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Study of Safety and Effects of Garetosmab in Healthy Obese Men and Post-Menopausal Women

Phase 1
Not yet recruiting
Conditions
Obesity
Interventions
Drug: Matching Placebo
Registration Number
NCT06970405
Lead Sponsor
Regeneron Pharmaceuticals
Brief Summary

This study is researching an experimental drug called garetosmab, referred to as "study drug". The study is focused on otherwise healthy participants with obesity.

The aim of the study is to see how safe and tolerable the study drug is.

The study is looking at several other research questions, including:

* How much study drug is in the blood at different times

* What effect the study drug has on the blood clotting

* What effect the study drug has on hormone levels

* What effect the study drug has on some organs that produce hormones

* What effect hormones have on the side effects produced by the study drug

* Whether the body makes antibodies against the study drug (which could change how well the drug works or could lead to side effects)

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
48
Inclusion Criteria
  1. Participants with obesity (defined as Body Mass Index (BMI) ≥30 kg/m2) who are otherwise healthy, as defined in the protocol
  2. Women must be postmenopausal, as defined in the protocol
  3. Serum testosterone within age-adjusted normal range for men at screening
  4. The platelet count is within the normal lower and upper laboratory range

Key

Exclusion Criteria
  1. Patients diagnosed with Type 1 or Type 2 diabetes, as defined in the protocol
  2. History of any severe, non-traumatic bleeding, and or a known pre-existing medical history of a bleeding, as defined in the protocol
  3. History of clinically significant cardiovascular (eg, uncontrolled blood pressure), endocrine, respiratory, hepatic, renal, gastrointestinal, hematological, psychiatric, or neurological disease, as defined in the protocol
  4. Any malignancy in the last 5 years prior to screening visit, except for non-melanoma skin cancer that have been resected with no evidence of metastatic disease
  5. Any chronic active infection or has received anti-Hepatitis C Virus (HCV) treatments within the previous 6 months, as defined in the protocol
  6. Antiplatelet therapy (eg clopidogrel, aspirin), anticoagulants (eg, warfarin, heparin, factor Xa inhibitor, or thrombin inhibitors) in the last 90 days or within 5 half-lives of the therapy at screening, whichever is longer
  7. Use in the previous 90 days for >7 consecutive days at screening of anti-obesity medications, anabolic agents, systemic steroids, androgens, estrogens, or progestogens. Chronic stable doses of thyroid hormones in participants with normal thyroid function are allowed
  8. For women, current use, or past use in the last 90 days at screening of hormonal replacement or contraceptive therapy

NOTE: Other Protocol-defined Inclusion/Exclusion Criteria Apply

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
High DoseGaretosmabRandomized per the protocol
Low DoseGaretosmabRandomized per the protocol
PlaceboMatching PlaceboRandomized per the protocol
Primary Outcome Measures
NameTimeMethod
Incidence of treatment-emergent adverse events (TEAEs)Through Week 32
Severity of TEAEsThrough Week 32
Secondary Outcome Measures
NameTimeMethod
Change in serum Follicle Stimulating Hormone (FSH) level in response to gonadotropin-releasing hormone (GnRH) injectionPre-GnRH Baseline, Through Week 20 Post-GnRH
Percent change in serum FSH level in response to GnRH injectionPre-GnRH Baseline, Through Week 20 Post-GnRH
Change in serum Luteinizing Hormone (LH) level in response to GnRH injectionPre-GnRH Baseline, Through Week 20 Post-GnRH
Percent change in serum LH level in response to GnRH injectionPre-GnRH Baseline, Through Week 20 Post-GnRH
Change in serum total testosterone level in response to GnRH injectionPre-GnRH Baseline, Through Week 20 Post-GnRH
Percent change in serum total testosterone level in response to GnRH injectionPre-GnRH Baseline, Through Week 20 Post-GnRH
Change in serum free testosterone level in response to GnRH injectionPre-GnRH Baseline, Through Week 20 Post-GnRH
Percent change in serum free testosterone level in response to GnRH injectionPre-GnRH Baseline, Through Week 20 Post-GnRH
Change in serum estradiol level in response to GnRH injectionPre-GnRH Baseline, Through Week 20 Post-GnRH
Percent change in serum estradiol level in response to GnRH injectionPre-GnRH Baseline, Through Week 20 Post-GnRH
Change in serum 17-hydroxyprogesterone (17-OHP) level in response to GnRH injectionPre-GnRH Baseline, Through Week 20 Post-GnRH
Percent change in serum 17-OHP level in response to GnRH injectionPre-GnRH Baseline, Through Week 20 Post-GnRH
Change in serum Dehydroepiandrosterone Sulphate (DHEA-S) level in response to GnRH injectionPre-GnRH Baseline, Through Week 20 Post-GnRH
Percent change in serum DHEA-S level in response to GnRH injectionPre-GnRH Baseline, Through Week 20 Post-GnRH
Change in serum androstenedione level in response to GnRH injectionPre-GnRH Baseline, Through Week 20 Post-GnRH
Percent change in serum androstenedione level in response to GnRH injectionPre-GnRH Baseline, Through Week 20 Post-GnRH
Change in cortisol level in response to Adrenocorticotropic Hormone (ACTH) level injectionPre-ACTH Baseline, Through Week 20 post-ACTH
Percent change in cortisol level in response to ACTH injectionPre-ACTH Baseline, Through Week 20 post-ACTH
Concentrations of garetosmab in serumThrough Week 32
Concentrations of total activin A in serumThrough Week 32
Change in bleeding timeBaseline, At Week 8
Percent change in bleeding timeBaseline, At Week 8
Change in thrombin timeBaseline, At Week 8
Percent change in thrombin timeBaseline, At Week 8
Change in Activated Partial Thromboplastin Time (aPTT)Baseline, At Week 8
Percent change in aPTTBaseline, At Week 8
Change in Prothrombin Time (PT)Baseline, At Week 8
Percent change in PTBaseline, At Week 8
Change in International Normalized Ratio (INR)Baseline, At Week 8
Percent change in INRBaseline, At Week 8
Change in platelets countBaseline, At Week 8
Percent change in platelets countBaseline, At Week 8
Change in serum ACTH levelBaseline, Through Week 20
Percent change in serum ACTH levelBaseline, Through Week 20
Change in serum FSH levelBaseline, Through Week 20
Percent change in serum FSH levelBaseline, Through Week 20
Change in serum LH levelBaseline, Through Week 20
Percent change in serum LH levelBaseline, Through Week 20
Change in serum Thyroid Stimulating Hormone (TSH) levelBaseline, Through Week 20
Percent change in serum TSH levelBaseline, Through Week 20
Change in serum Thyroxine (T4) levelBaseline, Through Week 20
Percent change in serum T4 levelBaseline, Through Week 20
Change in serum total testosterone levelBaseline, Through Week 20
Percent change in serum total testosterone levelBaseline, Through Week 20
Change in serum free testosterone levelBaseline, Through Week 20
Percent change in serum free testosterone levelBaseline, Through Week 20
Change in serum 17-OHP levelBaseline, Through Week 20
Percent change in serum 17-OHP levelBaseline, Through Week 20
Change in serum estradiol levelBaseline, Through Week 20
Percent change in serum estradiol levelBaseline, Through Week 20
Change in serum DHEA-S levelBaseline, Through Week 20
Percent change in serum DHEA-S levelBaseline, Through Week 20
Change in serum androstenedione levelBaseline, Through Week 20
Percent change in serum androstenedione levelBaseline, Through Week 20
Change in serum Human Growth Hormone (HGH) levelBaseline, Through Week 20
Percent change in serum HGH levelBaseline, Through Week 20
Change in serum Insulin-like Growth Factor (IGF)-1 levelBaseline, Through Week 20
Percent change in serum IGF-1 levelBaseline, Through Week 20
Change in serum cortisol levelBaseline, Through Week 20
Percent change in serum cortisol levelBaseline, Through Week 20
Incidence of Anti-Drug Antibodies (ADA) to garetosmabThrough Week 32
Titer of ADA to garetosmabThrough Week 32
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