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Single Ascending Dose Safety Study of BMS-962476 in Healthy Subjects and Patients With Elevated Cholesterol on Statins

Primary Purpose

Atherosclerosis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
BMS-962476
Placebo matching with BMS-962476
Sponsored by
Bristol-Myers Squibb
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atherosclerosis

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy population

    • Untreated low density lipoprotein cholesterol (LDL-c) ≥ 130 and ≤ 190 mg/dL and triglycerides ≤ 200 mg/dL
    • Body Mass Index (BMI) of 18 to 35 kg/m2 inclusive
    • Men and women, ages 18 to 65 years, inclusive
  • Statin population

    • Patients with hypercholesterolemia on stable statin therapy for 6 weeks prior to enrollment
    • At enrollment, LDL-c ≥ 100mg/dL and triglycerides ≤ 200 mg/dL
    • Patients with controlled hypertension on a stable dose of no more than two antihypertensive drugs
    • BMI of 18 to 37 kg/m2 inclusive
    • Men and women, ages 18 to 75 years inclusive

Exclusion Criteria:

  • Healthy Population

    • Subjects with fasting LDL-c < 130 or > 190 mg/dL, or fasting triglycerides > 200 mg/dL
    • Subjects at increased 10-year cardiovascular risk of ≥ 20% based on Framingham risk score
    • Subjects with any significant acute or chronic medical illness at the time of screening, including history of cancer, known history of sickle cell disease or trait, and known history of thalassemia
  • Statin population

    • Patients with fasting LDL-c < 100mg/dL, or fasting triglycerides > 200 mg/dL on statin therapy
    • Patients on prescription or over the counter lipid-lowering therapy other than statin therapy
    • Patients with established atherosclerotic vascular disease
    • Patients with diabetes who are requiring oral or injectable anti-diabetic drug therapy
    • Patients with uncontrolled hypertension or controlled hypertension requiring more than two antihypertensive drugs
    • Patients with any significant acute or chronic medical illness that is severe, progressive or uncontrolled at the time of screening
  • Use of any lipid lowering medication including over the counter products (eg, niacin > 500 mg; omega-3 fatty acids > 1000 mg; red rice yeast; phytosterols or stanol esters) for lipid lowering within 30 days prior to screening visit (42 days for fibrates) with the exception of stable statin therapy in the target disease population
  • Prior treatment with any monoclonal antibody or investigational protein biologic within the preceding one year before study drug administration
  • Concurrent or use within 3 months of study drug administration of marketed or investigational systemic or inhaled corticosteroids or other immunosuppressant drugs, and within 6 weeks for topical corticosteroids

Sites / Locations

  • Metabolic And Atherosclerosis Research Center/ Medpace Clinical Pharmacology

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Panel 1: BMS-962476 SC (0.01 mg/Kg) or Placebo

Panel 2: BMS-962476 SC (0.03 mg/Kg) or Placebo

Panel 3: BMS-962476 SC (0.1 mg/Kg) or Placebo

Panel 4: BMS-962476 SC (0.3 mg/Kg) or Placebo

Panel 5: BMS-962476 IV (0.3 mg/Kg) or Placebo

Panel 6: BMS-962476 IV (1.0 mg/Kg) or Placebo

Panel 7: Statin + BMS-962476 SC (0.1 mg/Kg) or Placebo

Panel 8: Statin + BMS-962476 SC (0.3 mg/Kg) or Placebo

Arm Description

BMS-962476 0.01 mg/kg or Placebo matching with BMS-962476 0 mg liquid subcutaneously (SC), Single Dose, 1 day

BMS-962476 0.03 mg/kg or Placebo matching with BMS-962476 0 mg liquid subcutaneously (SC), Single Dose, 1 day

BMS-962476 0.1 mg/kg or Placebo matching with BMS-962476 0 mg liquid subcutaneously (SC), Single Dose, 1 day

BMS-962476 0.3 mg/kg or Placebo matching with BMS-962476 0 mg liquid subcutaneously (SC), Single Dose, 1 day

BMS-962476 0.3 mg/kg or Placebo matching with BMS-962476 0 mg liquid intravenously (IV), Single Dose, 1 day

BMS-962476 1.0 mg/kg or Placebo matching with BMS-962476 0 mg liquid intravenously (IV), Single Dose, 1 day

BMS-962476 0.1 mg/kg or Placebo matching with BMS-962476 0 mg liquid subcutaneously (SC), Single Dose, 1 day

BMS-962476 0.3 mg/kg or Placebo matching with BMS-962476 0 mg liquid subcutaneously (SC), Single Dose, 1 day

Outcomes

Primary Outcome Measures

Safety and tolerability of BMS-962476 as measured by the number of subjects with serious adverse events, deaths or discontinuations due to adverse events (AEs), AEs of injection site reactions, or potentially clinically significant changes in vital signs

Secondary Outcome Measures

Pharmacodynamic effects of single subcutaneous (SC) and intravenous (IV) doses of BMS-962476
Pharmacodynamic effects will be measured by fasting lipid panel
Maximum observed plasma concentration (Cmax) of single dose pharmacokinetics (PK) and dose proportionality of BMS-962476 following SC and IV administration
Time of maximum observed plasma concentration (Tmax) of single dose pharmacokinetics (PK) and dose proportionality of BMS-962476 following SC and IV administration
Area under the plasma concentration-time curve from time zero to the time of last quantifiable plasma concentration [AUC(0-T)] of single dose pharmacokinetics (PK) and dose proportionality of BMS-962476 following SC and IV administration
Area under the plasma concentration-time curve from time zero extrapolated to infinite time [AUC(INF)] of single dose pharmacokinetics (PK) and dose proportionality of BMS-962476 following SC and IV administration
Plasma elimination half-life (T-HALF) of single dose pharmacokinetics (PK) and dose proportionality of BMS-962476 following SC and IV administration
Total body clearance (CL/F) of BMS-962476 SC Dosing
Total body clearance (CL) of BMS-962476 IV Dosing
Volume of distribution at steady state (Vss/F) of BMS-962476 SC Dosing
Volume of distribution at steady state (Vss) of BMS-962476 IV Dosing
Absolute bioavailability (F) of total and free BMS-962476
Frequency of anti-BMS-962476 antibodies (immunogenicity) following single SC and IV doses of BMS-962476

Full Information

First Posted
April 26, 2012
Last Updated
September 2, 2013
Sponsor
Bristol-Myers Squibb
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1. Study Identification

Unique Protocol Identification Number
NCT01587365
Brief Title
Single Ascending Dose Safety Study of BMS-962476 in Healthy Subjects and Patients With Elevated Cholesterol on Statins
Official Title
Randomized, Double-Blind, Placebo-Controlled, Ascending Single-Dose Study to Evaluate the Safety, Pharmacokinetics and Pharmacodynamics of BMS-962476 in Healthy Subjects and in Patients With Hypercholesterolemia on Statin Therapy
Study Type
Interventional

2. Study Status

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

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bristol-Myers Squibb

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To obtain safety and tolerability information in healthy subjects is administered as a single dose
Detailed Description
Study Classification: Pharmacokinetics and Pharmacodynamics Intervention Model: Single Ascending Dose (SAD) study Allocation: Randomized Non-Stratified

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atherosclerosis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
66 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Panel 1: BMS-962476 SC (0.01 mg/Kg) or Placebo
Arm Type
Experimental
Arm Description
BMS-962476 0.01 mg/kg or Placebo matching with BMS-962476 0 mg liquid subcutaneously (SC), Single Dose, 1 day
Arm Title
Panel 2: BMS-962476 SC (0.03 mg/Kg) or Placebo
Arm Type
Experimental
Arm Description
BMS-962476 0.03 mg/kg or Placebo matching with BMS-962476 0 mg liquid subcutaneously (SC), Single Dose, 1 day
Arm Title
Panel 3: BMS-962476 SC (0.1 mg/Kg) or Placebo
Arm Type
Experimental
Arm Description
BMS-962476 0.1 mg/kg or Placebo matching with BMS-962476 0 mg liquid subcutaneously (SC), Single Dose, 1 day
Arm Title
Panel 4: BMS-962476 SC (0.3 mg/Kg) or Placebo
Arm Type
Experimental
Arm Description
BMS-962476 0.3 mg/kg or Placebo matching with BMS-962476 0 mg liquid subcutaneously (SC), Single Dose, 1 day
Arm Title
Panel 5: BMS-962476 IV (0.3 mg/Kg) or Placebo
Arm Type
Experimental
Arm Description
BMS-962476 0.3 mg/kg or Placebo matching with BMS-962476 0 mg liquid intravenously (IV), Single Dose, 1 day
Arm Title
Panel 6: BMS-962476 IV (1.0 mg/Kg) or Placebo
Arm Type
Experimental
Arm Description
BMS-962476 1.0 mg/kg or Placebo matching with BMS-962476 0 mg liquid intravenously (IV), Single Dose, 1 day
Arm Title
Panel 7: Statin + BMS-962476 SC (0.1 mg/Kg) or Placebo
Arm Type
Experimental
Arm Description
BMS-962476 0.1 mg/kg or Placebo matching with BMS-962476 0 mg liquid subcutaneously (SC), Single Dose, 1 day
Arm Title
Panel 8: Statin + BMS-962476 SC (0.3 mg/Kg) or Placebo
Arm Type
Experimental
Arm Description
BMS-962476 0.3 mg/kg or Placebo matching with BMS-962476 0 mg liquid subcutaneously (SC), Single Dose, 1 day
Intervention Type
Biological
Intervention Name(s)
BMS-962476
Intervention Type
Biological
Intervention Name(s)
Placebo matching with BMS-962476
Primary Outcome Measure Information:
Title
Safety and tolerability of BMS-962476 as measured by the number of subjects with serious adverse events, deaths or discontinuations due to adverse events (AEs), AEs of injection site reactions, or potentially clinically significant changes in vital signs
Time Frame
Up to Day 43
Secondary Outcome Measure Information:
Title
Pharmacodynamic effects of single subcutaneous (SC) and intravenous (IV) doses of BMS-962476
Description
Pharmacodynamic effects will be measured by fasting lipid panel
Time Frame
Up to Day 43
Title
Maximum observed plasma concentration (Cmax) of single dose pharmacokinetics (PK) and dose proportionality of BMS-962476 following SC and IV administration
Time Frame
17 time points up to Day 43
Title
Time of maximum observed plasma concentration (Tmax) of single dose pharmacokinetics (PK) and dose proportionality of BMS-962476 following SC and IV administration
Time Frame
17 time points up to Day 43
Title
Area under the plasma concentration-time curve from time zero to the time of last quantifiable plasma concentration [AUC(0-T)] of single dose pharmacokinetics (PK) and dose proportionality of BMS-962476 following SC and IV administration
Time Frame
17 time points up to Day 43
Title
Area under the plasma concentration-time curve from time zero extrapolated to infinite time [AUC(INF)] of single dose pharmacokinetics (PK) and dose proportionality of BMS-962476 following SC and IV administration
Time Frame
17 time points up to Day 43
Title
Plasma elimination half-life (T-HALF) of single dose pharmacokinetics (PK) and dose proportionality of BMS-962476 following SC and IV administration
Time Frame
17 time points up to Day 43
Title
Total body clearance (CL/F) of BMS-962476 SC Dosing
Time Frame
15 time points up to Day 43
Title
Total body clearance (CL) of BMS-962476 IV Dosing
Time Frame
17 time points up to Day 43
Title
Volume of distribution at steady state (Vss/F) of BMS-962476 SC Dosing
Time Frame
15 time points up to Day 43
Title
Volume of distribution at steady state (Vss) of BMS-962476 IV Dosing
Time Frame
15 time points up to Day 43
Title
Absolute bioavailability (F) of total and free BMS-962476
Time Frame
15 time points up to Day 43
Title
Frequency of anti-BMS-962476 antibodies (immunogenicity) following single SC and IV doses of BMS-962476
Time Frame
Up to Day 43

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy population Untreated low density lipoprotein cholesterol (LDL-c) ≥ 130 and ≤ 190 mg/dL and triglycerides ≤ 200 mg/dL Body Mass Index (BMI) of 18 to 35 kg/m2 inclusive Men and women, ages 18 to 65 years, inclusive Statin population Patients with hypercholesterolemia on stable statin therapy for 6 weeks prior to enrollment At enrollment, LDL-c ≥ 100mg/dL and triglycerides ≤ 200 mg/dL Patients with controlled hypertension on a stable dose of no more than two antihypertensive drugs BMI of 18 to 37 kg/m2 inclusive Men and women, ages 18 to 75 years inclusive Exclusion Criteria: Healthy Population Subjects with fasting LDL-c < 130 or > 190 mg/dL, or fasting triglycerides > 200 mg/dL Subjects at increased 10-year cardiovascular risk of ≥ 20% based on Framingham risk score Subjects with any significant acute or chronic medical illness at the time of screening, including history of cancer, known history of sickle cell disease or trait, and known history of thalassemia Statin population Patients with fasting LDL-c < 100mg/dL, or fasting triglycerides > 200 mg/dL on statin therapy Patients on prescription or over the counter lipid-lowering therapy other than statin therapy Patients with established atherosclerotic vascular disease Patients with diabetes who are requiring oral or injectable anti-diabetic drug therapy Patients with uncontrolled hypertension or controlled hypertension requiring more than two antihypertensive drugs Patients with any significant acute or chronic medical illness that is severe, progressive or uncontrolled at the time of screening Use of any lipid lowering medication including over the counter products (eg, niacin > 500 mg; omega-3 fatty acids > 1000 mg; red rice yeast; phytosterols or stanol esters) for lipid lowering within 30 days prior to screening visit (42 days for fibrates) with the exception of stable statin therapy in the target disease population Prior treatment with any monoclonal antibody or investigational protein biologic within the preceding one year before study drug administration Concurrent or use within 3 months of study drug administration of marketed or investigational systemic or inhaled corticosteroids or other immunosuppressant drugs, and within 6 weeks for topical corticosteroids
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bristol-Myers Squibb
Organizational Affiliation
Bristol-Myers Squibb
Official's Role
Study Director
Facility Information:
Facility Name
Metabolic And Atherosclerosis Research Center/ Medpace Clinical Pharmacology
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45227
Country
United States

12. IPD Sharing Statement

Links:
URL
http://www.bms.com/studyconnect/Pages/home.aspx
Description
BMS clinical trial educational resource

Learn more about this trial

Single Ascending Dose Safety Study of BMS-962476 in Healthy Subjects and Patients With Elevated Cholesterol on Statins

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