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Multiple Ascending Dose Study of SPC5001 in Treatment of Healthy Subjects and Subjects With FH

Primary Purpose

Hypercholesterolemia

Status
Terminated
Phase
Phase 1
Locations
Netherlands
Study Type
Interventional
Intervention
SPC5001
Saline 0.9%
SPC5001
SPC5001
SPC5001
SPC5001
Sponsored by
Santaris Pharma A/S
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypercholesterolemia focused on measuring hypercholesterolemia, hyperlipidemia, LDL, HDL, PCSK9, LNA-oligonucleotide

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy male or female subjects and subjects with heterozygous Familial Hypercholesterolemia

    • Healthy male or female subjects, age 18 to 65 years, inclusive will be enrolled in Cohorts 1 through 4.
    • In Cohort 5, male or female subjects with heterozygous Familial Hypercholesterolemia, confirmed through genetic testing, without a history of cardiovascular disease (e.g. coronary artery, peripheral artery or cerebrovascular disease), hypertension or diabetes mellitus age 18-45 years, inclusive, will be enrolled.
  2. BMI of 18-33 kg/m2
  3. Screening hematology, clinical chemistries, coagulation and urinalysis consistent with overall good health and the following criteria are met:

    • LDL ≥.3.24 mmol/L (≥ 100 mg/dL)
    • Triglycerides (fasted) < 4.5 mmol/L (< 398 mg/dL)
    • ALT within normal limits for healthy subjects and ALT < 2 x ULN for FH subjects

Exclusion Criteria:

  1. Any uncontrolled or active major systemic disease including, but not limited to: cardiovascular, pulmonary, gastrointestinal, metabolic, urogenital, neurological, immunological, psychiatric, or neoplastic disorder with metastatic potential

    - History or presence of malignancy within the past year is an exclusion criterion. Subjects who have been successfully treated with no recurrence of basal cell carcinoma of the skin or carcinoma in-situ of the cervix may be enrolled.

  2. Active acute or chronic infection, including, but not limited to: upper airway infection, urinary tract infection, and skin infection
  3. Use of prescription medication within 14 days prior to the planned first drug administration and throughout the study. For the FH subjects statin therapy (and other lipid lowering therapies) will be prohibited within 4 weeks prior to the first study drug administration.
  4. Use of non-prescription or over-the-counter medications is prohibited within 7 days prior to the planned first drug administration and throughout the study. This includes all vitamins, herbal supplements, or remedies. An exception can be made for medication or supplements that in the opinion of both the investigator and the Sponsor do not complicate or compromise the study or interfere with the study objectives.
  5. Positive results on the following Screening laboratory tests: urine or serum pregnancy test (women only), alcohol breath test, urine drugs of abuse, hepatitis B surface antigen, hepatitis C antibody, and human immunodeficiency virus (HIV) antibody.

Sites / Locations

  • Centre for Huma Drug Research (CHDR)

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Placebo Comparator

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

saline 0.9%

Cohort 1

Cohort 2

Cohort 3

Cohort 4

Cohort 5

Arm Description

0.5 mg/kg in Healthy Subjects

1.5 mg/kg in Healthy subjects

5.0 mg/kg in Healthy subjects

10 mg/kg in Healthy subjects

TBD mg/kg in FH subjects

Outcomes

Primary Outcome Measures

Safety and Tolerability
Safety evaluation will assess adverse event (AE) profile, clinical laboratory safety tests, vital signs and ECG monitoring

Secondary Outcome Measures

Peak Plasma Concentration (Cmax) of SPC5001
Lipid lowering effect
Area under the plasma concentration versus time curve (AUC) of SPC5001

Full Information

First Posted
May 5, 2011
Last Updated
November 21, 2011
Sponsor
Santaris Pharma A/S
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1. Study Identification

Unique Protocol Identification Number
NCT01350960
Brief Title
Multiple Ascending Dose Study of SPC5001 in Treatment of Healthy Subjects and Subjects With FH
Official Title
A First-in-Human (FIH), Randomized, Dose-Escalation, Double-Blind, Placebo-Controlled Study to Assess Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of SPC5001 Administered to Healthy Subjects and Subjects With Familial Hypercholesterolemia (FH)
Study Type
Interventional

2. Study Status

Record Verification Date
November 2011
Overall Recruitment Status
Terminated
Study Start Date
May 2011 (undefined)
Primary Completion Date
October 2011 (Actual)
Study Completion Date
November 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Santaris Pharma A/S

4. Oversight

5. Study Description

Brief Summary
The purpose is to study Safety and Tolerability.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypercholesterolemia
Keywords
hypercholesterolemia, hyperlipidemia, LDL, HDL, PCSK9, LNA-oligonucleotide

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
24 (Actual)

8. Arms, Groups, and Interventions

Arm Title
saline 0.9%
Arm Type
Placebo Comparator
Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
0.5 mg/kg in Healthy Subjects
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
1.5 mg/kg in Healthy subjects
Arm Title
Cohort 3
Arm Type
Experimental
Arm Description
5.0 mg/kg in Healthy subjects
Arm Title
Cohort 4
Arm Type
Experimental
Arm Description
10 mg/kg in Healthy subjects
Arm Title
Cohort 5
Arm Type
Experimental
Arm Description
TBD mg/kg in FH subjects
Intervention Type
Drug
Intervention Name(s)
SPC5001
Intervention Description
3 weekly SC injections
Intervention Type
Drug
Intervention Name(s)
Saline 0.9%
Intervention Description
3 weekly SC injections
Intervention Type
Drug
Intervention Name(s)
SPC5001
Intervention Description
3 weekly SC injections
Intervention Type
Drug
Intervention Name(s)
SPC5001
Intervention Description
3 weekly SC injections
Intervention Type
Drug
Intervention Name(s)
SPC5001
Intervention Description
3 weekly SC injections
Intervention Type
Drug
Intervention Name(s)
SPC5001
Intervention Description
3 weekly SC injections
Primary Outcome Measure Information:
Title
Safety and Tolerability
Description
Safety evaluation will assess adverse event (AE) profile, clinical laboratory safety tests, vital signs and ECG monitoring
Time Frame
Regularly over 78 days
Secondary Outcome Measure Information:
Title
Peak Plasma Concentration (Cmax) of SPC5001
Time Frame
up to 78 days
Title
Lipid lowering effect
Time Frame
Through out the study
Title
Area under the plasma concentration versus time curve (AUC) of SPC5001
Time Frame
up to 78 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy male or female subjects and subjects with heterozygous Familial Hypercholesterolemia Healthy male or female subjects, age 18 to 65 years, inclusive will be enrolled in Cohorts 1 through 4. In Cohort 5, male or female subjects with heterozygous Familial Hypercholesterolemia, confirmed through genetic testing, without a history of cardiovascular disease (e.g. coronary artery, peripheral artery or cerebrovascular disease), hypertension or diabetes mellitus age 18-45 years, inclusive, will be enrolled. BMI of 18-33 kg/m2 Screening hematology, clinical chemistries, coagulation and urinalysis consistent with overall good health and the following criteria are met: LDL ≥.3.24 mmol/L (≥ 100 mg/dL) Triglycerides (fasted) < 4.5 mmol/L (< 398 mg/dL) ALT within normal limits for healthy subjects and ALT < 2 x ULN for FH subjects Exclusion Criteria: Any uncontrolled or active major systemic disease including, but not limited to: cardiovascular, pulmonary, gastrointestinal, metabolic, urogenital, neurological, immunological, psychiatric, or neoplastic disorder with metastatic potential - History or presence of malignancy within the past year is an exclusion criterion. Subjects who have been successfully treated with no recurrence of basal cell carcinoma of the skin or carcinoma in-situ of the cervix may be enrolled. Active acute or chronic infection, including, but not limited to: upper airway infection, urinary tract infection, and skin infection Use of prescription medication within 14 days prior to the planned first drug administration and throughout the study. For the FH subjects statin therapy (and other lipid lowering therapies) will be prohibited within 4 weeks prior to the first study drug administration. Use of non-prescription or over-the-counter medications is prohibited within 7 days prior to the planned first drug administration and throughout the study. This includes all vitamins, herbal supplements, or remedies. An exception can be made for medication or supplements that in the opinion of both the investigator and the Sponsor do not complicate or compromise the study or interfere with the study objectives. Positive results on the following Screening laboratory tests: urine or serum pregnancy test (women only), alcohol breath test, urine drugs of abuse, hepatitis B surface antigen, hepatitis C antibody, and human immunodeficiency virus (HIV) antibody.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Koos Burggraaf, MD PhD
Organizational Affiliation
Centre for Human Drug Research (CHDR)
Official's Role
Principal Investigator
Facility Information:
Facility Name
Centre for Huma Drug Research (CHDR)
City
Leiden
ZIP/Postal Code
2333
Country
Netherlands

12. IPD Sharing Statement

Citations:
PubMed Identifier
26261033
Citation
van Poelgeest EP, Hodges MR, Moerland M, Tessier Y, Levin AA, Persson R, Lindholm MW, Dumong Erichsen K, Orum H, Cohen AF, Burggraaf J. Antisense-mediated reduction of proprotein convertase subtilisin/kexin type 9 (PCSK9): a first-in-human randomized, placebo-controlled trial. Br J Clin Pharmacol. 2015 Dec;80(6):1350-61. doi: 10.1111/bcp.12738. Epub 2015 Oct 24.
Results Reference
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Multiple Ascending Dose Study of SPC5001 in Treatment of Healthy Subjects and Subjects With FH

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