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A Pilot Study Investigating Bioequivalence Between a Single Dose of Formulation 2 and Formulation 3 of MEDI0382

Primary Purpose

Type 2 Diabetes Mellitus

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
MEDI0382 Formulation 2
MEDI0382 Formulation 3
Sponsored by
MedImmune LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Type 2 Diabetes Mellitus focused on measuring Type 2 Diabetes Mellitus, GLP-1 receptor agonists

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy subjects age 18 through 45 years at the time of screening.
  2. Provision of signed and dated written informed consent prior to study-specific procedures.
  3. Body mass index 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 ECG, vital signs, and blood and urinary laboratory assessments.
  5. Female subjects of childbearing potential must have a negative pregnancy test at screening and randomization and must not be lactating.
  6. Females of childbearing potential who are sexually active with a nonsterilized male partner must use at least one highly effective method of contraception (see Section 10.2 for definition of females of childbearing potential and for a description of highly effective methods of contraception) from screening and must agree to continue using such precautions through to the end of the study. It is strongly recommended for the male partner of a female subject to also use a male condom plus spermicide throughout this period. Cessation of contraception after this point should be discussed with a responsible physician. Periodic abstinence, the rhythm method, and the withdrawal method are not acceptable methods of contraception.

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 the interpretation of the results of the study
  2. Impaired renal function, defined as s-creatinine ≥ 130 µmol/L
  3. Estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73 m2
  4. Blood pressure 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. Any clinically significant abnormal ECG, as judged by the investigator
  6. Active hepatitis B, measured by positive tests of surface antigen HBsAg and/or active hepatitis C, measured by positive hepatitis C virus antibody tests
  7. Positive human immunodeficiency virus antibodies
  8. Known or suspected allergy to MEDI0382, any component of the formulation, or related products
  9. Use of any prescription or nonprescription medication, except for paracetamol, hormonal contraceptives, and vitamins within the last 72 hours prior to check-in
  10. History of alcoholism or drug abuse during the last 12 months
  11. Smoking of cigarettes or other tobacco products
  12. Habitual excessive consumption of methylxanthine-containing (theophylline, caffeine or theobromine) beverages and foods (coffee, tea, soft drinks such as red bull, cola, chocolate) as judged by the investigator
  13. Blood donation within the last 3 months
  14. Participation in any other trial investigating other products or involving blood sampling within the past 30 days
  15. Potentially noncompliant or uncooperative, as judged by the investigator
  16. Substance dependence likely to impact subject safety or compliance with study procedures
  17. Psychiatric illness such that subjects have been committed to an institution by way of official or judicial order
  18. Involvement of any AstraZeneca, MedImmune, the contract research organization, or the study site employee or their close relatives

Sites / Locations

  • Research Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Sequence 1

Sequence 2

Arm Description

formulation 2 on Day 1 and formulation 3 on Day 10

formulation 3 on Day 1 and formulation 2 on Day 10

Outcomes

Primary Outcome Measures

Area under the drug concentration curve
To evaluate bioequivalence between formulation 2 and formulation 3 of MEDI0382
Maximum observed plasma concentration of MEDI0382
To evaluate bioequivalence between formulation 2 and formulation 3 of MEDI0382.

Secondary Outcome Measures

Area under the plasma drug concentration versus time curve from zero to infinity and to last observation
To compare the pharmacokinetic (PK) profiles of MEDI0382 formulation 2 versus formulation 3.
Time to maximum observed plasma drug concentration
To compare the pharmacokinetic (PK) profiles of MEDI0382 formulation 2 versus formulation 3.
Terminal phase elimination half-life
To compare the pharmacokinetic (PK) profiles of MEDI0382 formulation 2 versus formulation 3.
Apparent clearance
To compare the pharmacokinetic (PK) profiles of MEDI0382 formulation 2 versus formulation 3.
Adverse Events
To evaluate the safety and tolerability of a single dose of MEDI0382 in formulation 2 and 3.
12 lead electrocardiogram including RR, PR, QRS, QT, and QTc intervals
To evaluate the safety and tolerability of a single dose of MEDI0382 in formulation 2 and 3.
Anti-drug antibody titer
To evaluate the immunogenicity of a single dose of MEDI0382 in formulation 2 and 3.
Vital signs (temperature)
To evaluate the safety and tolerability of a single dose of MEDI0382 in formulation 2 and 3
Anti-drug antibody incidence
To evaluate the immunogenicity of a single dose of MEDI0382 in formulation 2 and 3.
Clinical laboratory assessments (hematology)
To evaluate the safety and tolerability of a single dose of MEDI0382 in formulation 2 and 3
Vital signs (systolic and diastolic blood pressure)
To evaluate the safety and tolerability of a single dose of MEDI0382 in formulation 2 and 3.
Vital signs (pulse rate and respiratory rate)
To evaluate the safety and tolerability of a single dose of MEDI0382 in formulation 2 and 3
Clinical laboratory assessments (serum chemistry)
To evaluate the safety and tolerability of a single dose of MEDI0382 in formulation 2 and 3
Clinical laboratory assessments (urinalysis)
To evaluate the safety and tolerability of a single dose of MEDI0382 in formulation 2 and 3

Full Information

First Posted
October 11, 2017
Last Updated
February 13, 2018
Sponsor
MedImmune LLC
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1. Study Identification

Unique Protocol Identification Number
NCT03341013
Brief Title
A Pilot Study Investigating Bioequivalence Between a Single Dose of Formulation 2 and Formulation 3 of MEDI0382
Official Title
A Phase 1, Randomized, Cross-over, Two-period Pilot Study Investigating Bioequivalence Between a Single Dose of Formulation 2 and Formulation 3 of MEDI0382 in Healthy Adult Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
February 2018
Overall Recruitment Status
Completed
Study Start Date
November 30, 2017 (Actual)
Primary Completion Date
January 29, 2018 (Actual)
Study Completion Date
January 29, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
MedImmune LLC

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This is a randomized, open label, cross-over, two-period, pilot study in healthy adult subjects to evaluate the bioequivalence between formulation 2 and formulation 3 of MEDI0382 after a single subcutaneous (SC) dose. The study will be conducted at a single US center. Each subject will be randomized to receive a single 100 μg (or equimolar equivalent) SC dose of both formulation 2 and 3 of MEDI0382 on two different in-house periods separated by a washout period of 7 days. Formulation 3 of MEDI0382 has not been administered to humans previously. Blood samples for PK analyses of MEDI0382 concentrations will be taken predose and at 11 time points up to 48 hours after dosing (Days 3 and 12). Bedside plasma glucose levels will be monitored before meals and at bedtime during Days 1 and 10 and will be measured prior to breakfast on Days 2 and 11.
Detailed Description
This is a randomized, open label, cross-over, two-period, pilot study in healthy adult subjects to evaluate the bioequivalence between formulation 2 and formulation 3 of MEDI0382 after a single subcutaneous (SC) dose. The study will be conducted at a single US center. Each subject will be randomized to receive a single 100 μg (or equimolar equivalent) SC dose of both formulation 2 and 3 of MEDI0382 on two different in-house periods separated by a washout period of 7 days. Formulation 3 of MEDI0382 has not been administered to humans previously. Subjects will receive the same absolute amount of MEDI0382, when dosed with either formulation 2 or formulation 3. Formulations of MEDI0382 will be administered via SC injection in the abdomen of subjects. Subjects will be in the study for a maximum of 59 days, which includes a screening period of up to 21 days. On Day 1, subjects will admitted to the clinic and will be randomized to receive formulation 2 and formulation 3 in one of two sequences; subjects randomized to sequence 1 will receive formulation 2 on Day 1 and formulation 3 on Day 10 and subjects randomized to sequence 2 will receive formulation 3 on Day 1 and formulation 2 on Day 10. On Day 3, subjects will be discharged from the clinic and a 7-day washout period will follow. Subjects will return to the clinic on Day 10 to receive the second dose of investigational product and will remain in-house for 3 days. After discharge on Day 12, subjects will return on Day 38 for the end of study visit. Blood samples for PK analyses of MEDI0382 concentrations will be taken predose and at 11 time points up to 48 hours after dosing (Days 3 and 12). Bedside plasma glucose levels will be monitored before meals and at bedtime during Days 1 and 10 and will be measured prior to breakfast on Days 2 and 11.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 2 Diabetes Mellitus
Keywords
Type 2 Diabetes Mellitus, GLP-1 receptor agonists

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
24 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Sequence 1
Arm Type
Experimental
Arm Description
formulation 2 on Day 1 and formulation 3 on Day 10
Arm Title
Sequence 2
Arm Type
Experimental
Arm Description
formulation 3 on Day 1 and formulation 2 on Day 10
Intervention Type
Drug
Intervention Name(s)
MEDI0382 Formulation 2
Intervention Description
Sequence 1 Period 1 and Sequence 2 Period 2.
Intervention Type
Drug
Intervention Name(s)
MEDI0382 Formulation 3
Intervention Description
Sequence 1 Period 2 and Sequence 2 Period 1
Primary Outcome Measure Information:
Title
Area under the drug concentration curve
Description
To evaluate bioequivalence between formulation 2 and formulation 3 of MEDI0382
Time Frame
48 hours
Title
Maximum observed plasma concentration of MEDI0382
Description
To evaluate bioequivalence between formulation 2 and formulation 3 of MEDI0382.
Time Frame
48 hours
Secondary Outcome Measure Information:
Title
Area under the plasma drug concentration versus time curve from zero to infinity and to last observation
Description
To compare the pharmacokinetic (PK) profiles of MEDI0382 formulation 2 versus formulation 3.
Time Frame
48 hours
Title
Time to maximum observed plasma drug concentration
Description
To compare the pharmacokinetic (PK) profiles of MEDI0382 formulation 2 versus formulation 3.
Time Frame
48 hours
Title
Terminal phase elimination half-life
Description
To compare the pharmacokinetic (PK) profiles of MEDI0382 formulation 2 versus formulation 3.
Time Frame
48 hours
Title
Apparent clearance
Description
To compare the pharmacokinetic (PK) profiles of MEDI0382 formulation 2 versus formulation 3.
Time Frame
48 hours
Title
Adverse Events
Description
To evaluate the safety and tolerability of a single dose of MEDI0382 in formulation 2 and 3.
Time Frame
38 days
Title
12 lead electrocardiogram including RR, PR, QRS, QT, and QTc intervals
Description
To evaluate the safety and tolerability of a single dose of MEDI0382 in formulation 2 and 3.
Time Frame
38 days
Title
Anti-drug antibody titer
Description
To evaluate the immunogenicity of a single dose of MEDI0382 in formulation 2 and 3.
Time Frame
38 days
Title
Vital signs (temperature)
Description
To evaluate the safety and tolerability of a single dose of MEDI0382 in formulation 2 and 3
Time Frame
38 days
Title
Anti-drug antibody incidence
Description
To evaluate the immunogenicity of a single dose of MEDI0382 in formulation 2 and 3.
Time Frame
38 days
Title
Clinical laboratory assessments (hematology)
Description
To evaluate the safety and tolerability of a single dose of MEDI0382 in formulation 2 and 3
Time Frame
38 days
Title
Vital signs (systolic and diastolic blood pressure)
Description
To evaluate the safety and tolerability of a single dose of MEDI0382 in formulation 2 and 3.
Time Frame
38 days
Title
Vital signs (pulse rate and respiratory rate)
Description
To evaluate the safety and tolerability of a single dose of MEDI0382 in formulation 2 and 3
Time Frame
38 days
Title
Clinical laboratory assessments (serum chemistry)
Description
To evaluate the safety and tolerability of a single dose of MEDI0382 in formulation 2 and 3
Time Frame
38 days
Title
Clinical laboratory assessments (urinalysis)
Description
To evaluate the safety and tolerability of a single dose of MEDI0382 in formulation 2 and 3
Time Frame
38 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy subjects age 18 through 45 years at the time of screening. Provision of signed and dated written informed consent prior to study-specific procedures. Body mass index between 19 and 30 kg/m2 (inclusive) at screening Good general health as judged by the investigator, based on medical history, physical examination including 12-lead ECG, vital signs, and blood and urinary laboratory assessments. Female subjects of childbearing potential must have a negative pregnancy test at screening and randomization and must not be lactating. Females of childbearing potential who are sexually active with a nonsterilized male partner must use at least one highly effective method of contraception (see Section 10.2 for definition of females of childbearing potential and for a description of highly effective methods of contraception) from screening and must agree to continue using such precautions through to the end of the study. It is strongly recommended for the male partner of a female subject to also use a male condom plus spermicide throughout this period. Cessation of contraception after this point should be discussed with a responsible physician. Periodic abstinence, the rhythm method, and the withdrawal method are not acceptable methods of contraception. Exclusion Criteria: 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 the interpretation of the results of the study Impaired renal function, defined as s-creatinine ≥ 130 µmol/L Estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73 m2 Blood pressure 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. Any clinically significant abnormal ECG, as judged by the investigator Active hepatitis B, measured by positive tests of surface antigen HBsAg and/or active hepatitis C, measured by positive hepatitis C virus antibody tests Positive human immunodeficiency virus antibodies Known or suspected allergy to MEDI0382, any component of the formulation, or related products Use of any prescription or nonprescription medication, except for paracetamol, hormonal contraceptives, and vitamins within the last 72 hours prior to check-in History of alcoholism or drug abuse during the last 12 months Smoking of cigarettes or other tobacco products Habitual excessive consumption of methylxanthine-containing (theophylline, caffeine or theobromine) beverages and foods (coffee, tea, soft drinks such as red bull, cola, chocolate) as judged by the investigator Blood donation within the last 3 months Participation in any other trial investigating other products or involving blood sampling within the past 30 days Potentially noncompliant or uncooperative, as judged by the investigator Substance dependence likely to impact subject safety or compliance with study procedures Psychiatric illness such that subjects have been committed to an institution by way of official or judicial order Involvement of any AstraZeneca, MedImmune, the contract research organization, or the study site employee or their close relatives
Facility Information:
Facility Name
Research Site
City
Dallas
State/Province
Texas
ZIP/Postal Code
75247
Country
United States

12. IPD Sharing Statement

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A Pilot Study Investigating Bioequivalence Between a Single Dose of Formulation 2 and Formulation 3 of MEDI0382

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