A weight loss study evaluating subcutaneous treatment withAZD9550 and AZD6234 in combination, against placebo or each of the drugs alone

2024-516176-15-00 Protocol D8460C00004 Therapeutic exploratory (Phase II) Ended

Start 24 Feb 2025 · End 12 May 2026 · Status Ended · 1 EU/EEA countries · 6 sites · Protocol D8460C00004

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ended
Participants planned 360
Countries 1
Sites 6

Investigating obesity or overweight condition correlated to many co-morbidities

To determine whether treatment with AZD9550 and AZD6234 in combination is superior to placebo for weight loss in percent change in body weight from baseline. To assess the effect of treatment with AZD9550 and AZD6234 in combination vs placebo on the proportion of participants with weight loss ≥ 5% in percent change in …

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
24 Feb 2025 → 12 May 2026
Decision date (initial)
2025-02-04
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
AstraZeneca AB Sweden

External identifiers

EU CT number
2024-516176-15-00
ClinicalTrials.gov
NCT06862791

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacodynamic, Therapy, Safety, Dose response, Efficacy, Pharmacokinetic

To determine whether treatment with AZD9550 and AZD6234 in combination is superior to placebo for weight loss in percent change in body weight from baseline.
To assess the effect of treatment with AZD9550 and AZD6234 in combination vs placebo on the proportion of participants with weight loss ≥ 5% in percent change in body weight from baseline.

Secondary objectives 6

  1. To determine whether treatment with AZD9550 and AZD6234 in combination is superior to placebo for weight loss in absolute change in body weight from baseline.
  2. To determine whether treatment with AZD9550 and AZD6234 in combination is superior to AZD9550 and AZD6234 monotherapy, and whether AZD9550 and AZD6234 as monotherapies are superior to placebo for weight loss in absolute change in body weight from baseline.
  3. To assess the effect of treatment with AZD9550 and AZD6234 in combination vs monotherapy, and assess the effect of AZD9550 and AZD6234 as monotherapies vs placebo, on the proportion of participants with weight loss ≥5%
  4. To assess the effect of treatment with AZD9550 and AZD6234 in combination vs placebo and monotherapy, and assess the effect of AZD9550 and AZD6234 as monotherapies vs placebo, on the proportion of participants with weight loss ≥10% and ≥15%
  5. To assess the immunogenicity profile of treatment with AZD9550 and AZD6234 in combination and as monotherapies
  6. To evaluate the safety and tolerability of AZD9550 and AZD6234 in combination compared with placebo and with monotherapy, and the safety and tolerability of AZD9550 and AZD6234 as monotherapies compared with placebo.

Conditions and MedDRA coding

Investigating obesity or overweight condition correlated to many co-morbidities

Regulatory references

Scientific advice from competent authorities
Food And Drug Administration, Medicines Evaluation Board, Federal Institute For Drugs And Medical Devices, Swedish Medical Products Agency
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 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 6

  1. Participant must be 18 to 75 years of age inclusive
  2. BMI: ≥ 30 kg/m2, or ≥ 27 kg/m2 with at least one weight related comorbidity
  3. A stable, self-reported body weight for 3 months prior to screening
  4. Male and female participants: Contraceptive use by males or females should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
  5. Female participants must have a negative serum pregnancy test at screening and a negative urine pregnancy test at baseline
  6. Capable of giving signed informed consent

Exclusion criteria 12

  1. History of any clinically important disease or disorder, which, in the opinion of the Investigator
  2. History or presence of GI, renal, hepatic disease
  3. Previous or planned bariatric surgery or fitting of a weight loss device.
  4. Obesity induced by endocrine disorders such as Cushing’s syndrome, insulinoma or Prader-Willi syndrome.
  5. History of T1DM or T2DM or symptoms indicative of insulinopenia or poor glucose control.
  6. HbA1c≥ 6.5% (48 mmol/mol), fasting serum glucose≥126 mg/dL(7.0 mmol/L) or random glucose≥200 mg/dL (11.1 mmol/L).
  7. Significant gastric and hepatobiliary disease
  8. History of acute or chronic pancreatitis or pancreatic amylase or lipase > 2 × ULN at screening.
  9. History of psychosis or bipolar disorder.
  10. History of major depressive disorder within the 2 years prior to screening or depression.
  11. Treatment with a GLP1 containing preparation, either as part of treatment or while participating in another clinical study within the3 months or 5 half-lives of the drug prior to screening
  12. Vulnerable populations

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Percent change in body weight from baseline after 36 weeks of treatment
  2. Weight loss ≥ 5% from baseline after 36 weeks of treatment

Secondary endpoints 6

  1. Absolute change in body weight from baseline after 36 weeks of treatment
  2. Percent and absolute change in body weight from baseline after 36 weeks of treatment
  3. Weight loss ≥ 5% from baseline after 36 weeks of treatment
  4. Weight loss ≥ 10% and ≥ 15% from baseline after 36 weeks of treatment
  5. Prevalence, incidence and titres of ADAs to AZD9550 andAZD6234 in combination and as monotherapies after 36 weeks of treatment
  6. To evaluate the safety and tolerability of AZD9550 and AZD6234 in combination compared with placebo and with monotherapy

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 3

AZD9550

PRD10942337 · Product

Active substance
AZD9550
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
00 mg/ml milligram(s)/millilitre
Max total dose
00 Other
Max treatment duration
36 Week(s)
Authorisation status
Not Authorised
MA holder
ASTRAZENECA AB
Paediatric formulation
No
Orphan designation
No

AZD9550

PRD10248340 · Product

Active substance
AZD9550
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
00 mg/ml milligram(s)/millilitre
Max total dose
00 Other
Max treatment duration
36 Week(s)
Authorisation status
Not Authorised
MA holder
ASTRAZENECA AB
Paediatric formulation
No
Orphan designation
No

AZD6234

PRD10501952 · Product

Active substance
AZD6234
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS USE
Max daily dose
00 mg/ml milligram(s)/millilitre
Max total dose
00 Other
Max treatment duration
36 Week(s)
Authorisation status
Not Authorised
MA holder
ASTRAZENECA AB
Paediatric formulation
No
Orphan designation
No

Placebo 3

Placebo for azd6234

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

Placebo for azd9550

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

Placebo for azd9550

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

Auxiliary 7

Glucose

SCP116434309 · ATC

Active substance
Glucose
Substance synonyms
ANHYDROUS DEXTROSE, ANHYDROUS GLUCOSE, DEXTROSE (ANHYDROUS), DEXTROSE ANHYDROUS, DEXTROSE
Route of administration
INTRAVENOUS USE
Max daily dose
9999 mg/Kg milligram(s)/kilogram
Max total dose
9999 mg/Kg milligram(s)/kilogram
Max treatment duration
36 Week(s)
Authorisation status
Authorised
ATC code
V04CA02 — GLUCOSE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Calcium

SCP2004265 · ATC

Active substance
Calcium
Route of administration
ORAL
Max daily dose
4 g gram(s)
Max total dose
9999 g gram(s)
Max treatment duration
36 Week(s)
Authorisation status
Authorised
ATC code
A12AA13 — CALCIUM CITRATE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cyclizine Hydrochloride

SCP135358 · ATC

Active substance
Cyclizine Hydrochloride
Route of administration
ORAL
Max daily dose
200 mg milligram(s)
Max total dose
9999 mg milligram(s)
Max treatment duration
36 Week(s)
Authorisation status
Authorised
ATC code
R06AE03 — CYCLIZINE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Calcium Gluconate

SCP101859404 · ATC

Active substance
Calcium Gluconate
Route of administration
IV INFUSION
Max daily dose
9999 g gram(s)
Max total dose
9999 g gram(s)
Max treatment duration
36 Week(s)
Authorisation status
Authorised
ATC code
A12AA03 — CALCIUM GLUCONATE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Glucagon

SCP1990227 · ATC

Active substance
Glucagon
Route of administration
NASAL USE
Max daily dose
3 mg milligram(s)
Max total dose
9999 mg milligram(s)
Max treatment duration
36 Week(s)
Authorisation status
Authorised
ATC code
H04AA01 — GLUCAGON
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Ascorbic Acid

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
Max daily dose
4 g gram(s)
Max total dose
9999 g gram(s)
Max treatment duration
36 Week(s)
Authorisation status
Authorised
ATC code
A12AA04 — CALCIUM CARBONATE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Ondansetron Hydrochloride

SCP107195639 · ATC

Active substance
Ondansetron Hydrochloride
Route of administration
ORAL
Max daily dose
16 mg milligram(s)
Max total dose
9999 mg milligram(s)
Max treatment duration
36 Week(s)
Authorisation status
Authorised
ATC code
A04AA01 — ONDANSETRON
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
-
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

Locations

1 EU/EEA country · 6 investigational sites

By country

CountryMS statusPlanned subjectsSites
Germany Ended 40 6
Rest of world
Canada, Australia, United States, Japan
320

Investigational sites

Germany

6 sites · Ended
diabetes-falkensee.de, ZKS Dr. Joerg Luedemann
NA, Poststrasse 46, 14612, Falkensee
R.E.D. Institut fuer medizinische Studien und Fortbildung GmbH
NA, Markt 15, 23758, Oldenburg In Holstein
Velocity Clinical Research GmBH
NA, Ansbacher Strasse 17-19, Schoeneberg, Berlin
InnoDiab Forschung GmbH
NA, Eleonorastrasse 42, Ruettenscheid, Essen
Gemeinschaftspraxis für Innere Medizin und Diabetologie
Diabetes Zentrum Hamburg West, Beselerstrasse 2a, 22607, Hamburg
Institut fuer Diabetesforschung Muenster GmbH
NA, Hohenzollernring 70, Herz-Jesu, Muenster

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Germany 2025-02-24 2026-05-11 2025-02-24 2025-06-23

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 11 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_2024-516176-15_redacted 5.0
Protocol (for publication) D4_Patient Facing Document_Symptom-Dosing Diary_redacted 1.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements_Germany 1.0
Recruitment arrangements (for publication) K2_Recruitment Material Digital Advert 1.0
Recruitment arrangements (for publication) K2_Recruitment Material Mannheim I 1.0
Recruitment arrangements (for publication) K2_Recruitment Material Mannheim II 1.0
Recruitment arrangements (for publication) K2_Recruitment Material Poster 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Adults_redacted 7.0
Subject information and informed consent form (for publication) L1_SIS and ICF Future Research_redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Genomic Research_redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Partner 2.0

Application history

6 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-12-04 Germany Acceptable
2025-02-03
2025-02-04
2 SUBSTANTIAL MODIFICATION SM-1 2025-02-14 Germany Acceptable
2025-03-27
2025-04-08
3 SUBSTANTIAL MODIFICATION SM-2 2025-07-29 Germany Acceptable
2025-08-14
2025-08-14
4 NON SUBSTANTIAL MODIFICATION NSM-1 2025-11-21 Germany Acceptable
2025-08-14
2025-11-21
5 SUBSTANTIAL MODIFICATION SM-3 2025-12-04 Germany Acceptable 2025-12-22
6 SUBSTANTIAL MODIFICATION SM-4 2026-01-30 Germany Acceptable
2026-02-19
2026-02-19