This study is researching an experimental drug called mibavademab. The study is focused on patients with a condition called monogenic obesity. Monogenic obesity is caused by a change in the leptin gene that keeps it from working properly. This causes the body to not be able to feel full or control feelings of hunger. The aim of the study is to see how well mibavademab controls the body weight and how safe it is. The study is looking at several other research questions, including: * How much mibavademab is in the blood at different times * Whether the body makes proteins called antibodies against mibavademab (which could stop mibavademab from working as well or could lead to side effects) * What side effects may happen from taking mibavademab
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
4
Administered as per the protocol
Percent change in Body Mass Index (BMI)
Time frame: Baseline to Week 24
Percent change in BMI
Time frame: Baseline to Week 52
Absolute change in BMI
Time frame: Baseline, Through Week 52
Percent change in body weight
Time frame: Baseline, Through Week 52
Absolute change in body weight
Time frame: Baseline, Through Week 52
Change in waist circumference
Participants aged ≥18 years
Time frame: Baseline, Through Week 52
Change in absolute total fat mass by whole body DXA
Time frame: Baseline, Through Week 52
Change in percent total fat mass by whole body DXA
Time frame: Baseline, Through Week 52
Change in absolute regional fat mass by whole body DXA
Time frame: Baseline, Through Week 52
Change in percent regional fat mass by whole body DXA
Time frame: Baseline, Through Week 52
Change in scores in the symptoms of hyperphagia questionnaire
Symptoms of Hyperphagia - Caregiver Version© is completed by a caregiver. Symptoms of Hyperphagia - Patient Version© is completed by the participants who are aged \<12 years or for participants who are unable to self-complete. The questionnaires both assesses the frequency of hunger symptoms on a categorical scale (Never, 1 or 2 times, 3 or more times) over the past 24 hours and are scored combining the total scores across the items. Higher scores indicate greater severity.
Time frame: Baseline, Through Week 52
Change in scores in the impacts of hyperphagia questionnaire
For participants who are aged \<12 years or for participants who are unable to self-complete, the Impacts of Hyperphagia - Caregiver Version© is completed by a caregiver. For participants aged ≥12 years who are able to self-report, the Impacts of Hyperphagia - Patient Version© is completed by the participant. Both questionnaires assess the impact of hyperphagia on a categorical scale (range: not at all, a little, moderately, a great deal). The participant version is scored using a total score across the 5 items. The caregiver version is scored separately for each section. Higher scores indicate a greater impact of hyperphagia.
Time frame: Baseline, Through Week 52
Change in scores in the hunger questionnaire
The Daily Hunger Assessment is a daily, single item measuring hunger for participants aged ≥12 years who are able to self-complete, participants are asked to rate their highest level of hunger over for the day, where "0" is "not hungry at all" to "10" the hungriest possible."
Time frame: Baseline, Through Week 52
Number of treatment-emergent adverse events (TEAEs)
Time frame: Through Week 65
Severity of TEAEs
Time frame: Through Week 65
Concentrations of total mibavademab in serum
Time frame: Through Week 65
Incidence of anti-drug antibody (ADA) to mibavademab
Time frame: Through Week 65
Titer of ADA to mibavademab
Time frame: Through Week 65
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