Efficacy, Safety and Tolerability of AZD6234 in Participants Living With Overweight or Obesity With Type 2 Diabetes Who Are on a Stable Dose of GLP-1 Receptor Agonist

Purpose

This Phase II study is a randomized, parallel group, double blinded, placebo-controlled, multicenter to evaluate the efficacy, safety, and tolerability of AZD6234 in adults with overweight or obesity and type 2 diabetes on stable GLP-1 RA therapy.

Conditions

  • Endocrinology
  • Diabetes, Type II
  • Obesity

Eligibility

Eligible Ages
Between 18 Years and 75 Years
Eligible Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  1. Be 18 to 75 years old at the time of signing the informed consent. 2. Diagnosed with type 2 diabetes ≥ 180 days before screening. 3. HbA1c value at screening of ≥ 6.0% (42 mmol/mol) and ≤ 10% (86 mmol/mol). 4. On a stable maintenance dose of an injectable GLP-1 RA. 5. At Screening, have a BMI ≥ 27 kg/m2

Exclusion Criteria

  1. Has received treatment with prescription or non-prescription medication for weight loss within the last 3 months prior to screening (other than a GLP-1 RA). 2. Self-reported weight change of > 5 % in the 3 months prior to screening. 3. Diabetes mellitus that is not clearly type 2 diabetes. 4. Use of insulin therapy for T2DM 5. Previous or planned (within study period) bariatric surgery or fitting of a weight loss device (eg, gastric balloon or duodenal barrier) 6. Significant hepatobiliary disease (except for non-alcoholic steatohepatitis or nonalcoholic fatty liver disease without portal hypertension or cirrhosis) 8. Impaired renal function defined as eGFR ≤ 45 mL/minute/1.73m2 at screening

Study Design

Phase
Phase 2
Study Type
Interventional
Allocation
Randomized
Intervention Model
Sequential Assignment
Intervention Model Description
The study spans approx. 37 weeks per participant, including a screening period, a treatment period and a follow-up period. Around 64 eligible participants will be randomized to receive either AZD6234 or a matching placebo, in addition to their stable GLP-1 RA regimen. Treatments consist of weekly subcutaneous injections, with AZD6234 dosing adjustments allowed based on individual tolerance.
Primary Purpose
Treatment
Masking
Triple (Participant, Care Provider, Investigator)
Masking Description
This is a double-blind study in which AstraZeneca, the study site staff, and participants remain blinded during the clinical study. All packaging and labelling of IMP will be done in such a way as to ensure blinding for all participants, AstraZeneca staff, and study site staff. Blinded investigators, blinded study site staff, and participants will remain blinded to each participant's assigned IMP throughout the course of the study.

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
AZD6234
Weekly SC injections of AZD6234
  • Drug: AZD6234
    Weekly SC injections of AZD6234
  • Drug: Placebo to match
    Weekly SC injections of matching placebo
Placebo Comparator
Placebo for AZD6234
Weekly SC injections of matching placebo
  • Drug: Placebo to match
    Weekly SC injections of matching placebo

Recruiting Locations

Research Site
Birmingham 4049979, Alabama 4829764 35205

Research Site
Mobile 4076598, Alabama 4829764 36608

Research Site
Doral 4153471, Florida 4155751 33166

Research Site
Jacksonville 4160021, Florida 4155751 32216

Research Site
Miami 4164138, Florida 4155751 33135

Research Site
Miami 4164138, Florida 4155751 33136

Research Site
Winter Park 4178560, Florida 4155751 32789

Research Site
Canton 4186213, Georgia 4197000 30114

Research Site
Chicago 4887398, Illinois 4896861 60640

Research Site
Oak Brook 4904277, Illinois 4896861 60523

Research Site
Newton 4276248, Kansas 4273857 67114

Research Site
Lexington 4297983, Kentucky 6254925 40509

Research Site
Kansas City 4393217, Missouri 4398678 64114

Research Site
Las Vegas 5506956, Nevada 5509151 89119

Research Site
Norman 4543762, Oklahoma 4544379 73069

Research Site
Knoxville 4634946, Tennessee 4662168 37909

Research Site
San Antonio 4726206, Texas 4736286 78229

More Details

NCT ID
NCT06851858
Status
Recruiting
Sponsor
AstraZeneca

Study Contact

AstraZeneca Clinical Study Information Center
1-877-240-9479
information.center@astrazeneca.com

Detailed Description

This is a Phase II, randomised, parallel-group, double-blind, placebo-controlled, multi-centre study to assess the efficacy, safety, and tolerability of AZD6234 compared with placebo, given once weekly as a subcutaneous (SC) injection, in adults living with overweight or obesity and type 2 diabetes who are on a stable dose of GLP-1 RA. The study is being conducted across sites in the USA to evaluate the efficacy, safety, and tolerability of AZD6234 in adults with overweight or obesity and type 2 diabetes on stable GLP-1 RA therapy. A total of 64 Participants, aged 18-75 with a BMI ≥ 27 kg/m², will be randomized to receive weekly subcutaneous injections of either AZD6234 or a placebo, alongside their current GLP-1 RA medication. The study involves a screening period and a treatment and follow-up period.