Obesity
Conditions
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
Leu 1100 mg + 1mg Sil BID
Leu 1100 mg + 4mg Sil BID
Leu 1100 mg + Met 500mg + 1mg Sil BID
Leu 1100 mg + Met 500mg + 4mg Sil BID
Placebo
Sponsors
Study design
Masking description
This is a double blind, placebo controlled trial
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Percentage Body Weight Change | Baseline to Day 168 | The percentage body weight change from baseline to Day 168 was evaluated. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Systolic Blood Pressure | Baseline, Day 168 | Change in Systolic blood pressure was assessed in patients from baseline to Day 168 |
| Change in Absolute Body Weight | Baseline to Day 168 | The change in absolute body weight from baseline to day 168 was evaluated. |
| Change in Percentage of Patients With ≥5% Body Weight Loss | Baseline to Day 168 | The number of patients with ≥5% body weight loss in each group was assessed from baseline to day 168. |
| Change in Waist Circumference | 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. |
| Change in Total Cholesterol | Baseline to Day 168 | Changes in total cholesterol was examined by standard blood chemistry. |
| Change in Diastolic Blood Pressure | Baseline to Day 168 | Diastolic blood pressure was measured by standard blood pressure monitor. |
| Change in LDL Cholesterol | Baseline, 168 days | Changes in LDL Cholesterol was measured by standard blood chemistry from baseline to day 168. |
| Change in Triglycerides | Baseline, Day 168 | The change in triglycerides was evaluated by standard blood chemistry in subjects from Baseline to Day 168. |
| Change in Plasma Glucose | Baseline to Day 168 | Change in plasma glucose was examined through standard fasting blood chemistry. |
| Change in Hemoglobin A1c (HbA1c) | Baseline, Day 168 | Change in Hemoglobin A1c was assessed in the subjects from baseline to day 168. |
| Change in Inflammatory Markers | Baseline to Day 168 | hs-C-Reactive Protein (CRP) levels was examined by standard blood chemistry. |
| Change in HDL Cholesterol | Baseline, Day 168 | Changes 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
| Arm | Count |
|---|---|
| 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 |
| Total | 258 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 |
|---|---|---|---|---|---|---|
| Overall Study | Adverse Event | 3 | 4 | 1 | 2 | 0 |
| Overall Study | Lost to Follow-up | 7 | 7 | 10 | 11 | 11 |
Baseline characteristics
| Characteristic | Placebo | Leu Sil 1.0mg | Leu Sil 4.0mg | Leu Met Sil 1.0mg | Leu Met Sil 4.0mg | Total |
|---|---|---|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 52 Participants | 51 Participants | 53 Participants | 50 Participants | 52 Participants | 258 Participants |
| Age, Continuous | 41.29 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 Participants | 12 Participants | 13 Participants | 12 Participants | 15 Participants | 60 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 44 Participants | 39 Participants | 40 Participants | 38 Participants | 37 Participants | 198 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 0 Participants | 1 Participants | 2 Participants | 1 Participants | 4 Participants |
| Race (NIH/OMB) Black or African American | 9 Participants | 9 Participants | 13 Participants | 11 Participants | 11 Participants | 53 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 2 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 2 Participants |
| Race (NIH/OMB) White | 40 Participants | 42 Participants | 39 Participants | 37 Participants | 40 Participants | 198 Participants |
| Sex: Female, Male Female | 38 Participants | 29 Participants | 32 Participants | 39 Participants | 35 Participants | 173 Participants |
| Sex: Female, Male Male | 14 Participants | 22 Participants | 21 Participants | 11 Participants | 17 Participants | 85 Participants |
| Waist Circumference | 110.40 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 type | EG000 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 / 52 | 0 / 51 | 0 / 53 | 0 / 50 | 0 / 52 |
| other Total, other adverse events | 14 / 52 | 19 / 51 | 12 / 53 | 21 / 50 | 19 / 52 |
| serious Total, serious adverse events | 0 / 52 | 2 / 51 | 0 / 53 | 1 / 50 | 0 / 52 |
Outcome results
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Percentage Body Weight Change | 1.121 percentage | Standard Deviation 3.6241 |
| Leu Sil 1.0mg | Percentage Body Weight Change | 0.674 percentage | Standard Deviation 3.2286 |
| Leu Sil 4.0mg | Percentage Body Weight Change | -0.489 percentage | Standard Deviation 3.9041 |
| Leu Met Sil 1.0mg | Percentage Body Weight Change | -0.929 percentage | Standard Deviation 4.5533 |
| Leu Met Sil 4.0mg | Percentage Body Weight Change | -0.552 percentage | Standard Deviation 2.5924 |
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).
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Change in Absolute Body Weight | 1.126 kg | Standard Deviation 3.5903 |
| Leu Sil 1.0mg | Change in Absolute Body Weight | 0.678 kg | Standard Deviation 3.2502 |
| Leu Sil 4.0mg | Change in Absolute Body Weight | -0.460 kg | Standard Deviation 4.0352 |
| Leu Met Sil 1.0mg | Change in Absolute Body Weight | -0.870 kg | Standard Deviation 4.5445 |
| Leu Met Sil 4.0mg | Change in Absolute Body Weight | -0.461 kg | Standard Deviation 2.7583 |
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)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Change in Diastolic Blood Pressure | -1.7 mmHg | Standard Deviation 7.13 |
| Leu Sil 1.0mg | Change in Diastolic Blood Pressure | 1.8 mmHg | Standard Deviation 9.57 |
| Leu Sil 4.0mg | Change in Diastolic Blood Pressure | -2.6 mmHg | Standard Deviation 8.1 |
| Leu Met Sil 1.0mg | Change in Diastolic Blood Pressure | 1.1 mmHg | Standard Deviation 9.16 |
| Leu Met Sil 4.0mg | Change in Diastolic Blood Pressure | -3.3 mmHg | Standard Deviation 7.48 |
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).
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Change in HDL Cholesterol | 1.1 mg/dL | Standard Deviation 7.43 |
| Leu Sil 1.0mg | Change in HDL Cholesterol | 0.6 mg/dL | Standard Deviation 7.59 |
| Leu Sil 4.0mg | Change in HDL Cholesterol | 2.4 mg/dL | Standard Deviation 6.4 |
| Leu Met Sil 1.0mg | Change in HDL Cholesterol | 1.8 mg/dL | Standard Deviation 8.21 |
| Leu Met Sil 4.0mg | Change in HDL Cholesterol | 1.6 mg/dL | Standard Deviation 7.72 |
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).
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Change in Hemoglobin A1c (HbA1c) | 0.16 percentage of glycosylated hemoglobin | Standard Deviation 0.164 |
| Leu Sil 1.0mg | Change in Hemoglobin A1c (HbA1c) | 0.09 percentage of glycosylated hemoglobin | Standard Deviation 0.167 |
| Leu Sil 4.0mg | Change in Hemoglobin A1c (HbA1c) | 0.11 percentage of glycosylated hemoglobin | Standard Deviation 0.165 |
| Leu Met Sil 1.0mg | Change in Hemoglobin A1c (HbA1c) | 0.07 percentage of glycosylated hemoglobin | Standard Deviation 0.198 |
| Leu Met Sil 4.0mg | Change in Hemoglobin A1c (HbA1c) | 0.09 percentage of glycosylated hemoglobin | Standard Deviation 0.177 |
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).
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Change in Inflammatory Markers | 0.90 mg/L | Standard Deviation 2.401 |
| Leu Sil 1.0mg | Change in Inflammatory Markers | 0.12 mg/L | Standard Deviation 3.633 |
| Leu Sil 4.0mg | Change in Inflammatory Markers | 0.35 mg/L | Standard Deviation 3.385 |
| Leu Met Sil 1.0mg | Change in Inflammatory Markers | 0.56 mg/L | Standard Deviation 6.624 |
| Leu Met Sil 4.0mg | Change in Inflammatory Markers | 0.12 mg/L | Standard Deviation 3.551 |
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).
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Change in LDL Cholesterol | -5.5 mg/dL | Standard Deviation 15.4 |
| Leu Sil 1.0mg | Change in LDL Cholesterol | -6.6 mg/dL | Standard Deviation 16.86 |
| Leu Sil 4.0mg | Change in LDL Cholesterol | -4.2 mg/dL | Standard Deviation 15.81 |
| Leu Met Sil 1.0mg | Change in LDL Cholesterol | -5.5 mg/dL | Standard Deviation 11.77 |
| Leu Met Sil 4.0mg | Change in LDL Cholesterol | -11.6 mg/dL | Standard Deviation 19.72 |
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).
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Placebo | Change in Percentage of Patients With ≥5% Body Weight Loss | 2 Participants |
| Leu Sil 1.0mg | Change in Percentage of Patients With ≥5% Body Weight Loss | 1 Participants |
| Leu Sil 4.0mg | Change in Percentage of Patients With ≥5% Body Weight Loss | 6 Participants |
| Leu Met Sil 1.0mg | Change in Percentage of Patients With ≥5% Body Weight Loss | 7 Participants |
| Leu Met Sil 4.0mg | Change in Percentage of Patients With ≥5% Body Weight Loss | 3 Participants |
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).
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Change in Plasma Glucose | 0.4 mg/dL | Standard Deviation 7.98 |
| Leu Sil 1.0mg | Change in Plasma Glucose | -1.6 mg/dL | Standard Deviation 9.35 |
| Leu Sil 4.0mg | Change in Plasma Glucose | 0.3 mg/dL | Standard Deviation 9.59 |
| Leu Met Sil 1.0mg | Change in Plasma Glucose | 1.1 mg/dL | Standard Deviation 12.43 |
| Leu Met Sil 4.0mg | Change in Plasma Glucose | -1.7 mg/dL | Standard Deviation 10.87 |
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).
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Change in Systolic Blood Pressure | -2.0 mmHg | Standard Deviation 9.97 |
| Leu Sil 1.0mg | Change in Systolic Blood Pressure | 0.5 mmHg | Standard Deviation 12.21 |
| Leu Sil 4.0mg | Change in Systolic Blood Pressure | -2.7 mmHg | Standard Deviation 9.12 |
| Leu Met Sil 1.0mg | Change in Systolic Blood Pressure | 0.6 mmHg | Standard Deviation 9.31 |
| Leu Met Sil 4.0mg | Change in Systolic Blood Pressure | -3.5 mmHg | Standard Deviation 9.29 |
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).
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Change in Total Cholesterol | 1.0 mg/dL | Standard Deviation 20.33 |
| Leu Sil 1.0mg | Change in Total Cholesterol | 0.2 mg/dL | Standard Deviation 20.96 |
| Leu Sil 4.0mg | Change in Total Cholesterol | 1.9 mg/dL | Standard Deviation 20.01 |
| Leu Met Sil 1.0mg | Change in Total Cholesterol | -0.7 mg/dL | Standard Deviation 16.74 |
| Leu Met Sil 4.0mg | Change in Total Cholesterol | -6.6 mg/dL | Standard Deviation 23.48 |
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).
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Change in Triglycerides | 13.4 mg/dL | Standard Deviation 45.43 |
| Leu Sil 1.0mg | Change in Triglycerides | 9.7 mg/dL | Standard Deviation 56.42 |
| Leu Sil 4.0mg | Change in Triglycerides | 1.9 mg/dL | Standard Deviation 51.93 |
| Leu Met Sil 1.0mg | Change in Triglycerides | -4.4 mg/dL | Standard Deviation 47.02 |
| Leu Met Sil 4.0mg | Change in Triglycerides | 3.5 mg/dL | Standard Deviation 52.03 |
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).
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Change in Waist Circumference | 0.043 cm | Standard Deviation 5.5591 |
| Leu Sil 1.0mg | Change in Waist Circumference | 0.028 cm | Standard Deviation 5.5152 |
| Leu Sil 4.0mg | Change in Waist Circumference | -1.060 cm | Standard Deviation 5.5564 |
| Leu Met Sil 1.0mg | Change in Waist Circumference | -1.841 cm | Standard Deviation 4.7654 |
| Leu Met Sil 4.0mg | Change in Waist Circumference | 0.637 cm | Standard Deviation 5.7908 |