Completed Diabetes, Hormones & Metabolism Cancer

Treatment of obesity with the pancreatic polypeptide analogue PP 1420

In plain English

AI plain-English summary

A single injection of a new drug, PP 1420, suppresses appetite for 24 hours in humans and is now being tested for its ability to reduce food intake and body weight. Obesity affects one in four UK adults and shortens life by driving heart disease, diabetes, and cancer. Existing treatments either work poorly or cause significant side effects. Pancreatic polypeptide (PP) is a natural hormone that powerfully curbs appetite, but it breaks down too quickly to be a practical drug. The researchers engineered a long-lasting version, PP 1420, delivered as a daily painless injection. A Phase 1a trial in humans showed it is safe and well tolerated, with effects lasting far longer than natural PP. If this Phase 1b and 1c trial succeeds, PP 1420 could become a new once-daily treatment for obesity that avoids the side effects of current drugs. That would directly help millions of people manage their weight and reduce their risk of chronic disease. The research is applied drug development, not fundamental science—the goal is a specific therapy, not a general discovery about biology.

View original technical description
Obesity is a growing pandemic which affects 1 in 4 adults in the UK, and shortens life by increasing cardiovascular disease, diabetes and cancer. Current treatments for obesity have either poor efficacy or significant side effects. Pancreatic polypeptide (PP) is a promising new drug target as it produces powerful appetite suppression which, following a 90-minute infusion continues to act for 24 h in man. We have developed a new long lasting high potency analogue of PP, PP 1420. This is delivered as a once-a-day subcutaneous injection via a painless fine-gauge needle. In a Trust funded first-time-in-man Phase 1a trial, that PP 1420 proved safe, well tolerated, and had extended pharmacokinetics compared to PP itself. We now request funds for a milestoned investigation of PP 1420 to establish: 1. Its efficacy in reducing food intake after a single dose in a Phase 1B study in healthy volunteers. 2. Its efficacy in reducing food intake and weight after multiple dosing in a Phase 1C study in healthy volunteers.

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Researchers

Stephen Bloom (EPMC Awardee)

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