Metreleptin treatment in three patients with generalized lipodystrophy

Carla Musso, Maria Laura Major, Eugenia Andres, Vinaya Simha

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Generalized lipodystrophy (GL) is a rare inherited or acquired disease characterized by widespread loss of subcutaneous fat, leading to leptin deficiency, ectopic fat deposition, and severe metabolic abnormalities. Previous studies have shown the benefit of leptin replacement (metreleptin) in ameliorating metabolic complications, but little is known about the experience of metreleptin treatment outside of a research setting. We report on post-marketing clinical experience with metreleptin therapy in three patients with GL and marked hypoleptinemia, uncontrolled diabetes, and hypertriglyceridemia. After metreleptin treatment for 12–168 weeks, the mean glycated hemoglobin decreased from 10.9% to 5.8%, and serum triglycerides were normalized (a mean decline of 90%). These benefits were observed within weeks of starting therapy, were durable, and were accompanied by subjective improvements in quality of life, decreased need for concomitant medications, and no significant adverse effects. Metreleptin was safe and effective in normalizing certain severe metabolic abnormalities in the clinic setting.

Original languageEnglish (US)
Pages (from-to)123-127
Number of pages5
JournalClinical Medicine Insights: Case Reports
Volume9
DOIs
StatePublished - Jan 1 2016

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Keywords

  • Diabetes
  • Generalized lipodystrophy
  • Hypertriglyceridemia
  • Metreleptin

ASJC Scopus subject areas

  • Medicine(all)

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