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A Study of Maridebart Cafraglutide in Adult Participants With Type 2 Diabetes Mellitus (T2DM)

Phase 2
Active, not recruiting
Conditions
Type 2 Diabetes Mellitus (T2DM)
Interventions
Registration Number
NCT06660173
Lead Sponsor
Amgen
Brief Summary

The main purpose of this study is to assess the dose-response relationship of maridebart cafraglutide on glucose control compared with placebo.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
409
Inclusion Criteria
  • Age ≥ 18 years at screening (or ≥ legal age within the country if it is older than 18 years)
  • Type 2 diabetes for ≥6 months according to the World Health Organization classification
  • HbA1c of 7.0% to 10.5%, inclusive, as assessed by the central laboratory
  • Treatment of diabetes with diet and exercise alone, or with a stable dose of metformin, with or without a sodium-glucose cotransporter-2 inhibitor, for at least 3 months prior to screening
  • Body mass index of 23 to 50 kilograms per square meter
Exclusion Criteria
  • Type 1 diabetes
  • Use of any glucose-lowering medication, other than metformin with or without a sodium-glucose cotransporter-2 inhibitor, within 3 months prior to screening
  • Estimated glomerular filtration rate (eGFR) <30 milliliters/minute/1.73 square meter, calculated by the Chronic Kidney Disease-Epidemiology equation.
  • Uncontrolled and potentially unstable diabetic retinopathy or maculopathy
  • History of acute or chronic pancreatitis
  • Malignancy within 5 years before screening, except for nonmelanoma skin cancer, in situ carcinoma of the cervix, or in situ prostate cancer
  • Myocardial infarction, unstable angina, coronary artery bypass graft surgery or other major cardiovascular surgery, percutaneous coronary intervention, transient ischemic attack, cerebrovascular accident, or decompensated congestive heart failure within 90 days prior to screening, or currently have New York Heart Association Class III or IV heart failure.
  • Use of medications that affect glucose control or body weight or history of bariatric surgery or procedures.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Maridebart CafraglutideMaridebart CafraglutideParticipants will be randomized to receive maridebart cafraglutide at varying dose levels, or placebo, for up to 24 weeks. Participants who complete the 24-week main treatment period and meet specific criteria will have the option to begin an exploratory part 2 portion where they will be re-randomized to receive maridebart cafraglutide for an additional 24 weeks.
PlaceboPlaceboParticipants will be randomized to receive maridebart cafraglutide at varying dose levels, or placebo, for up to 24 weeks. Participants who complete the 24-week main treatment period and meet specific criteria will have the option to begin an exploratory part 2 period where they will receive maridebart cafraglutide for an additional 24 weeks.
Primary Outcome Measures
NameTimeMethod
Change From Baseline to Week 24 in Hemoglobin A1c (HbA1c)Baseline to Week 24
Secondary Outcome Measures
NameTimeMethod
Percent Change From Baseline to Week 24 in Body WeightBaseline to Week 24
Number of Participants Achieving HbA1c < 7.0% at Week 24Week 24
Number of Participants Achieving HbA1c ≤ 6.5% at Week 24Week 24
Number of Participants Achieving ≥ 5% Reduction in Body Weight From Baseline at Week 24Week 24
Number of Participants Achieving ≥ 10% Reduction in Body Weight From Baseline at Week 24Week 24
Change From Baseline to Week 24 in Fasting GlucoseBaseline to Week 24
Percent Change From Baseline to Week 24 in Total CholesterolBaseline to Week 24
Percent Change From Baseline to Week 24 in Low-density Lipoprotein Cholesterol (LDL-C)Baseline to Week 24
Percent Change From Baseline to Week 24 in High-density Lipoprotein Cholesterol (HDL-C)Baseline to Week 24
Percent Change From Baseline to Week 24 in Non-high Density Lipoprotein Cholesterol (non-HDL-C)Baseline to Week 24
Percent Change From Baseline to Week 24 in Very-low-density Lipoprotein Cholesterol (VLDL-C)Baseline to Week 24
Percent Change From Baseline to Week 24 in TriglyceridesBaseline to Week 24
Percent Change From Baseline to Week 24 in Free Fatty Acids (FFA)Baseline and Week 24
Change From Baseline to Week 24 in Systolic Blood PressureBaseline and Week 24
Change From Baseline to Week 24 in Diastolic Blood PressureBaseline and Week 24
Change from Baseline to Week 24 in High-sensitivity C-reactive ProteinBaseline and Week 24
Pre-dose Plasma Concentration of Maridebart Cafraglutide at Week 20Week 20
Maximum Observed Plasma Concentration of Maridebart Cafraglutide at Week 20Week 20
Number of Participants with Treatment Emergent Adverse EventsUp to 24 Weeks
Number of Participants with Serious Adverse EventsUp to 24 Weeks
Number of Participants with Anti-maridebart Cafraglutide Antibody FormationUp to Week 24

Trial Locations

Locations (95)

Accel Research Site - Birmingham Clinical Research Unit

🇺🇸

Birmingham, Alabama, United States

Anaheim Clinical Trials

🇺🇸

Anaheim, California, United States

Hope Clinical Research LLC

🇺🇸

Canoga Park, California, United States

Orange County Research Center

🇺🇸

Lake Forest, California, United States

San Jose Clinical Trials

🇺🇸

San Jose, California, United States

Northeast Research Institute - Neri

🇺🇸

Fleming Island, Florida, United States

New Horizon Research Center

🇺🇸

Miami, Florida, United States

Florida Institute for Clinical Research

🇺🇸

Orlando, Florida, United States

Conquest Research - Winter Park

🇺🇸

Winter Park, Florida, United States

Accel Research Site - Neurostudies

🇺🇸

Decatur, Georgia, United States

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Accel Research Site - Birmingham Clinical Research Unit
🇺🇸Birmingham, Alabama, United States

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