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| ID | Type | Description | Link |
|---|---|---|---|
| 2018-000327-14 | EudraCT Number |
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The primary objective of the study is to evaluate the safety and tolerability of REGN4461 in healthy participants. The secondary objectives of the study are to:
This is a 2-part study of the safety, tolerability, PK and pharmacodynamic (PD) of single and repeated doses of REGN4461 in healthy participants. In Part A, healthy lean or overweight participants will be enrolled to evaluate the safety, tolerability, PK, and PD of single ascending intravenous (IV) and subcutaneous (SC) doses. Interim PK and safety information from Part A will be used to select the dose level, frequency, and mode of administration (IV or SC) for repeat dosing in Part B. In Part B, overweight/obese participants with body mass index (BMI) 25-40 kg/m2 will be enrolled to evaluate the safety, tolerability, PK, and PD of repeated doses of REGN4461 in 4 distinct cohorts defined by baseline leptin levels.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part A: Single dose cohort 1 | Experimental | Cohort 1 will receive a single IV dose of REGN4461 or matching placebo |
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| Part A: Single dose cohort 2 | Experimental | Cohort 2 will receive a sequential ascending single IV dose of REGN4461 or matching placebo |
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| Part A: Single dose cohort 3 | Experimental | Cohort 3 will receive a sequential ascending single IV dose of REGN4461 or matching placebo |
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| Part A: Single dose cohort 4 | Experimental | Cohort 4 will receive a sequential ascending single SC dose of REGN4461 or matching placebo |
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| Part A: Single dose cohort 5 | Experimental | Cohort 5 will receive a sequential ascending single IV dose of REGN4461 or matching placebo |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| REGN4461 | Drug | REGN4461 |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of treatment-emergent adverse events (TEAEs) | Up to week 27 |
| Measure | Description | Time Frame |
|---|---|---|
| Concentrations of REGN4461 in serum over time | Up to week 27 | |
| Percent change from baseline to week 12 in body weight in overweight or obese participants | Baseline to week 12 | |
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Key Inclusion Criteria
Part A:
Part B:
Key Exclusion Criteria
Part A:
Part B:
Key Exclusion Criteria (Parts A and B):
Note: Other inclusion/ exclusion criteria apply
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Trial Management | Regeneron Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Regeneron Investigational Site | Antwerp | Belgium |
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| Part A: Single dose cohort 6 |
| Experimental |
Cohort 6 will receive a sequential ascending single SC dose of REGN4461 or matching placebo |
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| Part A: Single dose cohort 7 | Experimental | Cohort 7 will receive a sequential ascending single IV dose of REGN4461 or matching placebo |
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| Part A: Single dose cohort 8 | Experimental | Cohort 8 will receive a single IV dose of REGN4461 or matching placebo |
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| Part A: Single dose cohort 9 | Experimental | Cohort 9 will receive a single IV dose of REGN4461 or matching placebo |
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| Part B: Repeated dose cohort 10 | Experimental | Cohort 10 will receive repeated IV or SC doses of REGN4461 or matching placebo |
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| Placebo | Drug | Placebo-matching REGN4461 |
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| Absolute change from baseline to week 12 in body weight in overweight or obese participants |
| Baseline to week 12 |
| Change from baseline in caloric intake in response to standardized meals in overweight or obese participants | Baseline to week 12 |
| Change in lipid-regulating protein levels over time after single doses of REGN4461 | Up to week 16 |
| Change in lipid-regulating protein levels over time after repeated doses of REGN4461 | Up to week 27 |
| Incidence of anti-drug antibodies to REGN4461 over time after single doses of REGN4461 | Up to week 16 |
| Incidence of anti-drug antibodies to REGN4461 over time after repeated doses of REGN4461 | Up to week 27 |
| Pharmacokinetic (PK) parameter: Area under curve (AUC) computed from time zero to the time of the last positive concentration (AUClast) | Up to week 27 |
| PK parameter: AUC computed across a dosing interval with length τ (AUCo-τ) | Upt to week 27 |
| PK parameter: peak concentration (Cmax) | Up to week 27 |
| PK parameter: time to Cmax (tmax) | Up to week 27 |
| PK parameter: clearance (CL) | Up to week 27 |
| PK parameter: trough concentration (Ctrough) | Up to week 27 |