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. Author manuscript; available in PMC: 2009 Oct 5.
Published in final edited form as: Ann Intern Med. 2008 Nov 4;149(9):601–611. doi: 10.7326/0003-4819-149-9-200811040-00003

APPENDIX TABLE 2.

EFFECTS OF TREATMENT ON BODY COMPOSITION

BASELINE 6 MONTHS 12 MONTHS
BODY COMPOSITION Mean (SD) minimum-maximum Mean Change * 95% CI P Value MK-677 vs. Placebo Mean Change * 95% CI P Value MK-677 vs. Placebo
Primary Endpoints
FFM, kg [4-C] Placebo 47.9 (11.9) 33.5-77.5 -0.2 -1.0 - 0.7 -0.4 -1.1 - 0.4
MK-677 N=42 47.6 (9.9) 33.6-69.3 N=42 1.1 0.5 - 1.8 0.014 N=42 1.3 0.7 - 1.8 0.001
FFM, kg [DXA] Placebo 48.2 (12.4) 34.3-76.5 -0.2 -0.9 - 0.5 -0.5 -1.1 - 0.2
MK-677 48.3 (11.3) 30.8-71.2 1.0 0.5 - 1.5 0.006 1.1 0.7 - 1.5 <0.001
AVF, cm2 [CT] Placebo N=18 104.8 (46.7) 35.6-214.0 N=18 6.0 -5.9 - 17.8 N=18 4.2 -6.2 - 14.5
MK-677 N=41 128.8 (58.0) 36.7-313.9 N=41 2.5 -5.4 - 10.3 0.83 N=41 8.4 1.6 - 15.3 0.68
Other Endpoints
Weight, kg Placebo 74.5 (13.7) 51.5-97.9 0.7 -0.5-1.9 0.8 -0.3 - 1.8
MK-677 75.2 (11.1) 53.5-107.5 3.1 2.2 - 3.9 0.001 2.7 2.0 - 3.5 0.003
TBF, kg [4-C] Placebo 26.6 (8.9) 12.0-49.2 0.9 -0.4 - 2.2 1.1 0.0 - 2.3
MK-677 N=42 27.7 (7.0) 10.9-45.7 N=42 1.8 0.9 - 2.8 0.37 N=42 1.4 0.6 - 2.2 0.76
TBF, kg [DXA] Placebo 26.1 (9.2) 11.6-49.7 0.9 0.0 - 1.9 1.1 0.2 - 1.9
MK-677 26.5 (7.6) 7.5-44.9 2.1 1.4 - 2.8 0.040 1.8 1.2 - 2.5 0.130
Fat, % [4-C] Placebo 35.7 (9.5) 19.0-53.2 0.8 -0.4 - 2.1 1.3 0.2 - 2.4
MK-677 N=42 36.9 (7.9) 14.7-50.8 N=42 0.9 0.0 - 1.8 >.99 N=42 0.4 -0.4 - 1.2 0.196
Fat, % [DXA] Placebo 35.2 (10.3) 19.4-53.8 0.9 0.1 - 1.8 1.2 0.4 - 0.9
MK-677 35.7 (9.5) 9.8-49.9 1.1 0.5 - 1.7 >.99 0.8 0.3 - 1.3 0.39
Other Endpoints
ASCF, cm2 [CT] Placebo N=18 281.2 - 124.2) 110.6-620.7 N=18 8.3 -7.5 - 24.1 N=18 1.3 -12.5 - 15.0
MK-677 N=40 292.8 (97.0) 53-506.8 N=40 22.0 11.4 - 32.6 0.23 N=40 18.0 8.7 - 27.2 0.054
Limb Fat, kg [DXA] Placebo 12.5 (4.6) 6.2-23.3 0.24 -0.2 - 0.7 0.29 -0.1 - 0.7
MK-677 12.53 (4.1) 3.3-20.7 1.1 0.7 - 1.4 0.001 0.9 0.6 - 1.2 0.011
Limb Lean, kg [DXA] Placebo 18.2 (6.0) 11.8-32.6 -0.17 -0.6 - 0.2 -0.3 -0.6 - 0.1
MK-677 18.2 (5.4) 10.6-30.1 0.5 0.2 - 0.8 0.008 0.5 0.3 - 0.8 <0.001
T-Score for TASM/ht2 Placebo -0.1 (1.4) -2.5 - 2.4 -0.11 -0.32 - 0.11 -0.13 -0.32 - 0.06
MK-677 -0.2 (1.1) -2.4 - 2.5 0.26 0.10 - 0.41 0.005 0.29 0.16 - 0.42 <0.001
Thigh Muscle Area, cm2 [CT] Placebo 112.9 (33.3) 75.3-175.4 N=21 1.5 -1.7 - 4.7 -0.5 -3.2 - 2.2
MK-677 N=41 111.2 (26.9) 78.3-185.4 N=41 2.6 0.3 - 4.9 >.99 N=41 1.5 -0.5 - 3.5 0.20
Leg Lean, kg [DXA] Placebo 13.8 (4.1) 9.3-23.7 -0.11 -0.4 - 0.2 -0.25 -0.5 - 0.0
MK-677 13.7 (3.7) 9.3-21.0 0.4 0.2 - 0.6 0.011 0.4 0.2 - 0.6 0.001
Arm Lean, kg [DXA] Placebo 4.5 (2.0) 2.4-8.8 -0.1 -0.2 - 0.1 0.0 -0.2 - 0.1
MK-677 4.5 (1.8) 2.3-9.1 0.09 0.0 - 0.2 0.104 0.16 0.1 - 0.3 0.019

Baseline data presented are arithmetic mean (SD) and the minimum and maximum values; Placebo (N=22) and MK-677 (N=43) unless otherwise indicated.

*

Mean change (arithmetic difference) from baseline with 95% confidence limits

P values are for the pivotal comparisons between the two groups at 6 months and at 12 months.

FFM (fat-free mass) and TBF (total body fat) were measured by a 4-compartment (4-C) model and by DXA (dual energy x-ray absorptiometry)

AVF (abdominal visceral fat) and ASCF (abdominal subcutaneous fat) measured from a single-slice CT (computed tomography) scan

Limb fat (appendicular fat mass) from DXA, measured as the sum of the fat for the arms and the legs

Limb lean (total appendicular skeletal muscle mass; TASM) from DXA, measured as the sum of the lean soft tissue for the arms (arm lean) and the legs (leg lean)

Thigh muscle area (average of R and L thighs) from a single-slice CT scan

A t-score was computed for each individual, relating the TASM/ht2 to those of gender-concordant young adults.