IBI306 is a fully human monoclonal antibody that binds proprotein convertase substilisin/kexin type 9 (PCSK-9), preventing its interaction with the low-density lipoprotein cholesterol receptor (LDL-R) and thereby restoring LDL-R recycling and low-density lipoprotein cholesterol(LDL-C)uptake. In phase I study IBI306 was shown to be safe and well tolerated. There was robust reduction in LDL-C, Apo(B), non-HDL-C and lipoprotein (a) in healthy subjects. This study is a randomized, double-blind, placebo-controlled, repeated-dosing, multiple ascending dose trial to evaluate the safety and tolerability of a novel PCSK-9 anti-body, IBI306, in Chinese patients with hypercholesterolemia.
A total of 60 patients who meet the criteria for admission and have a clinical diagnosis of hypercholesterolemia and have received statin for at least 4 weeks will be randomized and receive different dose groups of IBI306 or matching placebo. Ascending dose design includes 6 dose levels: 75 mg Q2W, 140 mgQ2W, 300 mg Q4W,420mg Q4W, 450 mg Q6W,and 600 mg Q6W. Total duration of the study per subject is 12 weeks.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
60
Cohort 1: 75mg Q2W Cohort 2: 140mg Q2W Cohort 3: 300mg Q4W Cohort 4: 420mg Q4W Cohort 5: 450mg Q6W Cohort 6: 600mg Q6W
Cohort 1: 75mg Q2W Cohort 2: 140mg Q2W Cohort 3: 300mg Q4W Cohort 4: 420mg Q4W Cohort 5: 450mg Q6W Cohort 6: 600mg Q6W
Peking University First Hospital
Beijing, China
AEs/SAEs
• Percentage of participants with adverse events and severity of adverse events from the first dose to the last visit
Time frame: up to 12 weeks
Tmax
Time frame: up to 12 weeks
Cmax
Time frame: up to 12 weeks
area under curve (AUC)
Time frame: up to 12 weeks
volume of distribution (Vd)
Time frame: up to 12 weeks
half-life (T1/2)
Time frame: up to 12 weeks
clearance (CL)
Time frame: up to 12 weeks
accumulation factor (AR)
Time frame: up to 12 weeks
changes in blood PCSK-9 concentrations at different time points before and after administration relative to baseline
Time frame: up to 12 weeks
ADA
The occurrence of anti-IBI306 antibody (ADA) in serum before and after administration
Time frame: up to 12 weeks
NAb
The occurrence of neutralizing antibody (NAb) in serum before and after administration
Time frame: up to 12 weeks
Percent change in LDL-C from baseline at 12 weeks
Time frame: baseline and week 12
Changes in LDL-C levels from baseline at 12 weeks
Time frame: baseline and week 12
Percent change in non-HDL-C cholesterol levels from baseline at 12 weeks
Time frame: baseline and week 12
Percent change in ApoB from baseline at 12 weeks
Time frame: baseline and week 12
Percent change in ApoB/ApoA1 ratio from baseline at 12 weeks
Time frame: baseline and week 12
Percent of patients with a 15% or more decrease in LDL-C levels from baseline at 12 weeks
Time frame: baseline and week 12
Percent change in Lp(a) from baseline at 12 weeks
Time frame: baseline and week 12
Percent change in mean LDL-C levels at week 6 and 12 relative to baseline
Time frame: baseline, week 6 and 12
Percent change in mean ApoB levels at week 6 and 12 relative to baseline
Time frame: baseline, week 6 and 12
Percent change in mean Lp(a) levels at week 6 and 12 relative to baseline
Time frame: baseline, week 6 and 12
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