Table 3.
Outcomes in the control and metreleptin groups at 0 and 12 months
| Metreleptin | Control | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Baseline (N = 9) | 12 months (N = 9) | Delta (N = 9) | P for 0-12 month difference | Baseline (N = 7) | 12 months (N = 6) | Delta (N = 6) | P for 0-12 month difference | P for baseline between groups | P for deltas; Tx across all time points | |
| Age (years) | 13.8 ± 5.0 | 14.8 ± 5.0 | <0.0001 | 11.4 ± 5.3 | 12.8 ± 5.7 | <0.0001 | 0.67 | - | ||
| A1c (%) | 10.7 ± 1.5 | 9.3 ± 1.7 | -1.4 ± 1.1 | 0.006 | 8.8 ± 2.2 | 9.4 ± 2.2 | 0.2 ± 0.7 | 0.43 | 0.03 | 0.007 |
| Fasting glucose (mg/dL) | 168 ± 72 | 125 ± 75 | -43 ± 54 | 0.04 | 134 ± 72 | 132 ± 62 | -14 ± 70 | 0.64 | 0.23 | 0.19 |
| 24-hour urine glucose excretion (g/24 h) | 146.5 ± 82.6 | 86.9 ± 42.5b | -62.1 ± 71.2d | 0.12 | 55.6 ± 38.9 | 72.4 ± 43.2e | 3.7 ± 38.2e | 0.86 | 0.04 | 0.93 |
| OGTT | ||||||||||
| Glucose AUC (mg/dL 190 min) | 62 536 ± 13 231 | 52 163 ± 19 242 | -10 373 ± 8036 | 0.005 | 46 397 ± 19 231c | 52 865 ± 24 911f | 673 ± 4413f | 0.82 | 0.08 | 0.07 |
| Insulin AUC (mcU/mL 190 min) | 90 665 [42 488, 134 420] | 90 383 [4 5931, 145 903] | -568 [-10 424,28 473] | 0.99 | 81 070 [43 226, 286 888]d | 183 480 [85 585, 309 775]f | -14 625 [-163 790, 102 410] f | 0.86 | 0.85 | 0.70 |
| C-peptide AUC (ng/mL 190 min) | 1879 ± 1512 | 1847 ± 1457 | -32 ± 850 | 0.91 | 1862 ± 81f | 3114 ± 1036g | 1283 ± 948g | 0.31 | 0.98 | 0.20 |
| Fasting insulin (U/mL) | 321 [269,531] | 232 [161,742] | -17 [-158,15] | 0.25 | 289 [214,1000] | 360 [229,699]d | -63 [-405,-22]d | 0.15 | 0.76 | 0.42 |
| HOMA-IR | 147 [91, 219] | 82 [33, 229] | -43 [-73,34] | 0.08 | 108 [32,506] | 153 [69,186]d | -26 [-382,9]d | 0.27 | 0.30 | 0.68 |
| Weight SDS | -2.8 ± 1.8 | -3.8 ± 1.9 | -1.1 ± 0.5 | 0.0001 | -2.5 ± 1.4 | -2.7 ± 1.2 | 0.2 ± 1.0 | 0.67 | 0.30 | 0.03 |
| Height SDS | -2.9 ± 1.5d | -3.0 ± 1.8d | -0.08 ± 0.4d | 0.70 | -2.5 ± 1.5c | -3.0 ± 1.2d | -0.1 ± 0.2d | 0.23 | 0.13 | 0.65 |
| BMI SDS | -1.0 ± 1.5 | -2.3 ± 1.6 | -1.3 ± 0.6 | 0.0001 | -1.2 ± 1.2 | -1.0 ± 0.7 | 0.4 ± 1.2 | 0.48 | 0.77 | 0.01 |
| IGF-1 SDS | -3.6 ± 0.5 | -3.4 ± 0.7a | 0.2 ± 0.5a | 0.43 | -3.3 ± 0.8c | -3.6 ± 1.0e | -0.4 ± 0.3f | 0.18 | 0.38 | 0.16 |
| Growth hormone (ng/mL) | 2.28 ± 2.0b | 7.29 ± 7.56d | 7.59 ± 6.56e | 0.10 | 2.82 ± 2.72 c | 1.07 ± 0.87e | -2.60 ± 3.55e | 0.24 | 0.79 | 0.04 |
| 24-hour urine protein excretion (mg/24 h) | 194.2 ± 158.2 | 138 ± 107b | -107.1 ± 193.9b | 0.35 | 204.0 ± 203.9e | 151.3 ± 21.6g | -162.3h | N/A | 0.49 | 0.21 |
| 24-hour urine albumin excretion (mg/24 h) | 26.1 [15.6,54.7] | 35.7 [30.4,59.5] b | 9.1 [-25.2,16.9] b | 0.80 | 17.5 [8.2,69.2]c | 31.1 [26.6,257.4] e | 9.8 [-2.0,11.2] f | 0.26 | 0.42 | 0.69 |
| eGFR (mL/min/1.73 m 2 ) | 253 [177,289] | 218 [169,339] | -11 [-55,11] | 0.49 | 215 [161,254]c | 152 [124,229] | -16 [-91,45] d | 0.55 | 0.34 | 0.08 |
Glycemia, anthropometrics and kidney function for the metreleptin-treated group and control group at 0 and 12 months. P for deltas represents the linear mixed effects models to determine a difference in change from baseline between the control and metreleptin groups across all time points. Data are presented as mean ± SD or median [IQR: 25th, 75th]. Height SDS only includes patients who had achieved ≤ 90% of adult height, based on review of growth charts.
aN = 8;
bN = 7;
cN = 6;
dN = 5;
eN = 4;
fN = 3;
gN = 2;
hN = 1.