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

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

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03235050
Enrollment
834
Registered
2017-08-01
Start date
2017-08-02
Completion date
2019-06-14
Last updated
2020-08-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Diabetes Mellitus, Type 2

Brief summary

This study is designed to evaluate the dose range for MEDI0382 with respect to blood glucose control and weight loss effects, as well as to further explore the safety profile of MEDI0382

Interventions

Pharmaceutical form: solution Route of administration: subcutaneous

DRUGMEDI0382 mid dose

Pharmaceutical form: solution Route of administration: subcutaneous

Pharmaceutical form: solution Route of administration: subcutaneous

DRUGPlacebo

Pharmaceutical form: solution Route of administration: subcutaneous

DRUGLiraglutide

Pharmaceutical form: solution Route of administration: subcutaneous

Sponsors

MedImmune LLC
CollaboratorINDUSTRY
AstraZeneca
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Masking description

The study will be conducted in a double-blind fashion for MEDI0382 and placebo. The sponsor staff, the subjects, and the Investigators involved in the treatment of subjects or in the clinical evaluation of subjects will not be aware of the treatment received. Liraglutide will be provided in an open-label active comparator arm.

Intervention model description

Randomised, parallel, double-blind, placebo-controlled study with an open-label active comparator.

Eligibility

Sex/Gender
ALL
Age
18 Years to 130 Years
Healthy volunteers
No

Inclusion criteria

* Provision of informed consent * Male and female subjects aged ≥ 18 years at screening * Body mass index ≥ 25 kg/m2 at screening * HbA1c range of 7.0% to 10.5% (inclusive) at screening * Diagnosed with type-2 diabetes mellitus (T2DM) and treated with metformin (stable dose of ≥1500 mg/day or maximal tolerated dose) for at least 2 months prior to screening. Use of another glucose-lowering medication for up to 2 weeks in the 2 months prior to screening is acceptable * Women of childbearing potential (WOCBP), not breastfeeding and using appropriate birth control to avoid pregnancy throughout the study and for up to 4 weeks after the last dose of investigational product (IP), with a negative pregnancy test within 72 hours prior to the start of IP

Exclusion criteria

* History of, or any existing condition that, in the opinion of the Investigator, would interfere with evaluation of the IP, put the subject at risk, influence the subject's ability to participate or affect the interpretation of the results of the study and/or any subject unable or unwilling to follow study procedures * Any subject who has received another IP as part of a clinical study or a GLP-1 receptor agonist containing preparation within the last 30 days or 5 half lives of the drug (whichever is longer) at the time of screening * Severe allergy/hypersensitivity to any of the proposed study treatments or excipients * Symptoms of acutely decompensated blood glucose control, a history of type 1 diabetes mellitus or diabetic ketoacidosis, or if the subject has been treated with daily subcutaneous (SC) insulin for a period longer than 2 weeks within 90 days prior to screening * Acute or chronic pancreatitis. Subjects with serum triglyceride concentrations above 1000 mg/dL (11 mmol/L) at screening * Significant inflammatory bowel disease or other severe disease or surgery affecting the upper Gastrointestinal (GI) tract * Significant hepatic disease * Impaired renal function defined as estimated glomerular filtration rate (eGFR) ≤30 mL/minute/1.73m2 at screening * Severely uncontrolled hypertension * Unstable angina pectoris, myocardial infarction (MI), transient ischaemic attack (TIA), or stroke within 3 months prior to screening * Severe congestive heart failure

Design outcomes

Primary

MeasureTime frameDescription
Change in HbA1cFrom baseline to 14 weeksTo assess the effect of 100, 200, 300 μg of cotadutide on HbA1c versus placebo
Percent Change in Body WeightFrom baseline to 14 weeksTo assess the effect of 100, 200, 300 μg of cotadutide on body weight versus placebo

Secondary

MeasureTime frameDescription
Percent Change in Body Weightfrom baseline to 26 weeks and 54 weeksTo assess the effect of 100, 200, and 300 μg of cotadutide on body weight versus placebo
Absolute Change in Body Weightfrom baseline to 14 weeks, 26 weeks and 54 weeksTo assess the effect of 100, 200, 300 μg of cotadutide on body weight versus placebo
Percent Change in Body Weight Versus Active Comparatorfrom baseline to 14 weeks, 26 weeks and 54 weeksTo assess the effect of 100, 200, and 300 μg of cotadutide on body weight versus liraglutide 1.8 mg once daily
Absolute Change in Body Weight Versus Active Comparatorfrom baseline to 14 weeks, 26 weeks and 54 weeksTo assess the effect of 100, 200, and 300 μg of cotadutide on body weight versus liraglutide 1.8 mg once daily
Change in HbA1cfrom baseline to 26 weeks and 54 weeksTo assess the effect of 100, 200, 300 μg of cotadutide on HbA1c versus placebo
Percentage of Participants Rescued or Discontinued for Lack of Glycaemic Controlat 14 weeks, 26 weeks and 54 weeksTo assess the effect of 100, 200, and 300 μg of cotadutide on the requirement for additional blood glucose-lowering therapies versus placebo
Pharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Time points at which outcome measure were assessed for plasma concentration were Weeks 1,2,6,10,14,18,22,26, and 54To characterise the PK profile of 100, 200, and 300 μg of cotadutide
Immunogenicity Endpoint: Overall Antidrug Antibody (ADA) Incidence (Number and Percentage of Positive Partipants)Baseline through 54-week treatment period and 28-day follow-upTo characterise the immunogenicity of 100, 200, and 300 μg of cotadutide
Immunogenicity Endpoint: Median Titer of the Anti-Drug Antibodies (ADA) to MEDI0382 in the Positive ParticipantsBaseline through 54-week treatment period and 28-day follow-upTo characterise the immunogenicity of 100, 200, and 300 μg of cotadutide
Percentage of Participants Achieving Weight Loss of ≥5% and ≥10%after 14 weeks, 26 weeks and 54 weeksTo assess the effect of 100, 200, and 300 μg of cotadutide on percentage of subjects achieving weight loss of ≥5% and ≥10% versus placebo
Percentage of Participants Achieving an HbA1c Target < 7.0%after 14, 26, and 54 weeksTo assess the effect of 100, 200, and 300 μg of cotadutide on percentage of participants achieving an HbA1c target of \<7% versus placebo

Countries

Bulgaria, Canada, Czechia, Germany, Mexico, Russia, Slovakia, United States

Participant flow

Participants by arm

ArmCount
Placebo
Placebo / Metformin tablets, total daily dose of ≥1500 mg (unless only tolerated at a lower dose)
112
Liraglutide
Liraglutide + Metformin tablets, total daily dose of ≥1500 mg (unless only tolerated at a lower dose)
110
MEDI0382 100 mcg
MEDI0382 low dose / Metformin tablets, total daily dose of ≥1500 mg (unless only tolerated at a lower dose)
100
MEDI0382 200 mcg
MEDI0382 mid dose / Metformin tablets, total daily dose of ≥1500 mg (unless only tolerated at a lower dose)
256
MEDI0382 300 mcg
MEDI0382 high dose / Metformin tablets, total daily dose of ≥1500 mg (unless only tolerated at a lower dose)
256
Total834

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
Overall StudyAdverse Event00141
Overall StudyDeath00021
Overall StudyLost to Follow-up12120
Overall StudyOther reasons01012
Overall StudyWithdrawal by Subject32257

Baseline characteristics

CharacteristicMEDI0382 100 mcgMEDI0382 200 mcgMEDI0382 300 mcgTotalPlaceboLiraglutide
Age, Continuous57.6 Years
STANDARD_DEVIATION 9.9
57.3 Years
STANDARD_DEVIATION 9.9
56.3 Years
STANDARD_DEVIATION 10.2
56.8 Years
STANDARD_DEVIATION 9.9
57.3 Years
STANDARD_DEVIATION 9.5
55.5 Years
STANDARD_DEVIATION 9.8
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants5 Participants0 Participants11 Participants3 Participants3 Participants
Race/Ethnicity, Customized
Asian
0 Participants3 Participants1 Participants6 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Black or African American
1 Participants3 Participants3 Participants10 Participants0 Participants3 Participants
Race/Ethnicity, Customized
Other
0 Participants0 Participants0 Participants1 Participants1 Participants0 Participants
Race/Ethnicity, Customized
White
99 Participants245 Participants252 Participants806 Participants107 Participants103 Participants
Sex: Female, Male
Female
57 Participants147 Participants129 Participants448 Participants55 Participants60 Participants
Sex: Female, Male
Male
43 Participants109 Participants127 Participants386 Participants57 Participants50 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
0 / 1120 / 1100 / 1002 / 2561 / 256
other
Total, other adverse events
45 / 11236 / 11051 / 100159 / 256164 / 256
serious
Total, serious adverse events
12 / 1128 / 11012 / 10033 / 25620 / 256

Outcome results

Primary

Change in HbA1c

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

Time frame: From baseline to 14 weeks

Population: ITT population

ArmMeasureValue (LEAST_SQUARES_MEAN)
PlaceboChange in HbA1c-0.18 percentage
MEDI0382 100 mcgChange in HbA1c-1.01 percentage
MEDI0382 200 mcgChange in HbA1c-1.22 percentage
MEDI0382 300 mcgChange in HbA1c-1.09 percentage
p-value: <0.00195% CI: [-1.06, -0.59]ANCOVA
p-value: <0.00195% CI: [-1.23, -0.85]ANCOVA
p-value: <0.00195% CI: [-1.11, -0.72]ANCOVA
Primary

Percent Change in Body Weight

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

Time frame: From baseline to 14 weeks

Population: ITT population

ArmMeasureValue (LEAST_SQUARES_MEAN)
PlaceboPercent Change in Body Weight-0.70 percentage
MEDI0382 100 mcgPercent Change in Body Weight-2.70 percentage
MEDI0382 200 mcgPercent Change in Body Weight-3.47 percentage
MEDI0382 300 mcgPercent Change in Body Weight-4.33 percentage
p-value: <0.00195% CI: [-3.08, -0.91]ANCOVA
p-value: <0.00195% CI: [-3.65, -1.87]ANCOVA
p-value: <0.00195% CI: [-4.51, -2.73]ANCOVA
Secondary

Absolute Change in Body Weight

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

Time frame: from baseline to 14 weeks, 26 weeks and 54 weeks

Population: ITT population

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
PlaceboAbsolute Change in Body Weightfrom baseline to 14 weeks-0.71 kg
PlaceboAbsolute Change in Body Weightfrom baseline to 54 weeks-0.94 kg
PlaceboAbsolute Change in Body Weightfrom baseline to 26 weeks-1.20 kg
MEDI0382 100 mcgAbsolute Change in Body Weightfrom baseline to 14 weeks-2.66 kg
MEDI0382 100 mcgAbsolute Change in Body Weightfrom baseline to 54 weeks-3.20 kg
MEDI0382 100 mcgAbsolute Change in Body Weightfrom baseline to 26 weeks-3.20 kg
MEDI0382 200 mcgAbsolute Change in Body Weightfrom baseline to 26 weeks-3.94 kg
MEDI0382 200 mcgAbsolute Change in Body Weightfrom baseline to 14 weeks-3.45 kg
MEDI0382 200 mcgAbsolute Change in Body Weightfrom baseline to 54 weeks-3.09 kg
MEDI0382 300 mcgAbsolute Change in Body Weightfrom baseline to 14 weeks-4.42 kg
MEDI0382 300 mcgAbsolute Change in Body Weightfrom baseline to 54 weeks-4.35 kg
MEDI0382 300 mcgAbsolute Change in Body Weightfrom baseline to 26 weeks-4.75 kg
Comparison: Week 14p-value: <0.00195% CI: [-3.03, -0.87]ANCOVA
Comparison: Week 14p-value: <0.00195% CI: [-3.63, -1.86]ANCOVA
Comparison: Week 14p-value: <0.00195% CI: [-4.6, -2.82]ANCOVA
Comparison: Week 26p-value: 0.00295% CI: [-3.27, -0.74]ANCOVA
Comparison: Week 26p-value: <0.00195% CI: [-3.78, -1.71]ANCOVA
Comparison: Week 26p-value: <0.00195% CI: [-4.59, -2.52]ANCOVA
Comparison: Week 54p-value: 0.00395% CI: [-3.74, -0.79]ANCOVA
Comparison: Week 54p-value: <0.00195% CI: [-3.37, -0.95]ANCOVA
Comparison: Week 54p-value: <0.00195% CI: [-4.63, -2.2]ANCOVA
Secondary

Absolute Change in Body Weight Versus Active Comparator

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

Time frame: from baseline to 14 weeks, 26 weeks and 54 weeks

Population: ITT population

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
PlaceboAbsolute Change in Body Weight Versus Active ComparatorAbsolute change at 14 weeks-3.25 kg
PlaceboAbsolute Change in Body Weight Versus Active ComparatorAbsolute change at 54 weeks-2.94 kg
PlaceboAbsolute Change in Body Weight Versus Active ComparatorAbsolute change at 26 weeks-3.90 kg
MEDI0382 100 mcgAbsolute Change in Body Weight Versus Active ComparatorAbsolute change at 14 weeks-2.66 kg
MEDI0382 100 mcgAbsolute Change in Body Weight Versus Active ComparatorAbsolute change at 54 weeks-3.20 kg
MEDI0382 100 mcgAbsolute Change in Body Weight Versus Active ComparatorAbsolute change at 26 weeks-3.20 kg
MEDI0382 200 mcgAbsolute Change in Body Weight Versus Active ComparatorAbsolute change at 54 weeks-3.09 kg
MEDI0382 200 mcgAbsolute Change in Body Weight Versus Active ComparatorAbsolute change at 26 weeks-3.94 kg
MEDI0382 200 mcgAbsolute Change in Body Weight Versus Active ComparatorAbsolute change at 14 weeks-3.45 kg
MEDI0382 300 mcgAbsolute Change in Body Weight Versus Active ComparatorAbsolute change at 54 weeks-4.35 kg
MEDI0382 300 mcgAbsolute Change in Body Weight Versus Active ComparatorAbsolute change at 14 weeks-4.42 kg
MEDI0382 300 mcgAbsolute Change in Body Weight Versus Active ComparatorAbsolute change at 26 weeks-4.75 kg
Comparison: Absolute change at Week 14p-value: 0.28495% CI: [-0.49, 1.68]ANCOVA
Comparison: Absolute change at Week 14p-value: 0.65895% CI: [-1.09, 0.69]ANCOVA
Comparison: Absolute change at Week 14p-value: 0.0195% CI: [-2.06, -0.27]ANCOVA
Comparison: Absolute change at Week 26p-value: 0.27995% CI: [-0.57, 1.97]ANCOVA
Comparison: Absolute change at Week 26p-value: 0.9495% CI: [-1.08, 1]ANCOVA
Comparison: Absolute change at Week 26p-value: 0.1195% CI: [-1.89, 0.19]ANCOVA
Comparison: Absolute change at Week 54p-value: 0.7395% CI: [-1.74, 1.22]ANCOVA
Comparison: Absolute change at Week 54p-value: 0.80495% CI: [-1.38, 1.07]ANCOVA
Comparison: Absolute change at Week 54p-value: 0.02395% CI: [-2.63, -0.19]ANCOVA
Secondary

Change in HbA1c

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

Time frame: from baseline to 26 weeks and 54 weeks

Population: ITT population

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
PlaceboChange in HbA1cfrom baseline to 26 weeks-0.40 percentage
PlaceboChange in HbA1cfrom baseline to 54 weeks-0.44 percentage
MEDI0382 100 mcgChange in HbA1cfrom baseline to 54 weeks-0.96 percentage
MEDI0382 100 mcgChange in HbA1cfrom baseline to 26 weeks-1.06 percentage
MEDI0382 200 mcgChange in HbA1cfrom baseline to 26 weeks-1.22 percentage
MEDI0382 200 mcgChange in HbA1cfrom baseline to 54 weeks-1.06 percentage
MEDI0382 300 mcgChange in HbA1cfrom baseline to 26 weeks-1.12 percentage
MEDI0382 300 mcgChange in HbA1cfrom baseline to 54 weeks-1.01 percentage
Comparison: Week 26p-value: <0.00195% CI: [-0.92, -0.4]ANCOVA
Comparison: Week 26p-value: <0.00195% CI: [-1.03, -0.6]ANCOVA
Comparison: Week 26p-value: <0.00195% CI: [-0.94, -0.51]ANCOVA
Comparison: Week 54p-value: <0.00195% CI: [-0.8, -0.24]ANCOVA
Comparison: Week 54p-value: <0.00195% CI: [-0.86, -0.39]ANCOVA
Comparison: Week 54p-value: <0.00195% CI: [-0.8, -0.34]ANCOVA
Secondary

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

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

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

Population: As-treated population

ArmMeasureGroupValue (MEDIAN)
PlaceboImmunogenicity Endpoint: Median Titer of the Anti-Drug Antibodies (ADA) to MEDI0382 in the Positive ParticipantsADA positive at baseline, median titer5.0 titer
PlaceboImmunogenicity Endpoint: Median Titer of the Anti-Drug Antibodies (ADA) to MEDI0382 in the Positive ParticipantsADA positive post-baseline, median of max. titer5.0 titer
PlaceboImmunogenicity Endpoint: Median Titer of the Anti-Drug Antibodies (ADA) to MEDI0382 in the Positive ParticipantsADA incidence, median of maximum titer5.0 titer
MEDI0382 100 mcgImmunogenicity Endpoint: Median Titer of the Anti-Drug Antibodies (ADA) to MEDI0382 in the Positive ParticipantsADA positive at baseline, median titer5.0 titer
MEDI0382 100 mcgImmunogenicity Endpoint: Median Titer of the Anti-Drug Antibodies (ADA) to MEDI0382 in the Positive ParticipantsADA positive post-baseline, median of max. titer20.0 titer
MEDI0382 100 mcgImmunogenicity Endpoint: Median Titer of the Anti-Drug Antibodies (ADA) to MEDI0382 in the Positive ParticipantsADA incidence, median of maximum titer20.0 titer
MEDI0382 200 mcgImmunogenicity Endpoint: Median Titer of the Anti-Drug Antibodies (ADA) to MEDI0382 in the Positive ParticipantsADA incidence, median of maximum titer20.0 titer
MEDI0382 200 mcgImmunogenicity Endpoint: Median Titer of the Anti-Drug Antibodies (ADA) to MEDI0382 in the Positive ParticipantsADA positive at baseline, median titer0 titer
MEDI0382 200 mcgImmunogenicity Endpoint: Median Titer of the Anti-Drug Antibodies (ADA) to MEDI0382 in the Positive ParticipantsADA positive post-baseline, median of max. titer20.0 titer
MEDI0382 300 mcgImmunogenicity Endpoint: Median Titer of the Anti-Drug Antibodies (ADA) to MEDI0382 in the Positive ParticipantsADA positive at baseline, median titer0 titer
MEDI0382 300 mcgImmunogenicity Endpoint: Median Titer of the Anti-Drug Antibodies (ADA) to MEDI0382 in the Positive ParticipantsADA positive post-baseline, median of max. titer20.0 titer
MEDI0382 300 mcgImmunogenicity Endpoint: Median Titer of the Anti-Drug Antibodies (ADA) to MEDI0382 in the Positive ParticipantsADA incidence, median of maximum titer20.0 titer
Secondary

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

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

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

Population: As-treated population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboImmunogenicity Endpoint: Overall Antidrug Antibody (ADA) Incidence (Number and Percentage of Positive Partipants)ADA positive at baseline1 Participants
PlaceboImmunogenicity Endpoint: Overall Antidrug Antibody (ADA) Incidence (Number and Percentage of Positive Partipants)ADA positive post-baseline3 Participants
PlaceboImmunogenicity Endpoint: Overall Antidrug Antibody (ADA) Incidence (Number and Percentage of Positive Partipants)ADA incidence3 Participants
MEDI0382 100 mcgImmunogenicity Endpoint: Overall Antidrug Antibody (ADA) Incidence (Number and Percentage of Positive Partipants)ADA positive at baseline1 Participants
MEDI0382 100 mcgImmunogenicity Endpoint: Overall Antidrug Antibody (ADA) Incidence (Number and Percentage of Positive Partipants)ADA positive post-baseline54 Participants
MEDI0382 100 mcgImmunogenicity Endpoint: Overall Antidrug Antibody (ADA) Incidence (Number and Percentage of Positive Partipants)ADA incidence55 Participants
MEDI0382 200 mcgImmunogenicity Endpoint: Overall Antidrug Antibody (ADA) Incidence (Number and Percentage of Positive Partipants)ADA incidence152 Participants
MEDI0382 200 mcgImmunogenicity Endpoint: Overall Antidrug Antibody (ADA) Incidence (Number and Percentage of Positive Partipants)ADA positive at baseline0 Participants
MEDI0382 200 mcgImmunogenicity Endpoint: Overall Antidrug Antibody (ADA) Incidence (Number and Percentage of Positive Partipants)ADA positive post-baseline152 Participants
MEDI0382 300 mcgImmunogenicity Endpoint: Overall Antidrug Antibody (ADA) Incidence (Number and Percentage of Positive Partipants)ADA positive at baseline0 Participants
MEDI0382 300 mcgImmunogenicity Endpoint: Overall Antidrug Antibody (ADA) Incidence (Number and Percentage of Positive Partipants)ADA positive post-baseline155 Participants
MEDI0382 300 mcgImmunogenicity Endpoint: Overall Antidrug Antibody (ADA) Incidence (Number and Percentage of Positive Partipants)ADA incidence155 Participants
Secondary

Percentage of Participants Achieving an HbA1c Target < 7.0%

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

Time frame: after 14, 26, and 54 weeks

Population: Intent-to-Treat (ITT) population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboPercentage of Participants Achieving an HbA1c Target < 7.0%after 14 weeks19 Participants
PlaceboPercentage of Participants Achieving an HbA1c Target < 7.0%after 54 weeks23 Participants
PlaceboPercentage of Participants Achieving an HbA1c Target < 7.0%after 26 weeks25 Participants
MEDI0382 100 mcgPercentage of Participants Achieving an HbA1c Target < 7.0%after 14 weeks50 Participants
MEDI0382 100 mcgPercentage of Participants Achieving an HbA1c Target < 7.0%after 54 weeks52 Participants
MEDI0382 100 mcgPercentage of Participants Achieving an HbA1c Target < 7.0%after 26 weeks48 Participants
MEDI0382 200 mcgPercentage of Participants Achieving an HbA1c Target < 7.0%after 26 weeks139 Participants
MEDI0382 200 mcgPercentage of Participants Achieving an HbA1c Target < 7.0%after 14 weeks143 Participants
MEDI0382 200 mcgPercentage of Participants Achieving an HbA1c Target < 7.0%after 54 weeks125 Participants
MEDI0382 300 mcgPercentage of Participants Achieving an HbA1c Target < 7.0%after 14 weeks143 Participants
MEDI0382 300 mcgPercentage of Participants Achieving an HbA1c Target < 7.0%after 54 weeks128 Participants
MEDI0382 300 mcgPercentage of Participants Achieving an HbA1c Target < 7.0%after 26 weeks143 Participants
Comparison: Week 14p-value: <0.00192% CI: [3.34, 13.3]Regression, Logistic
Comparison: Week 14p-value: <0.00195% CI: [5.39, 18.36]Regression, Logistic
Comparison: Week 14p-value: <0.00195% CI: [4.65, 15.61]Regression, Logistic
Comparison: Week 26p-value: <0.00195% CI: [1.98, 7.03]Regression, Logistic
Comparison: Week 26p-value: <0.00195% CI: [3.13, 9.34]Regression, Logistic
Comparison: Week 26p-value: <0.00195% CI: [3.02, 8.97]Regression, Logistic
Comparison: Week 54p-value: <0.00195% CI: [2.61, 9.36]Regression, Logistic
Comparison: Week 54p-value: <0.00195% CI: [2.62, 7.89]Regression, Logistic
Comparison: Week 54p-value: <0.00195% CI: [2.51, 7.51]Regression, Logistic
Secondary

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

To assess the effect of 100, 200, and 300 μg of cotadutide on percentage of subjects achieving weight loss of ≥5% and ≥10% versus placebo

Time frame: after 14 weeks, 26 weeks and 54 weeks

Population: ITT population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboPercentage of Participants Achieving Weight Loss of ≥5% and ≥10%Participants with weight loss ≥5% at Wk 14 (LOCF)3 Participants
PlaceboPercentage of Participants Achieving Weight Loss of ≥5% and ≥10%Participants with weight loss ≥5% at Wk 26 (LOCF)11 Participants
PlaceboPercentage of Participants Achieving Weight Loss of ≥5% and ≥10%Participants with weight loss ≥5% at Wk 54 (LOCF)14 Participants
PlaceboPercentage of Participants Achieving Weight Loss of ≥5% and ≥10%Participants with weight loss ≥10% at Wk 14 (LOCF)0 Participants
PlaceboPercentage of Participants Achieving Weight Loss of ≥5% and ≥10%Participants with weight loss ≥10% at Wk 26 (LOCF)1 Participants
PlaceboPercentage of Participants Achieving Weight Loss of ≥5% and ≥10%Participants with weight loss ≥10% at Wk 54 (LOCF)2 Participants
MEDI0382 100 mcgPercentage of Participants Achieving Weight Loss of ≥5% and ≥10%Participants with weight loss ≥10% at Wk 54 (LOCF)11 Participants
MEDI0382 100 mcgPercentage of Participants Achieving Weight Loss of ≥5% and ≥10%Participants with weight loss ≥10% at Wk 14 (LOCF)6 Participants
MEDI0382 100 mcgPercentage of Participants Achieving Weight Loss of ≥5% and ≥10%Participants with weight loss ≥5% at Wk 14 (LOCF)18 Participants
MEDI0382 100 mcgPercentage of Participants Achieving Weight Loss of ≥5% and ≥10%Participants with weight loss ≥5% at Wk 54 (LOCF)34 Participants
MEDI0382 100 mcgPercentage of Participants Achieving Weight Loss of ≥5% and ≥10%Participants with weight loss ≥5% at Wk 26 (LOCF)28 Participants
MEDI0382 100 mcgPercentage of Participants Achieving Weight Loss of ≥5% and ≥10%Participants with weight loss ≥10% at Wk 26 (LOCF)7 Participants
MEDI0382 200 mcgPercentage of Participants Achieving Weight Loss of ≥5% and ≥10%Participants with weight loss ≥5% at Wk 26 (LOCF)76 Participants
MEDI0382 200 mcgPercentage of Participants Achieving Weight Loss of ≥5% and ≥10%Participants with weight loss ≥5% at Wk 54 (LOCF)71 Participants
MEDI0382 200 mcgPercentage of Participants Achieving Weight Loss of ≥5% and ≥10%Participants with weight loss ≥10% at Wk 14 (LOCF)15 Participants
MEDI0382 200 mcgPercentage of Participants Achieving Weight Loss of ≥5% and ≥10%Participants with weight loss ≥10% at Wk 54 (LOCF)21 Participants
MEDI0382 200 mcgPercentage of Participants Achieving Weight Loss of ≥5% and ≥10%Participants with weight loss ≥10% at Wk 26 (LOCF)28 Participants
MEDI0382 200 mcgPercentage of Participants Achieving Weight Loss of ≥5% and ≥10%Participants with weight loss ≥5% at Wk 14 (LOCF)65 Participants
MEDI0382 300 mcgPercentage of Participants Achieving Weight Loss of ≥5% and ≥10%Participants with weight loss ≥10% at Wk 26 (LOCF)27 Participants
MEDI0382 300 mcgPercentage of Participants Achieving Weight Loss of ≥5% and ≥10%Participants with weight loss ≥10% at Wk 54 (LOCF)32 Participants
MEDI0382 300 mcgPercentage of Participants Achieving Weight Loss of ≥5% and ≥10%Participants with weight loss ≥5% at Wk 26 (LOCF)110 Participants
MEDI0382 300 mcgPercentage of Participants Achieving Weight Loss of ≥5% and ≥10%Participants with weight loss ≥10% at Wk 14 (LOCF)20 Participants
MEDI0382 300 mcgPercentage of Participants Achieving Weight Loss of ≥5% and ≥10%Participants with weight loss ≥5% at Wk 14 (LOCF)92 Participants
MEDI0382 300 mcgPercentage of Participants Achieving Weight Loss of ≥5% and ≥10%Participants with weight loss ≥5% at Wk 54 (LOCF)98 Participants
Comparison: weight loss \>=5% at Week 14p-value: <0.00195% CI: [2.38, 29.43]Regression, Logistic
Comparison: weight loss \>=5% at Week 14p-value: <0.00195% CI: [3.82, 40.64]Regression, Logistic
Comparison: weight loss \>=5% at Week 14p-value: <0.00195% CI: [6.55, 68.97]Regression, Logistic
Comparison: weight loss \>=5% at Week 26p-value: <0.00195% CI: [1.72, 7.89]Regression, Logistic
Comparison: weight loss \>=5% at Week 26p-value: <0.00195% CI: [2, 7.78]Regression, Logistic
Comparison: weight loss \>=5% at Week 26p-value: <0.00195% CI: [3.72, 14.24]Regression, Logistic
Comparison: weight loss \>=5% at Week 54p-value: <0.00195% CI: [1.84, 7.45]Regression, Logistic
Comparison: weight loss \>=5% at Week 54p-value: 0.00295% CI: [1.46, 5.09]Regression, Logistic
Comparison: weight loss \>=5% at Week 54p-value: <0.00195% CI: [2.42, 8.3]ANCOVA
Comparison: weight loss \>=10% at Week 26p-value: 0.04895% CI: [1.02, 70.17]Regression, Logistic
Comparison: weight loss \>=10% at Week 26p-value: 0.0195% CI: [1.85, 102.91]Regression, Logistic
Comparison: weight loss \>=10% at Week 26p-value: 0.01295% CI: [1.75, 97.68]Regression, Logistic
Comparison: weight loss \>=10% at Week 54p-value: 0.01395% CI: [1.49, 32.07]Regression, Logistic
Comparison: weight loss \>=10% at Week 54p-value: 0.03295% CI: [1.15, 21.6]Regression, Logistic
Comparison: weight loss \>=10% at Week 54p-value: 0.00595% CI: [1.86, 33.64]Regression, Logistic
Secondary

Percentage of Participants Rescued or Discontinued for Lack of Glycaemic Control

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

Time frame: at 14 weeks, 26 weeks and 54 weeks

Population: ITT population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboPercentage of Participants Rescued or Discontinued for Lack of Glycaemic Controlreceived rescue medication at 14 wks11 Participants
PlaceboPercentage of Participants Rescued or Discontinued for Lack of Glycaemic Controldiscontinued study IP at 14 wks2 Participants
PlaceboPercentage of Participants Rescued or Discontinued for Lack of Glycaemic Controlreceived rescue medication at 54 wks34 Participants
PlaceboPercentage of Participants Rescued or Discontinued for Lack of Glycaemic Controldiscontinued study IP at 54 wks4 Participants
PlaceboPercentage of Participants Rescued or Discontinued for Lack of Glycaemic Controldiscontinued study IP at 26 wks4 Participants
PlaceboPercentage of Participants Rescued or Discontinued for Lack of Glycaemic Controlreceived rescue medication at 26 wks20 Participants
MEDI0382 100 mcgPercentage of Participants Rescued or Discontinued for Lack of Glycaemic Controlreceived rescue medication at 54 wks10 Participants
MEDI0382 100 mcgPercentage of Participants Rescued or Discontinued for Lack of Glycaemic Controlreceived rescue medication at 14 wks1 Participants
MEDI0382 100 mcgPercentage of Participants Rescued or Discontinued for Lack of Glycaemic Controlreceived rescue medication at 26 wks3 Participants
MEDI0382 100 mcgPercentage of Participants Rescued or Discontinued for Lack of Glycaemic Controldiscontinued study IP at 14 wks0 Participants
MEDI0382 100 mcgPercentage of Participants Rescued or Discontinued for Lack of Glycaemic Controldiscontinued study IP at 26 wks1 Participants
MEDI0382 100 mcgPercentage of Participants Rescued or Discontinued for Lack of Glycaemic Controldiscontinued study IP at 54 wks1 Participants
MEDI0382 200 mcgPercentage of Participants Rescued or Discontinued for Lack of Glycaemic Controlreceived rescue medication at 26 wks8 Participants
MEDI0382 200 mcgPercentage of Participants Rescued or Discontinued for Lack of Glycaemic Controldiscontinued study IP at 14 wks1 Participants
MEDI0382 200 mcgPercentage of Participants Rescued or Discontinued for Lack of Glycaemic Controldiscontinued study IP at 54 wks3 Participants
MEDI0382 200 mcgPercentage of Participants Rescued or Discontinued for Lack of Glycaemic Controldiscontinued study IP at 26 wks2 Participants
MEDI0382 200 mcgPercentage of Participants Rescued or Discontinued for Lack of Glycaemic Controlreceived rescue medication at 14 wks3 Participants
MEDI0382 200 mcgPercentage of Participants Rescued or Discontinued for Lack of Glycaemic Controlreceived rescue medication at 54 wks26 Participants
MEDI0382 300 mcgPercentage of Participants Rescued or Discontinued for Lack of Glycaemic Controlreceived rescue medication at 26 wks6 Participants
MEDI0382 300 mcgPercentage of Participants Rescued or Discontinued for Lack of Glycaemic Controldiscontinued study IP at 54 wks0 Participants
MEDI0382 300 mcgPercentage of Participants Rescued or Discontinued for Lack of Glycaemic Controldiscontinued study IP at 26 wks0 Participants
MEDI0382 300 mcgPercentage of Participants Rescued or Discontinued for Lack of Glycaemic Controldiscontinued study IP at 14 wks0 Participants
MEDI0382 300 mcgPercentage of Participants Rescued or Discontinued for Lack of Glycaemic Controlreceived rescue medication at 14 wks2 Participants
MEDI0382 300 mcgPercentage of Participants Rescued or Discontinued for Lack of Glycaemic Controlreceived rescue medication at 54 wks24 Participants
Comparison: received rescue medication at 14 wksp-value: 0.02495% CI: [0.01, 0.73]Regression, Logistic
Comparison: received rescue medication at 14 wksp-value: <0.00195% CI: [0.03, 0.4]Regression, Logistic
Comparison: received rescue medication at 14 wksp-value: <0.00195% CI: [0.02, 0.33]Regression, Logistic
Comparison: received rescue medication at 26 wksp-value: 0.00295% CI: [0.04, 0.48]Regression, Logistic
Comparison: received rescue medication at 26 wksp-value: <0.00195% CI: [0.06, 0.34]Regression, Logistic
Comparison: received rescue medication at 26 wksp-value: <0.00195% CI: [0.04, 0.28]Regression, Logistic
Comparison: received rescue medication at 54 wksp-value: <0.00195% CI: [0.11, 0.53]Regression, Logistic
Comparison: received rescue medication at 54 wksp-value: <0.00195% CI: [0.13, 0.44]Regression, Logistic
Comparison: received rescue medication at 54 wksp-value: <0.00195% CI: [0.12, 0.41]Regression, Logistic
Comparison: discontinued IP at 14 wksp-value: 0.21695% CI: [0.02, 2.43]Regression, Logistic
Comparison: discontinued IP at 26 wksp-value: 0.25395% CI: [0.03, 2.52]Regression, Logistic
Comparison: discontinued IP at 26 wksp-value: 0.07995% CI: [0.04, 1.19]Regression, Logistic
Comparison: discontinued IP at 54 wksp-value: 0.25295% CI: [0.03, 2.5]Regression, Logistic
Comparison: discontinued IP at 54 wksp-value: 0.14395% CI: [0.07, 1.47]Regression, Logistic
Secondary

Percent Change in Body Weight

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

Time frame: from baseline to 26 weeks and 54 weeks

Population: ITT population

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
PlaceboPercent Change in Body Weightfrom baseline to 54 weeks-0.84 percentage
PlaceboPercent Change in Body Weightfrom baseline to 26 weeks-1.14 percentage
MEDI0382 100 mcgPercent Change in Body Weightfrom baseline to 26 weeks-3.23 percentage
MEDI0382 100 mcgPercent Change in Body Weightfrom baseline to 54 weeks-3.27 percentage
MEDI0382 200 mcgPercent Change in Body Weightfrom baseline to 54 weeks-3.08 percentage
MEDI0382 200 mcgPercent Change in Body Weightfrom baseline to 26 weeks-3.94 percentage
MEDI0382 300 mcgPercent Change in Body Weightfrom baseline to 54 weeks-4.16 percentage
MEDI0382 300 mcgPercent Change in Body Weightfrom baseline to 26 weeks-4.60 percentage
Comparison: Week 26p-value: <0.00195% CI: [-3.32, -0.85]ANCOVA
Comparison: Week 26p-value: <0.00195% CI: [-3.82, -1.79]ANCOVA
Comparison: Week 26p-value: <0.00195% CI: [-4.48, -2.44]ANCOVA
Comparison: Week 54p-value: <0.00195% CI: [-3.86, -1]ANCOVA
Comparison: Week 54p-value: <0.00195% CI: [-3.41, -1.06]ANCOVA
Comparison: Week 54p-value: <0.00195% CI: [-4.49, -2.14]ANCOVA
Secondary

Percent Change in Body Weight Versus Active Comparator

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

Time frame: from baseline to 14 weeks, 26 weeks and 54 weeks

Population: ITT population

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
PlaceboPercent Change in Body Weight Versus Active ComparatorPercent change at 14 weeks-3.40 percentage
PlaceboPercent Change in Body Weight Versus Active ComparatorPercent change at 54 weeks-3.20 percentage
PlaceboPercent Change in Body Weight Versus Active ComparatorPercent change at 26 weeks-4.12 percentage
MEDI0382 100 mcgPercent Change in Body Weight Versus Active ComparatorPercent change at 14 weeks-2.70 percentage
MEDI0382 100 mcgPercent Change in Body Weight Versus Active ComparatorPercent change at 54 weeks-3.27 percentage
MEDI0382 100 mcgPercent Change in Body Weight Versus Active ComparatorPercent change at 26 weeks-3.23 percentage
MEDI0382 200 mcgPercent Change in Body Weight Versus Active ComparatorPercent change at 26 weeks-3.94 percentage
MEDI0382 200 mcgPercent Change in Body Weight Versus Active ComparatorPercent change at 14 weeks-3.47 percentage
MEDI0382 200 mcgPercent Change in Body Weight Versus Active ComparatorPercent change at 54 weeks-3.08 percentage
MEDI0382 300 mcgPercent Change in Body Weight Versus Active ComparatorPercent change at 14 weeks-4.33 percentage
MEDI0382 300 mcgPercent Change in Body Weight Versus Active ComparatorPercent change at 54 weeks-4.16 percentage
MEDI0382 300 mcgPercent Change in Body Weight Versus Active ComparatorPercent change at 26 weeks-4.60 percentage
Comparison: Percent change at Week 14p-value: 0.21195% CI: [-0.39, 1.79]ANCOVA
Comparison: Percent change at Week 14p-value: 0.88195% CI: [-0.96, 0.83]ANCOVA
Comparison: Percent change at Week 14p-value: 0.04295% CI: [-1.82, -0.04]ANCOVA
Comparison: Percent change at Week 26p-value: 0.15895% CI: [-0.35, 2.14]ANCOVA
Comparison: Percent change at Week 26p-value: 0.73495% CI: [-0.85, 1.2]ANCOVA
Comparison: Percent change at Week 26p-value: 0.35795% CI: [-1.51, 0.54]ANCOVA
Comparison: Percent change at Week 54p-value: 0.92195% CI: [-1.51, 1.37]ANCOVA
Comparison: Percent change at Week 54p-value: 0.84795% CI: [-1.07, 1.3]ANCOVA
Comparison: Percent change at Week 54p-value: 0.11295% CI: [-2.15, 0.22]ANCOVA
Secondary

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

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

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

Population: Per-protocol population

ArmMeasureGroupValue (MEAN)Dispersion
MEDI0382 100 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 103.18 ng/mLStandard Deviation 2.26
MEDI0382 100 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 544.58 ng/mLStandard Deviation 3.89
MEDI0382 100 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 184.58 ng/mLStandard Deviation 5.04
MEDI0382 100 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 143.79 ng/mLStandard Deviation 4.05
MEDI0382 100 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 12.68 ng/mLStandard Deviation 1.27
MEDI0382 100 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 264.39 ng/mLStandard Deviation 3.33
MEDI0382 100 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 62.75 ng/mLStandard Deviation 1.44
MEDI0382 100 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 22.66 ng/mLStandard Deviation 1.61
MEDI0382 100 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 224.63 ng/mLStandard Deviation 4.28
MEDI0382 200 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 146.50 ng/mLStandard Deviation 5.26
MEDI0382 200 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 12.76 ng/mLStandard Deviation 1.88
MEDI0382 200 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 25.13 ng/mLStandard Deviation 3.23
MEDI0382 200 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 65.20 ng/mLStandard Deviation 3.57
MEDI0382 200 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 105.74 ng/mLStandard Deviation 4.23
MEDI0382 200 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 187.43 ng/mLStandard Deviation 6.43
MEDI0382 200 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 228.07 ng/mLStandard Deviation 7.01
MEDI0382 200 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 268.12 ng/mLStandard Deviation 7.31
MEDI0382 200 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 548.99 ng/mLStandard Deviation 9.22
MEDI0382 300 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 67.77 ng/mLStandard Deviation 4.88
MEDI0382 300 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 12.77 ng/mLStandard Deviation 1.84
MEDI0382 300 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 2211.5 ng/mLStandard Deviation 9.77
MEDI0382 300 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 25.18 ng/mLStandard Deviation 3.05
MEDI0382 300 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 5413.2 ng/mLStandard Deviation 14.3
MEDI0382 300 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 149.71 ng/mLStandard Deviation 7.64
MEDI0382 300 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 108.23 ng/mLStandard Deviation 4.31
MEDI0382 300 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 2612.9 ng/mLStandard Deviation 12.1
MEDI0382 300 mcgPharmacokinetic (PK) Endpoint: Trough Plasma Concentration (Cmin)Week 1810.8 ng/mLStandard Deviation 7.95

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026