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Efficacy, Safety, and Tolerability of Once Daily Oral Administration of AZD5004 Versus Placebo for 26 Weeks in Adults With Type 2 Diabetes Mellitus.

Phase 2
Recruiting
Conditions
Diabetes Mellitus, Type 2
Interventions
Drug: Placebo (placebo matching AZD5004 film-coated tablet)
Registration Number
NCT06579105
Lead Sponsor
AstraZeneca
Brief Summary

This is a Phase IIb, randomised, double-blind, parallel-group, placebo-controlled study to evaluate the efficacy, safety and tolerability of AZD5004 in adults with type 2 diabetes mellitus, compared to placebo and active comparator.

Detailed Description

This is a Phase IIb, randomised, double-blind, parallel-group, placebo-controlled study to evaluate the efficacy, safety and tolerability of AZD5004 in adults with type 2 diabetes mellitus, compared to placebo and active comparator. The study is planned to be conducted in approximately 15 countries, approximately 90 sites will be involved.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
384
Inclusion Criteria

Adults ≥ 18 years of age.

Diagnosed with T2DM for at least 6 months.

HbA1c ≥ 7.0% and ≤ 10.5% managed with diet and exercise alone or with a stable dose of metformin or an SGLT2 inhibitor for at least one month prior to screening.

Body mass index of ≥ 23 kg/m2.

Stable self-reported body weight for 3 months prior to randomization (+/- 5% body weight change).

Exclusion Criteria

Type 1 diabetes mellitus, secondary forms of diabetes or history of ketoacidosis or hyperosmolar coma.

History of proliferative diabetic retinopathy, diabetic maculopathy, or severe non-proliferative diabetic retinopathy that required immediate treatment.

Have had more than one episode of severe hypoglycemia within 6 months prior to screening, or has a history of hypoglycemia unawareness or poor recognition of hypoglycemic symptoms.

Received medication for weight loss within the last 3 months prior to screening.

Clinically significant inflammatory bowel disease, gastroparesis, severe disease or surgery affecting the upper GI tract.

Previous or planned (within study period) bariatric surgery or fitting of a weight loss device (eg, gastric balloon or duodenal barrier).

History of acute or chronic pancreatitis.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm 4AZD5004Participants will receive xx mg once daily dose of AZD5004
Arm 5AZD5004Participants will receive xx mg once daily dose of AZD5004
Arm 6AZD5004Participants will receive xx mg once daily dose of AZD5004
Arm 1AZD5004Participants will receive xx mg once daily dose of AZD5004
Arm 2AZD5004Participants will receive xx mg once daily dose of AZD5004
Arm 3AZD5004Participants will receive xx mg once daily dose of AZD5004
Arm 7SemaglutideParticipants will receive once daily dose of Semaglutide as active comparator
Arm 8Placebo (placebo matching AZD5004 film-coated tablet)Participants will receive matching placebo for each AZD5004 arm
Primary Outcome Measures
NameTimeMethod
Change in HbA1cBaseline to Week 26

To evaluate the effect of AZD5004 versus placebo on glycemic control

Secondary Outcome Measures
NameTimeMethod
Change in fasting glucoseBaseline to Weeks 4, 12, 16 and 26

To evaluate the effect of AZD5004 versus placebo on fasting glucose

Proportion of participants achieving HbA1c ≤ 6.5% and < 7.0%Week 26

To evaluate of the effect of AZD5004 versus placebo on HbA1c

Percent change in body weightBaseline to Week 26

To evaluate the effect of AZD5004 versus placebo on weight loss

Absolute change in body weightBaseline to Week 26

To evaluate the effect of AZD5004 versus placebo on weight loss

Proportion of participants with ≥ 5%, ≥ 10% and ≥ 15% weight reductionWeek 26

To evaluate the effect of AZD5004 versus placebo on weight loss

Trial Locations

Locations (1)

Research Site

🇬🇧

Yate, United Kingdom

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