Trial Outcomes & Findings for TH9507 Extension Study in Patients With HIV-Associated Lipodystrophy (NCT NCT00608023)

NCT ID: NCT00608023

Last Updated: 2022-09-30

Results Overview

Blood glucose was determined after an overnight fast. Changes in blood glucose between baseline and Week 52 are reported.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

263 participants

Primary outcome timeframe

Baseline and Week 52

Results posted on

2022-09-30

Participant Flow

Participant milestones

Participant milestones
Measure
Tesamorelin (52 Weeks)
Tesamorelin 2 mg/day for 52 Weeks
Tesamorelin (26 Weeks) - Placebo (26 Weeks)
Tesamorelin 2 mg/day for 26 weeks followed by Placebo for 26 weeks
Placebo-Tesamorelin (P-T)
Placebo for 26 weeks followed by Tesamorelin 2 mg/day for 26 weeks
Overall Study
STARTED
92
85
86
Overall Study
COMPLETED
80
63
72
Overall Study
NOT COMPLETED
12
22
14

Reasons for withdrawal

Reasons for withdrawal
Measure
Tesamorelin (52 Weeks)
Tesamorelin 2 mg/day for 52 Weeks
Tesamorelin (26 Weeks) - Placebo (26 Weeks)
Tesamorelin 2 mg/day for 26 weeks followed by Placebo for 26 weeks
Placebo-Tesamorelin (P-T)
Placebo for 26 weeks followed by Tesamorelin 2 mg/day for 26 weeks
Overall Study
Withdrawal by Subject
8
10
7
Overall Study
Adverse Event
1
4
5
Overall Study
Lost to Follow-up
2
2
1
Overall Study
Protocol Violation
1
3
1
Overall Study
Unknown reason
0
3
0

Baseline Characteristics

TH9507 Extension Study in Patients With HIV-Associated Lipodystrophy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Tesamorelin 52 Weeks
n=92 Participants
Tesamorelin 2 mg/day for 52 weeks
Tesamorelin (26 Weeks) - Placebo (26 Weeks)
n=85 Participants
Tesamorelin 2 mg/day for 26 weeks followed by Placebo for 26 weeks
Placebo (26 Weeks) - Tesamorelin (26 Weeks)
n=86 Participants
Placebo for 26 weeks followed by Tesamorelin 2 mg/day for 26 weeks
Total
n=263 Participants
Total of all reporting groups
Age, Continuous
47.7 years
STANDARD_DEVIATION 6.9 • n=5 Participants
48.9 years
STANDARD_DEVIATION 7.2 • n=7 Participants
48.4 years
STANDARD_DEVIATION 7.9 • n=5 Participants
48.3 years
STANDARD_DEVIATION 7.3 • n=4 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
9 Participants
n=7 Participants
11 Participants
n=5 Participants
29 Participants
n=4 Participants
Sex: Female, Male
Male
83 Participants
n=5 Participants
76 Participants
n=7 Participants
75 Participants
n=5 Participants
234 Participants
n=4 Participants

PRIMARY outcome

Timeframe: Baseline and Week 52

Blood glucose was determined after an overnight fast. Changes in blood glucose between baseline and Week 52 are reported.

Outcome measures

Outcome measures
Measure
Tesamorelin 52 Weeks
n=92 Participants
Tesamorelin 2 mg/day for 52 weeks
Tesamorelin (26 Weeks) - Placebo (26 Weeks)
n=85 Participants
Tesamorelin 2 mg/day for 26 weeks followed by Placebo for 26 weeks
Placebo (26 Weeks) - Tesamorelin (26 Weeks)
n=86 Participants
Placebo for 26 weeks followed by Tesamorelin 2 mg/day for 26 weeks
Changes From Baseline in Fasting Blood Glucose at Week 52
0 mg/dL
Standard Deviation 16
-2 mg/dL
Standard Deviation 34
1 mg/dL
Standard Deviation 21

PRIMARY outcome

Timeframe: Baseline and Week 52

Glucose tolerance was determined after an overnight fast using standard 75 gram-oral glucose tolerance test (OGTT) with glucose measured at timepoints 0, 30, 60, 90 and 120. Changes in glucose tolerance between baseline and Week 52 are reported.

Outcome measures

Outcome measures
Measure
Tesamorelin 52 Weeks
n=92 Participants
Tesamorelin 2 mg/day for 52 weeks
Tesamorelin (26 Weeks) - Placebo (26 Weeks)
n=85 Participants
Tesamorelin 2 mg/day for 26 weeks followed by Placebo for 26 weeks
Placebo (26 Weeks) - Tesamorelin (26 Weeks)
n=86 Participants
Placebo for 26 weeks followed by Tesamorelin 2 mg/day for 26 weeks
Changes From Baseline in 2 h Oral Glucose Tolerance Test (OGTT) at Week 52
-2 mg/dL
Standard Deviation 38
2 mg/dL
Standard Deviation 35
7 mg/dL
Standard Deviation 37

SECONDARY outcome

Timeframe: Baseline and Week 52

Population: All data were included in the analysis by intention to treat principles. Intent to treat populations were defined as all randomized subjects who were exposed to study drug (i.e injection of at least 1 dose of study drug).

Visceral adipose tissue (VAT) was assessed by computerized tomography (CT) scan using a single-slice. Changes in VAT between baseline and Week 52 are reported.

Outcome measures

Outcome measures
Measure
Tesamorelin 52 Weeks
n=92 Participants
Tesamorelin 2 mg/day for 52 weeks
Tesamorelin (26 Weeks) - Placebo (26 Weeks)
n=85 Participants
Tesamorelin 2 mg/day for 26 weeks followed by Placebo for 26 weeks
Placebo (26 Weeks) - Tesamorelin (26 Weeks)
n=86 Participants
Placebo for 26 weeks followed by Tesamorelin 2 mg/day for 26 weeks
Changes From Baseline in Visceral Adipose Tissue (VAT) at Week 52
-41 cm^2
Standard Deviation 57
0 cm^2
Standard Deviation 53
-26 cm^2
Standard Deviation 47

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and Week 52

Blood lipid levels were determined under fasting conditions. Changes in triglycerides between baseline and Week 52 are reported.

Outcome measures

Outcome measures
Measure
Tesamorelin 52 Weeks
n=92 Participants
Tesamorelin 2 mg/day for 52 weeks
Tesamorelin (26 Weeks) - Placebo (26 Weeks)
n=85 Participants
Tesamorelin 2 mg/day for 26 weeks followed by Placebo for 26 weeks
Placebo (26 Weeks) - Tesamorelin (26 Weeks)
n=86 Participants
Placebo for 26 weeks followed by Tesamorelin 2 mg/day for 26 weeks
Changes From Baseline in Triglycerides at Week 52
-37 mg/dL
Standard Deviation 196
4 mg/dL
Standard Deviation 177
1 mg/dL
Standard Deviation 120

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and Week 52

Blood lipid levels were determined under fasting conditions. Total Cholesterol/HDL Cholesterol Ratio was obtained by dividing the total cholesterol value by the value of the HDL cholesterol. Changes between baseline and Week 52 are reported.

Outcome measures

Outcome measures
Measure
Tesamorelin 52 Weeks
n=92 Participants
Tesamorelin 2 mg/day for 52 weeks
Tesamorelin (26 Weeks) - Placebo (26 Weeks)
n=85 Participants
Tesamorelin 2 mg/day for 26 weeks followed by Placebo for 26 weeks
Placebo (26 Weeks) - Tesamorelin (26 Weeks)
n=86 Participants
Placebo for 26 weeks followed by Tesamorelin 2 mg/day for 26 weeks
Changes From Baseline in Total Cholesterol/HDL Cholesterol Ratio at Week 52
-0.23 ratio
Standard Deviation 1.75
0.13 ratio
Standard Deviation 1.19
0.06 ratio
Standard Deviation 1.01

Adverse Events

Tesamorelin 52 Weeks

Serious events: 3 serious events
Other events: 17 other events
Deaths: 0 deaths

Tesamorelin (26 Weeks) - Placebo (26 Weeks)

Serious events: 1 serious events
Other events: 11 other events
Deaths: 0 deaths

Placebo (26 Weeks) - Tesamorelin (26 Weeks)

Serious events: 3 serious events
Other events: 28 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Tesamorelin 52 Weeks
n=92 participants at risk
Tesamorelin 2 mg/day for 52 weeks
Tesamorelin (26 Weeks) - Placebo (26 Weeks)
n=85 participants at risk
Tesamorelin 2 mg/day for 26 weeks followed by Placebo for 26 weeks
Placebo (26 Weeks) - Tesamorelin (26 Weeks)
n=86 participants at risk
Placebo for 26 weeks followed by Tesamorelin 2 mg/day for 26 weeks
Eye disorders
Retinopathy
1.1%
1/92
0.00%
0/85
0.00%
0/86
Gastrointestinal disorders
Abdominal pain
0.00%
0/92
1.2%
1/85
0.00%
0/86
General disorders
Chest pain
1.1%
1/92
0.00%
0/85
0.00%
0/86
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Hodgkin disease
0.00%
0/92
0.00%
0/85
1.2%
1/86
Psychiatric disorders
Mental status changes
1.1%
1/92
0.00%
0/85
0.00%
0/86
Renal and urinary disorders
Nephrolithiasis
0.00%
0/92
0.00%
0/85
1.2%
1/86
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.00%
0/92
0.00%
0/85
1.2%
1/86

Other adverse events

Other adverse events
Measure
Tesamorelin 52 Weeks
n=92 participants at risk
Tesamorelin 2 mg/day for 52 weeks
Tesamorelin (26 Weeks) - Placebo (26 Weeks)
n=85 participants at risk
Tesamorelin 2 mg/day for 26 weeks followed by Placebo for 26 weeks
Placebo (26 Weeks) - Tesamorelin (26 Weeks)
n=86 participants at risk
Placebo for 26 weeks followed by Tesamorelin 2 mg/day for 26 weeks
Gastrointestinal disorders
Diarrhoea
3.3%
3/92
4.7%
4/85
5.8%
5/86
General disorders
Injection site erythema
3.3%
3/92
0.00%
0/85
5.8%
5/86
General disorders
Injection site pain
0.00%
0/92
0.00%
0/85
5.8%
5/86
Respiratory, thoracic and mediastinal disorders
Upper respiratory tract infection
8.7%
8/92
4.7%
4/85
3.5%
3/86
Musculoskeletal and connective tissue disorders
Musculosketal stiffness
1.1%
1/92
0.00%
0/85
5.8%
5/86
Nervous system disorders
Paresthesia
2.2%
2/92
3.5%
3/85
5.8%
5/86
Psychiatric disorders
Insomnia
0.00%
0/92
0.00%
0/85
5.8%
5/86

Additional Information

Marilyn de Chantal, Global Senior Medical Director

Theratechnologies

Phone: 1 438-315-6624

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60