TABLE 1.
Clinical study I: Study variables for obese, diabetic subjects taking placebo (n = 21) or metreleptin (n = 50) at baseline and 4 and 16 weeks of follow-up and % change in study variables from baseline to 16 weeks
Variable | Placebo-treateda |
Leptin-treated |
||||||
---|---|---|---|---|---|---|---|---|
n | Mean ± SE | % | n | Mean ± SE | % | P valueb | P valuec | |
Female | 42.9 | 42.0 | ||||||
BMI | 0.80 | |||||||
Baseline | 21 | 32.8 ± 0.7 | 50 | 32.7 ± 0.5 | 0.84 | |||
Week 4 | 21 | 32.6 ± 0.7 | 47 | 32.5 ± 0.5 | 0.85 | |||
Week 16 | 19 | 32.8 ± 0.7 | 45 | 31.9 ± 0.5 | 0.36 | |||
Change after 16 wk | 19 | −0.5 ± 0.2 | −1.6 | 45 | −0.7 ± 0.1 | −2.1 | 0.43 | |
Leptin (ng/mL) | <0.0001 | |||||||
Baseline | 18 | 38.0 ± 6.4 | 48 | 35.2 ± 3.5 | 0.27 | |||
Week 4 | 18 | 35.5 ± 6.8 | 49 | 430.6 ± 47.4 | <0.0001 | |||
Week 16 | 20 | 36.8 ± 6.5 | 48 | 987.1 ± 50.1 | <0.0001 | |||
Change after 16 wk | 18 | −3.1 ± 3.2 | −8.2 | 47 | 957.2 ± 50.4 | 2,721 | <0.0001 | |
LBP (ng/mL) | 0.04 | |||||||
Baseline | 20 | 25.3 ± 1.7 | 49 | 25.0 ± 1.2 | 0.88 | |||
Week 4 | 19 | 23.5 ± 1.4 | 49 | 24.4 ± 1.2 | 0.77 | |||
Week 16 | 21 | 22.7 ± 1.4 | 49 | 24.4 ± 1.1 | 0.35 | |||
Change after 16 wk | 20 | −2.2 ± 1.1 | −8.8 | 48 | −0.4 ± 0.5 | −1.5 | 0.07 | |
Free leptin (ng/mL) | 0.002 | |||||||
Baseline | 15 | 15.8 ± 3.3 | 32 | 22.6 ± 4.7 | 0.37 | |||
Week 4 | 7 | 13.9 ± 4.2 | 26 | 30.0 ± 6.0 | 0.16 | |||
Week 16 | 16 | 14.5 ± 3.9 | 33 | 61.6 ± 7.8 | 0.0002 | |||
Change after 16 wk | 11 | −1.3 ± 1.6 | −8.1 | 21 | 53.2 ± 11.5 | 236.0 | 0.002 | |
Antibody titer (µg/mL) | 0.0009 | |||||||
Baseline | 7 | 0.0 ± 0.0 | 16 | 5.3 ± 4.0 | 0.41 | |||
Week 4 | 1 | 0.0 ± 0.0 | 8 | 33.5 ± 11.4 | 0.56 | |||
Week 16 | 6 | 0.0 ± 0.0 | 14 | 52.3 ± 2.7 | <0.0001 | |||
Change after 16 wk | 4 | 0.0 ± 0.0 | 0 | 5 | 52.7 ± 3.9 | 987.4 | 0.0001 | |
IL-6 (pg/mL) | 0.62 | |||||||
Baseline | 20 | 3.2 ± 0.2 | 49 | 3.7 ± 0.4 | 0.25 | |||
Week 4 | 19 | 3.7 ± 0.2 | 49 | 3.6 ± 0.5 | 0.78 | |||
Week 16 | 21 | 3.5 ± 0.3 | 49 | 3.6 ± 0.5 | 0.78 | |||
Change after 16 wk | 20 | −0.1 ± 0.6 | −3.2 | 48 | 0.2 ± 0.3 | 6.4 | 0.59 | |
CRP (µg/L) | 0.93 | |||||||
Baseline | 20 | 9,356 ± 2,059 | 48 | 9,138 ± 1,172 | 0.95 | |||
Week 4 | 19 | 9,200 ± 2,026 | 49 | 9,702 ± 1,215 | 0.87 | |||
Week 16 | 21 | 8,609 ± 2,013 | 49 | 9,512 ± 1,158 | 0.62 | |||
Change after 16 wk | 20 | −555 ± 1,013 | −5.9 | 47 | 448 ± 883 | 4.9 | 0.52 | |
sTNFR-I (pg/mL) | 0.31 | |||||||
Baseline | 20 | 1,058 ± 63.1 | 49 | 1,129 ± 45.7 | 0.43 | |||
Week 4 | 19 | 1,056 ± 68.0 | 50 | 1,147 ± 51.6 | 0.37 | |||
Week 16 | 21 | 1,051 ± 69.7 | 49 | 1,134 ± 48.2 | 0.29 | |||
Change after 16 wk | 20 | −8.6 ± 32.6 | −0.8 | 48 | 23.7 ± 23.8 | 2.1 | 0.47 | |
sTNFR-II (pg/mL) | 0.09 | |||||||
Baseline | 20 | 2,089 ± 186.9 | 49 | 2,470 ± 111.0 | 0.08 | |||
Week 4 | 19 | 2,132 ± 217.7 | 50 | 2,493 ± 118.1 | 0.14 | |||
Week 16 | 21 | 2,132 ± 172.1 | 49 | 2,533 ± 111.3 | 0.04 | |||
Change after 16 wk | 20 | −4.4 ± 63.9 | −0.2 | 48 | 84.5 ± 57.1 | 3.4 | 0.39 | |
sICAM-1 (ng/mL) | 0.31 | |||||||
Baseline | 20 | 298.4 ± 12.5 | 49 | 313.2 ± 14.1 | 0.54 | |||
Week 4 | 18 | 282.8 ± 13.0 | 48 | 305.6 ± 14.1 | 0.38 | |||
Week 16 | 21 | 288.6 ± 12.4 | 48 | 317.7 ± 14.0 | 0.20 | |||
Change after 16 wk | 20 | −7.0 ± 8.4 | −2.3 | 47 | −1.4 ± 9.8 | −0.4 | 0.77 | |
IL-10 (pg/mL) | 0.42 | |||||||
Baseline | 11 | 10.4 ± 2.0 | 27 | 8.9 ± 1.0 | 0.56 | |||
Week 4 | 9 | 9.2 ± 2.5 | 18 | 8.5 ± 1.1 | 0.91 | |||
Week 16 | 13 | 9.2 ± 1.6 | 25 | 9.2 ± 1.2 | 0.94 | |||
Change after 16 wk | 8 | 0.2 ± 0.4 | 2.3 | 19 | 0.9 ± 1.2 | 10 | 0.71 |
sICAM, soluble intracellular adhesive molecule.
aData presented are on treatment. The number of subjects is variable because of occasional missing blood test results from a few subjects in a small numbers of analytes as shown. The change after 16 weeks is based on pairwise difference of subjects who had data available for both baseline and week 16 time points. Means ± SEs are presented for each variable at each follow-up visit.
bP values are calculated from one-way ANOVA.
cP values are calculated from repeated-measures analysis evaluating the change in study variables over time, adjusted for age and sex.