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
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View full resultsBasic Information
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TERMINATED
PHASE2
20 participants
INTERVENTIONAL
2022-02-28
2024-04-18
Brief Summary
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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
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
QUADRUPLE
Study Groups
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Study Arm 1
Randomized to placebo for 12 weeks and then crossover to REGN4461 for 12 weeks
REGN4461
Intravenous (IV) infusion loading dose followed by subcutaneous (SC) injection weekly (QW).
Matching Placebo
Intravenous (IV) infusion loading dose followed by subcutaneous (SC) injection weekly (QW).
Study Arm 2
Randomized to receive REGN4461 for 24 weeks
REGN4461
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).
Matching Placebo
Intravenous (IV) infusion loading dose followed by subcutaneous (SC) injection weekly (QW).
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* 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
* Patients with a diagnosis of generalized lipodystrophy
* Patients with a diagnosis of acquired lipodystrophy
* Pregnant or breastfeeding women
18 Years
ALL
No
Sponsors
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Regeneron Pharmaceuticals
INDUSTRY
Responsible Party
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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
National Institute of Health
Bethesda, Maryland, United States
University of Michigan
Ann Arbor, Michigan, United States
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, United States
UT Southwestern Medical Center
Dallas, Texas, United States
ICAN, Institute of Cardiometabolism and Nutrition
Paris, , France
Complexo Hospitalario Universitario de Santiago-Hospital Médico-Cirúrxico de Conxo
Santiago de Compostela, Galicia, Spain
Ege University Faculty of Medicine
Izmir, Bornova, Turkey (Türkiye)
Countries
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Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan
Related Links
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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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