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MEDI0382 100 μg

Phase 2

Type 2 Diabetes | Small molecule | Metabolic |AstraZeneca PLC|Last Updated: Dec 23, 2019

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment61
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03645421Safety and Tolerability Study of MEDI0382 in Japanese Preobese or Obese Subjects With Type 2 DiabetesPHASE2 COMPLETED 61Aug 10, 2018Jan 17, 2019Dec 23, 20195 Japan
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Study Endpoints
Primary Endpoints
Mean Change From Baseline in 24-Hour Heart Rate at Days 20 and 48
Baseline (Day -1) and Days 20 and 48.

Twenty four-hour heart rate was determined using an ambulatory blood pressure monitoring (ABPM) device, and the mean change from baseline in the 24-hour heart rate is presented for Days 20 and 48.

Mean Change From Baseline in 24-Hour Systolic and Diastolic Blood Pressure (BP) at Days 20 and 48
Baseline (Day -1) and Days 20 and 48.

Twenty four-hour BP was determined using an ABPM device, and the mean change from baseline in the 24-hour systolic BP and 24-hour diastolic BP are presented for Days 20 and 48.

Mean Percentage Change From Baseline in Glucose Area Under the Plasma Concentration Curve (AUC[0-4h]) as Measured by a Standardised Mixed-Meal Test (MMT) at Day 48
Baseline (Day -1) and Day 48: 15 minutes before standardised meal, and then at 15, 30, 45, 60, 90, 120, 180 and 240 minutes (+/-5 minutes) after consumption of the standardised meal.

The MMT was conducted following a minimum 8-hour fast. Blood samples for glucose monitoring were taken 15 minutes before the patient consumed a standardised meal, and samples were taken at intervals after the meal, up to 4 hours. The MMT glucose AUC(0-4h) was calculated using a trapezoidal method, and the mean percentage change from baseline at Day 48 was analysed using an analysis of covariance (ANCOVA) model with treatment group as a factor and baseline as a covariate.

Mean Percentage Change From Baseline in Body Weight at Day 48
Baseline (Day -1) and Day 48.

The mean percentage change from baseline in body weight at Day 48 was analysed using an ANCOVA model with treatment group as a factor and baseline as a covariate. For patients who prematurely discontinued IP, the last on-treatment measurement, regardless of rescue medication, was used (last observation carried forward \[LOCF\]).

Mean Change From Baseline in Heart Rate Measured by Electrocardiogram (ECG) at Day 48.
Baseline (Day -1) and Days 1, 6, 13, 20 and 48: predose and 6 hours (+/-15 minutes) postdose.

Digital ECGs were taken at baseline and predose and postdose on Days 1, 6, 13, 20 and 48. The mean change from baseline is presented.

Number of Patients Who Experienced Adverse Events (AEs)
Day 1 up to 14 days after the last dose of IP (approximately 9 weeks).

AEs were collected from Day 1 of treatment up to 14 days after the last dose of IP. Serious AEs (SAEs) were collected from signing of informed consent. The numbers of patients who experienced any AE, any SAE (including events with an outcome of death), and any AE leading to discontinuation of IP are presented.

Secondary Endpoints
Mean Change From Baseline in HbA1c at Day 48
Baseline (Day -1) and Day 48 (predose).
Mean Change From Baseline in Fasting Plasma Glucose at Day 48
Baseline (Day -1) and Day 48 (predose).
Mean Change From Baseline in Fructosamine at Day 48
Baseline (Day -1) and Day 48 (predose).
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
placeboPLACEBO_COMPARATORPlacebo per day,SC injection on 48 days.
MEDI0382 100μgEXPERIMENTAL50 μg/day,SC injection on the first 5 days and 100 μg/day,SC injection on 43 days
MEDI0382 200μgEXPERIMENTAL50 μg/day,SC injection on the first 5 days, 100 μg/day,SC injection on 7 days and 200 μg/day,SC injection on 36 days.
MEDI0382 300μgEXPERIMENTAL50 μg/day,SC injection on the first 5 days, 100 μg/day,SC injection on 7 days, 200 μg/day,SC injection on 7 days and 300 μg/day,SC injection on 29 days
Interventions
NameTypeDescription
MEDI0382 100 μgDRUGSolution for injection in 1.0 mL pre-filled syringe, 100 μg per dose, 1 dose
MEDI0382 200 μgDRUGSolution for injection in 1.0 mL pre filled syringe 200 μg per dose, 1 dose
MEDI0382 300 μgDRUGSolution for injection in 1.0 mL pre filled syringe, 300 μg per dose, 1 dose
PlaceboADRUG1.0 mL liquid formulation per Vial
MEDI0382 50 ugDRUGSolution for injection, 1.0 mL per vial, 50 ug
PlaceboBDRUGSolution for injection in 1.0 mL pre-filled syringe.
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Eligibility Criteria
Age Range20 Years — 120 Years
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: * Individuals whose HbA1c range of 7.0% to 10.5% (inclusive) at screening. * Individuals who are diagnosed with T2DM * Individuals whose current condition at enrolment (Visit 1) is drug naïve * BMI within the range of 24 - 40 kg/m2 (inclusive) at screening Exclusion Criteria: ...

Countries:Japan
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