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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03371355
Other study ID # ISIS 703802-CS2
Secondary ID
Status Completed
Phase Phase 2
First received
Last updated
Start date December 21, 2017
Est. completion date February 24, 2020

Study information

Verified date December 2020
Source Akcea Therapeutics
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This is a multicenter, randomized, double-blind, placebo-controlled, dose-ranging study to evaluate the safety, including tolerability, of ISIS 703802 and to assess the efficacy of different doses and dosing regimens of ISIS 703802 on glucose and lipid metabolism, and liver fat in participants with hypertriglyceridemia, Type 2 diabetes mellitus (T2DM), and nonalcoholic fatty liver disease (NAFLD).


Recruitment information / eligibility

Status Completed
Enrollment 105
Est. completion date February 24, 2020
Est. primary completion date November 21, 2019
Accepts healthy volunteers No
Gender All
Age group 18 Years to 70 Years
Eligibility Key Inclusion Criteria: - Plasma triglycerides (TG) at Screening greater than (>)150 milligrams per deciliter (mg/dL) and at qualification of >150 mg/dL. - Documented history of hepatic steatosis with baseline magnetic resonance imaging (MRI) indicating hepatic fat fraction (HFF) greater than (>) 8%. - Diagnosis of Type 2 diabetes mellitus with hemoglobin A1c (HbA1c) >6.5 and less than or equal to (=) 10% at Screening. - Must have been on a stable dose of oral antidiabetic therapy for a minimum of 3 months prior to Screening. - Body mass index between 27- 40 kilograms per meter square (kg/m^2), inclusive, at Screening. Key Exclusion Criteria: - Type 1 diabetes mellitus. - Active chronic liver disease, alcoholic liver disease, Wilson's disease hemochromatosis, primary biliary cirrhosis, primary sclerosing cholangitis, genetic hemochromatosis, known or suspected hepatocellular carcinoma, history of or planned liver transplant for end-stage liver disease of any etiology. - Documented history of advanced liver fibrosis. - History of cirrhosis and/or hepatic decompensation including ascites, hepatic encephalopathy, or variceal bleeding. - History of clinically significant acute cardiac event within 6 months before Screening. - History of heart failure with New York Heart Association (NYHA) greater than Class II. - Use of Insulin or insulin analogs, glucagon-like peptide-1 (GLP-1) agonists, and peroxisome proliferator-activated receptor gamma (PPAR?) agonists (pioglitazone or rosiglitazone). - Weight change >5% within 3 months before Screening. - Conditions contraindicated for magnetic resonance imaging (MRI) procedures including any metal implant (example, heart pacemaker, rods, screws, aneurysm clips).

Study Design


Intervention

Drug:
Placebo
Placebo (Matched with ISIS 703802)
ISIS 703802 40 mg
ISIS 703802 40 mg, administered via SC injection, once every 4 weeks for 6 doses.
ISIS 703802 80 mg
ISIS 703802 80 mg, administered via SC injection, once every 4 weeks for 6 doses.
ISIS 703802 20 mg
ISIS 703802 20 mg, administered via SC injection, once every week for 26 doses.

Locations

Country Name City State
Canada Clinical Site Chicoutimi Quebec
Canada Clinical Site Hamilton Ontario
Canada Clinical Site Montréal Quebec
Canada Clinical Site Toronto Ontario
United States Clinical Site Atlanta Georgia
United States Clinical Site Austin Texas
United States Clinical Site Boca Raton Florida
United States Clinical Site Bridgeton New Jersey
United States Clinical Site Carrollton Texas
United States Clinical Sites Chandler Arizona
United States Clinical Site Charleston South Carolina
United States Clinical Site Chicago Illinois
United States Clinical Site Cincinnati Ohio
United States Clinical Site Cincinnati Ohio
United States Clinical Site Dallas Texas
United States Clinical Site Edina Minnesota
United States Clinical Site Fountain Hills Arizona
United States Clinical Site Glendale Arizona
United States Clinical Site Greensboro North Carolina
United States Clinical Site High Point North Carolina
United States Clinical Site Houston Texas
United States Clinical Site Huntington Park California
United States Clinical Site Hurst Texas
United States Clinical Site Indianapolis Indiana
United States Clinical Site Jensen Beach Florida
United States Clinical Site Jupiter Florida
United States Clinical Site Layton Utah
United States Clinical Site Los Angeles California
United States Clinical Site Louisville Kentucky
United States Clinical Site Mesa Arizona
United States Clinical Site Mesa Arizona
United States Clinical Site Miami Florida
United States Clinical Site Montclair California
United States Clinical Site Panorama City California
United States Clinical Site Phoenix Arizona
United States Clinical Site Phoenix Arizona
United States Clinical Site Phoenix Arizona
United States Clinical Site Port Saint Lucie Florida
United States Clinical Site Poway California
United States Clinical Site Princeton New Jersey
United States Clinical Site San Antonio Texas
United States Clinical Site San Antonio Texas

Sponsors (2)

Lead Sponsor Collaborator
Akcea Therapeutics Ionis Pharmaceuticals, Inc.

Countries where clinical trial is conducted

United States,  Canada, 

Outcome

Type Measure Description Time frame Safety issue
Primary Percent Change From Baseline in Fasting Triglycerides Level at the Primary Analysis Time Point An ANCOVA model was performed on the log ratio of Primary Analysis Time Point to Baseline. The estimate of the log ratio was converted back to the original scale and percent change was calculated using formula: = (ratio of Primary Analysis Time Point to Baseline - 1) × 100. Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
Secondary Change From Baseline in Angiopoietin-Like 3 Protein at the Primary Analysis Time Point An ANCOVA model was performed on the change from Baseline to Primary Analysis Time Point. Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
Secondary Change From Baseline in TC, LDL-C, HDL-C, VLDL-C, Non-HDL-C, ApoB (ApoB-48, ApoB-100), ApoCIII, and ApoAI at the Primary Analysis Time Point An ANCOVA model was performed on the change from Baseline to Primary Analysis Time Point. Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
Secondary Change From Baseline in Free Fatty Acid (FFA) at Primary Analysis Time Point An ANCOVA model was performed on the change from Baseline to Primary Analysis Time Point. Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
Secondary Change From Baseline in Lipoprotein(a) (Lp[a]) at the Primary Analysis Time Point An ANCOVA model was performed on the change from Baseline to Primary Analysis Time Point. Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
Secondary Percent Change From Baseline in ANGPTL3, TC, LDL-C, HDL-C, VLDL-C, Non-HDL-C, ApoB (ApoB-48, ApoB-100), ApoCIII, ApoAI, FFA, and Lp(a) at Primary Analysis Time Point An ANCOVA model was performed on the log ratio of Primary Analysis Time Point to Baseline. The estimate of the log ratio was converted back to the original scale and percent change was calculated using formula: = (ratio of Primary Analysis Time Point to Baseline - 1) × 100. Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
Secondary Change From Baseline in Fasting Plasma Glucose at the Primary Analysis Time Point An ANCOVA model was performed on the change from Baseline to Primary Analysis Time Point. Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
Secondary Change From Baseline in Hemoglobin A1c (HbA1c) at the Primary Analysis Time Point An ANCOVA model was performed on the change from Baseline to Primary Analysis Time Point. Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
Secondary Change From Baseline in Fasting Insulin at the Primary Analysis Time Point An ANCOVA model was performed on the change from Baseline to Primary Analysis Time Point. Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
Secondary Change From Baseline in and HOMA-IR at the Primary Analysis Time Point HOMA-IR is a method used to quantify insulin resistance. HOMA-IR is expressed as the following: HOMA-IR = fasting serum insulin (µU/mL) * fasting plasma glucose (mmol/L)/22.5. A negative change from Baseline indicates improvement. An ANCOVA model was performed on the change from Baseline to Primary Analysis Time Point. Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
Secondary Change From Baseline in Fructosamine at Primary Analysis Time Point An ANCOVA model was performed on the change from Baseline to Primary Analysis Time Point. Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
Secondary Change From Baseline in Glycated Albumin at the Primary Analysis Time Point An ANCOVA model was performed on the change from Baseline to Primary Analysis Time Point. Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
Secondary Change From Baseline in Weight at the Primary Analysis Time Point An ANCOVA model was performed on the change from Baseline to Primary Analysis Time Point. Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
Secondary Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at the Primary Analysis Time Point An ANCOVA model was performed on the change from Baseline to Primary Analysis Time Point. Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
Secondary Percent Change From Baseline in Weight, SBP and DBP at Primary Analysis Time Point An ANCOVA model was performed on the percent change from Baseline to Primary Analysis Time Point. Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C6
Secondary Change From Baseline in Hepatic Fat Fraction (HFF) by Magnetic Resonance Imaging-Derived Proton Density Fat Fraction (MRI-PDFF) at the Primary Analysis Time Point An ANCOVA model was performed on the change from Baseline to Primary Analysis Time Point. Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
Secondary Percent Change From Baseline in Hepatic Fat Fraction (HFF) by Magnetic Resonance Imaging-Derived Proton Density Fat Fraction (MRI-PDFF) at the Primary Analysis Time Point An ANCOVA model was performed on the percent change from Baseline to Primary Analysis Time Point. Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
Secondary Percentage of Participants With HFF = 8% by MRI-PDFF at the Primary Analysis Time Point The percentage of participants who achieved HFF = 8% at the Primary Analysis Time Point was compared between each ISIS 703802 treatment group and pooled placebo group using a logistic regression model. Week 27 for Cohort A, and Week 25 for Cohorts B and C
Secondary Change From Baseline in Fatty Liver Index (FLI) at the Primary Analysis Time Point The FLI was calculated by the following formula: FLI =(e0.953×loge[triglycerides]+0.139× Body Mass Index [BMI]+0.718×loge Gamma- Glutamyl Transferase [GGT]+0.053×waistcircumference-15.745)/ (1 + e0.953×loge[triglycerides]+0.139×BMI+0.718×loge [GGT]+0.053×waistcircumference-15.745) × 100. An ANCOVA model was performed on the change from Baseline to Primary Analysis Time Point. Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
Secondary Change From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) at the Primary Analysis Time Point An ANCOVA model was performed on the change from Baseline to Primary Analysis Time Point. Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
Secondary Change From Baseline in Leptin at the Primary Analysis Time Point An ANCOVA model was performed on the change from Baseline to Primary Analysis Time Point. Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
Secondary Change From Baseline in Adiponectin at the Primary Analysis Time Point An ANCOVA model was performed on the change from Baseline to Primary Analysis Time Point. Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
Secondary Change From Baseline in Subcutaneous Adipose Tissue (SAT) and Visceral Adipose Tissue (VAT) by Single Slice MRI at the Primary Analysis Timepoint An ANCOVA model was performed on the change from Baseline to Primary Analysis Time Point. Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
Secondary Change From Baseline in Waist Circumference by Single Slice MRI at the Primary Analysis Timepoint An ANCOVA model was performed on the change from Baseline to Primary Analysis Time Point. Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
Secondary Change From Baseline in Waist to Hip Ratio (WHR) at the Primary Analysis Timepoint An ANCOVA model was performed on the change from Baseline to Primary Analysis Time Point. Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
Secondary Change From Baseline in Body Mass Index (BMI) at the Primary Analysis Timepoint An ANCOVA model was performed on the change from Baseline to Primary Analysis Time Point. Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
Secondary Number of Participants With Treatment-emergent Adverse Events (TEAEs) An AE was defined as any unfavorable and unintended sign (including a clinically-significant abnormal laboratory finding, for example), symptom, or disease temporally associated with the study or use of investigational drug product, whether or not the AE was considered related to the investigational drug product. TEAEs were defined as adverse events that occurred after the first administration of study drug. Up to 13 weeks post treatment period (up to 39 weeks)
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