Trial Outcomes & Findings for RZL-012 for Dercum's Disease Lipomas (NCT NCT04229030)

NCT ID: NCT04229030

Last Updated: 2024-02-07

Results Overview

Evaluation of the efficacy of RZL-012 following injection into lipomas/nodules of Dercum's Disease (DD) subjects. Efficacy will be determined by ultrasound assessment of the lipoma/nodule dimensions after treatment vs baseline. Lipomas Dimensions will be measured for active vs. placebo at days 28,56,84

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

38 participants

Primary outcome timeframe

0-84 days

Results posted on

2024-02-07

Participant Flow

Unit of analysis: lipomas

Participant milestones

Participant milestones
Measure
RZL-012
A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 4-8 lipomas in each subject, preferably 6. Dosing will be done according to lipomas size, as will be determined by Ultrasound. Each injection contains 0.1mL RZL-012 (5mg). Lipomas in the size of: 2-3.9 cm will be dozed with 0.4mL RZL-012 (20mg). 4-5.9 cm will be dozed with 0.8mL RZL-012 (80mg). 6-7.9 cm will be dozed with 1 mL RZL-012 (100mg). 8-10 cm will be dozed with 1.2 mL RZL-012 (120mg). RZL-012: small synthetic molecule for the treatment of Dercum's Disease lipomas
Vehicle of RZL-012
A single-treatment injection, multiple subcutaneous injections of vehicle administered into 4-8 lipomas in each subject, preferably 6. Dosing will be done according to lipomas size, as will be determined by Ultrasound. Each injection contains 0.1mL vehicle. Lipomas in the size of: 2-3.9 cm will be dozed with 0.4mL vehicle. 4-5.9 cm will be dozed with 0.8mL vehicle. 6-7.9 cm will be dozed with 1 mL vehicle. 8-10 cm will be dozed with 1.2 mL vehicle. Vehicle: Vehicle of RZL-012 drug product
Overall Study
STARTED
20 125
18 109
Overall Study
COMPLETED
20 125
18 109
Overall Study
NOT COMPLETED
0 0
0 0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

RZL-012 for Dercum's Disease Lipomas

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
RZL-012
n=20 Participants
A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 4-8 lipomas in each subject, preferably 6. Dosing will be done according to lipomas size, as will be determined by Ultrasound. Each injection contains 0.1mL RZL-012 (5mg). Lipomas in the size of: 2-3.9 cm will be dozed with 0.4mL RZL-012 (20mg). 4-5.9 cm will be dozed with 0.8mL RZL-012 (80mg). 6-7.9 cm will be dozed with 1 mL RZL-012 (100mg). 8-10 cm will be dozed with 1.2 mL RZL-012 (120mg). RZL-012: small synthetic molecule for the treatment of Dercum's Disease lipomas
Vehicle of RZL-012
n=18 Participants
A single-treatment injection, multiple subcutaneous injections of vehicle administered into 4-8 lipomas in each subject, preferably 6. Dosing will be done according to lipomas size, as will be determined by Ultrasound. Each injection contains 0.1mL vehicle. Lipomas in the size of: 2-3.9 cm will be dozed with 0.4mL vehicle. 4-5.9 cm will be dozed with 0.8mL vehicle. 6-7.9 cm will be dozed with 1 mL vehicle. 8-10 cm will be dozed with 1.2 mL vehicle. Vehicle: Vehicle of RZL-012 drug product
Total
n=38 Participants
Total of all reporting groups
Age, Continuous
52.3 years
STANDARD_DEVIATION 11.4 • n=5 Participants
48 years
STANDARD_DEVIATION 12.4 • n=7 Participants
50.15 years
STANDARD_DEVIATION 11.9 • n=5 Participants
Sex: Female, Male
Female
15 Participants
n=5 Participants
14 Participants
n=7 Participants
29 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
4 Participants
n=7 Participants
9 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
19 Participants
n=5 Participants
17 Participants
n=7 Participants
36 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
20 participants
n=5 Participants
18 participants
n=7 Participants
38 participants
n=5 Participants

PRIMARY outcome

Timeframe: 0-84 days

Evaluation of the efficacy of RZL-012 following injection into lipomas/nodules of Dercum's Disease (DD) subjects. Efficacy will be determined by ultrasound assessment of the lipoma/nodule dimensions after treatment vs baseline. Lipomas Dimensions will be measured for active vs. placebo at days 28,56,84

Outcome measures

Outcome measures
Measure
RZL-012
n=20 Participants
A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 4-8 lipomas in each subject, preferably 6. Dosing will be done according to lipomas size, as will be determined by Ultrasound. Each injection contains 0.1mL RZL-012 (5mg). Lipomas in the size of: 2-3.9 cm will be dozed with 0.4mL RZL-012 (20mg). 4-5.9 cm will be dozed with 0.8mL RZL-012 (80mg). 6-7.9 cm will be dozed with 1 mL RZL-012 (100mg). 8-10 cm will be dozed with 1.2 mL RZL-012 (120mg). RZL-012: small synthetic molecule for the treatment of Dercum's Disease lipomas
Vehicle of RZL-012
n=18 Participants
A single-treatment injection, multiple subcutaneous injections of vehicle administered into 4-8 lipomas in each subject, preferably 6. Dosing will be done according to lipomas size, as will be determined by Ultrasound. Each injection contains 0.1mL vehicle. Lipomas in the size of: 2-3.9 cm will be dozed with 0.4mL vehicle. 4-5.9 cm will be dozed with 0.8mL vehicle. 6-7.9 cm will be dozed with 1 mL vehicle. 8-10 cm will be dozed with 1.2 mL vehicle. Vehicle: Vehicle of RZL-012 drug product
Efficacy - Change in Lipomas Dimensions
-15.13 percentage of change from baseline
Standard Deviation 25.56
-15.92 percentage of change from baseline
Standard Deviation 23.96

SECONDARY outcome

Timeframe: 0-84 days

Assessment of lipoma/nodule associated pain using the Comparative Pain Scale. 0 is "no pain" and 10 is "worst pain". Pain measured for active vs. placebo at days 28,56,84

Outcome measures

Outcome measures
Measure
RZL-012
n=20 Participants
A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 4-8 lipomas in each subject, preferably 6. Dosing will be done according to lipomas size, as will be determined by Ultrasound. Each injection contains 0.1mL RZL-012 (5mg). Lipomas in the size of: 2-3.9 cm will be dozed with 0.4mL RZL-012 (20mg). 4-5.9 cm will be dozed with 0.8mL RZL-012 (80mg). 6-7.9 cm will be dozed with 1 mL RZL-012 (100mg). 8-10 cm will be dozed with 1.2 mL RZL-012 (120mg). RZL-012: small synthetic molecule for the treatment of Dercum's Disease lipomas
Vehicle of RZL-012
n=18 Participants
A single-treatment injection, multiple subcutaneous injections of vehicle administered into 4-8 lipomas in each subject, preferably 6. Dosing will be done according to lipomas size, as will be determined by Ultrasound. Each injection contains 0.1mL vehicle. Lipomas in the size of: 2-3.9 cm will be dozed with 0.4mL vehicle. 4-5.9 cm will be dozed with 0.8mL vehicle. 6-7.9 cm will be dozed with 1 mL vehicle. 8-10 cm will be dozed with 1.2 mL vehicle. Vehicle: Vehicle of RZL-012 drug product
Key Secondary Outcome - Efficacy - Improvement in Pain Assessment of Individual Lipomas
-56.15 percentage of change from baseline
Standard Deviation 35.77
-34.34 percentage of change from baseline
Standard Deviation 40.15

SECONDARY outcome

Timeframe: 0-28 days

Safety will be assessed by by change-from-baseline values for clinical laboratory tests. measured for active vs. placebo at days 1 and 28 following injection. Number of subjects with abnormal laboratory values will be compared in both study arms.

Outcome measures

Outcome measures
Measure
RZL-012
n=20 Participants
A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 4-8 lipomas in each subject, preferably 6. Dosing will be done according to lipomas size, as will be determined by Ultrasound. Each injection contains 0.1mL RZL-012 (5mg). Lipomas in the size of: 2-3.9 cm will be dozed with 0.4mL RZL-012 (20mg). 4-5.9 cm will be dozed with 0.8mL RZL-012 (80mg). 6-7.9 cm will be dozed with 1 mL RZL-012 (100mg). 8-10 cm will be dozed with 1.2 mL RZL-012 (120mg). RZL-012: small synthetic molecule for the treatment of Dercum's Disease lipomas
Vehicle of RZL-012
n=18 Participants
A single-treatment injection, multiple subcutaneous injections of vehicle administered into 4-8 lipomas in each subject, preferably 6. Dosing will be done according to lipomas size, as will be determined by Ultrasound. Each injection contains 0.1mL vehicle. Lipomas in the size of: 2-3.9 cm will be dozed with 0.4mL vehicle. 4-5.9 cm will be dozed with 0.8mL vehicle. 6-7.9 cm will be dozed with 1 mL vehicle. 8-10 cm will be dozed with 1.2 mL vehicle. Vehicle: Vehicle of RZL-012 drug product
Safety Number of Participants With One or More Abnormal Laboratory Values up to Day 28
0 Participants
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 0-84 Days

Improvement in Quality of Life - QOL questionnaire. Improvement will be measured for active vs. placebo at Day 0 and Day 84 following treatment.

Outcome measures

Outcome measures
Measure
RZL-012
n=20 Participants
A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 4-8 lipomas in each subject, preferably 6. Dosing will be done according to lipomas size, as will be determined by Ultrasound. Each injection contains 0.1mL RZL-012 (5mg). Lipomas in the size of: 2-3.9 cm will be dozed with 0.4mL RZL-012 (20mg). 4-5.9 cm will be dozed with 0.8mL RZL-012 (80mg). 6-7.9 cm will be dozed with 1 mL RZL-012 (100mg). 8-10 cm will be dozed with 1.2 mL RZL-012 (120mg). RZL-012: small synthetic molecule for the treatment of Dercum's Disease lipomas
Vehicle of RZL-012
n=18 Participants
A single-treatment injection, multiple subcutaneous injections of vehicle administered into 4-8 lipomas in each subject, preferably 6. Dosing will be done according to lipomas size, as will be determined by Ultrasound. Each injection contains 0.1mL vehicle. Lipomas in the size of: 2-3.9 cm will be dozed with 0.4mL vehicle. 4-5.9 cm will be dozed with 0.8mL vehicle. 6-7.9 cm will be dozed with 1 mL vehicle. 8-10 cm will be dozed with 1.2 mL vehicle. Vehicle: Vehicle of RZL-012 drug product
Exploratory
0 Participants
0 Participants

Adverse Events

RZL-012

Serious events: 0 serious events
Other events: 20 other events
Deaths: 0 deaths

Vehicle of RZL-012

Serious events: 0 serious events
Other events: 18 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
RZL-012
n=20 participants at risk
A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 4-8 lipomas in each subject, preferably 6. Dosing will be done according to lipomas size, as will be determined by Ultrasound. Each injection contains 0.1mL RZL-012 (5mg). Lipomas in the size of: 2-3.9 cm will be dozed with 0.4mL RZL-012 (20mg). 4-5.9 cm will be dozed with 0.8mL RZL-012 (80mg). 6-7.9 cm will be dozed with 1 mL RZL-012 (100mg). 8-10 cm will be dozed with 1.2 mL RZL-012 (120mg). RZL-012: small synthetic molecule for the treatment of Dercum's Disease lipomas
Vehicle of RZL-012
n=18 participants at risk
A single-treatment injection, multiple subcutaneous injections of vehicle administered into 4-8 lipomas in each subject, preferably 6. Dosing will be done according to lipomas size, as will be determined by Ultrasound. Each injection contains 0.1mL vehicle. Lipomas in the size of: 2-3.9 cm will be dozed with 0.4mL vehicle. 4-5.9 cm will be dozed with 0.8mL vehicle. 6-7.9 cm will be dozed with 1 mL vehicle. 8-10 cm will be dozed with 1.2 mL vehicle. Vehicle: Vehicle of RZL-012 drug product
General disorders
Injection site bruising
30.0%
6/20 • 6 months
16.7%
3/18 • 6 months
General disorders
Injection site discoloration
25.0%
5/20 • 6 months
0.00%
0/18 • 6 months
General disorders
Injection site erythema
100.0%
20/20 • 6 months
94.4%
17/18 • 6 months
General disorders
Injection site hypesthesia
10.0%
2/20 • 6 months
0.00%
0/18 • 6 months
General disorders
Injection site edema
100.0%
20/20 • 6 months
100.0%
18/18 • 6 months
General disorders
Injection site pain
55.0%
11/20 • 6 months
50.0%
9/18 • 6 months
General disorders
Injection site pruritus
35.0%
7/20 • 6 months
0.00%
0/18 • 6 months

Additional Information

Racheli Gueta, Director of Clinical trials

Raziel Therapeutics

Phone: 97289126941

Results disclosure agreements

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