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A Phase 1 and 2 Study to Evaluate the Safety, Tolerability, Efficacy, Pharmacokinetics and Pharmacodynamics of AZD8233 Following a Multiple Subcutaneous Dose Administration in Japanese Participants With Dyslipidemia

Phase 1
Conditions
Dyslipidemia
Registration Number
JPRN-jRCT2051210041
Lead Sponsor
Hibi Kazushige
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
91
Inclusion Criteria

Part A
- Participants must be 20 to 60 years of age inclusive, at the time of signing the informed consent

- Participants who have a fasting LDL-C 70 mg/dLor more but < 140 mg/dL at screening

- Participants who have fasting triglycerides < 400 mg/dL at screening

- Participants who should be receiving statin therapy

- Participants who should be on stable medication for a certain time period prior to randomization

- Body mass index (BMI) between 19 and 40 kg/m2

- Females must not be pregnant and must have a negative pregnancy test at screening and randomisation, must not be lactating , and must be of nonchild-bearing potential

Part B
- Participants must be 20 to 75 years of age inclusive, at the time of signing the informed consent

- Have a fasting LDL-C 70 mg/dL or more but < 190 mg/dL at screening (Visit 2)

- Have fasting triglycerides < 400 mg/dL at screening (Visit 2)

- Should be receiving statin therapy

- LDL-lowering medications should be on stable dosing for 3 months prior or more to screening with no planned medication or dose change during study participation

- BMI between 19 and 40 kg/m2

- Female participants must not be pregnant and must have a negative pregnancy test at screening and randomisation, must not be lactating, and must not be of childbearing potential

Part C
- Participants must be 20 to 60 years of age inclusive, at the time of signing the informed consent

- Participants who have a fasting LDL-C 70 mg/dL or more but < 140 mg/dL at screening

- Participants who have fasting triglycerides < 400 mg/dL at screening

- Participants who should be receiving statin therapy

- Participants who should be on stable medication for a certain time period prior to randomization

- Body mass index (BMI) between 19 and 40 kg/m2

- Females must not be pregnant and must have a negative pregnancy test at screening and randomization, must not be lactating, and must be of nonchild-bearing potential

Exclusion Criteria

Part A
- eGFR < 60 mL/min/1.73m2 using the Japanese equation

- Blood dyscrasias with increased risk of bleeding including idiopathic thrombocytopenic purpura and thrombotic thrombocytopenic purpura or symptoms of increased risk of bleeding. Or participants receiving anti-coagulation therapy

- History of major bleed or high-risk of bleeding diathesis

- Subjects with a high 10-year risk of coronary heart disease as calculated using the Suita score

- Heart rate after 10 minutes of sitting rest < 50 or > 100 beats per minute

- Uncontrolled hypertension defined as sitting SBP > 140 mmHg or DBP > 90 mmHg

Part B
- eGFR < 40 mL/min/1.73m2 using the Japanese equation at Visit 1

- Poorly controlled type 2 diabetes mellitus (T2DM), defined as Haemoglobin A1c (HbA1c) > 10% at Visit 1

- Acute ischaemic cardiovascular event in the last 12 months prior to randomization

- Heart failure with New York Heart Association (NYHA) Class III-IV

- High-risk of bleeding diathesis as judged by the Investigator

- Uncontrolled hypertension defined as sitting SBP > 160 mmHg or DBP > 90 mmHg at Visit 1 or Visit 3

- Heart rate after 10 minutes sitting rest < 50 bpm or > 100 bpm at Visit 1 or Visit 3

Part C
- eGFR < 60 mL/min/1.73m2 using the Japanese equation

- Blood dyscrasias with increased risk of bleeding including idiopathic thrombocytopenic purpura and thrombotic thrombocytopenic purpura or symptoms of increased risk of bleeding. Or participants receiving anti-coagulation therapy

- History of major bleed or high-risk of bleeding diathesis

- Subjects with a high 10-year risk of coronary heart disease as calculated using the Suita score

- Heart rate after 10 minutes of sitting rest < 50 or > 100 beats per minute

- Uncontrolled hypertension defined as sitting SBP > 140 mmHg or DBP > 90 mmHg

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Part A<br>Adverse events; vital signs, ECG, cardiac telemetry, injection site reaction examinations and clinical laboratory evaluations including platelet count<br><br>Part B<br>Absolute change from baseline in log-transformed LDL-C in serum
Secondary Outcome Measures
NameTimeMethod
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