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Effect of ACP-501 on Safety, Tolerability, Pharmacokinetics and Pharmacodynamics in Subjects With Coronary Artery Disease

Primary Purpose

Coronary Artery Disease, Atherosclerosis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
ACP-501
Sponsored by
MedImmune LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Coronary Artery Disease focused on measuring Lecithin Cholesterol Acyl Transferase, LCAT, rhLCAT, Enzyme replacement therapy, High-Density Lipoprotein (HDL), Cholesterol, Cholesterol ester, LCAT Deficiency

Eligibility Criteria

30 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • A history of stable documented CAD
  • Currently non-smoking males and females ages 30 to 85 years inclusive.

    o Female subjects of child-bearing potential (neither pregnant nor breast-feeding) must be using adequate birth control during study conduct.

  • Chronic concomitant medications must be stable for at least 2 months prior to screening
  • HDL-C < 50 mg/dL for men and < 55 mg/dL for women
  • Body Mass Index (BMI) of approximately 18 to 35 kg/m^2; and a total body weight >= 50 kg (110 lbs) and <= 110 kg (approximately 242 lbs)

Exclusion Criteria:

  • Myocardial infarction, stroke, or coronary intervention/revascularization procedure within 6 months prior to dosing.
  • Chronic heart failure (> New York Heart Association (NYHA) Functional Classification II).
  • Ventricular tachyarrhythmias.
  • Uncontrolled Type 2 (HbA1c > 8.5%) or Type 1 diabetes mellitus.
  • History of febrile illness within 5 days prior to dosing.
  • History of regular alcohol consumption exceeding 10 drinks per week.
  • 12-lead ECG demonstrating QTc > 500 msec at screening.
  • Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with trial participation or investigational product administration or may interfere with the interpretation of trial results and, in the judgment of the investigator, would make the subject inappropriate for entry into this trial.

Sites / Locations

  • Cardiovascular and Pulmonary Branch (CPB) of NIH

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

ACP-501

Arm Description

Outcomes

Primary Outcome Measures

Summary of Participants Experience with Safety and Tolerability
Safety and tolerability of a single dose of ACP-501 as determined by adverse event reporting, clinical laboratory results, vital signs, physical examination, and electrocardiograms (ECGs).

Secondary Outcome Measures

Pharmacokinetic profile
Change in High-Density Lipoprotein-Cholesterol (HDL-C) value following a single dose

Full Information

First Posted
March 13, 2012
Last Updated
March 12, 2019
Sponsor
MedImmune LLC
Collaborators
National Heart, Lung, and Blood Institute (NHLBI)
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1. Study Identification

Unique Protocol Identification Number
NCT01554800
Brief Title
Effect of ACP-501 on Safety, Tolerability, Pharmacokinetics and Pharmacodynamics in Subjects With Coronary Artery Disease
Official Title
An Intravenous, Open-label, Single-dose Escalation Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of rhLCAT in Subjects With Coronary Artery Disease
Study Type
Interventional

2. Study Status

Record Verification Date
January 2013
Overall Recruitment Status
Completed
Study Start Date
March 2012 (undefined)
Primary Completion Date
September 2012 (Actual)
Study Completion Date
September 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
MedImmune LLC
Collaborators
National Heart, Lung, and Blood Institute (NHLBI)

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is a phase 1, intravenous, open-label, single-dose escalation study to evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of ACP-501 (recombinant human Lecithin Cholesterol Acyl Transferase (rhLCAT)) in subjects with coronary artery disease (CAD). Four cohorts consisting of 4 subjects each will receive one dose of ACP-501. The dose will be escalated by cohort.
Detailed Description
After signing informed consent, subjects entered into the trial will be followed for up to 8 weeks which includes: up to 4 weeks screening, entry criteria assessments on Day 0 and single-dose IV infusion on Day 1, and 4 weeks of follow-up.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Coronary Artery Disease, Atherosclerosis
Keywords
Lecithin Cholesterol Acyl Transferase, LCAT, rhLCAT, Enzyme replacement therapy, High-Density Lipoprotein (HDL), Cholesterol, Cholesterol ester, LCAT Deficiency

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
16 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ACP-501
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
ACP-501
Intervention Description
A single dose infusion
Primary Outcome Measure Information:
Title
Summary of Participants Experience with Safety and Tolerability
Description
Safety and tolerability of a single dose of ACP-501 as determined by adverse event reporting, clinical laboratory results, vital signs, physical examination, and electrocardiograms (ECGs).
Time Frame
Day 1 to Day 28
Secondary Outcome Measure Information:
Title
Pharmacokinetic profile
Time Frame
Hours 0, 1, 6, 12, 24, 48, 72, 96, 168
Title
Change in High-Density Lipoprotein-Cholesterol (HDL-C) value following a single dose
Time Frame
Hours 0, 1, 6, 12, 24, 48, 72, 96, 168

10. Eligibility

Sex
All
Minimum Age & Unit of Time
30 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: A history of stable documented CAD Currently non-smoking males and females ages 30 to 85 years inclusive. o Female subjects of child-bearing potential (neither pregnant nor breast-feeding) must be using adequate birth control during study conduct. Chronic concomitant medications must be stable for at least 2 months prior to screening HDL-C < 50 mg/dL for men and < 55 mg/dL for women Body Mass Index (BMI) of approximately 18 to 35 kg/m^2; and a total body weight >= 50 kg (110 lbs) and <= 110 kg (approximately 242 lbs) Exclusion Criteria: Myocardial infarction, stroke, or coronary intervention/revascularization procedure within 6 months prior to dosing. Chronic heart failure (> New York Heart Association (NYHA) Functional Classification II). Ventricular tachyarrhythmias. Uncontrolled Type 2 (HbA1c > 8.5%) or Type 1 diabetes mellitus. History of febrile illness within 5 days prior to dosing. History of regular alcohol consumption exceeding 10 drinks per week. 12-lead ECG demonstrating QTc > 500 msec at screening. Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with trial participation or investigational product administration or may interfere with the interpretation of trial results and, in the judgment of the investigator, would make the subject inappropriate for entry into this trial.
Facility Information:
Facility Name
Cardiovascular and Pulmonary Branch (CPB) of NIH
City
Bethesda
State/Province
Maryland
ZIP/Postal Code
20892
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
26628614
Citation
Shamburek RD, Bakker-Arkema R, Shamburek AM, Freeman LA, Amar MJ, Auerbach B, Krause BR, Homan R, Adelman SJ, Collins HL, Sampson M, Wolska A, Remaley AT. Safety and Tolerability of ACP-501, a Recombinant Human Lecithin:Cholesterol Acyltransferase, in a Phase 1 Single-Dose Escalation Study. Circ Res. 2016 Jan 8;118(1):73-82. doi: 10.1161/CIRCRESAHA.115.306223. Epub 2015 Dec 1.
Results Reference
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Learn more about this trial

Effect of ACP-501 on Safety, Tolerability, Pharmacokinetics and Pharmacodynamics in Subjects With Coronary Artery Disease

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