Skip to content

Study on Safety, Tolerability and Prelimenary Efficacy of LNA043 in Patients Undergoing Autologous Chondrocyte Implantation

A Randomized, Placebo-controlled, Patient and Investigator Blinded, Single Dose, Proof of Concept Study Investigating the Safety, Tolerability and Preliminary Efficacy of Intra-articular LNA043 in Regenerating the Articular Cartilage of the Knee at Donor Sites in Patients Undergoing Autologous Chondrocyte Implantation

Status
Terminated
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03334812
Acronym
ACI
Enrollment
14
Registered
2017-11-07
Start date
2017-10-18
Completion date
2019-04-05
Last updated
2021-10-07

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

Conditions

Knee Cartilage Lesion

Keywords

cartilage lesion, ACI

Brief summary

The purpose of this study was to assess safety, tolerability, pharmacokinetics and preliminary efficacy of a single intra-articular (i.a.) administration of LNA043 in regenerating the articular cartilage of the knee, in a standardized clinical scenario of acute cartilage defect. The study aimed at characterizing the mechanism of action of LNA043

Detailed description

This was a non-confirmatory, patient and investigator blinded, randomized, placebo-controlled, parallel group, single dose study in patients with cartilage lesions undergoing autologous cartilage implantation (ACI). Participants were treated only on one occasion (Day 1) with a single i.a. injection that was performed under arthroscopic visualization and followed up for 28 weeks. Originally approximately 22 patients were planned to be enrolled in two cohorts (LNA043 20 mg and LNA043 40 mg). The study was terminated before any patient was randomized into the LNA043 40 mg cohort

Interventions

BIOLOGICALLNA043

LNA043 Single dose

BIOLOGICALplacebo to LNA043

placebo to LNA043 single dose

Sponsors

Novartis Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
No

Inclusion criteria

* Written informed consent must be obtained before any assessment is performed * Patient is ≥18 and≤ 50 years old at time of screening * Patient has a body mass index (BMI) \<30 kg/m2 at screening * Patient has a localized articular cartilage defect of the knee and is scheduled for an ACI procedure * Able to communicate well with the investigator, to understand and comply with the requirements of the study.

Exclusion criteria

* Patient has radiologically apparent degenerative joint disease in the target knee as determined by Kellgren and Lawrence grade ≥2 based on X-ray evaluation performed within 6 months from screening * Patient has unstable knee joint or insufficiently reconstructed ligaments, based on medical history and physical examination by the investigator. * Patient scheduled for a concomitant articular surgical procedure (e.g., anterior cruciate ligament reconstruction) other than debridement or partial meniscectomy * Patient has malalignment (valgus- or varus-deformity) in the target knee ≥ 5° based on based on X-ray evaluation performed within 6 months from screening.at screeningmedical history. In suspected cases, the mechanical axis must be established radiographically through complete leg imaging during standing and in postero-anterior projection. * Patient has a known autoimmune disease, inflammatory arthropathy (including but not limited to rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, CPPD, gout), active acute or chronic infection of the joint, recent Lyme disease to the knee, systemic cartilage disorder, or a known systemic connective tissue disease. * Patient has had surgical treatment of the target knee using autologous osteochondral transplantation/mosaicplasty within 12 months prior to screening (Note: prior diagnostic arthroscopy with debridement and lavage, meniscal surgery, microfracture, anterior cruciate ligament reconstruction, and extra-articular surgery e.g., high-tibial osteotomy are acceptable). * Patient is unable to undergo magnetic resonance imaging (MRI) or presents absolute contraindications to MRI (e.g., metallic implants, metallic foreign bodies, pacemaker, defibrillator). * Patient taking medications prohibited by the protocol: corticosteroids by any route (except topical) from 4 weeks prior to screening; nonsteroidal anti-inflammatories or aspirin (greater than 100 mg per day) within 2 weeks prior to screening; paracetamol greater than 3000 mg per day within 2 weeks prior to screening; glucosamine or chondroitin sulfate within 2 weeks prior to screening; any local treatment i.a. into the knee within 3 months from screening. * Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception during dosing and for 15 days after stopping of investigational drug. * Regular smokers (use of tobacco/nicotine products in the previous 3 months \> 5 cigarettes/day). Urine cotinine levels will be measured during screening for all subjects. Regular smokers will be defined as any subject who reports tobacco use of \> 5 cigarettes/day and/or who has a urine cotinine ≥ 500 ng/mL.

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in GAG ContentBaseline, Week 4Sodium MRI-based measurements of change from baseline in glycosaminoglycan (GAG) content were assessed from both defective sites and a nearby healthy cartilage region (as a reference tissue). Specifically, the ratio of normalized sodium signal in the surgically created defect (SCD or donor site) to healthy non-weight bearing region (HNWB), i.e. SCD/HNWB and the defect to be treated (DTBT or main lesion) to healthy weight bearing region (HWB), i.e. DTBT/HWB was of major interest
Bi-layer Collagen Organization Based on MRI MeasurementsWeek 4MRI T2 maps were generated and zonal T2 ratios (superficial layer T2 / deep layer T2) were calculated to assess the collagen fiber organization in the surgically created defect (SCD) and defect to be treated (DTBT) cartilage regions.

Secondary

MeasureTime frameDescription
Change From Baseline in International Cartilage Repair Society (ICRS) ScoringWeek 4Extent of the repair tissue at the donor site before surgery. Each criterion was evaluated based on the visual analog scale and graded from 0 (best) to 100 (worst).
Percentage of Donor Site Refilling Based on MRI Measurements.Baseline, Week 4, Week 12 and Week 28Extent of filling of the donor site over a longer term. Percentage change from baseline in refilling of cartilage defect based on 7T MRI for donor Region.
PK Profile of LNA043 and of AngPTL3 in Serum AUC4 weeksLocal and systemic pharmacokinetics (PK) of LNA043 following a single i.a. administration
Change From Baseline in GAG ContentBaseline, Week 12 and Week 28Sodium MRI-based measurements of change from baseline in glycosaminoglycan (GAG) content was assessed from both defective sites and a nearby healthy cartilage region (as a reference tissue). Specifically, the ratio of normalized sodium signal in the surgically created defect (SCD or donor site) to healthy non-weight bearing region (HNWB), i.e. SCD/HNWB was of major interest
Bi-layer Collagen Organization Based on MRI MeasurementsWeek 12 and Week 28MRI T2 maps were generated and zonal T2 ratios (superficial layer T2 / deep layer T2) were calculated to assess the collagen fiber organization in the SCD cartilage region.
Number of Participants With Anti-LNA043 Antibodies in SerumBaseline, Week 1, Week 4, Week 12 and Week 28Potential immunogenicity of LNA043
PK Profile of LNA043 and of AngPTL3 in Serum Cmax4 weeksLocal and systemic pharmacokinetics (PK) of LNA043 following a single i.a. administration

Countries

Austria

Participant flow

Recruitment details

All patients were recruited from 3 clinical sites in Austria.

Pre-assignment details

The original set up of this trial was for 2 cohorts of LNA043 (20 mg and 40 mg). The trial was terminated before any patient in the LNA043 40 mg cohort was randomized

Participants by arm

ArmCount
LNA043 20mg
LNA043 20mg/3ml single dose
9
Matching Placebo to 20mg
Matching placebo to 20mg/3ml, single dose
5
Total14

Baseline characteristics

CharacteristicLNA043 20mgMatching Placebo to 20mgTotal
Age, Continuous31.0 years
STANDARD_DEVIATION 6.16
39.4 years
STANDARD_DEVIATION 7.4
34.0 years
STANDARD_DEVIATION 7.6
Race/Ethnicity, Customized
White
9 Participants5 Participants14 Participants
Sex: Female, Male
Female
3 Participants5 Participants8 Participants
Sex: Female, Male
Male
6 Participants0 Participants6 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 90 / 5
other
Total, other adverse events
4 / 94 / 5
serious
Total, serious adverse events
0 / 90 / 5

Outcome results

Primary

Bi-layer Collagen Organization Based on MRI Measurements

MRI T2 maps were generated and zonal T2 ratios (superficial layer T2 / deep layer T2) were calculated to assess the collagen fiber organization in the surgically created defect (SCD) and defect to be treated (DTBT) cartilage regions.

Time frame: Week 4

Population: Pharmacodynamic analysis set. Subjects with any available PD data, who received any study drug and experienced no protocol deviations with relevant impact on PD data.

ArmMeasureValue (MEAN)Dispersion
LNA043 20mgBi-layer Collagen Organization Based on MRI Measurements1.01 RatioStandard Error 0.07
Matching Placebo to 20mgBi-layer Collagen Organization Based on MRI Measurements0.95 RatioStandard Error 0.09
p-value: 0.306795% CI: [-0.19, 0.31]Mixed Effect Model Repeat Measurement
Primary

Change From Baseline in GAG Content

Sodium MRI-based measurements of change from baseline in glycosaminoglycan (GAG) content were assessed from both defective sites and a nearby healthy cartilage region (as a reference tissue). Specifically, the ratio of normalized sodium signal in the surgically created defect (SCD or donor site) to healthy non-weight bearing region (HNWB), i.e. SCD/HNWB and the defect to be treated (DTBT or main lesion) to healthy weight bearing region (HWB), i.e. DTBT/HWB was of major interest

Time frame: Baseline, Week 4

Population: Pharmacodynamic analysis set. Subjects with any available PD data, who received any study drug and experienced no protocol deviations with relevant impact on PD data.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
LNA043 20mgChange From Baseline in GAG ContentSCD/HNWB0.24 RatioStandard Error 0.06
LNA043 20mgChange From Baseline in GAG ContentDTBT/HWB0.08 RatioStandard Error 0.04
Matching Placebo to 20mgChange From Baseline in GAG ContentSCD/HNWB0.06 RatioStandard Error 0.12
Matching Placebo to 20mgChange From Baseline in GAG ContentDTBT/HWB0.09 RatioStandard Error 0.09
Comparison: SCD/HNWBp-value: 0.121995% CI: [-0.15, 0.51]Mixed Effect Model Repeat Measurement
Comparison: DTBT/HWBp-value: 0.543895% CI: [-0.28, 0.25]Mixed Effect Model Repeat Measurement
Secondary

Bi-layer Collagen Organization Based on MRI Measurements

MRI T2 maps were generated and zonal T2 ratios (superficial layer T2 / deep layer T2) were calculated to assess the collagen fiber organization in the SCD cartilage region.

Time frame: Week 12 and Week 28

Population: Pharmacodynamic analysis set. Subjects with any available PD data, who received any study drug and experienced no protocol deviations with relevant impact on PD data.

ArmMeasureGroupValue (MEAN)Dispersion
LNA043 20mgBi-layer Collagen Organization Based on MRI MeasurementsWeek 121.44 RatioStandard Error 0.15
LNA043 20mgBi-layer Collagen Organization Based on MRI MeasurementsWeek 281.33 RatioStandard Error 0.11
Matching Placebo to 20mgBi-layer Collagen Organization Based on MRI MeasurementsWeek 121.57 RatioStandard Error 0.18
Matching Placebo to 20mgBi-layer Collagen Organization Based on MRI MeasurementsWeek 281.45 RatioStandard Error 0.14
Secondary

Change From Baseline in GAG Content

Sodium MRI-based measurements of change from baseline in glycosaminoglycan (GAG) content was assessed from both defective sites and a nearby healthy cartilage region (as a reference tissue). Specifically, the ratio of normalized sodium signal in the surgically created defect (SCD or donor site) to healthy non-weight bearing region (HNWB), i.e. SCD/HNWB was of major interest

Time frame: Baseline, Week 12 and Week 28

Population: Pharmacodynamic analysis set. Subjects with any available PD data, who received any study drug and experienced no protocol deviations with relevant impact on PD data.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
LNA043 20mgChange From Baseline in GAG ContentSCD/HNWB - Week 120.14 RatioStandard Error 0.07
LNA043 20mgChange From Baseline in GAG ContentSCD/HNWB - Week 280.33 RatioStandard Error 0.1
Matching Placebo to 20mgChange From Baseline in GAG ContentSCD/HNWB - Week 120.15 RatioStandard Error 0.09
Matching Placebo to 20mgChange From Baseline in GAG ContentSCD/HNWB - Week 280.14 RatioStandard Error 0.14
Comparison: SCD/HNWB - Week 12p-value: 0.517595% CI: [-0.26, 0.25]Mixed Effect Model Repeat Measurement
Comparison: SCD/HNWB - Week 28p-value: 0.147695% CI: [-0.22, 0.6]Mixed Effect Model Repeat Measurement
Secondary

Change From Baseline in International Cartilage Repair Society (ICRS) Scoring

Extent of the repair tissue at the donor site before surgery. Each criterion was evaluated based on the visual analog scale and graded from 0 (best) to 100 (worst).

Time frame: Week 4

Population: Pharmacodynamic analysis set. Subjects with any available PD data, who received any study drug and experienced no protocol deviations with relevant impact on PD data.

ArmMeasureGroupValue (MEAN)Dispersion
LNA043 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringAbnormal Calcification/Ossification98.75 Unit on a scaleStandard Error 1.05
LNA043 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringCell Morphology61.43 Unit on a scaleStandard Error 14.14
LNA043 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringChondrocyte clustering85.71 Unit on a scaleStandard Error 8.37
LNA043 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringInflammation92.50 Unit on a scaleStandard Error 2.15
LNA043 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringMatrix Staining57.14 Unit on a scaleStandard Error 12.17
LNA043 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringOverall assessment49.29 Unit on a scaleStandard Error 12.23
LNA043 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringTissue Morphology71.43 Unit on a scaleStandard Error 7.78
LNA043 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringVascularisation in repaired tissue66.25 Unit on a scaleStandard Error 12.88
LNA043 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringBasal Integration82.86 Unit on a scaleStandard Error 10.64
LNA043 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringFormation of a Tidemark65.71 Unit on a scaleStandard Error 18.15
LNA043 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringMid/Deep zone assessment50.00 Unit on a scaleStandard Error 14.56
LNA043 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringSubcondral bone abnormalities/marrow fibrosis73.75 Unit on a scaleStandard Error 13.45
LNA043 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringSurface Architecture57.86 Unit on a scaleStandard Error 11.33
LNA043 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringSurface/Superficial assessment56.43 Unit on a scaleStandard Error 11.42
Matching Placebo to 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringMid/Deep zone assessment56.67 Unit on a scaleStandard Error 22.24
Matching Placebo to 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringAbnormal Calcification/Ossification100.00 Unit on a scaleStandard Error 1.48
Matching Placebo to 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringVascularisation in repaired tissue77.50 Unit on a scaleStandard Error 18.21
Matching Placebo to 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringCell Morphology56.67 Unit on a scaleStandard Error 21.6
Matching Placebo to 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringSurface Architecture80.00 Unit on a scaleStandard Error 17.31
Matching Placebo to 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringChondrocyte clustering85.00 Unit on a scaleStandard Error 12.78
Matching Placebo to 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringBasal Integration90.00 Unit on a scaleStandard Error 16.26
Matching Placebo to 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringInflammation98.75 Unit on a scaleStandard Error 3.04
Matching Placebo to 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringSubcondral bone abnormalities/marrow fibrosis77.50 Unit on a scaleStandard Error 19.01
Matching Placebo to 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringMatrix Staining25.00 Unit on a scaleStandard Error 18.59
Matching Placebo to 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringFormation of a Tidemark63.33 Unit on a scaleStandard Error 27.72
Matching Placebo to 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringOverall assessment55.00 Unit on a scaleStandard Error 18.68
Matching Placebo to 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringSurface/Superficial assessment83.33 Unit on a scaleStandard Error 17.44
Matching Placebo to 20mgChange From Baseline in International Cartilage Repair Society (ICRS) ScoringTissue Morphology65.00 Unit on a scaleStandard Error 11.88
Secondary

Number of Participants With Anti-LNA043 Antibodies in Serum

Potential immunogenicity of LNA043

Time frame: Baseline, Week 1, Week 4, Week 12 and Week 28

Population: Safety Analysis Set

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
LNA043 20mgNumber of Participants With Anti-LNA043 Antibodies in SerumDay 1: anti-LNA043 antibodies presentYES0 Participants
LNA043 20mgNumber of Participants With Anti-LNA043 Antibodies in SerumDay 1: anti-LNA043 antibodies presentNO9 Participants
LNA043 20mgNumber of Participants With Anti-LNA043 Antibodies in SerumDay 8: anti-LNA043 antibodies presentYES0 Participants
LNA043 20mgNumber of Participants With Anti-LNA043 Antibodies in SerumDay 8: anti-LNA043 antibodies presentNO9 Participants
LNA043 20mgNumber of Participants With Anti-LNA043 Antibodies in SerumDay 29: anti-LNA043 antibodies presentYES0 Participants
LNA043 20mgNumber of Participants With Anti-LNA043 Antibodies in SerumDay 29: anti-LNA043 antibodies presentNO9 Participants
LNA043 20mgNumber of Participants With Anti-LNA043 Antibodies in SerumDay 85: anti-LNA043 antibodies presentYES0 Participants
LNA043 20mgNumber of Participants With Anti-LNA043 Antibodies in SerumDay 85: anti-LNA043 antibodies presentNO9 Participants
LNA043 20mgNumber of Participants With Anti-LNA043 Antibodies in SerumDay 197: anti-LNA043 antibodies presentYES0 Participants
LNA043 20mgNumber of Participants With Anti-LNA043 Antibodies in SerumDay 197: anti-LNA043 antibodies presentNO9 Participants
Matching Placebo to 20mgNumber of Participants With Anti-LNA043 Antibodies in SerumDay 85: anti-LNA043 antibodies presentNO5 Participants
Matching Placebo to 20mgNumber of Participants With Anti-LNA043 Antibodies in SerumDay 1: anti-LNA043 antibodies presentYES0 Participants
Matching Placebo to 20mgNumber of Participants With Anti-LNA043 Antibodies in SerumDay 29: anti-LNA043 antibodies presentNO5 Participants
Matching Placebo to 20mgNumber of Participants With Anti-LNA043 Antibodies in SerumDay 1: anti-LNA043 antibodies presentNO5 Participants
Matching Placebo to 20mgNumber of Participants With Anti-LNA043 Antibodies in SerumDay 197: anti-LNA043 antibodies presentNO5 Participants
Matching Placebo to 20mgNumber of Participants With Anti-LNA043 Antibodies in SerumDay 8: anti-LNA043 antibodies presentYES0 Participants
Matching Placebo to 20mgNumber of Participants With Anti-LNA043 Antibodies in SerumDay 85: anti-LNA043 antibodies presentYES0 Participants
Matching Placebo to 20mgNumber of Participants With Anti-LNA043 Antibodies in SerumDay 8: anti-LNA043 antibodies presentNO5 Participants
Matching Placebo to 20mgNumber of Participants With Anti-LNA043 Antibodies in SerumDay 197: anti-LNA043 antibodies presentYES0 Participants
Matching Placebo to 20mgNumber of Participants With Anti-LNA043 Antibodies in SerumDay 29: anti-LNA043 antibodies presentYES0 Participants
Secondary

Percentage of Donor Site Refilling Based on MRI Measurements.

Extent of filling of the donor site over a longer term. Percentage change from baseline in refilling of cartilage defect based on 7T MRI for donor Region.

Time frame: Baseline, Week 4, Week 12 and Week 28

Population: Pharmacodynamic analysis set. Subjects with any available PD data, who received any study drug and experienced no protocol deviations with relevant impact on PD data.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
LNA043 20mgPercentage of Donor Site Refilling Based on MRI Measurements.Week 464.38 PercentStandard Error 7.8
LNA043 20mgPercentage of Donor Site Refilling Based on MRI Measurements.Week 1260.25 PercentStandard Error 14.55
LNA043 20mgPercentage of Donor Site Refilling Based on MRI Measurements.Week 28 (EOS)86.53 PercentStandard Error 11.09
Matching Placebo to 20mgPercentage of Donor Site Refilling Based on MRI Measurements.Week 438.15 PercentStandard Error 11.03
Matching Placebo to 20mgPercentage of Donor Site Refilling Based on MRI Measurements.Week 1232.44 PercentStandard Error 19.09
Matching Placebo to 20mgPercentage of Donor Site Refilling Based on MRI Measurements.Week 28 (EOS)62.73 PercentStandard Error 14.52
Comparison: Week 4p-value: 0.040495% CI: [-3.86, 56.32]Mixed Effect Model Repeat Measurement
Comparison: Week 12p-value: 0.138195% CI: [-26.5, 82.1]Mixed Effect Model Repeat Measurement
Comparison: Week 28 (EOS)p-value: 0.116896% CI: [-19.3, 66.89]Mixed Models Analysis
Secondary

PK Profile of LNA043 and of AngPTL3 in Serum AUC

Local and systemic pharmacokinetics (PK) of LNA043 following a single i.a. administration

Time frame: 4 weeks

Population: Pharmacokinetic Analysis Set

ArmMeasureGroupValue (MEAN)Dispersion
LNA043 20mgPK Profile of LNA043 and of AngPTL3 in Serum AUCLNA043821 hr*ng/mLStandard Deviation 349
LNA043 20mgPK Profile of LNA043 and of AngPTL3 in Serum AUCAngPTL33130 hr*ng/mLStandard Deviation 1440
Matching Placebo to 20mgPK Profile of LNA043 and of AngPTL3 in Serum AUCAngPTL33030 hr*ng/mLStandard Deviation 1060
Secondary

PK Profile of LNA043 and of AngPTL3 in Serum Cmax

Local and systemic pharmacokinetics (PK) of LNA043 following a single i.a. administration

Time frame: 4 weeks

Population: Pharmacokinetic Analysis Set

ArmMeasureGroupValue (MEAN)Dispersion
LNA043 20mgPK Profile of LNA043 and of AngPTL3 in Serum CmaxLNA04357.4 ng/mLStandard Deviation 22.1
LNA043 20mgPK Profile of LNA043 and of AngPTL3 in Serum CmaxAngPTL322.9 ng/mLStandard Deviation 9.03
Matching Placebo to 20mgPK Profile of LNA043 and of AngPTL3 in Serum CmaxAngPTL326.6 ng/mLStandard Deviation 7.62

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026