The primary objective of the study is to evaluate the safety and tolerability of REGN4461 in healthy participants. The secondary objectives of the study are to: * Characterize the Pharmacokinetic (PK) profile of single and repeated doses of REGN4461 and evaluate the effects of baseline covariates on PK profile * Estimate the effects of repeated doses of REGN4461 on body weight over 12 weeks in overweight and obese participants * Assess the effects of repeated doses of REGN4461 on ad lib energy intake in overweight and obese participants * Evaluate the effects of single and repeated doses of REGN4461 on soluble forms of lipid-regulating proteins levels over time * Assess the immunogenicity of single and repeated doses of REGN4461
This is a 2-part study of the safety, tolerability, PK and pharmacodynamic (PD) of single and repeated doses of REGN4461 in healthy participants. In Part A, healthy lean or overweight participants will be enrolled to evaluate the safety, tolerability, PK, and PD of single ascending intravenous (IV) and subcutaneous (SC) doses. Interim PK and safety information from Part A will be used to select the dose level, frequency, and mode of administration (IV or SC) for repeat dosing in Part B. In Part B, overweight/obese participants with body mass index (BMI) 25-40 kg/m2 will be enrolled to evaluate the safety, tolerability, PK, and PD of repeated doses of REGN4461 in 4 distinct cohorts defined by baseline leptin levels.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
TRIPLE
Enrollment
113
Regeneron Investigational Site
Antwerp, Belgium
Number of treatment-emergent adverse events (TEAEs)
Time frame: Up to week 27
Concentrations of REGN4461 in serum over time
Time frame: Up to week 27
Percent change from baseline to week 12 in body weight in overweight or obese participants
Time frame: Baseline to week 12
Absolute change from baseline to week 12 in body weight in overweight or obese participants
Time frame: Baseline to week 12
Change from baseline in caloric intake in response to standardized meals in overweight or obese participants
Time frame: Baseline to week 12
Change in lipid-regulating protein levels over time after single doses of REGN4461
Time frame: Up to week 16
Change in lipid-regulating protein levels over time after repeated doses of REGN4461
Time frame: Up to week 27
Incidence of anti-drug antibodies to REGN4461 over time after single doses of REGN4461
Time frame: Up to week 16
Incidence of anti-drug antibodies to REGN4461 over time after repeated doses of REGN4461
Time frame: Up to week 27
Pharmacokinetic (PK) parameter: Area under curve (AUC) computed from time zero to the time of the last positive concentration (AUClast)
Time frame: Up to week 27
PK parameter: AUC computed across a dosing interval with length τ (AUCo-τ)
Time frame: Upt to week 27
PK parameter: peak concentration (Cmax)
Time frame: Up to week 27
PK parameter: time to Cmax (tmax)
Time frame: Up to week 27
PK parameter: clearance (CL)
Time frame: Up to week 27
PK parameter: trough concentration (Ctrough)
Time frame: Up to week 27
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