Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03514420
Other study ID # ISIS 703802-CS5
Secondary ID
Status Completed
Phase Phase 2
First received
Last updated
Start date June 15, 2018
Est. completion date August 21, 2019

Study information

Verified date January 2021
Source Akcea Therapeutics
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This is a single-center, open-label study to evaluate the efficacy of AKCEA-ANGPTL3-LRx for reduction of fasting triglycerides in participants with familial partial lipodystrophy.


Recruitment information / eligibility

Status Completed
Enrollment 4
Est. completion date August 21, 2019
Est. primary completion date July 30, 2019
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Key Inclusion Criteria: - Must give written informed consent to participate in the study. - Clinical diagnosis of familial partial lipodystrophy plus diagnosis of type 2 diabetes mellitus and hypertriglyceridemia. - Diagnosis of diabetes mellitus, made at least 6 months prior to the Screening with hemoglobin A1c (HbA1c) = 7% to = 12% at Screening and on anti-diabetic therapy as defined in study protocol. - Hypertriglyceridemia as defined by fasting triglycerides (TG) levels = 500 milligrams per deciliter (mg/dL) at both Screening and Qualification visits. Participants with the clinical diagnosis of FPL and with fasting TG levels = 200 (= 2.26 millimoles per liter [mmol/L]) to < 500 mg/dL (= 5.7 mmol/L) who meet the genetic or family history criteria for study inclusion may be further screened and enrolled in the study. - Presence of hepatosteatosis (fatty liver), as evidenced by a Screening magnetic resonance imaging (MRI) indicating a hepatic fat fraction (HFF) = 6.4%. Key Exclusion Criteria: - Diagnosis of generalized lipodystrophy. - Diagnosis of acquired partial lipodystrophy (APL). - Acute pancreatitis within 4 weeks of Screening. - Acute coronary syndrome within 6 months of Screening. - Major surgery within 3 months of Screening. - Have any other conditions in the opinion of the investigator which could interfere with the participant participating in or completing the study.

Study Design


Intervention

Drug:
AKCEA-ANGPTL3-LRx
AKCEA-ANGPTL3-LRx solution for SC injection.

Locations

Country Name City State
United States Clinical Site Ann Arbor Michigan

Sponsors (2)

Lead Sponsor Collaborator
Akcea Therapeutics Ionis Pharmaceuticals, Inc.

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Percent Change From Baseline in Fasting Triglycerides Levels at End of the Treatment (Week 27) The baseline was defined as the average of Day 1 pre-dose fasting assessment and the last fasting measurement prior to Day 1 pre-dose fasting assessment. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in Area Under the Curve (AUC) of Plasma Glucose as Assessed by Mixed Meal Test (MMT) at End of the Treatment Change from Baseline to Week 27 in the area under the curve (AUC) of Plasma Glucose was assessed. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in AUC of Serum Insulin as Assessed by MMT at End of the Treatment Change from Baseline to Week 27 in the AUC of Serum Insulin was assessed. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in AUC of Serum C-peptide as Assessed by MMT at End of the Treatment Change from Baseline to Week 27 in the AUC of Serum C-peptide was assessed. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in AUC of Free Fatty Acid (FFA) as Assessed by MMT at End of the Treatment Change from Baseline to Week 27 in the AUC of FFA was assessed. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in AUC of Serum Ghrelin as Assessed by MMT at End of the Treatment Change from Baseline to Week 27 in the AUC of Serum Ghrelin was assessed. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in AUC of Incretin Hormone (Gastric Inhibitory Polypeptide [GIP]) as Assessed by MMT at End of the Treatment Change from Baseline to Week 27 in the AUC of Incretin Hormone: GIP was assessed. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in AUC of Incretin Hormone (Glucagon-like Peptide -1 [GLP-1]) as Assessed by MMT at End of the Treatment Change from Baseline to Week 27 in the AUC of Incretin Hormone: GLP-1 was assessed. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in AUC of Peptide Tyrosine Tyrosine (PYY) as Assessed by MMT at End of the Treatment Change from Baseline to Week 27 in the AUC of PYY was assessed. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in HDL-C at End of the Treatment The baseline was defined as the average of Day 1 pre-dose fasting assessment and the last fasting measurement prior to Day 1 pre-dose fasting assessment. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in LDL-C at End of the Treatment The baseline was defined as the average of Day 1 pre-dose fasting assessment and the last fasting measurement prior to Day 1 pre-dose fasting assessment. LDL-C calculated using ultracentrifugation method. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in Total Cholesterol (TC) at End of the Treatment The baseline was defined as the average of Day 1 pre-dose fasting assessment and the last fasting measurement prior to Day 1 pre-dose fasting assessment. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in VLDL-C at End of the Treatment The baseline was defined as the average of Day 1 pre-dose fasting assessment and the last fasting measurement prior to Day 1 pre-dose fasting assessment. VLDL-C was calculated using direct test method. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in Non-HDL-C at End of the Treatment The baseline was defined as the average of Day 1 pre-dose fasting assessment and the last fasting measurement prior to Day 1 pre-dose fasting assessment. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in ApoB at End of the Treatment The baseline was defined as the average of Day 1 pre-dose fasting assessment and the last fasting measurement prior to Day 1 pre-dose fasting assessment. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in ApoB-48 at End of the Treatment The baseline was defined as the average of Day 1 pre-dose fasting assessment and the last fasting measurement prior to Day 1 pre-dose fasting assessment. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in Apolipoprotein B 100 (ApoB-100) at End of the Treatment The baseline was defined as the average of Day 1 pre-dose fasting assessment and the last fasting measurement prior to Day 1 pre-dose fasting assessment. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in ApoA-1 at End of the Treatment The baseline was defined as the average of Day 1 pre-dose fasting assessment and the last fasting measurement prior to Day 1 pre-dose fasting assessment. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in ApoC-III at End of the Treatment The baseline was defined as the average of Day 1 pre-dose fasting assessment and the last fasting measurement prior to Day 1 pre-dose fasting assessment. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in ApoC-III: Chylomicron at End of the Treatment The baseline was defined as the average of Day 1 pre-dose fasting assessment and the last fasting measurement prior to Day 1 pre-dose fasting assessment. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in ApoC-III: VLDL at End of the Treatment The baseline was defined as the average of Day 1 pre-dose fasting assessment and the last fasting measurement prior to Day 1 pre-dose fasting assessment. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in ApoC-III: LDL at End of the Treatment The baseline was defined as the average of Day 1 pre-dose fasting assessment and the last fasting measurement prior to Day 1 pre-dose fasting assessment. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in ApoC-III: HDL at End of the Treatment The baseline was defined as the average of Day 1 pre-dose fasting assessment and the last fasting measurement prior to Day 1 pre-dose fasting assessment. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in Lipoprotein a (Lp[a]) at End of the Treatment The baseline was defined as the average of Day 1 pre-dose fasting assessment and the last fasting measurement prior to Day 1 pre-dose fasting assessment. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in Free Fatty Acid (FFA) at End of the Treatment The baseline was defined as the average of Day 1 pre-dose fasting assessment and the last fasting measurement prior to Day 1 pre-dose fasting assessment. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in Glycerol Levels at End of the Treatment The baseline was defined as the average of Day 1 pre-dose fasting assessment and the last fasting measurement prior to Day 1 pre-dose fasting assessment. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in Lipoprotein Particle Size at End of the Treatment The baseline was defined as the Day 1 pre-dose fasting assessment. Lipoprotein Particle size included: HDL size, LDL size and VLDL size. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in Hemoglobin A1c (HbA1c) at End of the Treatment The baseline was defined as the last non-missing assessment prior to the first dose of study drug. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in Homeostasis Model Assessment-Estimated Insulin Resistance (HOMA-IR) The baseline was defined as the average of Day 1 pre-dose fasting assessment and the last fasting measurement prior to Day 1 pre-dose fasting assessment. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in Adiponectin at End of the Treatment The baseline was defined as the Day 1 pre-dose fasting assessment. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in and Leptin at End of the Treatment The baseline was defined as the Day 1 pre-dose fasting assessment Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in Hepatic Fat Fraction (HFF) as Assessed by Magnetic Resonance Imaging (MRI) at End of the Treatment The baseline was defined as the last non-missing assessment prior to the first dose of study drug. Baseline and End of the Treatment (Week 27)
Secondary Changes From Baseline in Body Fat Distribution for Various Areas in the Body as Measured by Skinfold Thickness at End of the Treatment The baseline was defined as the last assessment prior to the first dose of study drug. Change in body fat distribution was measured as right anterior thigh skinfold thickness and right tricep skinfold thickness by Skinfold Thickness. Baseline and End of the Treatment (Week 27)
Secondary Changes From Baseline in Body Fat Distribution for Various Areas in the Body as Measured by Dual-Energy X-ray Absorptiometry (DEXA) at End of the Treatment The baseline was defined as the Screening assessment. Change in body fat distribution (arm bone mass, arm fat mass, arm lean mass, arm total mass, leg bone mass, leg fat mass, leg lean mass, leg total mass, total bone mass, total fat mass, total lean mass, total total mass , trunk bone mass, trunk fat mass, trunk lean mass and trunk total mass) was measures obtained from DEXA. Baseline and End of the Treatment (Week 27)
Secondary Changes From Baseline in Body Fat Distribution for Total Bone Mineral Density in the Body as Measured by Dual-Energy X-ray Absorptiometry (DEXA) at End of the Treatment The baseline was defined as Screening assessment. Change in body fat distribution for total Bone mineral density was measures obtained from DEXA. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in Visceral Adipose Tissue (VAT) as Measured by Magnetic Resonance Imaging (MRI) at End of the Treatment The baseline was defined as the last assessment prior to the first dose of study drug. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in Subcutaneous Adipose Tissue (SAT) as MRI at End of the Treatment The baseline was defined as the last assessment prior to the first dose of study drug. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in Body Weight at End of the Treatment The baseline was defined as the Day 1 pre-dose assessment. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in Waist Circumference at End of the Treatment The baseline was defined as the Screening assessment. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in Waist/Hip Ratio at End of the Treatment The baseline was defined as screening assessment. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in Quality of Life (QoL) The baseline was defined as the screening assessment. Quality of life measures the severity of fatigue, severity of trouble thinking or remembering and severity of waking up tired in participants, on a scale ranging from 0 to 3, where, 0= No problem, 1= Mild, 2= Moderate and 3= severe. Higher scores indicates more severity or more impact on quality of life. Baseline and End of the Treatment (Week 27)
Secondary Change From Baseline in Pain Score at End of the Treatment The baseline was defined as a Screening assessment. Pain score is used to determine disease activity in participants, on a scale ranging from 0 to 5 where 0= never, 1= hardly noticed, 2= slightly, 3= moderately, 4= strongly, and 5= very strongly where higher scores indicated higher degree of pain. Baseline and End of the Treatment (Week 27)
Secondary Number of Participants With Treatment-emergent Adverse Events (TEAEs) An adverse event (AE) is 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 is considered related to the investigational drug product. "A treatment-emergent adverse event (TEAE) is defined as any AE starting on or after the first dose of the study drug From signing of informed consent to end of follow up period (Up to week 40)
See also
  Status Clinical Trial Phase
Completed NCT02654977 - CLINICAL PROTOCOL to Investigate the Long-term Safety and Efficacy of Metreleptin in Various Forms of Partial Lipodystrophy Phase 2
Completed NCT03508687 - Study of Gemcabene in Adults With FPLD Phase 1/Phase 2
Completed NCT02430077 - Phase 2 Study of Obeticholic Acid for Lipodystrophy Patients Phase 2
Terminated NCT05088460 - A Study to Examine the Effects of the Leptin Receptor (LEPR) Agonist Antibody REGN4461 in Adult Patients With Familial Partial Lipodystrophy (FPLD) Phase 2
Terminated NCT02527343 - The BROADEN Study: A Study of Volanesorsen (Formerly IONIS-APOCIIIRx) in Participants With Familial Partial Lipodystrophy Phase 2/Phase 3
Available NCT02404896 - Expanded Access Metreleptin Study