AZD8233 is a PCSK9-targeted ASO for the reduction of circulating levels of LDL-C. This study aims to evaluate the dose-dependent reduction in LDL-C after SC administration of multiple doses of AZD8233 as well as the associated adverse effects profile. The data generated will be used to guide choice of doses, dosing regimens, and sample sizes, as well as safety and PD monitoring in the further clinical development program.
This is a randomized parallel, double-blind, placebo-controlled, dose-ranging Phase 2b study in approximately 108 participants with dyslipidemia. The primary objective of the study is to investigate the effect of AZD8233 on LDL-C across different dose levels. The study will be conducted at up to 25 sites in up to 4 countries. The screening period starts up to 42 days before the randomization visit and ends on Day -1. Eligible participants will attend 7 visits during the treatment period and 7 additional visits during the safety follow up period. Eligible participants are randomized across four different treatment arms in a 1:1:1:1 ratio for a 12-week treatment period. The planned treatment arms are AZD8233 low dose, AZD8233 medium dose, AZD8233 high dose, and Placebo. Participants will be dosed SC on Days 1, 8, 29, and 57.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
119
Research Site
Roseville, California, United States
Research Site
Inverness, Florida, United States
Change in Low-density Lipoprotein Cholesterol (LDL-C) at Week 12.
Change from baseline in low-density lipoprotein cholesterol (LDL-C) at week 12. Results are based on Mixed Model Repeated Measures (MMRM) analysis on the log-transformed change from baseline. Log-transformed change from baseline is calculated as the visit value in log minus the baseline value in log. The results from the model are then back transformed.
Time frame: Baseline to week 12
Relative Change From Baseline in PCSK9 Concentration in Plasma at Week 12.
Relative change from baseline in PCSK9 concentration in plasma at week 12.
Time frame: Baseline to week 12
Percentage Change From Baseline in Concentration of TC, HDL-C, Non-HDL-C, VLDL-C, ApoA1, ApoB, Lp(a), Triglycerides, Remnants Cholesterol
Percentage change from baseline in concentration of TC, HDL-C, Non-HDL-C, VLDL-C, ApoA1, ApoB, Lp(a), Triglycerides, Remnants cholesterol at week 12
Time frame: Baseline to week 12
Plasma Concentration of AZD8233
Plasma concentration of AZD8233 after first dose administration
Time frame: Measurement at week 1, week 4, week 6, week 8, week 10, week 12, week 16, week 20, week 24 after first dose administration.
Anti-drug Antibodies (ADAs) During the Treatment Period and Follow-up Period
ADA titre results for subjects with positive ADA during the treatment period and follow-up period.
Time frame: Measurement at week 0, week 1, week 4, week 8, week 12, week 16, week 20, week 24
Percentage Change From Baseline in Levels of LDL-C in Plasma
Percentage change from baseline in levels of LDL-C in plasma from baseline to week 12.
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Research Site
Jacksonville, Florida, United States
Research Site
Pembroke Pines, Florida, United States
Research Site
Meridian, Idaho, United States
Research Site
Indianapolis, Indiana, United States
Research Site
New Windsor, New York, United States
Research Site
Greensboro, North Carolina, United States
Research Site
Fargo, North Dakota, United States
Research Site
Cincinnati, Ohio, United States
...and 9 more locations
Time frame: Baseline to week 12