 36) (Part B) | -27.02 (-38.04 to -16.01) | -1.15 (-11.09 to 8.79) |
To assess the effect of MEDI0382 on hepatic glycogen levels versus liraglutide after 35 days of treatment (Part B only)
| percentage change from baseline | Liraglutide | MEDI0382 |
|---|---|---|
| Percentage Change in Fasting Hepatic Glycogen Concentration Adjusted for Liver Volume as Measured by MRS at T = 24 Hours Post Standardised Morning Meal From Baseline (Day 1) to the End of 35 Days of Treatment (Day 36, Part B Only) | -5.33 (-13.97 to 3.32) | -27.31 (-36.42 to -18.20) |
| percent | Liraglutide (Part B) | MEDI0382 (Part B) | Placebo (Part B) |
|---|---|---|---|
| Change of Hepatic Fat Fraction From Baseline as Measured by Magnetic Resonance Imaging (Day -1) to the End of 35 Days of Treatment (Part B Only) | -15.40 (-21.09 to -9.72) | -26.26 (-51.13 to -1.39) | 8.79 (-10.46 to 28.05) |
| Participants | Placebo (Part A) | MEDI0382 (Part A) | MEDI0382 (Part B) | Liraglutide | Placebo (Part B) |
|---|---|---|---|---|---|
| Baseline ADA result | 0 | 0 | 0 | 0 | 0 |
| Day 28 ADA result for Part A Day 35 ADA result for Part B | 0 | 1 | 3 | 0 | 0 |
| Follow-up ADA result | 0 | 0 | 3 | 0 | 0 |
| Post Study ADA result | 0 | 0 | 1 | 0 | 0 |
Safety and tolerability of daily SC doses of MEDI0382 by assessment of the following using CTCAE V4.0: The number of Treatment Emergent Adverse events (TEAEs)
| Participants | Placebo (Part A) | MEDI0382 (Part A) | Liraglutide (Part B) | MEDI0382 (Part B) | Placebo (Part B) |
|---|---|---|---|---|---|
| At least one event | 7 | 11 | 8 | 7 | 6 |
| At least one IP related event | 5 | 7 | 7 | 7 | 3 |
Safety and tolerability of daily SC doses of MEDI0382 by assessment of the following using CTCAE V4.0: The number of Treatment-Emergent Serious Adverse Events (TESAEs)
| Participants | Placebo (Part A) | MEDI0382 (Part A) | Liraglutide (Part B) | MEDI0382 (Part B) | Placebo (Part B) |
|---|---|---|---|---|---|
| Measures of Safety and Tolerability of Daily SC Doses of MEDI0382 Titrated up to a Dose Level of 300μg (Parts A and B) by Assessment of Number of Participants With Treatment Emergent Serious Adverse Events (TESAEs) as Assessed by CTCAE V4.0 | 0 | 0 | 0 | 0 | 0 |
Number of subjects with clinically significant changes in heart rate (BPM) or systolic and diastolic blood pressure (mmHg)
| Participants | Placebo (Part A) | MEDI0382 (Part A) | Liraglutide (Part B) | MEDI0382 (Part B) | Placebo (Part B) |
|---|---|---|---|---|---|
| Measures of Safety and Tolerability of Daily SC Doses of MEDI0382 Titrated up to a Dose Level of 300μg (Parts A and B) by Assessment of Changes in Heart Rate and Blood Pressure | 0 | 0 | 0 | 0 | 0 |
Number of subjects with an ECG determined to be abnormal and clinically significant
| Participants | Placebo (Part A) | MEDI0382 (Part A) | Liraglutide (Part B) | MEDI0382 (Part B) | Placebo (Part B) |
|---|---|---|---|---|---|
| Measures of Safety and Tolerability of Daily SC Doses of MEDI0382 Titrated up to a Dose Level of 300μg (Parts A and B) by Assessment of Changes in ECG | 0 | 0 | 0 | 0 | 0 |
Number of subjects with clinically significant changes in in haematology and or clinical chemistry parameters
| Participants | Placebo (Part A) | MEDI0382 (Part A) | Liraglutide (Part B) | MEDI0382 (Part B) | Placebo (Part B) |
|---|---|---|---|---|---|
| Measures of Safety and Tolerability of Daily SC Doses of MEDI0382 Titrated up to a Dose Level of 300μg (Parts A and B) by Assessment of Changes in Haematology and Clinical Chemistry Parameters | 0 | 0 | 0 | 0 | 0 |
Collected over Post dosing (Day 1) to final follow-up (28 Days post last dose). Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo (Part A) | 0/9 (0%) | 0/9 (0%) | 7/9 (77.8%) |
| MEDI0382 (Part A) | 0/12 (0%) | 0/12 (0%) | 11/12 (91.7%) |
| Liraglutide (Part B) | 0/10 (0%) | 0/10 (0%) | 8/10 (80%) |
| MEDI0382 (Part B) | 0/9 (0%) | 0/9 (0%) | 7/9 (77.8%) |
| Placebo (Part B) | 0/11 (0%) | 0/11 (0%) | 6/11 (54.5%) |
| Event | Placebo (Part A) | MEDI0382 (Part A) | Liraglutide (Part B) | MEDI0382 (Part B) | Placebo (Part B) |
|---|---|---|---|---|---|
| NauseaGastrointestinal disorders | 2/9 | 8/12 | 1/10 | 5/9 | 0/11 |
| DyspepsiaGastrointestinal disorders | 2/9 | 6/12 | 1/10 | 0/9 | 0/11 |
| FatigueGeneral disorders | 2/9 | 6/12 | 1/10 | 3/9 | 0/11 |
| VomitingGastrointestinal disorders | 1/9 | 5/12 | 1/10 | 1/9 | 0/11 |
| HeadacheNervous system disorders | 3/9 | 5/12 | 1/10 | 1/9 | 1/11 |
| ConstipationGastrointestinal disorders | 0/9 | 3/12 | 2/10 | 2/9 | 0/11 |
| Decreased appetiteMetabolism and nutrition disorders | 1/9 | 3/12 | 2/10 | 0/9 | 0/11 |
| DizzinessNervous system disorders | 0/9 | 3/12 | 2/10 | 1/9 | 1/11 |
| DiarrhoeaGastrointestinal disorders | 2/9 | 0/12 | 0/10 | 1/9 | 1/11 |
| InsomniaPsychiatric disorders | 1/9 | 0/12 | 0/10 | 2/9 | 0/11 |
| Age, Continuous(Years) | Placebo (Part A) | MEDI0382 (Part A) | Liraglutide (Part B) | MEDI0382 (Part B) | Placebo (Part B) | Total |
|---|---|---|---|---|---|---|
| Age | 69.3 ± 5.7 | 65.8 ± 7.3 | 65.2 ± 9.1 | 61.8 ± 7.5 | 64.0 ± 10.7 | 65.2 ± 8.2 |
| Sex: Female, Male(Participants) | Placebo (Part A) | MEDI0382 (Part A) | Liraglutide (Part B) | MEDI0382 (Part B) | Placebo (Part B) | Total |
|---|---|---|---|---|---|---|
| Female | 3 | 5 | 4 | 3 | 2 | 17 |
| Male | 6 | 7 | 6 | 6 | 9 | 34 |
| Race/Ethnicity, Customized(Participants) | Placebo (Part A) | MEDI0382 (Part A) | Liraglutide (Part B) | MEDI0382 (Part B) | Placebo (Part B) | Total |
|---|---|---|---|---|---|---|
| AMERICAN INDIAN OR ALASKA NATIVE | 0 | 0 | 0 | 0 | 0 | 0 |
| ASIAN | 0 | 0 | 0 | 0 | 0 | 0 |
| BLACK OR AFRICAN AMERICAN | 0 | 0 | 0 | 0 | 0 | 0 |
| OTHER | 0 | 0 | 0 | 0 | 0 | 0 |
| WHITE | 9 | 12 | 10 | 9 | 11 | 51 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: 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.
Supporting information: Study protocol, Sap
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