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A Single-dose, Dose-escalation Study of a Long-acting MOD-6031 in Healthy Overweight or Obese Subjects

Phase 1
Completed
Conditions
Obesity
Interventions
Other: Placebo control
Registration Number
NCT02692781
Lead Sponsor
OPKO Health, Inc.
Brief Summary

MOD-6031 is a long-acting reversibly PEGylated oxyntomodulin (OXM) therapeutic. The active moiety is a gastrointestinal neuropeptide with a sequence identical to endogenous human OXM and is an agonist for both glucagon-like peptide-1 (GLP1) and glucagon (GCG) receptors. The peptide is a natural appetite suppressant, secreted by L-cells in the digestive system following food intake leading to a decrease in gastric emptying, satiety after crossing the blood-brain barrier, and regulation of insulin and glucose levels. Thus, MOD-6031 is being developed as a treatment for high risk subjects (obese) to increase weight loss, reduce food intake and increase glycemic control.

Detailed Description

This will be a a randomized, single-blind, placebo-controlled, single-dose, dose-escalation study. Five escalating dose groups are planned, with 8 subjects per dose group, randomized in 3:1 ratio to receive a single dose of MOD-6031 or matching Placebo (6 MOD-6031 to 2 placebo subjects). The initial MOD-6031 dose will be 20 mg, followed by single doses of 50 mg, 100 mg, 150 mg and 200 mg. Each subject will receive a single study drug injection in the morning (dosing day designated as Day 0) and will be monitored for 30 days.

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
32
Inclusion Criteria
  • Healthy male, between 18 to 55 years of age.
  • BMI 27-35 Kg/m2 (inclusive).
  • Generally good health.
  • Triglyceride ≤ 400mg/ml
  • ECG with no clinically significant abnormalities.
  • Negative HIV, hepatitis B or hepatitis C serology tests at screening
  • No significant abnormalities in clinical laboratory parameters
  • No history of alcohol or drug abuse.
Exclusion Criteria
  • History of clinically significant medical condition.
  • Any cardiac conduction defect.
  • Any acute or unstable disease.
  • History of malignancy diagnosed within the past 5 years.
  • Known or suspected diabetes and/or HbA1C >6.4% on screening.
  • Known allergy to any drug.
  • Treatment with weight loss drugs (within 3 months prior to dosing).
  • Liposuction or other surgery for weight loss within the last year.
  • Evidence of eating disorders (bulimia, binge eating).
  • History of regular alcohol consumption exceeding.
  • Use of tobacco or nicotine-containing products.
  • Subjects that have difficulty fasting or consuming the standard meals that will be provided.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Dose Cohort 3Placebo control100mg MOD-6031 / Placebo
Dose Cohort 5Placebo control200mg MOD-6031 / Placebo
Dose Cohort 4Placebo control150mg MOD-6031 / Placebo
Dose Cohort 1Placebo control20mg MOD-6031 / Placebo
Dose Cohort 2Placebo control50mg MOD-6031 / Placebo
Dose Cohort 4MOD-6031150mg MOD-6031 / Placebo
Dose Cohort 5MOD-6031200mg MOD-6031 / Placebo
Dose Cohort 1MOD-603120mg MOD-6031 / Placebo
Dose Cohort 2MOD-603150mg MOD-6031 / Placebo
Dose Cohort 3MOD-6031100mg MOD-6031 / Placebo
Primary Outcome Measures
NameTimeMethod
Composite safety and tolerability parameters as measured by adverse events, electrocardiograms (ECG), laboratory results, vital signs and injection site reactions30 days
Secondary Outcome Measures
NameTimeMethod
Vz/F of MOD-6031 and its hydrolyzed derivatives (PEG-FMS and OXM peptide)0 to 30 days
Elimination rate constant of MOD-6031 and its hydrolyzed derivatives (PEG-FMS and OXM peptide)0 to 30 days
CL/F of MOD-6031 and its hydrolyzed derivatives (PEG-FMS and OXM peptide)0 to 30 days
Cmax of MOD-6031 and its hydrolyzed derivatives (PEG-FMS and OXM peptide)0 to 30 days
Tmax of MOD-6031 and its hydrolyzed derivatives (PEG-FMS and OXM peptide)0 to 30 days
AUC(0-t) of MOD-6031 and its hydrolyzed derivatives (PEG-FMS and OXM peptide)0 to 30 days
AUC(inf) of MOD-6031 and its hydrolyzed derivatives (PEG-FMS and OXM peptide)0 to 30 days
T(½) of MOD-6031 and its hydrolyzed derivatives (PEG-FMS and OXM peptide)0 to 30 days

Trial Locations

Locations (1)

Tel Aviv Sourasky Medical Center

🇮🇱

Tel Aviv, Israel

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