A Study to Evaluate the Safety, Tolerability, and Activity of Intravenous MLDL1278A in Patients on Standard-of-Care Therapy for Stable Atherosclerotic Cardiovascular Disease (GLACIER)
Primary Purpose
Atherosclerosis
Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
MLDL1278A
MLDL1278A
placebo
statin, stable dose
Sponsored by
About this trial
This is an interventional treatment trial for Atherosclerosis focused on measuring BI-204
Eligibility Criteria
Inclusion Criteria:
- Evidence of qualifying vessel (carotid or aortic) plaque inflammation
- Documented atherosclerotic vascular disease clinically stable for at least 3 months prior to screening or type 2 diabetes mellitus with elevated cardiovascular risk
- Use of a stable dose of statin therapy for at least 6 weeks prior to screening. Patients must be capable of maintaining statin therapy at a current dose level from screening until the last follow-up visit.
- For patients taking angiotensin-converting enzyme (ACE) inhibitors (ACE-I) or angiotensin-receptor blockers (ARBs), non-statin lipid-modifying therapy, thiazolidinediones, inhaled steroids, or leukotriene modifying agents, use of a stable dose for at least 6 weeks prior to screening and capable of continuing with that dose for the duration of the study
Exclusion Criteria:
- Occurrence of a cardiovascular event < 6 months prior to screening
- Pregnant, planning to become pregnant during the study, or breastfeeding
- Clinically significant abnormal laboratory values or abnormal ECG or vital signs
- History of anaphylactic reactions
- Newly discovered Type 2 diabetes mellitus (T2DM) (prior to study entry) or medical treatment for T2DM started < 3 months prior to study entry
- Use of insulin, corticosteroids (oral, rectal, or injectable), or other immunosuppressive medications
- Current or recent (within 4 weeks prior to screening) infection, including signs, symptoms or serology of any infection, including HIV, hepatitis B or C
- Impaired renal function
- History of malignancy within 2 years prior to screening
- Current life-threatening condition other than vascular disease that may prevent a patient from completing the study
- Use of an investigational drug or biologic within 30 days or 5 half-lives (whichever is longer) prior to the first dose of study medication
- Exposure to substantial radiation within 12 months prior to screening
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Placebo Comparator
Arm Label
A
B
C
Arm Description
Outcomes
Primary Outcome Measures
Change in TBR as measured by FDG-PET/CT
Secondary Outcome Measures
Incidence and severity of adverse events and clinical laboratory abnormalities as a measure of safety and tolerability of MLDL1278A
Effects of MLDL1278A on inflammatory and metabolic biomarkers
Full Information
NCT ID
NCT01258907
First Posted
December 10, 2010
Last Updated
November 1, 2016
Sponsor
Genentech, Inc.
Collaborators
BioInvent International AB
1. Study Identification
Unique Protocol Identification Number
NCT01258907
Brief Title
A Study to Evaluate the Safety, Tolerability, and Activity of Intravenous MLDL1278A in Patients on Standard-of-Care Therapy for Stable Atherosclerotic Cardiovascular Disease (GLACIER)
Official Title
A Multicenter, Randomized, Double Blind, Placebo-Controlled Phase II Study to Evaluate the Safety, Tolerability, and Activity of Intravenous MLDL1278A in Patients on Standard-of-Care Therapy for Stable Atherosclerotic Cardiovascular Disease (GLACIER - Goal of Oxidized Ldl and Activated Macrophage Inhibition by Exposure to a Recombinant Antibody)
Study Type
Interventional
2. Study Status
Record Verification Date
November 2016
Overall Recruitment Status
Completed
Study Start Date
March 2010 (undefined)
Primary Completion Date
July 2012 (Actual)
Study Completion Date
undefined (undefined)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Genentech, Inc.
Collaborators
BioInvent International AB
4. Oversight
5. Study Description
Brief Summary
This is a Phase II (proof-of-activity), double-blind, placebo-controlled, randomized, multicenter study of MLDL1278A (also known as BI-204) involving patients on standard-of-care therapy for atherosclerotic cardiovascular disease with evidence of vascular inflammation, as quantified by FDG-PET/CT.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atherosclerosis
Keywords
BI-204
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
147 (Actual)
8. Arms, Groups, and Interventions
Arm Title
A
Arm Type
Experimental
Arm Title
B
Arm Type
Experimental
Arm Title
C
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
MLDL1278A
Intervention Description
Single intravenous dose
Intervention Type
Drug
Intervention Name(s)
MLDL1278A
Intervention Description
Repeating intravenous dose
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
Repeating intravenous dose
Intervention Type
Drug
Intervention Name(s)
statin, stable dose
Intervention Description
Repeating oral dose
Primary Outcome Measure Information:
Title
Change in TBR as measured by FDG-PET/CT
Time Frame
Baseline to Week 12
Secondary Outcome Measure Information:
Title
Incidence and severity of adverse events and clinical laboratory abnormalities as a measure of safety and tolerability of MLDL1278A
Time Frame
Throughout study or until early discontinuation
Title
Effects of MLDL1278A on inflammatory and metabolic biomarkers
Time Frame
Throughout study or until early discontinuation
10. Eligibility
Sex
All
Minimum Age & Unit of Time
35 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Evidence of qualifying vessel (carotid or aortic) plaque inflammation
Documented atherosclerotic vascular disease clinically stable for at least 3 months prior to screening or type 2 diabetes mellitus with elevated cardiovascular risk
Use of a stable dose of statin therapy for at least 6 weeks prior to screening. Patients must be capable of maintaining statin therapy at a current dose level from screening until the last follow-up visit.
For patients taking angiotensin-converting enzyme (ACE) inhibitors (ACE-I) or angiotensin-receptor blockers (ARBs), non-statin lipid-modifying therapy, thiazolidinediones, inhaled steroids, or leukotriene modifying agents, use of a stable dose for at least 6 weeks prior to screening and capable of continuing with that dose for the duration of the study
Exclusion Criteria:
Occurrence of a cardiovascular event < 6 months prior to screening
Pregnant, planning to become pregnant during the study, or breastfeeding
Clinically significant abnormal laboratory values or abnormal ECG or vital signs
History of anaphylactic reactions
Newly discovered Type 2 diabetes mellitus (T2DM) (prior to study entry) or medical treatment for T2DM started < 3 months prior to study entry
Use of insulin, corticosteroids (oral, rectal, or injectable), or other immunosuppressive medications
Current or recent (within 4 weeks prior to screening) infection, including signs, symptoms or serology of any infection, including HIV, hepatitis B or C
Impaired renal function
History of malignancy within 2 years prior to screening
Current life-threatening condition other than vascular disease that may prevent a patient from completing the study
Use of an investigational drug or biologic within 30 days or 5 half-lives (whichever is longer) prior to the first dose of study medication
Exposure to substantial radiation within 12 months prior to screening
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Joshua Lehrer-Graiwer, M.D.
Organizational Affiliation
Genentech, Inc.
Official's Role
Study Director
Facility Information:
City
Torrance
State/Province
California
ZIP/Postal Code
90502
Country
United States
City
Colorado Springs
State/Province
Colorado
ZIP/Postal Code
80904
Country
United States
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20010
Country
United States
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32605
Country
United States
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32216
Country
United States
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46260
Country
United States
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
City
Haverhill
State/Province
Massachusetts
ZIP/Postal Code
01830
Country
United States
City
Royal Oak
State/Province
Michigan
ZIP/Postal Code
48073
Country
United States
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55455
Country
United States
City
Saint Paul
State/Province
Minnesota
ZIP/Postal Code
55102
Country
United States
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64111
Country
United States
City
Newington
State/Province
New Hampshire
ZIP/Postal Code
03801
Country
United States
City
New York
State/Province
New York
ZIP/Postal Code
10001
Country
United States
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States
City
North Massapequa
State/Province
New York
ZIP/Postal Code
11758
Country
United States
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45219
Country
United States
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45227
Country
United States
City
Portland
State/Province
Oregon
ZIP/Postal Code
97225-3411
Country
United States
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239
Country
United States
City
Houston
State/Province
Texas
ZIP/Postal Code
77002
Country
United States
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
City
Ottawa
State/Province
Ontario
ZIP/Postal Code
K1Y 4W7
Country
Canada
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H1T 1C8
Country
Canada
12. IPD Sharing Statement
Learn more about this trial
A Study to Evaluate the Safety, Tolerability, and Activity of Intravenous MLDL1278A in Patients on Standard-of-Care Therapy for Stable Atherosclerotic Cardiovascular Disease (GLACIER)
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