A Safety and Tolerability Trial Evaluating CTX310 in Participants With Refractory Dyslipidemias
A Phase 1 Open-label, Multicenter, First-in-human, Ascending Dose Trial Evaluating the Safety and Tolerability of a Lipid Nanoparticle Formulation of CRISPR-Guide RNA-Cas9 Nuclease (CTX310) for In Vivo Editing of the Angiopoietin-like 3 (ANGPTL3) Gene in Participants With Refractory Dyslipidemias
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Clinical Trials
- Phone Number: 877-214-4634
- Email: medicalaffairs@crisprtx.com
Study Locations
-
-
-
Adelaide, Australia, 5000
- Recruiting
- Royal Adelaide
-
Contact:
- Denise Healy
- Phone Number: +61 409 877 807
- Email: Denise.Healy@sa.gov.au
-
Brisbane, Australia, 4064
- Recruiting
- CORE Research
-
Contact:
- Daunte Tamaki
- Phone Number: 07 + 38765688
- Email: daunte.tamaki@coreresearchgroup.com
-
Camperdown, Australia, 2050
- Not yet recruiting
- Royal Prince Alfred Hospital
-
Contact:
- Aimei Lee
- Phone Number: (02) + 9515 4860
- Email: aimei.lee@health.nsw.gov.au
-
Heidelberg, Australia, 3084
- Recruiting
- Austin Health
-
Contact:
- Adele Manzoney
- Phone Number: +613 9496 2160
- Email: adele.manzoney@unimelb.edu.au
-
Melbourne, Australia, 3168
- Recruiting
- Monash Medical Center
-
Contact:
- Debra O'Leary
- Phone Number: +61 3 75111243
- Email: debra.oleary@monashhealth.org
-
-
-
-
-
Auckland, New Zealand, 2025
- Recruiting
- Aotearoa
-
Contact:
- Kate Msiska
- Phone Number: +64 (0) 21 850 235
- Email: kate.msiska@aotearoatrials.nz
-
Christchurch, New Zealand, 8011
- Recruiting
- NZCR
-
Contact:
- Jo Sanders
- Phone Number: +64 (0) 3 372 9477
- Email: jo.sanders@nzcr.co.nz
-
-
-
-
-
Cambridge, United Kingdom
- Recruiting
- Royal Papworth Hospital
-
Contact:
- Jenny Castedo
- Phone Number: +441223 638000
- Email: jenny.castedo1@nhs.net
-
London, United Kingdom, SE1 1YR
- Recruiting
- Richmond Pharmacology
-
Contact:
- Volunteer Recruitment Team
- Phone Number: +44 (0)20 7042 5800
- Email: volunteer@richmondpharmacology.com
-
-
-
-
Florida
-
Hialeah, Florida, United States, 33015
- Recruiting
- Integrity Clinical Research
-
Contact:
- Celia Padron
- Phone Number: 786-953-6263
- Email: cpadronmd@integrityresearchcenter.com
-
Jacksonville, Florida, United States, 32216
- Recruiting
- Jacksonville Center for Clinical Research
-
Contact:
- Sonia Gerardo
- Phone Number: 904-730-0101
-
Orlando, Florida, United States, 32789
- Recruiting
- Flourish Orlando
-
Contact:
- Stephanie Munoz
- Phone Number: 407-740-8078
- Email: smunoz@flourishresearch.com
-
Port Orange, Florida, United States, 32127
- Recruiting
- United Medical Research
-
Contact:
- Bhanu Visalingam
- Phone Number: 386-523-9498
- Email: drvisvalingam@progressivemedicalresearch.com
-
-
New York
-
Rochester, New York, United States, 14642
- Recruiting
- University of Rochester
-
Contact:
- Jeffrey Bruckel
- Phone Number: 585-275-2475
- Email: Jeffrey_Bruckel@URMC.Rochester.edu
-
-
North Carolina
-
Durham, North Carolina, United States, 27710
- Recruiting
- Duke Early Phase Clinical Research
-
Contact:
- Debbie Freeman
- Phone Number: 919-613-1223
- Email: debra.h.freeman@duke.edu
-
High Point, North Carolina, United States, 27260
- Recruiting
- Peters Medical Research
-
Contact:
- Erika Jordan
- Phone Number: 336-883-9773
- Email: erikaj@petersmedicalresearch.com
-
-
Oregon
-
Portland, Oregon, United States, 97239
- Recruiting
- Oregon Health & Science University (OHSU)
-
Contact:
- Hailey Volk
- Phone Number: 503-494-2004
- Email: volkh@ohsu.edu
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Key Inclusion Criteria:
- Age of ≥18 and ≤75 years at the time of signing the informed consent.
- Able to provide written informed consent.
- Participants diagnosed with persistent dyslipidemias defined by TG ≥150 mg/dL - and LDL-C ≥70 mg/dL in participants with ASCVD, or LDL-C ≥70 or 100mg/dL in participants with or without ASCVD respectively, or TG ≥500 mg/dL.
- Refractory to the maximal intensity or MTD of standard of care lines of lipid-lowering therapies available through routine clinical care, for at least 12 weeks prior to screening
- Female participants must be postmenopausal or surgically sterile.
- All male participants and their female partners must agree to the use of an acceptable method of effective contraception for the duration of the study.
Exclusion Criteria:
- Participants with familial chylomicronemia syndrome (FCS). Some exceptions may apply.
Evidence of liver disease, defined as but not limited to:
LFTS >2 × upper limit of normal (ULN), or total bilirubin >2 × ULN, or INR >1.5 × ULN, or liver stiffness measured by liver elastography
- Abnormal or compromised function of kidney, heart, blood or liver.
- Acute coronary syndrome event or stroke within 24 weeks prior to Day 1. Acute pancreatitis within 12 weeks prior to Day 1.
- Current use or use within 365 days from Day 1 of any hepatocyte-targeted small interfering RNA (except inclisiran).
- Positive serology for HIV, hepatitis B or hepatitis C (antibody, surface antigen orNAT). Serology consistent with prior immunization will be eligible for the trial.
- Any prior malignancy within the past 5 years, or current malignancy (exceptions for resected or removed basal cell carcinoma, squamous cell carcinoma in situ and carcinoma in situ of the cervix or breast).
- Women of childbearing potential.
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Note: The inclusion and exclusion criteria listed represent the global protocol. Additional or modified eligibility criteria may apply in certain countries in accordance with local regulatory and ethics committee requirements and the approved country-specific protocol.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: CTX310
Subjects will receive an intravenous (IV) infusion.
|
CTX310 is a lipid nanoparticle (LNP) formulation of clustered regularly interspaced short palindromic repeats (CRISPR)-associated protein 9 (Cas9) components for in vivo editing of the target gene angiopoietin-like 3 (ANGPTL3).
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
To evaluate the safety of CTX310 in adult subjects with dyslipidemias that are refractory to available treatments
Time Frame: From CTX310 infusion up to 12 months
|
Incidence of dose-limiting toxicities and frequency of adverse events
|
From CTX310 infusion up to 12 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
To assess the preliminary efficacy of CTX310 in adult participants with dyslipidemias that are refractory to available treatments
Time Frame: Over 12 months, compared to baseline
|
Percentage change from baseline in lipid values (LDL-C, non-HDL-C, Trigs, apoB and HDL-C)
|
Over 12 months, compared to baseline
|
|
To further characterize the safety of CTX310 in adult participants with dyslipidemias that are refractory to available treatments
Time Frame: From CTX310 infusion up to 12 months
|
Frequency and severity of adverse events (AE), including treatment-emergent adverse events (TEAEs) and adverse events of special interest (AESIs), clinically significant laboratory abnormalities, and clinically significant abnormal vital signs.
|
From CTX310 infusion up to 12 months
|
|
To assess the pharmacokinetics (PK) of CTX310 in adult participants with dyslipidemias that are refractory to available treatments
Time Frame: From CTX310 infusion up to 12 months
|
Levels of CTX310 in blood over time
|
From CTX310 infusion up to 12 months
|
|
To assess the pharmacodynamic (PD) response of CTX310 in adult participants with dyslipidemias that are refractory to available treatments
Time Frame: Over 12 months, compared to baseline
|
Percentage change from baseline of ANGPTL3
|
Over 12 months, compared to baseline
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Metabolism, Inborn Errors
- Genetic Diseases, Inborn
- Hyperlipidemias
- Lipid Metabolism, Inborn Errors
- Hyperlipoproteinemias
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Nutritional and Metabolic Diseases
- Hyperlipoproteinemia Type II
- Homozygous Familial Hypercholesterolemia
- Hypercholesterolemia
- Dyslipidemias
- Metabolic Diseases
- Hypertriglyceridemia
- Lipid Metabolism Disorders
- Hyperlipoproteinemia Type V
Other Study ID Numbers
Other Study ID Numbers
- CRSP-CVD-400
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.