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Phase 1 N=49 Randomized Triple-blind Other

Study of Subcutaneously Administered ENT-03 for the Treatment of Obesity and Diabetes

Obesity · Diabetes Mellitus, Type 2

Enrolled (actual)
49
Serious AEs
0.0%
Results posted
Jun 2026
Primary outcome: Primary: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) — 1; 2; 3; 4 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
ENT-03 (Drug); Placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Metabolics Pharma
Primary completion
Aug 2024

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
1; 2; 3; 4; 3; 2
PRIMARY
Safety and Tolerability of ENT-03
-3.0; -14.0; -8.8; -9.2; -0.6; -4.2
SECONDARY
Pharmacokinetic Endpoints: Maximum Plasma Concentration
624.81; 1245.40; 2612.00; 4860.00; 11042.00; 11002.00
SECONDARY
Area Under the Plasma Concentration-Time Curve From Time Zero to 24 Hours Post-Dose (AUC₀-₂₄)
9,801.4; 19841.6; 43206.2; 84534.5; 179984.5; 179575.0
SECONDARY
Pharmacokinetic Endpoint: Half-life
29.1; 27.5; 45.8; 52.8; 66.1; 52.0
SECONDARY
Change in Body Weight From Baseline to Day 8
-0.54; -0.83; -0.55; -0.54; -0.83; -0.55
SECONDARY
Pharmacodynamic Endpoint: Change in Fasting Leptin From Baseline to Day 8
3.20; 0.46; -7.88; 2.04; -10.00; 4.66
SECONDARY
Pharmacodynamic Endpoint: Change in Fasting Plasma Glucose From Baseline to Day 8
9.4; -4.8; -1.2; 2.6; -2.6; 12.8
SECONDARY
Pharmacodynamic Endpoint: Change in Fasting Serum Insulin From Baseline to Day 8
3.06; 2.76; 4.48; 10.08; 2.70; 1.10

Summary

Single center, single-dose, randomized, placebo-controlled, dose-escalating study to evaluate, safety, tolerability, pharmacokinetics, and pharmacodynamics of escalating doses of ENT-03S in obese but otherwise healthy subjects and in subjects with obesity and Type 2 diabetes.

Eligibility Criteria

Inclusion Criteria

  • Subjects aged 18-70 years, both genders.
  • Healthy as determined by a physician, based on history, medical examination, vital signs, and laboratory tests.
  • Males that agree to use condoms for the duration of participation in the study.
  • Females of non-child-bearing potential (i.e., tubal ligation, hysterectomy, or postmenopausal).
  • Female patients of child-bearing potential with negative serum pregnancy tests and who agree to use double-barrier contraception during the study.
  • Subjects must be able to read, speak, and understand English and/or Spanish and provide written informed consent, and be willing and able to comply with study procedures.
  • Subjects must have a BMI 30-35 kg/m2 inclusive assessed immediately prior to screening.
  • Fasting insulin level ≥11 mIU/L.
  • HbA1c 21 drinks per week for males and >14 drinks per week for females), recreational drug use within the past three months, or failure on urinary drug screen.
  • Pregnant or breastfeeding within six months of screening assessment.
  • Substantial changes in eating habits or exercise routine within the preceding three months.
  • Evidence of eating disorders.
  • >5% weight change in the past three months.
  • Bariatric surgery within the past five years.
  • Significant renal impairment (eGFR 15 on the Columbia Suicide Severity Rating Scale (C-SSRS).
  • Use of medications affecting body weight within the past three months:
  • Drugs approved for the treatment of obesity
  • Cyproheptadine or medroxyprogesterone
  • Atypical anti-psychotic drugs
  • Tricyclic antidepressants
  • Lithium, MAO's, glucocorticoids
  • SSRI's or SNRI's
  • Antiepileptic drugs
  • Any clinically significant abnormality following the Investigator's review of the physical examination and clinical laboratory tests.
  • A baseline prolongation of QT/QTc interval after repeated measurements of >450 ms; a history of unexplained syncope, cardiac arrest, unexplained cardiac arrhythmias or torsades de pointes, structural heart disease, or a family history of Long QT Syndrome (LQTS).
  • Participation in an investigational drug trial within the month prior to dosing in the present study.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05925920). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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