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Study of Pharmacokinetics, Pharmacodynamics, Safety and Tolerability of Inclisiran in Chinese Participants With Elevated Serum LDL-C (ORION-14)

Primary Purpose

Hyperlipidemia

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
100 mg inclisiran sodium (equivalent to 94.5 mg inclisiran)
Placebo
300 mg inclisiran sodium (equivalent to 284 mg inclisiran)
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hyperlipidemia focused on measuring Inclisiran, KJX839, LDL-C, Pharmacokinetics and pharmacodynamics, Chinese participants with elevated serum LDL-C

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Written informed consent must be obtained before any assessment is performed.
  2. Male or female participants ≥ 18 years of age at screening
  3. Participants should meet fasting serum LDL-C ≥ 100 mg/dL (≥ 2.6 mmol/L) at screening
  4. Participants should meet fasting triglyceride < 400 mg/dL (< 4.52 mmol/L) at screening
  5. Participants should be receiving a maximally tolerated dose of statin#.
  6. For all participants, all the lipid-lowering therapy/ies (such as but not limited to statins and/or ezetimibe) should have remained stable (stable dose and no medication change) for ≥ 30 days before screening with no planned medication or dose change during study participation. #Maximum tolerated dose was defined as the maximum dose of statin that could be taken on a regular basis without intolerable AEs.
  7. Participants not receiving statin must have a documented evidence of intolerance to all doses of at least 2 different statins (or the corresponding local definition of complete intolerance to statins)

Exclusion Criteria:

  1. Participants diagnosed with any of following: homozygous familial hypercholesterolemia, New York Heart Association class III & IV heart failure, Type 2 diabetes, severe hypertension, active liver disease, HIV infection or any uncontrolled or serious disease;
  2. History of drug abuse or unhealthy alcohol use, malignancy of any organ system, or or allergy to the investigational compound/compound class;
  3. Major adverse cardiovascular event within 3 months prior to randomization;
  4. Calculated glomerular filtration rate ≤30 mL/min by estimated glomerular filtration rate (eGFR) using standardized clinical methodology;
  5. Use of other investigational drugs or planned use of other investigational products or devices;
  6. Women of child-bearing potential unless they are using basic methods of contraception during dosing of investigational drug (total abstinence, sterilization, barrier methods, hormonal contraception, intrauterine device);
  7. Treatment with monoclonal antibodies inhibiting PCSK9 within 90 days prior to screening.

Other protocol-defined inclusion/exclusion criteria may apply

Sites / Locations

  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

300 mg inclisiran sodium (equivalent to 284 mg inclisiran)

100 mg inclisiran sodium (equivalent to 94.5 mg inclisiran)

Placebo

Arm Description

300 mg inclisiran sodium (equivalent to 284 mg inclisiran) x 1 dose (n=15) at Day 1

100 mg inclisiran sodium (equivalent to 94.5 mg inclisiran) x 1 dose (n=15) at Day 1

Placebo x 1 dose (n=10) at Day 1

Outcomes

Primary Outcome Measures

PK parameters (Cmax) maximum peak observed plasma inclisiran concentration in treated participants
Pharmacokinetics parameters of inclisiran
PK parameters (Tmax) time to reach maximum peak plasma inclisiran concentration in treated participants
Pharmacokinetics parameters of inclisiran
PK parameters (T1/2) the elimination half-life associated with the terminal slope of a semi-logarithmic concentration-time curve in inclisiran treated participants
Pharmacokinetics parameters of inclisiran
PK parameters (AUC) area under the plasma concentration-time curve in inclisiran treated participants
Pharmacokinetics parameters of inclisiran
Percentage change in Proprotein convertase subtilisin kexin 9 (PCSK9) from baseline overtime
Pharmacodynamics effects of inclisiran
Percentage change in Low density lipoprotein cholesterol (LDL-C) from baseline overtime
Pharmacodynamics effects of inclisiran

Secondary Outcome Measures

Percent change from baseline to Days 30, 60 and 90 in PD parameter Proprotein convertase subtilisin kexin 9 (PCSK9)
Pharmacodynamics differences between inclisiran and placebo
Percent change from baseline to Days 30, 60 and 90 in PD parameter Low density lipoprotein cholesterol (LDL-C)
Pharmacodynamics differences between inclisiran and placebo
Rate of formation of anti-drug antibodies to Inclisiran
Immunogenicity of inclisiran

Full Information

First Posted
February 18, 2021
Last Updated
January 27, 2023
Sponsor
Novartis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT04774003
Brief Title
Study of Pharmacokinetics, Pharmacodynamics, Safety and Tolerability of Inclisiran in Chinese Participants With Elevated Serum LDL-C
Acronym
ORION-14
Official Title
A Placebo-controlled, Participant, Investigator and Sponsor Blinded, Randomized Study to Evaluate the Pharmacokinetics and Pharmacodynamics of Inclisiran Treatment Given as Single Subcutaneous Injection in Chinese Participants With Elevated Low-density Lipoprotein Cholesterol (LDL-C) Despite Treatment With LDL-C Lowering Therapies (ORION-14)
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Completed
Study Start Date
February 26, 2021 (Actual)
Primary Completion Date
October 18, 2021 (Actual)
Study Completion Date
October 18, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novartis Pharmaceuticals

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
Study to evaluate the pharmacokinetics and pharmacodynamics of inclisiran treatment given as single subcutaneous injection in Chinese participants with elevated low-density lipoprotein cholesterol (LDL-C) despite treatment with LDL-C lowering therapies
Detailed Description
The purpose of the study is to characterize pharmacokinetics, pharmacodynamics, safety and tolerability of inclisiran in Chinese participants with elevated serum LDL-C to support inclisiran registration in China.Inclisiran is a long acting RNA therapeutic agent that inhibits the synthesis of PCSK9, leading to reduced circulating LDL-C levels. Three pivotal Phase III studies have been conducted primarily in non-Asian participants to support New Drug Application/Marketing Authorization Application approval of inclisiran globally. This study design is based on the hypothesis that the global inclisiran clinical data primarily obtained in Caucasian participants could be appropriately extrapolated to Chinese participants.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hyperlipidemia
Keywords
Inclisiran, KJX839, LDL-C, Pharmacokinetics and pharmacodynamics, Chinese participants with elevated serum LDL-C

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
This is a placebo-controlled study of inclisiran sodium given as a single subcutaneous injection of either 100 mg and 300 mg.
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
This is a participant, investigator and sponsor blinded, randomized study
Allocation
Randomized
Enrollment
40 (Actual)

8. Arms, Groups, and Interventions

Arm Title
300 mg inclisiran sodium (equivalent to 284 mg inclisiran)
Arm Type
Experimental
Arm Description
300 mg inclisiran sodium (equivalent to 284 mg inclisiran) x 1 dose (n=15) at Day 1
Arm Title
100 mg inclisiran sodium (equivalent to 94.5 mg inclisiran)
Arm Type
Experimental
Arm Description
100 mg inclisiran sodium (equivalent to 94.5 mg inclisiran) x 1 dose (n=15) at Day 1
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo x 1 dose (n=10) at Day 1
Intervention Type
Drug
Intervention Name(s)
100 mg inclisiran sodium (equivalent to 94.5 mg inclisiran)
Other Intervention Name(s)
KJX839
Intervention Description
100 mg inclisiran sodium (equivalent to 94.5 mg inclisiran) in 0.5 mL solution. Subcutaneous administration at Day 1
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Inclisiran sodium 0mg (equivalent to inclisiran 0 mg) in 1.5 mL solution. Subcutaneous administration at Day 1
Intervention Type
Drug
Intervention Name(s)
300 mg inclisiran sodium (equivalent to 284 mg inclisiran)
Other Intervention Name(s)
KJX839
Intervention Description
300 mg inclisiran sodium (equivalent to 284 mg inclisiran) in 1.5 mL solution. Subcutaneous administration at Day 1
Primary Outcome Measure Information:
Title
PK parameters (Cmax) maximum peak observed plasma inclisiran concentration in treated participants
Description
Pharmacokinetics parameters of inclisiran
Time Frame
0-48 hours post-dose
Title
PK parameters (Tmax) time to reach maximum peak plasma inclisiran concentration in treated participants
Description
Pharmacokinetics parameters of inclisiran
Time Frame
0-48 hours post-dose
Title
PK parameters (T1/2) the elimination half-life associated with the terminal slope of a semi-logarithmic concentration-time curve in inclisiran treated participants
Description
Pharmacokinetics parameters of inclisiran
Time Frame
0-48 hours post-dose
Title
PK parameters (AUC) area under the plasma concentration-time curve in inclisiran treated participants
Description
Pharmacokinetics parameters of inclisiran
Time Frame
0-48 hours post-dose
Title
Percentage change in Proprotein convertase subtilisin kexin 9 (PCSK9) from baseline overtime
Description
Pharmacodynamics effects of inclisiran
Time Frame
Baseline to Days 5, 8, 15, 30, 60 and 90
Title
Percentage change in Low density lipoprotein cholesterol (LDL-C) from baseline overtime
Description
Pharmacodynamics effects of inclisiran
Time Frame
Baseline to Days 5, 8, 15, 30, 60 and 90
Secondary Outcome Measure Information:
Title
Percent change from baseline to Days 30, 60 and 90 in PD parameter Proprotein convertase subtilisin kexin 9 (PCSK9)
Description
Pharmacodynamics differences between inclisiran and placebo
Time Frame
Baseline to Days 30, 60 and 90
Title
Percent change from baseline to Days 30, 60 and 90 in PD parameter Low density lipoprotein cholesterol (LDL-C)
Description
Pharmacodynamics differences between inclisiran and placebo
Time Frame
Baseline to Days 30, 60 and 90
Title
Rate of formation of anti-drug antibodies to Inclisiran
Description
Immunogenicity of inclisiran
Time Frame
Baseline, Days 30 and 90

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Written informed consent must be obtained before any assessment is performed. Male or female participants ≥ 18 years of age at screening Participants should meet fasting serum LDL-C ≥ 100 mg/dL (≥ 2.6 mmol/L) at screening Participants should meet fasting triglyceride < 400 mg/dL (< 4.52 mmol/L) at screening Participants should be receiving a maximally tolerated dose of statin#. For all participants, all the lipid-lowering therapy/ies (such as but not limited to statins and/or ezetimibe) should have remained stable (stable dose and no medication change) for ≥ 30 days before screening with no planned medication or dose change during study participation. #Maximum tolerated dose was defined as the maximum dose of statin that could be taken on a regular basis without intolerable AEs. Participants not receiving statin must have a documented evidence of intolerance to all doses of at least 2 different statins (or the corresponding local definition of complete intolerance to statins) Exclusion Criteria: Participants diagnosed with any of following: homozygous familial hypercholesterolemia, New York Heart Association class III & IV heart failure, Type 2 diabetes, severe hypertension, active liver disease, HIV infection or any uncontrolled or serious disease; History of drug abuse or unhealthy alcohol use, malignancy of any organ system, or or allergy to the investigational compound/compound class; Major adverse cardiovascular event within 3 months prior to randomization; Calculated glomerular filtration rate ≤30 mL/min by estimated glomerular filtration rate (eGFR) using standardized clinical methodology; Use of other investigational drugs or planned use of other investigational products or devices; Women of child-bearing potential unless they are using basic methods of contraception during dosing of investigational drug (total abstinence, sterilization, barrier methods, hormonal contraception, intrauterine device); Treatment with monoclonal antibodies inhibiting PCSK9 within 90 days prior to screening. Other protocol-defined inclusion/exclusion criteria may apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Pharmaceuticals
Organizational Affiliation
Novartis Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Novartis Investigative Site
City
Changsha
State/Province
Hunan
ZIP/Postal Code
410003
Country
China
Facility Name
Novartis Investigative Site
City
Chengdu
State/Province
Sichuan
ZIP/Postal Code
610041
Country
China
Facility Name
Novartis Investigative Site
City
Beijing
ZIP/Postal Code
100029
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No
Links:
URL
https://www.novctrd.com/ctrdweb/patientsummary/patientsummaries?patientSummaryId=1308
Description
A Plain Language Trial Summary is available on novctrd.com

Learn more about this trial

Study of Pharmacokinetics, Pharmacodynamics, Safety and Tolerability of Inclisiran in Chinese Participants With Elevated Serum LDL-C

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