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Effects of AZD5004 in Adults Who Are Living With Obesity or Overweight With at Least 1 Weight-related Comorbidity

Phase 2
Active, not recruiting
Conditions
Obesity or Overweight
Interventions
Drug: Placebo
Registration Number
NCT06579092
Lead Sponsor
AstraZeneca
Brief Summary

A Phase IIb, global, randomized, parallel-group, double-blind, placebo-controlled, multicenter study to assess the efficacy and safety of AZD5004 compared with placebo, given once daily as an oral tablet(s) for 36 weeks, in male and female participants at least 18 years of age who are living with obesity (body mass index \[BMI\] ≥ 30 kg/m2), or overweight (BMI ≥ 27 kg/m2) who have at least 1 weight-related comorbidity

Detailed Description

This is a Phase IIb, global, randomized, parallel-group, double-blind, placebo-controlled, multicenter study to assess the efficacy and safety of 5 doses of AZD5004 compared with placebo, given once daily as an oral tablet or tablets for a duration of 36 weeks, in adults aged 18 years and above, who are living with obesity (BMI ≥ 30 kg/m2), or overweight (BMI ≥ 27 kg/m2) and have at least 1 weight-related comorbidity (Hypertension, Dyslipidemia or hyperlipidemia, CV disease and/or Obstructive sleep apnea). Approximately 304 participants will be randomized in the study. The dual primary endpoints are percent change in body weight from baseline at 26 weeks and the proportion of participants with weight loss ≥ 5% of baseline weight at 26 weeks.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
310
Inclusion Criteria
  • Adults ≥ 18 years of age.

  • BMI of (a) ≥ 30 kg/m2, or (b) ≥ 27 kg/m2 and have a current diagnosis of at least 1 of the following weight-related comorbidities (treated or untreated):

    (i) Hypertension (ii) Dyslipidemia or hyperlipidemia (iii) CV disease (iv) Obstructive sleep apnea

  • A stable body weight for 3 months prior to Screening (± 5% body weight change).

Exclusion Criteria
  • Have obesity induced by other endocrine disorders, such as Cushing's syndrome or monogenic or syndromic obesity such as Prader-Willi syndrome.
  • Has received prescription or non-prescription medication for weight loss within the last 3 months prior to Screening.
  • Previous or planned (within study period) bariatric surgery or fitting of a weight loss device (eg, gastric balloon or duodenal barrier).
  • History of type 1 diabetes mellitus or type 2 diabetes mellitus.
  • Clinically significant inflammatory bowel disease, gastroparesis, severe disease, or surgery affecting the upper GI tract.
  • History of acute or chronic pancreatitis.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm 1AZD5004Active IMP
Arm 2AZD5004Active IMP
Arm 3AZD5004Active IMP
Arm 4AZD5004Active IMP
Arm 5AZD5004Active IMP
Arm 6PlaceboMatching placebo for each of the 5 active arms
Primary Outcome Measures
NameTimeMethod
Percent change in body weight from baseline26 weeks

To determine whether AZD5004 is superior to placebo for weight loss

Proportion of participants with weight loss ≥ 5% from baseline weight26 weeks

To determine whether AZD5004 is superior to placebo on the proportion of participants with weight loss ≥ 5% from baseline

Secondary Outcome Measures
NameTimeMethod
Percent change in body weight from baseline36 weeks

To determine whether AZD5004 is superior to placebo for weight loss

Proportion of participants with weight loss ≥ 5%36 weeks

To determine whether AZD5004 is superior to placebo on the proportion of participants with weight loss ≥ 5% from baseline

Absolute change from baseline in body weightWeek 26 and Week 36

To determine whether AZD5004 is superior to placebo for absolute weight loss

Proportion of participants with weight loss ≥ 10% as well as ≥ 15%Week 26 and Week 36

To assess the effect of AZD5004 versus placebo on the proportion of participants with weight loss ≥ 10% as well as ≥ 15%

Trial Locations

Locations (1)

Research Site

🇬🇧

Witney, United Kingdom

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