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A Phase II Study of the Safety and Efficacy of MPSK3169A in Patients With Coronary Heart Disease or High Risk of Coronary Heart Disease

Primary Purpose

Coronary Heart Disease

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
MPSK3169A
MPSK3169A
MPSK3169A
MPSK3169A
MPSK3169A
Placebo
Sponsored by
Genentech, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Coronary Heart Disease focused on measuring Hyperlipidemia, Dyslipidemia

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Use of a standard-of-care statin at a stable dose, or intolerance of statins, without use of other lipid modifying therapies
  • Fasting LDL cholesterol 90-250 mg/dL on the statin regimen above

And at least one of the following:

  • Coronary heart disease (CHD) with a history of myocardial infarction (MI), percutaneous coronary intervention (PCI), coronary artery bypass graft surgery (CABG), or prior coronary angiography demonstrating coronary atherosclerosis
  • A CHD risk equivalent condition, including diabetes mellitus (type 1 or 2), chronic kidney disease, prior stroke, carotid disease, peripheral arterial disease, or abdominal aortic aneurism
  • >/=2 CHD risk factors (age >/= 45 years for men or >/= 55 years for women; smoking; hypertension; low HDL cholesterol; family history of premature CHD) and a high risk of a CV event based on risk estimation systems

Exclusion Criteria:

  • Severe congestive heart failure (NYHA Class III-IV) or left ventricular ejection fraction </= 35%
  • Recent (within 3 months) MI, unstable angina, stroke, transient ischemic attack, CABG, PCI, hospital admission for heart failure, major surgery, uncontrolled cardiac arrhythmia (other than atrial fibrillation or flutter), or initiation of renal replacement therapy (dialysis)
  • Fasting serum triglyceride level >/= 400 mg/dL
  • Homozygous familial hypercholesterolemia
  • Poorly controlled diabetes mellitus, hypertension or thyroid disease
  • Liver or muscle disease, including abnormal test results at screening
  • Pregnant or lactating

The above list is not intended to contain all factors relevant to a patient's eligibility for the study.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

A

B

C

D

E

F

Arm Description

Outcomes

Primary Outcome Measures

Absolute change from baseline in LDL-c concentration

Secondary Outcome Measures

Absolute change from baseline in LDL-c concentration for each arm at the nadir for that arm
Average value over time of the change in LDL-c (absolute and percent change) for each arm, up to Day 169, weighted by the number of weeks between consecutive LDL-c measurements
Percent change from baseline in LDL-c concentration at Day 169 and at the nadir for each arm
Percent and absolute change from baseline in LDL-c concentration at all other designated timepoints
Percent and absolute change from baseline in total cholesterol, non-HDL-c, and apolipoprotein B (ApoB) at Day 169 and at the nadir for each arm

Full Information

First Posted
May 24, 2012
Last Updated
November 1, 2016
Sponsor
Genentech, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01609140
Brief Title
A Phase II Study of the Safety and Efficacy of MPSK3169A in Patients With Coronary Heart Disease or High Risk of Coronary Heart Disease
Official Title
A Phase II, Randomized, Placebo-Controlled, Double-Blind Study of the Safety and Efficacy of MPSK3169A in Patients With Coronary Heart Disease or High Risk of Coronary Heart Disease
Study Type
Interventional

2. Study Status

Record Verification Date
November 2016
Overall Recruitment Status
Completed
Study Start Date
May 2012 (undefined)
Primary Completion Date
May 2013 (Actual)
Study Completion Date
July 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Genentech, Inc.

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety and cholesterol lowering effects of MPSK3169A when given as subcutaneous (SC) injections over a 24-week period to patients with a high risk of cardiovascular events and LDL-c levels well above goal.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Coronary Heart Disease
Keywords
Hyperlipidemia, Dyslipidemia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
248 (Actual)

8. Arms, Groups, and Interventions

Arm Title
A
Arm Type
Experimental
Arm Title
B
Arm Type
Experimental
Arm Title
C
Arm Type
Experimental
Arm Title
D
Arm Type
Experimental
Arm Title
E
Arm Type
Experimental
Arm Title
F
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
MPSK3169A
Intervention Description
Dose regimen A, repeating subcutaneous injections every 4 weeks
Intervention Type
Drug
Intervention Name(s)
MPSK3169A
Intervention Description
Dose regimen E, repeating subcutaneous injections every 4 weeks
Intervention Type
Drug
Intervention Name(s)
MPSK3169A
Intervention Description
Dose regimen D, repeating subcutaneous injections every 4 weeks
Intervention Type
Drug
Intervention Name(s)
MPSK3169A
Intervention Description
Dose regimen C, repeating subcutaneous injections every 4 weeks
Intervention Type
Drug
Intervention Name(s)
MPSK3169A
Intervention Description
Dose regimen B, repeating subcutaneous injections every 4 weeks
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Repeating subcutaneous injections of placebo every 4 weeks
Primary Outcome Measure Information:
Title
Absolute change from baseline in LDL-c concentration
Time Frame
at Day 169
Secondary Outcome Measure Information:
Title
Absolute change from baseline in LDL-c concentration for each arm at the nadir for that arm
Time Frame
over the 24 week treatment period
Title
Average value over time of the change in LDL-c (absolute and percent change) for each arm, up to Day 169, weighted by the number of weeks between consecutive LDL-c measurements
Time Frame
up to Day 169
Title
Percent change from baseline in LDL-c concentration at Day 169 and at the nadir for each arm
Time Frame
at Day 169 and over the 24 week treatment period
Title
Percent and absolute change from baseline in LDL-c concentration at all other designated timepoints
Time Frame
at all other designated timepoints
Title
Percent and absolute change from baseline in total cholesterol, non-HDL-c, and apolipoprotein B (ApoB) at Day 169 and at the nadir for each arm
Time Frame
at Day 169 and over the 24 week treatment period

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Use of a standard-of-care statin at a stable dose, or intolerance of statins, without use of other lipid modifying therapies Fasting LDL cholesterol 90-250 mg/dL on the statin regimen above And at least one of the following: Coronary heart disease (CHD) with a history of myocardial infarction (MI), percutaneous coronary intervention (PCI), coronary artery bypass graft surgery (CABG), or prior coronary angiography demonstrating coronary atherosclerosis A CHD risk equivalent condition, including diabetes mellitus (type 1 or 2), chronic kidney disease, prior stroke, carotid disease, peripheral arterial disease, or abdominal aortic aneurism >/=2 CHD risk factors (age >/= 45 years for men or >/= 55 years for women; smoking; hypertension; low HDL cholesterol; family history of premature CHD) and a high risk of a CV event based on risk estimation systems Exclusion Criteria: Severe congestive heart failure (NYHA Class III-IV) or left ventricular ejection fraction </= 35% Recent (within 3 months) MI, unstable angina, stroke, transient ischemic attack, CABG, PCI, hospital admission for heart failure, major surgery, uncontrolled cardiac arrhythmia (other than atrial fibrillation or flutter), or initiation of renal replacement therapy (dialysis) Fasting serum triglyceride level >/= 400 mg/dL Homozygous familial hypercholesterolemia Poorly controlled diabetes mellitus, hypertension or thyroid disease Liver or muscle disease, including abnormal test results at screening Pregnant or lactating The above list is not intended to contain all factors relevant to a patient's eligibility for the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Genentech, Inc.
Official's Role
Study Director
Facility Information:
City
Goodyear
State/Province
Arizona
ZIP/Postal Code
85395
Country
United States
City
Carmichael
State/Province
California
ZIP/Postal Code
95608
Country
United States
City
Spring Valley
State/Province
California
ZIP/Postal Code
91978
Country
United States
City
Walnut Creek
State/Province
California
ZIP/Postal Code
94598
Country
United States
City
Wildomar
State/Province
California
ZIP/Postal Code
92595
Country
United States
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32216
Country
United States
City
Ponte Verde
State/Province
Florida
ZIP/Postal Code
32081
Country
United States
City
Boise
State/Province
Idaho
ZIP/Postal Code
83704
Country
United States
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46260
Country
United States
City
Iowa City
State/Province
Iowa
ZIP/Postal Code
52242
Country
United States
City
Auburn
State/Province
Maine
ZIP/Postal Code
04210
Country
United States
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21209
Country
United States
City
Bethesda
State/Province
Maryland
ZIP/Postal Code
20817
Country
United States
City
St. Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
City
Rochester
State/Province
New York
ZIP/Postal Code
14609
Country
United States
City
Wilmington
State/Province
North Carolina
ZIP/Postal Code
28401
Country
United States
City
Fargo
State/Province
North Dakota
ZIP/Postal Code
58103
Country
United States
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45212
Country
United States
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45219
Country
United States
City
Springdale
State/Province
Ohio
ZIP/Postal Code
45246
Country
United States
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73103
Country
United States
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74136
Country
United States
City
Greer
State/Province
South Carolina
ZIP/Postal Code
29650
Country
United States
City
Mount Pleasant
State/Province
South Carolina
ZIP/Postal Code
29464
Country
United States
City
Spartanburg
State/Province
South Carolina
ZIP/Postal Code
29303
Country
United States
City
Rapid City
State/Province
South Dakota
ZIP/Postal Code
57701
Country
United States
City
Bristol
State/Province
Tennessee
ZIP/Postal Code
37620
Country
United States
City
Knoxville
State/Province
Tennessee
ZIP/Postal Code
27912
Country
United States
City
Boerne
State/Province
Texas
ZIP/Postal Code
78006
Country
United States
City
Dallas
State/Province
Texas
ZIP/Postal Code
75230
Country
United States
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23294
Country
United States
City
Wenatchee
State/Province
Washington
ZIP/Postal Code
98801
Country
United States
City
Mount Pearl
State/Province
Newfoundland and Labrador
ZIP/Postal Code
A1N 1W7
Country
Canada
City
St. John's
State/Province
Newfoundland and Labrador
ZIP/Postal Code
A1A 3R5
Country
Canada
City
Sarnia
State/Province
Ontario
ZIP/Postal Code
N7T 4X3
Country
Canada
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M9V 4B4
Country
Canada
City
Woodstock
State/Province
Ontario
ZIP/Postal Code
N4S 5P5
Country
Canada
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H1T 1C8
Country
Canada
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H2P 2M1
Country
Canada
City
Sainte-foy
State/Province
Quebec
ZIP/Postal Code
G1V 4G2
Country
Canada
City
St-jerome
State/Province
Quebec
ZIP/Postal Code
J7Z 5T3
Country
Canada
City
Trois-Rivières
State/Province
Quebec
ZIP/Postal Code
G8T 7A1
Country
Canada
City
Hodonin
ZIP/Postal Code
695 01
Country
Czech Republic
City
Jičícin
ZIP/Postal Code
50601
Country
Czech Republic
City
Marianske Lazne
ZIP/Postal Code
353 01
Country
Czech Republic
City
Ostrava - Poruba
ZIP/Postal Code
708 52
Country
Czech Republic
City
Rakovník
ZIP/Postal Code
269 01
Country
Czech Republic
City
Berlin
ZIP/Postal Code
13125
Country
Germany
City
Köln
ZIP/Postal Code
50937
Country
Germany
City
Komarom
ZIP/Postal Code
2921
Country
Hungary
City
Nagykanizsa
ZIP/Postal Code
8800
Country
Hungary
City
Nyíregyháza
ZIP/Postal Code
4400
Country
Hungary
City
Sopron
ZIP/Postal Code
9400
Country
Hungary
City
Auckland
ZIP/Postal Code
1001
Country
New Zealand
City
Auckland
Country
New Zealand
City
Christchurch
ZIP/Postal Code
8011
Country
New Zealand
City
Nelson
ZIP/Postal Code
7001
Country
New Zealand
City
Tauranga
ZIP/Postal Code
3110
Country
New Zealand
City
Elverum
ZIP/Postal Code
2401
Country
Norway
City
Hamar
ZIP/Postal Code
2317
Country
Norway
City
Oslo
ZIP/Postal Code
0027
Country
Norway
City
Oslo
ZIP/Postal Code
0160
Country
Norway
City
Sandnes
ZIP/Postal Code
4313
Country
Norway
City
Bardejov
ZIP/Postal Code
08501
Country
Slovakia
City
Bratislava
ZIP/Postal Code
841 07
Country
Slovakia
City
Presov
ZIP/Postal Code
080 01
Country
Slovakia
City
Rimavska Sobota
ZIP/Postal Code
979 01
Country
Slovakia
City
Cape Town
ZIP/Postal Code
7130
Country
South Africa
City
Cape Town
ZIP/Postal Code
7505
Country
South Africa
City
Centurion
ZIP/Postal Code
0157
Country
South Africa
City
Pretoria
ZIP/Postal Code
0181
Country
South Africa

12. IPD Sharing Statement

Citations:
PubMed Identifier
28343601
Citation
Baruch A, Mosesova S, Davis JD, Budha N, Vilimovskij A, Kahn R, Peng K, Cowan KJ, Harris LP, Gelzleichter T, Lehrer J, Davis JC Jr, Tingley WG. Effects of RG7652, a Monoclonal Antibody Against PCSK9, on LDL-C, LDL-C Subfractions, and Inflammatory Biomarkers in Patients at High Risk of or With Established Coronary Heart Disease (from the Phase 2 EQUATOR Study). Am J Cardiol. 2017 May 15;119(10):1576-1583. doi: 10.1016/j.amjcard.2017.02.020. Epub 2017 Mar 1. Erratum In: Am J Cardiol. 2018 Feb 12;:
Results Reference
derived

Learn more about this trial

A Phase II Study of the Safety and Efficacy of MPSK3169A in Patients With Coronary Heart Disease or High Risk of Coronary Heart Disease

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