A Randomized, Double-Blind, Placebo-Controlled Study to Investigate the Safety, Tolerability and Pharmacokinetics of Evinacumab in Healthy Japanese and Caucasian Subjects
Overview
- Phase
- Phase 1
- Intervention
- Placebo
- Conditions
- Healthy Volunteers
- Sponsor
- Regeneron Pharmaceuticals
- Enrollment
- 96
- Locations
- 1
- Primary Endpoint
- Incidence of Treatment Emergent Adverse Events (TEAEs)
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
The primary objective of the study is to compare the safety and tolerability of subcutaneous (SC) and intravenous (IV) doses of evinacumab in healthy Japanese and Caucasian subjects.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Healthy male or female Japanese and Caucasian volunteers ≥18 and ≤55 years of age at the screening visit.
- •Japanese subjects must:
- •Be first generation Japanese, defined as born in Japan and both biologic parents are ethnic Japanese
- •Have maintained a Japanese lifestyle that has not significantly changed since leaving Japan, including having access to Japanese food and adhering to a Japanese diet.
- •Caucasian subjects must be Caucasian of European or Latin American descent
- •Modest elevations in LDL-C (≥100 mg/dL, but \<160 mg/dL)
Exclusion Criteria
- •Significant concomitant illness
- •Known allergy or sensitivity to monoclonal antibodies (mAbs)
- •Previous exposure to anti-ANGPTL3 antibody
- •Body mass index (BMI) \>35 kg/m2 at the screening visit
- •Note: Other protocol-defined inclusion/exclusion criteria apply
Arms & Interventions
Cohort 2
Low dose regimen: evinacumab IV or placebo IV
Intervention: Placebo
Cohort 1
Evinacumab SC or placebo SC
Intervention: Evinacumab
Cohort 1
Evinacumab SC or placebo SC
Intervention: Placebo
Cohort 2
Low dose regimen: evinacumab IV or placebo IV
Intervention: Evinacumab
Cohort 3
High dose regimen: evinacumab IV or placebo IV
Intervention: Evinacumab
Cohort 3
High dose regimen: evinacumab IV or placebo IV
Intervention: Placebo
Cohort 4
Evinacumab or placebo SC every week (QW) x 8 doses
Intervention: Evinacumab
Cohort 4
Evinacumab or placebo SC every week (QW) x 8 doses
Intervention: Placebo
Cohort 5
Evinacumab or placebo SC x 1 dose
Intervention: Evinacumab
Cohort 5
Evinacumab or placebo SC x 1 dose
Intervention: Placebo
Outcomes
Primary Outcomes
Incidence of Treatment Emergent Adverse Events (TEAEs)
Time Frame: Baseline up to week 31
Severity of TEAEs
Time Frame: Baseline up to week 31
Secondary Outcomes
- Pharmacokinetic (PK) parameters of evinacumab for geometric means of maximum (or peak) serum concentration (Cmax)(Up to Week 31)
- PK parameters of evinacumab for geometric means of Area under the curve (AUC) computed from time zero to the last measurable concentration (AUClast)(Up to Week 31)
- PK parameters of evinacumab for geometric means of AUC computed from time zero to the end of a dosing interval (AUCtau)(Up to Week 31)
- Ratio of Japanese versus Caucasian populations for geometric means of Cmax(Up to Week 31)
- Ratio of Japanese versus Caucasian populations for geometric means of AUClast(Up to Week 31)
- Ratio of Japanese versus Caucasian populations for geometric means of AUCtau(Up to Week 31)
- Absolute change from baseline over time in the Pharmacodynamic (PD) variable: Low-density lipoprotein cholesterol (LDL-C)(Up to Week 31)
- Absolute change from baseline over time in the PD variable: Total cholesterol(Up to Week 31)
- Absolute change from baseline over time in the PD variable: High-density lipoprotein cholesterol (HDL-C)(Up to Week 31)
- Absolute change from baseline over time in the PD variable: Triglycerides(Up to Week 31)
- Absolute change from baseline over time in the PD variable: non-HDL-C(Up to Week 31)
- Absolute change from baseline over time in the PD variable: lipoprotein a [Lp(a)](Up to Week 31)
- Absolute change from baseline over time in the PD variable: apolipoprotein B [ApoB](Up to Week 31)
- Absolute change from baseline over time in the PD variable: apolipoprotein A1 [ApoA1](Up to Week 31)
- Absolute change from baseline over time in the PD variable: apolipoprotein C3 [ApoC3](Up to Week 31)
- Absolute change from baseline over time in the PD variable: high-sensitivity C-reactive protein [hs-CRP](Up to Week 31)
- Absolute change from baseline over time in the PD variable: Total Angiopoietin-like 3 (ANGPTL3)(Up to Week 31)
- Percent change from baseline over time in the PD variable: LDL-C(Up to Week 31)
- Percent change from baseline over time in the PD variable: Total cholesterol(Up to Week 31)
- Percent change from baseline over time in the PD variable: HDL-C(Up to Week 31)
- Percent change from baseline over time in the PD variable: Triglycerides(Up to Week 31)
- Percent change from baseline over time in the PD variable: non-HDL-C(Up to Week 31)
- Percent change from baseline over time in the PD variable: lipoprotein a [Lp(a)](Up to Week 31)
- Percent change from baseline over time in the PD variable: apolipoprotein B [ApoB](Up to Week 31)
- Percent change from baseline over time in the PD variable: apolipoprotein A1 [ApoA1](Up to Week 31)
- Percent change from baseline over time in the PD variable: apolipoprotein C3 [ApoC3](Up to Week 31)
- Percent change from baseline over time in the PD variable: high-sensitivity C-reactive protein [hs-CRP](Up to Week 31)
- Percent change from baseline over time in the PD variable: Total (ANGPTL3)(Up to Week 31)
- Presence and titer of anti-evinacumab antibodies(Up to Week 31)