Body Fat Mass at Baseline, Week 24 and Endpoint in Core Period
| Group | Value (kg) | Spread |
|---|---|---|
| Placebo | 24.38 | 7.495 |
| TV-1106 | 29.50 | 10.922 |
Trial · Interventional
TerminatedPhase 3Results postedRegistry dataThis trial was stopped early.
Reason given at the registry: Business decision
Results were posted for this trial.
This trial does not test a peptide that PepBank tracks.
United States, Austria, Czechia, Greece, Hungary, Italy, Russia
1 trial · 1 stopped early · 1 with posted results
Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.
The primary objective of this study is to determine the efficacy of 6 months of treatment with TV-1106 compared with placebo on body fat composition.
Placebo comparator
Placebo
Placebo was injected subcutaneously once weekly on the same day and time for 24 weeks. To maintain the blind, placebo could be titrated by an unblinded central reader on weeks 4, 8, 12 and 16 to match the effect of dose titration.
Experimental
TV-1106
TV-1106 was injected subcutaneously once weekly on the same day and time for 24 weeks. A common starting dose was 5.0 mg. Doses could be titrated by an unblinded central reader on weeks 4, 8, 12 and 16 until the participant's insulin-like growth factor 1 (IGF-1) standard deviation score (SDS) was within the range of -0.5 to +1.5.
Outcomes the sponsor listed as primary.
Body Fat Mass at Baseline, Week 24 and Endpoint in Core Period
Time frame · Baseline (Day 1, pre-dose), Week 24, Endpoint in Core period
The primary efficacy measure for the study was body fat mass (kg) measured by DXA imaging. The primary outcome as defined in the protocol was the change from baseline to week 24 in body fat mass. Due to the early termination of the study, observed values including endpoint values are reported. Endpoint is the last observed value.
Total Trunk Fat at Baseline, Week 24 and Endpoint in Core Period
Time frame · Baseline (Day 1, pre-dose), Week 24, Endpoint in Core Period
Trunk fat (kg) was assessed based on DXA results. Trunk fat was defined as fat mass - (total arm fat + total leg fat + total head fat). The outcome as defined in the protocol was the within-patient change from baseline to week 24 in trunk fat. Due to the early termination of the study, observed values including endpoint values are reported. Endpoint is the last observed value.
Insulin-Like Growth Factor 1 Standard Deviation Score (IGF-I SDS) at Baseline, Week 24 and Endpoint in Core Period
Time frame · Baseline (Day 1, pre-dose), Week 24, Endpoint in Core Period
IGF-I SDS, as reported by the central laboratory, was a key secondary variable. The week 24 value is a trough value as it was taken 7 days after the last TV-1106 or placebo injection. The outcome as defined in the protocol was the within-patient change from baseline to week 24. Due to the early termination of the study, observed values including endpoint values are reported. Endpoint is the last observed value and is of variable length of time since last TV-1106 or placebo injection.
Scored Analysis of Quality of Life Assessment of GH Deficiency in Adults (QoL-AGHDA) at Baseline, Week 24 and Endpoint in Core Period
Time frame · Baseline (Day 1, pre-dose), Week 24, Endpoint in Core Period
The AGHDA instrument is comprised of 25 questions, with yes or no answers. To each of the 25 questions comprising QOL AGHDA, a score of 1 was assigned if the answer was affirmative and 0 if the answer was negative. Data reported is the total score across the 25 questions for a total range of 0-25 with higher scores representing a poorer quality of life. The outcome as defined in the protocol was the within-patient change from baseline to week 24. Due to the early termination of the study, observed values including endpoint values are reported. Endpoint is the last observed value.
Participants With Adverse Events During the Core Period
Time frame · Day 1 up to 24 Weeks
An adverse event was defined as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= an AE which prevents usual activities. Relationship of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes.
Participants With Potentially Clinically Significant Abnormal Blood and Urine Test Results
Time frame · Day 1 up to 24 Weeks
Parameters with potentially clinically significant abnormal test results include - Serum chemistry: blood urea nitrogen, creatinine and bilirubin - Hematology: leukocytes, hemoglobin, hematocrit, platelets and neutrophils - Urinalysis: none Significance criteria are listed below with the test.
Shift From Baseline To Endpoint in Core Period in Electrocardiogram Findings
Time frame · Day 1 up to Week 24
Shifts represented as baseline - endpoint value (last observed post-baseline value). Abnormal NCS indicates an abnormal but not clinically significant finding. Abnormal CS indicates an abnormal and clinically significant finding.
Thyroid Stimulating Hormone (TSH) at Baseline and Endpoint
Time frame · Baseline (Day 1, pre-dose), Endpoint (up to Week 24)
One measure of changes in replacement hormones.
Free Thyroxin (Free T4) at Baseline and Endpoint
Time frame · Baseline (Day 1, pre-dose), Endpoint (up to Week 24)
One measure of changes in replacement hormones.
Triiodothyronine (Total T3) at Baseline and Endpoint
Time frame · Baseline (Day 1, pre-dose), Endpoint (up to Week 24)
One measure of changes in replacement hormones.
Glycated Hemoglobin (HbA1c) at Baseline and Endpoint
Time frame · Baseline (Day 1, pre-dose), Endpoint (up to Week 24)
One measure of glucose homeostasis.
Fasting Blood Glucose at Baseline and Endpoint
Time frame · Baseline (Day 1, pre-dose), Endpoint (up to Week 24)
One measure of glucose homeostasis.
Insulin at Baseline and Endpoint
Time frame · Baseline (Day 1, pre-dose), Endpoint (up to Week 24)
One measure of glucose homeostasis.
Local Tolerability Assessed by Injection Site Reactions
Time frame · Daay 1 up to Week 24
Participants reporting at least one injection site reaction.
Pharmacokinetic Serum Concentration of TV1106 by Nominal Sampling Timepoints
Time frame · Baseline (Day 1, pre-dose), Weeks 4, 8, 12, 16, 24
Weeks 4 and 8 serum samples obtained 2 days after TV1106 administration. Weeks 12 and 24 serum samples obtained 7 days after TV1106 administration. Week 16 serum samples obtained 1 day after TV1106 administration.
Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.
| Group | Value (kg) | Spread |
|---|---|---|
| Placebo | 24.38 | 7.495 |
| TV-1106 | 29.50 | 10.922 |
| Group | Value (kg) | Spread |
|---|---|---|
| Placebo | 12.02 | 4.716 |
| TV-1106 | 15.05 | 5.041 |
| Group | Value (standard deviation score) | Spread |
|---|---|---|
| Placebo | -2.00 | 0.978 |
| TV-1106 | -1.40 | 0.545 |
| Group | Value (units on a scale) | Spread |
|---|---|---|
| Placebo | 3.8 | 5.46 |
| TV-1106 | 9.6 | 8.14 |
| Group | Value (Participants) |
|---|---|
| Placebo | 3 |
| TV-1106 | 4 |
| Group | Value (Participants) |
|---|---|
| Placebo | 0 |
| TV-1106 | 1 |
| Group | Value (Participants) |
|---|---|
| Placebo | 4 |
| TV-1106 | 6 |
| Group | Value (MIU/L) | Spread |
|---|---|---|
| Placebo | 0.365 | 0.3791 |
| TV-1106 | 1.028 | 2.0259 |
| Group | Deaths | Serious events | Other events |
|---|---|---|---|
| Placebo - Core PeriodPlacebo was injected subcutaneously once weekly on the same day and time for 24 weeks during the Core Period. To maintain the blind, placebo could be titrated by an unblinded central reader on weeks 4, 8, 12 and 16 to match the effect of dose titration. Participants who completed the Core Period were eligible to enter an open-label extension phase for 12 additional months where all participants received treatment with TV-1106. | 0 / 6 | 1 / 6 | 3 / 6 |
| TV-1106 - Core PeriodTV-1106 was injected subcutaneously once weekly on the same day and time for 24 weeks during the Core Period. A common starting dose was 5.0 mg. Doses could be titrated by an unblinded central reader on weeks 4, 8, 12 and 16 until the participant's insulin-like growth factor 1 (IGF-1) standard deviation score (SDS) was within the range of -0.5 to +1.5. Participants who completed the Core Period were eligible to enter an open-label extension phase for 12 additional months where all participants received treatment with TV-1106. | 0 / 8 | 0 / 8 | 4 / 8 |
| TV-1106 - Extension PeriodParticipants from both the Placebo and TV-1106 groups who completed the Core Period were eligible to enter an open-label extension phase for 12 additional months where all participants received treatment with TV-1106. Due to early termination of the study, two participants spent a maximum of two weeks in the extension period. | 0 / 2 | 0 / 2 | 1 / 2 |
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