Skip to main content
. 2021 Oct 28;107(3):e1032–e1046. doi: 10.1210/clinem/dgab782

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.