A study to investigate different doses of 0382 in overweight and obese subjects with type 2 diabetes mellitus.

Exclusion Criteria

• 1. History of, or any existing condition that, in the opinion of the investigator, would interfere with evaluation of the investigational product, put the subject at risk, influence the subject’s ability to participate or affect the interpretation of the results of the study and/or any subject unable or unwilling to follow study procedures
• 2. Concurrent participation in another study of any kind and repeat randomisation in this study is prohibited
• 3. Severe allergy/hypersensitivity to any of the proposed study treatments
• 4. Symptoms of acutely decompensated blood glucose control (eg, thirst, polyuria, weight loss), a history of type 1 diabetes mellitus or diabetic ketoacidosis, or if the subject has been treated with daily SC insulin within 90 days prior to screening
• 5. Significant inflammatory bowel disease, gastroparesis, or other severe disease or surgery affecting the upper GI tract (including weight-reducing surgery and procedures) which may affect gastric emptying or could affect the interpretation of safety and tolerability data
• 6. Significant hepatic disease (except for non-alcoholic steatohepatitis or non-alcoholic fatty liver disease without portal hypertension or cirrhosis) and/or subjects with any of the following results at screening:
• ◦ Aspartate transaminase (AST) ≥ 3 × upper limit of normal (ULN)
• ◦ Alanine transaminase (ALT) ≥ 3 × ULN
• ◦ Total bilirubin ≥ 2 × ULN
• 7. Impaired renal function defined as estimated glomerular filtration rate (GFR)
• < 60 mL/minute/1.73 m2 at screening (GFR estimated according to Modification of Diet in Renal Disease [MDRD] using the isotope dilution mass spectrometry [IDMS] traceable MDRD Study Equation [SI units])
• 8. Poorly controlled hypertension defined as:
• ◦ Systolic BP > 160 mm Hg
• ◦ Diastolic BP ≥ 95 mm Hg
• after 10 minutes of seated rest and confirmed by repeated measurement at screening.
• 9. Unstable angina pectoris, myocardial infarction, transient ischemic attack or stroke within 3 months prior to screening, or subjects who have undergone percutaneous coronary intervention or a coronary artery bypass graft within the past 6 months or who are due to undergo these procedures at the time of screening
• 10. Severe congestive heart failure (New York Heart Association Class III or IV)
• 11. Basal calcitonin level > 50 ng/L at screening or history/family history of medullary thyroid carcinoma or multiple endocrine neoplasia
• 12. Haemoglobinopathy, haemolytic anemia, or chronic anaemia (haemoglobin concentration < 11.5 g/dL [115 g/L] for males, < 10.5 g/dL [105 g/L] for females) at screening or any other condition known to interfere with interpretation of HbA1c measurement
• 13. History of neoplastic disease within 5 years prior to screening, except for adequately treated basal cell, squamous cell skin cancer, or in situ cervical cancer
• 14. Any positive results for serum hepatitis B surface antigen (HBsAg), hepatitis C antibody, and human immunodeficiency virus (HIV) antibody
• 15. History of substance dependence, alcohol abuse, or excessive alcohol intake (defined as an average weekly intake of > 21 alcoholic drinks for men or > 10 alcoholic drinks for women) within 3 years prior to screening, and/or a positive screen for drugs of abuse or alcohol at screening or on admission to the study unit. Subjects who use tricyclic antidepressants or benzodiazepines for an established clinical indication may be permitted to enter the study based upon the judgement of the investigator.
• 16. Involvement of any AstraZeneca, MedImmune, contract research organization, or study site employee or their close relatives
• 17. History of acute or chronic pancreatitis or other diseases of the pancreas