Study to Examine Safety, Tolerability, and Effect on Body Weight of Metreleptin Administered in Conjunction With Pramlintide in Obese and Overweight Subjects
A Randomized, Double-Blind, Placebo-Controlled, Dose-Ranging Study to Examine the Safety, Tolerability, and Effect on Body Weight of Metreleptin Administered in Conjunction With Pramlintide in Obese and Overweight Subjects.
1 other identifier
interventional
636
1 country
36
Brief Summary
A randomized, double-blind, placebo-controlled, dose-ranging study to examine the safety, tolerability and effect on body weight of a range of doses of metreleptin and pramlintide, each administered by a separate subcutaneous (SC) injection in obese and overweight subjects.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Apr 2008
Shorter than P25 for phase_2
36 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2008
CompletedFirst Submitted
Initial submission to the registry
May 6, 2008
CompletedFirst Posted
Study publicly available on registry
May 7, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2009
CompletedResults Posted
Study results publicly available
November 14, 2013
CompletedApril 15, 2015
March 1, 2015
1 year
May 6, 2008
August 12, 2013
March 26, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Least Squares (LS) Mean Percent Change in Body Weight From Baseline to Week 28 - Evaluable Population
Body weight was measured in kilogram (kg). Baseline is defined as Day 1. If Day 1 was missing or after the first dose date of randomized treatment, the last available value prior to Day 1 was used. Drug Randomization stratified by sex and 3 categories baseline BMI (12 arms); 3 treatment arms combined for summaries as single placebo treatment group; 3 combined for summaries as single pramlintide monotherapy treatment group (total: 8 treatment groups).
Baseline to Week 28
Secondary Outcomes (26)
Number of Participants Achieving at Least 5% and at Least 10% Body Weight Loss From Baseline to Week 28 - Evaluable Population
Baseline to Week 28
Mean Absolute Change From Baseline to Weeks 4, 12, 28 in Mean Trough Concentration of Total Leptin - Evaluable Population
Baseline to Week 28
LS Mean Absolute Change in Body Weight From Baseline to Weeks 4, 12, and 28 - Evaluable Population
Baseline to Week 28
LS Mean Change in Waist Circumference From Baseline to Week 12 and Week 28 - Evaluable Population
Baseline to Weeks 12 and Week 28
Geometric Mean of the Total Area Under the Concentration Time Curve (AUC) From Time 0 to Last Quantifiable Concentration (Tlast) for Pramlintide at Weeks 4 and 24 - Evaluable Population Receiving Pramlintide
Week 4 and Week 24
- +21 more secondary outcomes
Study Arms (8)
Placebo-P + Placebo-M
PLACEBO COMPARATORPlacebo matched to pramlintide BID plus placebo matched to metreleptin BID
Pramlintide 360 mcg + Placebo-M
EXPERIMENTAL360 mcg pramlintide given twice per day (BID) plus Placebo matched to Metreleptin given BID
Placebo-P + Metreleptin 5.0 mg
EXPERIMENTALPlacebo matched to pramlintide BID plus metreleptin 5.0 mg BID
Pramlintide 180 mcg + Metreleptin 2.5 mg
EXPERIMENTALPramlintide 180 mcg BID plus Metreleptin 2.5 mg BID
Pramlintide 180 mcg + Metreleptin 5.0 mg
EXPERIMENTALPramlintide 180 mcg BID plus Metreleptin 5.0 mg BID
Pramlintide 360 mcg + Metreleptin 1.25 mg
EXPERIMENTALPramlintide 360 mcg BID plus Metreleptin 1.25 mg BID
Pramlintide 360 mcg + Metreleptin 2.5 mg
EXPERIMENTALPramlintide 360 mcg BID plus Metreleptin 2.5 mg BID
Pramlintide 360 mcg + Metreleptin 5.0 mg
EXPERIMENTALPramlintide 360 mcg BID plus Metreleptin 5.0 mg BID
Interventions
subcutaneous injection, twice a day
subcutaneous injection, twice a day
subcutaneous injection, twice a day
subcutaneous injection, twice a day
Eligibility Criteria
You may qualify if:
- to 65 years old.
- Is obese (Body Mass Index \[BMI\]\>=30kg/m\^2 and \<=35kg/m\^2); or overweight (BMI\>=27kg/m\^2 and \<30kg/m\^2.
- Has stable body weight, i.e., not varying by \>3% within 3 months prior to study.
- Has not been treated over the past 3 months or is currently treated with any of the following medications: Oral contraceptives (female subjects); Hormone replacement therapy (female subjects); Metformin for the treatment of polycystic ovary syndrome (female subjects); Antihypertensive agents; Lipid-lowering agents; Thyroid replacement therapy; selective serotonin reuptake inhibitors (SSRIs).
- Is comfortable with having repeated telephone contacts with a lifestyle counselor during the study.
- Is a nonsmoker (has not smoked for at least 6 months prior to the study).
You may not qualify if:
- Has a medical history (e.g., morbid childhood obesity) and/or physical characteristics suggestive of genetic obesity or syndromatic obesity (e.g., Prader-Willi syndrome, Bardet-Biedl syndrome).
- Has been treated over the past 2 months, is currently treated, or is expected to require or undergo treatment with \*antiobesity agents (prescription or over-the-counter), \*antipsychotic agents, \*antiepileptic agents, \*antidepressant agents, \*drugs that directly affect gastrointestinal motility, \*antidiabetic medications.
- Has previously received treatment with metreleptin or pramlintide in a clinical study or has received prior treatment with pramlintide (SYMLIN®).
- Has received any investigational drug within 30 days or within a period corresponding to 5 half-lives of that drug, whichever is greater, prior to this study starting.
- Has had a major surgery or a blood transfusion, or has donated blood over the past 2 months or is planning to donate blood during the study.
- Has had liposuction, abdominoplasty, or similar procedure over the past year or is planning to have such a procedure during the study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- AstraZenecalead
Study Sites (36)
Research Site
Birmingham, Alabama, United States
Research Site
Chandler, Arizona, United States
Research Site
Santa Rosa, California, United States
Research Site
Walnut Creek, California, United States
Research Site
Denver, Colorado, United States
Research Site
Jacksonville, Florida, United States
Research Site
Miami, Florida, United States
Research Site
Pembrook Pines, Florida, United States
Research Site
Plantation, Florida, United States
Research Site
Atlanta, Georgia, United States
Research Site
Chicago, Illinois, United States
Research Site
Springfield, Illinois, United States
Research Site
Overland Park, Kansas, United States
Research Site
Baton Rouge, Louisiana, United States
Research Site
Auburn, Maine, United States
Research Site
Boston, Massachusetts, United States
Research Site
Edina, Minnesota, United States
Research Site
St Louis, Missouri, United States
Research Site
Butte, Montana, United States
Research Site
New York, New York, United States
Research Site
Statesville, North Carolina, United States
Research Site
Cincinnati, Ohio, United States
Research Site
Columbus, Ohio, United States
Research Site
Eugene, Oregon, United States
Research Site
Medford, Oregon, United States
Research Site
Anderson, South Carolina, United States
Research Site
Greer, South Carolina, United States
Research Site
Mt. Pleasant, South Carolina, United States
Research Site
Nashville, Tennessee, United States
Research Site
Austin, Texas, United States
Research Site
Dallas, Texas, United States
Research Site
San Antonio, Texas, United States
Research Site
Salt Lake City, Utah, United States
Research Site
Norfolk, Virginia, United States
Research Site
Belingham, Washington, United States
Research Site
Olympia, Washington, United States
Related Publications (1)
Chan JL, Koda J, Heilig JS, Cochran EK, Gorden P, Oral EA, Brown RJ. Immunogenicity associated with metreleptin treatment in patients with obesity or lipodystrophy. Clin Endocrinol (Oxf). 2016 Jul;85(1):137-49. doi: 10.1111/cen.12980. Epub 2016 Feb 2.
PMID: 26589105DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Limitations and Caveats
Drug Randomization stratified:sex,3 categories baseline BMI (12 arms); 3 treatment arms combined for summaries as single placebo treatment group; 3 combined for summaries as single pramlintide monotherapy treatment group (total:8 treatment groups).
Results Point of Contact
- Title
- Peter Ohman, Medical Science Director
- Organization
- AstraZeneca
Study Officials
- STUDY DIRECTOR
Vice President Research and Development, MD
Amylin Pharmaceuticals, LLC.
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- FACTORIAL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 6, 2008
First Posted
May 7, 2008
Study Start
April 1, 2008
Primary Completion
April 1, 2009
Study Completion
October 1, 2009
Last Updated
April 15, 2015
Results First Posted
November 14, 2013
Record last verified: 2015-03