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临床试验/NL-OMON54297
NL-OMON54297招募中2 期

A Double-Blind, Placebo-Controlled Phase 2b Study to Evaluate the Efficacy and Safety of ARO-APOC3 in Adults with Severe Hypertriglyceridemia - AROAPOC3-2001

Arrowhead Pharmaceuticals0 个研究点目标入组 10 人开始时间: 待定最近更新:

试验速览

阶段
2 期
状态
招募中
入组人数
10

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • To be eligible for enrollment, participants must meet all the following
  • inclusion criteria:
  • 1. Males or nonpregnant (who do not plan to become pregnant), nonlactating
  • females >=18 years of age;
  • 2. Based on medical history, evidence of triglycerides fasting (TG) >=500 mg/dL
  • (5.65 mmol/L) ;
  • 3. A mean fasting TG >=500 mg/dL (5.65 mmol/L) and <=4000 mg/dL (45.2 mmol/L)
  • collected at two separate and consecutive visits at least 7 days apart and no
  • more than 14 days apart during the Screening period.
  • 4. If the participant has a medical history of clinical atherosclerotic
  • cardiovascular disease (ASCVD) or those with elevated 10-year ASVCD risk (e.g.,
  • >=7.5% per American Heart Association / American College of Cardiology [ACC/AHA]
  • risk calculator) for subjects >=40 years of age or Framingham risk score
  • calculator for subjects under the age of 40) must be on appropriate
  • lipid-lowering therapy as per local standard of care (i.e., including moderate
  • to high intensity statin, as indicated) prior to collection of qualifying TG
  • 5. Able and willing to provide written informed consent prior to the
  • performance of any study specific procedures;
  • 6. Willing to follow diet counseling and maintain a stable diet as per
  • Investigator judgment based on local standard of care;
  • 7. Participants of childbearing potential must agree to use highly effective
  • contraception, during the study and for at least 24 weeks following the last
  • dose of IP. Males must not donate sperm during the study and for at least 24
  • weeks following the or last dose of IP;
  • 8. Women of childbearing potential on hormonal contraceptives must be stable on
  • the medication for >=2 menstrual cycles prior to Day 1; and
  • 9. Participants on any of the following medications must be on a stable regimen
  • for the specified duration prior to collection of Screening visit (S2)
  • laboratory tests and for the duration of study participation:
  • Medication: Time on stable regimen prior to collection of Screening visit (S2)
  • laboratory tests
  • Lipid lowering therapies (including statins): >= 4 weeks
  • Beta-blockers, thiazide diuretics: >= 4 weeks
  • Fibrates: >= 6 weeks
  • PCSK9 inhibitors: >= 8 weeks
  • Retinoids: >= 8 weeks
  • Atypical antipsychotics: >= 12 weeks
  • Diabetes mellitus medications: >= 12 weeks
  • Anticoagulation therapy >=12 weeks
  • Thyroid hormone replacement therapy >=12 weeks
  • Testosterone replacement therapy >=16 weeks
  • Oral estrogens, tamoxifen, raloxifene: >= 16 weeks
  • Immunosuppressants: >= 24 weeks
  • NOTE: All laboratory tests used as inclusion criteria will be assessed by a
  • central laboratory and may be repeated once and the repeat value may be used
  • for inclusion purposes. Local laboratory testing may be permitted in limited
  • circumstances and only with prior Sponsor approval.

排除标准

  • Exclusion Criteria:
  • 1. Current use or use within the last 365 days from Day 1 of any hepatocyte
  • targeted siRNA or antisense oligonucleotide molecule;
  • 2. Active pancreatitis within 12 weeks prior to Day 1;
  • 3. Known genetically confirmed diagnosis of Familial Chylomicronemia Syndrome
  • 4. Any planned bariatric surgery or similar procedures to induce weight loss
  • during the period starting at consent through the end of the study;
  • 5. History of major surgery within 12 weeks of Day 1 or planned major surgery
  • during the study;
  • 6. Planned coronary intervention (such as stent placement or heart bypass)
  • during the study;
  • 7. History of acute coronary syndrome event within 24 weeks of Day 1;
  • 8. New York Heart Association (NYHA) Class II, III, or IV heart failure or last
  • known ejection fraction of <30%;
  • 9. Uncontrolled hypertension (sitting blood pressure >160/100 mmHg at
  • Screening); participant may be re-screened once hypertension is controlled;
  • 10. History of hemorrhagic stroke within 24 weeks of Day 1;
  • 11. History of bleeding diathesis or coagulopathy;
  • 12. Current diagnosis of nephrotic syndrome;
  • 13. Any of the following laboratory values at Screening:
  • a. Hepatic: ALT or AST >2× ULN at Screening,
  • b. Estimated glomerular filtration rate (eGFR) <30 mL/min/1.73 m2 (using the
  • Modification of Diet in Renal Disease [MDRD] equation) at Screening,
  • c. HbA1c >9.0% (or >75 mmol/mol [IFCC] units) at screening;
  • d. Spot urine protein/spot urine creatinine ratio >3 grams per day;
  • e. Clinically significant abnormality in PT, aPTT, or INR;
  • 14. Use of any of the following:
  • a. Systemic use of corticosteroids or anabolic steroids within 4 weeks prior to
  • Day 1 or planned use during the study, (stable doses of testosterone
  • replacement therapy >16 weeks prior to Screening (visit S2) is permitted for a
  • documented history of hypogonadism [low testosterone] as verified in subject
  • health records)
  • b. Plasma apheresis within 4 weeks prior to Day 1 or planned during the study;
  • 15. Blood donation of 50 to 499 mL within 4 weeks of Screening (visit S2)
  • laboratory collection or of >499 mL within 8 weeks of Screening (visit S2)
  • laboratory collection;
  • 16. Known history of human immunodeficiency virus infection;
  • 17. Seropositive (hepatitis B surface antigen [HBsAg] +) for hepatitis B virus
  • (HBV) or hepatitis C virus (HCV) (HCV seropositivity requires positive test for
  • antibodies confirmed with positive test for HCV RNA);
  • 18. Clinical evidence of uncontrolled hypothyroidism or hyperthyroidism as per
  • Investigator*s judgment;
  • 19. History of malignancy within the last 2 years prior to the date of consent
  • requiring systemic treatment except for adequately treated basal cell
  • carcinoma, squamous cell skin cancer, superficial bladder tumors, or in situ
  • cervical cancer. Currently receiving systemic cancer treatment(s) or, in the
  • Investigator's opinion, at risk of relapse for recent cancer;
  • 20. Use of an investigational agent or device within 30 days or within 5
  • half-lives, based on plasma pharmacokinetics (PK) (whichever is longer) prior
  • to Day 1 or current participation in an interventional investigational study.
  • 另有 3 项未显示

研究者

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