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A Study to Examine the Safety, Tolerability and Biological Effects of REGN4461 in Healthy Volunteers

Phase 1
Completed
Conditions
Healthy Volunteers
Interventions
Drug: Placebo
Registration Number
NCT03530514
Lead Sponsor
Regeneron Pharmaceuticals
Brief Summary

The primary objective of the study is to evaluate the safety and tolerability of REGN4461 in healthy participants. The secondary objectives of the study are to:

* Characterize the Pharmacokinetic (PK) profile of single and repeated doses of REGN4461 and evaluate the effects of baseline covariates on PK profile

* Estimate the effects of repeated doses of REGN4461 on body weight over 12 weeks in overweight and obese participants

* Assess the effects of repeated doses of REGN4461 on ad lib energy intake in overweight and obese participants

* Evaluate the effects of single and repeated doses of REGN4461 on soluble forms of lipid-regulating proteins levels over time

* Assess the immunogenicity of single and repeated doses of REGN4461

Detailed Description

This is a 2-part study of the safety, tolerability, PK and pharmacodynamic (PD) of single and repeated doses of REGN4461 in healthy participants. In Part A, healthy lean or overweight participants will be enrolled to evaluate the safety, tolerability, PK, and PD of single ascending intravenous (IV) and subcutaneous (SC) doses. Interim PK and safety information from Part A will be used to select the dose level, frequency, and mode of administration (IV or SC) for repeat dosing in Part B. In Part B, overweight/obese participants with body mass index (BMI) 25-40 kg/m2 will be enrolled to evaluate the safety, tolerability, PK, and PD of repeated doses of REGN4461 in 4 distinct cohorts defined by baseline leptin levels.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
113
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Part A: Single dose cohort 1REGN4461Cohort 1 will receive a single IV dose of REGN4461 or matching placebo
Part A: Single dose cohort 6PlaceboCohort 6 will receive a sequential ascending single SC dose of REGN4461 or matching placebo
Part A: Single dose cohort 1PlaceboCohort 1 will receive a single IV dose of REGN4461 or matching placebo
Part A: Single dose cohort 2REGN4461Cohort 2 will receive a sequential ascending single IV dose of REGN4461 or matching placebo
Part A: Single dose cohort 2PlaceboCohort 2 will receive a sequential ascending single IV dose of REGN4461 or matching placebo
Part A: Single dose cohort 3REGN4461Cohort 3 will receive a sequential ascending single IV dose of REGN4461 or matching placebo
Part A: Single dose cohort 3PlaceboCohort 3 will receive a sequential ascending single IV dose of REGN4461 or matching placebo
Part A: Single dose cohort 4REGN4461Cohort 4 will receive a sequential ascending single SC dose of REGN4461 or matching placebo
Part A: Single dose cohort 4PlaceboCohort 4 will receive a sequential ascending single SC dose of REGN4461 or matching placebo
Part A: Single dose cohort 5REGN4461Cohort 5 will receive a sequential ascending single IV dose of REGN4461 or matching placebo
Part A: Single dose cohort 5PlaceboCohort 5 will receive a sequential ascending single IV dose of REGN4461 or matching placebo
Part A: Single dose cohort 6REGN4461Cohort 6 will receive a sequential ascending single SC dose of REGN4461 or matching placebo
Part A: Single dose cohort 7REGN4461Cohort 7 will receive a sequential ascending single IV dose of REGN4461 or matching placebo
Part A: Single dose cohort 7PlaceboCohort 7 will receive a sequential ascending single IV dose of REGN4461 or matching placebo
Part A: Single dose cohort 8REGN4461Cohort 8 will receive a single IV dose of REGN4461 or matching placebo
Part A: Single dose cohort 8PlaceboCohort 8 will receive a single IV dose of REGN4461 or matching placebo
Part A: Single dose cohort 9REGN4461Cohort 9 will receive a single IV dose of REGN4461 or matching placebo
Part A: Single dose cohort 9PlaceboCohort 9 will receive a single IV dose of REGN4461 or matching placebo
Part B: Repeated dose cohort 10REGN4461Cohort 10 will receive repeated IV or SC doses of REGN4461 or matching placebo
Part B: Repeated dose cohort 10PlaceboCohort 10 will receive repeated IV or SC doses of REGN4461 or matching placebo
Primary Outcome Measures
NameTimeMethod
Number of treatment-emergent adverse events (TEAEs)Up to week 27
Secondary Outcome Measures
NameTimeMethod
Absolute change from baseline to week 12 in body weight in overweight or obese participantsBaseline to week 12
Percent change from baseline to week 12 in body weight in overweight or obese participantsBaseline to week 12
PK parameter: clearance (CL)Up to week 27
Pharmacokinetic (PK) parameter: Area under curve (AUC) computed from time zero to the time of the last positive concentration (AUClast)Up to week 27
PK parameter: trough concentration (Ctrough)Up to week 27
Concentrations of REGN4461 in serum over timeUp to week 27
Incidence of anti-drug antibodies to REGN4461 over time after single doses of REGN4461Up to week 16
Incidence of anti-drug antibodies to REGN4461 over time after repeated doses of REGN4461Up to week 27
PK parameter: AUC computed across a dosing interval with length τ (AUCo-τ)Upt to week 27
PK parameter: peak concentration (Cmax)Up to week 27
PK parameter: time to Cmax (tmax)Up to week 27
Change from baseline in caloric intake in response to standardized meals in overweight or obese participantsBaseline to week 12
Change in lipid-regulating protein levels over time after single doses of REGN4461Up to week 16
Change in lipid-regulating protein levels over time after repeated doses of REGN4461Up to week 27

Trial Locations

Locations (1)

Regeneron Investigational Site

🇧🇪

Antwerp, Belgium

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