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
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 74
- 主要终点
- Percent reduction in LDL-cholesterol from baseline
研究概览
简要总结
The aim of this study is to assess the safety of varying doses of ISIS 301012 in subjects on Stable statin therapy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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
研究组 & 干预措施
Cohort A
Loading doses followed by weekly maintenance doses
干预措施: ISIS 301012 or Placebo (Drug)
Cohort B
Loading doses followed by weekly maintenance doses
干预措施: ISIS 301012 or Placebo (Drug)
Cohort C
Loading doses followed by weekly maintenance doses
干预措施: ISIS 301012 or Placebo (Drug)
Cohort D
Loading doses followed by weekly maintenance doses
干预措施: ISIS 301012 or Placebo (Drug)
Cohort E
Loading doses followed by weekly maintenance doses
干预措施: ISIS 301012 or Placebo (Drug)
Cohort F
Loading doses followed by extended weekly maintenance doses
干预措施: ISIS 301012 or Placebo (Drug)
Cohort G
Loading doses followed by extended weekly maintenance doses
干预措施: ISIS 301012 or Placebo (Drug)
结局指标
主要结局
Percent reduction in LDL-cholesterol from baseline
时间窗: From baseline measurement
次要结局
- Percent reduction in apoB-100(From baseline measurement)
- Percent change in HDL-cholesterol, triglycerides, total cholesterol, non-HDL cholesterol, VLDL plus LDL-cholesterol and LDL-cholesterol particle size and concentration(From baseline measurement)
- Percent change from baseline in LDL/HDL and apoB-100/apo-A1 ratios(From baseline measurement)
- AEs, SAEs, physical examination data, vital signs, and laboratory analyzes(Duration of study)
