To assess the electrocardiogram (ECG) effects of mipomersen administered as a 200-mg subcutaneous (SC) therapeutic and a 200-mg intravenous (IV; \[2-hour infusion\]) supra-therapeutic dose relative to placebo in healthy adult male and female subjects; and to evaluate the safety and pharmacokinetics (PK) of mipomersen when administered as a single therapeutic (200 mg) SC and a single, supra-therapeutic (200 mg) IV dose.
This will be a randomized, double-blind, single-site, crossover study in healthy male and female subjects to determine if mipomersen administered as a single therapeutic (200 mg) SC and a single supra-therapeutic (200 mg) IV dose delays cardiac repolarization as determined by the measurement of QT/corrected QT (QTc) interval. A total of 60 healthy male and female subjects will be enrolled in this 4-way crossover study, randomly assigned to 1 of 8 treatment sequences, and cross over into 4 treatment periods where each subject will receive both a single SC injection and a single IV infusion during each period.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
60
200 mg of mipomersen intravenous (IV) (single dose)
200 mg of mipomersen subcutaneous (SC) (single dose)
400 mg of moxifloxacin intravenous (IV) single dose
PPD Development, LP
Austin, Texas, United States
change from baseline in QTcF (corrected Frederica's CT interval)
Time frame: ECG monitoring up to 24 hours post dose
ECG intervals (QTcB (corrected Bazett's QT interval), HR (heart rate, PR, QRS, and QT)
Time frame: ECG monitoring up to 24 hours post dose
change in ECG morphological patterns
Time frame: ECG monitoring up to 24 hours post dose
Correlation between delta delta QTc interval and plasma mipomersen concentrations
Time frame: ECG monitoring up to 24 hours post dose
Incidence of treatment-emergent Adverse Events
Time frame: Assessed at each visit
mipomersen plasma pharmacokinetic (PK) parameters: Area Under the Curve (AUC 0-22.5h), Maximum Concentration (Cmax), Time to Maximum Concentration (Tmax)
Time frame: Serial PK sampling up to 24 hours post dose
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placebo intravenous (IV) single dose
placebo subcutaneous (SC) single dose