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A 24-Month, Multi-Centre, Open Label Phase IV Post Authorisation Efficacy Study to Evaluate the Efficacy, Safety and Immunogenicity of Daily Subcutaneous Metreleptin Treatment in Patients with Partial Lipodystrophy

Status
Recruiting
Phases
Phase 4
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2022-502950-14-00
Acronym
APL-22
Enrollment
11
Registered
2023-10-10
Start date
2023-12-08
Completion date
Unknown
Last updated
2026-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Partial Lipodystrophy

Brief summary

Number of patients with decrease of at least 0.5% in glycated haemoglobin (HbA1c) at Month 12 compared to Baseline or HbA1c <6.5 % at Month 12, in patients with baseline HbA1c ≥6.5%., Number of patients with decrease of at least 30% in triglycerides (TG) at Month 12 compared to Baseline, in patients with baseline TG levels ≥500 mg/dL (5.65 mmol/L).

Detailed description

Number of patients with decrease of at least 0.5% in HbA1c at Month 24 compared to Baseline or HbA1c <6.5 % at Month 24, in patients with baseline HbA1c ≥6.5%., Number of patients with decrease of at least 30% in TG levels at Month 24 compared to Baseline, in patients with baseline TG levels ≥500 mg/dL (5.65 mmol/L)., Change from baseline in HbA1c at Month 12 and Month 24 in patients with baseline HbA1c ≥6.5% (Subgroup analysis for patients with HbA1c ≥8% will be conducted), Percent change from baseline in TG levels at Month 12 and Month 24 in patients with baseline TG ≥500 mg/dL (5.65 mmol/L)., Number of patients achieving at least 1 of the below criteria: o 0.5% decrease in HbA1c at Month 12 compared to Baseline or HbA1c <6.5 % at Month 12 o 30% decrease in fasting serum TG at Month 12, Change from baseline in liver volume at Month 12 and Month 24., Change from baseline in Homeostatic Model Assessment of Insulin Resistance (HOMAIR) (fasting glucose and insulin) in noninsulin treated patients at Month 12 and Month 24., Number of patients who maintained, decreased, or increased dose and/or dosing frequency of anti-diabetic medications., Number of patients who maintained, decreased, or increased dose and/or dosing frequency of lipid-lowering medications., Number of patients with ≥25% reduction in insulin requirements at Month 12 and Month 24.

Interventions

Sponsors

Amryt Pharmaceuticals Designated Activity Company
Lead SponsorINDUSTRY

Eligibility

Sex/Gender
All
Age
0 Years to No maximum

Design outcomes

Primary

MeasureTime frame
Number of patients with decrease of at least 0.5% in glycated haemoglobin (HbA1c) at Month 12 compared to Baseline or HbA1c <6.5 % at Month 12, in patients with baseline HbA1c ≥6.5%., Number of patients with decrease of at least 30% in triglycerides (TG) at Month 12 compared to Baseline, in patients with baseline TG levels ≥500 mg/dL (5.65 mmol/L).

Secondary

MeasureTime frame
Number of patients with decrease of at least 0.5% in HbA1c at Month 24 compared to Baseline or HbA1c <6.5 % at Month 24, in patients with baseline HbA1c ≥6.5%., Number of patients with decrease of at least 30% in TG levels at Month 24 compared to Baseline, in patients with baseline TG levels ≥500 mg/dL (5.65 mmol/L)., Change from baseline in HbA1c at Month 12 and Month 24 in patients with baseline HbA1c ≥6.5% (Subgroup analysis for patients with HbA1c ≥8% will be conducted), Percent change from baseline in TG levels at Month 12 and Month 24 in patients with baseline TG ≥500 mg/dL (5.65 mmol/L)., Number of patients achieving at least 1 of the below criteria: o 0.5% decrease in HbA1c at Month 12 compared to Baseline or HbA1c <6.5 % at Month 12 o 30% decrease in fasting serum TG at Month 12, Change from baseline in liver volume at Month 12 and Month 24., Change from baseline in Homeostatic Model Assessment of Insulin Resistance (HOMAIR) (fasting glucose and insulin) in noninsulin treated

Countries

France, Germany, Italy

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 4, 2026