Phase 2 Pilot Study to Evaluate the Safety and Efficacy of RM-131 Administered to Females With Anorexia Nervosa
Study Details
Study Description
Brief Summary
The purpose of this study is to determine if administration of RM-131 is effective in improving appetite and gastrointestinal symptoms leading to the recovery of patients with anorexia nervosa in the outpatient setting.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Active Comparator: RM-131 Active study drug - RM-131 |
Drug: RM-131
RM-131 (100 mcg) will be administered daily by subcutaneous injection for 28 days.
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Placebo Comparator: Placebo Placebo comparator |
Drug: Placebo
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Outcome Measures
Primary Outcome Measures
- Effect of RM-131 on body weight [Baseline and Day 28]
Change from baseline in body weight.
Secondary Outcome Measures
- Effect of RM-131 on gastric emptying time [Baseline and Day 28]
Change from baseline in gastric half-emptying time (t1/2).
- Effect of RM-131 on appetite [Baseline and Day 28]
Change from baseline in appetite.
Eligibility Criteria
Criteria
Inclusion Criteria:
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DSM-IV criteria for anorexia nervosa, including weight <85% of ideal body weight (IBW) and amenorrhea for three months;
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Age 18-45 years old;
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Gastrointestinal tract symptoms;
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Non-hormonal method of birth control, which must be used throughout the study. Female patients unable to bear children must have this documented (i.e., tubal ligation, hysterectomy, or post-menopausal, defined as a minimum of one year since the last menstrual period and elevated FSH);
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Stable concomitant medications defined as no changes in regimen for at least 2 weeks prior to baseline;
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Able to provide written informed consent prior to any study procedures and be willing and able to comply with study procedures, including daily SC injections and completion of a daily injection log.
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Patient has a primary care physician or treatment team managing her care.
Exclusion Criteria:
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Use of hormone therapy (including but not limited to estrogen, progesterone) or hormonal methods of birth control (i.e., oral, implantable, or injectable) within eight weeks of screening; or Depo-Provera within six months of screening;
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Pregnancy, lactation or breastfeeding, or a positive serum or urine pregnancy test, within eight weeks of screening;
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History of diabetes mellitus;
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History of purging behaviors greater than once monthly within the last three months;
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Active substance abuse;
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Use of metoclopramide, erythromycin, 5HT3 anti-emetics, or opioid medications within 2 weeks prior to baseline. [Note: these drugs should also not be used post-baseline];
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Hematocrit < 30.0 %, hemoglobin < 10.0 g/dl, potassium < 3.0 mmol/L, fasting glucose > 100 mg/dL, creatinine > 1.5 mg/dL, AST or ALT > 1.5 times the upper limit of normal, or abnormal plasma thyroid stimulating hormone (TSH) level;
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Currently receiving parenteral feeding or enteral feeding, or presence of a nasogastric or other enteral tube for feeding or decompression;
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History of gastric surgery such as fundoplication, gastrectomy, gastric pacemaker placement, vagotomy, bariatric procedure, small or large bowel resection;
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Clinical suspicion, in the opinion of the investigator, of active or symptomatic peptic ulcer disease, cholelithiasis, colitis, celiac sprue, or inflammatory bowel disease;
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Active suicidal ideation;
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Beck Depression Inventory-2 score of ≥ 29;
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Current inpatient hospitalization;
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Allergic or intolerant of egg, milk, wheat or algae, as these are components of the GEBT test meal;
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Participation in a clinical study with an investigational medication or device within the 30 days prior to dosing in the present study;
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Any other reason, which in the opinion of the Investigator, including severe renal, hepatic or cardiac disease, would confound proper interpretation of the study or expose a patient to unacceptable risk.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Massachusetts General Hospital | Boston | Massachusetts | United States | 02114 |
Sponsors and Collaborators
- Motus Therapeutics, Inc.
Investigators
- Principal Investigator: Anne Klibanski, MD, Massachusetts General Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- RM-131-005