PMID- 31175319 OWN - NLM STAT- MEDLINE DCOM- 20210226 LR - 20210731 IS - 1476-5497 (Electronic) IS - 0307-0565 (Print) IS - 0307-0565 (Linking) VI - 44 IP - 2 DP - 2020 Feb TI - Long-acting CCK analogue NN9056 lowers food intake and body weight in obese Gottingen Minipigs. PG - 447-456 LID - 10.1038/s41366-019-0386-0 [doi] AB - BACKGROUND/OBJECTIVES: Cholecystokinin (CCK) is a regulator of appetite and energy intake in man. The aim of this study was to determine the effect of NN9056, a long-acting CCK-1 receptor-selective CCK analogue, on food intake and body weight (BW) in obese Gottingen Minipigs. SUBJECTS/METHODS: Tolerability of NN9056 and acute effects on food intake, pancreas histology, amylase and lipase levels were assessed in lean domestic pigs in doses up to 100 nmol/kg (n = 3-4). Subsequently, obese Gottingen Minipigs were treated subcutaneously (s.c.) once daily for 13 weeks with vehicle, NN9056 low dose (regulated from 5 to 2 nmol/kg) or NN9056 high dose (10 nmol/kg) (n = 7-8). Food intake was measured daily and BW twice weekly. At the end of the treatment period, an intravenous glucose tolerance test (IVGTT) and a 24-h exposure profile was obtained. Data are mean +/- SD. RESULTS: The acute studies in domestic pigs showed significant and dose-dependent effect of NN9056 on food intake, acceptable tolerability and no histopathological signs of pancreatitis. Sub-chronic treatment in obese Gottingen Minipigs was also well tolerated and accumulated food intake was significantly lower in both treated groups compared to vehicle, with no significant difference between the dose levels of NN9056 (41.8 +/- 12.6, 51.5 +/- 13.8 and 86.5 +/- 19.5 kg in high-dose, low-dose and vehicle groups, respectively, p = 0.012 and p < 0.0001 for low and high dose vs. vehicle, respectively). Accordingly, there was a weight loss in both treated groups vs. a weight gain in the vehicle group (-7.2 +/- 4.6%, -2.3 +/- 3.2% and 12.3 +/- 3.9% in the high-dose, low-dose and vehicle groups, respectively, p < 0.0001 for both vs. vehicle). IVGTT data were not significantly different between groups. CONCLUSION: NN9056, a long-acting CCK-1 receptor-selective CCK analogue, significantly reduced food intake and BW in obese Gottingen Minipigs after once daily s.c. dosing for 13 weeks. FAU - Christoffersen, Berit O AU - Christoffersen BO AD - Global Drug Discovery, Novo Nordisk A/S, Novo Nordisk Park, 2760, Malov, Denmark. FAU - Skyggebjerg, Rikke Bjerring AU - Skyggebjerg RB AD - Global Drug Discovery, Novo Nordisk A/S, Novo Nordisk Park, 2760, Malov, Denmark. FAU - Bugge, Anne AU - Bugge A AD - Global Drug Discovery, Novo Nordisk A/S, Novo Nordisk Park, 2760, Malov, Denmark. FAU - Kirk, Rikke Kaae AU - Kirk RK AD - Global Drug Discovery, Novo Nordisk A/S, Novo Nordisk Park, 2760, Malov, Denmark. FAU - Vestergaard, Bill AU - Vestergaard B AD - Global Drug Discovery, Novo Nordisk A/S, Novo Nordisk Park, 2760, Malov, Denmark. FAU - Uldam, Henriette Kold AU - Uldam HK AD - Global Research Technologies, Novo Nordisk A/S, Novo Nordisk Park, 2760, Malov, Denmark. FAU - Fels, Johannes Josef AU - Fels JJ AUID- ORCID: 0000-0002-6616-6746 AD - Global Research Technologies, Novo Nordisk A/S, Novo Nordisk Park, 2760, Malov, Denmark. FAU - Pyke, Charles AU - Pyke C AD - Global Drug Discovery, Novo Nordisk A/S, Novo Nordisk Park, 2760, Malov, Denmark. FAU - Sensfuss, Ulrich AU - Sensfuss U AD - Global Research Technologies, Novo Nordisk A/S, Novo Nordisk Park, 2760, Malov, Denmark. FAU - Sanfridson, Annika AU - Sanfridson A AD - Global Drug Discovery, Novo Nordisk A/S, Novo Nordisk Park, 2760, Malov, Denmark. FAU - Clausen, Trine Ryberg AU - Clausen TR AD - Global Drug Discovery, Novo Nordisk A/S, Novo Nordisk Park, 2760, Malov, Denmark. TRRS@novonordisk.com. LA - eng PT - Journal Article DEP - 20190607 PL - England TA - Int J Obes (Lond) JT - International journal of obesity (2005) JID - 101256108 RN - 9011-97-6 (Cholecystokinin) SB - IM MH - Animals MH - Body Weight/*drug effects MH - *Cholecystokinin/adverse effects/analogs & derivatives/metabolism/pharmacology MH - Disease Models, Animal MH - Eating/*drug effects MH - Energy Intake/*drug effects MH - Female MH - Humans MH - Obesity/*metabolism MH - Protein Binding MH - Swine MH - Swine, Miniature PMC - PMC6997118 COIS- All authors are or were employees at Novo Nordisk A/S when the work was done, and most are minor shareholders in Novo Nordisk A/S. EDAT- 2019/06/09 06:00 MHDA- 2021/02/27 06:00 PMCR- 2019/06/07 CRDT- 2019/06/09 06:00 PHST- 2018/11/03 00:00 [received] PHST- 2019/04/05 00:00 [accepted] PHST- 2019/03/16 00:00 [revised] PHST- 2019/06/09 06:00 [pubmed] PHST- 2021/02/27 06:00 [medline] PHST- 2019/06/09 06:00 [entrez] PHST- 2019/06/07 00:00 [pmc-release] AID - 10.1038/s41366-019-0386-0 [pii] AID - 386 [pii] AID - 10.1038/s41366-019-0386-0 [doi] PST - ppublish SO - Int J Obes (Lond). 2020 Feb;44(2):447-456. doi: 10.1038/s41366-019-0386-0. Epub 2019 Jun 7.