BENITIONSClinical Trial Intelligence

Study of REGN4461, a Leptin Receptor Agonist Antibody, in Patients With Generalized Lipodystrophy

Phase 2 Completed NCT04159415

ConditionGeneralized Lipodystrophy
PhasePhase 2
SponsorRegeneron Pharmaceuticals
StatusCompleted
Enrollment16 participants
InterventionsLow-Dose REGN4461, High-dose REGN4461
Start dateJan 7, 2020
Completion dateJan 5, 2022
Results postedFeb 25, 2025

Summary

The primary objectives of the study are to estimate the effects of REGN4461 on glycemic parameters in the subset of patients with elevated baseline hemoglobin A1c levels (HbA1c ≥7%) and to estimate the effects of REGN4461 on fasting triglyceride levels in the subset of patients with elevated baseline fasting triglycerides (TG ≥250 mg/dL). The secondary objectives are to estimate the effects of REGN4461 on a composite endpoint of changes in either HbA1c or fasting TG for all patients, estimate the effects of 3 dose levels of REGN4461 on glycemic parameters and fasting TG, to estimate the effects of REGN4461 on insulin sensitivity, to evaluate the safety and tolerability of REGN4461 and to evaluate the pharmacokinetics (PK) and immunogenicity of REGN4461.

Absolute Change From Baseline in Participants With Elevated Baseline Hemoglobin A1c (HbA1c ≥7%) at Week 8

Baseline, Week 8 · millimoles per mole (mmol/mol)

Treatment Sequence A, DBTP 1: Placebo SC QW-0.1 ± 0.6 millimoles per mole (mmol/mol)
Treatment Sequence B, DBTP 1: Low-dose REGN4461 SC QW0.2 ± 0.7 millimoles per mole (mmol/mol)
Least Squares (LS) Mean Difference0.2 (95% CI -1.9–2.3)

Absolute Change From Baseline in Fasting Glucose at Week 8

Baseline, Week 8 · milligrams per deciliter (mg/dL)

Treatment Sequence A, DBTP 1: Placebo SC QW15.5 ± 18.6 milligrams per deciliter (mg/dL)
Treatment Sequence B, DBTP 1: Low-dose REGN4461 SC QW53.6 ± 19.9 milligrams per deciliter (mg/dL)
LS Mean Difference38.1 (95% CI -21.3–97.5)

Absolute Change From Baseline in Weighted Mean Glucose (WMG) at Week 8

Baseline, Week 8 · mg/dL

Treatment Sequence A, DBTP 1: Placebo SC QW-3.7 ± 19.9 mg/dL
Treatment Sequence B, DBTP 1: Low-dose REGN4461 SC QW-3.7 ± 23.4 mg/dL
Adjusted Mean Difference0.0 (95% CI -56.9–56.9)

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