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IONIS ANGPTL3-LRx

Phase 1

Hypertriglyceridemia | Small molecule | Metabolic |Ionis Pharmaceuticals, Inc.|Trials Updated: Feb 1, 2021

IONIS ANGPTL3-LRx development status

Highest phase Phase 1
Registered trials 1 across 1 sponsor since Mar 2016

IONIS ANGPTL3-LRx target and mechanism

ModalitySmall molecule

Also known as ISIS 703802

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment153

FDA Designations

No designations recorded

IONIS ANGPTL3-LRx clinical trials

IONIS ANGPTL3-LRx · 2 trials · 5 indications

Phase 2 1Phase 1 1
NCT03371355Study of ISIS 703802 in Participants With Hypertriglyceridemia, Type 2 Diabetes Mellitus, and Nonalcoholic Fatty Liver DiseaseNAFLD
COMPLETED105 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 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.

Safety and tolerability of single and multiple doses of IONIS ANGPTL3-LRx (incidence, severity, and dose-relationship of adverse effects and changes in the laboratory parameters)
Up to Day 127

The safety and tolerability of IONIS ANGPTL3-LRx will be assessed by determining the incidence, severity, and dose-relationship of adverse effects and changes in the laboratory parameters by dose. Safety results in subjects dosed with IONIS ANGPTL3-LRx will be compared with those from subjects dosed with placebo.

Pharmacokinetics after single and multiple doses of IONIS ANGPTL3-LRx.
Up to Day 127

The plasma pharmacokinetics (concentration-time results) of IONIS ANGPTL3-LRx (unconjugated and conjugated ASO) will be assessed following single and multiple-dose SC administration. The amount of IONIS ANGPTL3-LRx excreted in urine at selected 24-hour intervals will also be determined.

Pharmacodynamics of IONIS ANGPTL3-LRx (Changes in serum ANGPTL3 levels)
Up to Day 127

Changes in serum angiopoietin-like 3 (ANGPTL3) levels compared to baseline.

Secondary Endpoints

Change From Baseline in Angiopoietin-Like 3 Protein at the Primary Analysis Time Point
Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
Change From Baseline in TC, LDL-C, HDL-C, VLDL-C, Non-HDL-C, ApoB (ApoB-48, ApoB-100), ApoCIII, and ApoAI at the Primary Analysis Time Point
Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
Change From Baseline in Free Fatty Acid (FFA) at Primary Analysis Time Point
Baseline, Week 27 for Cohort A, and Week 25 for Cohorts B and C
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
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.
Cohorts A, D: PlaceboPLACEBO_COMPARATORParticipants received a single-dose of IONIS ANGPTL3-LRx-matching placebo subcutaneously on Day 1.
Cohorts A, D: IONIS ANGPTL3-LRx 20 mgEXPERIMENTALParticipants received a single-dose of IONIS ANGPTL3-LRx 20 milligrams (mg) subcutaneously on Day 1.
Cohorts A, D: IONIS ANGPTL3-LRx 120 mgEXPERIMENTALParticipants received a single-dose of IONIS ANGPTL3-LRx 120 mg subcutaneously on Day 1.
Cohorts B, C: PlaceboPLACEBO_COMPARATORParticipants received a single-dose of IONIS ANGPTL3-LRx-matching placebo subcutaneously on Day 1.
Cohorts B, C: IONIS ANGPTL3-LRx 40 mgEXPERIMENTALParticipants received a single-dose of IONIS ANGPTL3-LRx 40 mg subcutaneously on Day 1.
Cohorts B, C: IONIS ANGPTL3-LRx 80 mgEXPERIMENTALParticipants received a single-dose of IONIS ANGPTL3-LRx 80 mg subcutaneously on Day 1.
Cohorts AA-DD: PlaceboPLACEBO_COMPARATORParticipants received IONIS ANGPTL3-LRx-matching placebo subcutaneously once per week for 6 weeks.
Cohorts AA-DD: IONIS ANGPTL3-LRx 10 mgEXPERIMENTALParticipants received IONIS ANGPTL3-LRx 10 mg subcutaneously once per week for 6 weeks.
Cohorts AA-DD: IONIS ANGPTL3-LRx 20 mgEXPERIMENTALParticipants received IONIS ANGPTL3-LRx 20 mg subcutaneously once per week for 6 weeks.
Cohorts AA-DD: IONIS ANGPTL3-LRx 40 mgEXPERIMENTALParticipants received IONIS ANGPTL3-LRx 40 mg subcutaneously once per week for 6 weeks.
Cohorts AA-DD: IONIS ANGPTL3-LRx 60 mgEXPERIMENTALParticipants received IONIS ANGPTL3-LRx 60 mg subcutaneously once per week for 6 weeks.

Interventions

NameTypeDescription
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.
IONIS ANGPTL3-LRxDRUG -
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Eligibility Criteria

Age Range18 Years to 70 Years
SexALL
Healthy VolunteersNo
Study Sites42

Key Inclusion Criteria: * Plasma triglycerides (TG) at Screening greater than (\>)150 milligrams per deciliter (mg/dL) and at qualification of \>150 mg/dL. * Documented history of hepatic steatosis with baseline magnetic resonance imaging (MRI) indicating hepatic fat fraction (HFF) greater than (\>...

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

What is IONIS ANGPTL3-LRx used for?

IONIS ANGPTL3-LRx is an investigational drug being developed for hypertriglyceridemia, a condition characterized by elevated triglyceride levels in the blood. It is a small molecule being studied in a Phase 1 clinical trial that also includes participants with familial hypercholesterolemia.

Who makes IONIS ANGPTL3-LRx?

IONIS ANGPTL3-LRx is being developed by Ionis Pharmaceuticals, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol IONS. The company is conducting clinical trials to evaluate the drug's safety and efficacy.

What phase is IONIS ANGPTL3-LRx in?

IONIS ANGPTL3-LRx is in Phase 1 clinical development. It is an investigational drug and has not been approved by regulatory authorities. The Phase 1 trial has been completed, and the drug remains under investigation for its potential use in treating hypertriglyceridemia.

What clinical trials is IONIS ANGPTL3-LRx in?

IONIS ANGPTL3-LRx has been studied in one completed Phase 1 clinical trial with the identifier NCT02709850. This trial evaluated the safety, tolerability, pharmacokinetics, and pharmacodynamics of the drug in healthy volunteers with elevated triglycerides and participants with familial hypercholesterolemia.

Is IONIS ANGPTL3-LRx FDA approved?

IONIS ANGPTL3-LRx is not FDA approved. It is an investigational drug currently in Phase 1 clinical development. The completed Phase 1 trial assessed its safety and tolerability, but further clinical studies are needed before it can be considered for regulatory approval.