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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05364931
Registration number
NCT05364931
Ethics application status
Date submitted
4/05/2022
Date registered
6/05/2022
Titles & IDs
Public title
A Study to Evaluate the Safety and Efficacy of Cotadutide Given by Subcutaneous Injection in Adult Participants With Non-cirrhotic Non-alcoholic Steatohepatitis With Fibrosis
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Scientific title
A Phase II Randomized, Double-blind, Placebo-controlled, Proof-of-Concept Study to Evaluate the Safety and Efficacy of Cotadutide in Participants With Non-cirrhotic Non-alcoholic Steatohepatitis With Fibrosis
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Secondary ID [1]
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2021-005484-53
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Secondary ID [2]
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D5671C00006
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Universal Trial Number (UTN)
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Trial acronym
PROXYMO-ADV
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Non-cirrhotic Non-alcoholic Steatohepatitis With Fibrosis
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Condition category
Condition code
Oral and Gastrointestinal
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Metabolic and Endocrine
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Metabolic disorders
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Diet and Nutrition
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Obesity
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Inflammatory and Immune System
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Connective tissue diseases
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Inflammatory and Immune System
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Cotadutide
Treatment: Drugs - Placebo
Experimental: Cotadutide 300µg -
Placebo comparator: Placebo 300µg -
Experimental: Cotadutide 600µg -
Placebo comparator: Placebo 600µg -
Treatment: Drugs: Cotadutide
Cotadutide administered subcutaneously once daily
Treatment: Drugs: Placebo
Placebo administered subcutaneously once daily
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Number of participants with adverse events (AEs).
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Assessment method [1]
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To assess safety and tolerability of Cotadutide. Occurrence of AEs and serious AEs, including AEs leading to dose reduction, and AEs of special interest.
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Timepoint [1]
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From first dose on Day 1 until the follow-up period, 28 days post last dose
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Primary outcome [2]
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Number of participants with abnormal vital signs.
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Assessment method [2]
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To assess safety and tolerability of Cotadutide.
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Timepoint [2]
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From first dose on Day 1 until the follow-up period, 28 days post last dose
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Primary outcome [3]
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Number of participants with abnormal laboratory assessments
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Assessment method [3]
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To assess safety and tolerability of Cotadutide.
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Timepoint [3]
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From first dose on Day 1 until the follow-up period, 28 days post last dose
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Primary outcome [4]
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Number of participants with treatment emergent abnormality in 12-lead electrocardiogram (ECG).
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Assessment method [4]
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To assess safety and tolerability of Cotadutide.
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Timepoint [4]
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From first dose on Day 1 until the follow-up period, 28 days post last dose
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Primary outcome [5]
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Number of Treatment-induced Anti-Drug Antibody (ADA) participants
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Assessment method [5]
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To assess the immunogenicity of Cotadutide
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Timepoint [5]
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From first dose on Day 1 until the follow-up period, 28 days post last dose
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Primary outcome [6]
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Titer of Treatment-induced Anti-Drug Antibody (ADA)
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Assessment method [6]
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To assess the immunogenicity of cotadutide
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Timepoint [6]
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Time Frame: From first dose on Day 1 until the follow-up period, 28 days post last dose
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Eligibility
Key inclusion criteria
1. Provision of informed consent
2. Males and female participants = 18 to = 75 years of age (inclusive) at the time of signing the informed consent.
3. Histologically confirmed non-alcoholic steatohepatitis (NASH) per NASH Clinical Research Network (CRN) criteria as diagnosed by histology from a liver biopsy performed = 180 days from randomization and fulfilling all of the following histological criteria:
1. NAS (Non-alcoholic Fatty Liver Disease Activity Score) = 4 with a score of = 1 for each component: steatosis, lobular inflammation, and ballooning
2. Presence of fibrosis stage F2 or F3
4. Women of childbearing potential, non-pregnant and nonbreastfeeding and using appropriate birth control to avoid pregnancy throughout the study and for up to 4 weeks after the last dose of study intervention.
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Minimum age
18
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Maximum age
75
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Chronic liver disease of other etiologies.
2. History of cirrhosis and/or hepatic decompensation, including evidence of portal hypertension (e.g. low platelet count, splenomegaly, ascites, history of hepatic encephalopathy, esophageal varices, or variceal bleeding).
3. Clinically significant cardiovascular or cerebrovascular disease within 90 days prior to screening, including but not limited to, myocardial infarction, acute coronary syndrome, unstable angina pectoris, transient ischemic attack, or stroke, or participants who have undergone percutaneous coronary intervention or a coronary artery bypass graft within the past 90 days or who are due to undergo these procedures at the time of screening
4. History of malignant neoplasms within 5 years prior to screening, except for adequately treated basal cell, squamous cell skin cancer, or any in situ carcinoma.
5. Participation in another clinical study with an investigational product administered within the last 30 days or 5 half-lives of the therapy (whichever is longer) at the time of screening or the time of the historical biopsy or concurrent participation in another interventional study of any kind or prior randomization in this study.
6. Severe allergy/hypersensitivity to any of the proposed study treatments or excipients
7. Contraindication to liver biopsy (eg, bleeding diathesis, such as hemophilia, suspected hemangioma, or suspected echinococcal infection) or inability to safely obtain a liver biopsy as determined by the investigator
8. Severely uncontrolled hypertension defined as SBP = 180 mmHg or DBP = 110 mmHg on the average of 2 seated BP measurements after being at rest for at least 10 minutes at screening or randomization 9 Any positive results for human immunodeficiency virus infection, positive results for hepatitis B surface antigen or hepatitis C antibody test along with a positive HCV RNA test.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
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The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
14/07/2022
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Date of last participant enrolment
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Actual
19/04/2024
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Sample size
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Final
54
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Recruitment in Australia
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3084 - Heidelberg
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2217 - Kogarah
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4131 - Meadowbrook
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3004 - Melbourne
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2145 - Westmead
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Funding & Sponsors
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Commercial sector/industry
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Name
AstraZeneca
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Ethics approval
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Summary
Brief summary
The purpose of this study is to evaluate the safety and efficacy of cotadutide in participants with non-cirrhotic NASH with fibrosis.
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Trial website
https://clinicaltrials.gov/study/NCT05364931
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Contacts
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment:
https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
Supporting document/s available: Study protocol, Statistical analysis plan (SAP)
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When will data be available (start and end dates)?
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
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Available to whom?
When a request has been approved AstraZeneca will provide access to the deidentified individual patient-level data in an approved sponsored tool . Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
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Available for what types of analyses?
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How or where can data be obtained?
IPD available at link: https://astrazenecagroup-dt.pharmacm.com/DT/Home
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05364931