Type 2 Diabetes Mellitus
Conditions
Keywords
0382, T2DM
Brief summary
A Phase 2 study with two cohorts of differing doses designed to evaluate the efficacy, safety and pharmacokinetics (PK) of MEDI0382 in patients with Type 2 Diabetes Mellitus (T2DM). Approximately 63 subjects will be enrolled across two cohorts.
Detailed description
This is a randomised, double-blind, placebo-controlled study designed to evaluate the efficacy, safety, tolerability, and pharmacokinetics of different doses of MEDI0382 administered as multiple SC doses to subjects with T2DM. Approximately 63 subjects will be enrolled across two cohorts. For cohort 1, sufficient subjects will be invited to participate in the study such that a maximum of 39 subjects will complete dosing. Subjects in cohort 1 will be randomised using a ratio of 2:1 to one of 2 treatment arms to receive either MEDI0382 or placebo. A maximum of 26 will complete dosing in the active arm and 13 will complete dosing in the placebo arm. For cohort 2, sufficient subjects will be invited to participate in the study such that a maximum of 24 subjects will complete dosing. Subjects in cohort 2 will be randomised using a ratio of 3:1 to receive either MEDI0382 or placebo. A maximum of 18 will complete dosing in the active arm and 6 will complete dosing in the placebo arm.
Interventions
MEDI0382 will be administered subcutaneously once daily for 49 days.
Placebo will be administered subcutaneously once daily for 49 days.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Male and female subjects aged ≥ 18 years at screening 2. Provision of signed and dated written informed consent 3. BMI between 27 and 40 kg/m2 4. HbA1c range of 6.5% to 8.5% 5. Diagnosed with T2DM with glucose control managed with metformin monotherapy where no significant dose change (increase or decrease ≥ 500 mg/day) has occurred in the 3 months prior to screening 6. Subjects prescribed oral dual therapy with a dipeptidyl peptidase-4 inhibitor, sulphonylurea, glitinide, or a sodium-glucose co-transporter 2 inhibitor in addition to metformin at screening may be eligible to enter the study following a 4-week washout period 7. Female subjects of childbearing potential must have a negative pregnancy test at screening and randomisation, and must not be lactating 8. Females of childbearing potential who are sexually active with a nonsterilised male partner must use at least one highly effective method of contraception 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 subject 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
1. History of, or any existing condition that, in the opinion of the investigator, would interfere with evaluation of the investigational product, put the subject at risk, influence the subject's ability to participate or affect the interpretation of the results of the study and/or any subject unable or unwilling to follow study procedures 2. Concurrent participation in another study of any kind and repeat randomisation in this study is prohibited 3. Severe allergy/hypersensitivity to any of the proposed study treatments 4. Symptoms of acutely decompensated blood glucose control (eg, thirst, polyuria, weight loss), a history of type 1 diabetes mellitus or diabetic ketoacidosis, or if the subject has been treated with daily SC insulin within 90 days prior to screening 5. Significant inflammatory bowel disease, gastroparesis, or other severe disease or surgery affecting the upper GI tract (including weight-reducing surgery and procedures) which may affect gastric emptying or could affect the interpretation of safety and tolerability data 6. Significant hepatic disease (except for non-alcoholic steatohepatitis or non-alcoholic fatty liver disease without portal hypertension or cirrhosis) and/or subjects with any of the following results at screening: * Aspartate transaminase (AST) ≥ 3 × upper limit of normal (ULN) * Alanine transaminase (ALT) ≥ 3 × ULN * Total bilirubin ≥ 2 × ULN 7. Impaired renal function defined as estimated glomerular filtration rate (GFR) \< 60 mL/minute/1.73 m2 at screening (GFR estimated according to Modification of Diet in Renal Disease \[MDRD\] using the isotope dilution mass spectrometry \[IDMS\] traceable MDRD Study Equation \[SI units\]) 8. Poorly controlled hypertension defined as: * Systolic BP \> 160 mm Hg * Diastolic BP ≥ 95 mm Hg after 10 minutes of seated rest and confirmed by repeated measurement at screening. 9. Unstable angina pectoris, myocardial infarction, transient ischemic attack or stroke within 3 months prior to screening, or subjects 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 10. Severe congestive heart failure (New York Heart Association Class III or IV) 11. Basal calcitonin level \> 50 ng/L at screening or history/family history of medullary thyroid carcinoma or multiple endocrine neoplasia 12. Haemoglobinopathy, haemolytic anemia, or chronic anaemia (haemoglobin concentration \< 11.5 g/dL \[115 g/L\] for males, \< 10.5 g/dL \[105 g/L\] for females) at screening or any other condition known to interfere with interpretation of HbA1c measurement 13. History of neoplastic disease within 5 years prior to screening, except for adequately treated basal cell, squamous cell skin cancer, or in situ cervical cancer 14. Any positive results for serum hepatitis B surface antigen (HBsAg), hepatitis C antibody, and human immunodeficiency virus (HIV) antibody 15. History of substance dependence, alcohol abuse, or excessive alcohol intake (defined as an average weekly intake of \> 21 alcoholic drinks for men or \> 10 alcoholic drinks for women) within 3 years prior to screening, and/or a positive screen for drugs of abuse or alcohol at screening or on admission to the study unit. Subjects who use tricyclic antidepressants or benzodiazepines for an established clinical indication may be permitted to enter the study based upon the judgement of the investigator. 16. Involvement of any AstraZeneca, MedImmune, contract research organization, or study site employee or their close relatives 17. History of acute or chronic pancreatitis or other diseases of the pancreas
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cohort 1: Percent Change From Baseline in Plasma Glucose Area Under the Concentration-time Curve From Time 0 to 4 Hours (AUC0-4h) by Mixed-meal Tolerance Test (MMTT) to Day 49 | Zero minutes before and 15, 30, 45, 60, 90, 120, 180, and 240 minutes after consumption of the standardised liquid meal | The MMTT test involved the consumption of a standardised liquid meal within 5 minutes and timed serial blood samples obtained for the measurement of glucose and parameters related to glucose metabolism through 240 minutes after consumption of the standardised meal (with no additional food intake during this time). The percent change in the MMTT plasma glucose AUC 0-4h from the baseline (Day -1) to Day 49 is reported. |
| Cohort 1: Percent Change From Baseline in Body Weight to Day 50 | Day 1 through Day 50 | The percent change in body weight from baseline to Day 50 is reported. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cohort 1: Change From Baseline in Body Weight to Day 50 | Day 1 through Day 50 | The changes in the body weight during the study period from baseline to Day 50 is reported. |
| Cohort 1: Percentage of Participants Achieving Greater Than or Equal to 5% Body Weight Loss From Baseline to Day 50 | Day 1 through Day 50 | Participants achieving greater than or equal to 5% body weight loss from baseline to Day 50 is reported. |
| Cohort 1 and Cohort 2: Percent Change From Baseline in MMTT Plasma Glucose AUC 0-4h to Day 7 | Zero minutes before and 15, 30, 45, 60, 90, 120, 180, and 240 minutes after consumption of the standardised liquid meal | The MMTT test involved the consumption of a standardised liquid meal within 5 minutes and timed serial blood samples obtained for the measurement of glucose and parameters related to glucose metabolism through 240 minutes after consumption of the standardised meal (with no additional food intake during this time). The percent change in the MMTT plasma glucose AUC 0-4h from the baseline (Day -1) evaluation to Day 7 is reported. |
| Cohort 1 and Cohort 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs) | From Day 1 through 7 to 14 days after the last dose of study drug (approximately 64 days) | An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An 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. Treatment-emergent are the events between first doses of study drug through 7 to 14 days after the last dose of study drug (approximately 64 days). |
| Cohort 1 and Cohort 2: Number of Participants With Abnormal Vital Signs Reported as TEAEs | From Day 1 through 7 to 14 days after the last dose of study drug (approximately 64 days) | Treatment-emergent adverse events observed in participants with clinically significant vital signs abnormalities are reported. Vital sign parameters included blood pressure, heart rate, body temperature, and respiration rate. |
| Cohort 1 and Cohort 2: Number of Participants With Abnormal Electrocardiogram Reported as TEAEs | From Day 1 through 7 to 14 days after the last dose of study drug (approximately 64 days) | Treatment-emergent adverse events observed in participants with clinically significant ECG abnormalities are reported. |
| Cohort 1 and Cohort 2: Number of Participants With Clinical Laboratory Abnormalities Reported as TEAEs | From Day 1 through 7 to 14 days after the last dose of study drug (approximately 64 days) | An abnormal laboratory finding which required an action or intervention by the investigator, or a finding judged by the investigator as medically significant was reported as an AE. Laboratory evaluations included haematology, serum chemistry, and urinalysis. |
| Cohort 1 and Cohort 2: Number of Participants With Injection Site Erythema | From Day 1 through 7 to 14 days after the last dose of study drug (approximately 64 days) | The injection site reactions observed during study visits were reported. Injection site reactions included (but are not limited to) local erythema, pain, tenderness, induration, swelling, pruritus, ulceration, and pigmentation. |
| Cohort 1: Area Under the Concentration-time Curve During the Dosing Interval (AUCt) of MEDI0382 | Cohort 1: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 22 and 49 | The area under the concentration-time curve during the dosing interval of MEDI0382 is reported. |
| Cohort 2: Area Under the Concentration-time Curve During the Dosing Interval (AUCt) of MEDI0382 | Cohort 2: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 1, 7, and 14 | The area under the concentration-time curve during the dosing interval of MEDI0382 is reported. |
| Cohort 1: Change From Baseline in Glycated Haemoglobin (HbA1c) to Day 49 | Baseline (Day -1) through Day 49 | The change from baseline in Glycated haemoglobin (HbA1c) to Day 49 is reported. |
| Cohort 2: Maximum Observed Concentration (Cmax) of MEDI0382 | Cohort 2: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 1, 7, and 14 | The maximum observed concentration of MEDI0382 is reported. |
| Cohort 1: Time to Reach Maximum Observed Concentration (Tmax) of MEDI0382 | Cohort 1: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 22 and 49 | The time to reach the maximum observed concentration of MEDI0382 is reported. |
| Cohort 2: Time to Reach Maximum Observed Concentration (Tmax) of MEDI0382 | Cohort 2: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 1, 7, and 14 | The time to reach the maximum observed concentration of MEDI0382 is reported. |
| Cohort 1: Terminal Half Life (t1/2) of MEDI0382 | Cohort 1: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 22 and 49 | The t1/2 is the time measured for the concentration to decrease by one half after the dose of MEDI0382. |
| Cohort 2: Terminal Half Life (t1/2) of MEDI0382 | Cohort 2: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 1, 7, and 14 | The t1/2 is the time measured for the concentration to decrease by one half after the dose of MEDI0382. |
| Cohort 1: Accumulation Ratio (Racc) of MEDI0382 | Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 22 and 49 | The Racc was calculated using the AUC method which account for the overall exposure measured using the specified time points on Day 22 and Day 49. Racc was calculated using the formula, Racc of Day 49 = AUCt of Day 49/AUCt of Day 22. |
| Cohort 2: Accumulation Ratio of MEDI0382 | Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 1, 7, and 14 | The Racc was calculated using the AUC method which account for the overall exposure measured using the specified time points on Day 1, Day 7 and Day 14. Racc was calculated using the formulas: Racc of Day 7 = AUCt of Day 7/AUCt of Day 1; Racc of Day 14 = AUCt of Day 14/AUCt of Day 1. |
| Cohort 1: Trough Plasma Concentration (Ctrough) of MEDI0382 | Cohort 1: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 22 and 49 | Trough plasma concentration is the measured concentration from the plasma concentration-time data at the end of a dosing interval at steady state. |
| Cohort 2: Trough Plasma Concentration (Ctrough) of MEDI0382 | Cohort 2: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 1, 7, and 14 | Trough plasma concentration is the measured concentration from the plasma concentration time data at the end of a dosing interval at steady state. |
| Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382 | Baseline (Day 1), Day 29, Day 50, and Follow-up Visit 2 (28 days after the last dose [approximately 64 days]) | Participants with positive serum antibodies to MEDI0382 are reported. |
| Cohort 1: Maximum Observed Concentration (Cmax) of MEDI0382 | Cohort 1: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 22 and 49 | The maximum observed concentration of MEDI0382 is reported. |
| Cohort 1: Change From Baseline in Fasting Plasma Glucose to Day 49 | Baseline (Day -1) through Day 49 | The changes in the fasting plasma glucose level during the study period from baseline to Day 49 is reported. |
Countries
Germany
Participant flow
Recruitment details
The study was conducted across 5 sites in Germany between 04Sep2017 and 23Jan2018.
Pre-assignment details
A total of 120 participants consented to participate in the study. Of which 55 were screen failures; 65 participants were randomised (46 to MEDI0382 and 19 to placebo).
Participants by arm
| Arm | Count |
|---|---|
| Placebo Cohort 1 Participants received placebo matching with MEDI0382 subcutaneously (SC) once daily for 49 days. | 13 |
| MEDI0382 Cohort 1 Participants received subcutaneous injection of MEDI0382 once daily for 49 days as Dose 1 for 7 days, followed by Dose 2 for 7 days, Dose 3 for 7 days, and Dose 4 for 28 days. | 26 |
| Placebo Cohort 2 Participants received placebo matching with MEDI0382 SC once daily for 49 days. | 6 |
| MEDI0382 Cohort 2 Participants received subcutaneous injection of MEDI0382 once daily for 49 days as Dose 1 for 14 days, followed by Dose 2 for 14 days, Dose 3 for 14 days, and Dose 4 for 7 days. | 20 |
| TOTAL Total of all reporting groups | 65 |
| Total | 130 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 |
|---|---|---|---|---|---|
| Overall Study | Adverse Event | 0 | 1 | 0 | 1 |
| Overall Study | Withdrew treatment | 0 | 0 | 0 | 1 |
Baseline characteristics
| Characteristic | Placebo Cohort 1 | MEDI0382 Cohort 1 | Placebo Cohort 2 | MEDI0382 Cohort 2 | TOTAL |
|---|---|---|---|---|---|
| Age, Continuous | 60.2 Years STANDARD_DEVIATION 5.6 | 58.7 Years STANDARD_DEVIATION 8.5 | 60.3 Years STANDARD_DEVIATION 9.5 | 61.9 Years STANDARD_DEVIATION 6 | 60.1 Years STANDARD_DEVIATION 7.3 |
| Race/Ethnicity, Customized American Indian or Alaskan Native Asian | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized Black or African American | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized Hispanic or Latino | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized Native Hawaiian or Other Pacific Islander | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized Not Hispanic or Latino | 13 Participants | 26 Participants | 6 Participants | 20 Participants | 65 Participants |
| Race/Ethnicity, Customized Other | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized White | 13 Participants | 25 Participants | 6 Participants | 20 Participants | 64 Participants |
| Sex: Female, Male Female | 4 Participants | 7 Participants | 1 Participants | 10 Participants | 22 Participants |
| Sex: Female, Male Male | 9 Participants | 19 Participants | 5 Participants | 10 Participants | 43 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 13 | 0 / 26 | 0 / 6 | 0 / 20 |
| other Total, other adverse events | 6 / 13 | 22 / 26 | 3 / 6 | 15 / 20 |
| serious Total, serious adverse events | 0 / 13 | 0 / 26 | 0 / 6 | 0 / 20 |
Outcome results
Cohort 1: Percent Change From Baseline in Body Weight to Day 50
The percent change in body weight from baseline to Day 50 is reported.
Time frame: Day 1 through Day 50
Population: Intent-to-treat (ITT) population included all participants who received any study drug and were analyzed according to their randomized treatment group.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) |
|---|---|---|
| Placebo Cohort 1 | Cohort 1: Percent Change From Baseline in Body Weight to Day 50 | -0.21 Percent change |
| MEDI0382 Cohort 1 | Cohort 1: Percent Change From Baseline in Body Weight to Day 50 | -3.59 Percent change |
Cohort 1: Percent Change From Baseline in Plasma Glucose Area Under the Concentration-time Curve From Time 0 to 4 Hours (AUC0-4h) by Mixed-meal Tolerance Test (MMTT) to Day 49
The MMTT test involved the consumption of a standardised liquid meal within 5 minutes and timed serial blood samples obtained for the measurement of glucose and parameters related to glucose metabolism through 240 minutes after consumption of the standardised meal (with no additional food intake during this time). The percent change in the MMTT plasma glucose AUC 0-4h from the baseline (Day -1) to Day 49 is reported.
Time frame: Zero minutes before and 15, 30, 45, 60, 90, 120, 180, and 240 minutes after consumption of the standardised liquid meal
Population: Pharmacodynamic (PD) population included all participants who received at least one dose of study drug and had at least one post-baseline MMTT PD sample or PD evaluation.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) |
|---|---|---|
| Placebo Cohort 1 | Cohort 1: Percent Change From Baseline in Plasma Glucose Area Under the Concentration-time Curve From Time 0 to 4 Hours (AUC0-4h) by Mixed-meal Tolerance Test (MMTT) to Day 49 | 6.32 Percent change |
| MEDI0382 Cohort 1 | Cohort 1: Percent Change From Baseline in Plasma Glucose Area Under the Concentration-time Curve From Time 0 to 4 Hours (AUC0-4h) by Mixed-meal Tolerance Test (MMTT) to Day 49 | -21.52 Percent change |
Cohort 1: Accumulation Ratio (Racc) of MEDI0382
The Racc was calculated using the AUC method which account for the overall exposure measured using the specified time points on Day 22 and Day 49. Racc was calculated using the formula, Racc of Day 49 = AUCt of Day 49/AUCt of Day 22.
Time frame: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 22 and 49
Population: The PK population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline PK sample with a value above lower limit of quantification. The Number Analyzed denotes the number of participants analyzed at the specified time point for this outcome measure.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Placebo Cohort 1 | Cohort 1: Accumulation Ratio (Racc) of MEDI0382 | 1.46 Ratio |
Cohort 1 and Cohort 2: Number of Participants With Abnormal Electrocardiogram Reported as TEAEs
Treatment-emergent adverse events observed in participants with clinically significant ECG abnormalities are reported.
Time frame: From Day 1 through 7 to 14 days after the last dose of study drug (approximately 64 days)
Population: As-treated population included all participants who received any study drug and were analyzed according to the treatment they received.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Placebo Cohort 1 | Cohort 1 and Cohort 2: Number of Participants With Abnormal Electrocardiogram Reported as TEAEs | 0 Participants |
| MEDI0382 Cohort 1 | Cohort 1 and Cohort 2: Number of Participants With Abnormal Electrocardiogram Reported as TEAEs | 0 Participants |
| Placebo Cohort 2 | Cohort 1 and Cohort 2: Number of Participants With Abnormal Electrocardiogram Reported as TEAEs | 0 Participants |
| MEDI0382 Cohort 2 | Cohort 1 and Cohort 2: Number of Participants With Abnormal Electrocardiogram Reported as TEAEs | 1 Participants |
Cohort 1 and Cohort 2: Number of Participants With Abnormal Vital Signs Reported as TEAEs
Treatment-emergent adverse events observed in participants with clinically significant vital signs abnormalities are reported. Vital sign parameters included blood pressure, heart rate, body temperature, and respiration rate.
Time frame: From Day 1 through 7 to 14 days after the last dose of study drug (approximately 64 days)
Population: As-treated population included all participants who received any study drug and were analyzed according to the treatment they received.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Placebo Cohort 1 | Cohort 1 and Cohort 2: Number of Participants With Abnormal Vital Signs Reported as TEAEs | 0 Participants |
| MEDI0382 Cohort 1 | Cohort 1 and Cohort 2: Number of Participants With Abnormal Vital Signs Reported as TEAEs | 0 Participants |
| Placebo Cohort 2 | Cohort 1 and Cohort 2: Number of Participants With Abnormal Vital Signs Reported as TEAEs | 0 Participants |
| MEDI0382 Cohort 2 | Cohort 1 and Cohort 2: Number of Participants With Abnormal Vital Signs Reported as TEAEs | 0 Participants |
Cohort 1 and Cohort 2: Number of Participants With Clinical Laboratory Abnormalities Reported as TEAEs
An abnormal laboratory finding which required an action or intervention by the investigator, or a finding judged by the investigator as medically significant was reported as an AE. Laboratory evaluations included haematology, serum chemistry, and urinalysis.
Time frame: From Day 1 through 7 to 14 days after the last dose of study drug (approximately 64 days)
Population: As-treated population included all participants who received any study drug and were analyzed according to the treatment they received.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Placebo Cohort 1 | Cohort 1 and Cohort 2: Number of Participants With Clinical Laboratory Abnormalities Reported as TEAEs | Thrombocytopenia | 0 Participants |
| Placebo Cohort 1 | Cohort 1 and Cohort 2: Number of Participants With Clinical Laboratory Abnormalities Reported as TEAEs | Hypoglycaemia | 0 Participants |
| MEDI0382 Cohort 1 | Cohort 1 and Cohort 2: Number of Participants With Clinical Laboratory Abnormalities Reported as TEAEs | Hypoglycaemia | 1 Participants |
| MEDI0382 Cohort 1 | Cohort 1 and Cohort 2: Number of Participants With Clinical Laboratory Abnormalities Reported as TEAEs | Thrombocytopenia | 0 Participants |
| Placebo Cohort 2 | Cohort 1 and Cohort 2: Number of Participants With Clinical Laboratory Abnormalities Reported as TEAEs | Thrombocytopenia | 0 Participants |
| Placebo Cohort 2 | Cohort 1 and Cohort 2: Number of Participants With Clinical Laboratory Abnormalities Reported as TEAEs | Hypoglycaemia | 0 Participants |
| MEDI0382 Cohort 2 | Cohort 1 and Cohort 2: Number of Participants With Clinical Laboratory Abnormalities Reported as TEAEs | Thrombocytopenia | 1 Participants |
| MEDI0382 Cohort 2 | Cohort 1 and Cohort 2: Number of Participants With Clinical Laboratory Abnormalities Reported as TEAEs | Hypoglycaemia | 1 Participants |
Cohort 1 and Cohort 2: Number of Participants With Injection Site Erythema
The injection site reactions observed during study visits were reported. Injection site reactions included (but are not limited to) local erythema, pain, tenderness, induration, swelling, pruritus, ulceration, and pigmentation.
Time frame: From Day 1 through 7 to 14 days after the last dose of study drug (approximately 64 days)
Population: As-treated population included all participants who received any study drug and were analyzed according to the treatment they received.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Placebo Cohort 1 | Cohort 1 and Cohort 2: Number of Participants With Injection Site Erythema | 0 Participants |
| MEDI0382 Cohort 1 | Cohort 1 and Cohort 2: Number of Participants With Injection Site Erythema | 0 Participants |
| Placebo Cohort 2 | Cohort 1 and Cohort 2: Number of Participants With Injection Site Erythema | 0 Participants |
| MEDI0382 Cohort 2 | Cohort 1 and Cohort 2: Number of Participants With Injection Site Erythema | 5 Participants |
Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382
Participants with positive serum antibodies to MEDI0382 are reported.
Time frame: Baseline (Day 1), Day 29, Day 50, and Follow-up Visit 2 (28 days after the last dose [approximately 64 days])
Population: As-treated population included all participants who received any study drug and were analyzed according to the treatment they received. The Number Analyzed denotes the number of participants analyzed at the specified time point for this outcome measure.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Placebo Cohort 1 | Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382 | Baseline (ADA positive) | 0 Participants |
| Placebo Cohort 1 | Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382 | Day 29 (ADA positive) | 0 Participants |
| Placebo Cohort 1 | Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382 | Day 50 (ADA positive) | 0 Participants |
| Placebo Cohort 1 | Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382 | Follow-up Visit 2 (ADA positive) | 1 Participants |
| MEDI0382 Cohort 1 | Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382 | Day 29 (ADA positive) | 4 Participants |
| MEDI0382 Cohort 1 | Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382 | Day 50 (ADA positive) | 7 Participants |
| MEDI0382 Cohort 1 | Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382 | Follow-up Visit 2 (ADA positive) | 6 Participants |
| MEDI0382 Cohort 1 | Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382 | Baseline (ADA positive) | 0 Participants |
| Placebo Cohort 2 | Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382 | Day 50 (ADA positive) | 0 Participants |
| Placebo Cohort 2 | Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382 | Day 29 (ADA positive) | 0 Participants |
| Placebo Cohort 2 | Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382 | Follow-up Visit 2 (ADA positive) | 0 Participants |
| Placebo Cohort 2 | Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382 | Baseline (ADA positive) | 0 Participants |
| MEDI0382 Cohort 2 | Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382 | Follow-up Visit 2 (ADA positive) | 6 Participants |
| MEDI0382 Cohort 2 | Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382 | Day 29 (ADA positive) | 1 Participants |
| MEDI0382 Cohort 2 | Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382 | Baseline (ADA positive) | 0 Participants |
| MEDI0382 Cohort 2 | Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382 | Day 50 (ADA positive) | 2 Participants |
Cohort 1 and Cohort 2: 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. An 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. Treatment-emergent are the events between first doses of study drug through 7 to 14 days after the last dose of study drug (approximately 64 days).
Time frame: From Day 1 through 7 to 14 days after the last dose of study drug (approximately 64 days)
Population: As-treated population included all participants who received any study drug and were analyzed according to the treatment they received.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Placebo Cohort 1 | Cohort 1 and Cohort 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs) | TEAEs | 6 Participants |
| Placebo Cohort 1 | Cohort 1 and Cohort 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs) | TESAEs | 0 Participants |
| MEDI0382 Cohort 1 | Cohort 1 and Cohort 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs) | TEAEs | 22 Participants |
| MEDI0382 Cohort 1 | Cohort 1 and Cohort 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs) | TESAEs | 0 Participants |
| Placebo Cohort 2 | Cohort 1 and Cohort 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs) | TESAEs | 0 Participants |
| Placebo Cohort 2 | Cohort 1 and Cohort 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs) | TEAEs | 3 Participants |
| MEDI0382 Cohort 2 | Cohort 1 and Cohort 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs) | TESAEs | 0 Participants |
| MEDI0382 Cohort 2 | Cohort 1 and Cohort 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs) | TEAEs | 15 Participants |
Cohort 1 and Cohort 2: Percent Change From Baseline in MMTT Plasma Glucose AUC 0-4h to Day 7
The MMTT test involved the consumption of a standardised liquid meal within 5 minutes and timed serial blood samples obtained for the measurement of glucose and parameters related to glucose metabolism through 240 minutes after consumption of the standardised meal (with no additional food intake during this time). The percent change in the MMTT plasma glucose AUC 0-4h from the baseline (Day -1) evaluation to Day 7 is reported.
Time frame: Zero minutes before and 15, 30, 45, 60, 90, 120, 180, and 240 minutes after consumption of the standardised liquid meal
Population: The PD population included all participants who received at least one dose of study drug and had at least one post-baseline MMTT PD sample or PD evaluation. The number of participants analyzed at the specified time point for this outcome measure are reported.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo Cohort 1 | Cohort 1 and Cohort 2: Percent Change From Baseline in MMTT Plasma Glucose AUC 0-4h to Day 7 | -2.02 Percent change | Standard Deviation 11.7 |
| MEDI0382 Cohort 1 | Cohort 1 and Cohort 2: Percent Change From Baseline in MMTT Plasma Glucose AUC 0-4h to Day 7 | -27.17 Percent change | Standard Deviation 9.83 |
| Placebo Cohort 2 | Cohort 1 and Cohort 2: Percent Change From Baseline in MMTT Plasma Glucose AUC 0-4h to Day 7 | 1.77 Percent change | Standard Deviation 23.43 |
| MEDI0382 Cohort 2 | Cohort 1 and Cohort 2: Percent Change From Baseline in MMTT Plasma Glucose AUC 0-4h to Day 7 | -31.80 Percent change | Standard Deviation 7.16 |
Cohort 1: Area Under the Concentration-time Curve During the Dosing Interval (AUCt) of MEDI0382
The area under the concentration-time curve during the dosing interval of MEDI0382 is reported.
Time frame: Cohort 1: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 22 and 49
Population: Pharmacokinetic (PK) population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline PK sample with a value above lower limit of quantification. The Number Analyzed denotes the number of participants analyzed at the specified time point for this outcome measure.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) |
|---|---|---|---|
| Placebo Cohort 1 | Cohort 1: Area Under the Concentration-time Curve During the Dosing Interval (AUCt) of MEDI0382 | Day 22 | 226.31 ng*hr/mL |
| Placebo Cohort 1 | Cohort 1: Area Under the Concentration-time Curve During the Dosing Interval (AUCt) of MEDI0382 | Day 49 | 248.83 ng*hr/mL |
Cohort 1: Change From Baseline in Body Weight to Day 50
The changes in the body weight during the study period from baseline to Day 50 is reported.
Time frame: Day 1 through Day 50
Population: The ITT population included all participants who received any study drug and were analyzed according to their randomized treatment group.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) |
|---|---|---|
| Placebo Cohort 1 | Cohort 1: Change From Baseline in Body Weight to Day 50 | -0.08 Kilogram |
| MEDI0382 Cohort 1 | Cohort 1: Change From Baseline in Body Weight to Day 50 | -3.41 Kilogram |
Cohort 1: Change From Baseline in Fasting Plasma Glucose to Day 49
The changes in the fasting plasma glucose level during the study period from baseline to Day 49 is reported.
Time frame: Baseline (Day -1) through Day 49
Population: The ITT population included all participants who received any study drug and were analyzed according to their randomized treatment group.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) |
|---|---|---|
| Placebo Cohort 1 | Cohort 1: Change From Baseline in Fasting Plasma Glucose to Day 49 | -2.31 mg/dL |
| MEDI0382 Cohort 1 | Cohort 1: Change From Baseline in Fasting Plasma Glucose to Day 49 | -35.37 mg/dL |
Cohort 1: Change From Baseline in Glycated Haemoglobin (HbA1c) to Day 49
The change from baseline in Glycated haemoglobin (HbA1c) to Day 49 is reported.
Time frame: Baseline (Day -1) through Day 49
Population: The ITT population included all participants who received any study drug and were analyzed according to their randomized treatment group.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) |
|---|---|---|
| Placebo Cohort 1 | Cohort 1: Change From Baseline in Glycated Haemoglobin (HbA1c) to Day 49 | -0.07 Percentage change |
| MEDI0382 Cohort 1 | Cohort 1: Change From Baseline in Glycated Haemoglobin (HbA1c) to Day 49 | -0.67 Percentage change |
Cohort 1: Maximum Observed Concentration (Cmax) of MEDI0382
The maximum observed concentration of MEDI0382 is reported.
Time frame: Cohort 1: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 22 and 49
Population: The PK population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline PK sample with a value above lower limit of quantification. The Number Analyzed denotes the number of participants analyzed at the specified time point for this outcome measure.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) |
|---|---|---|---|
| Placebo Cohort 1 | Cohort 1: Maximum Observed Concentration (Cmax) of MEDI0382 | Day 22 | 13.24 ng/mL |
| Placebo Cohort 1 | Cohort 1: Maximum Observed Concentration (Cmax) of MEDI0382 | Day 49 | 14.8 ng/mL |
Cohort 1: Percentage of Participants Achieving Greater Than or Equal to 5% Body Weight Loss From Baseline to Day 50
Participants achieving greater than or equal to 5% body weight loss from baseline to Day 50 is reported.
Time frame: Day 1 through Day 50
Population: The ITT population included all participants who received any study drug and were analyzed according to their randomized treatment group.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo Cohort 1 | Cohort 1: Percentage of Participants Achieving Greater Than or Equal to 5% Body Weight Loss From Baseline to Day 50 | 7.7 Percentage of Participants |
| MEDI0382 Cohort 1 | Cohort 1: Percentage of Participants Achieving Greater Than or Equal to 5% Body Weight Loss From Baseline to Day 50 | 42.3 Percentage of Participants |
Cohort 1: Terminal Half Life (t1/2) of MEDI0382
The t1/2 is the time measured for the concentration to decrease by one half after the dose of MEDI0382.
Time frame: Cohort 1: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 22 and 49
Population: The PK population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline PK sample with a value above lower limit of quantification. The Number Analyzed denotes the number of participants analyzed at the specified time point for this outcome measure.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) |
|---|---|---|---|
| Placebo Cohort 1 | Cohort 1: Terminal Half Life (t1/2) of MEDI0382 | Day 22 | 9.67 Hours |
| Placebo Cohort 1 | Cohort 1: Terminal Half Life (t1/2) of MEDI0382 | Day 49 | 8.4 Hours |
Cohort 1: Time to Reach Maximum Observed Concentration (Tmax) of MEDI0382
The time to reach the maximum observed concentration of MEDI0382 is reported.
Time frame: Cohort 1: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 22 and 49
Population: The PK population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline PK sample with a value above lower limit of quantification. The Number Analyzed denotes the number of participants analyzed at the specified time point for this outcome measure.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Placebo Cohort 1 | Cohort 1: Time to Reach Maximum Observed Concentration (Tmax) of MEDI0382 | Day 22 | 6 Hours |
| Placebo Cohort 1 | Cohort 1: Time to Reach Maximum Observed Concentration (Tmax) of MEDI0382 | Day 49 | 4 Hours |
Cohort 1: Trough Plasma Concentration (Ctrough) of MEDI0382
Trough plasma concentration is the measured concentration from the plasma concentration-time data at the end of a dosing interval at steady state.
Time frame: Cohort 1: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 22 and 49
Population: The PK population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline PK sample with a value above lower limit of quantification. The Number Analyzed denotes the number of participants analyzed at the specified time point for this outcome measure.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) |
|---|---|---|---|
| Placebo Cohort 1 | Cohort 1: Trough Plasma Concentration (Ctrough) of MEDI0382 | Day 22 | 3.566 ng/mL |
| Placebo Cohort 1 | Cohort 1: Trough Plasma Concentration (Ctrough) of MEDI0382 | Day 49 | 5.762 ng/mL |
Cohort 2: Accumulation Ratio of MEDI0382
The Racc was calculated using the AUC method which account for the overall exposure measured using the specified time points on Day 1, Day 7 and Day 14. Racc was calculated using the formulas: Racc of Day 7 = AUCt of Day 7/AUCt of Day 1; Racc of Day 14 = AUCt of Day 14/AUCt of Day 1.
Time frame: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 1, 7, and 14
Population: The PK population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline PK sample with a value above lower limit of quantification. The Number Analyzed denotes the number of participants analyzed at the specified time point for this outcome measure.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) |
|---|---|---|---|
| Placebo Cohort 1 | Cohort 2: Accumulation Ratio of MEDI0382 | Day 7 | 1.36 Ratio |
| Placebo Cohort 1 | Cohort 2: Accumulation Ratio of MEDI0382 | Day 14 | 1.46 Ratio |
Cohort 2: Area Under the Concentration-time Curve During the Dosing Interval (AUCt) of MEDI0382
The area under the concentration-time curve during the dosing interval of MEDI0382 is reported.
Time frame: Cohort 2: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 1, 7, and 14
Population: The PK population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline PK sample with a value above lower limit of quantification. The Number Analyzed denotes the number of participants analyzed at the specified time point for this outcome measure.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) |
|---|---|---|---|
| Placebo Cohort 1 | Cohort 2: Area Under the Concentration-time Curve During the Dosing Interval (AUCt) of MEDI0382 | Day 1 | 38.67 ng*hr/mL |
| Placebo Cohort 1 | Cohort 2: Area Under the Concentration-time Curve During the Dosing Interval (AUCt) of MEDI0382 | Day 7 | 37.51 ng*hr/mL |
| Placebo Cohort 1 | Cohort 2: Area Under the Concentration-time Curve During the Dosing Interval (AUCt) of MEDI0382 | Day 14 | 46.75 ng*hr/mL |
Cohort 2: Maximum Observed Concentration (Cmax) of MEDI0382
The maximum observed concentration of MEDI0382 is reported.
Time frame: Cohort 2: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 1, 7, and 14
Population: The PK population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline PK sample with a value above lower limit of quantification. The Number Analyzed denotes the number of participants analyzed at the specified time point for this outcome measure.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) |
|---|---|---|---|
| Placebo Cohort 1 | Cohort 2: Maximum Observed Concentration (Cmax) of MEDI0382 | Day 1 | 2.00 ng/mL |
| Placebo Cohort 1 | Cohort 2: Maximum Observed Concentration (Cmax) of MEDI0382 | Day 7 | 2.53 ng/mL |
| Placebo Cohort 1 | Cohort 2: Maximum Observed Concentration (Cmax) of MEDI0382 | Day 14 | 2.65 ng/mL |
Cohort 2: Terminal Half Life (t1/2) of MEDI0382
The t1/2 is the time measured for the concentration to decrease by one half after the dose of MEDI0382.
Time frame: Cohort 2: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 1, 7, and 14
Population: The PK population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline PK sample with a value above lower limit of quantification. The Number Analyzed denotes the number of participants analyzed at the specified time point for this outcome measure.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) |
|---|---|---|---|
| Placebo Cohort 1 | Cohort 2: Terminal Half Life (t1/2) of MEDI0382 | Day 14 | 9.4 Hours |
| Placebo Cohort 1 | Cohort 2: Terminal Half Life (t1/2) of MEDI0382 | Day 1 | 9.7 Hours |
| Placebo Cohort 1 | Cohort 2: Terminal Half Life (t1/2) of MEDI0382 | Day 7 | 8.8 Hours |
Cohort 2: Time to Reach Maximum Observed Concentration (Tmax) of MEDI0382
The time to reach the maximum observed concentration of MEDI0382 is reported.
Time frame: Cohort 2: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 1, 7, and 14
Population: The PK population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline PK sample with a value above lower limit of quantification. The Number Analyzed denotes the number of participants analyzed at the specified time point for this outcome measure.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Placebo Cohort 1 | Cohort 2: Time to Reach Maximum Observed Concentration (Tmax) of MEDI0382 | Day 1 | 8 Hours |
| Placebo Cohort 1 | Cohort 2: Time to Reach Maximum Observed Concentration (Tmax) of MEDI0382 | Day 7 | 6 Hours |
| Placebo Cohort 1 | Cohort 2: Time to Reach Maximum Observed Concentration (Tmax) of MEDI0382 | Day 14 | 6 Hours |
Cohort 2: Trough Plasma Concentration (Ctrough) of MEDI0382
Trough plasma concentration is the measured concentration from the plasma concentration time data at the end of a dosing interval at steady state.
Time frame: Cohort 2: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 1, 7, and 14
Population: The PK population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline PK sample with a value above lower limit of quantification. The Number Analyzed denotes the number of participants analyzed at the specified time point for this outcome measure.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) |
|---|---|---|---|
| Placebo Cohort 1 | Cohort 2: Trough Plasma Concentration (Ctrough) of MEDI0382 | Day 7 | 1.147 ng/mL |
| Placebo Cohort 1 | Cohort 2: Trough Plasma Concentration (Ctrough) of MEDI0382 | Day 14 | 1.147 ng/mL |
| Unknown | Cohort 2: Trough Plasma Concentration (Ctrough) of MEDI0382 | Day 1 | — ng/mL |