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AKCEA-ANGPTL3-LRx

Phase 2

Familial Chylomicronemia Syndrome | Small molecule | Rare Disease |Ionis Pharmaceuticals, Inc.|Trials Updated: Feb 16, 2021

AKCEA-ANGPTL3-LRx development status

Highest phase Phase 2
Registered trials 6 across 2 sponsors since Dec 2017

AKCEA-ANGPTL3-LRx target and mechanism

ModalitySmall molecule

Also known as ISIS 703802, IONIS-ANGPTL3-LRx, Vupanorsen

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials3
Total Enrollment112

FDA Designations

No designations recorded

AKCEA-ANGPTL3-LRx clinical trials

AKCEA-ANGPTL3-LRx · 3 trials · 8 indications

Phase 2 3
NCT03514420Study of AKCEA-ANGPTL3-LRx (ISIS 703802) in Participants With Familial Partial Lipodystrophy (FPL)Familial Partial Lipodystrophy
COMPLETED4 Analytics
NCT03360747Phase 2 Study of AKCEA-ANGPTL3-LRx (ISIS 703802) in Participants With Familial Chylomicronemia Syndrome (FCS)Familial Chylomicronemia Syndrome
COMPLETED3 Analytics
NCT03371355Study of ISIS 703802 in Participants With Hypertriglyceridemia, Type 2 Diabetes Mellitus, and Nonalcoholic Fatty Liver DiseaseNAFLD
COMPLETED105 Analytics
PHASE2COMPLETED
Study of AKCEA-ANGPTL3-LRx (ISIS 703802) in Participants With Familial Partial Lipodystrophy (FPL)
Familial Partial LipodystrophyUnlock trial analytics
PHASE2COMPLETED
Phase 2 Study of AKCEA-ANGPTL3-LRx (ISIS 703802) in Participants With Familial Chylomicronemia Syndrome (FCS)
Familial Chylomicronemia SyndromeUnlock trial analytics
PHASE2COMPLETED
Study of ISIS 703802 in Participants With Hypertriglyceridemia, Type 2 Diabetes Mellitus, and Nonalcoholic Fatty Liver Disease
NAFLDUnlock trial analytics

Study Endpoints

Primary Endpoints

Percent Change From Baseline in Fasting Triglycerides Levels at End of the Treatment (Week 27)
Baseline and End of the Treatment (Week 27)

The baseline was defined as the average of Day 1 pre-dose fasting assessment and the last fasting measurement prior to Day 1 pre-dose fasting assessment.

Absolute Change From Baseline to Month 3 in Fasting Triglycerides (TG)
Baseline to Month 3

Baseline was defined as the average of Day 1 predose fasting assessment and the last fasting measurement prior to Day 1 pre-dose fasting assessment. Month 3 was defined as the average of Week 13 and Week 14 fasting assessments.

Percent Change From Baseline to Month 3 in Fasting Triglycerides (TG)
Baseline to Month 3

Baseline was defined as the average of Day 1 predose fasting assessment and the last fasting measurement prior to Day 1 pre-dose fasting assessment. Month 3 was defined as the average of Week 13 and Week 14 fasting assessments.

Percent Change From Baseline in Fasting Triglycerides Level at the Primary Analysis Time Point
Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C

An ANCOVA model was performed on the log ratio of Primary Analysis Time Point to Baseline. The estimate of the log ratio was converted back to the original scale and percent change was calculated using formula: = (ratio of Primary Analysis Time Point to Baseline - 1) × 100.

Secondary Endpoints

Change From Baseline in Area Under the Curve (AUC) of Plasma Glucose as Assessed by Mixed Meal Test (MMT) at End of the Treatment
Baseline and End of the Treatment (Week 27)
Change From Baseline in AUC of Serum Insulin as Assessed by MMT at End of the Treatment
Baseline and End of the Treatment (Week 27)
Change From Baseline in AUC of Serum C-peptide as Assessed by MMT at End of the Treatment
Baseline and End of the Treatment (Week 27)
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AKCEA-ANGPTL3-LRx 20 mgEXPERIMENTALParticipants received AKCEA-ANGPTL3-LRx 20 milligrams (mg) administered every week for 26 weeks by subcutaneous (SC) injection.
Pooled PlaceboPLACEBO_COMPARATORParticipants from each cohort received placebo at a dose-matched volume of study drug, subcutaneously (SC).
Cohort B: ISIS 703802, 40 mg Q4WEXPERIMENTALParticipants received ISIS 703802, 40 milligrams (mg) SC once every 4 weeks for 6 doses.
Cohort C: ISIS 703802, 80 mg Q4WEXPERIMENTALParticipants received ISIS 703802, 80 mg SC once every 4 weeks for 6 doses.
Cohort A: ISIS 703802, 20 mg QWEXPERIMENTALParticipants received ISIS 703802, 20 mg once every week for 26 doses.

Interventions

NameTypeDescription
AKCEA-ANGPTL3-LRxDRUGAKCEA-ANGPTL3-LRx solution for SC injection.
PlaceboDRUGPlacebo (Matched with ISIS 703802)
ISIS 703802 40 mgDRUGISIS 703802 40 mg, administered via SC injection, once every 4 weeks for 6 doses.
ISIS 703802 80 mgDRUGISIS 703802 80 mg, administered via SC injection, once every 4 weeks for 6 doses.
ISIS 703802 20 mgDRUGISIS 703802 20 mg, administered via SC injection, once every week for 26 doses.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Key Inclusion Criteria: * Must give written informed consent to participate in the study. * Clinical diagnosis of familial partial lipodystrophy plus diagnosis of type 2 diabetes mellitus and hypertriglyceridemia. * Diagnosis of diabetes mellitus, made at least 6 months prior to the Screening with ...

Countries:United StatesCanada
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Frequently asked questions about AKCEA-ANGPTL3-LRx

What is AKCEA-ANGPTL3-LRx used for?

AKCEA-ANGPTL3-LRx is an investigational drug being studied for the treatment of Familial Chylomicronemia Syndrome and Familial Partial Lipodystrophy, both rare diseases. It is in Phase 2 clinical development and has not been approved by regulatory authorities.

What does AKCEA-ANGPTL3-LRx target?

AKCEA-ANGPTL3-LRx targets ANGPTL3, a protein involved in lipid metabolism. By inhibiting this target, the drug aims to reduce triglyceride and lipid levels in patients with rare lipid disorders. This mechanism is being evaluated in clinical trials for Familial Chylomicronemia Syndrome and Familial Partial Lipodystrophy.

Who makes AKCEA-ANGPTL3-LRx?

AKCEA-ANGPTL3-LRx is developed by Ionis Pharmaceuticals, Inc., a biopharmaceutical company. Ionis is listed on the NASDAQ under the ticker symbol IONS. The drug is currently in Phase 2 clinical development for rare lipid disorders.

What phase is AKCEA-ANGPTL3-LRx in?

AKCEA-ANGPTL3-LRx is in Phase 2 clinical development. It is an investigational drug and has not received FDA approval. Two Phase 2 studies have been completed, one in Familial Chylomicronemia Syndrome and one in Familial Partial Lipodystrophy.

What clinical trials is AKCEA-ANGPTL3-LRx in?

AKCEA-ANGPTL3-LRx has been studied in two completed Phase 2 trials. NCT03360747 enrolled 3 participants with Familial Chylomicronemia Syndrome in Canada. NCT03514420 enrolled 4 participants with Familial Partial Lipodystrophy in the United States. Both trials were uncontrolled and open-label.

Is AKCEA-ANGPTL3-LRx the same as ISIS 703802?

Yes, AKCEA-ANGPTL3-LRx is also known as ISIS 703802. Both names refer to the same investigational drug developed by Ionis Pharmaceuticals. It is being studied for Familial Chylomicronemia Syndrome and Familial Partial Lipodystrophy.