The purpose is to assess the safety, tolerability, pharmacokinetics, and pharmacodynamics of ISIS-APO(a)Rx given to participants with high lipoprotein(a) for 12 weeks.
Lipoprotein(a) \[Lp(a)\] is a genetic variant of low-density lipoprotein (LDL) in which the apolipoprotein B (apoB) -100 component of LDL is linked by a disulfide bond to apolipoprotein(a) \[apo(a)\], the distinct protein component of Lp(a) that is mainly responsible for its signature structural and functional properties. Lp(a) is now recognized as an important genetic risk factor for coronary artery disease, stroke and aortic stenosis. The purpose of this study is to determine if ISIS-APO(a)Rx can reduce the production of apolipoprotein(a), or apo(a). This study will enroll 50 participants with Lipoprotein(a) ≥50 and \<175 mg/dL and 10 participants with Lipoprotein(a) ≥175 mg/dL.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
64
ISIS-APO(a)Rx subcutaneously: 100 mg on Days 1, 8, 15, and 22; 200 mg on Days 29, 36, 43, and 50 unless down-titrated; and 300 mg on Days 57, 64, 71, and 78 unless down-titrated.
Normal saline as Placebo, subcutaneously on Days 1, 8, 15, 22, 29, 36, 43, 50, 57, 64, 71, and 78.
Chicoutimi Hospital
Chicoutimi, Quebec, Canada
Clinique des Maladies Lipidiques de Quebec Inc.
Québec, Canada
Herlev University Hospital
Herlev, Denmark
Percent Change From Baseline in Lipoprotein Lp(a) Plasma Concentration at Day 85/Day 99
Data are reported for evaluable participants.
Time frame: Day 85/Day 99
Number of Participants With at Least One Treatment-emergent Adverse Event (TEAE)
An adverse event 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.
Time frame: Up to approximately 32 weeks
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Charite - University Hospital Berlin - Campus Virchow - Hospital
Berlin, Germany
Uniklinik Koeln, Zentrum fuer Endokrinologie, Diabetologie und Praeventivmedizin (ZEDP)
Cologne, Germany
Otto-von Guericke Universitaet, Uniklinik Magdeburg
Magdeburg, Germany
University of Amsterdam - Dept. of Vascular Medicine F4-109
Amsterdam, Netherlands
Academic Hospital Maastricht
Maastricht, Netherlands
Sint Franciscus Gasthuis
Rotterdam, Netherlands
University Medical Center Utrecht
Utrecht, Netherlands
...and 3 more locations