NCT03364335

Brief Summary

This is a 24-week study to evaluate the effects of two fixed-dose combinations of leucine and sildenafil or two fixed-dose combinations of leucine, sildenafil and metformin compared to placebo. The primary objective of this study is to evaluate the percentage change in body weight in subjects from Baseline/Visit 2 (Day 1) to Study Termination/Visit 8 (Day 168/Week 24).

Trial Health

87
On Track

Trial Health Score

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

Enrollment
267

participants targeted

Target at P75+ for phase_2 obesity

Timeline
Completed

Started Jan 2018

Shorter than P25 for phase_2 obesity

Geographic Reach
1 country

15 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

First Submitted

Initial submission to the registry

November 30, 2017

Completed
6 days until next milestone

First Posted

Study publicly available on registry

December 6, 2017

Completed
1 month until next milestone

Study Start

First participant enrolled

January 8, 2018

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 6, 2018

Completed
11 days until next milestone

Study Completion

Last participant's last visit for all outcomes

August 17, 2018

Completed
3 months until next milestone

Results Posted

Study results publicly available

November 27, 2018

Completed
Last Updated

August 21, 2019

Status Verified

November 1, 2018

Enrollment Period

7 months

First QC Date

November 30, 2017

Results QC Date

October 29, 2018

Last Update Submit

August 19, 2019

Conditions

Outcome Measures

Primary Outcomes (1)

  • Percentage Body Weight Change

    The percentage body weight change from baseline to Day 168 was evaluated.

    Baseline to Day 168

Secondary Outcomes (12)

  • Change in Absolute Body Weight

    Baseline to Day 168

  • Change in Percentage of Patients With ≥5% Body Weight Loss

    Baseline to Day 168

  • Change in Waist Circumference

    Baseline to Day 168

  • Change in Total Cholesterol

    Baseline to Day 168

  • Change in HDL Cholesterol

    Baseline, Day 168

  • +7 more secondary outcomes

Study Arms (5)

Placebo

PLACEBO COMPARATOR

Each dose of placebo will consist of three tablets, identical in appearance to those used in the two active treatment arms, containing 93.5% Microcrystalline cellulose PH 102, 5.0% Crospovidone XL 10, 1.0% Silica gel (Syloid 244), 0.5% Magnesium stearate I MF3V for the leucine matched placebo and 99.5% Avicel PH200 , 0.5% magnesium stearate (w/w) and Opadry II White coating 3% weight gain for the sildenafil matched placebo.

Drug: Placebo

Leu Sil 1.0mg

EXPERIMENTAL

3 capsules BID consisting of 2 capsules containing 550 mg L-leucine each and 1 capsule containing 1.0 mg of sildenafil

Drug: Leu Sil 1.0mgDrug: Leu Sil 4.0mg

Leu Sil 4.0mg

EXPERIMENTAL

3 capsules BID consisting of 2 capsules containing 550 mg L-leucine each and 1 capsule containing 4.0 mg of sildenafil

Drug: Leu Sil 1.0mgDrug: Leu Met Sil 1.0mg

Leu Met Sil 1.0mg

EXPERIMENTAL

3 capsules BID consisting of 2 capsules containing 550 mg L-leucine and 250 mg metformin and 1 capsule containing 1.0 mg of sildenafil

Drug: Leu Sil 1.0mgDrug: Leu Sil 4.0mgDrug: Leu Met Sil 4.0mg

Leu Met Sil 4.0mg

EXPERIMENTAL

3 capsules BID consisting of 2 capsules containing 550 mg L-leucine and 250 mg metformin and 1 capsule containing 4.0 mg of sildenafil

Drug: Leu Sil 1.0mgDrug: Leu Met Sil 1.0mgDrug: Leu Met Sil 4.0mg

Interventions

Leu 1100 mg + 1mg Sil BID

Also known as: NS-0300-1.0
Leu Met Sil 1.0mgLeu Met Sil 4.0mgLeu Sil 1.0mgLeu Sil 4.0mg

Leu 1100 mg + 4mg Sil BID

Also known as: NS-0300-4.0
Leu Met Sil 1.0mgLeu Sil 1.0mg

Leu 1100 mg + Met 500mg + 1mg Sil BID

Also known as: NS-0200-1.0
Leu Met Sil 4.0mgLeu Sil 4.0mg

Leu 1100 mg + Met 500mg + 4mg Sil BID

Also known as: NS-0200-4.0
Leu Met Sil 1.0mgLeu Met Sil 4.0mg

Placebo

Placebo

Eligibility Criteria

Age18 Years - 65 Years
Sexall(Gender-based eligibility)
Gender Eligibility DetailsMaximum of 70% female
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age ≥18 and ≤65 at study entry.
  • Is male, or female and, if female, meets all of the following criteria:
  • Not breastfeeding
  • Post-menopausal or negative serum pregnancy test result (human chorionic gonadotropin, beta subunit \[β-hCG\]) at Screening/Visit 1 (Day-7/Week-1) (not required for hysterectomized females)
  • If of childbearing potential (including peri-menopausal women who have had a menstrual period within one year) must practice and be willing to continue to practice appropriate birth control (defined as a method which results in a low failure rate, i.e., less than 1% per year, when used consistently and correctly, such as double barrier methods \[male condom with spermicide, with or without cervical cap or diaphragm\], implants, injectables, oral contraceptives \[must have been using for at least the last 3 months\], some intrauterine contraceptive devices, tubal ligation, or in an established relationship with a vasectomized or same sex partner) during the entire duration of the study
  • Stable body weight (±5%) and health over the last 3 months.
  • Has a BMI between 30 kg/m2 and 45 kg/m2
  • Stable diet within the last three months

You may not qualify if:

  • Clinical laboratory tests (hematology, clinical chemistry, and urinalysis) either normal, not clinically significant or with abnormalities consistent with obesity
  • Is able to read, understand, and sign the informed consent forms (ICF) and, when applicable, an authorization to use and disclose protected health information form (consistent with Health Insurance Portability and Accountability Act of 1996 \[HIPAA\] legislation), communicate with the investigator, and understand and comply with protocol requirements.
  • Diagnosis of diabetes or on a diabetes medication
  • HbA1c ≥6.5% at Screening/Visit 1 (Day-7/Week-1)
  • Severe renal impairment (eGFR \< 45 mg/mL/1.73 m2) and/or patients with acute or chronic metabolic acidosis. Acidosis is defined as \>25mmol/L computed without K.
  • Normal is 8- 16, but acidosis is \>25
  • Use of any of the following medications in the eight weeks prior to entering screening for study participation and during the study:
  • Use of any anti-diabetes medication including metformin and any combination drug that contains metformin
  • Sildenafil
  • Tadalafil
  • Vardenafil
  • OCT2/MATE inhibitors (e.g. cimetidine, quinidine, and pyrimethamine)
  • Riociguat (guanylate cyclase stimulant)
  • Alpha blockers
  • Nitrates (e.g. oral nitrates, sublingual nitroglycerine and nitroglycerine patches)
  • +34 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (15)

AMR

Mobile, Alabama, 36608, United States

Location

Catalina Research Institute

Montclair, California, 91763, United States

Location

Northern California Research

Sacramento, California, 95821, United States

Location

ACR

Meridian, Idaho, 83642, United States

Location

Synexus

Chicago, Illinois, 60602, United States

Location

Pennington Biomedical Research Center

Baton Rouge, Louisiana, 70808, United States

Location

Clinical Trials Management

Metairie, Louisiana, 70006, United States

Location

Synexus

St Louis, Missouri, 63141, United States

Location

AMR

Las Vegas, Nevada, 89119, United States

Location

Rapid Medical Research

Cleveland, Ohio, 44122, United States

Location

Medical Research South

Charleston, South Carolina, 29407, United States

Location

Premier

Clarksville, Tennessee, 37040, United States

Location

Synexus

Dallas, Texas, 75234, United States

Location

Synexus

San Antonio, Texas, 78229, United States

Location

ACR

Jordan, Utah, 84088, United States

Location

MeSH Terms

Conditions

Obesity

Condition Hierarchy (Ancestors)

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

Results Point of Contact

Title
Barbara Cannon
Organization
NuSirt Biopharma

Study Officials

  • Michael B Zemel, PhD

    NuSirt Biopharma

    STUDY CHAIR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Masking Details
This is a double blind, placebo controlled trial
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 30, 2017

First Posted

December 6, 2017

Study Start

January 8, 2018

Primary Completion

August 6, 2018

Study Completion

August 17, 2018

Last Updated

August 21, 2019

Results First Posted

November 27, 2018

Record last verified: 2018-11

Data Sharing

IPD Sharing
Will not share

Locations