A Phase 2 Open Label Study to Evaluate the Safety, Tolerability, and Efficacy of ARD-101 in Subjects At Least One Year After Bariatric Surgery
Overview
- Phase
- Phase 2
- Intervention
- ARD-101
- Conditions
- Bariatric Surgery
- Sponsor
- Aardvark Therapeutics, Inc.
- Enrollment
- 12
- Locations
- 1
- Primary Endpoint
- Relative Change in Body Weight (%)
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The purpose of this study is to evaluate safety and efficacy of twice-daily ARD-101 in subjects at least one year after bariatric surgery (sleeve gastrectomy or gastric bypass).
Detailed Description
This is a Phase 2, open-label study to investigate the safety and efficacy of twice-daily ARD-101 in subjects at least one year after bariatric surgery (sleeve gastrectomy or gastric bypass). This study has a planned enrollment of 30 subjects (approximately 15 for each preceding surgical procedure) and will be conducted in a single center in the United States. The study will consist of a Screening Period (up to 28 days), a Treatment Period (28 days), and a Follow-up Period (EOS Visit within 14 days after receiving the last dose of ARD-101). The screening procedures will be initiated upon completion of the informed consent process. Following completion of screening procedures and confirmation of eligibility, subjects will be enrolled to receive ARD-101.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Male and female subjects, 18-75 years of age
- •Willing and able to provide signed and dated informed consent prior to any study-related procedures and willing and able to comply with all study procedures
- •Body Mass Index (BMI) of 35-60 kg/m2 during the Screening Period
- •Status of at least 1-year post sleeve gastrectomy or gastric bypass surgery. Subjects must have a documented weight loss of at least 50% of their excess weight at their nadir, and must have regained at least 20% of their nadir weight loss. Excess weight is defined as maximum preoperative weight - weight corresponding to a BMI of 25 kg/m2
- •Subjects with rescue surgery (e.g. gastric band to sleeve gastrectomy or gastric bypass; sleeve gastrectomy to gastric bypass) will be allowed, with time since second surgery of at least 12 months.
- •Subjects with a history of revision procedures will be allowed if at least 6 months have passed since the procedure and weight has not deviated more than 5% in the 3 months prior to enrollment
- •No abnormal findings or abnormalities of clinical significance in vital signs, physical examination, clinical laboratory tests (CBC, urinalysis, blood biochemistry, coagulation, pregnancy test (females), urine drug test, nicotine test, etc.), 12-lead electrocardiogram (ECG) during the Screening Period
- •Serum creatinine, alkaline phosphatase, hepatic enzymes (aspartate aminotransferase, alanine aminotransferase) and total bilirubin (unless the subject has documented Gilbert syndrome) not exceeding 1.5-fold the upper laboratory norm and estimated Glomerular Filtration Rate (eGFR) \>30 mL/min
- •Standard 12-lead ECG parameters after 10minutes resting in supine position in the following ranges; 120 ms \<PR \<220 ms, QRS \<120 ms, QTc \<= 430 ms if male, \<= 450 ms if female and normal ECG tracing unless the Investigator considers an ECG abnormality within described limits to be not clinically relevant
- •Stable or well controlled blood pressure per Investigator's judgement during the Screening Period. Specifically: Vital signs after 10 minutes sitting in a chair (feet on floor, back supported):
Exclusion Criteria
- •Any relevant gastrointestinal (GI) surgery (excluding the gastric bypass or sleeve gastrectomy) per Investigator judgement
- •History of significant drug hypersensitivity or anaphylaxis
- •Participation in a weight loss program or clinical trial for weight loss within the 3 months prior to enrollment
- •Received any experimental drugs or devices or have participated in a clinical study within 30 days prior to enrollment
- •Diabetes treatment (unless metformin as outlined), or chronic oral steroids, or treatment with immune modulators, anti-obesity drugs, chronic opiate therapy, or antipsychotic medications
- •Currently receiving any drug-based therapy for weight management
- •Thyroid-stimulating hormone (TSH) level is outside of normal limit during the Screening Period
- •The presence of diseases with abnormal clinical manifestations that need to be excluded based on their possible contribution to weight loss or weight gain, including but not limited to nervous, cardiovascular, blood and lymphatic system, immune, renal, hepatic, gastrointestinal, respiratory, metabolic and skeletal diseases during the Screening Period
- •History of myocardial infarction, unstable angina, arterial revascularization, stroke, New York Heart Association Functional Class II-IV heart failure, or transient ischemic attack within 6 months prior to Visit 1
- •Any malignancy not considered cured (except focal, treated basal cell carcinoma and squamous cell carcinoma of the skin); a participant is considered cured if there has been no evidence of cancer recurrence in the previous 5 years
Arms & Interventions
ARD-101
Dose 200 mg of ARD-101, twice daily for 28 days
Intervention: ARD-101
Outcomes
Primary Outcomes
Relative Change in Body Weight (%)
Time Frame: Baseline and Day 28
The percent total weight change at the end of treatment from baseline
Secondary Outcomes
- Change in Blood Lipid Concentrations(Run-in Visit (baseline), Day 28)
- Change in Waist Circumference(Baseline and Day 28)
- Incidence of Treatment-emergent Adverse Events (TEAE)(Days 1-28)
- Change in Hemoglobin A1c(Screening (baseline), Day 28)