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Study of Evinacumab (REGN1500) in Caucasian and in Japanese Healthy Volunteers

Phase 1
Completed
Conditions
Healthy Volunteers
Interventions
Drug: Placebo
Registration Number
NCT03146416
Lead Sponsor
Regeneron Pharmaceuticals
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.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
96
Inclusion Criteria
  • Healthy male or female Japanese and Caucasian volunteers ≥18 and ≤55 years of age at the screening visit.

  • Japanese subjects must:

    1. Be first generation Japanese, defined as born in Japan and both biologic parents are ethnic Japanese
    2. 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)

Key

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

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Cohort 2PlaceboLow dose regimen: evinacumab IV or placebo IV
Cohort 3PlaceboHigh dose regimen: evinacumab IV or placebo IV
Cohort 4PlaceboEvinacumab or placebo SC every week (QW) x 8 doses
Cohort 1PlaceboEvinacumab SC or placebo SC
Cohort 5PlaceboEvinacumab or placebo SC x 1 dose
Cohort 1EvinacumabEvinacumab SC or placebo SC
Cohort 2EvinacumabLow dose regimen: evinacumab IV or placebo IV
Cohort 3EvinacumabHigh dose regimen: evinacumab IV or placebo IV
Cohort 4EvinacumabEvinacumab or placebo SC every week (QW) x 8 doses
Cohort 5EvinacumabEvinacumab or placebo SC x 1 dose
Primary Outcome Measures
NameTimeMethod
Incidence of Treatment Emergent Adverse Events (TEAEs)Baseline up to week 31
Severity of TEAEsBaseline up to week 31
Secondary Outcome Measures
NameTimeMethod
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

single dose cohort

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

following the first dose for the multiple dose cohorts

Ratio of Japanese versus Caucasian populations for geometric means of CmaxUp to Week 31
Ratio of Japanese versus Caucasian populations for geometric means of AUClastUp to Week 31

single dose cohort

Ratio of Japanese versus Caucasian populations for geometric means of AUCtauUp to Week 31

following the first dose for the multiple dose cohorts

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 cholesterolUp 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: TriglyceridesUp to Week 31
Absolute change from baseline over time in the PD variable: non-HDL-CUp 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-CUp to Week 31
Percent change from baseline over time in the PD variable: Total cholesterolUp to Week 31
Percent change from baseline over time in the PD variable: HDL-CUp to Week 31
Percent change from baseline over time in the PD variable: TriglyceridesUp to Week 31
Percent change from baseline over time in the PD variable: non-HDL-CUp 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 antibodiesUp to Week 31

Trial Locations

Locations (1)

WCCT Global, Inc.

🇺🇸

Cypress, California, United States

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