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NCT Number: NCT07220772

A Study Evaluating Mibavademab Treatment of Obesity Due to Leptin (LEP) Gene Mutations in Children, Adolescents and Adults

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

Recruiting

Interested in participating?

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Key information

Age range

2 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

ULM University Medical Centre

Ulm, 89075, Germany

Location status: Recruiting

Location contact

Julia Schnurbein

CONTACT

[email protected]

7315005740

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • Has documented medical history of biallelic loss of function variants of the LEP gene prior to the screening visit
  • Has class ≥2 obesity at screening and at baseline, as defined in the protocol

Key Exclusion Criteria:

  • Unwilling or unable to provide, or have the treating physician provide, documented historical weight for at least 6 months prior to screening
  • History of bariatric surgery within approximately the past 12 months of study screening
  • History of weight loss of ≥5% of body weight in approximately the past 3 months of study screening
  • History of genetic causes of obesity other than/in addition to biallelic loss of function variants of the LEP gene
  • History of schizophrenia, bipolar disorder, or other mental illness that, in the opinion of the investigator, might pose a safety risk to participation in a clinical study of an investigational drug
  • Any suicidal ideation of type 4 or 5 on the Columbia Suicide Severity Rating Scale (C-SSRS) during screening or baseline, or any lifetime history of a suicide attempt, or any lifetime history of suicidal behavior, including ideation
  • Treatment with medications for weight loss or medications with known side effects of weight loss within the past approximately 3 months of study screening
  • Participants currently being treated with metreleptin, or a history of prior treatment with metreleptin as defined in the protocol

NOTE: Other Protocol-defined Inclusion/Exclusion Criteria Apply

Treatment and study plan

Mibavademab

Drug

Administered as per the protocol

Other names: REGN4461

Primary outcomes

  1. Percent change in Body Mass Index (BMI)

    Time frame: Baseline to Week 24

Secondary outcomes

  1. Percent change in BMI

    Time frame: Baseline to Week 52

  2. Absolute change in BMI

    Time frame: Baseline, Through Week 52

  3. Percent change in body weight

    Time frame: Baseline, Through Week 52

  4. Absolute change in body weight

    Time frame: Baseline, Through Week 52

  5. Change in waist circumference

    Time frame: Baseline, Through Week 52

    Participants aged ≥18 years

  6. Change in absolute total fat mass by whole body DXA

    Time frame: Baseline, Through Week 52

  7. Change in percent total fat mass by whole body DXA

    Time frame: Baseline, Through Week 52

  8. Change in absolute regional fat mass by whole body DXA

    Time frame: Baseline, Through Week 52

  9. Change in percent regional fat mass by whole body DXA

    Time frame: Baseline, Through Week 52

  10. Change in scores in the symptoms of hyperphagia questionnaire

    Time frame: Baseline, Through Week 52

    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.

  11. Change in scores in the impacts of hyperphagia questionnaire

    Time frame: Baseline, Through Week 52

    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.

  12. Change in scores in the hunger questionnaire

    Time frame: Baseline, Through Week 52

    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."

  13. Number of treatment-emergent adverse events (TEAEs)

    Time frame: Through Week 65

  14. Severity of TEAEs

    Time frame: Through Week 65

  15. Concentrations of total mibavademab in serum

    Time frame: Through Week 65

  16. Incidence of anti-drug antibody (ADA) to mibavademab

    Time frame: Through Week 65

  17. Titer of ADA to mibavademab

    Time frame: Through Week 65

Study contacts

Contact information is provided by the study sponsor or research team.

Clinical Trials Administrator

CONTACT

[email protected]

844-734-6643

Sponsors and collaborators

Lead sponsor

Regeneron Pharmaceuticals

Industry

Registry information

Official study title

An Open-Label Study of Mibavademab (REGN4461), a Leptin Receptor Agonist, for the Treatment of Monogenic Obesity Due to Biallelic Loss of Function Variants of the LEP Gene

Important dates

Study start
2026
Primary completion
2027
Study completion
2028
First posted
Oct 24, 2025
Registry last updated
Mar 10, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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