CClinicalTrials.gg
TerminatedNCT02523690EMILIUpdated Jan 13, 2020Results posted

Evaluating Muscle Weakness Improvement With Lorcaserin in ICU

A Phase 1/2 interventional study of Lorcaserin and Placebo in Muscle Weakness and Sepsis, sponsored by Johns Hopkins University. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-01-13.

Sponsored by Johns Hopkins University · Phase 1/2, Interventional, and Treatment

Why this study was terminated
Slow recruitment of eligible patients
Phase
Phase 1/2
Study type
Interventional
Enrollment
5
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

ICU acquired muscle weakness is a significant problem in patients recovering from critical illness. This trial will evaluate the safety and efficacy of a drug in improving muscle weakness in critically ill patients.

02

Conditions studied

  • Muscle Weakness
  • Sepsis
03

In context

Muscle Weakness

601 studies on the registry are indexed under Muscle Weakness; 99 are open to participants now.

This study's enrollment of 5 is below the median of 46 across 444 interventional studies indexed under Muscle Weakness.

Browse Muscle Weakness studies →

Lead sponsor

Johns Hopkins University is the lead sponsor of 1,783 studies on the registry; 313 are open to participants now.

Of its 203 completed or terminated interventional studies of FDA-regulated products, 140 (69%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age ≥18 years old
  • Sepsis [ ≥2 Systemic Inflammatory Response Syndrome (SIRS) Criteria AND known or suspected infection]
  • Muscle weakness [Medical Research Council sum score \<48/60 or handgrip strength \<11 kg in men and \<7 kg in women]
  • Obey Commands [Score for DeJonghe Awakening Score of ≥3/5]

Exclusion criteria

Exclusion Criteria:

  • Severe renal insufficiency [Creatinine Clearance \<30 mL/min - or receiving dialysis]
  • Acute infectious or auto-immune hepatitis, acute liver failure or a history of cirrhosis without liver transplant
  • History of psychosis
  • Bradycardia, or 2nd or 3rd degree Atrio-Ventricular block without pacemaker
  • History of valvular heart disease without valve replacement
  • History of priapism
  • Pre-existing cognitive impairment
  • Receiving drugs with serotonergic effects and/or CYP2D6 substrates which cannot be substituted stopped or titrated.
  • Receiving Sulfonylurea medication at the time of the study
  • Prior neuromuscular or central nervous system disease, including pre-existing neuropathy
  • Inability to perform study's muscle strength assessments based on patient's baseline status prior to hospital admission
  • Unable to receive, or unlikely to absorb study drug (e.g. bowel obstruction, ischemia, or infarction; short gut syndrome)
  • Body mass index >40
  • Patient not expected to survive >4 days
  • Pregnancy or lactation
  • Allergy to lorcaserin or lorcaserin taken in the prior 7 days
  • Enrolled in another interventional drug or physical rehabilitation trial
  • Physician declines for patient to be enrolled
  • Patient or proxy declines consent
  • Unable to reach proxy for consent
  • Non-English speaking
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
5 participants (actual)

Study arms

  • Experimental
    Intervention

    Lorcaserin will be administered as a single dose on day 1 and day 3 to participants in this arm.

    Drug: Lorcaserin

  • Placebo comparator
    Control

    Placebo will be administered as a single dose on day 1 and day 3 to participants in this arm.

    Drug: Placebo

Interventions

  • DrugLorcaserin

    10 mg, oral or enteral, single dose. 30 mg, oral or enteral, single dose two days later

  • DrugPlacebo

    Oral or enteral, single dose. Oral or enteral, single dose two days later

06

What researchers measure

Primary outcomes

  1. Change in Handgrip Strength as Measured by Hand Dynamometer

    Hand grip strength measured using a dynamometer (measured in kilograms, then compared to age- and sex-matched population norms to yield percent predicted strength - higher is better)

    Time frame: Baseline and 2 to 6 hours after administration of 30mg lorcaserin/placebo

Secondary outcomes

  1. Change in Handgrip Strength as Measured by Hand Dynamometer

    Hand grip strength measured using a dynamometer (measured in kilograms, then compared to age- and sex-matched population norms to yield percent predicted strength - higher is better)

    Time frame: Baseline and 2 to 6 hours after administration of 10mg lorcaserin/placebo

  2. Change in Manual Muscle Strength as Measured by the Medical Research Council (MRC) Score

    Measuring strength of 6 muscle groups in arms and legs using Medical Research Council composite score (each muscle group scored from scale of 0 \[no visible or noticeable contraction\] to 5 \[maximum strength\] and the sum of the scores for the 6 muscle groups equate to a composite score ranging from 0 to 60, higher score is better).

    Time frame: Baseline and 2 to 6 hours after administration of 30mg lorcaserin/placebo

  3. Change in Manual Muscle Strength as Measured by the Medical Research Council (MRC) Score

    Measuring strength of 6 muscle groups in arms and legs using Medical Research Council composite score (each muscle group scored from scale of 0 \[no visible or noticeable contraction\] to 5 \[maximum strength\] and the sum of the scores for the 6 muscle groups equate to a composite score ranging from 0 to 60, higher score is better).

    Time frame: Baseline and 2 to 6 hours after administration of 10mg lorcaserin/placebo

  4. Change in Quadriceps Strength as Measured by Handheld Dynamometer

    Strength (in kilograms) - measured via handheld dynamometry of quadriceps muscle.

    Time frame: Baseline and 2 to 6 hours after administration of 30mg lorcaserin/placebo

  5. Change in Quadriceps Strength as Measured by Handheld Dynamometer

    Strength (in kilograms) - measured via handheld dynamometry of quadriceps muscle.

    Time frame: Baseline and 2 to 6 hours after administration of 10mg lorcaserin/placebo

07

Results

Posted Jan 13, 2020

Participant flow

Participant flow — Overall Study
MilestoneInterventionControl
Started32
Completed32
Not completed00

Outcome measures

PrimaryChange in Handgrip Strength as Measured by Hand Dynamometer

Hand grip strength measured using a dynamometer (measured in kilograms, then compared to age- and sex-matched population norms to yield percent predicted strength - higher is better)

Time frame:
Baseline and 2 to 6 hours after administration of 30mg lorcaserin/placebo
Reported as:
Mean · percent of predicted strength
Change in Handgrip Strength as Measured by Hand Dynamometer
percent of predicted strengthInterventionControl
Change in Handgrip Strength as Measured by Hand Dynamometer0.67 ± 2.931.75 ± 1.06
SecondaryChange in Handgrip Strength as Measured by Hand Dynamometer

Hand grip strength measured using a dynamometer (measured in kilograms, then compared to age- and sex-matched population norms to yield percent predicted strength - higher is better)

Time frame:
Baseline and 2 to 6 hours after administration of 10mg lorcaserin/placebo
Reported as:
Mean · percent of predicted strength
Change in Handgrip Strength as Measured by Hand Dynamometer
percent of predicted strengthInterventionControl
Change in Handgrip Strength as Measured by Hand Dynamometer-3.83 ± 1.892.25 ± 0.35
SecondaryChange in Manual Muscle Strength as Measured by the Medical Research Council (MRC) Score

Measuring strength of 6 muscle groups in arms and legs using Medical Research Council composite score (each muscle group scored from scale of 0 \[no visible or noticeable contraction\] to 5 \[maximum strength\] and the sum of the scores for the 6 muscle groups equate to a composite score ranging from 0 to 60, higher score is better).

Time frame:
Baseline and 2 to 6 hours after administration of 30mg lorcaserin/placebo
Reported as:
Mean · score on a scale
Change in Manual Muscle Strength as Measured by the Medical Research Council (MRC) Score
score on a scaleInterventionControl
Change in Manual Muscle Strength as Measured by the Medical Research Council (MRC) Score0.33 ± 3.53.50 ± 2.12
SecondaryChange in Manual Muscle Strength as Measured by the Medical Research Council (MRC) Score

Measuring strength of 6 muscle groups in arms and legs using Medical Research Council composite score (each muscle group scored from scale of 0 \[no visible or noticeable contraction\] to 5 \[maximum strength\] and the sum of the scores for the 6 muscle groups equate to a composite score ranging from 0 to 60, higher score is better).

Time frame:
Baseline and 2 to 6 hours after administration of 10mg lorcaserin/placebo
Reported as:
Mean · score on a scale
Change in Manual Muscle Strength as Measured by the Medical Research Council (MRC) Score
score on a scaleInterventionControl
Change in Manual Muscle Strength as Measured by the Medical Research Council (MRC) Score1.00 ± 1.730.50 ± 0.71
SecondaryChange in Quadriceps Strength as Measured by Handheld Dynamometer

Strength (in kilograms) - measured via handheld dynamometry of quadriceps muscle.

Time frame:
Baseline and 2 to 6 hours after administration of 30mg lorcaserin/placebo
Reported as:
Mean · kilograms
Change in Quadriceps Strength as Measured by Handheld Dynamometer
kilogramsInterventionControl
Change in Quadriceps Strength as Measured by Handheld Dynamometer-0.23 ± 1.834.15 ± 2.19
SecondaryChange in Quadriceps Strength as Measured by Handheld Dynamometer

Strength (in kilograms) - measured via handheld dynamometry of quadriceps muscle.

Time frame:
Baseline and 2 to 6 hours after administration of 10mg lorcaserin/placebo
Reported as:
Mean · kilograms
Change in Quadriceps Strength as Measured by Handheld Dynamometer
kilogramsInterventionControl
Change in Quadriceps Strength as Measured by Handheld Dynamometer0.02 ± 1.232.13 ± 5.76

Adverse events

Collected over While admitted in hospital. For the 5 participants in this study, the mean number of days between enrollment and hospital discharge is 17.6 days (standard deviation 12.9 days). Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Intervention0/3 (0%)0/3 (0%)0/3 (0%)
Control0/2 (0%)0/2 (0%)0/2 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)InterventionControlTotal
Mean63.7 ± 19.856.0 ± 18.460.6 ± 17.2
Sex: Female, Male
Sex: Female, Male(Participants)InterventionControlTotal
Female213
Male112
Race (NIH/OMB)
Race (NIH/OMB)(Participants)InterventionControlTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American011
White314
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(Participants)InterventionControlTotal
United States325
08

Study locations

1 site
  • Johns Hopkins University
    Baltimore, Maryland 21205, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Feb 10, 2017

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 13, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02523690
Lead sponsor
Johns Hopkins University
Responsible party
Sponsor
First posted
Aug 14, 2015
Start date
Dec 2015
Primary completion
Dec 2017
Completion
Dec 2017
Results posted
Jan 13, 2020
Last update
Jan 13, 2020

Study contacts

Dale M Needham, MD, PhD
principal investigator · Johns Hopkins University

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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