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Familial Partial LipodystrophyPhase 2LEAPNCT05088460

A Study to Examine the Effects of the Leptin Receptor (LEPR) Agonist Antibody REGN4461 in Adult Patients With Familial Partial Lipodystrophy (FPLD)

A Phase 2 study testing REGN4461 in people with Familial Partial Lipodystrophy and Metabolic Abnormalities, run by Regeneron Pharmaceuticals at 8 sites in 4 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Two cohorts are being studied based on leptin levels. Cohort A is composed of patients with baseline leptin <8.0 ng/mL and Cohort B is composed of patients with baseline leptin 8.0 to ≤20.0 ng/mL The primary objectives will be evaluated for patients in Cohort A only: To evaluate the effect of REGN4461 on fasting… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
REGN4461
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
20 participants
Where
8 sitesin 4 countries
Study dates
28 Feb 2022to 18 Apr 2024
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Clinical diagnosis of familial partial lipodystrophy as defined in the protocol
  • Fasting leptin level ≤20.0 ng/ml, as determined during the screening period
  • Presence of significant metabolic abnormalities related to glucose and triglycerides (TGs) as defined in the protocol
  • Stable body weight within the 3 months prior to screening (no gain or loss of >5% current weight)
  • Stable diet during the past 3 months defined as no major change in macronutrient composition (eg, starting or stopping diets such as Atkins, Paleo, Vegetarianism, Veganism)
  • No clinically meaningful change in medication regimen in the 3 months prior to screening as defined in the protocol

Who cannot join

  • Treatment with metreleptin within 3 months of the screening visit
  • Patients with a diagnosis of generalized lipodystrophy
  • Patients with a diagnosis of acquired lipodystrophy
  • Pregnant or breastfeeding women
  • NOTE: Other protocol defined inclusion/exclusion criteria apply

Trial locations and contacts

8 sites in 4 countries.

8 sites in 4 countries

United States5 sites
  • University of Michigan

    Ann Arbor, Michigan, 48109

  • National Institute of Health

    Bethesda, Maryland, 20892

  • Excel Medical Clinical Trials - A Flourish Research Site

    Boca Raton, Florida, 33434

  • UT Southwestern Medical Center

    Dallas, Texas, 75390

  • University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania, 15213

Other trials in United States

France1 site
  • ICAN, Institute of Cardiometabolism and Nutrition

    Paris, 75013

Other trials in France

Spain1 site
  • Complexo Hospitalario Universitario de Santiago-Hospital Médico-Cirúrxico de Conxo

    Santiago de Compostela, Galicia, 15706

Other trials in Spain

Turkey (Türkiye)1 site
  • Ege University Faculty of Medicine

    Izmir, Bornova, 35100

Other trials in Turkey (Türkiye)

About this study

Official title: A Randomized Double-Blind Placebo-Controlled Study of the LEPR Agonist Antibody REGN4461 for the Treatment of Metabolic Abnormalities in Patients With Familial Partial Lipodystrophy

Two cohorts are being studied based on leptin levels. Cohort A is composed of patients with baseline leptin <8.0 ng/mL and Cohort B is composed of patients with baseline leptin 8.0 to ≤20.0 ng/mL

The primary objectives will be evaluated for patients in Cohort A only:

Read more
  • To evaluate the effect of REGN4461 on fasting triglycerides (TG) in patients with elevated baseline fasting TG
  • To evaluate the effect of REGN4461 on hyperglycemia in patients with elevated baseline Hemoglobin A1c (HbA1c)

The following secondary objectives of the study will be evaluated for Cohort B and for the combined set of Cohorts A plus B:

  • To evaluate the effect of REGN4461 on fasting TG levels in patients with hypertriglyceridemia
  • To evaluate the effect of REGN4461 on glycemic control in patients with hyperglycemia

The following secondary objectives of the study will be evaluated for Cohorts A and B separately, and for the combined set of Cohorts A plus B:

  • To evaluate the effect of REGN4461 on liver fat in patients with hepatic steatosis
  • To evaluate the effect of REGN4461 on hunger
  • To evaluate safety and tolerability of REGN4461
  • To characterize the concentration profile of REGN4461 over time
  • To assess immunogenicity to REGN4461
Being tested
REGN4461, Matching Placebo
Medical subject headings
Lipodystrophy, Familial Partial

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • REGN4461Drug

    Also called mibavademab

    Intravenous (IV) infusion loading dose followed by subcutaneous (SC) injection weekly (QW).

  • Matching PlaceboDrug

    Intravenous (IV) infusion loading dose followed by subcutaneous (SC) injection weekly (QW).

Study groups in NCT05088460
Study groupRoleWhat they receive
Study Arm 1ExperimentalRandomized to placebo for 12 weeks and then crossover to REGN4461 for 12 weeks
Receives: Drug: REGN4461; Drug: Matching Placebo
Study Arm 2ExperimentalRandomized to receive REGN4461 for 24 weeks
Receives: Drug: REGN4461

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percent Change From Baseline to Week 12 in Fasting Serum Triglyceride (TG) (Cohort A)

    Percentage change in fasting serum TG was reported for participants with elevated baseline fasting TG (> 200 mg/dL) and with baseline leptin < 8.0 ng/mL (Cohort A).

    Measured: Baseline to week 12

  2. Change From Baseline to Week 12 in Hemoglobin A1c (HbA1c) (Cohort A)

    Change in HbA1c was reported for participants with elevated baseline HbA1c (> 7.0%) and with baseline leptin < 8.0 ng/mL (Cohort A).

    Measured: Baseline to week 12

Secondary outcomes (17)
  1. Percent Change From Baseline to Week 12 in Fasting Serum TG (Cohorts B and A + B)

    Percent change in fasting serum TG was reported for participants with elevated baseline fasting TG (>200 mg/dL) in Cohort B and Cohorts A + B.

    Measured: Baseline to week 12

  2. Change From Baseline to Week 12 in HbA1c (Cohorts B and A + B)

    Change in HbA1c was reported for participants with elevated baseline HbA1c (>7.0%) in Cohort B and Cohorts A + B.

    Measured: Baseline to week 12

  3. Percent Change From Baseline to Weeks 12 and 24 in Fasting Serum TG (Study Arm 1)

    Percent change in fasting serum TG was reported for participants in Study Arm 1.

    Measured: Baseline, Week 12, Week 24

  4. Percent Change From Baseline to Weeks 12 and 24 in Fasting Serum TG (Study Arm 2)

    Percent change in fasting serum TG was reported for participants in Study Arm 2.

    Measured: Baseline, Week 12, Week 24

  5. Change From Baseline to Weeks 12 and 24 in HbA1c (Study Arm 1)

    Change from baseline in HbA1c was reported for participants in Study Arm 1.

    Measured: Baseline, Week 12, Week 24

  6. Change From Baseline to Weeks 12 and 24 in HbA1c (Study Arm 2)

    Change from baseline in HbA1c was reported for participants in Study Arm 2.

    Measured: Baseline, Week 12, Week 24

  7. Change From Baseline to Weeks 12 and 24 in Fasting Glucose (Study Arm 1)

    Change from baseline in fasting glucose was reported for participants in Study Arm 1.

    Measured: Baseline, Week 12, Week 24

  8. Change From Baseline to Weeks 12 and 24 in Fasting Glucose (Study Arm 2)

    Change from baseline in fasting glucose was reported for participants in Study Arm 2.

    Measured: Baseline, Week 12, Week 24

  9. Percent Change From Baseline to Weeks 12 and 24 in Liver Fat Magnetic Resonance Imaging-derived Proton Density Fat Fraction (MRI-PDFF) (Study Arm 1)

    Percent change from baseline in MRI-PDFF was reported for participants with baseline MRI-PDFF ≥8.5% in Study Arm 1.

    Measured: Baseline, Week 12, Week 24

  10. Percent Change From Baseline to Weeks 12 and 24 in Liver Fat MRI-PDFF (Study Arm 2)

    Percent change from baseline in MRI-PDFF was reported for participants with baseline liver fat MRI-PDFF ≥8.5% in Study Arm 2.

    Measured: Baseline, Week 12, Week 24

  11. Change From Baseline to Weeks 12 and 24 on the Daily Lipodystrophy Hunger Questionnaire - Highest Hunger Score

    The daily lipodystrophy hunger questionnaire was developed to assess hunger related behaviors among patients with lipodystrophy. The highest hunger score asked participants to rate their highest hunger that day on a scale from 0 to 4, with higher scores representing the higher perceived hunger. A negative change from baseline indicated a reduction in perceived hunger.

    Measured: Baseline, Week 12, Week 24

  12. Change From Baseline to Weeks 12 and 24 on the Daily Lipodystrophy Hunger Questionnaire - Lowest Hunger Score

    The daily lipodystrophy hunger questionnaire was developed to assess hunger related behaviors among patients with lipodystrophy. The lowest hunger score asked participants to rate their lowest hunger that day on a scale from 0 to 4, with higher scores indicating higher perceived hunger. A negative change from baseline score indicated a reduction in perceived lowest hunger.

    Measured: Baseline, Week 12, Week 24

  13. Change From Baseline to Weeks 12 and 24 on the Daily Lipodystrophy Hunger Questionnaire - Felt Hungry Score

    The daily lipodystrophy hunger questionnaire was developed to assess hunger related behaviors among participants with lipodystrophy. The felt hungry score asked how much time participants felt hunger that day on a scale from 0 to 4, with higher scores indicating more time feeling hungry. A negative change from baseline score indicated a reduction in time spent feeling hungry.

    Measured: Baseline, Week 12, Week 24

  14. Change From Baseline to Weeks 12 and 24 on the Daily Lipodystrophy Hunger Questionnaire - Fullness Score

    The daily lipodystrophy hunger questionnaire was developed to assess hunger related behaviors among patients with lipodystrophy. The fullness score asked participants to rate how often they felt full after eating that day on a scale from 0 to 4, with higher scores indicating higher feeling of fullness. A negative change from baseline indicated a reduced feeling of fullness.

    Measured: Baseline, Week 12, Week 24

  15. Number of Participants With Treatment-emergent Adverse Events (TEAEs)

    Measured: Up to Day 169

  16. Concentrations of REGN4461 in Serum

    Measured: Weeks 0, 1, 2, 3, 4, 5, 6, 9, 12, 13, 14, 15, 16, 17, 18, 21, 28, 32 and 36. Weeks 0 and 12 collected pre- and post-dose. All other time points were only pre-dose.

  17. Number of Participants With Treatment-emergent Anti-drug Antibody (ADA) Response

    Measured: Up to Day 281

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Oct 2021
  2. Study start28 Feb 2022
  3. Primary completion13 Dec 2023
  4. Study completion18 Apr 2024

Why it stopped: Sponsor Decision

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
20 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05088460
Sponsor's protocol ID
R4461-PLD-20100
Other IDs
2021-000138-33
Acronym
LEAP
Status last verified
Aug 2025
First submitted
12 Oct 2021
Last updated
16 Oct 2025
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing REGN4461 in people with Familial Partial Lipodystrophy and Metabolic Abnormalities, run by Regeneron Pharmaceuticals at 8 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 16 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in United States, France, Spain, Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 2 Jul 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percent Change From Baseline to Week 12 in Fasting Serum Triglyceride (TG) (Cohort A) (time frame: Baseline to week 12). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Oct 2025.

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