Trial Outcomes & Findings for Predictors of Lorcaserin-Induced Weight Loss (NCT NCT03353220)

NCT ID: NCT03353220

Last Updated: 2024-03-27

Results Overview

This is designed to measure food Intake (average calories consumed during test meal), in order to determine if long-term lorcaserin induced weight loss is predicted by the short-term differences in calories consumed during the test meal.

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

32 participants

Primary outcome timeframe

First test meal and follow-up test meal (approximately up to 5 weeks)

Results posted on

2024-03-27

Participant Flow

Out of the 32 enrolled subjects: 30 subjects completed Phase 1 (Arms A and B) and 30 subjects continued into Phase 2. However, the study was stopped prematurely during Phase 2 as lorcaserin was withdrawn from the market. Data was collected and analyzed for the 30 subjects that completed phase 1 out of 32 subjects; the 2 subjects who did not complete phase 1 were excluded from analysis. 19 subjects completed phase 2.

Participant milestones

Participant milestones
Measure
Arm A (LOR-Placebo-LOR)
Phase 1: Participants receive lorcaserin (Belviq) 10 mg twice a day for 7 days followed by a 3 week washout period. These participants will then be crossed over to receive placebo twice a day for 7 days. Phase 2: Participants will receive additional lorcaserin (Belviq) for 24 weeks. Belviq: Belviq is an oral drug. Placebo: The placebo is made to mimic Belviq, but does not contain any active drug.
Arm B (Placebo-LOR-LOR)
Phase 1: Participants receive placebo twice a day for 7 days followed by a 3 week washout period. These participants will then be crossed over to receive lorcaserin (Belviq) 10 mg twice a day for 7 days. Phase 2: Participants will receive additional lorcaserin (Belviq) for 24 weeks. Belviq: Belviq is an oral drug. Placebo: The placebo is made to mimic Belviq, but does not contain any active drug.
First Intervention (7 Days) - Phase 1
STARTED
14
16
First Intervention (7 Days) - Phase 1
COMPLETED
14
16
First Intervention (7 Days) - Phase 1
NOT COMPLETED
0
0
Washout (3 Weeks) - Phase 1
STARTED
14
16
Washout (3 Weeks) - Phase 1
COMPLETED
14
16
Washout (3 Weeks) - Phase 1
NOT COMPLETED
0
0
Second Intervention (7 Days) - Phase 1
STARTED
14
16
Second Intervention (7 Days) - Phase 1
COMPLETED
14
16
Second Intervention (7 Days) - Phase 1
NOT COMPLETED
0
0
Third Intervention (6 Months) - Phase 2
STARTED
14
16
Third Intervention (6 Months) - Phase 2
COMPLETED
10
9
Third Intervention (6 Months) - Phase 2
NOT COMPLETED
4
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Arm A (LOR-Placebo-LOR)
Phase 1: Participants receive lorcaserin (Belviq) 10 mg twice a day for 7 days followed by a 3 week washout period. These participants will then be crossed over to receive placebo twice a day for 7 days. Phase 2: Participants will receive additional lorcaserin (Belviq) for 24 weeks. Belviq: Belviq is an oral drug. Placebo: The placebo is made to mimic Belviq, but does not contain any active drug.
Arm B (Placebo-LOR-LOR)
Phase 1: Participants receive placebo twice a day for 7 days followed by a 3 week washout period. These participants will then be crossed over to receive lorcaserin (Belviq) 10 mg twice a day for 7 days. Phase 2: Participants will receive additional lorcaserin (Belviq) for 24 weeks. Belviq: Belviq is an oral drug. Placebo: The placebo is made to mimic Belviq, but does not contain any active drug.
Third Intervention (6 Months) - Phase 2
Study was stopped due to unavailable study drug supply
4
7

Baseline Characteristics

Predictors of Lorcaserin-Induced Weight Loss

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm A+B (All Participants)
n=32 Participants
Phase 1: Participants either receive lorcaserin (Belviq) 10 mg twice a day for 7 days followed by a 3 week washout period then cross over to receive placebo twice a day for 7 days (Arm A) OR receive placebo twice a day for 7 days followed by a 3 week washout period then cross over to receive lorcaserin (Belviq) 10 mg twice a day for 7 days (Arm B). Phase 2: Participants (from both arms) will receive additional lorcaserin (Belviq) for 24 weeks. Belviq: Belviq is an oral drug. Placebo: The placebo is made to mimic Belviq, but does not contain any active drug. Belviq: Belviq is an oral drug Placebo: The placebo is made to mimic Belviq, but does not contain any active drug
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
32 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Sex: Female, Male
Female
28 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
12 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
20 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
32 participants
n=5 Participants

PRIMARY outcome

Timeframe: First test meal and follow-up test meal (approximately up to 5 weeks)

Population: The data information were collected and analyzed separately for the time period of placebo or drug exposure - i.e., comparing participants receiving placebo only OR Lorcaserin only (instead of comparing Arm A and Arm B). At one point, the same participant was exposed to either placebo OR Lorcaserin. Therefore, there are 30 analyzed for placebo only and 30 analyzed for drug only.

This is designed to measure food Intake (average calories consumed during test meal), in order to determine if long-term lorcaserin induced weight loss is predicted by the short-term differences in calories consumed during the test meal.

Outcome measures

Outcome measures
Measure
Placebo
n=30 Participants
Phase 1: These participants either received placebo before the washout OR crossed over after washout to receive placebo twice a day for 7 days. Placebo: The placebo is made to mimic Belviq, but does not contain any active drug.
Lorcaserin
n=30 Participants
Phase 1: These participants received lorcaserin (Belviq) 10 mg before the washout OR crossed over after the washout to receive lorcaserin twice a day for 7 days. Belviq: Belviq is an oral drug.
Mean Differences in Food Intake During a Laboratory Test Meal After Lorcaserin for One Week Compared to Placebo
919.8 kcal
Standard Error 118.7
891.9 kcal
Standard Error 109.0

PRIMARY outcome

Timeframe: Baseline, up to 5 weeks

Population: The data information were collected and analyzed separately for the time period of placebo or drug exposure - i.e., comparing participants receiving placebo only OR Lorcaserin only (instead of comparing Arm A and Arm B). At one point, the same participant was exposed to either placebo OR Lorcaserin. Therefore, there are 30 analyzed for placebo only and 30 analyzed for drug only.

This is designed to measure mean CSF proopiomelanocortin (POMC) concentrations (fmol/ml), in order to determine if long-term lorcaserin induced weight loss can be predicted by differences in CSF POMC concentrations.

Outcome measures

Outcome measures
Measure
Placebo
n=30 Participants
Phase 1: These participants either received placebo before the washout OR crossed over after washout to receive placebo twice a day for 7 days. Placebo: The placebo is made to mimic Belviq, but does not contain any active drug.
Lorcaserin
n=30 Participants
Phase 1: These participants received lorcaserin (Belviq) 10 mg before the washout OR crossed over after the washout to receive lorcaserin twice a day for 7 days. Belviq: Belviq is an oral drug.
Mean Differences in POMC Concentrations (Fmol/ml) in CSF After Lorcaserin for One Week Compared to Placebo
256.9 fmol/ml
Standard Error 18.5
225.0 fmol/ml
Standard Error 15.9

SECONDARY outcome

Timeframe: Baseline, up to 5 weeks

Population: The data information were collected and analyzed separately for the time period of placebo or drug exposure - i.e., comparing participants receiving placebo only OR Lorcaserin only (instead of comparing Arm A and Arm B). At one point, the same participant was exposed to either placebo OR Lorcaserin. Therefore, there are 30 analyzed for placebo only and 30 analyzed for drug only.

Mean differences in levels of ß-endorphin, a POMC-derived peptide, in CSF after lorcaserin for one week compared to placebo in order to determine if long-term lorcaserin induced weight loss can be predicted using short-term differences in CSF concentrations of ß-endorphin.

Outcome measures

Outcome measures
Measure
Placebo
n=30 Participants
Phase 1: These participants either received placebo before the washout OR crossed over after washout to receive placebo twice a day for 7 days. Placebo: The placebo is made to mimic Belviq, but does not contain any active drug.
Lorcaserin
n=30 Participants
Phase 1: These participants received lorcaserin (Belviq) 10 mg before the washout OR crossed over after the washout to receive lorcaserin twice a day for 7 days. Belviq: Belviq is an oral drug.
CSF Concentrations of ß-endorphin
49.07 pg/ml
Standard Error 2.6
55.8 pg/ml
Standard Error 3.2

SECONDARY outcome

Timeframe: Baseline, up to 5 weeks

Population: The data information were collected and analyzed separately for the time period of placebo or drug exposure - i.e., comparing participants receiving placebo only OR Lorcaserin only (instead of comparing Arm A and Arm B). At one point, the same participant was exposed to either placebo OR Lorcaserin. Therefore, there are 30 analyzed for placebo only and 30 analyzed for drug only.

This is designed to measure mean mean Agouti-related protein (AgRP) concentrations (pg/ml) in CSF in blood in order to determine if long-term lorcaserin induced weight loss can be predicted by short-term differences in AgRP concentrations.

Outcome measures

Outcome measures
Measure
Placebo
n=30 Participants
Phase 1: These participants either received placebo before the washout OR crossed over after washout to receive placebo twice a day for 7 days. Placebo: The placebo is made to mimic Belviq, but does not contain any active drug.
Lorcaserin
n=30 Participants
Phase 1: These participants received lorcaserin (Belviq) 10 mg before the washout OR crossed over after the washout to receive lorcaserin twice a day for 7 days. Belviq: Belviq is an oral drug.
Mean Differences in AgRP Concentrations (pg/ml) in CSF After Lorcaserin for One Week Compared to Placebo
25.9 pg/ml
Standard Error 3.0
24.2 pg/ml
Standard Error 3.1

SECONDARY outcome

Timeframe: Baseline, up to 5 weeks

Population: The data information were collected and analyzed separately for the time period of placebo or drug exposure - i.e., comparing participants receiving placebo only OR Lorcaserin only (instead of comparing Arm A and Arm B). At one point, the same participant was exposed to either placebo OR Lorcaserin. Therefore, there are 30 analyzed for placebo only and 30 analyzed for drug only.

This is designed to measure mean Agouti-related protein (AgRP) concentrations (fmol/ml) in blood in order to determine if long-term lorcaserin induced weight loss can be predicted by short-term differences in AgRP concentrations.

Outcome measures

Outcome measures
Measure
Placebo
n=30 Participants
Phase 1: These participants either received placebo before the washout OR crossed over after washout to receive placebo twice a day for 7 days. Placebo: The placebo is made to mimic Belviq, but does not contain any active drug.
Lorcaserin
n=30 Participants
Phase 1: These participants received lorcaserin (Belviq) 10 mg before the washout OR crossed over after the washout to receive lorcaserin twice a day for 7 days. Belviq: Belviq is an oral drug.
Mean Differences in AgRP Concentrations (Fmol/ml) in Blood After Lorcaserin for One Week Compared to Placebo
78.7 pg/ml
Standard Error 7.7
79.2 pg/ml
Standard Error 7.9

SECONDARY outcome

Timeframe: Baseline, up to 5 weeks

Population: The data information were collected and analyzed separately for the time period of placebo or drug exposure - i.e., comparing participants receiving placebo only OR Lorcaserin only (instead of comparing Arm A and Arm B). At one point, the same participant was exposed to either placebo OR Lorcaserin. Therefore, there are 30 analyzed for placebo only and 30 analyzed for drug only.

This is designed to measure mean Cortisol concentrations (ng/ml) in CSF in order to determine if long-term lorcaserin induced weight loss can be predicted by short-term differences in cortisol concentrations.

Outcome measures

Outcome measures
Measure
Placebo
n=30 Participants
Phase 1: These participants either received placebo before the washout OR crossed over after washout to receive placebo twice a day for 7 days. Placebo: The placebo is made to mimic Belviq, but does not contain any active drug.
Lorcaserin
n=30 Participants
Phase 1: These participants received lorcaserin (Belviq) 10 mg before the washout OR crossed over after the washout to receive lorcaserin twice a day for 7 days. Belviq: Belviq is an oral drug.
Mean Differences in Cortisol Concentrations (ng/ml) in CSF After Lorcaserin for One Week Compared to Placebo
5.7 pg/ml
Standard Error 0.22
6.08 pg/ml
Standard Error 0.33

SECONDARY outcome

Timeframe: Changes in fasting serum insulin after 1 week of lorcaserin compared to placebo.

Population: The data information were collected and analyzed separately for the time period of placebo or drug exposure - i.e., comparing participants receiving placebo only OR Lorcaserin only (instead of comparing Arm A and Arm B). At one point, the same participant was exposed to either placebo OR Lorcaserin. Therefore, there are 30 analyzed for placebo only and 30 analyzed for drug only.

This is designed to determine effects of lorcaserin on glucose homeostasis by measuring changes in insulin levels after 1 week of lorcaserin versus placebo.

Outcome measures

Outcome measures
Measure
Placebo
n=30 Participants
Phase 1: These participants either received placebo before the washout OR crossed over after washout to receive placebo twice a day for 7 days. Placebo: The placebo is made to mimic Belviq, but does not contain any active drug.
Lorcaserin
n=30 Participants
Phase 1: These participants received lorcaserin (Belviq) 10 mg before the washout OR crossed over after the washout to receive lorcaserin twice a day for 7 days. Belviq: Belviq is an oral drug.
Insulin Level
20.1 µIU/ml
Standard Error 3.27
13.2 µIU/ml
Standard Error 1.16

Adverse Events

LOR Time Period

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

Placebo Time Period

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Sharon Wardlaw, MD

Columbia University

Phone: 212-305-3725

Results disclosure agreements

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