Current partner codePEPTIDESDE
NCT03649477·Phase 3·INTERVENTIONAL

Phase 3 Study of Intranasal Carbetocin (LV-101) in Patients With Prader-Willi Syndrome

Status

Completed

Phase

Phase 3

Enrollment

130

Locations

24

Results

Posted

Publications

2

Study summary

What the protocol is testing.

This Phase 3 study is designed to test the effectiveness of intranasal carbetocin (LV-101) in participants with Prader-Willi syndrome (PWS). Carbetocin is an oxytocin analog (a man-made chemical that is like oxytocin). This study will also evaluate the safety and tolerability of LV-101.

Full detailed description

This is a Phase 3 randomized, double-blind study with an 8-week, placebo-controlled period designed to test the effectiveness, safety, and tolerability of LV-101 in participants with PWS. Effectiveness will be measured using both caregiver-reported and clinician-reported measures of hyperphagia (extreme hunger), obsessive and compulsive behaviors, and anxiety. Safety and tolerability will be measured by adverse events, laboratory tests, and physical exams. After the 8-week placebo-controlled period, there will be a long-term follow-up period of 56 weeks and an optional extension period after study week 64 during which all participants will receive active treatment with LV-101. At Week 8, participants who were randomized to placebo in the placebo-controlled period will be randomized to one of the two LV-101 doses, administered three times per day before meals.

Interventions

Treatment arms and agents.

DRUG

3.2 mg intranasal carbetocin

three times per day with meals

DRUG

9.6 mg intranasal carbetocin

three times per day with meals

DRUG

placebo

three times per day with meals

Timeline

From registration to results.

  1. First posted

    Aug 28, 2018

  2. Study start

    Nov 20, 2018

  3. Primary completion

    May 13, 2020

  4. Study completion

    Jul 9, 2022

  5. Results posted

    Nov 17, 2021

  6. Registry updated

    Jul 26, 2022

Outcomes

What the study measures.

Primary outcomes

Hyperphagia Behavior

Time frame · Baseline to Week 8

Change in hyperphagia (extreme hunger) as measured by the Hyperphagia Questionnaire for Clinical Trials (HQ-CT) Total Score versus placebo. Score range: 0-36; higher scores mean a worse outcome. Reduction in score indicates improvement.

Obsessive and Compulsive Behaviors

Time frame · baseline to Week 8

Change in obsessive and compulsive behaviors as measured by the Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) Total Score versus placebo. Score range: 0-40; higher scores mean a worse outcome. Reduction in score indicates improvement.

Secondary outcomes

Anxiety

Time frame · Baseline to Week 8

Change in participant anxiety as measured by the PWS Anxiety and Distress Questionnaire (PADQ) Total Score versus placebo. Score range: 0-56; higher scores mean a worse outcome. Reduction in score indicates improvement.

Global Impression

Time frame · Week 8

Clinical Global Impression of Change (CGI-C) score versus placebo. Score range: 1-7; higher scores mean a worse outcome. Reduction in score indicates improvement.

Hyperphagia Behavior (Subset)

Time frame · Baseline to Week 8

Change in hyperphagia as measured by the change in specified subsets of HQ-CT questions versus placebo. Score range: 0-24; higher scores mean a worse outcome. Reduction in score indicates improvement.

Eligibility

Who can take part.

Minimum age
7 Years
Maximum age
18 Years
Sex
ALL
Healthy volunteers
No

Inclusion Criteria: * Genetically-confirmed Prader-Willi syndrome * Provide voluntary, written informed consent (parent(s) / legal guardian(s) of participant); provide voluntary, written assent (participants, as appropriate) * PWS Nutritional Phase 3 (hyperphagic, rarely feels full) Exclusion Criteria: * Living in a group home * Genetically diagnosed Schaaf-Yang syndrome or other genetic, hormonal, or chromosomal cognitive impairment * New food-related interventions, including environment or dietary restrictions, within 1 month of screening * Dose of any allowed chronic concomitant medications or supplements that have not been stable for ≥3 months prior to the study or is not expected to remain stable while participating in the study; adjustments in growth hormone dose ≤10% are not exclusionary * Presence of cardiovascular disorders, epilepsy, frequent migraines, or severe asthma * More than 3 episodes of sinusitis in the 12 months prior to Screening Visit or presence of nasal diseases that may affect deposition of intranasal medication * Unwilling to abstain from nasal saline, other nasal irrigation, or other intranasal medications for 2 weeks prior to the Baseline visit and during the 8-week, placebo-controlled period of the study * Use of weight loss medication, oxytocin, carbetocin, or vasopressin in the 6 months prior to screening * Participation in an interventional research study involving another investigational medication or device in the 6 months prior to screening or during the study * Based on the judgment of the Investigator, is unsuitable for the study for any reason, including but not limited to unstable medical condition, inability to comply with the protocol, or other risk to subject or to the integrity of the study

Study locations

24 registered sites.

Australia · Canada · United States. Showing up to 24 locations stored in the fast local snapshot.

University of Alabama at Birmingham

Birmingham, Alabama, United States

Phoenix Children's Hospital

Phoenix, Arizona, United States

Children's Hospital of Los Angeles (USC)

Los Angeles, California, United States

Rady Children's Hospital San Diego

San Diego, California, United States

Children's Hospital Colorado

Aurora, Colorado, United States

Children's National

Washington D.C., District of Columbia, United States

University of Florida

Gainesville, Florida, United States

Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago, Illinois, United States

Kansas University Medical Center

Kansas City, Kansas, United States

University of Harvard Boston Children's Hospital

Boston, Massachusetts, United States

Children's Hospitals and Clinics of Minnesota

Saint Paul, Minnesota, United States

Cardinal Glennon Children's Medical Center

St Louis, Missouri, United States

Nationwide Children's Hospital

Columbus, Ohio, United States

University of Oklahoma Health Sciences Center

Tulsa, Oklahoma, United States

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States

Vanderbilt University School of Medicine

Nashville, Tennessee, United States

Texas Children's Hospital

Houston, Texas, United States

Children's Hospital of San Antonio

San Antonio, Texas, United States

University of Utah

Salt Lake City, Utah, United States

Queensland Children's Hospital

South Brisbane, Queensland, Australia

University of Alberta

Edmonton, Alberta, Canada

British Columbia Children's Hospital

Vancouver, British Columbia, Canada

Toronto Hospital for Sick Kids

Toronto, Ontario, Canada

CHU Ste Justine

Montreal, Quebec, Canada

Related trials

More studies on Carbetocin.

Related PeptideStat pages

Put the record in context.

Research pages describe evidence. Vendor pages, where available, describe independently tracked research-product listings and are not clinical recommendations.