Heterozygous Familial Hypercholesterolemia (HeFH)
Conditions
Brief summary
This Phase III clinical trial aims to assess the efficacy and safety of QLC7401 Treatment in adults with Heterozygous Familial Hypercholesterolemia on a stable lipid-lowering therapy. Participants will be randomly assigned to receive subcutaneous injections of either QLC7401 or a placebo according to the study schedule.
Interventions
QLC7401 is a small interfering RNA (siRNA) targeting PCSK9. Administered as subcutaneous injection at a specified dose level.
Placebo matching QLC7401 in appearance and administration.
Sponsors
Study design
Eligibility
Inclusion criteria
* Aged 18-80 years (inclusive) * Participants diagnosed with heterozygous familial hypercholesterolemia by Dutch Lipid Clinic * Network criteria or genetic testing; * Serum low density lipoprotein cholesterol ≥2.6 millimoles (mmol)/liter (L) at screening. * Fasting triglyceride \<4.5 mmol/L at screening. * Participants on lipid-lowering therapies should be on a stable dose for ≥4 weeks before screening with no planned medication or dose change during study participation. * Estimated glomerular filtration Rate (eGFR) \>30 mL/min/1.73 m². * Willing to provide informed consent.
Exclusion criteria
* New York Heart Association (NYHA) class III or IV heart failure. * Uncontrolled cardiac arrhythmia. * Cardiovascular Diseases within 3 months. * Uncontrolled hypertension. * Poorly controlled type 2 diabetes. * Significant liver or kidney disease. * Pregnancy or lactation. * Other conditions deemed unsuitable by investigator.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percent Change in LDL-C from Baseline | From baseline to Day 360 |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of Treatment-Emergent Adverse Events | From baseline to Day 360 |