Liraglutide Use in Prader-Willi Syndrome
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Purpose
Liraglutide is a glucagon like peptide -1 (GLP-1) agonist, which is approved for use in patients with type 2 diabetes. Studies of liraglutide have shown an appetite suppressive effect and has been associated with weight loss in patients with type 2 diabetes. Liraglutide use in the treatment of PWS is limited to one case report by Cyganek et el (See attached Citation). In this case report, the subject showed improvements in hemoglobin A1c and body weight over 14 weeks.
The investigators plan to examine the use of liraglutide in a single subject with Prader Willi Syndrome and type 2 diabetes for one year. The investigators will examine clinical parameters, clinical assessment of hunger, and biochemical markers of diabetes and lipid control.
| Condition | Intervention | Phase |
|---|---|---|
|
Diabetes Mellitus Type 2 Prader Willi Syndrome |
Drug: Liraglutide |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
- Hemoglobin A1C [ Time Frame: Change from baseline in A1C at 12 months ] [ Designated as safety issue: No ]
- Fasting Blood Glucose (mmol/L) [ Time Frame: Change from baseline in fasting blood glucose at 12 months ] [ Designated as safety issue: No ]
- Fasting Blood Insulin level [ Time Frame: Change from baseline in fasting blood insulin at 12 months ] [ Designated as safety issue: No ]
- Body Weight (kg) [ Time Frame: Change from baseline in body weight at 12 months ] [ Designated as safety issue: No ]
- Fasting Lipid Profile [ Time Frame: Change from baseline in fasting lipid profile at 12 months ] [ Designated as safety issue: No ]
- Hip Circumference (cm) [ Time Frame: Change from baseline in hip circumference at 12 months ] [ Designated as safety issue: No ]
- Total Body Adipose Tissue Distribution (whole body Computed Tomography) [ Time Frame: Change from baseline in total body adipose tissue distribution at 12 months ] [ Designated as safety issue: No ]
| Enrollment: | 1 |
| Study Start Date: | February 2012 |
| Estimated Study Completion Date: | March 2013 |
| Estimated Primary Completion Date: | March 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Liraglutide
Treatment of Diabetes Mellitus Type 2 with Liraglutide in the setting of Prader Willi Syndrome
|
Drug: Liraglutide
Liraglutide 0.6 mg SQ daily for one week, increase to a maximum dose of 1.8 mg SQ daily by 6 weeks, and subsequent continuation for the remainder of a year.
Other Name: Victoza
|
Eligibility| Ages Eligible for Study: | 19 Years and older |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Prader Willi Syndrome, Diabetes Type 2
Exclusion Criteria:
- Previous or family history of Medullary Carcinoma of the Thyroid or multiple endocrine neoplasia syndrome.
- Subjects with acute or chronic Pancreatitis
Contacts and Locations| Canada, British Columbia | |
| Vancouver General Hospital - Diamond Center | |
| Vancouver, British Columbia, Canada, V5Z 1M9 | |
| Principal Investigator: | Jason Kong, MD, FRCPC | Vancouver General Hospital, University of British Columbia |
More Information
Publications:
| Responsible Party: | David E. Harris, MD, MD, Clinical Endocrinology Fellow, University of British Columbia, Vancouver General Hospital |
| ClinicalTrials.gov Identifier: | NCT01542242 History of Changes |
| Other Study ID Numbers: | PWS.VGH.UBC |
| Study First Received: | February 21, 2012 |
| Last Updated: | February 24, 2012 |
| Health Authority: | Canada: Health Canada |
Keywords provided by Vancouver General Hospital:
|
Diabetes Mellitus Type 2 Prader Willi Syndrome |
Additional relevant MeSH terms:
|
Diabetes Mellitus Diabetes Mellitus, Type 2 Prader-Willi Syndrome Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases Mental Retardation Neurobehavioral Manifestations Neurologic Manifestations Nervous System Diseases Abnormalities, Multiple Congenital Abnormalities |
Chromosome Disorders Genetic Diseases, Inborn Obesity Overnutrition Nutrition Disorders Glucagon-Like Peptide 1 Incretins Hormones Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 16, 2013