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Dose-ranging Study to Evaluate the Efficacy, Safety, and Tolerability of Maridebart Cafraglutide in Adult Subjects With Type 2 Diabetes Mellitus

Phase 2
Active, not recruiting
Conditions
Type 2 Diabetes Mellitus
Registration Number
2024-513539-25-00
Lead Sponsor
Amgen Inc.
Brief Summary

To assess the dose-response relationship of maridebart cafraglutide on glucose control compared with placebo

Detailed Description

Not available

Recruitment & Eligibility

Status
Ongoing, recruitment ended
Sex
Not specified
Target Recruitment
169
Inclusion Criteria

Subject has provided informed consent before initiation of any study-specific activities/procedures.

Age ≥ 18 years at screening (or ≥ legal age within the country if it is older than 18 years).

BMI of ≥ 23 to ≤ 50 kg/m2 at screening

Diagnosis of T2DM at least 180 days before screening based on the World Health Organization (WHO) classification

HbA1c at screening of ≥ 7.0% (53.0 mmol/mol) and ≤ 10.5% (91.3 mmol/mol).

Treatment of T2DM with a stable dose of metformin (either immediate release or extended release, ≥ 1000 mg/day and not more than the locally approved dose) with or without an SGLT2-inhibitor for at least 90 days before screening.

Subject is able and willing to comply with the requirements of the study protocol including SMBG and completion of subject diary

Exclusion Criteria

Type 1 diabetes mellitus (T1DM), history of ketoacidosis or hyperosmolar state/coma, or any other type of diabetes, except T2DM.

Fasting glucose > 270 mg/dL (15.0 mmol/L) at screening.

History of proliferative diabetic retinopathy, diabetic macular edema, or non-proliferative diabetic retinopathy that requires acute treatment (based on a fundoscopic examination performed by an ophthalmologist or another suitably qualified healthcare provider [eg, optometrist] within 90 days before screening or in the period between screening and randomization).

Change in body weight > 5 kg within 90 days before screening, per subject report or medical records.

One or more episode of severe hypoglycemia within 180 days before screening, as defined by the occurrence of neuroglycopenic symptoms requiring the assistance of another person for recovery, or history of hypoglycemia unawareness or poor recognition of hypoglycemic symptoms.

Study & Design

Study Type
Not specified
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change from baseline to week 24 in hemoglobin A1c (HbA1c)

Change from baseline to week 24 in hemoglobin A1c (HbA1c)

Secondary Outcome Measures
NameTimeMethod
Percent change from baseline to week 24 in body weight

Percent change from baseline to week 24 in body weight

Achieving HbA1c < 7.0% at week 24 Achieving HbA1c ≤ 6.5% at week 24

Achieving HbA1c < 7.0% at week 24 Achieving HbA1c ≤ 6.5% at week 24

Incidence of anti-maridebart cafraglutide antibody formation including neutralizing antibodies against native glucagon-like peptide 1 (GLP-1)

Incidence of anti-maridebart cafraglutide antibody formation including neutralizing antibodies against native glucagon-like peptide 1 (GLP-1)

Change from baseline to week 24 in high-sensitivity C-reactive protein (hs-CRP)

Change from baseline to week 24 in high-sensitivity C-reactive protein (hs-CRP)

Achieving ≥ 5% reduction in body weight from baseline at week 24 Achieving ≥ 10% reduction in body weight from baseline at week 24

Achieving ≥ 5% reduction in body weight from baseline at week 24 Achieving ≥ 10% reduction in body weight from baseline at week 24

Change from baseline to week 24 in fasting glucose

Change from baseline to week 24 in fasting glucose

Percent changes from baseline to week 24 in total cholesterol, low-density lipoprotein cholesterol (LDL-C), high-density lipoproteincholesterol (HDL-C), non-high density lipoprotein cholesterol (non-HDL-C), very-low-density lipoprotein cholesterol (VLDL-C), triglycerides, and free fatty acids (FFA)

Percent changes from baseline to week 24 in total cholesterol, low-density lipoprotein cholesterol (LDL-C), high-density lipoproteincholesterol (HDL-C), non-high density lipoprotein cholesterol (non-HDL-C), very-low-density lipoprotein cholesterol (VLDL-C), triglycerides, and free fatty acids (FFA)

Changes from baseline to week 24 in systolic blood pressure (SBP) and diastolic blood pressure (DBP)

Changes from baseline to week 24 in systolic blood pressure (SBP) and diastolic blood pressure (DBP)

Plasma maridebart cafraglutide concentrations including observed predose plasma concentration (Cpredose) at week 20 and, if available, maximum observed plasma concentration (Cmax) as defined by week 20 day 5 to 14 postdose sample

Plasma maridebart cafraglutide concentrations including observed predose plasma concentration (Cpredose) at week 20 and, if available, maximum observed plasma concentration (Cmax) as defined by week 20 day 5 to 14 postdose sample

Incidence of treatment-emergent adverse events and serious adverse events

Incidence of treatment-emergent adverse events and serious adverse events

Trial Locations

Locations (48)

Fondazione Policlinico Universitario Agostino Gemelli IRCCS

🇮🇹

Rome, Italy

Universita' Degli Studi G. D'Annunzio Di Chieti

🇮🇹

Chieti Scalo, Italy

University Of Bari Aldo Moro

🇮🇹

Bari, Italy

Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico

🇮🇹

Milan, Italy

Ospedale San Raffaele S.r.l.

🇮🇹

Milan, Italy

Azienda Ospedaliero-Universitaria Di Bologna IRCCS Istituto Di Ricerca E Di Cura A Carattere Scientifico

🇮🇹

Bologna, Italy

Ospedale Isola Tiberina Gemelli Isola

🇮🇹

Rome, Italy

ASST Fatebenefratelli Sacco

🇮🇹

Milan, Italy

Institutul National De Diabet Nutritie Si Boli Metabolice Prof.Dr.N.Paulescu Bucuresti

🇷🇴

Bucharest, Romania

Consultmed S.R.L.

🇷🇴

Jassi, Romania

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Fondazione Policlinico Universitario Agostino Gemelli IRCCS
🇮🇹Rome, Italy
Dario Pitocco
Site contact
+393394943559
dario.pitocco@policlinicogemelli.it

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