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.
TERMINATED
PHASE4
32 participants
First test meal and follow-up test meal (approximately up to 5 weeks)
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 However, the study was stopped prematurely during Phase 2 as lorcaserin was withdrawn from the market.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
| 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
| 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
| 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
| 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 weeksPopulation: 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
| 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 weeksPopulation: 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
| 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 weeksPopulation: 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
| 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 weeksPopulation: 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
| 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 weeksPopulation: 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
| 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
| 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
Placebo Time Period
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place