Safety, Tolerability, and Pharmacokinetic Study of ISIS ApoC-III Rx in Hypertriglyceridemia
Primary Purpose
Hypertriglyceridemia
Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
ISIS apoC-III Rx
ISIS apoC-III Rx
ISIS apoC-III Rx
Placebo
Placebo
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Hypertriglyceridemia focused on measuring Hypertriglyceridemia
Eligibility Criteria
Inclusion Criteria:
- Severe hypertriglyceridemia
Exclusion Criteria:
- HbA1c >/=9.0%, type 1 diabetes, or history of outpatient insulin use for more than 2 weeks in the last year
- Body mass index (BMI) >40 kg/m2
- History of bariatric surgery or currently on weight loss drugs
- Use of oral contraceptives or hormone replacement therapy or statins unless stable for 3 months prior to dosing
- Group 1 and 2 patients: Use of systemic corticosteroids, fibrates, niacin, fish oil or other products containing omega-3 fatty acids within 6 weeks of dosing. Group 3 patients: unable to discontinue use of systemic corticosteroids at least 6 weeks prior to dosing ; use of niacin, fish oil, or other products containing omega-3 fatty acids unless on a stable well controlled dose for at least 30 days prior to screening that is not anticipated to change during the study period. Group 4 patients: unable to discontinue use of systemic corticosteroids at least 6 weeks prior to dosing; use of fibrates niacin, fish oil, or other products containing omega-3 fatty acids unless on a stable well controlled dose for at least 30 days prior to screening that is not anticipated to change during the study period.
- Use of topical corticosteroids, anticoagulants, or drugs or dietary supplements with potential lipid-altering effects unless dose is stable and well controlled for 30 days prior to dosing
- Any Screening laboratory values that are out of allowed reference ranges
- Inability to comply with protocol or study procedures
- Any other significant illness or condition that may adversely affect the subjects participation in the study
Sites / Locations
- Farmville Internal Medicine
- Mark R. Cervi
- Physicians East, Quadrangle Medical Specialists
- Carolina East Family Medicine
- Eastern Carolina Physicians
- Natalie A Doyle, MD PA
- Isis Investigational site
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm Type
Experimental
Experimental
Experimental
Experimental
Experimental
Arm Label
Group 1
Group 2a
Group 2b
Group 3
Group 4
Arm Description
Non-extensive PK/non post-prandial
Extensive PK
Post-prandial assessment
Stable dose of fibrate
Fredrickson Type 1 dyslipidemia
Outcomes
Primary Outcome Measures
VLDL apoC-III
The effect of treatment with ISIS ApoC-III Rx or Placebo on fasting total apoC-III levels.
Secondary Outcome Measures
Full Information
NCT ID
NCT01529424
First Posted
February 6, 2012
Last Updated
January 25, 2022
Sponsor
Ionis Pharmaceuticals, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT01529424
Brief Title
Safety, Tolerability, and Pharmacokinetic Study of ISIS ApoC-III Rx in Hypertriglyceridemia
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Dose Response, Phase 2 Study of ISIS 304801 Administered Subcutaneously to Patients With Severe or Uncontrolled Hypertriglyceridemia
Study Type
Interventional
2. Study Status
Record Verification Date
January 2022
Overall Recruitment Status
Completed
Study Start Date
February 2012 (undefined)
Primary Completion Date
January 2014 (Actual)
Study Completion Date
January 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ionis Pharmaceuticals, Inc.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to evaluate the dose/response pharmacodynamic effects of ISIS ApoC-III Rx vs. Placebo on fasting total apoC-III levels.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypertriglyceridemia
Keywords
Hypertriglyceridemia
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
89 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Group 1
Arm Type
Experimental
Arm Description
Non-extensive PK/non post-prandial
Arm Title
Group 2a
Arm Type
Experimental
Arm Description
Extensive PK
Arm Title
Group 2b
Arm Type
Experimental
Arm Description
Post-prandial assessment
Arm Title
Group 3
Arm Type
Experimental
Arm Description
Stable dose of fibrate
Arm Title
Group 4
Arm Type
Experimental
Arm Description
Fredrickson Type 1 dyslipidemia
Intervention Type
Drug
Intervention Name(s)
ISIS apoC-III Rx
Intervention Description
Dose 1
Intervention Type
Drug
Intervention Name(s)
ISIS apoC-III Rx
Intervention Description
Dose 2
Intervention Type
Drug
Intervention Name(s)
ISIS apoC-III Rx
Intervention Description
Dose 3
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Dose 1
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Dose 2
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Dose 3
Primary Outcome Measure Information:
Title
VLDL apoC-III
Description
The effect of treatment with ISIS ApoC-III Rx or Placebo on fasting total apoC-III levels.
Time Frame
92 Days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Severe hypertriglyceridemia
Exclusion Criteria:
HbA1c >/=9.0%, type 1 diabetes, or history of outpatient insulin use for more than 2 weeks in the last year
Body mass index (BMI) >40 kg/m2
History of bariatric surgery or currently on weight loss drugs
Use of oral contraceptives or hormone replacement therapy or statins unless stable for 3 months prior to dosing
Group 1 and 2 patients: Use of systemic corticosteroids, fibrates, niacin, fish oil or other products containing omega-3 fatty acids within 6 weeks of dosing. Group 3 patients: unable to discontinue use of systemic corticosteroids at least 6 weeks prior to dosing ; use of niacin, fish oil, or other products containing omega-3 fatty acids unless on a stable well controlled dose for at least 30 days prior to screening that is not anticipated to change during the study period. Group 4 patients: unable to discontinue use of systemic corticosteroids at least 6 weeks prior to dosing; use of fibrates niacin, fish oil, or other products containing omega-3 fatty acids unless on a stable well controlled dose for at least 30 days prior to screening that is not anticipated to change during the study period.
Use of topical corticosteroids, anticoagulants, or drugs or dietary supplements with potential lipid-altering effects unless dose is stable and well controlled for 30 days prior to dosing
Any Screening laboratory values that are out of allowed reference ranges
Inability to comply with protocol or study procedures
Any other significant illness or condition that may adversely affect the subjects participation in the study
Facility Information:
Facility Name
Farmville Internal Medicine
City
Farmville
State/Province
North Carolina
ZIP/Postal Code
27828
Country
United States
Facility Name
Mark R. Cervi
City
Greenville
State/Province
North Carolina
ZIP/Postal Code
27834
Country
United States
Facility Name
Physicians East, Quadrangle Medical Specialists
City
Greenville
State/Province
North Carolina
ZIP/Postal Code
27834
Country
United States
Facility Name
Carolina East Family Medicine
City
Greenville
State/Province
North Carolina
ZIP/Postal Code
27858
Country
United States
Facility Name
Eastern Carolina Physicians
City
Kinston
State/Province
North Carolina
ZIP/Postal Code
28504
Country
United States
Facility Name
Natalie A Doyle, MD PA
City
Wilson
State/Province
North Carolina
ZIP/Postal Code
27893
Country
United States
Facility Name
Isis Investigational site
City
Chicoutimi
State/Province
Quebec
Country
Canada
12. IPD Sharing Statement
Citations:
PubMed Identifier
26222559
Citation
Gaudet D, Alexander VJ, Baker BF, Brisson D, Tremblay K, Singleton W, Geary RS, Hughes SG, Viney NJ, Graham MJ, Crooke RM, Witztum JL, Brunzell JD, Kastelein JJ. Antisense Inhibition of Apolipoprotein C-III in Patients with Hypertriglyceridemia. N Engl J Med. 2015 Jul 30;373(5):438-47. doi: 10.1056/NEJMoa1400283.
Results Reference
derived
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Safety, Tolerability, and Pharmacokinetic Study of ISIS ApoC-III Rx in Hypertriglyceridemia
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