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Efficacy and Safety of Apitegromab for the Treatment of Adults Who Are Overweight or Obese

Phase 2
Completed
Conditions
Overweight and Obesity
Interventions
Registration Number
NCT06445075
Lead Sponsor
Scholar Rock, Inc.
Brief Summary

A phase 2 study to evaluate the effects of apitegromab as an adjunctive therapy to GLP-1 receptor agonist therapy in subjects with overweight or obesity

Detailed Description

This phase 2 randomized, double-blind, placebo-controlled, multicenter study assessed the safety, efficacy, and pharmacokinetics (PK) of apitegromab when used as an adjunctive therapy to GLP-1 receptor agonist therapy in subjects with overweight and obesity and without diabetes. Each subject received tirzepatide throughout the treatment period. In addition, all subjects were randomized 1:1 to receive either apitegromab or placebo during the treatment period.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
102
Inclusion Criteria

Not provided

Exclusion Criteria
  • History of or active cardiovascular, neurovascular, peripheral vascular, pulmonary, hepatic, pancreatic, neuromuscular, and/or psychiatric disease
  • Active malignancy, other than local subcutaneous squamous cell and basal cell carcinomas
  • History of immunosuppressive, chemotherapeutic, or radiation treatment within 12 months prior to Screening
  • History of Type 1 diabetes or active Type 2 diabetes (T2D). If there was a history of T2D and it resolved, then the resolution must have occurred >12 months prior to Screening. Prediabetes managed with nonpharmacologic approaches (exercise and diet) is not an exclusion

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Cohort 1ApitegromabApitegromab + incretin mimetic
Cohort 1TirzepatideApitegromab + incretin mimetic
Cohort 2PlaceboPlacebo + incretin mimetic
Cohort 2TirzepatidePlacebo + incretin mimetic
Primary Outcome Measures
NameTimeMethod
Change from Baseline in total Lean Body Mass (kg) at 24 weeksBaseline and 24 weeks

Dual-energy X-ray absorptiometry was used to evaluate body composition

Secondary Outcome Measures
NameTimeMethod
Change from Baseline in body weightBaseline and 24 weeks

Total body weight was assessed via a calibrated scale

Change from Baseline in percent lean body mass (%)Baseline and 24 weeks

Dual-energy X-ray absorptiometry was used to evaluate body composition

Change from Baseline in fat body mass (kg and %)Baseline and 24 weeks

Dual-energy X-ray absorptiometry was used to evaluate body composition

Change from Baseline in visceral adipose tissue (VAT), subcutaneous adipose tissue (SAT), and trunk fat body mass (kg and %)Baseline and 24 weeks

Dual-energy X-ray absorptiometry was used to evaluate body composition

Percent (%) of weight loss from baseline due to fat body mass lossBaseline and 24 weeks

Dual-energy X-ray absorptiometry was used to evaluate body composition

Percent (%) of weight loss from baseline due to lean body mass lossBaseline and 24 weeks

Dual-energy X-ray absorptiometry was used to evaluate body composition

Concentration of apitegromab in circulation over timeBaseline up to 40 weeks

Blood samples were assessed for circulating concentration of apitegromab

Concentration of latent myostatin in circulation over timeBaseline up to 24 weeks

Blood samples were assessed for circulating concentration of latent myostatin

Treatment emergent adverse events (TEAEs) and serious adverse events (SAEs)Baseline up to 40 weeks

Incidence and severity of TEAEs and SAEs

Presence of anti-drug antibodies (ADA) against apitegromab over timeBaseline up to 40 weeks

Measured in serum blood samples

Trial Locations

Locations (7)

ProSciento CRU

🇺🇸

Chula Vista, California, United States

AdventHealth Translational Research Institute

🇺🇸

Orlando, Florida, United States

Great Lakes Clinical Trials, LLC d/b/a Flourish Research

🇺🇸

Chicago, Illinois, United States

Tandem Clinical Research GI, LLC

🇺🇸

Marrero, Louisiana, United States

Alliance for Multispecialty Research, LLC

🇺🇸

Norman, Oklahoma, United States

Apex Mobile Clinical Research

🇺🇸

Bellaire, Texas, United States

Clinical Trials of Texas, LLC dba Flourish Research

🇺🇸

San Antonio, Texas, United States

ProSciento CRU
🇺🇸Chula Vista, California, United States

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