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ISIS 703802

Phase 2

NAFLD | Small molecule | Metabolic |Ionis Pharmaceuticals, Inc.|Trials Updated: Feb 16, 2021

ISIS 703802 development status

Highest phase Phase 2
Registered trials 7 across 3 sponsors since Mar 2016

ISIS 703802 target and mechanism

ModalitySmall molecule

Also known as IONIS ANGPTL3-LRx, AKCEA-ANGPTL3-LRx, Vupanorsen

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials4
Total Enrollment160

FDA Designations

No designations recorded

ISIS 703802 clinical trials

ISIS 703802 · 4 trials · 9 indications

Phase 2 3Phase 1 1
NCT03514420Study of AKCEA-ANGPTL3-LRx (ISIS 703802) in Participants With Familial Partial Lipodystrophy (FPL)Familial Partial Lipodystrophy
COMPLETED4 Analytics
NCT03371355Study of ISIS 703802 in Participants With Hypertriglyceridemia, Type 2 Diabetes Mellitus, and Nonalcoholic Fatty Liver DiseaseNAFLD
COMPLETED105 Analytics
NCT03360747Phase 2 Study of AKCEA-ANGPTL3-LRx (ISIS 703802) in Participants With Familial Chylomicronemia Syndrome (FCS)Familial Chylomicronemia Syndrome
COMPLETED3 Analytics
PHASE2COMPLETED
Study of AKCEA-ANGPTL3-LRx (ISIS 703802) in Participants With Familial Partial Lipodystrophy (FPL)
Familial Partial LipodystrophyUnlock trial analytics
PHASE2COMPLETED
Study of ISIS 703802 in Participants With Hypertriglyceridemia, Type 2 Diabetes Mellitus, and Nonalcoholic Fatty Liver Disease
NAFLDUnlock trial analytics
PHASE2COMPLETED
Phase 2 Study of AKCEA-ANGPTL3-LRx (ISIS 703802) in Participants With Familial Chylomicronemia Syndrome (FCS)
Familial Chylomicronemia SyndromeUnlock 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.

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.

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.

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 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.
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
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.
IONIS ANGPTL3-LRxDRUG -
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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 ISIS 703802

What is ISIS 703802?

ISIS 703802 is an investigational small molecule developed by Ionis Pharmaceuticals, Inc. for metabolic disease. It has been studied in a Phase 2 clinical trial in participants with nonalcoholic fatty liver disease (NAFLD), type 2 diabetes mellitus, and hypertriglyceridemia. It is also referred to as ISIS 703802 40 mg.

What is ISIS 703802 used for?

ISIS 703802 has been studied for nonalcoholic fatty liver disease (NAFLD), a metabolic condition. The Phase 2 trial also enrolled participants with type 2 diabetes mellitus and hypertriglyceridemia, so the research population combined these metabolic and liver conditions rather than NAFLD alone.

Who makes ISIS 703802?

ISIS 703802 is developed by Ionis Pharmaceuticals, Inc., which trades on the Nasdaq under the ticker IONS. The company sponsored the Phase 2 study of the drug in participants with NAFLD, type 2 diabetes mellitus, and hypertriglyceridemia.

What phase is ISIS 703802 in?

ISIS 703802 is in Phase 2 development. Its single registered trial, NCT03371355, was a Phase 2 study that has been completed. The drug is investigational and has not been approved for any indication.

What clinical trials is ISIS 703802 in?

ISIS 703802 has been evaluated in one clinical trial, NCT03371355, titled Study of ISIS 703802 in Participants With Hypertriglyceridemia, Type 2 Diabetes Mellitus, and Nonalcoholic Fatty Liver Disease. The Phase 2 trial enrolled 105 participants across the United States and Canada and is completed.

How was the ISIS 703802 Phase 2 trial designed?

The Phase 2 trial NCT03371355 was randomized, double blind, and placebo controlled, enrolling 105 participants aged 18 years and older of all sexes. It was conducted in the United States and Canada in participants with NAFLD, type 2 diabetes mellitus, and hypertriglyceridemia, and it has been completed.