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NCT03649477: CARE-PWS

Phase 3 Study of Intranasal Carbetocin (LV-101) in Patients With Prader-Willi Syndrome

Completed Phase 3 Results posted Last updated 26 July 2022
What this trial tests

Phase 3 trial testing 3.2 mg intranasal carbetocin in Prader-Willi Syndrome in 130 participants. Completed in 9 July 2022.

Timeline
20 November 2018
Primary endpoint
13 May 2020
9 July 2022

Quick facts

Lead sponsorLevo Therapeutics, Inc.
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment130
Start date20 November 2018
Primary completion13 May 2020
Estimated completion9 July 2022
Sites24 locations across Canada, United States, Australia

Drugs / interventions tested

Conditions studied

Sponsor

Levo Therapeutics, Inc. — full company profile →

Who can join

Adults 7 to 18, any sex, with Prader-Willi Syndrome. 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.

Hyperphagia Behavior Primary · Baseline to Week 8

Change in hyperphagia (extreme hunger) as measured by the Hyperphagia Questionnaire for Clinical Trials (HQ-CT) Total Score versus placebo. Score range: 0-36; higher scores mean a worse outcome. Reduction in score indicates improvement.

GroupValue95% CI
9.6 mg of LV-101-3.439-5.304 – -1.575
3.2 mg of LV-101-5.372-7.259 – -3.486
Placebo-2.237-4.095 – -0.378
Obsessive and Compulsive Behaviors Primary · baseline to Week 8

Change in obsessive and compulsive behaviors as measured by the Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) Total Score versus placebo. Score range: 0-40; higher scores mean a worse outcome. Reduction in score indicates improvement.

GroupValue95% CI
9.6 mg of LV-101-2.968-4.667 – -1.268
3.2 mg of LV-101-3.123-4.843 – -1.403
Placebo-2.360-4.046 – -0.674
Anxiety Secondary · Baseline to Week 8

Change in participant anxiety as measured by the PWS Anxiety and Distress Questionnaire (PADQ) Total Score versus placebo. Score range: 0-56; higher scores mean a worse outcome. Reduction in score indicates improvement.

GroupValue95% CI
9.6 mg of LV-101-4.306-6.797 – -1.815
3.2 mg of LV-101-8.301-10.790 – -5.811
Placebo-4.489-6.942 – -2.037
Global Impression Secondary · Week 8

Clinical Global Impression of Change (CGI-C) score versus placebo. Score range: 1-7; higher scores mean a worse outcome. Reduction in score indicates improvement.

GroupValue95% CI
9.6 mg of LV-1013.5823.250 – 3.913
3.2 mg of LV-1013.3953.057 – 3.733
Placebo3.8933.562 – 4.225
Hyperphagia Behavior (Subset) Secondary · Baseline to Week 8

Change in hyperphagia as measured by the change in specified subsets of HQ-CT questions versus placebo. Score range: 0-24; higher scores mean a worse outcome. Reduction in score indicates improvement.

GroupValue95% CI
9.6 mg of LV-101-3.295-4.667 – -1.922
3.2 mg of LV-101-4.621-6.010 – -3.233
Placebo-2.209-3.577 – -0.841

Adverse events — posted to ClinicalTrials.gov

Time frame: 8-week placebo-controlled period. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

9.6 mg of LV-101
Serious: 0/44 (0%)
Deaths: 0/44
3.2 mg of LV-101
Serious: 0/43 (0%)
Deaths: 0/43
Placebo
Serious: 0/43 (0%)
Deaths: 0/43
Other adverse events (8 terms — click to expand)

ReactionSystem9.6 mg of LV-1013.2 mg of LV-101Placebo
FlushingVascular disorders
HeadacheNervous system disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
DiarrheaGastrointestinal disorders
PyrexiaGeneral disorders
Upper respiratory tract infectionGeneral disorders
Nasal discomfortRespiratory, thoracic and mediastinal disorders
NasopharyngitisInfections and infestations

Data from ClinicalTrials.gov NCT03649477 adverse events section.

Sponsor's own description

This Phase 3 study is designed to test the effectiveness of intranasal carbetocin (LV-101) in participants with Prader-Willi syndrome (PWS). Carbetocin is an oxytocin analog (a man-made chemical that is like oxytocin). This study will also evaluate the safety and tolerability of LV-101.

Publications & conference data

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

  1. Metabolic Effects of Oxytocin.
    McCormack SE, Blevins JE, Lawson EA. · · 2020 · cited 104× · PMID 31803919 · DOI 10.1210/endrev/bnz012
  2. The Effects of Oxytocin on Appetite Regulation, Food Intake and Metabolism in Humans.
    Kerem L, Lawson EA. · · 2021 · cited 68× · PMID 34299356 · DOI 10.3390/ijms22147737
  3. Intranasal Carbetocin Reduces Hyperphagia, Anxiousness, and Distress in Prader-Willi Syndrome: CARE-PWS Phase 3 Trial.
    Roof E, Deal CL, McCandless SE, Cowan RL, et al · · 2023 · cited 32× · PMID 36633570 · DOI 10.1210/clinem/dgad015
  4. Characteristics and relationship between hyperphagia, anxiety, behavioral challenges and caregiver burden in Prader-Willi syndrome.
    Kayadjanian N, Vrana-Diaz C, Bohonowych J, Strong TV, et al · · 2021 · cited 32× · PMID 33765021 · DOI 10.1371/journal.pone.0248739
  5. Oxytocin-based therapies for treatment of Prader-Willi and Schaaf-Yang syndromes: evidence, disappointments, and future research strategies.
    Althammer F, Muscatelli F, Grinevich V, Schaaf CP. · · 2022 · cited 29× · PMID 35941105 · DOI 10.1038/s41398-022-02054-1
  6. Analysis of Hyperphagia Questionnaire for Clinical Trials (HQ-CT) scores in typically developing individuals and those with Prader-Willi syndrome.
    Matesevac L, Vrana-Diaz CJ, Bohonowych JE, Schwartz L, et al · · 2023 · cited 15× · PMID 37996659 · DOI 10.1038/s41598-023-48024-5
  7. Prader-Willi and Angelman Syndromes: Mechanisms and Management.
    Ma VK, Mao R, Toth JN, Fulmer ML, et al · · 2023 · cited 15× · PMID 37051256 · DOI 10.2147/tacg.s372708
  8. Hypothalamic AAV-BDNF gene therapy improves metabolic function and behavior in the <i>Magel2</i>-null mouse model of Prader-Willi syndrome.
    Queen NJ, Zou X, Anderson JM, Huang W, et al · · 2022 · cited 13× · PMID 36284766 · DOI 10.1016/j.omtm.2022.09.012

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