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Safety and Efficacy of an Extended-Release Peptide YY Analogue for Obesity: a Randomised, Placebo-Controlled, Phase 1 Trial

Tan, TM-M; Minnion, J; Khoo, B; Ball, L-J; Malviya, R; Day, E; Fiorentino, F; ... Bloom, SR; + view all (2021) Safety and Efficacy of an Extended-Release Peptide YY Analogue for Obesity: a Randomised, Placebo-Controlled, Phase 1 Trial. Diabetes, Obesity and Metabolism , 23 (7) pp. 1471-1483. 10.1111/dom.14358. Green open access

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Abstract

Aim: To report the results from a Phase 1 trial of an extended-release peptide YY analogue, Y14, developed for the treatment of obesity. Methods: Y14 was evaluated in overweight/obese volunteers in a Phase 1 randomized placebo-controlled trial, conducted in a clinical trial unit in the United Kingdom. Part A was a blinded single-ascending-dose study evaluating doses up to 36 mg. Part B was double-blinded and tested multiple ascending doses between 9 and 36 mg, given at 7- to 14-day intervals, over the course of 28 days, with up to five doses given per participant. The primary outcome was safety and tolerability; the secondary outcome was assessment of pharmacokinetic (PK) characteristics. Exploratory outcomes included food intake, body weight change and glucose tolerance after multiple doses. Results: Between April 11, 2017 and December 24, 2018, 53 participants were enrolled into Part A and 24 into Part B of the trial. The PK characteristics were compatible with administration every 7 to 14 days. The most common adverse events (AEs) were nausea, vomiting or administration site reactions, which were mild in most cases and settled with time. No serious AE occurred. Participants given multiple doses of Y14 lost between −2.87 and −3.58 kg body weight compared with placebo (P <0.0001) at 31 days from the first dose, with profound reductions in food intake of 38% to 55% (P <0.0001, compared to placebo) and there was no evidence of tachyphylaxis. Conclusions: Our results support the continued development of Y14 as a novel treatment for obesity.

Type: Article
Title: Safety and Efficacy of an Extended-Release Peptide YY Analogue for Obesity: a Randomised, Placebo-Controlled, Phase 1 Trial
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/dom.14358
Publisher version: http://doi.org/10.1111/dom.14358
Language: English
Additional information: This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine > Renal Medicine
URI: https://discovery.ucl.ac.uk/id/eprint/10122278
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