Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT05355402
Other study ID # ISIS 678354-CS8
Secondary ID
Status Completed
Phase Phase 2
First received
Last updated
Start date May 9, 2022
Est. completion date December 21, 2023

Study information

Verified date May 2024
Source Ionis Pharmaceuticals, Inc.
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of the study is to evaluate the effect of olezarsen on percent change in fasting triglyceride (TG) levels compared to placebo at Months 6 and 12 and the percentage of participants who achieve different thresholds in fasting TG. Another objective is to evaluate the effect of olezarsen on percent change in fasting apolipoprotein C-III (apoC-III), very low-density lipoprotein cholesterol (VLDL-C), remnant cholesterol, non-high-density lipoprotein cholesterol (non-HDL-C), HDL-C, total cholesterol (TC), apolipoprotein B (apoB), low-density lipoprotein cholesterol (LDL-C), and apolipoprotein A-1 (apoA-1).


Description:

This will be a multi-center, randomized, double-blind, placebo-controlled study in approximately 152 participants with hypertriglyceridemia (triglycerides > 150 milligrams per deciliter [mg/dL]) and established or at increased risk for atherosclerotic cardiovascular disease, and/or with severe hypertriglyceridemia. The study will have an up to 8-week screening period, a 53-week treatment period, and a 13-week post-treatment follow-up period.


Recruitment information / eligibility

Status Completed
Enrollment 154
Est. completion date December 21, 2023
Est. primary completion date March 22, 2023
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: 1. Aged = 18 years at the time of informed consent 2. Fall into at least 1 of the following groups (a or b): 1. Hypertriglyceridemia with fasting TG = 150 mg/dL (1.69 millimoles per liter [mmol/L]) and < 500 mg/dL (5.65 mmol/L) with either clinical diagnosis of atherosclerotic cardiovascular disease (ASCVD) or at increased risk for ASCVD 2. Severe hypertriglyceridemia with fasting TG = 500 mg/dL (5.65 mmol/L). 3. Participants must be on standard-of-care (SOC), lipid-lowering medications per local guidelines. 4. Participants must be willing to comply with diet and lifestyle recommendations as able. Exclusion Criteria: 1. Diabetes with any of the following: 1. Newly diagnosed within 12 weeks of screening 2. Hemoglobin A1C (HbA1c) = 9.5% at Screening 3. Change in basal insulin regimen > 20% within 3 months prior to Screening 4. For participants with type 1 diabetes: episode of diabetic ketoacidosis, or = 3 episodes of severe hypoglycemia within 6 months prior to Screening 2. Acute coronary syndrome or stroke/transient ischemic attack (TIA) within 6 months prior to Screening 3. Major surgery, peripheral revascularization, or non-urgent percutaneous coronary intervention (PCI) within 3 months prior to Screening, or upcoming planned major surgery or major procedure (e.g., arterial revascularization) during the course of the study 4. Active pancreatitis within 4 weeks prior to Screening

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Olezarsen
Olezarsen will be administered by SC injection.
Placebo
Olezarsen-matching placebo will be administered once every 4 weeks by SC injection for up to 49 weeks.

Locations

Country Name City State
Canada Ecogene-21 Chicoutimi Quebec
Canada Clinique des Maladies Lipidiques de Quebec Inc. Quebec
Canada Bluewater Clinical Research Group Inc Sarnia Ontario
United States Excel Medical Clinical Trials, LLC Boca Raton Florida
United States IACT Health Columbus Georgia
United States West Broadway Clinic Council Bluffs Iowa
United States Evanston Premier Healthcare Research Evanston Illinois
United States Aa Mrc, Llc Flint Michigan
United States Clinical Investigation Specialist Gurnee Illinois
United States Green and Seidner Family Practice Associates Lansdale Pennsylvania
United States Clinical Research of South Nevada Las Vegas Nevada
United States Palm Research Center, Inc. Las Vegas Nevada
United States Clinical Trials Research Lincoln California
United States Main Street Physicians Care Waterway Little River South Carolina
United States Louisville Metabolic and Atherosclerosis Research Center (L-MARC) Louisville Kentucky
United States Manassas Clinical Research Center Manassas Virginia
United States Southern Endocrinology Associates Mesquite Texas
United States De La Cruz Research Center Miami Florida
United States Catalina Research Institute, LLC Montclair California
United States Suncoast Clinical Research, Inc. New Port Richey Florida
United States York Clinical Research LLC Norfolk Virginia
United States Health Concepts Rapid City South Dakota
United States Tennessee Center for Clinical Trials Tullahoma Tennessee
United States Research Physicians Network Alliance Winter Park Florida

Sponsors (1)

Lead Sponsor Collaborator
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 at Month 6 (average of Weeks 25 and 27) in Fasting Triglycerides (TG) Baseline and Month 6
Secondary Percent Change From Baseline at Month 12 in Fasting TG Baseline and Month 12
Secondary Proportion of Participants with Baseline TG < 500 mg/dL (5.65 mmol/L) Who Achieve Fasting TG < 150 milligrams per deciliter (mg/dL) (1.69 millimoles per liter [mmol/L]) at Month 6 Baseline and Month 6
Secondary Proportion of Participants with Baseline TG < 500 mg/dL (5.65 mmol/L) Who Achieve Fasting TG < 150 mg/dL (1.69 mmol/L) at Month 12 Baseline and Month 12
Secondary Proportion of Participants with Baseline TG = 500 mg/dL Who Achieve Fasting TG < 500 mg/dL (5.65 mmol/L) at Month 6 Baseline and Month 6
Secondary Proportion of Participants with Baseline TG = 500 mg/dL Who Achieve Fasting TG < 500 mg/dL at Month 12 Baseline and Month 12
Secondary Percent Change From Baseline at Months 6 and 12 in Fasting apoC-III Baseline, Months 6 and 12
Secondary Percent Change From Baseline at Months 6 and 12 in Fasting VLDL-C Baseline, Months 6 and 12
Secondary Percent Change From Baseline at Months 6 and 12 in Fasting Remnant Cholesterol Baseline, Months 6 and 12
Secondary Percent Change From Baseline at Months 6 and 12 in Fasting Non-HDL-C Baseline, Months 6 and 12
Secondary Percent Change From Baseline at Months 6 and 12 in Fasting HDL-C Baseline, Months 6 and 12
Secondary Percent Change From Baseline at Months 6 and 12 in Fasting TC Baseline, Months 6 and 12
Secondary Percent Change From Baseline at Months 6 and 12 in Fasting apoB Baseline, Months 6 and 12
Secondary Percent Change From Baseline at Months 6 and 12 in Fasting LDL-C Baseline, Months 6 and 12
Secondary Percent Change From Baseline at Months 6 and 12 in apoA-1 Baseline, Months 6 and 12
Secondary Adjudicated acute pancreatitis event rate during the Treatment Period compared to placebo in patients with = 2 events of adjudicated acute pancreatitis in 5 years prior to enrollment. Baseline through Month 12
Secondary Adjudicated acute pancreatitis event rate during the Treatment Period compared to placebo. Baseline through Month 12
See also
  Status Clinical Trial Phase
Completed NCT03929198 - Translation of Pritikin Program to the Community N/A
Completed NCT02250105 - Trial of ARI-3037MO to Reduce Triglyceride Levels in Adults With Severe (≥500 mg/dl) Hypertriglyceridemia Phase 2
Completed NCT02859129 - Study to Evaluate the 2-Way Interaction Between Multiple Doses of Epanova™ and a Single Dose of Rosuvastatin (Crestor®) Phase 1
Completed NCT01437930 - Intervention With n-3 Polyunsaturated Fatty Acids (PUFA)-Supplemented Products in Moderate Hypertriglyceridemic Patients N/A
Completed NCT01455844 - TRIal For Efficacy of Capre on hyperTriglyceridemiA Phase 2
Completed NCT00959842 - Effects of Lovaza on Lipoprotein Composition and Function in Mild Hypertriglyceridemia Phase 1/Phase 2
Completed NCT01010399 - Boosted Lexiva With Lovaza Adjunctive Therapy in Hypertriglyceridemic, HIV-Infected Subjects Phase 4
Completed NCT00519714 - A Study to Evaluate the Lipid Regulating Effects of 1-Methylnicotinamide (1-MNA) Phase 2/Phase 3
Recruiting NCT00186537 - Comparing Tricor, Avandia, or Weight Loss to Lower Cardiovascular Risk Factors in People With High Triglycerides. N/A
Completed NCT00246402 - Acipimox to Improve Hyperlipidemia and Insulin Sensitivity Associated With HIV N/A
Completed NCT06020950 - Chia Seeds Consumption in Hypertriglyceridemia N/A
Completed NCT02354976 - A Double-blind Randomized Placebo-controlled Study Comparing Epanova and Fenofibrate on Liver Fat in Overweight Subjects. Phase 2
Completed NCT04966494 - Impact of Beans and Oats Snack Bar on Hypertriglyceridemic Women N/A
Completed NCT04650152 - Study to Assess Tricor Therapy Effectiveness in Patients With Metabolic Syndrome (TRISTAN)
Completed NCT04630366 - A Phase 1, First Time in Humans Study of NST-1024 Phase 1
Completed NCT03693131 - Efficacy of MND-2119 in Participants With Hypertriglyceridemia Phase 3
Completed NCT04756180 - An Efficacy and Safety Study of Omega-3-acid Ethyl Ester in Chinese Subjects With Hypertriglyceridemia. Phase 3
Completed NCT02868177 - Effect of Totum-63, Active Ingredient of Valedia, on Glucose and Lipid Homeostasis on Subjects With Prediabetes Phase 2/Phase 3
Completed NCT01968720 - Pilot Study To Assess CAT-2003 in Patients With Severe Hypertriglyceridemia Phase 2
Completed NCT01462877 - A Study to Evaluate Fenofibrate Combination With Statin in Chinese Patients With Dyslipidemic Phase 4