Atherosclerosis
Conditions
Keywords
BI-204
Brief summary
This is a Phase II (proof-of-activity), double-blind, placebo-controlled, randomized, multicenter study of MLDL1278A (also known as BI-204) involving patients on standard-of-care therapy for atherosclerotic cardiovascular disease with evidence of vascular inflammation, as quantified by FDG-PET/CT.
Interventions
Single intravenous dose
Repeating intravenous dose
Repeating oral dose
Sponsors
Study design
Eligibility
Inclusion criteria
* Evidence of qualifying vessel (carotid or aortic) plaque inflammation * Documented atherosclerotic vascular disease clinically stable for at least 3 months prior to screening or type 2 diabetes mellitus with elevated cardiovascular risk * Use of a stable dose of statin therapy for at least 6 weeks prior to screening. Patients must be capable of maintaining statin therapy at a current dose level from screening until the last follow-up visit. * For patients taking angiotensin-converting enzyme (ACE) inhibitors (ACE-I) or angiotensin-receptor blockers (ARBs), non-statin lipid-modifying therapy, thiazolidinediones, inhaled steroids, or leukotriene modifying agents, use of a stable dose for at least 6 weeks prior to screening and capable of continuing with that dose for the duration of the study
Exclusion criteria
* Occurrence of a cardiovascular event \< 6 months prior to screening * Pregnant, planning to become pregnant during the study, or breastfeeding * Clinically significant abnormal laboratory values or abnormal ECG or vital signs * History of anaphylactic reactions * Newly discovered Type 2 diabetes mellitus (T2DM) (prior to study entry) or medical treatment for T2DM started \< 3 months prior to study entry * Use of insulin, corticosteroids (oral, rectal, or injectable), or other immunosuppressive medications * Current or recent (within 4 weeks prior to screening) infection, including signs, symptoms or serology of any infection, including HIV, hepatitis B or C * Impaired renal function * History of malignancy within 2 years prior to screening * Current life-threatening condition other than vascular disease that may prevent a patient from completing the study * Use of an investigational drug or biologic within 30 days or 5 half-lives (whichever is longer) prior to the first dose of study medication * Exposure to substantial radiation within 12 months prior to screening
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in TBR as measured by FDG-PET/CT | Baseline to Week 12 |
Secondary
| Measure | Time frame |
|---|---|
| Incidence and severity of adverse events and clinical laboratory abnormalities as a measure of safety and tolerability of MLDL1278A | Throughout study or until early discontinuation |
| Effects of MLDL1278A on inflammatory and metabolic biomarkers | Throughout study or until early discontinuation |
Countries
Canada, United States