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A Study to Investigate Different Doses of 0382 in Overweight and Obese Subjects With Type 2 Diabetes Mellitus.

A Phase 2, Randomised, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy, Safety, Tolerability, and Pharmacokinetics of Different Doses of MEDI0382 in Overweight and Obese Subjects With Type 2 Diabetes Mellitus

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03244800
Enrollment
65
Registered
2017-08-10
Start date
2017-09-04
Completion date
2018-01-23
Last updated
2019-11-19

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

Conditions

Type 2 Diabetes Mellitus

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.

DRUGPlacebo

Placebo will be administered subcutaneously once daily for 49 days.

Sponsors

MedImmune LLC
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

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

MeasureTime frameDescription
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 49Zero minutes before and 15, 30, 45, 60, 90, 120, 180, and 240 minutes after consumption of the standardised liquid mealThe 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 50Day 1 through Day 50The percent change in body weight from baseline to Day 50 is reported.

Secondary

MeasureTime frameDescription
Cohort 1: Change From Baseline in Body Weight to Day 50Day 1 through Day 50The 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 50Day 1 through Day 50Participants 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 7Zero minutes before and 15, 30, 45, 60, 90, 120, 180, and 240 minutes after consumption of the standardised liquid mealThe 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 TEAEsFrom 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 TEAEsFrom 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 TEAEsFrom 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 ErythemaFrom 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 MEDI0382Cohort 1: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 22 and 49The 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 MEDI0382Cohort 2: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 1, 7, and 14The 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 49Baseline (Day -1) through Day 49The change from baseline in Glycated haemoglobin (HbA1c) to Day 49 is reported.
Cohort 2: Maximum Observed Concentration (Cmax) of MEDI0382Cohort 2: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 1, 7, and 14The maximum observed concentration of MEDI0382 is reported.
Cohort 1: Time to Reach Maximum Observed Concentration (Tmax) of MEDI0382Cohort 1: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 22 and 49The time to reach the maximum observed concentration of MEDI0382 is reported.
Cohort 2: Time to Reach Maximum Observed Concentration (Tmax) of MEDI0382Cohort 2: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 1, 7, and 14The time to reach the maximum observed concentration of MEDI0382 is reported.
Cohort 1: Terminal Half Life (t1/2) of MEDI0382Cohort 1: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 22 and 49The 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 MEDI0382Cohort 2: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 1, 7, and 14The 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 MEDI0382Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 22 and 49The 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 MEDI0382Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 1, 7, and 14The 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 MEDI0382Cohort 1: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 22 and 49Trough 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 MEDI0382Cohort 2: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 1, 7, and 14Trough 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 MEDI0382Baseline (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 MEDI0382Cohort 1: Predose and 1, 2, 4, 6, 8, and 12 hours postdose on Days 22 and 49The maximum observed concentration of MEDI0382 is reported.
Cohort 1: Change From Baseline in Fasting Plasma Glucose to Day 49Baseline (Day -1) through Day 49The 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

ArmCount
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
Total130

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event0101
Overall StudyWithdrew treatment0001

Baseline characteristics

CharacteristicPlacebo Cohort 1MEDI0382 Cohort 1Placebo Cohort 2MEDI0382 Cohort 2TOTAL
Age, Continuous60.2 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 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Black or African American
0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants1 Participants0 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
13 Participants26 Participants6 Participants20 Participants65 Participants
Race/Ethnicity, Customized
Other
0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
White
13 Participants25 Participants6 Participants20 Participants64 Participants
Sex: Female, Male
Female
4 Participants7 Participants1 Participants10 Participants22 Participants
Sex: Female, Male
Male
9 Participants19 Participants5 Participants10 Participants43 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 130 / 260 / 60 / 20
other
Total, other adverse events
6 / 1322 / 263 / 615 / 20
serious
Total, serious adverse events
0 / 130 / 260 / 60 / 20

Outcome results

Primary

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.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo Cohort 1Cohort 1: Percent Change From Baseline in Body Weight to Day 50-0.21 Percent change
MEDI0382 Cohort 1Cohort 1: Percent Change From Baseline in Body Weight to Day 50-3.59 Percent change
p-value: 0.002ANCOVA
Primary

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.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo Cohort 1Cohort 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 496.32 Percent change
MEDI0382 Cohort 1Cohort 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
p-value: <0.001ANCOVA
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)
Placebo Cohort 1Cohort 1: Accumulation Ratio (Racc) of MEDI03821.46 Ratio
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Placebo Cohort 1Cohort 1 and Cohort 2: Number of Participants With Abnormal Electrocardiogram Reported as TEAEs0 Participants
MEDI0382 Cohort 1Cohort 1 and Cohort 2: Number of Participants With Abnormal Electrocardiogram Reported as TEAEs0 Participants
Placebo Cohort 2Cohort 1 and Cohort 2: Number of Participants With Abnormal Electrocardiogram Reported as TEAEs0 Participants
MEDI0382 Cohort 2Cohort 1 and Cohort 2: Number of Participants With Abnormal Electrocardiogram Reported as TEAEs1 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Placebo Cohort 1Cohort 1 and Cohort 2: Number of Participants With Abnormal Vital Signs Reported as TEAEs0 Participants
MEDI0382 Cohort 1Cohort 1 and Cohort 2: Number of Participants With Abnormal Vital Signs Reported as TEAEs0 Participants
Placebo Cohort 2Cohort 1 and Cohort 2: Number of Participants With Abnormal Vital Signs Reported as TEAEs0 Participants
MEDI0382 Cohort 2Cohort 1 and Cohort 2: Number of Participants With Abnormal Vital Signs Reported as TEAEs0 Participants
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Placebo Cohort 1Cohort 1 and Cohort 2: Number of Participants With Clinical Laboratory Abnormalities Reported as TEAEsThrombocytopenia0 Participants
Placebo Cohort 1Cohort 1 and Cohort 2: Number of Participants With Clinical Laboratory Abnormalities Reported as TEAEsHypoglycaemia0 Participants
MEDI0382 Cohort 1Cohort 1 and Cohort 2: Number of Participants With Clinical Laboratory Abnormalities Reported as TEAEsHypoglycaemia1 Participants
MEDI0382 Cohort 1Cohort 1 and Cohort 2: Number of Participants With Clinical Laboratory Abnormalities Reported as TEAEsThrombocytopenia0 Participants
Placebo Cohort 2Cohort 1 and Cohort 2: Number of Participants With Clinical Laboratory Abnormalities Reported as TEAEsThrombocytopenia0 Participants
Placebo Cohort 2Cohort 1 and Cohort 2: Number of Participants With Clinical Laboratory Abnormalities Reported as TEAEsHypoglycaemia0 Participants
MEDI0382 Cohort 2Cohort 1 and Cohort 2: Number of Participants With Clinical Laboratory Abnormalities Reported as TEAEsThrombocytopenia1 Participants
MEDI0382 Cohort 2Cohort 1 and Cohort 2: Number of Participants With Clinical Laboratory Abnormalities Reported as TEAEsHypoglycaemia1 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Placebo Cohort 1Cohort 1 and Cohort 2: Number of Participants With Injection Site Erythema0 Participants
MEDI0382 Cohort 1Cohort 1 and Cohort 2: Number of Participants With Injection Site Erythema0 Participants
Placebo Cohort 2Cohort 1 and Cohort 2: Number of Participants With Injection Site Erythema0 Participants
MEDI0382 Cohort 2Cohort 1 and Cohort 2: Number of Participants With Injection Site Erythema5 Participants
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Placebo Cohort 1Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382Baseline (ADA positive)0 Participants
Placebo Cohort 1Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382Day 29 (ADA positive)0 Participants
Placebo Cohort 1Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382Day 50 (ADA positive)0 Participants
Placebo Cohort 1Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382Follow-up Visit 2 (ADA positive)1 Participants
MEDI0382 Cohort 1Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382Day 29 (ADA positive)4 Participants
MEDI0382 Cohort 1Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382Day 50 (ADA positive)7 Participants
MEDI0382 Cohort 1Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382Follow-up Visit 2 (ADA positive)6 Participants
MEDI0382 Cohort 1Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382Baseline (ADA positive)0 Participants
Placebo Cohort 2Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382Day 50 (ADA positive)0 Participants
Placebo Cohort 2Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382Day 29 (ADA positive)0 Participants
Placebo Cohort 2Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382Follow-up Visit 2 (ADA positive)0 Participants
Placebo Cohort 2Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382Baseline (ADA positive)0 Participants
MEDI0382 Cohort 2Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382Follow-up Visit 2 (ADA positive)6 Participants
MEDI0382 Cohort 2Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382Day 29 (ADA positive)1 Participants
MEDI0382 Cohort 2Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382Baseline (ADA positive)0 Participants
MEDI0382 Cohort 2Cohort 1 and Cohort 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382Day 50 (ADA positive)2 Participants
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Placebo Cohort 1Cohort 1 and Cohort 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)TEAEs6 Participants
Placebo Cohort 1Cohort 1 and Cohort 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)TESAEs0 Participants
MEDI0382 Cohort 1Cohort 1 and Cohort 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)TEAEs22 Participants
MEDI0382 Cohort 1Cohort 1 and Cohort 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)TESAEs0 Participants
Placebo Cohort 2Cohort 1 and Cohort 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)TESAEs0 Participants
Placebo Cohort 2Cohort 1 and Cohort 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)TEAEs3 Participants
MEDI0382 Cohort 2Cohort 1 and Cohort 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)TESAEs0 Participants
MEDI0382 Cohort 2Cohort 1 and Cohort 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)TEAEs15 Participants
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Placebo Cohort 1Cohort 1 and Cohort 2: Percent Change From Baseline in MMTT Plasma Glucose AUC 0-4h to Day 7-2.02 Percent changeStandard Deviation 11.7
MEDI0382 Cohort 1Cohort 1 and Cohort 2: Percent Change From Baseline in MMTT Plasma Glucose AUC 0-4h to Day 7-27.17 Percent changeStandard Deviation 9.83
Placebo Cohort 2Cohort 1 and Cohort 2: Percent Change From Baseline in MMTT Plasma Glucose AUC 0-4h to Day 71.77 Percent changeStandard Deviation 23.43
MEDI0382 Cohort 2Cohort 1 and Cohort 2: Percent Change From Baseline in MMTT Plasma Glucose AUC 0-4h to Day 7-31.80 Percent changeStandard Deviation 7.16
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Placebo Cohort 1Cohort 1: Area Under the Concentration-time Curve During the Dosing Interval (AUCt) of MEDI0382Day 22226.31 ng*hr/mL
Placebo Cohort 1Cohort 1: Area Under the Concentration-time Curve During the Dosing Interval (AUCt) of MEDI0382Day 49248.83 ng*hr/mL
Secondary

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.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo Cohort 1Cohort 1: Change From Baseline in Body Weight to Day 50-0.08 Kilogram
MEDI0382 Cohort 1Cohort 1: Change From Baseline in Body Weight to Day 50-3.41 Kilogram
p-value: 0.002ANCOVA
Secondary

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.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo Cohort 1Cohort 1: Change From Baseline in Fasting Plasma Glucose to Day 49-2.31 mg/dL
MEDI0382 Cohort 1Cohort 1: Change From Baseline in Fasting Plasma Glucose to Day 49-35.37 mg/dL
p-value: <0.001ANCOVA
Secondary

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.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo Cohort 1Cohort 1: Change From Baseline in Glycated Haemoglobin (HbA1c) to Day 49-0.07 Percentage change
MEDI0382 Cohort 1Cohort 1: Change From Baseline in Glycated Haemoglobin (HbA1c) to Day 49-0.67 Percentage change
p-value: <0.001ANCOVA
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Placebo Cohort 1Cohort 1: Maximum Observed Concentration (Cmax) of MEDI0382Day 2213.24 ng/mL
Placebo Cohort 1Cohort 1: Maximum Observed Concentration (Cmax) of MEDI0382Day 4914.8 ng/mL
Secondary

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.

ArmMeasureValue (NUMBER)
Placebo Cohort 1Cohort 1: Percentage of Participants Achieving Greater Than or Equal to 5% Body Weight Loss From Baseline to Day 507.7 Percentage of Participants
MEDI0382 Cohort 1Cohort 1: Percentage of Participants Achieving Greater Than or Equal to 5% Body Weight Loss From Baseline to Day 5042.3 Percentage of Participants
p-value: 0.0490% CI: [1.61, 72.03]Regression, Logistic
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Placebo Cohort 1Cohort 1: Terminal Half Life (t1/2) of MEDI0382Day 229.67 Hours
Placebo Cohort 1Cohort 1: Terminal Half Life (t1/2) of MEDI0382Day 498.4 Hours
Secondary

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.

ArmMeasureGroupValue (MEDIAN)
Placebo Cohort 1Cohort 1: Time to Reach Maximum Observed Concentration (Tmax) of MEDI0382Day 226 Hours
Placebo Cohort 1Cohort 1: Time to Reach Maximum Observed Concentration (Tmax) of MEDI0382Day 494 Hours
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Placebo Cohort 1Cohort 1: Trough Plasma Concentration (Ctrough) of MEDI0382Day 223.566 ng/mL
Placebo Cohort 1Cohort 1: Trough Plasma Concentration (Ctrough) of MEDI0382Day 495.762 ng/mL
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Placebo Cohort 1Cohort 2: Accumulation Ratio of MEDI0382Day 71.36 Ratio
Placebo Cohort 1Cohort 2: Accumulation Ratio of MEDI0382Day 141.46 Ratio
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Placebo Cohort 1Cohort 2: Area Under the Concentration-time Curve During the Dosing Interval (AUCt) of MEDI0382Day 138.67 ng*hr/mL
Placebo Cohort 1Cohort 2: Area Under the Concentration-time Curve During the Dosing Interval (AUCt) of MEDI0382Day 737.51 ng*hr/mL
Placebo Cohort 1Cohort 2: Area Under the Concentration-time Curve During the Dosing Interval (AUCt) of MEDI0382Day 1446.75 ng*hr/mL
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Placebo Cohort 1Cohort 2: Maximum Observed Concentration (Cmax) of MEDI0382Day 12.00 ng/mL
Placebo Cohort 1Cohort 2: Maximum Observed Concentration (Cmax) of MEDI0382Day 72.53 ng/mL
Placebo Cohort 1Cohort 2: Maximum Observed Concentration (Cmax) of MEDI0382Day 142.65 ng/mL
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Placebo Cohort 1Cohort 2: Terminal Half Life (t1/2) of MEDI0382Day 149.4 Hours
Placebo Cohort 1Cohort 2: Terminal Half Life (t1/2) of MEDI0382Day 19.7 Hours
Placebo Cohort 1Cohort 2: Terminal Half Life (t1/2) of MEDI0382Day 78.8 Hours
Secondary

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.

ArmMeasureGroupValue (MEDIAN)
Placebo Cohort 1Cohort 2: Time to Reach Maximum Observed Concentration (Tmax) of MEDI0382Day 18 Hours
Placebo Cohort 1Cohort 2: Time to Reach Maximum Observed Concentration (Tmax) of MEDI0382Day 76 Hours
Placebo Cohort 1Cohort 2: Time to Reach Maximum Observed Concentration (Tmax) of MEDI0382Day 146 Hours
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Placebo Cohort 1Cohort 2: Trough Plasma Concentration (Ctrough) of MEDI0382Day 71.147 ng/mL
Placebo Cohort 1Cohort 2: Trough Plasma Concentration (Ctrough) of MEDI0382Day 141.147 ng/mL
UnknownCohort 2: Trough Plasma Concentration (Ctrough) of MEDI0382Day 1 ng/mL

Source: ClinicalTrials.gov · Data processed: Feb 20, 2026