* Phase 2b Study of Tesomet in Subjects with HO (TM008)

  • Research type

    Research Study

  • Full title

    A Phase 2b, Double-blind, Randomized, Placebo-controlled, Dose finding, Multi-center, 36-week Safety and Efficacy Study with Open-label Extension Period of Tesomet in Subjects with Hypothalamic Obesity

  • IRAS ID

    303420

  • Contact name

    Lucinda Summers

  • Contact email

    Lucinda.Summers@srft.nhs.uk

  • Sponsor organisation

    Saniona A/S

  • Eudract number

    2021-000146-18

  • Clinicaltrials.gov Identifier

    NCT05147415

  • Duration of Study in the UK

    2 years, 3 months, 1 days

  • Research summary

    Research Summary

    Hypothalamic obesity (HO) is characterised by significant weight gain that can occur after damage to the hypothalamus, which is a part of the brain that is responsible for controlling hunger amongst many other functions. People with HO often have a higher than normal sensation of hunger and a low metabolic rate leading to excessive weight gain.

    A wide range of drug treatments have been attempted to combat HO but the results have been varied. Surgery to reduce the size of the stomach is also an option, but it is an intensive and invasive procedure and there are few published studies in this population to support its use. Tesomet, the medication being investigated in this study, is a combination therapy of two agents; tesofensine, which has demonstrated clinically significant weight reducing effects, and metoprolol, an established medication prescribed for hypertension, angina pectoris, and heart failure.

    TM008 is a Phase 2b, double-blind, randomised, placebo-controlled, multicentre study of Tesomet versus placebo in adult and adolescent participants with HO. The primary objectives of the study are to examine the efficacy (by reduction of body weight), safety and tolerability of several dose levels of Tesomet over 36 weeks in adult participants with HO and to inform the dose selections for the Phase 3 study. Eligible participants will be randomly assigned at equal ratios to receive 1 of 3 doses of Tesomet or matching placebo capsules. An optional 36-week open-label extension part is included to investigate long-term safety and efficacy; all participants will receive the highest tolerated dose from the double-blind period.

    Approximately 104 participants will be randomised into the study. Recruitment in the UK will take place in hospitals. The study is sponsored by Saniona.

    Summary of Results

    No participants were randomised to treatment in the clinical trial and therefore no study results are available.

  • REC name

    East of England - Cambridge Central Research Ethics Committee

  • REC reference

    22/EE/0199

  • Date of REC Opinion

    27 Sep 2021

  • REC opinion

    Further Information Favourable Opinion