To assess the
biological activity and tolerability of pegylated recombinant native human
leptin (
PEG-OB), 30 obese men (mean body mass index, 33.9 kg/m2) were randomized to a double-blind treatment with weekly sc
injections of 20 mg
PEG-OB or placebo for 12 weeks, in addition to a hypocaloric diet (deficit, 2 MJ/day). Body composition, energy expenditure, and metabolic parameters were measured before and
after treatment.
PEG-OB was generally well tolerated based on adverse event reports, lab values, and vital signs. Weekly sc
PEG-OB led to sustained serum concentrations of
PEG-OB and
leptin throughout treatment. No significant differences in the delta or percent
weight loss, percent body fat, sleeping metabolic rate, or respiratory quotient were observed between the
PEG-OB and placebo groups. Percent change in serum
triglycerides from baseline was significantly correlated with
body weight loss in the
PEG-OB group, but not in the placebo group. Although larger reductions in serum
triglycerides were observed in the
PEG-OB group compared with the placebo group, these differences were not statistically significant. We concluded that weekly injection of
PEG-OB leads to sustained serum concentration of
PEG-OB and
leptin throughout the 12-week treatment period and is generally well tolerated. The trends observed in serum
triglycerides suggest that a weekly 20-mg sc treatment with
PEG-OB may have
biological effects in obese men.