Undersøgelse af ARO-ANG3 hos deltagere med homozygot familiær hyperkolesterolæmi (HOFH) (Gateway)
Fase 2-undersøgelse til evaluering af sikkerheden og effektiviteten af ARO-ANG3 hos forsøgspersoner med homozygot familiær hyperkolesterolæmi (HOFH)
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Medical Monitor
- Telefonnummer: 626-304-3400
- E-mail: AROANG3@arrowheadpharma.com
Studiesteder
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New South Wales
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Camperdown, New South Wales, Australien, 2050
- Research Site 8
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Western Australia
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Nedlands, Western Australia, Australien, 6009
- Research Site 3
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Quebec
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Chicoutimi, Quebec, Canada, G7H 7K9
- Research Site 2
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Québec, Quebec, Canada, G1V 4W2
- Research Site 1
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New York
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Mount Sinai, New York, Forenede Stater, 10029
- Research Site 4
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Ohio
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Cincinnati, Ohio, Forenede Stater, 45227
- Research Site 5
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Johannesburg, Sydafrika, 2193
- Research Site 7
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Beskrivelse
Inklusionskriterier:
- Fastende LDL-C >100 mg/dL ved screening
- Vægt på ≥ 40 kg og kropsmasseindeks ≥ 18,5 og ≤ 40 kg/m2
- Diagnose af HoFH baseret på en understøttende genetisk test eller klinisk diagnose
- Ved stabil maksimalt tolereret lipidsænkende behandling
- Villig til at overholde en stabil kost med lavt fedtindhold, lavt kolesterol, hjertesund kost i mindst 4 uger før dag 1
- Deltagere i den fødedygtige alder (mænd og kvinder) skal acceptere at bruge højeffektiv prævention under undersøgelsen og i mindst 24 uger fra den sidste dosis af undersøgelsesmedicin.
- Kvinder i den fødedygtige alder skal have en negativ graviditetstest og kan ikke amme
- Kvinder i den fødedygtige alder på hormonelle præventionsmidler skal være stabile på medicinen i > 2 menstruationscyklusser før dag 1
- Villig til at give skriftligt informeret samtykke og til at overholde studiekrav
Ekskluderingskriterier:
- Nuværende brug eller brug inden for 365 dage fra dag 1 af ethvert hepatocytmålrettet små interfererende RNA-oligonukleotider (siRNA) eller antisense-oligonukleosidmolekyle
- Brug af evinacumab (nogle undtagelser gælder)
- Fastende TG > 300 mg/dL ved screening
- Tilstedeværelse af enhver klinisk signifikant ukontrolleret endokrin sygdom, der vides at påvirke serumlipider eller lipoproteiner
- Nydiagnosticeret (inden for 3 måneder før informeret samtykke) eller dårligt kontrolleret diabetes (hæmoglobin A1c > 9 %)
- Brug af systemiske kortikosteroider (nogle undtagelser gælder)
- Symptomer på myokardieiskæmi eller alvorlig venstre ventrikulær dysfunktion
- Anamnese med metastatisk malignitet inden for 3 år efter dag 1 (nogle undtagelser gælder)
- Planlagt hjerteindgreb/-kirurgi såsom koronararterie-bypass-operation (CABG), perkutan koronar intervention (PCI), carotiskirurgi eller stenting, eller carotis revaskularisering
Bemærk: Yderligere inklusions-/eksklusionskriterier kan gælde pr. protokol
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Eksperimentel: ARO-ANG3 Dosis 1
ARO-ANG3 Dosisniveau 1 subkutant (SC)
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Deltagerne vil blive randomiseret til at modtage ARO-ANG3 SC på dag 1 og dag 84 i løbet af de første 36 uger af undersøgelsen og på dag 1 og måned 3, 6, 9, 12, 15, 18 og 21 af forlængelsesperioden
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Eksperimentel: ARO-ANG3 Dosis 2
ARO-ANG3 Dosisniveau 2 SC
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Deltagerne vil blive randomiseret til at modtage ARO-ANG3 SC på dag 1 og dag 84 i løbet af de første 36 uger af undersøgelsen og på dag 1 og måned 3, 6, 9, 12, 15, 18 og 21 af forlængelsesperioden
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Percent Change From Baseline in Fasting LDL-C at Week 24
Tidsramme: Baseline, Week 24
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LDL-C, computed using Friedewald formula, Martin-Hopkins methodology and preparative ultracentrifugation (PUC).
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Baseline, Week 24
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Tidsramme: From first dose of study drug up to Week 36 (initial treatment period), and up to Month 24 (extension period)
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An adverse event (AE) is any untoward medical occurrence, which does not necessarily have to have a causal relationship with this treatment.
A serious adverse event (SAE) is an AE occurring during any study phase that: results in death; is immediately life-threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability or incapacity; results in a congenital abnormality or birth defect; is an important medically important event or reaction that may require medical intervention to prevent one of the outcomes listed above.
AEs are considered treatment-related if the relationship to the study drug is 'possibly related', 'probably related'.
A TEAE is defined as an AE that occurs following IP administration or a pre-existing condition exacerbated following IP administration.
Injection site reactions are assessed at every visit starting on Day 1 and include any Preferred Term containing 'Injection Site'.
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From first dose of study drug up to Week 36 (initial treatment period), and up to Month 24 (extension period)
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Percentage of Participants Meeting United States National Lipid Association Apheresis Eligibility Criteria of LDL-C ≥ 300 mg/dL at Week 24
Tidsramme: Week 24
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Apheresis is the extracorporeal process of removing one or more blood constituents from whole blood and returning the remainder to the circulation.The National Lipid Association outlines eligibility criteria for apheresis, particularly for patients with familial hypercholesterolemia who have not achieved target LDL cholesterol levels despite maximally tolerated pharmacotherapy.
LDL-C ≥ 300 mg/dL is a criterion.
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Week 24
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Percentage of Participants Meeting European Union (EU) Apheresis Eligibility Criteria Per German Apheresis Working Group at Week 24
Tidsramme: Week 24
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Apheresis is the extracorporeal process of removing one or more blood constituents from whole blood and returning the remainder to the circulation. The European Union (EU) apheresis eligibility criteria (per German Apheresis Working Group) include the following categories:
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Week 24
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Percent Change From Baseline in Fasting LDL-C (PUC) Over Time
Tidsramme: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Absolute Change From Baseline in Fasting LDL-C (PUC) Over Time
Tidsramme: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Percent Change From Baseline in Fasting Calculated LDL-C (Friedewald Formula) Over Time
Tidsramme: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Absolute Change From Baseline in Fasting Calculated LDL-C (Friedewald Formula) Over Time
Tidsramme: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Percent Change From Baseline in Fasting Calculated LDL-C (Martin-Hopkins Methodology) Over Time
Tidsramme: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Absolute Change From Baseline in Fasting Calculated LDL-C (Martin-Hopkins Methodology) Over Time
Tidsramme: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Percent Change From Baseline in Fasting Angiopoietin-like 3 (ANGPTL3) Over Time
Tidsramme: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Absolute Change From Baseline in Fasting ANGPTL3 Over Time
Tidsramme: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Percent Change From Baseline in Fasting Total Apolipoprotein B (ApoB) Over Time
Tidsramme: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Absolute Change From Baseline in Fasting Total ApoB Over Time
Tidsramme: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Percent Change From Baseline in Fasting High-Density Lipoprotein-Cholesterol (HDL-C) Over Time
Tidsramme: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Absolute Change From Baseline in Fasting HDL-C Over Time
Tidsramme: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Percent Change From Baseline in Fasting Non-HDL-C Over Time
Tidsramme: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Absolute Change From Baseline in Fasting Non-HDL-C Over Time
Tidsramme: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Percent Change From Baseline in Fasting Very-Low-Density Lipoprotein-Cholesterol (VLDL-C) Over Time
Tidsramme: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Absolute Change From Baseline in Fasting VLDL-C Over Time
Tidsramme: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Percent Change From Baseline in Fasting Total Cholesterol (TC) Over Time
Tidsramme: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Absolute Change From Baseline in Fasting TC Over Time
Tidsramme: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Percent Change From Baseline in Fasting Triglycerides (TG) Over Time
Tidsramme: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Absolute Change From Baseline in Fasting TG Over Time
Tidsramme: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 (Day 1 of Extension Period), Extension Months 1, 2, 3, 6, 9, 12, 15, 18, 21
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Number of Participants With Anti-Drug Antibodies (ADAs) to ARO-ANG3 Over Time
Tidsramme: Baseline, Day 1, Weeks 4, 12, 16, 24 (initial treatment period), Week 36/Day 1, Months 1, 3, 6, 9, 12, 15, 18, 21 (extension period)
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Baseline, Day 1, Weeks 4, 12, 16, 24 (initial treatment period), Week 36/Day 1, Months 1, 3, 6, 9, 12, 15, 18, 21 (extension period)
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Publikationer og nyttige links
Generelle publikationer
- Dimitriadis K, Theofilis P, Iliakis P, Pyrpyris N, Dri E, Sakalidis A, Soulaidopoulos S, Tsioufis P, Fragkoulis C, Chrysohoou C, Tsiachris D, Tsioufis K. Management of dyslipidemia in coronary artery disease: the present and the future. Coron Artery Dis. 2024 Sep 1;35(6):516-524. doi: 10.1097/MCA.0000000000001375. Epub 2024 Apr 29.
- Raal FJ, Bergeron J, Gaudet D, Rosenson RS, Sullivan DR, Turner T, Hegele RA, Ballantyne CM, Knowles JW, Leeper NJ, Goldberg IJ, Zhou R, Muhsin M, Hellawell J, Hamilton J, Watts GF. Zodasiran, an RNAi therapeutic targeting ANGPTL3, for treating patients with homozygous familial hypercholesterolaemia (GATEWAY): an open-label, randomised, phase 2 trial. Lancet Diabetes Endocrinol. 2026 Feb;14(2):123-136. doi: 10.1016/S2213-8587(25)00290-6. Epub 2025 Dec 18.
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Metabolisme, medfødte fejl
- Genetiske sygdomme, medfødte
- Metaboliske sygdomme
- Hyperlipidæmi
- Dyslipidæmi
- Lipidmetabolismeforstyrrelser
- Lipidmetabolisme, medfødte fejl
- Hyperlipoproteinæmier
- Medfødte, arvelige og neonatale sygdomme og abnormiteter
- Ernæringsmæssige og metaboliske sygdomme
- Hyperlipoproteinæmi Type II
- Homozygot familiær hyperkolesterolæmi
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- AROANG3-2003
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .