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Experimental: Cotadutide

Phase 1

Diabetes | Small molecule | Metabolic |AstraZeneca PLC|Last Updated: Nov 7, 2023

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment16

FDA Designations

No designations recorded

Clinical trial landscape

Experimental: Cotadutide · 1 trial · 1 indication

Phase 1 1
NCT05437848Chinese Multiple Dose Escalation (MDE) High Dose StudyDiabetes
COMPLETED16 Analytics
PHASE1COMPLETED
Chinese Multiple Dose Escalation (MDE) High Dose Study
DiabetesUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence of treatment-emergent adverse events (TEAEs)
Baseline until the follow-up period (28 days post last dose), 98 days in total

To assess the safety and tolerability of Cotadutide

Incidence of treatment-emergent serious adverse events (TESAEs)
Baseline until the follow-up period (28 days post last dose), 98 days in total

To assess the safety and tolerability of Cotadutide

Number of Participants With Abnormal Electrocardiograms (ECGs) Reported as TEAEs
Baseline until the follow-up period (28 days post last dose), 98 days in total

Number of participants with abnormal ECGs reported as TEAEs are reported. Abnormal ECGs is defined as any abnormal findings in heart rate, RR interval, PR interval, QRS, QT intervals, and QTcF intervals as measured by digitial 12-lead ECG.

Number of participants with abnormal vital signs reported as TEAEs
Baseline until the follow-up period (28 days post last dose), 98 days in total

Number of participants with abnormal vital signs reported as TEAEs are reported. Abnormal vital signs are defined as any abnormal findings in the vital sign parameters (Systolic Blood Pressure, Diastolic Blood Pressure, Pulse, Respiration rate, body temperature).

Number of Participants With Abnormal Physical Examinations Reported as TEAEs
Baseline until the follow-up period (28 days post last dose), 98 days in total

Number of participants with abnormal physical examinations reported as TEAEs are reported. Abnormal physical examinations findings are defined as any abnormal finding in the following body systems: immunologic/allergy; head, ears, eyes, nose and throat; respiratory; cardiovascular; gastrointestinal; musculoskeletal; neurological psychiatric; dermatologic; hematologic/lymphatic; and enocrine.

Area under the concentration-time curve (AUC) during the dosing interval (AUCtau)
Day 1 of Up-titration treatment period through 3 days post lost dose, total of up to 73 days.

To characterize the PK profile of Cotadutide

Maximum observed concentration (Cmax)
Day 1 of Up-titration treatment period through 3 days post lost dose, total of up to 73 days.

To characterize the PK profile of Cotadutide

Time to Cmax (tmax)
Day 1 of Up-titration treatment period through 3 days post lost dose, total of up to 73 days.

To characterize the PK profile of Cotadutide

Trough plasma concentration (Ctrough)
Day 1 of Up-titration treatment period through 3 days post lost dose, total of up to 73 days.

To characterize the PK profile of Cotadutide

Number of Participants With Abnormal Clinical Laboratory Parameters Reported as TEAEs
Baseline until the follow-up period (28 days post last dose), 98 days in total

Number of Participants With Abnormal Clinical Laboratory Parameters Reported as TEAEs are reported. Abnormal clinical laboratory parameters defined as any abnormal finding during analysis of serum chemistry, hematology, and urinalysis.

Secondary Endpoints

Anti-drug antibodies (ADAs) to Cotadutide
Day 1 of Up-titration treatment period through end of study, 98 days in total
Change in daily average glucose levels
baseline to the end of extension period, and during 14 days of the follow up period, 84 days in total.
Change in 7-day average glucose levels
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 of the up-titration period, Days 50-56, Days 57-63, Days 64 - 70 of the treatment extension period
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
CotadutideEXPERIMENTALThose subjects who were randomized to cotadutide once daily SC will begin at 50 μg once daily, then up-titrated to 100 μg once daily a week later, after that up-titration will be done at 100 μg increment weekly, till to a maximum of 600 μg once daily.
PlaceboPLACEBO_COMPARATORPlacebo: Placebo subcutaneous injection

Interventions

NameTypeDescription
Experimental: CotadutideDRUGCotadutide: subcutaneous (SC) injection
PlaceboOTHERPlacebo subcutaneous injection
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Eligibility Criteria

Age Range18 Years to 74 Years
SexALL
Healthy VolunteersNo
Study Sites2

Inclusion Criteria 1. Subjects aged 18 to 74 years 2. Provision of signed and dated written informed consent prior to any study specific procedures 3. BMI between 25 and 35 kg/m2 4. HbA1c range of 7% to 8.5% 5. Willing and able to self-inject investigational product 6. Diagnosed with T2DM with gluc...

Countries:China
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Competitive Landscape -Diabetes Complications 6 trials (matched to "Diabetes")

Frequently asked questions about Experimental: Cotadutide

What is cotadutide used for?

Cotadutide is an investigational drug being studied for the treatment of diabetes. It is currently in Phase 1 clinical development. The drug is being developed by AstraZeneca PLC, a biopharmaceutical company. Cotadutide is a small molecule, and it is not yet approved for any use.

Who makes cotadutide?

Cotadutide is being developed by AstraZeneca PLC, a biopharmaceutical company listed on the stock exchange under the ticker symbol AZN. The drug is currently in Phase 1 clinical trials for the treatment of diabetes. AstraZeneca is conducting research to evaluate the safety and efficacy of cotadutide.

What phase is cotadutide in?

Cotadutide is currently in Phase 1 clinical development. It is an investigational drug being studied for the treatment of diabetes. The drug is not yet approved by regulatory authorities and is still undergoing clinical trials to assess its safety and effectiveness. Cotadutide is being developed by AstraZeneca PLC.

What clinical trials is cotadutide in?

Cotadutide has been studied in a Phase 1 clinical trial with the identifier NCT05437848. This trial was a Chinese multiple dose escalation high dose study, which has been completed. The trial enrolled 16 participants with diabetes and was conducted in China. The study was randomized, double-blind, and placebo-controlled.

Is cotadutide FDA approved?

Cotadutide is not FDA approved. It is an investigational drug currently in Phase 1 clinical development for the treatment of diabetes. The drug is being studied in clinical trials to evaluate its safety and efficacy, but it has not yet received approval from regulatory authorities. Cotadutide is being developed by AstraZeneca PLC.