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临床试验/NCT02507492
NCT02507492Unknown2 期

RM-493 Treatment Trial in Proopiomelanocortin (POMC) Deficient Patients

Charite University, Berlin, Germany1 个研究点 分布在 1 个国家目标入组 10 人开始时间: 2015年1月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
入组人数
10
试验地点
1
主要终点
Effect of RM-493 on Body weight

研究概览

简要总结

The purpose of this study is to evaluate the effects of a once daily subcutaneous (SC) injection of RM-493, in subjects with POMC (propiomelanocortin) or other related rare genetic mutations, on body weight, metabolic function and blood pressure. Patients who respond during the initial 84 days of treatment can enter into long-term (2-year) extensions. The study drug (RM-493) will be administered in an unblinded fashion.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Written informed consent
  • Homozygous or compound heterozygous (different gene mutation on both alleles) POMC, LEPR or PCSK1 gene mutation
  • Obesity (BMI > 30 kg/m2; + 2 BMI SDS)
  • No other therapeutic option, which might cure the patient (e.g. bariatric surgery (see chapter 8))
  • Negative Pregnancy test
  • Highly effective contraception in women (defined as pearl index < 1), if necessary also for partners of test persons)
  • No participation in other clinical trials according to AMG (Arzneimittelgesetz) (2 months before and after) at the time of this trial
  • Normal or minimally elevated blood pressure (measured in 24RR monitoring or similar methods) according the guidelines of the ESH (European Society of Hypertension) and Deutsche Hochdruckliga: systolic > 159 mmHg/diastolic 99 mmHg
  • sufficient kidney and liver function (Creatinine, ALT, AST)
  • normal values Alanine-Aminotransferase (ALT) (female): < 31 U/l
  • normal values Alanine-Aminotransferase (ALT) (male): < 41 U/l
  • normal values Aspartate-Aminotransferase (AST) (female > 17 years): < 35 U/l; (female < 17 years): 16- 46 U/l
  • normal values Aspartate-Aminotransferase (AST) (male > 17 years): < 50 U/l; (male < 17 years): 16-46 U/l
  • normal values bilirubins (male and female) up to 1,2 mg/dl
  • normal values Creatinine (female > 15 years): 0,51-0,95 mg/dl) ; (female < 15 years): 0,46-0,77 mg/dl
  • normal values Creatinine (male > 15 years): 0,67 - 1,17 mg/dl) ; (male < 15 years): 0,46-0,77 mg/dl

排除标准

  • Pregnancy or Breastfeeding
  • All contraindications against study medication (including auxiliary substances)
  • Interactions with study medication
  • Participation of the patient in a clinical study within the last 2 months
  • Intolerance against albumin
  • Concomitant diseases, impaired organ functions, except for known, concurrent GI disorders or other clinical findings expected in PCSK1 or LEPR gene disorders
  • Renal insufficiency (Creatinine > 0,95 mg/dl (female), > 1,17 mg/dl (male))
  • Impaired liver function (Bilirubins > 1.2 mg/dl)
  • Neurological / psychiatric diseases
  • HIV Infection
  • Active Hepatitis B or C
  • Melanoma or Melanoma occurrence in the family history
  • Non-compliance
  • Subjects who are legally detained in an official institution

研究组 & 干预措施

RM-493 Once Daily

Experimental

Dose once daily in the morning

干预措施: RM-493 (Drug)

结局指标

主要结局

Effect of RM-493 on Body weight

时间窗: Day 1 through Day 84

Change of body weight after Treatment with RM-493.

次要结局

  • Effect of RM-493 on metabolic serum parameters(Day 1 through Day 84)
  • Effect of RM-493 on hunger(Day 1 through Day 84)
  • Effect of RM-493 on body composition/Energy expenditure(Day 1 through Day 84)
  • Effect of RM-493 on weight loss after treatment continuation of 2 years(Day 1 through Day 730)
  • Effect of RM-493 on blood pressure(Day 1 through Day 84)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

PD Dr. Susanna Wiegand

Principal Investigator

Charite University, Berlin, Germany

研究点 (1)

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