ClinicalTrials.gg
CompletedNCT03274856Updated Mar 27, 2020Results posted

A Study of GLWL-01 in Patients With Prader-Willi Syndrome

A Phase 2 interventional study of GLWL-01 and Placebo in Prader-Willi Syndrome, sponsored by GLWL Research Inc.. Completed at 7 sites in 2 countries. Open to participants aged 16 Years to 65 Years. Per ClinicalTrials.gov, last updated 2020-03-27.

Sponsored by GLWL Research Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
19
Allocation
Randomized
Ages
16 Years to 65 Years
Sex
All
01

Study summary

The aim of this study is to evaluate efficacy, safety, and pharmacokinetics of GLWL-01 in the treatment of patients with Prader-Willi Syndrome (PWS).

Read the detailed description

Participants will be assigned to one of two treatment sequences (GLWL-01/Placebo or Placebo/GLWL-01), with each sequence consisting of two treatment periods separated by a washout period

02

Conditions studied

  • Prader-Willi Syndrome

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03

In context

Prader-Willi Syndrome

144 studies on the registry are indexed under Prader-Willi Syndrome; 23 are open to participants now.

This study's enrollment of 19 is below the median of 30 across 100 interventional studies indexed under Prader-Willi Syndrome.

Browse Prader-Willi Syndrome studies →

Lead sponsor

GLWL Research Inc. is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
16 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Confirmed diagnosis of PWS based on genetic confirmation using DNA method
  • (BMI) of 27 to 60 kg/m2
  • No evidence of weight excursion beyond 10% of baseline weight
  • Patients must provide assent and have a reliable caregiver (must have been caring for the patient for at least 6 months) who provides a separate written to participate. The caregiver is expected to be the primary caregiver throughout the study and must be in frequent contact with the patient (defined as at least 4 awake hours per day). The caregiver must be able to communicate with site personnel and in the investigator's opinion must have adequate literacy to complete questionnaires. If a caregiver cannot continue, 1 caregiver replacement is allowed
  • Are on a stable diet and exercise regimen for >2 months prior

Exclusion criteria

Exclusion Criteria:

  • Current enrollment in or discontinuation within the last 30 days from a clinical trial involving any drug or device
  • Are currently living in a group home for more than 50% of the time
  • A history or presence of other medical illness that indicates a medical problem that would preclude study participation
  • Have an estimated \<60 mL/minute/1.73 m2. Have macroalbuminuria (defined as spot urine albumin to creatinine ratio of >300 μg/mg) or hematuria
  • Are hypertensive (defined as sitting systolic blood pressure (BP) greater than or equal to (≥)140 millimeters of mercury (mmHg) and diastolic BP ≥90 mmHg)
  • Patients on weight loss medications within 30 days of dosing, or with a history of bariatric surgery
  • Unable to refrain from or anticipates the use of:

    1. Any drugs known to be significant inhibitors of Cytochrome P450, family 3, subfamily A (CYP)3A enzymes and/or P-glycoprotein (P-gp) including regular consumption of grapefruit or grapefruit juice for 14 days prior to the first dose. Acetaminophen (up to 2 grams per 24-hour period) may be permitted
    2. Any drugs known to be significant inducers of Cytochrome P450, family 3, subfamily A () enzymes and/or P-gp, including St. John's Wort
    3. Any medications that prolong the /QTc interval, unless the participant has been stable on the medication for at least 3 months and has a corrected QT interval (QTc) \<450 msec
  • Currently taking simvastatin >10 mg per day, atorvastatin >20 mg per day, or lovastatin >20 mg per day, or have a history of statin-induced myopathy/rhabdomyolysis
  • Unsuitable for inclusion in the study in the opinion of the investigator
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
19 participants (actual)

Study arms

  • Other
    Treatment Sequence 1

    GLWL-01 (450mg) twice a day/ Placebo

    Drug: GLWL-01 · Drug: Placebo

  • Other
    Treatment Sequence 2

    Placebo / GLWL-01 (450mg), twice a day

    Drug: GLWL-01 · Drug: Placebo

Interventions

  • Oral administration of 3 capsules, twice a day

  • DrugPlacebo

    Oral administration of 3 capsules, twice a day

06

What researchers measure

Primary outcomes

  1. Post-treatment Total Score on the Hyperphagia Questionnaire for Clinical Trials (HQ-CT)

    GLWL-01 compared with placebo on the post-treatment HQ-CT score. Total range of score of zero to 36, with higher score indicating a worse outcome.

    Time frame: Up to approximately 4 weeks of double-blind treatment

Secondary outcomes

  1. Number of Participants With One or More Treatment Emergent Adverse Events (AEs) or Any Serious AEs

    Evaluate the safety and tolerability of GLWL-01

    Time frame: Baseline up to approximately 18 weeks

  2. Caregiver Global Impression of Change (CGIC)

    GLWL-01 compared with placebo in the CGIC. Score ranges from 1 to 7, with larger number indicating a worse outcome.

    Time frame: Up to approximately 4 weeks of double-blind treatment

  3. Area Under the Concentration Versus Time Curve From Time Zero to 12 Hours (AUC0-12)

    Pharmacokinetics (PK) after single and multiple oral dosing

    Time frame: Day 14 and Day 42, pre-dose, and 0.5, 1, 2, 4, 6, and between 8 and 12 hours postdose

  4. Maximum Observed Drug Concentration (Cmax)

    Pharmacokinetics after single and multiple oral dosing

    Time frame: Day 14 and Day 42, pre-dose, and 0.5, 1, 2, 4, 6, and between 8 and 12 hours postdose

07

Results

Posted Mar 27, 2020

Participant flow

Five additional participants screened but not randomized

Participant flow — Overall Study
MilestoneTreatment Sequence 1Treatment Sequence 2
Started109
Completed109
Not completed00

Outcome measures

PrimaryPost-treatment Total Score on the Hyperphagia Questionnaire for Clinical Trials (HQ-CT)

GLWL-01 compared with placebo on the post-treatment HQ-CT score. Total range of score of zero to 36, with higher score indicating a worse outcome.

Time frame:
Up to approximately 4 weeks of double-blind treatment
Reported as:
Least squares mean · score on a scale
Post-treatment Total Score on the Hyperphagia Questionnaire for Clinical Trials (HQ-CT)
score on a scaleGLWL-01Placebo
Post-treatment Total Score on the Hyperphagia Questionnaire for Clinical Trials (HQ-CT)15.9 ± 1.2114.7 ± 1.23
SecondaryNumber of Participants With One or More Treatment Emergent Adverse Events (AEs) or Any Serious AEs

Evaluate the safety and tolerability of GLWL-01

Time frame:
Baseline up to approximately 18 weeks
Reported as:
Count of participants · Participants
Number of Participants With One or More Treatment Emergent Adverse Events (AEs) or Any Serious AEs
ParticipantsGLWL-01Placebo
Number of Participants With One or More Treatment Emergent Adverse Events (AEs) or Any Serious AEs87
SecondaryCaregiver Global Impression of Change (CGIC)

GLWL-01 compared with placebo in the CGIC. Score ranges from 1 to 7, with larger number indicating a worse outcome.

Time frame:
Up to approximately 4 weeks of double-blind treatment
Reported as:
Least squares mean · score on a scale
Caregiver Global Impression of Change (CGIC)
score on a scaleGLWL-01Placebo
Caregiver Global Impression of Change (CGIC)4.0 ± 0.183.8 ± 0.19
SecondaryArea Under the Concentration Versus Time Curve From Time Zero to 12 Hours (AUC0-12)

Pharmacokinetics (PK) after single and multiple oral dosing

Time frame:
Day 14 and Day 42, pre-dose, and 0.5, 1, 2, 4, 6, and between 8 and 12 hours postdose
Reported as:
Geometric mean · ng*h/mL
Area Under the Concentration Versus Time Curve From Time Zero to 12 Hours (AUC0-12)
ng*h/mLGLWL-01 Single DoseGLWL-01 Multiple Dose
Area Under the Concentration Versus Time Curve From Time Zero to 12 Hours (AUC0-12)55608 ± 23.6121620 ± 23.7
SecondaryMaximum Observed Drug Concentration (Cmax)

Pharmacokinetics after single and multiple oral dosing

Time frame:
Day 14 and Day 42, pre-dose, and 0.5, 1, 2, 4, 6, and between 8 and 12 hours postdose
Reported as:
Geometric mean · ng/mL
Maximum Observed Drug Concentration (Cmax)
ng/mLGLWL-01 Single DoseGLWL-01 Multiple Dose
Maximum Observed Drug Concentration (Cmax)7885 ± 34.413695 ± 29.2

Adverse events

Collected over Up to 18 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
GLWL0/19 (0%)0/19 (0%)8/19 (42.1%)
Placebo0/19 (0%)0/19 (0%)7/19 (36.8%)
Most frequent other events
Showing 10 of 27
Most frequent other events
EventGLWLPlacebo
HeadacheNervous system disorders3/194/19
DiarrhoeaGastrointestinal disorders3/190/19
Viral upper respiratory tract infectionInfections and infestations2/191/19
Pain in extremityMusculoskeletal and connective tissue disorders0/192/19
AnxietyNervous system disorders0/192/19
ConstipationGastrointestinal disorders1/190/19
DyspepsiaGastrointestinal disorders1/190/19
Faeces discolouredGastrointestinal disorders1/190/19
Faeces softGastrointestinal disorders1/190/19
Facial painGeneral disorders0/191/19

Baseline characteristics

Age, Continuous
Age, Continuous(years)Treatment Sequence 1Treatment Sequence 2Total
Mean22.0 ± 5.5422.1 ± 4.8322.1 ± 5.07
Sex: Female, Male
Sex: Female, Male(Participants)Treatment Sequence 1Treatment Sequence 2Total
Female459
Male6410
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Treatment Sequence 1Treatment Sequence 2Total
Hispanic or Latino112
Not Hispanic or Latino9817
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Treatment Sequence 1Treatment Sequence 2Total
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American000
White10919
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)Treatment Sequence 1Treatment Sequence 2Total
Canada235
United States8614
08

Study locations

7 sites
  • Rady Children's Hospital San Diego
    San Diego, California 92123, United States
  • University of Florida
    Gainesville, Florida 32601, United States
  • University Hospitals, Cleveland Medical Center
    Cleveland, Ohio 44106, United States
  • Vanderbilt University
    Nashville, Tennessee 37232, United States
  • Alberta Diabetes Institute, University of Alberta
    Edmonton, Alberta T6G 2B7, Canada
  • CRCHUM
    Montreal, Quebec H2W 1T8, Canada
  • Centre Hospitalier Universitaire Ste-Justine
    Montreal, Quebec H3T 1C5, Canada
09

References and documents

Publications

  • Miller JL, Lacroix A, Bird LM, Shoemaker AH, Haqq A, Deal CL, Clark KA, Ames MH, Suico JG, de la Pena A, Fortier C. The Efficacy, Safety, and Pharmacology of a Ghrelin O-Acyltransferase Inhibitor for the Treatment of Prader-Willi Syndrome. J Clin Endocrinol Metab. 2022 May 17;107(6):e2373-e2380. doi: 10.1210/clinem/dgac105. PubMed 35213714 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 27, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03274856
Lead sponsor
GLWL Research Inc.
Responsible party
Sponsor
First posted
Sep 7, 2017
Start date
Feb 20, 2018
Primary completion
Jun 12, 2019
Completion
Jun 12, 2019
Results posted
Mar 27, 2020
Last update
Mar 27, 2020

Study contacts

Study Director
study director · GLWL Research Inc.

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2020. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: GLWL-01

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