Hypercholesterolemia Clinical Trial
Official title:
A Single-blind Phase 1 Study Assessing the Safety, Immunogenicity and Low Density Lipoprotein Cholesterol (LDLc)-Lowering Activity of 2 Different Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9) Targeting AFFITOPE® Vaccines in Healthy Subjects
Study AFF012 is a single blind, single-center, randomized, placebo-controlled, parallel
group, phase I clinical trial of repeated administration by subcutaneous injection of a
single dose of one of two different proprotein convertase subtilisin/kexin type 9 targeting
AFFITOPE® vaccines or Placebo. This study will assess Safety, Immunogenicity and low density
lipoprotein cholesterol-lowering activity of the two vaccines.
72 healthy subjects are divided into three test groups (2 treatment groups, 1 placebo group),
each consisting of 24 subjects. The subjects are randomized to receive either of two
AFFITOPEs® (AT04A or AT06A, adsorbed to 1 mg aluminium oxyhydroxide) or placebo (1 mg
aluminium oxyhydroxide).
The study consists of 3 parts, part A, encompassing Visit 1 to Visit 8, covering 3 priming
immunizations at a dose of 15μg at days 0, 28 and 56 and the immediate observation period
extending to day 140; the prolonged observation period: part B, encompassing Visit 9 and
Visit 10 at days 273 and 365; and part C consisting of 7 visits (V11 to V17). Study
participants having received 3 priming vaccinations and having completed part B will receive
in part C one boost immunization at a dose of 75μg, which will be applied one year after the
3rd immunization (day 420). Probands will proceed directly from part A to part B and to part
C. Continuation of parts B and C will be considered based on the part A results, primarily
the immunological results. The following scenarios apply (provided that there is no safety
issue). None of the two treatment groups exhibits a vaccine-specific antibody response over
the placebo group at Visit 8 - this will lead to termination of the trial. One of the two
groups fails to exhibit a vaccine-specific antibody response over the placebo group at Visit
8 - this will lead to its discontinuation; the other treatment group and the placebo group
will be continued.
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