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NCT03171415

Evaluation of Safety, Efficacy and Thermogenesis-induction of RZL-012 in Overweight and Obese Volunteers

Completed Phase 2 Results posted Last updated 21 August 2019
What this trial tests

Phase 2 trial testing RZL-012 in Obesity in 32 participants. Completed in 28 December 2018.

Timeline
25 July 2017
Primary endpoint
28 December 2018
28 December 2018

Quick facts

Lead sponsorRaziel Therapeutics Ltd.
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designsequential
Maskingtriple
Primary purposetreatment
Enrollment32
Start date25 July 2017
Primary completion28 December 2018
Estimated completion28 December 2018
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Raziel Therapeutics Ltd. — full company profile →

Who can join

Adults 20 to 60, male only, with Obesity or Weight Loss. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Safety: The Incidence of Treatment-related Adverse Events [AEs] Primary · 0-168 days

AEs will be assessed by significant clinical changes in safety parameter (e.g. vital signs, ECG, clinical laboratory evaluations)AEs incidence will be by body system, seriousness, severity and relation to study drug by cohort.

Serious Adverse Events
GroupValue95% CI
RZL-012 Cohort 10
RZL-012 Cohort 20
RZL-012 Cohort 30
RZL-012 Cohort 40
Placebo0
Other Adverse Events
GroupValue95% CI
RZL-012 Cohort 16
RZL-012 Cohort 26
RZL-012 Cohort 36
RZL-012 Cohort 46
Placebo9
Cardiac disorder ventricular extrasystoles
GroupValue95% CI
RZL-012 Cohort 10
RZL-012 Cohort 20
RZL-012 Cohort 30
RZL-012 Cohort 40
Placebo1
Ear and labyrinth disorders - Ear pain
GroupValue95% CI
RZL-012 Cohort 10
RZL-012 Cohort 20
RZL-012 Cohort 30
RZL-012 Cohort 40
Placebo1
Ear and labyrinth disorders Ear swelling
GroupValue95% CI
RZL-012 Cohort 10
RZL-012 Cohort 20
RZL-012 Cohort 30
RZL-012 Cohort 40
Placebo1
Ear and labyrinth disorders - Hypoacusis
GroupValue95% CI
RZL-012 Cohort 10
RZL-012 Cohort 20
RZL-012 Cohort 30
RZL-012 Cohort 40
Placebo1
Ear and labyrinth disorders otorrhoea
GroupValue95% CI
RZL-012 Cohort 10
RZL-012 Cohort 20
RZL-012 Cohort 30
RZL-012 Cohort 40
Placebo2
Aministration site condition - energy uncreased
GroupValue95% CI
RZL-012 Cohort 11
RZL-012 Cohort 20
RZL-012 Cohort 30
RZL-012 Cohort 40
Placebo0
Efficacy: A Significant Thermogenesis at the Injected Site. Primary · 28-168 days

Thermogenesis is measured by thermal imaging is non-invasive, non-radiating Infra-Red thermal camera that passively measures the emitting infra-red radiation of body surface. Difference in temperatures between the sites (treated - not treated) by visit treatment along with the change from baseline (net-delta) in these differences by cohort and overall. Significant thermogenesis is defined as net-delta ≥ 1. Outcome measure data table represents the number of subjects who demonstrated an increase that is higher than 1 celsius degree.

Day 28
GroupValue95% CI
RZL-012 Cohort 15
RZL-012 Cohort 25
RZL-012 Cohort 33
RZL-012 Cohort 46
Placebo1
Day 56
GroupValue95% CI
RZL-012 Cohort 11
RZL-012 Cohort 23
RZL-012 Cohort 33
RZL-012 Cohort 46
Placebo0
Day 84
GroupValue95% CI
RZL-012 Cohort 1NA
RZL-012 Cohort 2NA
RZL-012 Cohort 3NA
RZL-012 Cohort 44
Placebo0
Day 112
GroupValue95% CI
RZL-012 Cohort 1NA
RZL-012 Cohort 2NA
RZL-012 Cohort 3NA
RZL-012 Cohort 45
Placebo0
Day 140
GroupValue95% CI
RZL-012 Cohort 1NA
RZL-012 Cohort 2NA
RZL-012 Cohort 3NA
RZL-012 Cohort 44
Placebo0
Day 168
GroupValue95% CI
RZL-012 Cohort 1NA
RZL-012 Cohort 2NA
RZL-012 Cohort 3NA
RZL-012 Cohort 43
Placebo0
Duration of the Thermogenic Effect From Day 28. Secondary · 28-168 days

The duration of the thermogenic effect for subjects in the active arm with thermogenic effect (net-delta ≥ 1) by visit and cohort.

GroupValue95% CI
RZL-012 Cohort 15.6± 12.5
RZL-012 Cohort 216.8± 15.3
RZL-012 Cohort 35.6± 12.5
RZL-012 Cohort 4107.3± 44.9
Placebo0± 0
Local Reduction in Fat Mass as Measured by MRI. Local Reduction in Fat Will be Measured by Periodically MRI Scans of the Abdomen. Secondary · 28-168 days

Subcutaneous Fat Mass (SFM) ratio (treated sites / control sites) averaged over the MRI slices by visit, treatment and cohort and the change from baseline in SFM ratio (in % from the ratio at baseline) compared between the treatment arms.

Day 28
GroupValue95% CI
RZL-012 Cohort 1-0.62± 5.17
RZL-012 Cohort 2-9.15± 10.55
RZL-012 Cohort 3-9.1± 4.27
RZL-012 Cohort 4-14.68± 8.16
Placebo2.94± 10.08
Day 56
GroupValue95% CI
RZL-012 Cohort 1NA± NA
RZL-012 Cohort 2-8.56± 8.85
RZL-012 Cohort 3-10.52± 8.42
RZL-012 Cohort 4-18.10± 10.93
Placebo3.61± 3.48
Day 84
GroupValue95% CI
RZL-012 Cohort 1NA± NA
RZL-012 Cohort 2NA± NA
RZL-012 Cohort 3NA± NA
RZL-012 Cohort 4-12.75± 9.83
Placebo-6.57± 9.78
Day 112
GroupValue95% CI
RZL-012 Cohort 1NA± NA
RZL-012 Cohort 2NA± NA
RZL-012 Cohort 3NA± NA
RZL-012 Cohort 4-16.10± 13.81
Placebo-8.2± 11.54
Day 140
GroupValue95% CI
RZL-012 Cohort 1NA± NA
RZL-012 Cohort 2NA± NA
RZL-012 Cohort 3NA± NA
RZL-012 Cohort 4-12.46± 11.26
Placebo-2.9± 0.45
Day 168
GroupValue95% CI
RZL-012 Cohort 1NA± NA
RZL-012 Cohort 2NA± NA
RZL-012 Cohort 3NA± NA
RZL-012 Cohort 4-14.32± 10.94
Placebo-2.54± 8.57
Changes in Fasting Blood Glucose From Baseline. Secondary · 56 days

Changes from baseline in fasting blood glucose by visit, treatment, and cohort.

Day -1
GroupValue95% CI
RZL-012 Cohort 186.7± 4.2
RZL-012 Cohort 291.3± 5.16
RZL-012 Cohort 391.7± 7.47
RZL-012 Cohort 490.8± 7.17
Placebo93.2± 3.93
Day 56
GroupValue95% CI
RZL-012 Cohort 193± 3.22
RZL-012 Cohort 292.8± 11.8
RZL-012 Cohort 393.3± 7.58
RZL-012 Cohort 493.7± 5.3
Placebo94.6± 6.6
Changes in Blood Lipid Profile From Baseline. Secondary · 56 days

Changes from baseline in lipid profile by visit, treatment, and cohort.

Cholesterol Day -1
GroupValue95% CI
RZL-012 Cohort 1188± 32.8
RZL-012 Cohort 2199± 11
RZL-012 Cohort 3196± 41.4
RZL-012 Cohort 4170.8± 23
Placebo186.7± 19.8
Cholesterol Day 56
GroupValue95% CI
RZL-012 Cohort 1184± 39.8
RZL-012 Cohort 2205± 29.7
RZL-012 Cohort 3201.7± 46.1
RZL-012 Cohort 4176± 28.6
Placebo182.4± 19.3
HDL Day -1
GroupValue95% CI
RZL-012 Cohort 143.5± 7.23
RZL-012 Cohort 244.33± 11.1
RZL-012 Cohort 341.5± 6
RZL-012 Cohort 444± 6.87
Placebo42.44± 5.6
HDL Day 56
GroupValue95% CI
RZL-012 Cohort 140± 9.44
RZL-012 Cohort 250.8± 14.2
RZL-012 Cohort 341.5± 9.9
RZL-012 Cohort 445.3± 5.05
Placebo41.14± 7
LDL Day -1
GroupValue95% CI
RZL-012 Cohort 1129± 33.5
RZL-012 Cohort 2126.5± 13.3
RZL-012 Cohort 3134± 33
RZL-012 Cohort 4105.5± 15
Placebo116± 10.3
LDL Day 56
GroupValue95% CI
RZL-012 Cohort 1120± 31.3
RZL-012 Cohort 2132± 23.9
RZL-012 Cohort 3134.7± 37
RZL-012 Cohort 4128± 0
Placebo103± 14.8
Triglycerides Day -1
GroupValue95% CI
RZL-012 Cohort 1107.3± 42.3
RZL-012 Cohort 2131± 77
RZL-012 Cohort 3112.5± 58.9
RZL-012 Cohort 4121.7± 39.3
Placebo155.8± 98
Triglycerides Day 56
GroupValue95% CI
RZL-012 Cohort 1118± 85.4
RZL-012 Cohort 2136± 61.1
RZL-012 Cohort 3193.5± 16.7
RZL-012 Cohort 4128.33± 55.4
Placebo234± 220
Pharmacokinetics: Establishing Pharmacokinetic Profile of RZL-012. Secondary · 1-2 days

Averaged Cmax values by cohort.

GroupValue95% CI
RZL-012 Cohort 184.15± 16.27
RZL-012 Cohort 2181.89± 49.86
RZL-012 Cohort 3241± 72.09
RZL-012 Cohort 4344± 73.7
Changes in Body Weight Secondary · 56 days

Changes from baseline in body weight by visit, treatment, and cohort.

Weight Day -1
GroupValue95% CI
RZL-012 Cohort 1103.3± 11.1
RZL-012 Cohort 295.4± 6.9
RZL-012 Cohort 3101.3± 20.3
RZL-012 Cohort 496.1± 12.6
Placebo99.1± 8.1
Weight Day 56
GroupValue95% CI
RZL-012 Cohort 1104.4± 12.5
RZL-012 Cohort 296.1± 7.8
RZL-012 Cohort 3103.4± 22.4
RZL-012 Cohort 496± 12.3
Placebo101.2± 9.7
Changes in Waist to Hip Ratio [WHR] Secondary · 56 days

Changes from baseline in WHR by visit, treatment, and cohort. WHR is calculated by measurements of waist circumference and hip circumference.

Waist to hip ratio Day -1
GroupValue95% CI
RZL-012 Cohort 11± 0.1
RZL-012 Cohort 21± 0
RZL-012 Cohort 31± 0.1
RZL-012 Cohort 41± 0
Placebo1± 0.1
Waist to hip ratio Day 56
GroupValue95% CI
RZL-012 Cohort 11± 0
RZL-012 Cohort 21± 0
RZL-012 Cohort 31± 0
RZL-012 Cohort 41± 0
Placebo1± 0.1
Elucidation of the Histological Changes Account for the Thermogenic Effect. Secondary · 56 days

An abdominal subcutaneous adipose tissue biopsy will be taken from the injected side. Histology results will be assessed for 2 subjects who were injected with 120 mg RZL-012 and for one subject who was injected with placebo.

GroupValue95% CI
RZL-012 Cohort 32
Placebo1
Change From Baseline in Inflammatory Markers and Cytokines. Testing of Inflammatory Markers and Cytokines Will be Conducted by Blood Sampling. Secondary · 28 days

Changes from baseline in inflammatory markers and cytokines by visit, treatment, and cohort. Testing of inflammatory markers and cytokines will be conducted by blood sampling.

CRP Day -1 (mg/dL)
GroupValue95% CI
RZL-012 Cohort 20.2± 0.13
RZL-012 Cohort 30.6± 1.08
RZL-012 Cohort 40.5± 0
Placebo0.2± 0.1
CRP Day 28 (mg/dL)
GroupValue95% CI
RZL-012 Cohort 20.27± 0.31
RZL-012 Cohort 30.2± 0.12
RZL-012 Cohort 40.43± 0.15
Placebo0.2± 0.1
Pharmacokinetics: Establishing Pharmacokinetic Profile of RZL-012. Secondary · 0.5, 1,2,3,4,5,6,8,12,16,24,30 hours

Averaged Tmax values by cohort.

GroupValue95% CI
RZL-012 Cohort 11.83± 0.41
RZL-012 Cohort 21.83± 0.41
RZL-012 Cohort 31.83± 0.41
RZL-012 Cohort 42± 0

Adverse events — posted to ClinicalTrials.gov

Time frame: All reported adverse events were coded to a standard set of terms using MedDRA coding dictionary. Cohort 4 subjects were followed up for Adverse Events up to 168 days following injection.. Reporting threshold: 4%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

RZL-012 Cohort 1
Serious: 0/6 (0%)
Deaths: 0/6
RZL-012 Cohort 2
Serious: 0/6 (0%)
Deaths: 0/6
RZL-012 Cohort 3
Serious: 0/6 (0%)
Deaths: 0/6
RZL-012 Cohort 4
Serious: 0/6 (0%)
Deaths: 0/6
Placebo
Serious: 0/9 (0%)
Deaths: 0/9
Other adverse events (33 terms — click to expand)

ReactionSystemRZL-012 Cohort 1RZL-012 Cohort 2RZL-012 Cohort 3RZL-012 Cohort 4Placebo
Injection site ErythemaGeneral disorders
Injection site EdemaGeneral disorders
Injection site painGeneral disorders
Injection site bruisingGeneral disorders
ErythemaSkin and subcutaneous tissue disorders
Injection site pruritusGeneral disorders
Injection site warmthGeneral disorders
HeadacheNervous system disorders
Ventricular extrasystolesCardiac disorders
ear painEar and labyrinth disorders
ear swellingEar and labyrinth disorders
HypoacusisEar and labyrinth disorders
OtorrhoeaEar and labyrinth disorders
Energy increasedGeneral disorders
fatigueGeneral disorders
Feeling hotGeneral disorders
Injection site discolourationGeneral disorders
Injection site hemmorhageGeneral disorders
Injection site massGeneral disorders
Injection site noduleGeneral disorders
Injection site rashGeneral disorders
Medical device reactionGeneral disorders
Non cardiac chest painGeneral disorders
Skin abrasionInjury, poisoning and procedural complications
Electrocardiac QT prolongedInvestigations
MyalgiaMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
Orpharyngeal painRespiratory, thoracic and mediastinal disorders
Respiratory tract congestionRespiratory, thoracic and mediastinal disorders
RhinorrhoeaRespiratory, thoracic and mediastinal disorders
HyperhidrosisSkin and subcutaneous tissue disorders
PruritusSkin and subcutaneous tissue disorders

Data from ClinicalTrials.gov NCT03171415 adverse events section.

Sponsor's own description

Obesity is a direct result of food-intake in excess of body energy expenditure. Thus, induction of increased energy expenditure via the activation of thermogenesis at targeted anatomical sites can counterbalance obesity. This trial aims to study RZL-012, a novel compound, in treating obesity by activating thermogenesis in subcutaneous fat.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Small molecules for fat combustion: targeting obesity.
    Liu J, Wang Y, Lin L. · · 2019 · cited 91× · PMID 30976490 · DOI 10.1016/j.apsb.2018.09.007
  2. Differential Diagnosis of a Case of Dercum's Disease with Possible Familial Involvement and Review of Literature.
    Li LZ, Kan CFK, Webb-Detiege TA. · · 2021 · cited 3× · PMID 34970098
  3. Clinical Application Potential of Small Molecules that Induce Brown Adipose Tissue Thermogenesis by Improving Fat Metabolism.
    Lu KY, Primus Dass KT, Tsai SF, Chuang HM, et al · · 2020 · cited 2× · PMID 32854518 · DOI 10.1177/0963689720927394

Verify or expand the search:

Other trials of RZL-012

Trials testing the same drug.

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Currently open trials in the same condition.

Other Raziel Therapeutics Ltd. trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03171415.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing