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NCT03364335

The Effect Of NS-0200 and NS-0300 Versus Placebo on Weight In Obesity

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

Phase 2 trial testing Leu Sil 1.0mg in Obesity in 267 participants. Completed in 17 August 2018.

Timeline
8 January 2018
Primary endpoint
6 August 2018
17 August 2018

Quick facts

Lead sponsorNuSirt Biopharma
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment267
Start date8 January 2018
Primary completion6 August 2018
Estimated completion17 August 2018
Sites15 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

NuSirt Biopharma — full company profile →

Who can join

Adults 18 to 65, any sex, with Obesity. 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.

Percentage Body Weight Change Primary · Baseline to Day 168

The percentage body weight change from baseline to Day 168 was evaluated.

GroupValue95% CI
Placebo1.121± 3.6241
Leu Sil 1.0mg0.674± 3.2286
Leu Sil 4.0mg-0.489± 3.9041
Leu Met Sil 1.0mg-0.929± 4.5533
Leu Met Sil 4.0mg-0.552± 2.5924
Change in Absolute Body Weight Secondary · Baseline to Day 168

The change in absolute body weight from baseline to day 168 was evaluated.

GroupValue95% CI
Placebo1.126± 3.5903
Leu Sil 1.0mg0.678± 3.2502
Leu Sil 4.0mg-0.460± 4.0352
Leu Met Sil 1.0mg-0.870± 4.5445
Leu Met Sil 4.0mg-0.461± 2.7583
Change in Percentage of Patients With ≥5% Body Weight Loss Secondary · Baseline to Day 168

The number of patients with ≥5% body weight loss in each group was assessed from baseline to day 168.

GroupValue95% CI
Placebo2
Leu Sil 1.0mg1
Leu Sil 4.0mg6
Leu Met Sil 1.0mg7
Leu Met Sil 4.0mg3
Change in Waist Circumference Secondary · Baseline to Day 168

The change in waist circumference by using a tape measure across the mid-section was evaluated in subjects from baseline to day 168.

GroupValue95% CI
Placebo0.043± 5.5591
Leu Sil 1.0mg0.028± 5.5152
Leu Sil 4.0mg-1.060± 5.5564
Leu Met Sil 1.0mg-1.841± 4.7654
Leu Met Sil 4.0mg0.637± 5.7908
Change in Total Cholesterol Secondary · Baseline to Day 168

Changes in total cholesterol was examined by standard blood chemistry.

GroupValue95% CI
Placebo1.0± 20.33
Leu Sil 1.0mg0.2± 20.96
Leu Sil 4.0mg1.9± 20.01
Leu Met Sil 1.0mg-0.7± 16.74
Leu Met Sil 4.0mg-6.6± 23.48
Change in HDL Cholesterol Secondary · Baseline, Day 168

Changes were measured in HDL cholesterol from Baseline to day 168 by standard blood chemistry.

GroupValue95% CI
Placebo1.1± 7.43
Leu Sil 1.0mg0.6± 7.59
Leu Sil 4.0mg2.4± 6.40
Leu Met Sil 1.0mg1.8± 8.21
Leu Met Sil 4.0mg1.6± 7.72
Change in LDL Cholesterol Secondary · Baseline, 168 days

Changes in LDL Cholesterol was measured by standard blood chemistry from baseline to day 168.

GroupValue95% CI
Placebo-5.5± 15.40
Leu Sil 1.0mg-6.6± 16.86
Leu Sil 4.0mg-4.2± 15.81
Leu Met Sil 1.0mg-5.5± 11.77
Leu Met Sil 4.0mg-11.6± 19.72
Change in Triglycerides Secondary · Baseline, Day 168

The change in triglycerides was evaluated by standard blood chemistry in subjects from Baseline to Day 168.

GroupValue95% CI
Placebo13.4± 45.43
Leu Sil 1.0mg9.7± 56.42
Leu Sil 4.0mg1.9± 51.93
Leu Met Sil 1.0mg-4.4± 47.02
Leu Met Sil 4.0mg3.5± 52.03
Change in Plasma Glucose Secondary · Baseline to Day 168

Change in plasma glucose was examined through standard fasting blood chemistry.

GroupValue95% CI
Placebo0.4± 7.98
Leu Sil 1.0mg-1.6± 9.35
Leu Sil 4.0mg0.3± 9.59
Leu Met Sil 1.0mg1.1± 12.43
Leu Met Sil 4.0mg-1.7± 10.87
Change in Hemoglobin A1c (HbA1c) Secondary · Baseline, Day 168

Change in Hemoglobin A1c was assessed in the subjects from baseline to day 168.

GroupValue95% CI
Placebo0.16± 0.164
Leu Sil 1.0mg0.09± 0.167
Leu Sil 4.0mg0.11± 0.165
Leu Met Sil 1.0mg0.07± 0.198
Leu Met Sil 4.0mg0.09± 0.177
Change in Diastolic Blood Pressure Secondary · Baseline to Day 168

Diastolic blood pressure was measured by standard blood pressure monitor.

GroupValue95% CI
Placebo-1.7± 7.13
Leu Sil 1.0mg1.8± 9.57
Leu Sil 4.0mg-2.6± 8.10
Leu Met Sil 1.0mg1.1± 9.16
Leu Met Sil 4.0mg-3.3± 7.48
Change in Systolic Blood Pressure Secondary · Baseline, Day 168

Change in Systolic blood pressure was assessed in patients from baseline to Day 168

GroupValue95% CI
Placebo-2.0± 9.97
Leu Sil 1.0mg0.5± 12.21
Leu Sil 4.0mg-2.7± 9.12
Leu Met Sil 1.0mg0.6± 9.31
Leu Met Sil 4.0mg-3.5± 9.29

Adverse events — posted to ClinicalTrials.gov

Time frame: 6 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 0/52 (0%)
Deaths: 0/52
Leu Sil 1.0mg
Serious: 2/51 (4%)
Deaths: 0/51
Leu Sil 4.0mg
Serious: 0/53 (0%)
Deaths: 0/53
Leu Met Sil 1.0mg
Serious: 1/50 (2%)
Deaths: 0/50
Leu Met Sil 4.0mg
Serious: 0/52 (0%)
Deaths: 0/52

Serious adverse events (4 terms)

ReactionSystemPlaceboLeu Sil 1.0mgLeu Sil 4.0mgLeu Met Sil 1.0mgLeu Met Sil 4.0mg
Tooth abscessInfections and infestations
HypokalaemiaMetabolism and nutrition disorders
Anal CancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastatic malignant melanomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Other adverse events (16 terms — click to expand)

ReactionSystemPlaceboLeu Sil 1.0mgLeu Sil 4.0mgLeu Met Sil 1.0mgLeu Met Sil 4.0mg
DiarrhoeaRenal and urinary disorders
HeadacheGeneral disorders
NauseaGeneral disorders
Upper respiratory tract infectionRespiratory, thoracic and mediastinal disorders
NasopharyngitisGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Increased AppetiteGeneral disorders
SinusitisGeneral disorders
Abdominal PainGastrointestinal disorders
Back PainMusculoskeletal and connective tissue disorders
C-reactive protein increasedBlood and lymphatic system disorders
ConstipationRenal and urinary disorders
HypertensionBlood and lymphatic system disorders
InfluenzaGeneral disorders
PharyngitisGeneral disorders
Viral infectionGeneral disorders

Most-reported serious reactions: Tooth abscess, Hypokalaemia, Anal Cancer, Metastatic malignant melanoma.

Data from ClinicalTrials.gov NCT03364335 adverse events section.

Sponsor's own description

This is a 24-week study to evaluate the effects of two fixed-dose combinations of leucine and sildenafil or two fixed-dose combinations of leucine, sildenafil and metformin compared to placebo. The primary objective of this study is to evaluate the percentage change in body weight in subjects from Baseline/Visit 2 (Day 1) to Study Termination/Visit 8 (Day 168/Week 24).

Publications & conference data

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

  1. Signaling pathways in obesity: mechanisms and therapeutic interventions.
    Wen X, Zhang B, Wu B, Xiao H, et al · · 2022 · cited 245× · PMID 36031641 · DOI 10.1038/s41392-022-01149-x
  2. Established and emerging therapeutic uses of PDE type 5 inhibitors in cardiovascular disease.
    Tzoumas N, Farrah TE, Dhaun N, Webb DJ. · · 2020 · cited 71× · PMID 31721165 · DOI 10.1111/bph.14920
  3. Leucine and Sildenafil Combination Therapy Reduces Body Weight and Metformin Enhances the Effect at Low Dose: A Randomized Controlled Trial.
    Rebello CJ, Zemel MB, Kolterman O, Fleming GA, et al · · 2021 · cited 7× · PMID 33369909 · DOI 10.1097/mjt.0000000000001303

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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/NCT03364335.

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