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A Study Investigating the Pharmacokinetics of a Single Dose Administration of Cotadutide
A Phase 1, Randomized, Open-label, Single Center, Three Period Cross-over Study to Evaluate the Pharmacokinetics of Single Dose Administration of Cotadutide in Healthy Subjects
Lead sponsor
Asset
Cotadutide
Subcutaneous · GLP-1 / glucagon dual
Listed sites
1
Recruiting sites
—
Enrollment
36
actual
Study population
Healthy volunteers
Key I/E criteria
•BMI 19-30•Healthy volunteers
Primary endpoint
•AUC
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
Timeline
Milestones
Assets
Investigational agents
Study populations
Who this study enrolls
Eligibility
Who can enroll
Inclusion criteria
1. Healthy subjects aged 18 through 60 years (inclusive) at the time of screening.
2. Electronic and/or written informed consent obtained from the subject prior to performing any protocol-related procedures, including screening evaluations.
3. BMI between 19 and 30 kg/m2 (inclusive) at screening.
4. Good general health as judged by the investigator, based on medical history, physical examination including 12 lead electrocardiogram (ECG), vital signs, and blood and urinary laboratory assessments.
5. Female subjects of childbearing potential must have a negative serum or urine pregnancy test within 72 hours prior to the start of investigational product, and must not be breastfeeding.
6. Female subjects 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 investigational product. As applicable, at least one method must be in effect prior to receiving the first dose of investigational product.
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 interpretation of subject safety or study results.
2. Inflammatory bowel disease, gastroparesis or other severe disease or surgery affecting the upper GI tract, which may affect gastric emptying or could affect the interpretation of safety and tolerability data.
3. Estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73 m2; eGFR will be determined by the chronic kidney disease - epidemiology collaboration (CKD-EPI) equation.
4. BP and heart rate in supine position outside the ranges of 90 140 mmHg systolic, 50-90 mmHg diastolic and heart rate 40-100 beats/min following a 10 minute rest period.
5. Active hepatitis B, measured by positive tests of surface antigen HBsAg and/or active hepatitis C, measured by positive hepatitis C virus antibody tests.
6. Positive human immunodeficiency virus (HIV) antibodies.
7. Subjects with a history of acute or chronic pancreatitis.
8. Subjects with a history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2, and subjects with a screening/baseline serum calcitonin ≥ 50 ng/L.
9. Signs or symptoms of severe hepatic impairment AND any of the following laboratory values at screening: Aspartate transaminase (AST) ≥ 3 × upper limit of normal (ULN), alanine transaminase (ALT) ≥ 3 × ULN, or total bilirubin (TBL) ≥ 2 × ULN. Alternatively, AST ≥ 5 × ULN, ALT ≥ 5 × ULN, or TBL ≥ 2 × ULN regardless of signs and symptoms. An isolated increase in TBL in subjects with known Gilbert's syndrome is not a reason for exclusion.
10. Symptoms of acutely decompensated blood glucose control (eg, thirst, polyuria, weight loss), a history of type 1 diabetes mellitus or diabetic ketoacidosis.
11. History of neoplastic disease within 5 years prior to screening except for adequately treated basal cell or squamous cell skin cancer, or in situ cervical cancer.
12. Known or suspected allergy to cotadutide, any component of the formulation, or related products.
13. Use of any prescription or nonprescription medication, with the exception of permitted concomitant medications, within the last 72 hours prior to Day 1.
14. History of alcoholism or drug abuse during the last 12 months.
15. Current smoker of cigarettes or other tobacco products.
16. Habitual excessive consumption of methylxanthine containing (theophylline, caffeine, or theobromine) beverages and foods (eg, coffee, tea, red bull, cola, chocolate) as judged by the investigator.
17. Blood donation within the last 3 months.
18. Participation in any other study investigating other products or involving blood sampling within the past 30 days.
19. Potentially noncompliant or uncooperative, as judged by the investigator.
20. Substance dependence likely to impact subject safety or compliance with study procedures, to include a positive test result for drugs of abuse and/or alcohol at screening or prior to administration of investigational product on Day 1.
21. Psychiatric illness such that subjects have been committed to an institution by way of official or judicial order.
22. Involvement of any AstraZeneca, MedImmune, the contract research organization, or the study center employee or their close relatives.
Endpoints (8)
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.
Safety / tolerability / PK
8 endpointsArea under the plasma concentration time curve
Time frame:48 hours
AUC₀–∞
concentration, descriptive
Maximum observed plasma drug concentration
Time frame:48 hours
Cmax
concentration, descriptive
Area under the plasma concentration time curve from zero to infinity
Time frame:48 hours
AUC₀–∞
concentration, descriptive
Time to maximum observed plasma drug concentration
Time frame:48 hours
Tmax
descriptive
Terminal phase elimination half life
Time frame:48 hours
Half-life
descriptive
Apparent clearance
Time frame:48 hours
descriptive
Anti drug antibody incidence and titer
Time frame:43 Days
Immunogenicity (ADA)
descriptive
Incidence of treatment-emergent adverse events, including those related to changes in vital signs (including body temperature, heart rate, blood pressure) and safety laboratory evaluations (including hematology, chemistry, plasma glucose, urinalysis).
Time frame:43 Days
Treatment-emergent AEs (any)
event count, event
Provenance
Sources
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.