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A Study of AKCEA-APOCIIILRx Administered to Patients With Familial Chylomicronemia Syndrome (FCS)

A Randomized, Double-Blind, Placebo-Controlled, Phase 3 Study of AKCEA-APOCIII-LRX Administered Subcutaneously to Patients with Familial Chylomicronemia Syndrome (FCS) - NA

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2020-002536-67-DE
Enrollment
60
Registered
2020-09-17
Start date
2021-04-15
Completion date
Unknown
Last updated
2024-05-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Familial Chylomicronemia Syndrome (FCS) MedDRA version: 20.0 Level: PT Classification code 10059183 Term: Familial hypertriglyceridaemia System Organ Class: 10010331 - Congenital, familial and genetic disorders MedDRA version: 20.1 Level: LLT Classification code 10020607 Term: Hyperchylomicronemia System Organ Class: 100000004861

Interventions

Sponsors

Ionis Pharmaceuticals, Inc.
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: • A diagnosis of genetically confirmed Familial Chylomicronemia Syndrome (type 1 Hyperlipoproteinemia) • Fasting TG = 880 mg/dL (10 mmol/L) at Screening • History of pancreatitis. Patients without a documented history of pancreatitis are also eligible but their enrollment will be capped at 35% Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 55 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 5

Exclusion criteria

Exclusion criteria: • Acute coronary syndrome within 6 months of Screening • Major surgery within 3 months of Screening • Active pancreatitis within 4 weeks of Screening • Have any other conditions, which, in the opinion of the Investigator would make the patient unsuitable for inclusion, or could interfere with the patient participating in or completing the study

Design outcomes

Primary

MeasureTime frame
Main Objective: To evaluate the efficacy of ISIS 678354 as compared to placebo on the percent change in fasting triglycerides (TG) from Baseline;Secondary Objective: •Proportion of patients who achieve = 40% reduction in fasting TG from Baseline •Percent change in fasting apoB-48 from Baseline •Proportion of patients who achieve fasting TG = 750 mg/dL (8.4 mmol/L) •Adjudicated acute pancreatitis event rate in patients with = 2 events of adjudicated acute pancreatitis in 5 years prior to enrollment •Adjudicated acute pancreatitis event rate •Proportion of patients who achieve = 70% reduction in fasting TG from Baseline •Proportion of patients who achieve fasting TG = 500 mg/dL (5.7 mmol/L) ;Primary end point(s): The primary endpoint is the percent change in fasting TG from Baseline at 6 months (average of Weeks 23, 25 and 27) compared to placebo;Timepoint(s) of evaluation of this end point: 6 months

Secondary

MeasureTime frame
Secondary end point(s): Secondary endpoints include the following: • Percent change in fasting TG from Baseline at 12 months (average of Week 51 and Week 53) compared to placebo • Proportion of patients who achieve = 40% reduction in fasting TG from baseline at 6 months compared to placebo • Percent change in fasting apoB-48 from Bbaseline at 6 months compared to placebo • Proportion of patients who achieve fasting TG = 750 mg/dL at 6 months compared to placebo • Proportion of patients who achieve fasting TG = 500 mg/dL at 6 months compared to placebo • Adjudicated acute pancreatitis event rate during the Treatment Period (Week 1 through Week 53) compared to placebo, in patients with = 2 events of adjudicated acute pancreatitis in 5 years prior to enrollment • Adjudicated acute pancreatitis event rate during the Treatment Period (Week 1 through Week 53) compared to placebo • Proportion of patients who achieve = 70% reduction in fasting TG from Baseline at 6 months compared to placebo • Proportion of patients who achieve fasting TG = 500 mg/dL at 6 months compared to placebo ;Timepoint(s) of evaluation of this end point: 6 months and 12 months

Countries

Canada, France, Germany, Hungary, Israel, Italy, Netherlands, Norway, Portugal, Slovakia, Spain, Sweden, United Kingdom, United States

Contacts

Public ContactStacy Woeppel

Ionis Pharmaceuticals

clinicaltrials@ionisph.com+1442339-3268

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026