ClinicalTrials.gg
CompletedNCT03492840Updated Feb 8, 2024Results posted

Treatment of Women With Lipedema Involving Substantial Fat Knee of Women and Men With Nodular Dercum's Disease

A Phase 2 interventional study of RZL-012 in Lipedema and Dercum Disease, sponsored by Raziel Therapeutics Ltd.. Completed at 1 site in United States. Open to participants aged 20 Years to 65 Years. Per ClinicalTrials.gov, last updated 2024-02-08.

Sponsored by Raziel Therapeutics Ltd. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
12
Allocation
Non-randomized
Ages
20 Years to 65 Years
Sex
All
01

Study summary

This is an open label, 2 cohort, clinical trial in women with lipedema with substantial fat above the knee and men with Dercum's disease. Each cohort will have 6 subjects who will receive RZL-012.

Read the detailed description

This is an open label, 2 cohort, clinical trial in women with lipedema with substantial fat above the knee and men with Dercum's disease.

  • The 1st cohort will be comprised of subjects with Dercum's disease.
  • The 2nd cohort will be comprised of subjects with lipedema with substantial fat above the knee

Within each cohort dosing of the subjects will progress consecutively from one individual to the other with a minimum 7 days between subjects to asses safety. The study design will allow the physicians to monitor safety for at least 7 days prior to dosing the next subject. Cohort 2 will be conducted in a dose escalation manner and the decision to proceed to the next dose level will be made after reviewing all safety data collected by Day 14 within 2+/-1 day of the last dosed subject. The trial will proceed within a cohort provided that no more than one subject experience intolerable side effects in a cohort, and based on the decision made by the Principal Investigator (PI) and the medical monitor.

02

Conditions studied

  • Lipedema
  • Dercum Disease

Browse trials for

03

In context

Lipedema

85 studies on the registry are indexed under Lipedema; 32 are open to participants now.

This study's enrollment of 12 is below the median of 35 across 42 interventional studies indexed under Lipedema.

Browse Lipedema studies →

Lead sponsor

Raziel Therapeutics Ltd. is the lead sponsor of 9 studies on the registry; none are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 8 (89%) have results posted.

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

04

Who can participate

Ages eligible
20 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

  1. (at least 2 years) women no more than 65 years old, with lipedema involving substantial fat above the knee or nodular Dercum's disease in such women and in men 20 - 65 years with nodular Dercum's disease.
  2. For Dercum's disease subjects - at least 2 nodules to be injected of at least 2cm diameter each, as determined by ultrasound
  3. For lipedema subjects - Significant subcutaneous fat above the knee as determined by circumference of 50cm
  4. Generally considered healthy according to medical history, physical examination, and laboratory evaluation with a special emphasis on metabolic parameters (fasting glucose concentration \< 100 mg, normal blood pressure).
  5. Subjects must be able to adhere to the visit schedule and protocol requirements and be available to complete the study.
  6. Subjects must sign an indicating that they are aware of the nature of the study.

Exclusion criteria

Exclusion Criteria:

  1. Unable to tolerate subcutaneous injection.
  2. Subjects with uncontrolled cardiac, hepatic, renal or neurologic/psychiatric disorders, that in the opinion of the investigator, put the subject at significant risk, are not eligible.
  3. Positive blood screen for surface antigen (HbSAg), virus (HCV), or (HIV), or positive urine screen for alcohol or drugs of abuse (unless prescribed by a physician).
  4. Subjects with a clinical history of primary or secondary immunodeficiency, disease or subjects taking drugs such as are ineligible.
  5. As a result of medical review, physical examination, the PI (or medically qualified nominee) considers the subject unfit for the study.
  6. Known sensitivity to components of the injection formulation.
  7. Prior wound, tattoo or infection in the treated area.
  8. Prior invasive treatment such as surgery or injectable drug at the RZL-012 injected area.
Terms in these criteria, in plain language(10)

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.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

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.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
12 participants (actual)

Study arms

  • Active comparator
    Cohort 1 - Dercum's Disease

    Nodular size - diameter (cm) 2-2.9, 3-3.9, 4-8 Total dose of RZL-012(mg) 10 15 20 Dose per NOAEL 1/25th , 1/18.75th, 1/12.5th Number of injections: 2,3,4

    Drug: RZL-012

  • Active comparator
    Cohort 2 - Lipedema

    Total dose of RZL-012 (mg) 60 , 80 Dose per NOAEL: 1/4.6888, 1/3.125 Number of injections: 12, 16

    Drug: RZL-012

Interventions

  • The dosing regimen will be a single dose treatment injection of RZL-012 in multiple sites

06

What researchers measure

Primary outcomes

  1. The Incidence of Any Grade 3 or Greater Event Intolerable Side Effect Experienced in a Cohort

    Trial will proceed as long as no more than one subject experiences an intolerable side effect in a cohort

    Time frame: 0-14 days

07

Results

Posted Feb 8, 2024

Participant flow

Participant flow — Overall Study
MilestoneCohort 1 - Dercum's DiseaseCohort 2 - Lipedema 60mgCohort 2 Lipedema 80mg
Started633
Completed633
Not completed000

Outcome measures

PrimaryThe Incidence of Any Grade 3 or Greater Event Intolerable Side Effect Experienced in a Cohort

Trial will proceed as long as no more than one subject experiences an intolerable side effect in a cohort

Time frame:
0-14 days
Reported as:
Count of participants · Participants
The Incidence of Any Grade 3 or Greater Event Intolerable Side Effect Experienced in a Cohort
ParticipantsCohort 1 - Dercum's DiseaseCohort 2 - Lipedema 60mgCohort 2 Lipedema 80mg
The Incidence of Any Grade 3 or Greater Event Intolerable Side Effect Experienced in a Cohort000

Adverse events

Collected over 56 days. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Cohort 1 - Dercum's Disease0/6 (0%)0/6 (0%)6/6 (100%)
Cohort 2 - Lipedema 60 mg0/3 (0%)0/3 (0%)3/3 (100%)
Cohort 2 - Lipedema 80 mg0/3 (0%)0/3 (0%)3/3 (100%)
Most frequent other events
Most frequent other events
EventCohort 1 - Dercum's DiseaseCohort 2 - Lipedema 60 mgCohort 2 - Lipedema 80 mg
Injection site painGeneral disorders2/62/31/3
painGeneral disorders2/61/31/3
HeadacheNervous system disorders1/61/31/3
ContusionInjury, poisoning and procedural complications1/61/30/3
Muscle spasmsMusculoskeletal and connective tissue disorders0/61/31/3

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Cohort 1 - Dercum's DiseaseCohort 2 - Lipedema 60mgCohort 2 - Lipedema 80mgTotal
Mean57.3 ± 6.357.3 ± 5.057.3 ± 5.057.3 ± 5.4
Sex: Female, Male
Sex: Female, Male(Participants)Cohort 1 - Dercum's DiseaseCohort 2 - Lipedema 60mgCohort 2 - Lipedema 80mgTotal
Female1337
Male5005
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Cohort 1 - Dercum's DiseaseCohort 2 - Lipedema 60mgCohort 2 - Lipedema 80mgTotal
American Indian or Alaska Native0000
Asian0000
Native Hawaiian or Other Pacific Islander0000
Black or African American1001
White53311
More than one race0000
Unknown or Not Reported0000
Region of Enrollment
Region of Enrollment(participants)Cohort 1 - Dercum's DiseaseCohort 2 - Lipedema 60mgCohort 2 - Lipedema 80mgTotal
United States63312
08

Study locations

1 site
  • University of Arizona Medical Center
    Tucson, Arizona 85724, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jun 2018 to primary completion in May 2019, 10 months.

Results were first posted in Feb 2024, 4 years 9 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 19, 2018
First posted
Apr 10, 2018
StartActual
Jun 28, 2018
Primary completionActual
May 2, 2019
CompletionActual
May 2, 2019
Results first posted
Feb 8, 2024
Last update
Feb 8, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 8, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03492840
Lead sponsor
Raziel Therapeutics Ltd.
Responsible party
Sponsor
First posted
Apr 10, 2018
Start date
Jun 28, 2018
Primary completion
May 2, 2019
Completion
May 2, 2019
Results posted
Feb 8, 2024
Last update
Feb 8, 2024

Oversight

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

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This study is completed, as verified in Apr 2019. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: RZL-012

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