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Dose-escalating Safety Study in Subjects on Stable Statin Therapy

Primary Purpose

Hypercholesterolemia

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
ISIS 301012 or Placebo
ISIS 301012 or Placebo
ISIS 301012 or Placebo
ISIS 301012 or Placebo
ISIS 301012 or Placebo
ISIS 301012 or Placebo
ISIS 301012 or Placebo
Sponsored by
Kastle Therapeutics, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypercholesterolemia focused on measuring LDL-cholesterol, apoB-100, apoB-48

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: On a stable dose of >/= 40 mg Simvastatin or atorvastatin daily for >/= 3 months prior to baseline and expected to remain on this dose for the remainder of the study LDL-cholesterol between 2.60 and 5.70 mmol/L (100 and 220 mg/dL), inclusive at screening Females not of childbearing potential. Exclusion Criteria: History of CHD or CHD-equivalent (such as diabetes mellitus, or another clinical form of atherosclerotic disease, e.g., peripheral arterial disease, abdominal aortic aneurysm, or symptomatic carotid artery disease) Fasting triglyceride >2.26 mmol/L (200 mg/dL) at screening Any uncontrolled medical/surgical/psychiatric condition, including conditions that may predispose to secondary hypercholesterolemia Current diagnosis or known history of complement deficiency or abnormality A positive hepatitis B surface antigen or hepatitis C antibody, or a known positive HIV status Current diagnosis or known history of liver disease, or has an ALT >ULN at screening Known history of fibromyalgia, myopathy, myositis, rhabdomyolysis, any unexplained muscle pain, or has a CPK >ULN at screening Malignancy within 5 years, except for basal or squamous cell carcinoma of the skin that has been adequately treated The advisability of a subject taking any prescription medication (apart from simvastatin or atorvastatin) within 6 weeks prior to screening should be discussed with the Isis Medical Monitor Subject unwilling to discontinue taking alternative/herbal medication for the duration of the study History of drug abuse within 2 years of screening Subject unwilling to limit alcohol consumption for the duration of the study: male subjects to a maximum of 3 drinks (30 g) per day, and <12 drinks (120 g) per week; female subjects to a maximum of 2 drinks (20 g) per day, and <8 drinks (80 g) per week Known allergy or hypersensitivity to simvastatin Undergoing or has undergone treatment with another investigational drug, biologic agent, or device within 3 months, or 3 half lives, prior to screening, whichever is longer

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Cohort A

Cohort B

Cohort C

Cohort D

Cohort E

Cohort F

Cohort G

Arm Description

Loading doses followed by weekly maintenance doses

Loading doses followed by weekly maintenance doses

Loading doses followed by weekly maintenance doses

Loading doses followed by weekly maintenance doses

Loading doses followed by weekly maintenance doses

Loading doses followed by extended weekly maintenance doses

Loading doses followed by extended weekly maintenance doses

Outcomes

Primary Outcome Measures

Percent reduction in LDL-cholesterol from baseline

Secondary Outcome Measures

Percent reduction in apoB-100
Percent change in HDL-cholesterol, triglycerides, total cholesterol, non-HDL cholesterol, VLDL plus LDL-cholesterol and LDL-cholesterol particle size and concentration
Percent change from baseline in LDL/HDL and apoB-100/apo-A1 ratios
AEs, SAEs, physical examination data, vital signs, and laboratory analyzes

Full Information

First Posted
October 3, 2005
Last Updated
August 1, 2016
Sponsor
Kastle Therapeutics, LLC
Collaborators
Ionis Pharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00231569
Brief Title
Dose-escalating Safety Study in Subjects on Stable Statin Therapy
Official Title
A Phase 2a, Randomized, Double-Blind, Placebo-Controlled, Dose-Escalation Study to Assess the Safety and Pharmacodynamics of ISIS 301012 in Hypercholesterolemic Subjects on Stable Statin Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
December 2013
Overall Recruitment Status
Completed
Study Start Date
September 2005 (undefined)
Primary Completion Date
June 2007 (Actual)
Study Completion Date
December 2007 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Kastle Therapeutics, LLC
Collaborators
Ionis Pharmaceuticals, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The aim of this study is to assess the safety of varying doses of ISIS 301012 in subjects on Stable statin therapy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypercholesterolemia
Keywords
LDL-cholesterol, apoB-100, apoB-48

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
74 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort A
Arm Type
Experimental
Arm Description
Loading doses followed by weekly maintenance doses
Arm Title
Cohort B
Arm Type
Experimental
Arm Description
Loading doses followed by weekly maintenance doses
Arm Title
Cohort C
Arm Type
Experimental
Arm Description
Loading doses followed by weekly maintenance doses
Arm Title
Cohort D
Arm Type
Experimental
Arm Description
Loading doses followed by weekly maintenance doses
Arm Title
Cohort E
Arm Type
Experimental
Arm Description
Loading doses followed by weekly maintenance doses
Arm Title
Cohort F
Arm Type
Experimental
Arm Description
Loading doses followed by extended weekly maintenance doses
Arm Title
Cohort G
Arm Type
Experimental
Arm Description
Loading doses followed by extended weekly maintenance doses
Intervention Type
Drug
Intervention Name(s)
ISIS 301012 or Placebo
Intervention Description
30 mg subcutaneous injection on days 1, 8, 10, 12, 15, 22, and 29
Intervention Type
Drug
Intervention Name(s)
ISIS 301012 or Placebo
Intervention Description
100 mg subcutaneous injection on days 1, 8, 10, 12, 15, 22, and 29
Intervention Type
Drug
Intervention Name(s)
ISIS 301012 or Placebo
Intervention Description
200 mg subcutaneous injection on days 1, 8, 10, 12, 15, 22, and 29
Intervention Type
Drug
Intervention Name(s)
ISIS 301012 or Placebo
Intervention Description
300 mg subcutaneous injection on days 1, 8, 10, 12, 15, 22, and 29
Intervention Type
Drug
Intervention Name(s)
ISIS 301012 or Placebo
Intervention Description
400 mg subcutaneous injection on days 1, 8, 10, 12, 15, 22, and 29
Intervention Type
Drug
Intervention Name(s)
ISIS 301012 or Placebo
Intervention Description
200 mg subcutaneous injection on days 1, 8, 10, 12, 15, 22, 29, 36, 43, 50, 57, 64, 71, 78, and 85
Intervention Type
Drug
Intervention Name(s)
ISIS 301012 or Placebo
Intervention Description
300 mg subcutaneous injection on days 1, 8, 10, 12, 15, 22, 29, 36, 43, 50, 57, 64, 71, 78, and 85
Primary Outcome Measure Information:
Title
Percent reduction in LDL-cholesterol from baseline
Time Frame
From baseline measurement
Secondary Outcome Measure Information:
Title
Percent reduction in apoB-100
Time Frame
From baseline measurement
Title
Percent change in HDL-cholesterol, triglycerides, total cholesterol, non-HDL cholesterol, VLDL plus LDL-cholesterol and LDL-cholesterol particle size and concentration
Time Frame
From baseline measurement
Title
Percent change from baseline in LDL/HDL and apoB-100/apo-A1 ratios
Time Frame
From baseline measurement
Title
AEs, SAEs, physical examination data, vital signs, and laboratory analyzes
Time Frame
Duration of study

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: On a stable dose of >/= 40 mg Simvastatin or atorvastatin daily for >/= 3 months prior to baseline and expected to remain on this dose for the remainder of the study LDL-cholesterol between 2.60 and 5.70 mmol/L (100 and 220 mg/dL), inclusive at screening Females not of childbearing potential. Exclusion Criteria: History of CHD or CHD-equivalent (such as diabetes mellitus, or another clinical form of atherosclerotic disease, e.g., peripheral arterial disease, abdominal aortic aneurysm, or symptomatic carotid artery disease) Fasting triglyceride >2.26 mmol/L (200 mg/dL) at screening Any uncontrolled medical/surgical/psychiatric condition, including conditions that may predispose to secondary hypercholesterolemia Current diagnosis or known history of complement deficiency or abnormality A positive hepatitis B surface antigen or hepatitis C antibody, or a known positive HIV status Current diagnosis or known history of liver disease, or has an ALT >ULN at screening Known history of fibromyalgia, myopathy, myositis, rhabdomyolysis, any unexplained muscle pain, or has a CPK >ULN at screening Malignancy within 5 years, except for basal or squamous cell carcinoma of the skin that has been adequately treated The advisability of a subject taking any prescription medication (apart from simvastatin or atorvastatin) within 6 weeks prior to screening should be discussed with the Isis Medical Monitor Subject unwilling to discontinue taking alternative/herbal medication for the duration of the study History of drug abuse within 2 years of screening Subject unwilling to limit alcohol consumption for the duration of the study: male subjects to a maximum of 3 drinks (30 g) per day, and <12 drinks (120 g) per week; female subjects to a maximum of 2 drinks (20 g) per day, and <8 drinks (80 g) per week Known allergy or hypersensitivity to simvastatin Undergoing or has undergone treatment with another investigational drug, biologic agent, or device within 3 months, or 3 half lives, prior to screening, whichever is longer
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Monitor
Organizational Affiliation
Genzyme, a Sanofi Company
Official's Role
Study Director
Facility Information:
City
Auburn
State/Province
Maine
ZIP/Postal Code
04210
Country
United States
City
Amsterdam
ZIP/Postal Code
1105 AZ
Country
Netherlands
City
Leiden
ZIP/Postal Code
2311 GZ
Country
Netherlands
City
Rotterdam
ZIP/Postal Code
3021 HC
Country
Netherlands
City
Utrecht
ZIP/Postal Code
3584 CX
Country
Netherlands

12. IPD Sharing Statement

Citations:
PubMed Identifier
20378080
Citation
Akdim F, Stroes ES, Sijbrands EJ, Tribble DL, Trip MD, Jukema JW, Flaim JD, Su J, Yu R, Baker BF, Wedel MK, Kastelein JJ. Efficacy and safety of mipomersen, an antisense inhibitor of apolipoprotein B, in hypercholesterolemic subjects receiving stable statin therapy. J Am Coll Cardiol. 2010 Apr 13;55(15):1611-8. doi: 10.1016/j.jacc.2009.11.069.
Results Reference
derived

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Dose-escalating Safety Study in Subjects on Stable Statin Therapy

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