A Study to Examine the Effects of the Leptin Receptor (LEPR) Agonist Antibody REGN4461 in Adult Patients With Familial Partial Lipodystrophy (FPLD)

NCT ID: NCT05088460

Last Updated: 2025-10-16

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-02-28

Study Completion Date

2024-04-18

Brief Summary

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Two cohorts are being studied based on leptin levels. Cohort A is composed of patients with baseline leptin \<8.0 ng/mL and Cohort B is composed of patients with baseline leptin 8.0 to ≤20.0 ng/mL

The primary objectives will be evaluated for patients in Cohort A only:

* To evaluate the effect of REGN4461 on fasting triglycerides (TG) in patients with elevated baseline fasting TG
* To evaluate the effect of REGN4461 on hyperglycemia in patients with elevated baseline Hemoglobin A1c (HbA1c)

The following secondary objectives of the study will be evaluated for Cohort B and for the combined set of Cohorts A plus B:

* To evaluate the effect of REGN4461 on fasting TG levels in patients with hypertriglyceridemia
* To evaluate the effect of REGN4461 on glycemic control in patients with hyperglycemia

The following secondary objectives of the study will be evaluated for Cohorts A and B separately, and for the combined set of Cohorts A plus B:

* To evaluate the effect of REGN4461 on liver fat in patients with hepatic steatosis
* To evaluate the effect of REGN4461 on hunger
* To evaluate safety and tolerability of REGN4461
* To characterize the concentration profile of REGN4461 over time
* To assess immunogenicity to REGN4461

Detailed Description

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Conditions

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Familial Partial Lipodystrophy Metabolic Abnormalities

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Study Arm 1

Randomized to placebo for 12 weeks and then crossover to REGN4461 for 12 weeks

Group Type EXPERIMENTAL

REGN4461

Intervention Type DRUG

Intravenous (IV) infusion loading dose followed by subcutaneous (SC) injection weekly (QW).

Matching Placebo

Intervention Type DRUG

Intravenous (IV) infusion loading dose followed by subcutaneous (SC) injection weekly (QW).

Study Arm 2

Randomized to receive REGN4461 for 24 weeks

Group Type EXPERIMENTAL

REGN4461

Intervention Type DRUG

Intravenous (IV) infusion loading dose followed by subcutaneous (SC) injection weekly (QW).

Interventions

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REGN4461

Intravenous (IV) infusion loading dose followed by subcutaneous (SC) injection weekly (QW).

Intervention Type DRUG

Matching Placebo

Intravenous (IV) infusion loading dose followed by subcutaneous (SC) injection weekly (QW).

Intervention Type DRUG

Other Intervention Names

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mibavademab

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of familial partial lipodystrophy as defined in the protocol
* Fasting leptin level ≤20.0 ng/ml, as determined during the screening period
* Presence of significant metabolic abnormalities related to glucose and triglycerides (TGs) as defined in the protocol
* Stable body weight within the 3 months prior to screening (no gain or loss of \>5% current weight)
* Stable diet during the past 3 months defined as no major change in macronutrient composition (eg, starting or stopping diets such as Atkins, Paleo, Vegetarianism, Veganism)
* No clinically meaningful change in medication regimen in the 3 months prior to screening as defined in the protocol

Exclusion Criteria

* Treatment with metreleptin within 3 months of the screening visit
* Patients with a diagnosis of generalized lipodystrophy
* Patients with a diagnosis of acquired lipodystrophy
* Pregnant or breastfeeding women
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Regeneron Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trial Management

Role: STUDY_DIRECTOR

Regeneron Pharmaceuticals

Locations

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Excel Medical Clinical Trials - A Flourish Research Site

Boca Raton, Florida, United States

Site Status

National Institute of Health

Bethesda, Maryland, United States

Site Status

University of Michigan

Ann Arbor, Michigan, United States

Site Status

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status

UT Southwestern Medical Center

Dallas, Texas, United States

Site Status

ICAN, Institute of Cardiometabolism and Nutrition

Paris, , France

Site Status

Complexo Hospitalario Universitario de Santiago-Hospital Médico-Cirúrxico de Conxo

Santiago de Compostela, Galicia, Spain

Site Status

Ege University Faculty of Medicine

Izmir, Bornova, Turkey (Türkiye)

Site Status

Countries

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United States France Spain Turkey (Türkiye)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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https://www.trialsummaries.com/

A Plain Language Summary is available on TrialSummaries.com

Other Identifiers

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2021-000138-33

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

R4461-PLD-20100

Identifier Type: -

Identifier Source: org_study_id

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