← Trials/Trial dossier/NCT03745937

CompletedPhase 2Results posted

A Study to Evaluate the Safety and Tolerability of MEDI0382 in Overweight and Obese Participants With Type 2 Diabetes Mellitus

A Phase 2a Randomized, Blinded, Placebo-controlled Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of MEDI0382 in Overweight/Obese Subjects With Type 2 Diabetes Mellitus

Lead sponsor

MedImmune LLC

Asset

Cotadutide

Subcutaneous · GLP-1 / glucagon dual

Listed sites

1

Recruiting sites

Enrollment

20

actual

Study population

Obesity / overweight, Type 2 diabetes

Key I/E criteria

BMI 27-35HbA1c 6.5-8.5%

Primary endpoints

Treatment-emergent AEs (any) (Treatment-emergent AEs (any), Serious AEs (any))Treatment-emergent AEs (any)

Footprint

Where this trial recruits

Site locations as reported to ClinicalTrials.gov. Site count is not enrollment count; per-site enrollment is not available from source.

Identifiers

Registered as

NCT IDNCT03745937
Org study IDD5670C00030

Timeline

Milestones

Study first posted2018-11-19actual
Study start2019-01-07actual
Primary completion2019-05-28actual
Study completion2019-05-28actual
Last update posted2020-06-05actual
Results first posted2020-06-05actual

Assets

Investigational agents

Study populations

Who this study enrolls

Obesity / overweightType 2 diabetes

Eligibility

Who can enroll

Minimum age18 Years
Maximum age74 Years
SexAll
Healthy volunteersNot accepted

Inclusion criteria

1. Participants aged 18 to 74 years (inclusive) at screening.

2. Provision of signed and dated written informed consent (with the exception of consent for genetic and non-genetic research) prior to any study specific procedures.

3. Body mass index (BMI) between 27 and 35 kg/m^2 (inclusive) at screening.

4. Hemoglobin A1c (HbA1c) range of 6.5% to 8.5% (inclusive) at screening (Note: Participants may be re-tested for the HbA1c entry criterion only once.).

5. Willing and able to self-inject study drug for the duration of the study.

6. Diagnosed with type 2 diabetes mellitus with glucose control managed with metformin monotherapy where no significant dose change (increase or decrease >= 500 mg/day) has occurred in the three months prior to screening.

7. Female participants must have a negative pregnancy test at screening and randomization, and must not be lactating.

8. Female participants of childbearing potential who are sexually active with a male partner must be using at least one highly effective method of contraception from screening and up to 4 weeks after the last dose of study drug.

Exclusion criteria

1. History of, or any existing condition that, in the opinion of the investigator, would interfere with evaluation of the study drug, put the participant at risk, influence the participant's ability to participate or affect the interpretation of the results of the study and/or any participant unable or unwilling to follow study procedures during the run-in period.

2. Any participant who has received another study drug as part of a clinical study or a glucagon-like peptide-1 (GLP-1) analogue containing preparation within the last 30 days or 5 half-lives of the drug (whichever is longer) at the time of screening.

3. Concurrent participation in another study of any kind and repeat randomization in this study is prohibited.

4. Any participant who has received any of the following medications prior to the start of the study:

Herbal preparations or drugs licensed for control of body weight or appetite
Opiates, domperidone, metoclopramide, or other drugs known to alter gastric emptying
Antimicrobials within the quinolone, macrolide or azole class
Any change in antihypertensive medication
Aspirin (acetylsalicylic acid)
Paracetamol (acetaminophen) or paracetamol-containing preparations
Ascorbic acid (vitamin C) supplements

5. Severe allergy/hypersensitivity to any of the proposed study treatments, standardized meals, or excipients.

6. 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 participant has been treated with daily SC insulin within 90 days prior to screening.

7. Acute pancreatitis, pancreatic amylase, and/or pancreatic lipase > 3 × upper limit of normal range (ULN); history of chronic pancreatitis; or serum triglyceride levels > 11 mmol/L (1000 mg/dL) at screening.

8. Significant inflammatory bowel disease, gastroparesis or other severe disease or surgery affecting the upper gastrointestinal tract (including weight-reducing surgery and procedures), which may affect gastric emptying or could affect the interpretation of safety and tolerability data.

9. Significant hepatic disease (except for nonalcoholic steatohepatitis (NASH) or non-alcoholic fatty liver disease without portal hypertension or cirrhosis) and/or participants with any of the following results at screening:

Aspartate transaminase (AST) >= 3 × ULN
Alanine transaminase (ALT) >= 3 × ULN
Total bilirubin (TBL) >= 2 × ULN

10. Impaired renal function defined as estimated glomerular filtration rate (GFR) < 60 mL/minute/1.73m^2 at screening.

11. Poorly controlled hypertension defined as:

Systolic blood pressure (BP) > 160 mm Hg
Diastolic BP or >= 90 mm Hg

12. Any clinically important abnormalities in rhythm, conduction, or morphology of the resting 12-lead ECG or any abnormalities that may interfere with the interpretation of serial ECG changes.

13. Prolonged QT intervals corrected for heart rate or family history of long QT-segment at screening.

14. PR (PQ) interval prolongation, intermittent second or third-degree atrioventricular (AV) block, or AV dissociation.

15. Persistent or intermittent complete bundle branch block.

16. Unstable angina pectoris, myocardial infarction, transient ischemic attack, or stroke within 3 months prior to screening, or participants who have undergone percutaneous coronary intervention or a coronary artery bypass graft within the past 6 months or who are due to undergo these procedures at the time of screening.

17. Severe congestive heart failure.

18. Basal calcitonin level > 50 ng/L at screening or history/family history of medullary thyroid carcinoma or multiple endocrine neoplasia.

19. Hemoglobinopathy, hemolytic anemia or chronic anemia or any other condition known to interfere with the interpretation of HbA1c measurement.

20. 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.

21. Any positive results for serum hepatitis B surface antigen, hepatitis C antibody, and human immunodeficiency virus (HIV) antibody.

22. History of substance dependence, alcohol abuse, or excessive alcohol intake. Participants who use benzodiazepines for chronic anxiety or sleep disorders may be permitted to enter the study.

23. Symptoms of depression or any other psychiatric disorder requiring treatment with medication.

24. History of severe allergy/hypersensitivity, including to any component of the investigational product formulation or other biological agent, or ongoing clinically important allergy/hypersensitivity.

25. Blood/plasma donation within 1 month of screening.

Endpoints (30)

What's being measured

Protocol endpoints and posted registry outcome measures, grouped into outcome categories. Composite endpoints show their component event types. Standard codes (LOINC, SNOMED CT) are shown where available.

Coverage by outcome category

Safety / tolerability / PK
16
Glycemic / diabetes
9
Weight & body composition
5

Weight & body composition

5 endpoints
Secondary/protocol endpoint

Absolute Change From Baseline in Body Weight

Time frame:Baseline (Day -1) through Day 56 (end of the up-titration period) and Day 77 (end of the TEP)

Body weight, absolute change (kg)

change from baseline, improvement

Posted result

GroupValue (mean), Kg95% CI
Placebo Cohort 1Day 56-0.30
Day 77-1.25
MEDI0382 Cohort 1Day 56-5.27
Day 77-6.96
Placebo Cohort 2Day 56-1.70
Day 77-1.50
MEDI0382 Cohort 2Day 56-2.89
Day 77-4.56
Secondary/protocol endpoint

Percentage Change From Baseline in Body Weight

Time frame:Baseline (Day -1) through Day 56 (end of the up-titration period) and Day 77 (end of the TEP)

Body weight, % change

percent change from baseline, improvement

Posted result

GroupValue (mean), Percentage change in body weight95% CI
Placebo Cohort 1Day 56-0.33
Day 77-1.38
MEDI0382 Cohort 1Day 56-5.06
Day 77-6.88
Placebo Cohort 2Day 56-1.96
Day 77-1.76
MEDI0382 Cohort 2Day 56-3.20
Day 77-5.08
Secondary/protocol endpoint

Absolute Change From Baseline in Body Weight to the End of Each Week of the Up-titration Period

Time frame:Baseline (Day -1), Days 7, 14, 35, 42, 49, and 56

Body weight, absolute change (kg)

change from baseline, improvement

Posted result

GroupValue (mean), Kg95% CI
Placebo Cohort 1Day 7-2.05
Day 14-1.95
Day 35-0.60
Day 42-0.10
Day 490.10
Day 56-0.30
MEDI0382 Cohort 1Day 7-1.78
Day 14-2.72
Day 35-3.86
Day 42-4.40
Day 49-4.94
Day 56-5.27
Placebo Cohort 2Day 7-0.70
Day 14-0.73
Day 35-0.27
Day 42-1.57
Day 49-1.57
Day 56-1.70
MEDI0382 Cohort 2Day 70.49
Day 140.08
Day 35-1.70
Day 42-2.00
Day 49-3.30
Day 56-2.89
Secondary/protocol endpoint

Percentage Change From Baseline in Body Weight to the End of Each Week of the Up-titration Period

Time frame:Baseline (Day -1), Days 7, 14, 35, 42, 49, and 56

Body weight, % change

percent change from baseline, improvement

Posted result

GroupValue (mean), Percentage change in body weight95% CI
Placebo Cohort 1Day 7-2.22
Day 14-2.13
Day 35-0.64
Day 42-0.11
Day 490.11
Day 56-0.33
MEDI0382 Cohort 1Day 7-1.83
Day 14-2.76
Day 35-3.89
Day 42-4.43
Day 49-4.95
Day 56-5.06
Placebo Cohort 2Day 7-0.77
Day 14-0.83
Day 35-0.27
Day 42-1.81
Day 49-1.82
Day 56-1.96
MEDI0382 Cohort 2Day 70.67
Day 140.22
Day 35-1.78
Day 42-2.09
Day 49-3.52
Day 56-3.20
Secondary/protocol endpoint

Percentage of Participants Achieving Greater Than 5% Body Weight Loss From Baseline to the End of the Treatment Extension Period

Time frame:Baseline (Day -1) through Day 77 (end of the treatment extension period)

≥5% weight-loss responders

threshold achievement, improvement

Posted result

GroupValue (number), Percentage of participants95% CI
Placebo Cohort 1Day 70
Day 140
Day 350
Day 420
Day 490
Day 560
Day 770
MEDI0382 Cohort 1Day 70
Day 140
Day 3540
Day 4240
Day 4960
Day 5650
Day 7780
Placebo Cohort 2Day 70
Day 140
Day 350
Day 420
Day 490
Day 560
Day 770
MEDI0382 Cohort 2Day 70
Day 140
Day 3525
Day 4225
Day 4950
Day 5628.6
Day 7771.4

Glycemic / diabetes

9 endpoints
Secondary/protocol endpoint

Change From Baseline in Daily (24 Hours) Average Glucose Levels Over Time as Measured by Continuous Glucose Monitoring (CGM)

Time frame:Baseline (Day -1) through Day 56 (end of the up-titration period), Day 77 (end of the treatment extension period) and Day 91 (end of the follow-up period)

change from baseline, improvement

Posted result

GroupValue (mean), mg/dL95% CI
Placebo Cohort 1Day 56-14.96
Day 77-10.41
Day 91-1.80
MEDI0382 Cohort 1Day 56-52.04
Day 77-49.24
Day 91-5.71
Placebo Cohort 2Day 56-22.51
Day 77-32.54
Day 9120.28
MEDI0382 Cohort 2Day 56-34.25
Day 77-39.70
Day 91-13.03
Secondary/protocol endpoint

Change From Baseline in 7-day Average Glucose Levels Over Time as Measured by CGM

Time frame:Baseline (Days -7 to -1), Days 1-7, Days 8-14, Days 15-21, Days 22-28, Days 29-35, Days 36-42, Days 43-49, Days 50-56 of the Up-titration period, and Days 71-77 of end of the treatment extension period

change from baseline, improvement

Posted result

GroupValue (mean), mg/dL95% CI
Placebo Cohort 1Days 1-737.53
Days 8-1422.73
Days 15-2113.83
Days 22-2812.54
Days 29-3516.11
Days 36-4222.29
Days 43-495.69
Days 50-562.02
Days 71-7721.50
MEDI0382 Cohort 1Days 1-7-34.64
Days 8-14-52.07
Days 15-21-44.84
Days 22-28-53.38
Days 29-35-63.28
Days 36-42-47.97
Days 43-49-48.06
Days 50-56-55.21
Days 71-77-62.66
Placebo Cohort 2Days 1-7-3.96
Days 8-14-14.44
Days 15-21-13.72
Days 22-285.88
Days 29-350.32
Days 36-42-20.03
Days 43-49-19.88
Days 50-56-19.59
Days 71-77-19.06
MEDI0382 Cohort 2Days 1-7-26.06
Days 8-14-39.86
Days 15-21-38.10
Days 22-28-25.10
Days 29-35-40.83
Days 36-42-35.45
Days 43-49-46.84
Days 50-56-37.89
Days 71-77-40.20
Secondary/protocol endpoint

Percentage Change From Baseline in Glucose Area Under Concentration Time-curve Over 4 Hours (AUC4Hrs) During a Standardized Breakfast, Lunch, and Evening Meal Over Time as Measured by CGM

Time frame:Baseline (Day -1) through Day 7 (end of Week 1), Day 56 (end of the up-titration period), and Day 77 (end of the treatment extension period)

Postprandial glucose

percent change from baseline, improvement

Posted result

GroupValue (mean), Percent change in Glucose AUC4Hrs95% CI
Placebo Cohort 1Day 7 - Breakfast-3.72
Day 56 - Breakfast-21.96
Day 77 - Breakfast-10.54
Day 7 - Lunch-3.06
Day 56 - Lunch-7.35
Day 77 - Lunch-7.76
Day 7 - Evening Meal-7.81
Day 56 - Evening Meal-11.07
Day 77 - Evening Meal-12.12
MEDI0382 Cohort 1Day 7 - Breakfast-27.90
Day 56 - Breakfast-42.22
Day 77 - Breakfast-41.52
Day 7 - Lunch-32.55
Day 56 - Lunch-33.67
Day 77 - Lunch-31.10
Day 7 - Evening Meal-16.14
Day 56 - Evening Meal-35.39
Day 77 - Evening Meal-26.09
Placebo Cohort 2Day 7 - Breakfast-8.66
Day 56 - Breakfast-10.18
Day 77 - Breakfast-19.21
Day 7 - Lunch0.32
Day 56 - Lunch-24.06
Day 77 - Lunch-28.75
Day 7 - Evening Meal-10.37
Day 56 - Evening Meal-22.08
Day 77 - Evening Meal-22.06
MEDI0382 Cohort 2Day 7 - Breakfast-25.85
Day 56 - Breakfast-32.82
Day 77 - Breakfast-32.48
Day 7 - Lunch-15.68
Day 56 - Lunch-18.30
Day 77 - Lunch-21.58
Day 7 - Evening Meal-22.58
Day 56 - Evening Meal-31.44
Day 77 - Evening Meal-34.18
Secondary/protocol endpoint

Change From Baseline in Coefficient of Variation (CV) in Glucose Over 7 Days as Measured by CGM

Time frame:Baseline (Days -7 to -1), Days 1-7, Days 8-14, Days 15-21, Days 22-28, Days 29-35, Days 36-42, Days 43-49, Days 50-56 of the Up-titration period, and Days 71-77 of end of the treatment extension period

change from baseline, improvement

Posted result

GroupValue (mean), Percent of CV95% CI
Placebo Cohort 1Days 1 - 7-4.48
Days 8 - 14-3.67
Days 15 - 21-8.86
Days 22 - 28-4.79
Days 29 - 35-7.92
Days 36 - 420.93
Days 43 - 49-3.96
Days 50 - 56-2.97
Days 71 - 77-4.91
MEDI0382 Cohort 1Days 1 - 7-0.96
Days 8 - 14-2.97
Days 15 - 21-2.65
Days 22 - 28-3.70
Days 29 - 35-5.84
Days 36 - 42-4.96
Days 43 - 49-3.68
Days 50 - 56-2.94
Days 71 - 77-2.15
Placebo Cohort 2Days 1 - 71.51
Days 8 - 142.26
Days 15 - 21-1.54
Days 22 - 28-2.49
Days 29 - 35-3.24
Days 36 - 421.39
Days 43 - 492.18
Days 50 - 564.10
Days 71 - 772.60
MEDI0382 Cohort 2Days 1 - 7-2.41
Days 8 - 14-0.95
Days 15 - 21-4.44
Days 22 - 28-1.56
Days 29 - 35-2.52
Days 36 - 42-1.38
Days 43 - 49-1.98
Days 50 - 56-2.36
Days 71 - 77-0.82
Secondary/protocol endpoint

Change From Baseline in Percentage of Time Spent in Hyperglycemia, Normoglycemia, and Clinically Significant Hypoglycemia Over 24 Hours Time as Measured by CGM

Time frame:Baseline (Day -1), Days 7, 14, 21, 28, 35, 42, 49, 56 of the up-titration period, and Day77 (end of the treatment extension period)

change from baseline, improvement

Posted result

GroupValue (mean), Percentage of time spent95% CI
Placebo Cohort 1Day 7 - Hyperglycemia-19.79
Day 14 - Hyperglycemia-5.73
Day 21 - Hyperglycemia-3.65
Day 28 - Hyperglycemia-9.90
Day 35 - Hyperglycemia-6.01
Day 42 - Hyperglycemia-19.80
Day 49 - Hyperglycemia9.90
Day 56 - Hyperglycemia-20.31
Day 77 - Hyperglycemia-21.35
Day 7 - Normoglycemia19.27
Day 14 - Normoglycemia5.21
Day 21 - Normoglycemia3.13
Day 28 - Normoglycemia9.90
Day 35 - Normoglycemia5.48
Day 42 - Normoglycemia19.79
Day 49 - Normoglycemia-10.42
Day 56 - Normoglycemia19.79
Day 77 - Normoglycemia18.75
Day 7 - Hypoglycemia0.00
Day 14 - Hypoglycemia0.00
Day 21 - Hypoglycemia0.00
Day 28 - Hypoglycemia0.00
Day 35 - Hypoglycemia0.00
Day 42 - Hypoglycemia0.00
Day 49 - Hypoglycemia0.00
Day 56 - Hypoglycemia0.00
Day 77 - Hypoglycemia0.00
MEDI0382 Cohort 1Day 7 - Hyperglycemia-39.06
Day 14 - Hyperglycemia-41.67
Day 21 - Hyperglycemia-38.50
Day 28 - Hyperglycemia-33.54
Day 35 - Hyperglycemia-51.24
Day 42 - Hyperglycemia-38.33
Day 49 - Hyperglycemia-49.79
Day 56 - Hyperglycemia-50.21
Day 77 - Hyperglycemia-46.04
Day 7 - Normoglycemia39.58
Day 14 - Normoglycemia41.25
Day 21 - Normoglycemia39.06
Day 28 - Normoglycemia20.21
Day 35 - Normoglycemia39.35
Day 42 - Normoglycemia34.58
Day 49 - Normoglycemia47.92
Day 56 - Normoglycemia40.42
Day 77 - Normoglycemia43.13
Day 7 - Hypoglycemia0.00
Day 14 - Hypoglycemia0.00
Day 21 - Hypoglycemia0.00
Day 28 - Hypoglycemia1.04
Day 35 - Hypoglycemia0.00
Day 42 - Hypoglycemia0.00
Day 49 - Hypoglycemia0.00
Day 56 - Hypoglycemia0.00
Day 77 - Hypoglycemia0.83
Placebo Cohort 2Day 7 - Hyperglycemia-7.29
Day 14 - Hyperglycemia-15.63
Day 21 - Hyperglycemia10.42
Day 28 - Hyperglycemia13.19
Day 35 - Hyperglycemia2.49
Day 42 - Hyperglycemia-20.49
Day 49 - Hyperglycemia-16.32
Day 56 - Hyperglycemia-16.96
Day 77 - Hyperglycemia-26.74
Day 7 - Normoglycemia7.64
Day 14 - Normoglycemia13.89
Day 21 - Normoglycemia-11.11
Day 28 - Normoglycemia-13.54
Day 35 - Normoglycemia-2.14
Day 42 - Normoglycemia16.67
Day 49 - Normoglycemia4.86
Day 56 - Normoglycemia17.31
Day 77 - Normoglycemia21.88
Day 7 - Hypoglycemia0.00
Day 14 - Hypoglycemia0.00
Day 21 - Hypoglycemia0.00
Day 28 - Hypoglycemia0.00
Day 35 - Hypoglycemia0.00
Day 42 - Hypoglycemia0.00
Day 49 - Hypoglycemia0.00
Day 56 - Hypoglycemia0.00
Day 77 - Hypoglycemia0.00
MEDI0382 Cohort 2Day 7 - Hyperglycemia-22.66
Day 14 - Hyperglycemia-25.91
Day 21 - Hyperglycemia-22.92
Day 28 - Hyperglycemia-21.88
Day 35 - Hyperglycemia-32.30
Day 42 - Hyperglycemia-36.85
Day 49 - Hyperglycemia-42.71
Day 56 - Hyperglycemia-31.40
Day 77 - Hyperglycemia-35.27
Day 7 - Normoglycemia22.66
Day 14 - Normoglycemia25.78
Day 21 - Normoglycemia19.53
Day 28 - Normoglycemia21.13
Day 35 - Normoglycemia27.81
Day 42 - Normoglycemia36.72
Day 49 - Normoglycemia41.82
Day 56 - Normoglycemia30.51
Day 77 - Normoglycemia27.73
Day 7 - Hypoglycemia0.00
Day 14 - Hypoglycemia0.00
Day 21 - Hypoglycemia0.00
Day 28 - Hypoglycemia0.00
Day 35 - Hypoglycemia0.00
Day 42 - Hypoglycemia0.00
Day 49 - Hypoglycemia0.00
Day 56 - Hypoglycemia0.00
Day 77 - Hypoglycemia1.73
Secondary/protocol endpoint

Change From Baseline in Percentage of Time Spent in Hyperglycemia, Normoglycemia, and Clinically Significant Hypoglycemia Over 7 Days as Measured by CGM

Time frame:Baseline (Days -7 to -1), Days 1-7, Days 8-14, Days 15-21, Days 22-28, Days 29-35, Days 36-42, Days 43-49, Days 50-56 of the Up-titration period, and Days 71-77 of end of the treatment extension period

CGM time-above-range

change from baseline, improvement

Posted result

GroupValue (mean), Percentage of time spent95% CI
Placebo Cohort 1Days 1 - 7 (Hyperglycemia)20.70
Days 8 - 14 (Hyperglycemia)17.22
Days 15 - 21 (Hyperglycemia)19.80
Days 22 - 28 (Hyperglycemia)12.25
Days 29 - 35 (Hyperglycemia)20.10
Days 36 - 42 (Hyperglycemia)11.77
Days 43 - 49 (Hyperglycemia)9.08
Days 50 - 56 (Hyperglycemia)6.82
Days 71 - 77 (Hyperglycemia)18.57
Days 1 - 7 (Normoglycemia)-19.94
Days 8 - 14 Normoglycemia)-16.47
Days 15 - 21 (Normoglycemia)-19.20
Days 22 - 28 (Normoglycemia)-12.10
Days 29 - 35 (Normoglycemia)-19.49
Days 36 - 42 (Normoglycemia)-11.31
Days 43 - 49 (Normoglycemia)-8.63
Days 50 - 56 (Normoglycemia)-6.37
Days 71 - 77 (Normoglycemia)-18.27
Days 1 - 7 (Hypoglycemia)0.00
Days 8 - 14 (Hypoglycemia)0.00
Days 15 - 21 (Hypoglycemia)0.00
Days 22 - 28 Hypoglycemia)0.00
Days 29 - 35 (Hypoglycemia)0.00
Days 36 - 42 (Hypoglycemia)0.00
Days 43 - 49 (Hypoglycemia)0.00
Days 50 - 56 (Hypoglycemia)0.00
Days 71 - 77 (Hypoglycemia)0.00
MEDI0382 Cohort 1Days 1 - 7 (Hyperglycemia)-32.73
Days 8 - 14 (Hyperglycemia)-46.85
Days 15 - 21 (Hyperglycemia)-40.52
Days 22 - 28 (Hyperglycemia)-40.92
Days 29 - 35 (Hyperglycemia)-51.69
Days 36 - 42 (Hyperglycemia)-42.48
Days 43 - 49 (Hyperglycemia)-41.92
Days 50 - 56 (Hyperglycemia)-47.70
Days 71 - 77 (Hyperglycemia)-53.98
Days 1 - 7 (Normoglycemia)32.58
Days 8 - 14 Normoglycemia)43.41
Days 15 - 21 (Normoglycemia)40.36
Days 22 - 28 (Normoglycemia)32.09
Days 29 - 35 (Normoglycemia)42.95
Days 36 - 42 (Normoglycemia)40.62
Days 43 - 49 (Normoglycemia)40.85
Days 50 - 56 (Normoglycemia)44.10
Days 71 - 77 (Normoglycemia)46.39
Days 1 - 7 (Hypoglycemia)0.00
Days 8 - 14 (Hypoglycemia)1.20
Days 15 - 21 (Hypoglycemia)0.00
Days 22 - 28 Hypoglycemia)1.09
Days 29 - 35 (Hypoglycemia)0.27
Days 36 - 42 (Hypoglycemia)0.00
Days 43 - 49 (Hypoglycemia)0.09
Days 50 - 56 (Hypoglycemia)0.06
Days 71 - 77 (Hypoglycemia)2.16
Placebo Cohort 2Days 1 - 7 (Hyperglycemia)-8.87
Days 8 - 14 (Hyperglycemia)-17.00
Days 15 - 21 (Hyperglycemia)-9.16
Days 22 - 28 (Hyperglycemia)6.55
Days 29 - 35 (Hyperglycemia)4.03
Days 36 - 42 (Hyperglycemia)-17.21
Days 43 - 49 (Hyperglycemia)-16.46
Days 50 - 56 (Hyperglycemia)-18.70
Days 71 - 77 (Hyperglycemia)-16.06
Days 1 - 7 (Normoglycemia)9.10
Days 8 - 14 Normoglycemia)17.07
Days 15 - 21 (Normoglycemia)9.30
Days 22 - 28 (Normoglycemia)-6.27
Days 29 - 35 (Normoglycemia)-3.71
Days 36 - 42 (Normoglycemia)17.15
Days 43 - 49 (Normoglycemia)14.07
Days 50 - 56 (Normoglycemia)18.10
Days 71 - 77 (Normoglycemia)15.08
Days 1 - 7 (Hypoglycemia)0.00
Days 8 - 14 (Hypoglycemia)0.00
Days 15 - 21 (Hypoglycemia)0.00
Days 22 - 28 Hypoglycemia)0.00
Days 29 - 35 (Hypoglycemia)0.00
Days 36 - 42 (Hypoglycemia)0.00
Days 43 - 49 (Hypoglycemia)0.40
Days 50 - 56 (Hypoglycemia)0.20
Days 71 - 77 (Hypoglycemia)0.15
MEDI0382 Cohort 2Days 1 - 7 (Hyperglycemia)-23.38
Days 8 - 14 (Hyperglycemia)-35.82
Days 15 - 21 (Hyperglycemia)-33.74
Days 22 - 28 (Hyperglycemia)-26.31
Days 29 - 35 (Hyperglycemia)-38.19
Days 36 - 42 (Hyperglycemia)-37.81
Days 43 - 49 (Hyperglycemia)-44.62
Days 50 - 56 (Hyperglycemia)-34.90
Days 71 - 77 (Hyperglycemia)-40.21
Days 1 - 7 (Normoglycemia)23.34
Days 8 - 14 Normoglycemia)33.32
Days 15 - 21 (Normoglycemia)31.82
Days 22 - 28 (Normoglycemia)22.44
Days 29 - 35 (Normoglycemia)36.13
Days 36 - 42 (Normoglycemia)37.45
Days 43 - 49 (Normoglycemia)42.81
Days 50 - 56 (Normoglycemia)33.61
Days 71 - 77 (Normoglycemia)37.93
Days 1 - 7 (Hypoglycemia)0.00
Days 8 - 14 (Hypoglycemia)0.28
Days 15 - 21 (Hypoglycemia)0.20
Days 22 - 28 Hypoglycemia)0.79
Days 29 - 35 (Hypoglycemia)0.00
Days 36 - 42 (Hypoglycemia)0.00
Days 43 - 49 (Hypoglycemia)0.15
Days 50 - 56 (Hypoglycemia)0.15
Days 71 - 77 (Hypoglycemia)0.44
Secondary/protocol endpoint

Change From Baseline in Estimated Hemoglobin A1c (HbA1c) Based on 7-day CGM Glucose Over Time

Time frame:Baseline (Days -7 to -1), Days 1-7, Days 8-14, Days 15-21, Days 22-28, Days 29-35, Days 36-42, Days 43-49, Days 50-56 of the Up-titration period, and Days 71-77 of end of the treatment extension period

HbA1c, change

change from baseline, improvement

LOINC 4548-4

Posted result

GroupValue (mean), Percent of HbA1C95% CI
Placebo Cohort 1Days 1 - 71.31
Days 8 - 140.79
Days 15 - 210.48
Days 22 - 280.44
Days 29 - 350.56
Days 36 - 420.78
Days 43 - 490.20
Days 50 - 560.07
Days 71 - 770.75
MEDI0382 Cohort 1Days 1 - 7-1.21
Days 8 - 14-1.81
Days 15 - 21-1.56
Days 22 - 28-1.86
Days 29 - 35-2.21
Days 36 - 42-1.67
Days 43 - 49-1.68
Days 50 - 56-1.92
Days 71 - 77-2.18
Placebo Cohort 2Days 1 - 7-0.14
Days 8 - 14-0.50
Days 15 - 21-0.48
Days 22 - 280.21
Days 29 - 350.01
Days 36 - 42-0.70
Days 43 - 49-0.69
Days 50 - 56-0.68
Days 71 - 77-0.66
MEDI0382 Cohort 2Days 1 - 7-0.91
Days 8 - 14-1.39
Days 15 - 21-1.33
Days 22 - 28-0.88
Days 29 - 35-1.42
Days 36 - 42-1.24
Days 43 - 49-1.63
Days 50 - 56-1.32
Days 71 - 77-1.40
Secondary/protocol endpoint

Change From Baseline in Fasting Plasma Glucose Over Time

Time frame:Baseline (Day -1), Days 7, 14, 21, 28, 35, 42, 49, 56 of the up-titration period, and Day77 (end of the treatment extension period)

Fasting glucose, change

change from baseline, improvement

LOINC 1558-6

Posted result

GroupValue (mean), mg/dL95% CI
Placebo Cohort 1Day 79.0
Day 14-17.5
Day 21-17.5
Day 28-17.5
Day 3528.5
Day 429.0
Day 4923.5
Day 56-7.5
Day 771.0
MEDI0382 Cohort 1Day 7-32.0
Day 14-48.0
Day 21-48.0
Day 28-48.0
Day 35-46.8
Day 42-42.6
Day 49-45.6
Day 56-52.8
Day 77-47.6
Placebo Cohort 2Day 713.7
Day 14-3.3
Day 21-3.3
Day 28-3.3
Day 355.7
Day 422.0
Day 49-0.3
Day 56-9.7
Day 77-9.7
MEDI0382 Cohort 2Day 7-27.1
Day 14-33.9
Day 21-33.9
Day 28-33.9
Day 35-44.4
Day 42-35.1
Day 49-38.1
Day 56-31.3
Day 77-28.6
Secondary/protocol endpoint

Change From Baseline in HbA1c

Time frame:Baseline (Day -1) through Day 77 (end of the treatment extension period)

HbA1c, change

change from baseline, improvement

LOINC 4548-4

Posted result

GroupValue (mean), Percent of HbA1C95% CI
Placebo Cohort 10.10
MEDI0382 Cohort 1-1.44
Placebo Cohort 2-0.40
MEDI0382 Cohort 2-0.59

Safety / tolerability / PK

16 endpoints
Primary/protocol endpoint

Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs) Through the End of the Up-titration Period

Time frame:Baseline (Day -1) through Day 56 (end of Up-titration period)

Treatment-emergent AEs (any)

event count, event

componentsTreatment-emergent AEs (any), Serious AEs (any)

Posted result

GroupValue (count_of_participants), Participants95% CI
Placebo Cohort 1TEAEs2
TESAEs0
MEDI0382 Cohort 1TEAEs6
TESAEs0
Placebo Cohort 2TEAEs3
TESAEs0
MEDI0382 Cohort 2TEAEs8
TESAEs0
Primary/protocol endpoint

Number of Participants With TEAEs and TESAEs Through the End of the Follow-up Period

Time frame:Baseline (Day-1) through 28 days post last dose (end of follow-up period; approximately up to 5 months)

Treatment-emergent AEs (any)

event count, event

Posted result

GroupValue (count_of_participants), Participants95% CI
Placebo Cohort 1TEAEs2
TESAEs0
MEDI0382 Cohort 1TEAEs6
TESAEs0
Placebo Cohort 2TEAEs3
TESAEs0
MEDI0382 Cohort 2TEAEs8
TESAEs0
Primary/protocol endpoint

Number of Participants With Abnormal Electrocardiograms (ECGs) Reported as TEAEs Through the End of the Up-titration Period

Time frame:Baseline (Day -1) through Day 56 (end of Up-titration period)

Treatment-emergent AEs (any)

event count, event

Posted result

GroupValue (count_of_participants), Participants95% CI
Placebo Cohort 1Atrial fibrillation0
Supraventricular extrasystoles0
Ventricular extrasystoles0
Ventricular tachycardia1
MEDI0382 Cohort 1Atrial fibrillation0
Supraventricular extrasystoles0
Ventricular extrasystoles0
Ventricular tachycardia0
Placebo Cohort 2Atrial fibrillation0
Supraventricular extrasystoles0
Ventricular extrasystoles0
Ventricular tachycardia0
MEDI0382 Cohort 2Atrial fibrillation1
Supraventricular extrasystoles1
Ventricular extrasystoles1
Ventricular tachycardia0
Primary/protocol endpoint

Number of Participants With Abnormal ECGs Reported as TEAEs Through the End of the Follow-up Period

Time frame:Baseline (Day-1) through 28 days post last dose (end of follow-up period; approximately up to 5 months)

Treatment-emergent AEs (any)

event count, event

Posted result

GroupValue (count_of_participants), Participants95% CI
Placebo Cohort 1Atrial fibrillation0
Supraventricular extrasystoles0
Ventricular extrasystoles0
Ventricular tachycardia1
MEDI0382 Cohort 1Atrial fibrillation0
Supraventricular extrasystoles0
Ventricular extrasystoles0
Ventricular tachycardia0
Placebo Cohort 2Atrial fibrillation0
Supraventricular extrasystoles0
Ventricular extrasystoles0
Ventricular tachycardia0
MEDI0382 Cohort 2Atrial fibrillation1
Supraventricular extrasystoles1
Ventricular extrasystoles1
Ventricular tachycardia0
Primary/protocol endpoint

Number of Participants With Abnormal Vital Signs Reported as TEAEs Through the End of the Up-titration Period

Time frame:Baseline (Day -1) through Day 56 (end of Up-titration period)

Treatment-emergent AEs (any)

event count, event

Posted result

GroupValue (count_of_participants), Participants95% CI
Placebo Cohort 10
MEDI0382 Cohort 11
Placebo Cohort 20
MEDI0382 Cohort 20
Primary/protocol endpoint

Number of Participants With Abnormal Vital Signs Reported as TEAEs Through the End of the Follow-up Period

Time frame:Baseline (Day-1) through 28 days post last dose (end of follow-up period; approximately up to 5 months)

Treatment-emergent AEs (any)

event count, event

Posted result

GroupValue (count_of_participants), Participants95% CI
Placebo Cohort 10
MEDI0382 Cohort 11
Placebo Cohort 20
MEDI0382 Cohort 20
Primary/protocol endpoint

Number of Participants With Abnormal Physical Examinations Reported as TEAEs Through the End of the Up-titration Period

Time frame:Baseline (Day -1) through Day 56 (end of Up-titration period)

Treatment-emergent AEs (any)

event count, event

Posted result

GroupValue (count_of_participants), Participants95% CI
Placebo Cohort 10
MEDI0382 Cohort 13
Placebo Cohort 20
MEDI0382 Cohort 24
Primary/protocol endpoint

Number of Participants With Abnormal Physical Examinations Reported as TEAEs Through the End of the Follow-up Period

Time frame:Baseline (Day-1) through 28 days post last dose (end of follow-up period; approximately up to 5 months)

Treatment-emergent AEs (any)

event count, event

Posted result

GroupValue (count_of_participants), Participants95% CI
Placebo Cohort 10
MEDI0382 Cohort 13
Placebo Cohort 20
MEDI0382 Cohort 24
Primary/protocol endpoint

Number of Participants With Abnormal Clinical Laboratory Parameters Reported as TEAEs Through the End of the Up-titration Period

Time frame:Baseline (Day -1) through Day 56 (end of Up-titration period)

Treatment-emergent AEs (any)

event count, event

Posted result

GroupValue (count_of_participants), Participants95% CI
Placebo Cohort 10
MEDI0382 Cohort 11
Placebo Cohort 20
MEDI0382 Cohort 20
Primary/protocol endpoint

Number of Participants With Abnormal Clinical Laboratory Parameters Reported as TEAEs Through the End of the Follow-up Period

Time frame:Baseline (Day-1) through 28 days post last dose (end of follow-up period; approximately up to 5 months)

Treatment-emergent AEs (any)

event count, event

Posted result

GroupValue (count_of_participants), Participants95% CI
Placebo Cohort 10
MEDI0382 Cohort 11
Placebo Cohort 20
MEDI0382 Cohort 20
Secondary/protocol endpoint

Area Under the Plasma Concentration Time Curve Over a Dosing Interval (AUCτ) of MEDI0382

Time frame:Pre-dose and at 1, 2, 4, 6, 8, 12 and 24 hours post dose on Days 1, 7, 14, 35, 42, 49 and 56; pre-dose on Days 22, 29, 70, 84; additional 48 and 72 hours post-dose on Day 84

AUC₀–∞

concentration, descriptive

Posted result

GroupValue (geometric_mean), ng.hr/mL95% CI
MEDI0382 (Cohort 1 + Cohort 2)Day 120.915.9 – 29.0
Day 723.717.2 – 41.3
Day 1459.935.8 – 101
Day 35276183 – 694
Day 42332247 – 735
Day 49434308 – 752
Day 56611343 – 2840
Day 84661372 – 4740
Secondary/protocol endpoint

Maximum Observed Serum Concentration (Cmax) of MEDI0382

Time frame:Pre-dose and at 1, 2, 4, 6, 8, 12 and 24 hours post dose on Days 1, 7, 14, 35, 42, 49 and 56; pre-dose on Days 22, 29, 70, 84; additional 48 and 72 hours post-dose on Day 84

Cmax

concentration, descriptive

Posted result

GroupValue (geometric_mean), ng/mL95% CI
MEDI0382 (Cohort 1 + Cohort 2)Day 11.020.447 – 1.84
Day 71.350.934 – 2.51
Day 143.432.02 – 6.37
Day 3515.39.74 – 36.1
Day 4217.812.7 – 37.8
Day 4924.915.2 – 39.0
Day 5632.817.7 – 137
Day 8435.319.7 – 202
Secondary/protocol endpoint

Time to Observed Maximum Serum Concentration (Tmax) of MEDI0382

Time frame:Pre-dose and at 1, 2, 4, 6, 8, 12 and 24 hours post dose on Days 1, 7, 14, 35, 42, 49 and 56; pre-dose on Days 22, 29, 70, 84; additional 48 and 72 hours post-dose on Day 84

Tmax

descriptive

Posted result

GroupValue (median), hours95% CI
MEDI0382 (Cohort 1 + Cohort 2)Day 16.024.00 – 8.00
Day 76.004.00 – 8.00
Day 146.004.00 – 8.00
Day 356.004.00 – 8.00
Day 426.002.00 – 8.00
Day 496.004.00 – 8.00
Day 566.004.00 – 8.00
Day 846.000.00 – 8.00
Secondary/protocol endpoint

Trough Plasma Concentration (Ctrough) of MEDI0382

Time frame:Pre-dose and at 1, 2, 4, 6, 8, 12 and 24 hours post dose on Days 1, 7, 14, 35, 42, 49 and 56; pre-dose on Days 22, 29, 70, 84; additional 48 and 72 hours post-dose on Day 84

Plasma concentration (steady state)

concentration, descriptive

Posted result

GroupValue (geometric_mean), ng/mL95% CI
MEDI0382 (Cohort 1 + Cohort 2)Day 70.5510.401 – 0.775
Day 141.460.617 – 2.56
Day 222.011.09 – 3.27
Day 294.652.10 – 27.0
Day 356.923.85 – 23.2
Day 428.855.09 – 26.4
Day 4911.05.86 – 23.7
Day 5616.39.70 – 131
Day 7013.68.22 – 29.5
Day 8418.87.99 – 178
Secondary/protocol endpoint

Observed Accumulation Ratio (Ro) of MEDI0382 Calculated Using AUC

Time frame:Pre-dose and at 1, 2, 4, 6, 8, 12 and 24 hours post dose on Days 1, 7, 14, 35, 42, 49 and 56; pre-dose on Days 22, 29, 70, 84; additional 48 and 72 hours post-dose on Day 84

ratio, descriptive

Posted result

GroupValue (geometric_mean), Ratio95% CI
MEDI0382 (Cohort 1 + Cohort 2)Day 1NANA – NA
Day 71.251.09 – 1.65
Day 141.401.22 – 1.72
Day 351.010.761 – 1.81
Day 420.8570.503 – 1.44
Day 490.9040.603 – 1.18
Day 561.160.691 – 5.32
Day 841.300.526 – 8.89
Secondary/protocol endpoint

Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI0382 Treatment

Time frame:Pre-dose (Day -2), Days 7, 14, 35, 42, 56; Day 21 of 3 week treatment extension, and 28 days post last dose (approximately 5 months)

Immunogenicity (ADA)

threshold achievement, event

Posted result

GroupValue (count_of_participants), Participants95% CI
Placebo Cohort 1Positive at baseline0
Positive post-baseline0
Positive at baseline and post-baseline0
Not detected at baseline; positive post-baseline0
Positive at baseline; not detected post-baseline0
MEDI0382 Cohort 1Positive at baseline0
Positive post-baseline3
Positive at baseline and post-baseline0
Not detected at baseline; positive post-baseline3
Positive at baseline; not detected post-baseline0
Placebo Cohort 2Positive at baseline0
Positive post-baseline0
Positive at baseline and post-baseline0
Not detected at baseline; positive post-baseline0
Positive at baseline; not detected post-baseline0
MEDI0382 Cohort 2Positive at baseline1
Positive post-baseline4
Positive at baseline and post-baseline1
Not detected at baseline; positive post-baseline3
Positive at baseline; not detected post-baseline1

Provenance

Sources

Trial identity, design, statusClinicalTrials.gov API v2
Snapshot dateJuly 1, 2026
Endpoint classificationDelfa endpoint taxonomy v2 (May 13, 2026)
Results tableClinicalTrials.gov results section

Trial facts come from public ClinicalTrials.gov records. Endpoint categories are Delfa's classification of those records, not a ClinicalTrials.gov field. All figures reflect the July 1, 2026 snapshot.