Obesity

A Growth Differentiation Factor 15 Receptor Agonist in Randomized Placebo-Controlled Trials in Healthy or Obese Persons

J Clin Endocrinol MetabPublished Randomised controlled trials (phase 1 single ascending dose and phase 2) with nonclinical studies

Authors' conclusion

The prolonged half-life of MBL949 supports biweekly dosing in patients. MBL949 had an acceptable safety profile. The robust weight loss observed in nonclinical species did not translate to weight loss efficacy in humans.

Study context

Population
Overweight and obese healthy volunteers (phase 1); obese participants (phase 2)phase 1 n = 65
Comparison
MBL949 vs placebo
Methodological detailsplacebo-controlled, phase 1 first-in-human single ascending dose
  • Placebo-controlled
  • Phase 1 first-in-human single ascending dose

Primary result

As reported in the abstract

Weight loss · 14 weeks (phase 2)
  • Phase 2: weight loss was minimal following biweekly dosing of MBL949 for 14 weeks
  • Phase 1: evidence of weight loss at the higher doses

Further findings

Pharmacokinetics (phase 1)

Mean terminal half-life
18 to 22 days

Nonclinical species

Generally safe and effective, with reduced food intake and body weight in mice, rats, dogs and monkeys; weight loss primarily from reduced fat; metabolic endpoints improved

Safety

MBL949 was safe and generally tolerated over the dose range tested; gastrointestinal adverse events were the most frequent

Original publication

A Growth Differentiation Factor 15 Receptor Agonist in Randomized Placebo-Controlled Trials in Healthy or Obese Persons. J Clin Endocrinol Metab. Published 16 August 2024. doi:10.1210/clinem/dgae550

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