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Trial ยท NCT00673387

Study to Examine Safety, Tolerability, and Effect on Body Weight of Metreleptin Administered in Conjunction With Pramlintide in Obese and Overweight Subjects

NCT00673387, Phase 2, Completed, AstraZeneca; results first posted 2013-11-14

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study to Examine Safety, Tolerability, and Effect on Body Weight of Metreleptin Administered in Conjunction With Pramlintide in Obese and Overweight Subjects. Trials, record NCT00673387. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00673387

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study to Examine Safety, Tolerability, and Effect on Body Weight of Metreleptin Administered in Conjunction With Pramlintide in Obese and Overweight Subjects
NCT number
NCT00673387
Status
Completed
Phases
Phase 2
Enrollment
636 participants, actual
Lead sponsor
AstraZeneca
Conditions
Overweight, Obesity
Interventions
pramlintide acetate, metreleptin, placebo-P, placebo-M
First posted
2008-05-07
Last updated
2015-04-15
Results first posted
2013-11-14
Limitations and caveats
Drug Randomization stratified:sex,3 categories baseline BMI (12 arms); 3 treatment arms combined for summaries as single placebo treatment group; 3 combined for summaries as single pramlintide monotherapy treatment group (total:8 treatment groups).

Source ClinicalTrials.gov

Registered outcomes27

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryLeast Squares (LS) Mean Percent Change in Body Weight From Baseline to Week 28 - Evaluable PopulationBaseline to Week 28
Body weight was measured in kilogram (kg). Baseline is defined as Day 1. If Day 1 was missing or after the first dose date of randomized treatment, the last available value prior to Day 1 was used. Drug Randomization stratified by sex and 3 categories baseline BMI (12 arms); 3 treatment arms combined for summaries as single placebo treatment group; 3 combined for summaries as single pramlintide monotherapy treatment group (total: 8 treatment groups).
SecondaryNumber of Participants Achieving at Least 5% and at Least 10% Body Weight Loss From Baseline to Week 28 - Evaluable PopulationBaseline to Week 28Baseline refers to Day 1. If Day 1 value is missing or after the first dose date of randomized study medication, the last available value on or prior to Day 1 is used.
SecondaryMean Absolute Change From Baseline to Weeks 4, 12, 28 in Mean Trough Concentration of Total Leptin - Evaluable PopulationBaseline to Week 28
Mean fasting plasma total leptin concentration (nanograms per milliliter; ng/mL) change from baseline over time by pooled metreleptin dose (sex, baseline BMI category, and baseline value). Baseline defined as Day 1. If Day 1 value is missing or after the first dose date of randomized study medication, the last available value on or prior to Day 1 is used. Evaluable population: all participants who received at least one dose of randomized treatment, had adequate exposure to treatment and complied with the protocol as assessed prior to database lock and unblinding. Leptin concentrations measured using a validated immunoenzymetric assay utilizing polyclonal capture antibody, monoclonal detection antibody, and colorimetric readout by Amylin Pharmaceuticals, Inc.
SecondaryLS Mean Absolute Change in Body Weight From Baseline to Weeks 4, 12, and 28 - Evaluable PopulationBaseline to Week 28
Least Squares (LS) mean absolute change in Body weight was measured in kilograms (kg). Baseline is defined as Day 1. If Day 1 was missing or after the first dose date of randomized treatment, the last available value prior to Day 1 was used.
SecondaryLS Mean Change in Waist Circumference From Baseline to Week 12 and Week 28 - Evaluable PopulationBaseline to Weeks 12 and Week 28Waist circumference was measured at baseline (Day 1), Weeks 12, 28 (or at early termination) in centimeters (cm).
Secondary
Geometric Mean of the Total Area Under the Concentration Time Curve (AUC) From Time 0 to Last Quantifiable Concentration (Tlast) for Pramlintide at Weeks 4 and 24 - Evaluable Population Receiving Pramlintide
Week 4 and Week 24
Assessment of AUC was over a period of 2 hours following pramlintide administration. AUC (0 to time of last quantifiable concentration (-tlast). For AUC calculation, concentration at -5 min will be considered as 0 h concentration if quantifiable, otherwise, t=0 h. AUC measured as picograms\*hour/milliliter (pg\*h/mL). Pramlintide concentrations measured using a colorimetric immunoenzymetric assay employing monoclonal antibodies against pramlintide for both capture and detection.
SecondaryGeometric Mean of AUC From Time 0 to Infinity for Pramlintide at Weeks 4 and 24 - Evaluable Population Treated With PramlintideWeeks 4 and 24
Assessment of AUC was over a period of 2 hours following pramlintide administration. Area under the concentration curve (AUC) time 0 to infinity (-inf). For AUC calculations, concentration at -5 min will be considered as 0 h concentration if quantifiable. AUC measured in picograms\*hour/milliliter (pg\*h/mL).
SecondaryGeometric Mean of the Maximum Observed Plasma Concentration (Cmax) for Pramlintide at Weeks 4 and 24 - Evaluable Population Receiving PramlintideWeek 4 and Week 24Assessment of Cmax was over a period of 2 hours following pramlintide administration at Weeks 4 and 24. Cmax was measured as picograms/milliliter (pg/mL).
SecondaryLeast Squares (LS) Mean Absolute Change From Baseline to Week 28 in Percent of Body Fat - Evaluable PopulationBaseline to Week 28
Parameters of body composition were measured with a Dual Energy X-ray absorptiometry (DEXA) scan and reported as a percent (%). Data from the first valid DEXA scan obtained no later than 7 days after the first randomized dose was considered as valid baseline values; data from the last valid DEXA scan obtained no later than 10 days after last clinical visit or no later than 14 days after last dose of randomized study medication was considered as valid study termination values. Absolute change from baseline was defined as percent body fat at Week 28 - percent body fat at baseline.
SecondaryLS Mean Absolute Change From Baseline to Week 28 in Total Body Fat Mass (k) - Evaluable PopulationBaseline to Week 28
Parameters of body composition were measured with a Dual Energy X-ray absorptiometry (DEXA) scan. Data from the first valid DEXA scan obtained no later than 7 days after the first randomized dose was considered as valid baseline values; data from the last valid DEXA scan obtained no later than 10 days after last clinical visit or no later than 14 days after last dose of randomized study medication was considered as valid study termination values. Body fat mass was measured in kilogram (k).

Outcomes27

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYLeast Squares (LS) Mean Percent Change in Body Weight From Baseline to Week 28 - Evaluable PopulationBaseline to Week 28
Evaluable population includes all intent to treat participants (received at least one dose of randomized treatment) who had adequate exposure to treatment and complied with the protocol as assessed prior to database lock and unblinding.
Percentage change in kgLEAST_SQUARES_MEAN
SECONDARYNumber of Participants Achieving at Least 5% and at Least 10% Body Weight Loss From Baseline to Week 28 - Evaluable PopulationBaseline to Week 28
Evaluable population includes all intent to treat participants (received at least one dose of randomized treatment) who had adequate exposure to treatment and complied with the protocol as assessed prior to database lock and unblinding.
participantsNUMBER
SECONDARYMean Absolute Change From Baseline to Weeks 4, 12, 28 in Mean Trough Concentration of Total Leptin - Evaluable PopulationBaseline to Week 28
Number analyzed (n) at baseline above. Week 4: n=41 45,46, 45, 45, 38; Week 8: n=41,45,46,44,45,37; Week 12: n=41, 46, 46, 45,45,38; Week 16: n=41,47,46,45,45,38; Week 20: n=41, 45,45,45,45,38; Week 24: n=40, 43, 46, 42, 44,38; Week 28: n=41, 45, 45, 44, 43, 36. Leptin concentration for placebo and pramlintide plus placebo groups not presented.
ng/mLMEAN
SECONDARYLS Mean Absolute Change in Body Weight From Baseline to Weeks 4, 12, and 28 - Evaluable PopulationBaseline to Week 28
Evaluable population includes all intent to treat participants (received at least one dose of randomized treatment) who had adequate exposure to treatment and complied with the protocol as assessed prior to database lock and unblinding.
kgLEAST_SQUARES_MEAN
SECONDARYLS Mean Change in Waist Circumference From Baseline to Week 12 and Week 28 - Evaluable PopulationBaseline to Weeks 12 and Week 28
Participants who received at least 1 dose of randomized treatment and who had adequate exposure to treatment and complied with the protocol as assessed prior to database lock/unblinding. Numbers (n) analyzed Week 12 n=45,51,41,47,45,45,45,38 in each treatment group respectively; Week 28 n= 44, 51, 41, 46, 45, 44, 43, 38 in each group, respectively.
cmLEAST_SQUARES_MEAN
SECONDARY
Geometric Mean of the Total Area Under the Concentration Time Curve (AUC) From Time 0 to Last Quantifiable Concentration (Tlast) for Pramlintide at Weeks 4 and 24 - Evaluable Population Receiving Pramlintide
Week 4 and Week 24
Evaluable population: participants received at least one dose of randomized treatment, had adequate exposure to treatment and complied with the protocol as assessed prior to database lock and unblinding. Number (n) analyzed at Week 4:n=46, 40,41, 40,40,33 in each arm respectively;Week 24:n=48, 38, 44, 40, 35, 36.
pg*h/mLGEOMETRIC_MEAN
SECONDARYGeometric Mean of AUC From Time 0 to Infinity for Pramlintide at Weeks 4 and 24 - Evaluable Population Treated With PramlintideWeeks 4 and 24
Evaluable population: participants received at least one dose of randomized treatment, had adequate exposure to treatment and complied with the protocol as assessed prior to database lock and unblinding. Number (n) analyzed at Week 4: n=39,36,37,36,35,31 in each arm, respectively; Week 24 n=46, 35, 42, 39, 33, 35 in each arm, respectively.
pg*h/mLGEOMETRIC_MEAN
SECONDARYGeometric Mean of the Maximum Observed Plasma Concentration (Cmax) for Pramlintide at Weeks 4 and 24 - Evaluable Population Receiving PramlintideWeek 4 and Week 24
Evaluable population: participants received at least one dose of randomized treatment, had adequate exposure to treatment and complied with the protocol as assessed prior to database lock and unblinding. Number (n) analyzed at Week 4 n=46,40,41,40,40,33 in each arm, respectively; Week 24 n=48,38, 44,40,35,36 in each arm, respectively.
pg/mLGEOMETRIC_MEAN
SECONDARYLeast Squares (LS) Mean Absolute Change From Baseline to Week 28 in Percent of Body Fat - Evaluable PopulationBaseline to Week 28
Evaluable population includes participants received at least one dose of randomized treatment, had adequate exposure to treatment, and complied with the protocol as assessed prior to database lock and unblinding. Number analyzed (n) were of evaluable participants with valid DEXA scan at Week 28.
percentage of body fatLEAST_SQUARES_MEAN
SECONDARYLS Mean Absolute Change From Baseline to Week 28 in Total Body Fat Mass (k) - Evaluable PopulationBaseline to Week 28
Evaluable population includes participants received at least one dose of randomized treatment, had adequate exposure to treatment, and complied with the protocol as assessed prior to database lock and unblinding. Number analyzed (n) were of evaluable participants with valid DEXA scan at Week 28.
kgLEAST_SQUARES_MEAN

Results by group636

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Least Squares (LS) Mean Percent Change in Body Weight From Baseline to Week 28 - Evaluable PopulationPlacebo-2.0195% Confidence Interval -3.76 to -0.26Percentage change in kg
Least Squares (LS) Mean Percent Change in Body Weight From Baseline to Week 28 - Evaluable PopulationPramlintide 360 mcg-5.4795% Confidence Interval -7.19 to -3.76Percentage change in kg
Least Squares (LS) Mean Percent Change in Body Weight From Baseline to Week 28 - Evaluable PopulationMetreleptin 5.0 mg-5.8395% Confidence Interval -7.72 to -3.95Percentage change in kg
Least Squares (LS) Mean Percent Change in Body Weight From Baseline to Week 28 - Evaluable PopulationPramlintide 180 mcg + Metreleptin 2.5 mg-6.8595% Confidence Interval -8.61 to -5.08Percentage change in kg
Least Squares (LS) Mean Percent Change in Body Weight From Baseline to Week 28 - Evaluable PopulationPramlintide 180 mcg + Metreleptin 5.0 mg-6.6195% Confidence Interval -8.41 to -4.82Percentage change in kg
Least Squares (LS) Mean Percent Change in Body Weight From Baseline to Week 28 - Evaluable PopulationPramlintide 360 mcg + Metreleptin 1.25 mg-6.3995% Confidence Interval -8.18 to -4.59Percentage change in kg
Least Squares (LS) Mean Percent Change in Body Weight From Baseline to Week 28 - Evaluable PopulationPramlintide 360 mcg + Metreleptin 2.5 mg-6.9895% Confidence Interval -8.79 to -5.17Percentage change in kg
Least Squares (LS) Mean Percent Change in Body Weight From Baseline to Week 28 - Evaluable PopulationPramlintide 360 mcg + Metreleptin 5.0 mg-7.0295% Confidence Interval -8.94 to -5.10Percentage change in kg
Number of Participants Achieving at Least 5% and at Least 10% Body Weight Loss From Baseline to Week 28 - Evaluable PopulationPlaceboWeight Loss >=5%10participants
Number of Participants Achieving at Least 5% and at Least 10% Body Weight Loss From Baseline to Week 28 - Evaluable PopulationPramlintide 360 mcgWeight Loss >=5%27participants

Participant flow24

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPlacebo75
Overall StudySTARTEDPramlintide 360 mcg77
Overall StudySTARTEDMetreleptin 5.0 mg72
Overall StudySTARTEDPramlintide 180 mcg + Metreleptin 2.5 mg75
Overall StudySTARTEDPramlintide 180 mcg + Metreleptin 5.0 mg78
Overall StudySTARTEDPramlintide 360 mcg + Metreleptin 1.25 mg78
Overall StudySTARTEDPramlintide 360 mcg + Metreleptin 2.5 mg78
Overall StudySTARTEDPramlintide 360 mcg + Metreleptin 5.0 mg75
Overall StudyCOMPLETEDPlacebo46
Overall StudyCOMPLETEDPramlintide 360 mcg54

Adverse events304

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
othernauseaGastrointestinal disordersPlacebo4754
othernauseaGastrointestinal disordersPramlintide 360 mcg317737
othernauseaGastrointestinal disordersMetreleptin 5.0 mg4724
othernauseaGastrointestinal disordersPramlintide 180 mcg + Metreleptin 2.5 mg277530
othernauseaGastrointestinal disordersPramlintide 180 mcg + Metreleptin 5.0 mg217822
othernauseaGastrointestinal disordersPramlintide 360 mcg + Metreleptin 1.25 mg267827
othernauseaGastrointestinal disordersPramlintide 360 mcg + Metreleptin 2.5 mg297832
othernauseaGastrointestinal disordersPramlintide 360 mcg + Metreleptin 5.0 mg197520
otherinjection site erythemaGeneral disordersPlacebo1751
otherinjection site erythemaGeneral disordersPramlintide 360 mcg7778

Adverse event totals24

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo
Total, all-cause mortalityPramlintide 360 mcg
Total, all-cause mortalityMetreleptin 5.0 mg
Total, all-cause mortalityPramlintide 180 mcg + Metreleptin 2.5 mg
Total, all-cause mortalityPramlintide 180 mcg + Metreleptin 5.0 mg
Total, all-cause mortalityPramlintide 360 mcg + Metreleptin 1.25 mg
Total, all-cause mortalityPramlintide 360 mcg + Metreleptin 2.5 mg
Total, all-cause mortalityPramlintide 360 mcg + Metreleptin 5.0 mg
Total, other adverse eventsPlacebo6075
Total, other adverse eventsPramlintide 360 mcg6677

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
26589105DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00673387

GET https://conductscience.org/api/trials/v1/NCT00673387/registered?page=2