Overview
Sponsor-declared trial summary
Overweight and obesity
Part A: To evaluate the safety and tolerability of repeat SC doses of AZD9550 compared to placebo. To characterize the PK of AZD9550 following repeat weekly SC doses. Part B: To evaluate the safety and tolerability of multiple ascending SC doses of AZD9550 compared to placebo. Part C: To evaluate the safety and tolerab…
Key facts
- Sponsor
- AstraZeneca AB
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Nutritional and Metabolic Diseases [C18]
- Trial duration
- 28 Sep 2023 → ongoing
- Decision date (initial)
- 2023-09-18
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- No
- Funding sources
- AstraZeneca AB, Sweden
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Others, Pharmacodynamic, Safety, Pharmacokinetic
Part A:
To evaluate the safety and tolerability of repeat SC doses of AZD9550 compared to placebo.
To characterize the PK of AZD9550 following repeat weekly SC doses.
Part B: To evaluate the safety and tolerability of multiple ascending SC doses of AZD9550 compared to placebo.
Part C: To evaluate the safety and tolerability of AZD9550 compared to placebo up to a maximum tolerated SC dose not higher than 00 mg over 24 weeks of dosing.
Part E - To evaluate the safety and tolerability of co administered AZD9550 and AZD6234 up to 00 mg and 00 mg, respectively, compared with placebo
Part F- To evaluate the safety and tolerability of AZD9550 administration, compared to placebo up to an SC MTD not higher than 00 mg over 28 weeks of dosing.
Secondary objectives 26
- Part A - To characterize the PD effect of AZD9550 on glucose metabolism compared to placebo
- Part A - To characterize the PD effect of AZD9550 on fasting lipid profile compared to placebo
- Part A - To assess the effects of AZD9550 compared to placebo on glucose levels as measured by CGM across 4 weeks of treatment into the follow-up period
- Part A - To assess the effects of AZD9550 compared to placebo on body weight and body fat (measured by bioimpedance)
- Part A - To evaluate the immunogenicity profile of AZD9550
- Part B - To assess the effect of AZD9550 on hepatic glycogen levels versus placebo after 5 weeks
- Part B - To characterize the PD effect of AZD9550 on glucose metabolism compared to placebo
- Part B - To characterize the PD effect of AZD9550 on fasting lipid profile compared to placebo
- Part B - To assess the effect of AZD9550 on hepatic fat fraction versus placebo at Week 5
- Part B - To assess the effects of AZD9550 compared to placebo on body weight and body fat (measured by bioimpedance)
- Part B - To assess the effects of AZD9550 compared to placebo on glucose levels as measured by CGM across 5 weeks of treatment into the follow-up period
- Part B - To characterize the PD effect of AZD9550 on glucose metabolism following an MMTT compared to placebo
- Part B - To characterize the PK of AZD9550 following repeat weekly SC doses
- Part B - To evaluate the immunogenicity profile of AZD9550
- Part C - To characterise the PD effect of AZD9550 on glucose metabolism compared to placebo
- Part C -To characterise the PD effect of AZD9550 on fasting lipid profile compared to placebo
- Part C - To assess the effect of AZD9550 on hepatic fat fraction versus placebo after 13 and 24 weeks of treatment
- Part C - To assess the effects of AZD9550 compared to placebo on body weight and body fat (measured by bioimpedance)
- Part C - To assess the effects of AZD9550 compared to placebo on glucose levels as measured by CGM across 24 weeks of treatment into the follow-up period
- Part C - To assess the effect of AZD9550 on fasting hepatic glycogen levels versus placebo after 13 and 24 weeks of treatment
- Part C - To characterise the PK of AZD9550 following repeat weekly SC doses
- Part C - To evaluate the immunogenicity profile of AZD9550
- Part C- To characterise the PD effect of AZD9550 on glucose metabolism following an MMTT compared to placebo
- Part E: To assess the immunogenicity profile of co administered AZD9550 and AZD6234 in combination
- Part F: To assess the effects of AZD9550 compared to placebo on body weight
- Part F: To evaluate the immunogenicity profile of AZD9550
Conditions and MedDRA coding
Overweight and obesity
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 24.1 | PT | 10033307 | Overweight | 100000004861 |
| 20.0 | PT | 10029883 | Obesity | 100000004861 |
Study design 3 periods
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 1 | Screening period A screening period of up to 38 days.
|
Not Applicable | None | ||
| 2 | Treatment PART A: The treatment duration will be up to 22 days (4 treatments in total given 7 days apart).
PART B: The treatment duration will be up to 29 days (5 treatments in total given 7 days apart).
PART C: The treatment duration will be up to 24 weeks with doses given 7 days apart.
Part E: The treatment duration will be up to 24 weeks (Bi-weekly/monthly up-titration for 20 weeks).
Part F: The treatment duration will be up to 28 weeks (Bi-weekly/monthly up-titration of AZD9550/placebo).
|
Randomised Controlled | Single | [{"id":178922,"code":3,"name":"Monitor"},{"id":178921,"code":2,"name":"Investigator"},{"id":178920,"code":1,"name":"Subject"}] | Part A: Approximately 45 participants will be screened to achieve 16 randomised to study intervention: Cohort 1 (n = 8) and Cohort 2 (n = 8). The study duration will be approximately 103 days. Part B: Approximately 90 participants will be screened to achieve 30 randomised to study intervention. The study duration will be approximately 110 days. Part C: Approximately 90 participants will be screened to achieve 30 randomised to study intervention: Cohort 1 (n = 12) and Cohort 2 (n = 18). The study duration will be approximately 249 days. Part E: Approximately 80 participants will be screened to achieve 28 randomised to study intervention. The study duration will be up to approximately 249 days. Part F: Required details are considered as CCI. The study duration will be approximately 261 days. |
| 3 | Follow-up period A 43-day follow-up period, post last dose.
|
Not Applicable | None |
Regulatory references
- Scientific advice from competent authorities
- Medical Products Agency, Federal Institute For Drugs And Medical Devices
- Plan to share IPD
- Yes
- IPD plan description
- Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared. AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA PhRMA Data Sharing Principles. When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment https://vivli.org/. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 9
- 1. Males or females aged 18 through 65 years (Parts A-C) or 75 years (Part E-F) at the time of screening.
- 2. Parts A, B, C only: Participants with or without T2DM. If participants have a diagnosis of T2DM, the glucose control is managed with diabetes diet and in addition to metformin treatment no more than two treatment options (with a stable dose 3 months prior to screening). Part E only: Participants are eligible to be included in the Part E only if they meet all of the following criteria at screening: a) Diagnosed with T2DM. b) Are treated with diet and exercise only, or any combination of OAD with stable doses in the 3 months prior to dosing. c) Participants prescribed a DPP IV inhibitor or a GLP-1RA-containing medicine, alone or in combination with other OADs, may be eligible to enter the study if they have not been treated with any of these drugs for at least 35 days or 5 drug half-lives (whichever is longer) prior to randomisation.
- 3. Participants with a screening HbA1c value within the target range of: • ≥ 42 to ≤ 75 mmol/mol (6% to 9%). • Part F: < 48 mmol/mol (6.5%).
- 4. Body mass index from ≥ 27 to ≤ 39.9 kg/m2 (inclusive) (Part A-C) or ≥ 27 kg/m2 (Part E), or ≥ 30 kg/m2 (Part F).
- 5. Contraceptive use by males or females should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
- 6. Written informed consent and any locally required authorisation (eg, European Union Data Privacy Directive) obtained from the participant prior to performing any protocol-related procedures, including screening evaluations.
- 7. Ability to complete and meet all eligibility requirements for randomisation within 60 days after signing the ICF.
- 8. Venous access suitable for multiple cannulations.
- 9. Willing and able to "route of administration" weekly SC injections (Parts C, D, E, and F only).
Exclusion criteria 45
- 1. Participants with T2DM (Part F) and participants with T2DM treated with insulin (Parts A-E).
- 18. Any clinically important abnormalities in rhythm, conduction, or morphology of the resting ECG and any abnormalities in the 12-lead ECG that, as considered by the investigator, may interfere with the interpretation of QTc interval changes, including abnormal ST-T-wave morphology or left ventricular hypertrophy.
- 19. Participants with implantable cardiac defibrillator or a permanent pacemaker, and participants with symptomatic tachy- or brady-arrhythmias.
- 2. Participants with T2DM treated with more than 3 anti-diabetic therapies (Parts A-C only).
- 20. Participants with unstable angina pectoris or stable angina pectoris classified higher than Canadian Cardiovascular Society class II or an acute coronary syndrome/acute myocardial infarction or coronary intervention with percutaneous coronary intervention or coronary artery bypass grafting or stroke within 6 months.
- 21. In Parts A-C: History of hospitalisation caused by heart failure or a diagnosis of heart failure. In Part E, severe congestive heart failure (New York Heart Association Class III or IV) or recent (< 6 months) hospitalisation due to heart failure.
- 22. Known or suspected history of drug abuse within the past 3 years as judged by the investigator (Parts A-F) and/or a positive screen for drugs of abuse at screening (Parts A-C only).
- 23. History of severe allergy/hypersensitivity or ongoing clinically important allergy/hypersensitivity as judged by the investigator.
- 24. Whole blood or red blood cell donation, or any blood loss > 500 mL (or > 400 mL in Part D) during the 3 months prior to screening.
- 25. History of psychosis or bipolar disorder.
- 30. History of lactic acidosis.
- 10. Symptoms of insulinopenia or poor blood glucose control (eg, significant thirst, nocturia, polyuria, polydipsia, or weight loss).
- 31. Use of any of the following medicinal products: - Use of systemic corticosteroids within 28 days prior to screening. - Use of compounds known to prolong the QTc interval. - Use of any herbal preparations or medicinal products licensed for control of body weight or appetite within 3 months prior to screening.
- 32. Use of drugs with enzyme inducing properties such as St John’s Wort within 3 weeks prior to the first administration of study intervention.
- 33. Received another new chemical entity (defined as a compound that has not been approved for marketing), or has participated in any other clinical study that included drug treatment within at least 30 days or 5 half-lives prior to the first administration of study intervention in this study (whichever is longer). The period of exclusion to begin 30 days or 5 half-lives of IMP after the final dose, or after the last visit, whichever is longest. Participants consented and screened, but not randomised into this study or previous AZD9550, AZD6234, or AZD9550/AZD6234 combination studies, are not excluded from Part E.
- 3. Treatment with GLP-1RA or GLP-1RA/GIPRA within 3 months of screening (Parts A to C only) or within 35 days of randomisation or five half-lives (whichever is shorter) of dosing (Parts E and F only).
- 34. Previous enrolment or randomisation in the present study.
- 35. Concurrent participation in another study of any kind is prohibited.
- 36. Ongoing weight loss diet (hypocaloric diet) or use of weight loss agents, unless the diet or treatment has been stopped at least 3 months prior to screening and the participant has had a stable body weight (± 5%) during the 3 months prior to screening.
- 37. Participants who are vegans, ones with medical dietary restrictions, or participants who are willingly conducting any diet likely to increase ketone levels (Atkins or any similar diet based on increased protein consummation or low carbohydrate content) (Part A-C only).
- 38. Excessive intake of caffeine-containing drinks or food (eg, coffee, tea, Coca-Cola/Pepsi or similar drink type, chocolate) as judged by the investigator (Part A-C only)..
- 39. Current smokers or those who have smoked or used nicotine products (including e-cigarettes) within the previous 3 months prior to screening (Part A-C only).
- 11. Positive hepatitis B or hepatitis C virus serology at screening.
- 40. Participants who cannot communicate reliably with the investigator or vulnerable participants (eg, kept in detention, protected adults under guardianship, trusteeship, or committed to an institution by governmental or juridical order).
- 41. The participant is an employee, or close relative of an employee, of AstraZeneca, the Service Provider, or the study site, regardless of the employee’s role.
- 42. Judgement by the investigator that the participant should not participate in the study if the participant is unlikely to comply with study procedures, restrictions, and requirements.
- 43. Contra-indication to MRI: such as participants with pacemakers, metallic cardiac valves, magnetic material such as surgical clips, implanted electronic infusion pumps or other conditions that would preclude proximity to a strong magnetic field; participants with history of extreme claustrophobia or participant cannot fit inside the MRI scanner cavity (Parts B and C only).
- 4. History of any clinically important disease or disorder which may either put the participant at risk because of participation in the study, or influence the results or the participant’s ability to participate in the study.
- 5. Serum calcitonin suggestive of thyroid C-cell hyperplasia (calcitonin level > 50 ng/L), medullary thyroid carcinoma, or history or family history of multiple endocrine neoplasia at screening.
- 6. History or presence of GI, renal, or hepatic disease (with the exception of Gilbert’s syndrome), or any other condition known to interfere with absorption, distribution, metabolism, or excretion of drugs, as judged by the investigator.
- 7. History of cancer within the last 10 years, with the exception of non-melanoma skin cancer.
- 8. Any clinically important illness (apart from T2DM), as judged by the investigator.
- 9. Any medical/surgical procedure, or trauma within 4 weeks prior to screening, at the discretion of the investigator.
- 12. Positive human immunodeficiency virus test at screening or participant taking antiretroviral medications as determined by medical history or participant’s verbal report.
- 44. Serum triglyceride concentrations > 500 mg/dL (5.6 mmol/L) at screening or any other metabolic condition judged by the investigator as likely to precipitate acute pancreatitis (Part E only).
- 45. History of use of marijuana or THC-containing products within 3 months prior to screening or unwillingness to abstain from marijuana or THC-containing products use during the study (Parts E and F only).
- 13. At screening blood tests, any of the following: AST ≥ 1.5 × ULN ALT ≥ 1.5 × ULN TBL ≥ 1.5 × ULN (with the exception of Gilbert’s syndrome) Haemoglobin below the lower limit of the normal range or any other clinically significant haematological abnormality as judged by the investigator Total serum calcium, albumin-corrected calcium or ionised calcium < LLN at screening (Part E).
- 14. Impaired renal function defined as eGFR ≤ 60 mL/minute/1.73 m2 as defined by Chronic Kidney Disease Epidemiology Collaboration (2021) (Part A to C); or ≤ 45 mL/minute/1.73 m2 (Parts E and F).
- 15. Any clinically important abnormalities in clinical chemistry, haematology, coagulation, or urinalysis results other than those specifically described as exclusion criteria herein, as judged by the investigator.
- 16. Significant late diabetic complications (macroangiopathy with symptoms of congestive heart disease or peripheral arterial disease, microangiopathy with symptoms of neuropathy, gastroparesis, retinopathy requiring treatment, nephropathy) detected in laboratory results or in clinical history/documentation as judged by the investigator.
- 17. Abnormal vital signs, after 10 minutes of supine rest, defined as any of the following: Systolic BP < 90 mmHg or ≥ 150 mmHg Diastolic BP < 50 mmHg or ≥ 90 mmHg HR < 50 or > 85 bpm at resting state Participants may be re-tested for the vital signs criteria only once if, in the investigator’s judgement, they are not representative of the participant.
- 26. History of major depressive disorder within the 2 years prior to screening or depression, where the participant is deemed to be clinically unstable as judged by the investigator.
- 27. Previous hospitalisation for any psychiatric reason.
- 28. Questionnaire score ≥ xx within the x years prior to screening or at screening (Parts E and F only).
- 29. Active suicidal ideation defined as Category 4 (Active Suicidal Ideation with Some Intent to Act, without Specific Plan) or Category 5 (Active Suicidal Ideation with Specific Plan and Intent) on the C-SSRS at any time prior to the study.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 4
- Parts A, B, C: • AEs and SAEs • Vital signs • ECG • Clinical laboratory assessments
- Part A: • PK parameters (AUClast, AUCtau, Cmax, t1/2λz, tmax, CL/F, Vz/F, and other PK parameters if applicable) at first dose and last dose (at the same dose level) • Rac (AUCtau and Cmax)
- Part E: • AEs, SAEs, and AESIs • Vital signs • ECG • Clinical laboratory assessments
- Part F: • "CCI" • AEs and SAEs • Vital signs • ECG • Clinical laboratory assessments
Secondary endpoints 33
- Part A • Absolute change from baseline to Week 4 in fasting glucose, fasting insulin, fasting c-peptide, and HbA1c • Percent change from baseline to Week 4 in fasting glucose, fasting insulin, fasting c-peptide, and HbA1c
- Part A • Absolute and percentage change from baseline to Week 4 in total cholesterol, high-density lipoprotein, low-density lipoprotein, triglycerides, and ...
- Part A • Absolute change from baseline to Week 4 in body weight • Percentage change from baseline to Week 4 in body weight • Absolute change from baseline to Week 4 in percentage body fat
- Part A • Incidence and titre of ADA to AZD9550
- Part B • Absolute change from baseline to Week 5 in fasting glucose, fasting insulin, fasting c-peptide and HbA1c • Percent change from baseline to Week 5 in fasting glucose, fasting insulin, fasting c-peptide and HbA1c
- Part B • Absolute and percentage change from baseline to Week 5 in total cholesterol, high-density lipoprotein, low-density lipoprotein, triglyceride, and ...
- Part B • Change from baseline to Week 5 in hepatic fat fraction as measured by MRI-PDFF • Percent change from baseline to Week 5 in hepatic fat fraction as measured by MRI-PDFF
- Part B • Absolute change from baseline to Week 5 in body weight • Percent change from baseline to Week 5 in body weight • Proportion of participants achieving ≥ 5% body weight loss from baseline to Week 5 • Proportion of participants achieving ≥ 10% body weight loss from baseline to Week 5 • Absolute change from baseline to Week 5 in percentage body fat
- Part B • Percent change from baseline to Week 5 in glucose AUC(0-4h) measured by MMTT • Percent change from baseline to Week 5 in insulin AUC(0-4h) measured by MMTT • Percent change from baseline to Week 5 in c-peptide AUC(0-4h) measured by MMTT • Absolute change from baseline to Week 5 in fasting glucose, fasting insulin, and fasting c-peptide • Percent change from baseline to Week 5 in fasting glucose, fasting insulin, and fasting c-peptide
- Part B • PK parameters (AUClast, AUCtau, Cmax, t1/2λz, tmax, CL/F, Vz/F, and other PK parameters if applicable) at the last dose
- Part B • Incidence and titre of ADA to AZD9550
- Part C • Absolute change from baseline to Week 24 in fasting glucose, fasting insulin, fasting c-peptide, and HbA1c • Percent change from baseline to Week 24 in fasting glucose, fasting insulin, fasting c-peptide, and HbA1c
- Part C • Absolute and percentage change from baseline to Week 24 in total cholesterol, high-density lipoprotein, low-density lipoprotein, triglycerides, and ...
- Part C • Change from baseline to Weeks 13 and 24 in hepatic fat fraction as measured by MRI-PDFF • Percent change from baseline to Weeks 13 and 24 in hepatic fat fraction as measured by MRI-PDFF
- Part C • Change from baseline to Week 24 in body weight • Percent change from baseline to Week 24 in body weight • Proportion of participants achieving ≥ 5% body weight loss from baseline to Week 24 • Proportion of participants achieving ≥ 10% body weight loss from baseline to Week 24 • Absolute change from baseline to Week 24 in percentage body fat
- Part C • PK parameters (AUClast, AUCtau, Cmax, t1/2λz, tmax, CL/F, Vz/F, and other PK parameters if applicable) at the first doses of 00 mg, 00 mg, 00 mg and the last dose of MTD
- Part C • Incidence and titre of ADA to AZD9550
- Part B • Change in daily (24 hours) average glucose levels as measured by CGM from baseline to Weeks 1, 2, 3, 4, 5, and 6 • Change in 7-day average glucose levels as measured by CGM from baseline to Weeks 1, 2, 3, 4, 5, and 6 • Change in coefficient of variation of glucose levels as measured by CGM over 7 days from baseline to Weeks 1, 2, 3, 4, 5, and 6
- Part B • Change in percentage time spent in hyperglycaemia (> 140 mg/dL), normoglycaemia (70 –140 mg/dL), and clinically significant hypoglycaemia (< 54 mg/dL) as measured by CGM over 24 hours from baseline to Weeks 1, 2, 3, 4, 5, and 6• Change in percentage time spent in hyperglycaemia (> 140 mg/dL), normoglycaemia (70 –140 mg/dL), and clinically significant hypoglycaemia (< 54 mg/dL) as measured by CGM over 7 days from baseline to Weeks 1, 2, 3, 4, 5, and 6.
- Part B • Change from baseline to Week 5 in fasting hepatic glycogen concentration adjusted for liver volume as measured by MRS • Percentage change from baseline to Week 5 in fasting hepatic glycogen concentration adjusted for liver volume as measured by MRS • Change from baseline to Week 5 in fasting hepatic glycogen concentration unadjusted for liver volume as measured by MRS
- Part B • Percentage change from baseline to Week 5 in fasting hepatic glycogen concentration unadjusted for liver volume as measured by MRS • Change in liver volume, visceral and subcutaneous fat as measured by MRI from baseline to Week 5
- Part C • Change in daily (24 hours) average glucose levels as measured by CGM from baseline to each week of the treatment period, and during 14 days post last dose • Change in 7-day average glucose levels as measured by CGM from baseline to each week of the treatment period and during 14 days post last dose
- Part C • Change in coefficient of variation of glucose levels as measured by CGM over 7 days from baseline to each week of the treatment period and during 14 days post last dose • Change in percentage time spent in hyperglycaemia (> 140 mg/dL), normoglycaemia (70 –140 mg/dL), and clinically significant hypoglycaemia (< 54 mg/dL) as measured by CGM over 24 hours from baseline to each week of the treatment period and during 14 days post last dose
- Part C • Change in percentage time spent in hyperglycaemia (> 140 mg/dL), normoglycaemia (70 –140 mg/dL), and clinically significant hypoglycaemia (< 54 mg/dL) as measured by CGM over 7 days from baseline to each week of the treatment period and during 14 post last dose
- Part C • Change from baseline to Weeks 13 and 24 in fasting hepatic glycogen concentration adjusted for liver volume as measured by MRS • Percentage change from baseline to Weeks 13 and 24 in fasting hepatic glycogen concentration adjusted for liver volume as measured by MRS • Change from baseline to Weeks 13 and 24 in fasting hepatic glycogen concentration unadjusted for liver volume as measured by MRS
- Part C • Percentage change from baseline to Weeks 13 and 24 in fasting hepatic glycogen concentration unadjusted for liver volume as measured by MRS • Change in liver volume, visceral and SC fat as measured by MRI from baseline to Weeks 13 and 24
- Part A • Change in daily (24 hours) average glucose levels as measured by CGM from baseline to Weeks 1, 2, 3, 4, 5, and 6 • Change in 7-day average glucose levels as measured by CGM from baseline to Weeks 1, 2, 3, 4, 5, and 6 • Change in coefficient of variation of glucose levels as measured by CGM over 7 days from baseline to Weeks 1, 2, 3, 4, 5, and 6
- Part A • Change in percentage time spent in hyperglycaemia (> 140 mg/dL), normoglycaemia (70 –140 mg/dL), and clinically significant hypoglycaemia (< 54 mg/dL) as measured by CGM over 24 hours from baseline to Weeks 1, 2, 3, 4, 5, and 6 • Change in percentage time spent in hyperglycaemia (> 140 mg/dL), normoglycaemia (70 –140 mg/dL), and clinically significant hypoglycaemia (< 54 mg/dL) as measured by CGM over 7 days from baseline to Weeks 1, 2, 3, 4, 5, and 6.
- Part C • Percent change from baseline to Week 13 and Week 24 in glucose AUC(0-4h) measured by MMTT • Percent change from baseline to Week 13 and Week 24 in insulin AUC(0-4h) measured by MMTT • Percent change from baseline to Week 13 and Week 24 in c-peptide AUC(0-4h) measured by MMTT
- Part C • Absolute change from baseline to Week 13 and Week 24 in fasting glucose, fasting insulin, and fasting c-peptide • Percent change from baseline to Week 13 and Week 24 in fasting glucose, fasting insulin, and fasting c-peptide
- Part E: • Prevalence, incidence, and titres of ADAs to AZD9550 and AZD6234 in combination after 24 weeks of treatment
- Part F: Change from baseline to Week 29 in body weight • Percent change from baseline to Week 29 in body weight • Proportion of participants achieving ≥ 5% body weight loss from baseline to Week 29 • Proportion of participants achieving ≥ 10% body weight loss from baseline to Week 29
- Part F: • Incidence and titre of ADA to AZD9550
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 3
PRD10501952 · Product
- Active substance
- AZD6234
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- SUBCUTANEOUS USE
- Authorisation status
- Not Authorised
- MA holder
- ASTRAZENECA AB
- Paediatric formulation
- No
- Orphan designation
- No
PRD10248340 · Product
- Active substance
- AZD9550
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- SUBCUTANEOUS
- Authorisation status
- Not Authorised
- MA holder
- ASTRAZENECA AB
- Paediatric formulation
- No
- Orphan designation
- No
PRD10942337 · Product
- Active substance
- AZD9550
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- SUBCUTANEOUS
- Authorisation status
- Not Authorised
- MA holder
- ASTRAZENECA AB
- Paediatric formulation
- No
- Orphan designation
- No
Placebo 2
N/A · Product
- Other product name
- N/A
- Pharmaceutical form
- N/A
- ATC code
- N/A — N/A
- Marketing authorisation
- N/A
- MA holder
- N/A
- MA country
- Iceland
- Paediatric formulation
- No
N/A · Product
- Other product name
- N/A
- Pharmaceutical form
- N/A
- Route of administration
- SUBCUTANEOUS
- ATC code
- N/A — N/A
- Marketing authorisation
- N/A
- MA holder
- N/A
- MA country
- Iceland
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Auxiliary 10
SCP2004265 · ATC
- Active substance
- Calcium
- Route of administration
- ORAL
- Authorisation status
- Authorised
- ATC code
- A12AA13 — CALCIUM CITRATE
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SCP101859404 · ATC
- Active substance
- Calcium Gluconate
- Route of administration
- INFUSION
- Authorisation status
- Authorised
- ATC code
- A12AA03 — CALCIUM GLUCONATE
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
-
A10A · Product
- Pharmaceutical form
- -
- Route of administration
- INJECTION
- Authorisation status
- Authorised
- ATC code
- A10A — INSULINS AND ANALOGUES
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SCP15701768 · ATC
- Active substance
- Ondansetron
- Route of administration
- ORAL
- Authorisation status
- Authorised
- ATC code
- A04AA01 — ONDANSETRON
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SCP135358 · ATC
- Active substance
- Cyclizine Hydrochloride
- Route of administration
- ORAL
- Authorisation status
- Authorised
- ATC code
- R06AE03 — CYCLIZINE
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SCP135808 · ATC
- Active substance
- Metformin
- Substance synonyms
- DIMETHYLDIGUANIDE
- Route of administration
- ORAL
- Authorisation status
- Authorised
- ATC code
- A10BA02 — METFORMIN
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SCP54118154 · ATC
- Active substance
- Glucagon
- Route of administration
- NASAL USE
- Authorisation status
- Authorised
- ATC code
- H04AA01 — GLUCAGON
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
—
SCP26944118 · ATC
- Route of administration
- INTRAVENOUS
- Authorisation status
- Authorised
- ATC code
- V04CA02 — GLUCOSE
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SCP1155079 · ATC
- Active substance
- Ascorbic Acid
- Substance synonyms
- VITAMIN C, ASCORBIC ACID (E 300), CEVITAMIC ACID, (2R)-2-[(1S)-1,2-DIHYDROXYETHYL]-4,5-DIHYDROXY-FURAN-3-ONE
- Route of administration
- ORAL
- Authorisation status
- Authorised
- ATC code
- A12AA04 — CALCIUM CARBONATE
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SCP153586 · ATC
- Active substance
- Dapagliflozin
- Route of administration
- ORAL
- Authorisation status
- Authorised
- ATC code
- A10BK01 — DAPAGLIFLOZIN
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
AstraZeneca AB
- Sponsor organisation
- AstraZeneca AB
- Address
- Astraallen Gartuna, Karlebyhus Byggnad 674 Karlebyhus Byggnad 674
- City
- Sodertalje
- Postcode
- 151 85
- Country
- Sweden
Scientific contact point
- Organisation
- AstraZeneca AB
- Contact name
- AstraZeneca Clinical Study Information Center
Public contact point
- Organisation
- AstraZeneca AB
- Contact name
- AstraZeneca Clinical Study Information Center
Third parties 1
| Organisation | City, country | Duties |
|---|---|---|
| Fortrea Inc. ORG-100012602
|
Durham, United States | On site monitoring, Code 12, Code 13, Other, Code 2, Code 5, Code 8 |
Locations
3 EU/EEA countries · 6 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Austria | Ended | 12 | 2 |
| Germany | Ongoing, recruitment ended | 70 | 3 |
| Sweden | Ended | 26 | 1 |
| Rest of world
Canada, Japan
|
— | 68 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Austria | 2023-12-13 | 2025-05-07 | 2024-04-22 | 2025-03-12 | |
| Germany | 2023-09-28 | 2023-09-29 | 2025-12-01 | ||
| Sweden | 2023-12-05 | 2025-03-12 | 2023-12-14 | 2025-03-12 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 43 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1 Protocol_2023-504215-32-00_redacted | 6.0 |
| Protocol (for publication) | D1_Protocol 2023-504215-32-00_Clarification memo Part F_redacted | NA |
| Protocol (for publication) | D1_Protocol 2023-504215-32-00_Clarification memo_redacted | NA |
| Protocol (for publication) | D4_Patient facing documents_Questionnaires Part F_for publication | NA |
| Protocol (for publication) | D4_Patient facing documents_Questionnaires_for publication | NA |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_AT_GER | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_DE_GER | 2.0 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_SE_SWE | 3.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_0401 Wien_AT_GER_Redacted | NA |
| Recruitment arrangements (for publication) | K2_Recruitment material_0402 Graz_AU_GER_adaptation to RFI_Redacted | 5 |
| Recruitment arrangements (for publication) | K2_Recruitment material_2601 SMO MD_DE_GER | NA |
| Recruitment arrangements (for publication) | K2_Recruitment material_2603 Nuvisan Part E_DE_GER _Redacted | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_2603 Nuvisan Part F_DE_GER_Redacted | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_2603 Nuvisan_DE_GER | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Part A_2602 Profil_DE_GER | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Part B and C_7201 CTC_SE_SWE_Redacted | 3.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Part B_2602 Profil_DE_GER | 3.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Part C_2602 Profil_DE_GER | 3.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Part E_2602_DE_GER_Redacted | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Part F_2602 Profil_DE_GER _Redacted | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Probando_0401 Wien_AT_GER | 6b.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF main Part A_DE_GER_Redacted | 5.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF main Part B_AT_GER_Redacted | 6.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF main Part B_DE_GER_Redacted | 6.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF main Part B_SE_SWE | 6.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF main Part C_AT_GER_Redacted | 6.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF main Part C_DE_GER_Redacted | 6.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF main Part E_DE_GER | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF main Part F_DE_GER_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Part C_SE_SWE | 5.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF pregnant partner Part F_DE_GER | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF pregnant partner_AT_GER | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF pregnant partner_DE_GER | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pregnant Partner_SE_SWE | 3.0 |
| Subject information and informed consent form (for publication) | L2_Other_Letter to Completed female participants_AT_GER | 1.0 |
| Subject information and informed consent form (for publication) | L2_Other_Letter to Completed female participants_DE_GER | 1.0 |
| Subject information and informed consent form (for publication) | L2_Other_Letter to completed female participants_SE_SWE | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Layman Synopsis_AT_2023-504215-32-00_GER | 4.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Layman Synopsis_EN_2023-504215-32-00 | 6.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Layman Synopsis_SE_2023-504215-32-00_SWE | 4.0 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis Lay DE_2023-504215-32-00_GER | 2.0 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis Scientific AT_2023-504215-32-00_GER_redacted | 1 EU |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis Scientific DE_2023-504215-32-00_GER_redacted | 1 EU |
Application history
8 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2023-06-02 | Sweden | Acceptable 2023-09-07
|
2023-09-12 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2023-11-10 | Acceptable | 2023-11-23 | |
| 3 | SUBSTANTIAL MODIFICATION | SM-2 | 2023-12-13 | Sweden | Acceptable 2024-03-19
|
2024-03-19 |
| 4 | SUBSTANTIAL MODIFICATION | SM-3 | 2024-05-21 | Sweden | Acceptable 2024-07-22
|
2024-07-29 |
| 5 | SUBSTANTIAL MODIFICATION | SM-4 | 2024-12-18 | Sweden | Acceptable 2025-01-22
|
2025-01-24 |
| 6 | SUBSTANTIAL MODIFICATION | SM-5 | 2025-02-03 | Sweden | Acceptable 2025-04-02
|
2025-04-02 |
| 7 | SUBSTANTIAL MODIFICATION | SM-7 | 2025-07-21 | Acceptable 2025-10-13
|
2025-10-15 | |
| 8 | SUBSTANTIAL MODIFICATION | SM-8 | 2026-02-12 | Acceptable 2026-03-31
|
2026-04-15 |