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

A Randomized, Double-blind, Placebo-controlled Study of Effects of Two Fixed-dose Leucine-sildenafil Combinations (NS-0300) or Two Fixed-dose Leucine-sildenafil-metformin Combinations (NS-0200) Versus Placebo on Body Weight in Obesity

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03364335
Enrollment
267
Registered
2017-12-06
Start date
2018-01-08
Completion date
2018-08-17
Last updated
2019-08-21

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

Conditions

Obesity

Brief summary

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).

Detailed description

This is a randomized, 24-week, placebo-controlled, double-blind 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. Subjects meeting all the inclusion criteria and no exclusion criteria will be randomized to one of five study arms. 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) receiving two fixed-dose combinations of leucine and sildenafil or two fixed-dose combinations of leucine, sildenafil and metformin compared to placebo. Secondary objectives will also assess changes in absolute body weight, percentage of patients with ≥5% body weight loss, change in waist circumference, change in HbA1c, change in fasting glucose, change in blood lipids such as cholesterol, LDL, HDL, triglycerides, change in blood pressure and changes in in C-reactive protein. In addition this study will evaluate the safety and tolerability of NS-0200 and NS-0300. Patients will have one screening visits which will determine their eligibility based on lab tests. Once qualified, patients will be randomly assigned to either one of the treatment groups or the placebo control group and monitored for a total of 24 weeks. Patients will return to the clinic each month for lab tests, and routine examinations.

Interventions

DRUGLeu Sil 1.0mg

Leu 1100 mg + 1mg Sil BID

DRUGLeu Sil 4.0mg

Leu 1100 mg + 4mg Sil BID

DRUGLeu Met Sil 1.0mg

Leu 1100 mg + Met 500mg + 1mg Sil BID

DRUGLeu Met Sil 4.0mg

Leu 1100 mg + Met 500mg + 4mg Sil BID

DRUGPlacebo

Placebo

Sponsors

NuSirt Biopharma
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Masking description

This is a double blind, placebo controlled trial

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

1. Age ≥18 and ≤65 at study entry. 2. Is male, or female and, if female, meets all of the following criteria: 1. Not breastfeeding 2. Post-menopausal or negative serum pregnancy test result (human chorionic gonadotropin, beta subunit \[β-hCG\]) at Screening/Visit 1 (Day-7/Week-1) (not required for hysterectomized females) 3. If of childbearing potential (including peri-menopausal women who have had a menstrual period within one year) must practice and be willing to continue to practice appropriate birth control (defined as a method which results in a low failure rate, i.e., less than 1% per year, when used consistently and correctly, such as double barrier methods \[male condom with spermicide, with or without cervical cap or diaphragm\], implants, injectables, oral contraceptives \[must have been using for at least the last 3 months\], some intrauterine contraceptive devices, tubal ligation, or in an established relationship with a vasectomized or same sex partner) during the entire duration of the study 3. Stable body weight (±5%) and health over the last 3 months. 4. Has a BMI between 30 kg/m2 and 45 kg/m2 5. Stable diet within the last three months 6. Subjects on antidepressants, excluding those listed in the

Exclusion criteria

, must have been on a stable dose regiment for at least 3 months prior to study enrollment and maintain stable dose during the study 7. Clinical laboratory tests (hematology, clinical chemistry, and urinalysis) either normal, not clinically significant or with abnormalities consistent with obesity 8. Is able to read, understand, and sign the informed consent forms (ICF) and, when applicable, an authorization to use and disclose protected health information form (consistent with Health Insurance Portability and Accountability Act of 1996 \[HIPAA\] legislation), communicate with the investigator, and understand and comply with protocol requirements.

Design outcomes

Primary

MeasureTime frameDescription
Percentage Body Weight ChangeBaseline to Day 168The percentage body weight change from baseline to Day 168 was evaluated.

Secondary

MeasureTime frameDescription
Change in Systolic Blood PressureBaseline, Day 168Change in Systolic blood pressure was assessed in patients from baseline to Day 168
Change in Absolute Body WeightBaseline to Day 168The change in absolute body weight from baseline to day 168 was evaluated.
Change in Percentage of Patients With ≥5% Body Weight LossBaseline to Day 168The number of patients with ≥5% body weight loss in each group was assessed from baseline to day 168.
Change in Waist CircumferenceBaseline to Day 168The change in waist circumference by using a tape measure across the mid-section was evaluated in subjects from baseline to day 168.
Change in Total CholesterolBaseline to Day 168Changes in total cholesterol was examined by standard blood chemistry.
Change in Diastolic Blood PressureBaseline to Day 168Diastolic blood pressure was measured by standard blood pressure monitor.
Change in LDL CholesterolBaseline, 168 daysChanges in LDL Cholesterol was measured by standard blood chemistry from baseline to day 168.
Change in TriglyceridesBaseline, Day 168The change in triglycerides was evaluated by standard blood chemistry in subjects from Baseline to Day 168.
Change in Plasma GlucoseBaseline to Day 168Change in plasma glucose was examined through standard fasting blood chemistry.
Change in Hemoglobin A1c (HbA1c)Baseline, Day 168Change in Hemoglobin A1c was assessed in the subjects from baseline to day 168.
Change in Inflammatory MarkersBaseline to Day 168hs-C-Reactive Protein (CRP) levels was examined by standard blood chemistry.
Change in HDL CholesterolBaseline, Day 168Changes were measured in HDL cholesterol from Baseline to day 168 by standard blood chemistry.

Countries

United States

Participant flow

Recruitment details

Subjects meeting all inclusion criteria and no exclusion criteria were randomized to one of five treatment arms in the ratio of 1:1:1:1:1(A:B:C:D:E). The randomization was stratified by a maximum of 70% female with a BMI range between 30 kg/m2 and 45 kg/m2

Pre-assignment details

The discrepancy in the number of enrolled subjects and the actual number that started the study is because some of the enrolled subjects did not start the study for the following reasons: they moved, were not compliant with investigator request or were sent on active military duty.

Participants by arm

ArmCount
Placebo
Placebo: Placebo
52
Leu Sil 1.0mg
3 capsules BID consisting of 2 capsules containing 550 mg L-leucine each and 1 capsule containing 1.0 mg of sildenafil Leucine: 1100 mg BID Sildenafil Citrate 1.0 mg: Sildenafil 1.0 mg BID
51
Leu Sil 4.0mg
3 capsules BID consisting of 2 capsules containing 550 mg L-leucine each and 1 capsule containing 4.0 mg of sildenafil Leucine: 1100 mg BID Sildenafil Citrate 4.0 mg: Sildenafil 4.0 mg BID
53
Leu Met Sil 1.0mg
3 capsules BID consisting of 2 capsules containing 550 mg L-leucine and 250 mg metformin and 1 capsule containing 1.0 mg of sildenafil Leucine: 1100 mg BID Sildenafil Citrate 1.0 mg: Sildenafil 1.0 mg BID Metformin: Metformin 500 mg BID
50
Leu Met Sil 4.0mg
3 capsules BID consisting of 2 capsules containing 550 mg L-leucine and 250 mg metformin and 1 capsule containing 4.0 mg of sildenafil Leucine: 1100 mg BID Sildenafil Citrate 4.0 mg: Sildenafil 4.0 mg BID Metformin: Metformin 500 mg BID
52
Total258

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
Overall StudyAdverse Event34120
Overall StudyLost to Follow-up77101111

Baseline characteristics

CharacteristicPlaceboLeu Sil 1.0mgLeu Sil 4.0mgLeu Met Sil 1.0mgLeu Met Sil 4.0mgTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
52 Participants51 Participants53 Participants50 Participants52 Participants258 Participants
Age, Continuous41.29 years
STANDARD_DEVIATION 11.3
40.94 years
STANDARD_DEVIATION 11.14
39.55 years
STANDARD_DEVIATION 11.14
41.36 years
STANDARD_DEVIATION 12.66
42.89 years
STANDARD_DEVIATION 10.7
41.20 years
STANDARD_DEVIATION 11.36
Body Mass Index (BMI)35.773 kg/m^2
STANDARD_DEVIATION 3.31
37.179 kg/m^2
STANDARD_DEVIATION 4.28
37.9 kg/m^2
STANDARD_DEVIATION 4.2
36.425 kg/m^2
STANDARD_DEVIATION 4.13
37.152 kg/m^2
STANDARD_DEVIATION 4.23
36.89 kg/m^2
STANDARD_DEVIATION 4.08
Ethnicity (NIH/OMB)
Hispanic or Latino
8 Participants12 Participants13 Participants12 Participants15 Participants60 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
44 Participants39 Participants40 Participants38 Participants37 Participants198 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants1 Participants2 Participants1 Participants4 Participants
Race (NIH/OMB)
Black or African American
9 Participants9 Participants13 Participants11 Participants11 Participants53 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants0 Participants0 Participants0 Participants0 Participants2 Participants
Race (NIH/OMB)
White
40 Participants42 Participants39 Participants37 Participants40 Participants198 Participants
Sex: Female, Male
Female
38 Participants29 Participants32 Participants39 Participants35 Participants173 Participants
Sex: Female, Male
Male
14 Participants22 Participants21 Participants11 Participants17 Participants85 Participants
Waist Circumference110.40 cm
STANDARD_DEVIATION 10.998
112.91 cm
STANDARD_DEVIATION 11.466
116.02 cm
STANDARD_DEVIATION 12.411
111.17 cm
STANDARD_DEVIATION 13.291
112.93 cm
STANDARD_DEVIATION 13.311
112.71 cm
STANDARD_DEVIATION 12.39
Weight (kg)101.67 kg
STANDARD_DEVIATION 13.856
105.05 kg
STANDARD_DEVIATION 15.568
107.16 kg
STANDARD_DEVIATION 17.962
100.18 kg
STANDARD_DEVIATION 16.991
104.50 kg
STANDARD_DEVIATION 17.405
103.74 kg
STANDARD_DEVIATION 16.49

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
0 / 520 / 510 / 530 / 500 / 52
other
Total, other adverse events
14 / 5219 / 5112 / 5321 / 5019 / 52
serious
Total, serious adverse events
0 / 522 / 510 / 531 / 500 / 52

Outcome results

Primary

Percentage Body Weight Change

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

Time frame: Baseline to Day 168

Population: ANCOVA Analysis for Primary Endpoint - Percent Change in Body Weight from Baseline to Day 168 in per protocol population.

ArmMeasureValue (MEAN)Dispersion
PlaceboPercentage Body Weight Change1.121 percentageStandard Deviation 3.6241
Leu Sil 1.0mgPercentage Body Weight Change0.674 percentageStandard Deviation 3.2286
Leu Sil 4.0mgPercentage Body Weight Change-0.489 percentageStandard Deviation 3.9041
Leu Met Sil 1.0mgPercentage Body Weight Change-0.929 percentageStandard Deviation 4.5533
Leu Met Sil 4.0mgPercentage Body Weight Change-0.552 percentageStandard Deviation 2.5924
p-value: 0.5461ANCOVA
p-value: 0.0364ANCOVA
p-value: 0.0156ANCOVA
p-value: 0.0349ANCOVA
Secondary

Change in Absolute Body Weight

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

Time frame: Baseline to Day 168

Population: ANCOVA Analysis for Secondary Endpoint - Change in Absolute Body Weight from Baseline to day 168 (Per-Protocol Population).

ArmMeasureValue (MEAN)Dispersion
PlaceboChange in Absolute Body Weight1.126 kgStandard Deviation 3.5903
Leu Sil 1.0mgChange in Absolute Body Weight0.678 kgStandard Deviation 3.2502
Leu Sil 4.0mgChange in Absolute Body Weight-0.460 kgStandard Deviation 4.0352
Leu Met Sil 1.0mgChange in Absolute Body Weight-0.870 kgStandard Deviation 4.5445
Leu Met Sil 4.0mgChange in Absolute Body Weight-0.461 kgStandard Deviation 2.7583
p-value: 0.5348ANCOVA
p-value: 0.0379ANCOVA
p-value: 0.0215ANCOVA
p-value: 0.0464ANCOVA
Secondary

Change in Diastolic Blood Pressure

Diastolic blood pressure was measured by standard blood pressure monitor.

Time frame: Baseline to Day 168

Population: ANCOVA Analysis for Secondary Endpoint - Change in Blood Pressure from Baseline to day 168 (Per-Protocol Population)

ArmMeasureValue (MEAN)Dispersion
PlaceboChange in Diastolic Blood Pressure-1.7 mmHgStandard Deviation 7.13
Leu Sil 1.0mgChange in Diastolic Blood Pressure1.8 mmHgStandard Deviation 9.57
Leu Sil 4.0mgChange in Diastolic Blood Pressure-2.6 mmHgStandard Deviation 8.1
Leu Met Sil 1.0mgChange in Diastolic Blood Pressure1.1 mmHgStandard Deviation 9.16
Leu Met Sil 4.0mgChange in Diastolic Blood Pressure-3.3 mmHgStandard Deviation 7.48
p-value: 0.0524ANCOVA
p-value: 0.5221ANCOVA
p-value: 0.3702ANCOVA
p-value: 0.5426ANCOVA
Secondary

Change in HDL Cholesterol

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

Time frame: Baseline, Day 168

Population: ANCOVA Analysis for Secondary Endpoint - Change in Fasting Plasma Lipids from Baseline to day 168 (Per-Protocol Population).

ArmMeasureValue (MEAN)Dispersion
PlaceboChange in HDL Cholesterol1.1 mg/dLStandard Deviation 7.43
Leu Sil 1.0mgChange in HDL Cholesterol0.6 mg/dLStandard Deviation 7.59
Leu Sil 4.0mgChange in HDL Cholesterol2.4 mg/dLStandard Deviation 6.4
Leu Met Sil 1.0mgChange in HDL Cholesterol1.8 mg/dLStandard Deviation 8.21
Leu Met Sil 4.0mgChange in HDL Cholesterol1.6 mg/dLStandard Deviation 7.72
p-value: 0.4644ANCOVA
p-value: 0.8573ANCOVA
p-value: 0.8167ANCOVA
p-value: 0.9223ANCOVA
Secondary

Change in Hemoglobin A1c (HbA1c)

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

Time frame: Baseline, Day 168

Population: ANCOVA Analysis for Secondary Endpoint - Change in HbA1c from Baseline to day 168 (Per-Protocol Population).

ArmMeasureValue (MEAN)Dispersion
PlaceboChange in Hemoglobin A1c (HbA1c)0.16 percentage of glycosylated hemoglobinStandard Deviation 0.164
Leu Sil 1.0mgChange in Hemoglobin A1c (HbA1c)0.09 percentage of glycosylated hemoglobinStandard Deviation 0.167
Leu Sil 4.0mgChange in Hemoglobin A1c (HbA1c)0.11 percentage of glycosylated hemoglobinStandard Deviation 0.165
Leu Met Sil 1.0mgChange in Hemoglobin A1c (HbA1c)0.07 percentage of glycosylated hemoglobinStandard Deviation 0.198
Leu Met Sil 4.0mgChange in Hemoglobin A1c (HbA1c)0.09 percentage of glycosylated hemoglobinStandard Deviation 0.177
p-value: 0.1653ANCOVA
p-value: 0.197ANCOVA
p-value: 0.0608ANCOVA
p-value: 0.1583ANCOVA
Secondary

Change in Inflammatory Markers

hs-C-Reactive Protein (CRP) levels was examined by standard blood chemistry.

Time frame: Baseline to Day 168

Population: Descriptive Statistics for Secondary Endpoint - hs-C-Reactive Protein Change from Baseline to day 168 (Per-Protocol Population).

ArmMeasureValue (MEAN)Dispersion
PlaceboChange in Inflammatory Markers0.90 mg/LStandard Deviation 2.401
Leu Sil 1.0mgChange in Inflammatory Markers0.12 mg/LStandard Deviation 3.633
Leu Sil 4.0mgChange in Inflammatory Markers0.35 mg/LStandard Deviation 3.385
Leu Met Sil 1.0mgChange in Inflammatory Markers0.56 mg/LStandard Deviation 6.624
Leu Met Sil 4.0mgChange in Inflammatory Markers0.12 mg/LStandard Deviation 3.551
p-value: 0.0318ANCOVA
p-value: 0.3827ANCOVA
p-value: 0.005ANCOVA
p-value: 0.1045ANCOVA
Secondary

Change in LDL Cholesterol

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

Time frame: Baseline, 168 days

Population: ANCOVA Analysis for Secondary Endpoint - Change in Fasting Plasma Lipids from Baseline to day 168 (Per-Protocol Population).

ArmMeasureValue (MEAN)Dispersion
PlaceboChange in LDL Cholesterol-5.5 mg/dLStandard Deviation 15.4
Leu Sil 1.0mgChange in LDL Cholesterol-6.6 mg/dLStandard Deviation 16.86
Leu Sil 4.0mgChange in LDL Cholesterol-4.2 mg/dLStandard Deviation 15.81
Leu Met Sil 1.0mgChange in LDL Cholesterol-5.5 mg/dLStandard Deviation 11.77
Leu Met Sil 4.0mgChange in LDL Cholesterol-11.6 mg/dLStandard Deviation 19.72
p-value: 0.6574ANCOVA
p-value: 0.8971ANCOVA
p-value: 0.6317ANCOVA
p-value: 0.0341ANCOVA
Secondary

Change in Percentage of Patients With ≥5% Body Weight Loss

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

Time frame: Baseline to Day 168

Population: Analysis for Secondary Endpoint - Percentage of Subjects with ≥5% Relative Percentage Reduction from Baseline to day 168 in Body Weight by Treatment (Per-Protocol Population).

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlaceboChange in Percentage of Patients With ≥5% Body Weight Loss2 Participants
Leu Sil 1.0mgChange in Percentage of Patients With ≥5% Body Weight Loss1 Participants
Leu Sil 4.0mgChange in Percentage of Patients With ≥5% Body Weight Loss6 Participants
Leu Met Sil 1.0mgChange in Percentage of Patients With ≥5% Body Weight Loss7 Participants
Leu Met Sil 4.0mgChange in Percentage of Patients With ≥5% Body Weight Loss3 Participants
p-value: 1Chi-squared
p-value: 0.2646Chi-squared
p-value: 0.0749Chi-squared
p-value: 0.6758Chi-squared
Secondary

Change in Plasma Glucose

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

Time frame: Baseline to Day 168

Population: ANCOVA Analysis for Secondary Endpoint - Change in Fasting Plasma Lipids from Baseline to day 168 (Per-Protocol Population).

ArmMeasureValue (MEAN)Dispersion
PlaceboChange in Plasma Glucose0.4 mg/dLStandard Deviation 7.98
Leu Sil 1.0mgChange in Plasma Glucose-1.6 mg/dLStandard Deviation 9.35
Leu Sil 4.0mgChange in Plasma Glucose0.3 mg/dLStandard Deviation 9.59
Leu Met Sil 1.0mgChange in Plasma Glucose1.1 mg/dLStandard Deviation 12.43
Leu Met Sil 4.0mgChange in Plasma Glucose-1.7 mg/dLStandard Deviation 10.87
p-value: 0.6726ANCOVA
p-value: 0.7934ANCOVA
p-value: 0.5485ANCOVA
p-value: 0.3676ANCOVA
Secondary

Change in Systolic Blood Pressure

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

Time frame: Baseline, Day 168

Population: ANCOVA Analysis for Secondary Endpoint - Change in Blood Pressure from Baseline to day 168 (Per-Protocol Population).

ArmMeasureValue (MEAN)Dispersion
PlaceboChange in Systolic Blood Pressure-2.0 mmHgStandard Deviation 9.97
Leu Sil 1.0mgChange in Systolic Blood Pressure0.5 mmHgStandard Deviation 12.21
Leu Sil 4.0mgChange in Systolic Blood Pressure-2.7 mmHgStandard Deviation 9.12
Leu Met Sil 1.0mgChange in Systolic Blood Pressure0.6 mmHgStandard Deviation 9.31
Leu Met Sil 4.0mgChange in Systolic Blood Pressure-3.5 mmHgStandard Deviation 9.29
p-value: 0.1843ANCOVA
p-value: 0.4411ANCOVA
p-value: 0.6991ANCOVA
p-value: 0.3721ANCOVA
Secondary

Change in Total Cholesterol

Changes in total cholesterol was examined by standard blood chemistry.

Time frame: Baseline to Day 168

Population: ANCOVA Analysis for Secondary Endpoint - Change in Fasting Plasma Lipids from Baseline to day 168 (Per-Protocol Population).

ArmMeasureValue (MEAN)Dispersion
PlaceboChange in Total Cholesterol1.0 mg/dLStandard Deviation 20.33
Leu Sil 1.0mgChange in Total Cholesterol0.2 mg/dLStandard Deviation 20.96
Leu Sil 4.0mgChange in Total Cholesterol1.9 mg/dLStandard Deviation 20.01
Leu Met Sil 1.0mgChange in Total Cholesterol-0.7 mg/dLStandard Deviation 16.74
Leu Met Sil 4.0mgChange in Total Cholesterol-6.6 mg/dLStandard Deviation 23.48
p-value: 0.601ANCOVA
p-value: 0.6513ANCOVA
p-value: 0.4354ANCOVA
p-value: 0.031ANCOVA
Secondary

Change in Triglycerides

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

Time frame: Baseline, Day 168

Population: ANCOVA Analysis for Secondary Endpoint - Change in Fasting Plasma Lipids from Baseline to day 168 (Per-Protocol Population).

ArmMeasureValue (MEAN)Dispersion
PlaceboChange in Triglycerides13.4 mg/dLStandard Deviation 45.43
Leu Sil 1.0mgChange in Triglycerides9.7 mg/dLStandard Deviation 56.42
Leu Sil 4.0mgChange in Triglycerides1.9 mg/dLStandard Deviation 51.93
Leu Met Sil 1.0mgChange in Triglycerides-4.4 mg/dLStandard Deviation 47.02
Leu Met Sil 4.0mgChange in Triglycerides3.5 mg/dLStandard Deviation 52.03
p-value: 0.372ANCOVA
p-value: 0.2302ANCOVA
p-value: 0.1377ANCOVA
p-value: 0.4295ANCOVA
Secondary

Change in Waist Circumference

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

Time frame: Baseline to Day 168

Population: ANCOVA Analysis for Secondary Endpoint - Change in Waist Circumference from Baseline (Per-Protocol Population).

ArmMeasureValue (MEAN)Dispersion
PlaceboChange in Waist Circumference0.043 cmStandard Deviation 5.5591
Leu Sil 1.0mgChange in Waist Circumference0.028 cmStandard Deviation 5.5152
Leu Sil 4.0mgChange in Waist Circumference-1.060 cmStandard Deviation 5.5564
Leu Met Sil 1.0mgChange in Waist Circumference-1.841 cmStandard Deviation 4.7654
Leu Met Sil 4.0mgChange in Waist Circumference0.637 cmStandard Deviation 5.7908
p-value: 0.9656ANCOVA
p-value: 0.4254ANCOVA
p-value: 0.1276ANCOVA
p-value: 0.5937ANCOVA

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026