New hope for rare fat disorder: daily leptin shots target blood sugar and fats
NCT ID NCT05164341
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This Phase 3 trial tests whether a daily injection of metreleptin (a lab-made leptin hormone) can improve blood sugar and fat levels in people with partial lipodystrophy, a rare condition where fat is distributed abnormally. About 69 participants will receive either metreleptin or a placebo for 12 months. The main goals are to see if the drug lowers HbA1c and triglycerides.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- metreleptin (a lab-made version of the hormone leptin)
- What this could lead to
- If successful, this could provide a new treatment option to help control blood sugar and triglycerides in people with partial lipodystrophy.
- What could go wrong
- This is a relatively small Phase 3 trial, and results may not apply to all patients. Metreleptin requires daily injections and may cause side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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69 people
The number who actually took part.
- Started
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Dec 2021
- Expected to finish
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Oct 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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12 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Diagnosis of Familial Partial Lipodystrophy (FPLD) * Subjects with poor metabolic control defined as: HbA1c ≥7% (at Visit 1 and Visit 3) and/or Fasting TGs ≥500 mg/dL (5.65 mmol/L, at Visit 1 and Visit 3) * Patients should be receiving optimized stable therapy Exclusion Criteria: * Previous treatment with metreleptin * Leptin levels \>20.0 ng/mL * Acquired or radiation induced partial lipodystrophy (APL) Other protocol defined inclusion/exclusion criteria apply
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Amryt Research Site, Endocrinology Research Associates Inc
Columbus, Ohio, 43201, United States
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Care Access Clinic
Sydney, Nova Scotia, B1M 0A1, Canada
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Ecogene-21
Chicoutimi, Quebec, G7H 7K9, Canada
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Emory University
Atlanta, Georgia, 30329, United States
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Faculty of Medicine, Universite Laval
Québec, Quebec, G1V4W2, Canada
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Flourish Boca Raton
Boca Raton, Florida, 33431, United States
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Hadassah University Hospital - Ein Kerem
Jerusalem, Israel
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Hamilton General Hospital- McMaster University
Hamilton, Ontario, L8N 3Z5, Canada
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Hospital das Clinicas FMRP-USP
Ribeirão Preto, Brazil
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Insight Centro de Pesquisas
Porto Alegre, Brazil
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Instituto Estadual de Diabetes e Endocrinologia (IEDE-RJ)
Rio de Janeiro, Brazil
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Leids Universitair Medisch Centrum
Leiden, Netherlands
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London Health Science Centre
London, Ontario, N6A 5B7, Canada
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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Mayo Clinic
Rochester, Minnesota, 55902, United States
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Medical College of Wisconsin
Milwaukee, Wisconsin, 53226, United States
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Nova Scotia Health
Halifax, Nova Scotia, B3H 2Y9, Canada
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Radboud University Medical Centre Interne Geneeskund
Nijmegen, Netherlands
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SPZOZ Szpital Uniwersytecki w Krakowie
Krakow, Poland
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The Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
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The Ohio State University Wexner Medical Center
Columbus, Ohio, 43210, United States
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UC Davis
Sacramento, California, 95817, United States
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UT Southwestern Medical Center
Dallas, Texas, 75390, United States
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UZ Leuven
Leuven, Belgium
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Universidad Catolica
Santiago, Chile
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University Clinical Hospital of Santiago de Compostela/Hospital Universitario
Santiago de Compostela, Spain
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University of Alabama
Birmingham, Alabama, 35233, United States
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University of Michigan
Ann Arbor, Michigan, 48109, United States
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University of Missouri
Columbia, Missouri, 65212, United States
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Universitário Walter Cantídio
Fortaleza, Brazil
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Uniwersyteckie Centrum Kliniczne
Katowice, Poland
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- PCOS study hunts for genetic clues behind severe insulin resistance
- Hope for rare fat disorder: new drug shows promise in Long-Term trial
- Hope for rare fat disorder: expanded access to metreleptin offered
- New registry tracks Real-World safety of rare disease drug metreleptin
- Hope for rare fat disorder: drug keeps working in Long-Term study
- Fat storage mystery: new study probes rare disease