Trial to Evaluate Efficacy and Safety of LIB003 and Inclisiran in High-risk CVD Patients (LIBerate-VI)
Primary Purpose
Hypercholesterolemia, Atherosclerotic Ischemic Disease
Status
Enrolling by invitation
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
lerodalcibep
Inclisiran
Sponsored by
About this trial
This is an interventional treatment trial for Hypercholesterolemia focused on measuring lerodalcibep, PCSK9 inhibitor, inclisiran
Eligibility Criteria
Inclusion Criteria:
- Provision of signed informed consent prior to any study-specific procedure;
- Weight of ≥40 kg (88 lb) and body mass index (BMI) ≥16 and ≤42 kg/m2;
- Very- high or high risk for CVD as defined in 2019 ESC/EAS Guidelines
- High-intensity statin (daily atorvastatin 40/80 or rosuvastatin 20/40) without other acceptable oral lipid lowering treatment plus diet; stable >4 weeks with LDL-C ≥85 mg/dL and triglycerides ≤400 mg/dL
- Women of childbearing potential (WOCBP) must continue using a highly effective form of birth control if sexually active
- Males whose partners are of CBP and not using a highly effective form of birth control will either be surgically sterile or agree to use the following forms of contraception, male or female condom with spermicide
Exclusion Criteria:
- Prior or active clinical condition or acute and/or unstable systemic disease, including cancer, compromising patient inclusion or preclude completion of the study, at the discretion of the Investigator
- Homozygous FH
- non-high intensity statins, mipomersen, lomitapide, gemfibrozil, and bempedoic acid
- PCSK9 mAb within 4 weeks of screening or siRNA within 1 year
- Severe renal dysfunction, defined eGFR <30 ml/min
- Recent, within 3 months of screening, atherosclerotic event or intervention
- planned cardiac procedure
- NYHA class III or IV heart failure
- active liver disease
- uncontrolled diabetes defined as fasting glucose >200 mg/dL and HbA1c > 9%
- uncontrolled BP ≥180 mmHg systolic or ≥110 mmHg diastolic;
Sites / Locations
- CHU de Nantes - Hôpital Nord Laennec
- Hopitaux de Marseille
- Universitätsklinikum Heidelberg - Medizinische Klinik
- The Lipid Clinic (Oslo University Hospital)
- Hospital Universitario Miguel Servet
- Oak Tree Surgery and Pensilva Health Centre
- Ashton Medical Group
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
lerodalcibep
inclisiran
Arm Description
300 mg SC dosed monthly
284 mg SC dosed Day 1 and Day 90
Outcomes
Primary Outcome Measures
LDL-C change
Percent LDL-C change from baseline
Secondary Outcome Measures
Adverse Events
frequency and severity of injection site reactions (ISRs)
Serum free PCSK9 levels
Percent change in free PCSK9 from baseline
Apolipoproteins
Percent change in Apo B and Lp(a) from baseline
Treatment goal achievement
Percent of patients reaching ESC/EAS treatment goals
Full Information
NCT ID
NCT05004675
First Posted
August 6, 2021
Last Updated
November 3, 2022
Sponsor
LIB Therapeutics LLC
Collaborators
Medpace, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT05004675
Brief Title
Trial to Evaluate Efficacy and Safety of LIB003 and Inclisiran in High-risk CVD Patients
Acronym
LIBerate-VI
Official Title
Randomized Open Label, Phase 3 Study to Compare the Efficacy and Safety of Lerodalcibep (LIB003) to Inclisiran in Patients at Very High or High Risk for CVD, on Stable Lipid-Lowering Therapy Requiring Additional LDL-C Reduction
Study Type
Interventional
2. Study Status
Record Verification Date
November 2022
Overall Recruitment Status
Enrolling by invitation
Study Start Date
June 20, 2022 (Actual)
Primary Completion Date
October 31, 2023 (Anticipated)
Study Completion Date
December 30, 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
LIB Therapeutics LLC
Collaborators
Medpace, Inc.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Comparison of LDL-C reductions of lerodalcibep (LIB003) 300 mg to inclisiran (Leqvio®) 284 in patients at very-high risk or high-risk for CVD on stable diet and oral LDL-C-lowering drug therapy
Detailed Description
Randomized, Open Label (lipids blinded), Phase 3 Study to Evaluate the Efficacy and Safety of Lerodalcibep (LIB003) at Day 270 of subcutaneous (SC) monthly (QM [≤31 days]) lerodalcibep (LIB003) 300 mg administered to SC inclisiran (Leqvio®) 284 mg at Days 1 and 90 in patients with very-high risk or high-risk CVD or at high risk for CVD with LDL-C ≥85 mg/dL on a stable diet and oral LDL-C-lowering drug therapy
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypercholesterolemia, Atherosclerotic Ischemic Disease
Keywords
lerodalcibep, PCSK9 inhibitor, inclisiran
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Model Description
randomized, comparative trial
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
efficacy parameters (lipids) blinded after randomization
Allocation
Randomized
Enrollment
160 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
lerodalcibep
Arm Type
Experimental
Arm Description
300 mg SC dosed monthly
Arm Title
inclisiran
Arm Type
Active Comparator
Arm Description
284 mg SC dosed Day 1 and Day 90
Intervention Type
Biological
Intervention Name(s)
lerodalcibep
Other Intervention Name(s)
LIB003
Intervention Description
300 mg
Intervention Type
Drug
Intervention Name(s)
Inclisiran
Other Intervention Name(s)
Leqvio
Intervention Description
284 mg
Primary Outcome Measure Information:
Title
LDL-C change
Description
Percent LDL-C change from baseline
Time Frame
Day 270
Secondary Outcome Measure Information:
Title
Adverse Events
Description
frequency and severity of injection site reactions (ISRs)
Time Frame
270 days
Title
Serum free PCSK9 levels
Description
Percent change in free PCSK9 from baseline
Time Frame
Day 270
Title
Apolipoproteins
Description
Percent change in Apo B and Lp(a) from baseline
Time Frame
Day 270
Title
Treatment goal achievement
Description
Percent of patients reaching ESC/EAS treatment goals
Time Frame
Day 270
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Provision of signed informed consent prior to any study-specific procedure;
Weight of ≥40 kg (88 lb) and body mass index (BMI) ≥16 and ≤42 kg/m2;
Very- high or high risk for CVD as defined in 2019 ESC/EAS Guidelines
High-intensity statin (daily atorvastatin 40/80 or rosuvastatin 20/40) without other acceptable oral lipid lowering treatment plus diet; stable >4 weeks with LDL-C ≥85 mg/dL and triglycerides ≤400 mg/dL
Women of childbearing potential (WOCBP) must continue using a highly effective form of birth control if sexually active
Males whose partners are of CBP and not using a highly effective form of birth control will either be surgically sterile or agree to use the following forms of contraception, male or female condom with spermicide
Exclusion Criteria:
Prior or active clinical condition or acute and/or unstable systemic disease, including cancer, compromising patient inclusion or preclude completion of the study, at the discretion of the Investigator
Homozygous FH
non-high intensity statins, mipomersen, lomitapide, gemfibrozil, and bempedoic acid
PCSK9 mAb within 4 weeks of screening or siRNA within 1 year
Severe renal dysfunction, defined eGFR <30 ml/min
Recent, within 3 months of screening, atherosclerotic event or intervention
planned cardiac procedure
NYHA class III or IV heart failure
active liver disease
uncontrolled diabetes defined as fasting glucose >200 mg/dL and HbA1c > 9%
uncontrolled BP ≥180 mmHg systolic or ≥110 mmHg diastolic;
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Evan A Stein, MD PhD
Organizational Affiliation
LIB Therapeutics
Official's Role
Study Director
Facility Information:
Facility Name
CHU de Nantes - Hôpital Nord Laennec
City
Nantes
State/Province
Cedex 01
ZIP/Postal Code
44093
Country
France
Facility Name
Hopitaux de Marseille
City
Marseille
State/Province
Cedex 05
ZIP/Postal Code
13385
Country
France
Facility Name
Universitätsklinikum Heidelberg - Medizinische Klinik
City
Heidelberg
ZIP/Postal Code
69120
Country
Germany
Facility Name
The Lipid Clinic (Oslo University Hospital)
City
Oslo
State/Province
Nydalen
ZIP/Postal Code
424
Country
Norway
Facility Name
Hospital Universitario Miguel Servet
City
Zaragoza
ZIP/Postal Code
50009
Country
Spain
Facility Name
Oak Tree Surgery and Pensilva Health Centre
City
Liskeard
State/Province
Cornwall
ZIP/Postal Code
PL14 3XA
Country
United Kingdom
Facility Name
Ashton Medical Group
City
Ashton-Under-Lyne
State/Province
Lancashire
ZIP/Postal Code
OL6 6EW
Country
United Kingdom
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Trial to Evaluate Efficacy and Safety of LIB003 and Inclisiran in High-risk CVD Patients
We'll reach out to this number within 24 hrs