REGN4461 for Generalized Lipodystrophy

No longer recruiting at 11 trial locations
CT
Overseen ByClinical Trials Administrator
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to evaluate how REGN4461, an experimental treatment, affects blood sugar and fat levels in individuals with generalized lipodystrophy, a rare condition where the body cannot store fat properly. Researchers are testing different doses to assess the treatment's effectiveness and safety. Suitable candidates have generalized lipodystrophy and either high blood sugar (HbA1c of 7% or more) or high triglycerides (250 mg/dL or more). Participants should maintain a stable diet and medication plan for at least three months before joining. As a Phase 2 trial, the research focuses on measuring the treatment's effectiveness in an initial, smaller group of people.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications, but it requires that your medication regimen has been stable for at least 3 months before the screening visit. You should discuss your specific medications with the trial team.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that REGN4461, a treatment under study for conditions like generalized lipodystrophy, has promising safety results. In earlier studies with patients, REGN4461 was generally well-tolerated, with most participants not experiencing serious side effects.

In studies using mice, REGN4461 improved issues like high blood sugar and insulin resistance without major safety concerns. While these results are encouraging, ongoing research in humans aims to confirm the safety of REGN4461 for people.

Since this treatment is in a Phase 2 trial, initial safety tests in humans have already been completed, but researchers continue to gather more information to ensure its safety and effectiveness for a broader population.12345

Why are researchers excited about this trial's treatments?

REGN4461 is unique because it targets the leptin receptor pathway, which is different from most treatments for generalized lipodystrophy that primarily focus on managing symptoms like insulin resistance and high triglyceride levels. Leptin, a hormone involved in regulating energy balance, is often deficient in people with this condition. By specifically activating the leptin receptor, REGN4461 aims to address the underlying hormonal imbalance, offering the potential for more comprehensive management of the disease. Researchers are excited about REGN4461 because it could provide a more direct and effective way to tackle the root causes of generalized lipodystrophy, rather than just alleviating symptoms.

What evidence suggests that REGN4461 might be an effective treatment for generalized lipodystrophy?

Research has shown that REGN4461 may help treat generalized lipodystrophy, a condition where the body can't store fat properly, leading to metabolic problems. In studies with mice, REGN4461 reduced issues like high blood sugar, insulin resistance, and high levels of triglycerides (a type of fat in the blood). The treatment targets the leptin receptor, which is important for controlling metabolism. Early studies in humans also suggested improvements in blood sugar levels and fat profiles. These initial findings offer hope that REGN4461 could effectively manage metabolic issues related to generalized lipodystrophy. Participants in this trial will join one of two experimental treatment arms to further evaluate the effects of REGN4461.12367

Who Is on the Research Team?

CT

Clinical Trial Management

Principal Investigator

Regeneron Pharmaceuticals

Are You a Good Fit for This Trial?

This trial is for individuals with Generalized Lipodystrophy who have been on a stable diet and medication regimen for at least 3 months. They must have high blood sugar (HbA1c ≥7%) or high fasting triglycerides (TG ≥250 mg/dL). Those with recent weight loss treatments, metreleptin use, uncontrolled hepatitis B/C or tuberculosis, HIV, or participation in other drug trials recently are excluded.

Inclusion Criteria

My diet and medication for my metabolic disease have been stable for the last 3 months.
I have been diagnosed with a rare condition that causes a lack of fat tissue.
Your blood test results show high levels of HbA1c or fasting TG.

Exclusion Criteria

I do not have active hepatitis B, hepatitis C, or tuberculosis.
I have not taken metreleptin in the last month.
I have not taken more than 7.5 mg of steroids daily in the last 3 months and don't plan to during the study.
See 4 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive REGN4461 to evaluate its effects on glycemic parameters and fasting triglyceride levels

8 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

Approximately 120 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • REGN4461
Trial Overview The study tests REGN4461's effects on blood sugar control and fasting triglyceride levels in patients with Generalized Lipodystrophy. It compares low-dose and high-dose REGN4461 against a placebo to see how well it works and its impact on insulin sensitivity.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Group I: Treatment BExperimental Treatment3 Interventions
Group II: Treatment AExperimental Treatment3 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Regeneron Pharmaceuticals

Lead Sponsor

Trials
690
Recruited
948,000+
Founded
1988
Headquarters
Tarrytown, USA
Known For
Precision medicine
Top Products
Dupixent, EYLEA, Libtayo, Praluent
Leonard Schleifer profile image

Leonard Schleifer

Regeneron Pharmaceuticals

Chief Executive Officer since 1988

MD and PhD in Medicine

George Yancopoulos profile image

George Yancopoulos

Regeneron Pharmaceuticals

Chief Medical Officer since 1997

MD from Harvard Medical School

Citations

NCT04159415 | Study of REGN4461, a Leptin Receptor ...The primary objectives of the study are to estimate the effects of REGN4461 on glycemic parameters in the subset of patients with elevated baseline ...
2.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/37992152/
Preclinical, randomized phase 1, and compassionate use ...In a mouse model of generalized lipodystrophy, REGN4461 alleviated hyperphagia, hyperglycemia, insulin resistance, dyslipidemia, and hepatic ...
Preclinical, randomized phase 1, and compassionate use ...In a mouse model of generalized lipodystrophy, REGN4461 alleviated hyperphagia, hyperglycemia, insulin resistance, dyslipidemia, and hepatic ...
NCT05088460 | A Study to Examine the Effects of ...A Randomized Double-Blind Placebo-Controlled Study of the LEPR Agonist Antibody REGN4461 for the Treatment of Metabolic Abnormalities in Patients With Familial ...
Pharmacokinetics and pharmacodynamics of mibavademab ...Mibavademab (previously known as REGN4461), a fully human monoclonal antibody, is being investigated for the treatment of conditions associated with leptin ...
Study of REGN4461, a Leptin Receptor Agonist Antibody, in ...The primary objectives of the study are to estimate the effects of REGN4461 on glycemic parameters in the subset of patients with elevated baseline ...
A Study to Examine the Effects of the Leptin Receptor (LEPR ...A Study to Examine the Effects of the Leptin Receptor (LEPR) Agonist Antibody REGN4461 in Adult Patients With Familial Partial Lipodystrophy ( ...
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