Homozygous Familial Hypercholesterolemia
Conditions
Brief summary
This is a single center, open-label study to evaluate the efficacy of AKCEA-ANGPTL3- LRX for reduction of low density lipoprotein cholesterol (LDL-C) levels in patients with Homozygous Familial Hypercholesterolemia (HoFH).
Interventions
Single open-label cohort
Sponsors
Study design
Eligibility
Inclusion criteria
* Body mass index (BMI) ≤ 35 kg/m2, * Genetic confirmation of two mutant alleles at the LDLR, APOB, PCSK9, or LDLRAP1 gene locus OR an untreated LDL-C \> 500 mg/dL (13 mmol/L) or treated LDL-C ≥ 300 mg/dL (2.59 mmol/L) together with either cutaneous or tendon xanthoma before age 10 years OR familial medical history of genetically confirmed heterozygous FH in both parents OR untreated elevated LDL-C and TC \> 250 mg/dL consistent with the disease, * Patients must be on stable LDL-C lowering agents or on regular apheresis
Exclusion criteria
* Myocardial infarction, percutaneous transluminal coronary intervention, or coronary artery bypass graft surgery within 12 weeks prior to Screening, or cerebrovascular accident within 24 weeks prior to Screening. * Diabetes mellitus if newly diagnosed or if HbA1c ≥ 9.0%
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reduction of low density lipoprotein cholesterol (LDL-C). | 14 weeks | Percent change in LDL-C from Baseline to week 14. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Effect of ISIS 703802 on plasma angiopoietin like 3 (ANGPTL3). | 7 and 14 Weeks | Absolute and percentage change in ANGPTL3 protein from Baseline to Week 14 will be summarized. |
| Effect of ISIS 703802 on lipid parameters. | 7 and 14 Weeks | Absolute and percentage change from Baseline to Week 14 will be summarized. |
| Evaluate plasma trough levels of ISIS 703802. | 14 Weeks | Plasma trough levels of ISIS 703802 during treatment period and those during post-treatment follow up period will be descriptively summarized. |
| The safety of ISIS 703802 by the incidence of treatment-emergent adverse events | 14 Weeks | The safety of ISIS 703802 will be assessed by determining adverse effects. |
Countries
Canada