Pediatric endocrinology

Diazoxide choline extended‐release tablet in people with Prader‐Willi syndrome: results from long‐term open‐label study

Obesity (Silver Spring)Published Open-label extension study

Authors' conclusion

DCCR administration to people with PWS was well tolerated and associated with broad-ranging improvements in the syndrome. Sustained administration of DCCR has the potential to reduce disease severity and the burden of care for families.

Study context

Population
People with Prader-Willi syndrome (PWS) aged ≥4 years enrolled in the DESTINY PWS phase 3 study and/or its open-label extension
Participants
125 people
Outcome
Hyperphagia Questionnaire for Clinical Trials (HQ-CT) score
Follow-up
Up to 52 weeks
Methodological detailslong-term, single-group
  • Long-term
  • Single-group

Main finding

As reported in the abstract

Change in HQ-CT score

DCCR

−9.9

mean · SE 0.77

P < 0.0001

Further findings

Aggression, anxiety and compulsivity

Improvements in aggression, anxiety and compulsivity (all p < 0.0001)

Hormonal measures

Reductions in leptin, insulin and insulin resistance; significant increase in adiponectin (all p < 0.004)

Lean body mass

Lean body mass increased (p < 0.0001)

Disease severity

Disease severity reduced as assessed by clinician and caregiver (both p < 0.0001)

Safety

Adverse events

Discontinuation due to AEs
7.2%
Common treatment-emergent AEs: hypertrichosis, peripheral edema, hyperglycemia

Original publication

Diazoxide choline extended‐release tablet in people with Prader‐Willi syndrome: results from long‐term open‐label study. Obesity (Silver Spring). Published 2 November 2023. doi:10.1002/oby.23928

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