DRUG
3.2 mg intranasal carbetocin
three times per day with meals
Status
Completed
Phase
Phase 3
Enrollment
130
Locations
24
Results
Posted
Publications
2
Study summary
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.
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
DRUG
three times per day with meals
DRUG
three times per day with meals
DRUG
three times per day with meals
Timeline
First posted
Aug 28, 2018
Study start
Nov 20, 2018
Primary completion
May 13, 2020
Study completion
Jul 9, 2022
Results posted
Nov 17, 2021
Registry updated
Jul 26, 2022
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.
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
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
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
Publications
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