NCT00673387

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

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
636

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Apr 2008

Shorter than P25 for phase_2

Geographic Reach
1 country

36 active sites

Status
completed

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

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

May 6, 2008

Completed
1 day until next milestone

First Posted

Study publicly available on registry

May 7, 2008

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2009

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2009

Completed
4.1 years until next milestone

Results Posted

Study results publicly available

November 14, 2013

Completed
Last Updated

April 15, 2015

Status Verified

March 1, 2015

Enrollment Period

1 year

First QC Date

May 6, 2008

Results QC Date

August 12, 2013

Last Update Submit

March 26, 2015

Conditions

Keywords

overweightobesitypramlintidemetreleptinAmylin

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 COMPARATOR

Placebo matched to pramlintide BID plus placebo matched to metreleptin BID

Drug: placebo-PDrug: placebo-M

Pramlintide 360 mcg + Placebo-M

EXPERIMENTAL

360 mcg pramlintide given twice per day (BID) plus Placebo matched to Metreleptin given BID

Drug: pramlintide acetateDrug: placebo-M

Placebo-P + Metreleptin 5.0 mg

EXPERIMENTAL

Placebo matched to pramlintide BID plus metreleptin 5.0 mg BID

Drug: metreleptinDrug: placebo-P

Pramlintide 180 mcg + Metreleptin 2.5 mg

EXPERIMENTAL

Pramlintide 180 mcg BID plus Metreleptin 2.5 mg BID

Drug: pramlintide acetateDrug: metreleptin

Pramlintide 180 mcg + Metreleptin 5.0 mg

EXPERIMENTAL

Pramlintide 180 mcg BID plus Metreleptin 5.0 mg BID

Drug: pramlintide acetateDrug: metreleptin

Pramlintide 360 mcg + Metreleptin 1.25 mg

EXPERIMENTAL

Pramlintide 360 mcg BID plus Metreleptin 1.25 mg BID

Drug: pramlintide acetateDrug: metreleptin

Pramlintide 360 mcg + Metreleptin 2.5 mg

EXPERIMENTAL

Pramlintide 360 mcg BID plus Metreleptin 2.5 mg BID

Drug: pramlintide acetateDrug: metreleptin

Pramlintide 360 mcg + Metreleptin 5.0 mg

EXPERIMENTAL

Pramlintide 360 mcg BID plus Metreleptin 5.0 mg BID

Drug: pramlintide acetateDrug: metreleptin

Interventions

subcutaneous injection, twice a day

Also known as: Smylin
Pramlintide 180 mcg + Metreleptin 2.5 mgPramlintide 180 mcg + Metreleptin 5.0 mgPramlintide 360 mcg + Metreleptin 1.25 mgPramlintide 360 mcg + Metreleptin 2.5 mgPramlintide 360 mcg + Metreleptin 5.0 mgPramlintide 360 mcg + Placebo-M

subcutaneous injection, twice a day

Placebo-P + Metreleptin 5.0 mgPramlintide 180 mcg + Metreleptin 2.5 mgPramlintide 180 mcg + Metreleptin 5.0 mgPramlintide 360 mcg + Metreleptin 1.25 mgPramlintide 360 mcg + Metreleptin 2.5 mgPramlintide 360 mcg + Metreleptin 5.0 mg

subcutaneous injection, twice a day

Also known as: Placebo matched to pramlintide
Placebo-P + Metreleptin 5.0 mgPlacebo-P + Placebo-M

subcutaneous injection, twice a day

Also known as: Placebo matched to Metreleptin
Placebo-P + Placebo-MPramlintide 360 mcg + Placebo-M

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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

Study Sites (36)

Research Site

Birmingham, Alabama, United States

Location

Research Site

Chandler, Arizona, United States

Location

Research Site

Santa Rosa, California, United States

Location

Research Site

Walnut Creek, California, United States

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Research Site

Denver, Colorado, United States

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Research Site

Jacksonville, Florida, United States

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Research Site

Miami, Florida, United States

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Research Site

Pembrook Pines, Florida, United States

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Research Site

Plantation, Florida, United States

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Research Site

Atlanta, Georgia, United States

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Research Site

Chicago, Illinois, United States

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Research Site

Springfield, Illinois, United States

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Research Site

Overland Park, Kansas, United States

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Research Site

Baton Rouge, Louisiana, United States

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Research Site

Auburn, Maine, United States

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Research Site

Boston, Massachusetts, United States

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Edina, Minnesota, United States

Location

Research Site

St Louis, Missouri, United States

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Research Site

Butte, Montana, United States

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Research Site

New York, New York, United States

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Research Site

Statesville, North Carolina, United States

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Cincinnati, Ohio, United States

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Research Site

Columbus, Ohio, United States

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Research Site

Eugene, Oregon, United States

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Research Site

Medford, Oregon, United States

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Research Site

Anderson, South Carolina, United States

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Research Site

Greer, South Carolina, United States

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Research Site

Mt. Pleasant, South Carolina, United States

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Research Site

Nashville, Tennessee, United States

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Research Site

Austin, Texas, United States

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Research Site

Dallas, Texas, United States

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Research Site

San Antonio, Texas, United States

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Research Site

Salt Lake City, Utah, United States

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Research Site

Norfolk, Virginia, United States

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Research Site

Belingham, Washington, United States

Location

Research Site

Olympia, Washington, United States

Location

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.

MeSH Terms

Conditions

OverweightObesity

Interventions

pramlintidemetreleptin

Condition Hierarchy (Ancestors)

OvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

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

  • Vice President Research and Development, MD

    Amylin Pharmaceuticals, LLC.

    STUDY DIRECTOR

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

Locations