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LGT209

Phase 1

Hypercholesterolemia | Small molecule | Metabolic |Novartis AG|Last Updated: Dec 17, 2020

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials2
Total Enrollment99
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01859455Safety, Pharmacokinetics and Pharmacodynamics of LGT209 in Healthy Volunteers With Elevated Cholesterol and in Hypercholesterolemic Patients Treated With StatinsPHASE1 COMPLETED 25Jul 1, 2011Jul 1, 2012Dec 17, 20202 United States
NCT01979601Safety, Tolerability, PK and PD of LGT209 in Healthy Volunteers and Patients With HypercholesterolemiaPHASE1 COMPLETED 74Dec 1, 2010Nov 1, 2011Dec 10, 20132 United States
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Study Endpoints
Primary Endpoints
Number of subjects (patients and healthy volunteers) with adverse events, serious adverse events and death
12 weeks
Plasma concentrations of LGT209 following subcutaneous administration
12 weeks
Change from baseline in proprotein convertase subtilisin/kexin type 9 (PCSK9) concentration
baseline and 12 weeks
Change from baseline in low density lipoprotein-cholesterol (LDL-C) concentration
baseline and 12 weeks
Number of patients with adverse events, serious adverse events and death
from Screening until Day 141
Change from baseline in low density lipoprotein-cholesterol (LDL-C) concentration in healthy volunteers
Baseline, Day 29

Baseline was defined as the arithmetic mean of all the pre-treatment values (i.e. Screening, Day -1 and predose on Day 1)

Change from baseline in proprotein convertase subtilisin/kexin type 9 (PCSK9) in healthy volunteers
Baseline, Day 29

Baseline was defined as the arithmetic mean of all the pre-treatment values (i.e. Screening, Day -1 and predose on Day 1)

Pharmacokinetics of LGT209: : Area under the serum concentration-time curve from time zero to infinity (AUC0-inf) of LGT209 in patients and healthy volunteers following intravenous administration
Day 1 (1, 2, 4, 6, 8, 12 hrs post dose); Post-dose at 24 hr (Day 2); 48 hr (Day 3), 96 hr (Day 5), Days 8, 11, 15, 22, 29, 43, 57, 71, 85, 113, 141
Pharmacokinetics of LGT209: observed maximum serum concentrations (Cmax) of LGT209 in patients and healthy volunteers following intravenous administration
Day 1 (1, 2, 4, 6, 8, 12 hrs post dose); Post-dose at 24 hr (Day 2) 48 hr (Day 3), 96 hr (Day 5), Days 8, 11, 15, 22, 29, 43, 57, 71, 85, 113, 141
Pharmacokinetics of LGT209: Area under the serum concentration-time curve from time zero to the time of the last quantifiable concentration (AUC0-last) of LGT209 in patients and healthy volunteers following intravenous administration
Day 1 (1, 2, 4, 6, 8, 12 hrs post dose); Post-dose at 24 hr (Day 2) 48 hr (Day 3), 96 hr (Day 5), Days 8, 11, 15, 22, 29, 43, 57, 71, 85, 113, 141
Pharmacokinetics of LGT209: Elimination half-life associated with the terminal slope of a semi-logarithmic concentration-time curve (T1/2) of LGT209 in patients and healthy volunteers following intravenous administration
Day 1 (1, 2, 4, 6, 8, 12 hrs post dose); Post-dose at 24 hr (Day 2) 48 hr (Day 3), 96 hr (Day 5), Days 8, 11, 15, 22, 29, 43, 57, 71, 85, 113, 141
Number of healthy volunteers with adverse events, serious adverse events and death
from Screening until Day 141
Secondary Endpoints
Plasma concentrations of atorvastatin in patients
2 weeks
Plasma concentrations of simvastatin in patients
2 weeks
Serum concentrations of PCSK9
12 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Patient: LGT209 50 mgEXPERIMENTAL50 mg LGT209 subcutaneous (SC) (1 mL injection x 1 site) in statin patients
Patient: LGT209 300 mgEXPERIMENTAL300 mg LGT209 subcutaneous (SC) (1 mL injection x 2 sites) in statin patients
Healthy Volunteers: LGT209 300 mgEXPERIMENTAL300 mg LGT209 or placebo subcutaneous (SC) (1 mL injection x 2 sites) in healthy volunteers
Patient: PlaceboPLACEBO_COMPARATORmatching placebo subcutaneous (SC) of LGT209 50 mg or 300 mg in statin patients
Healthy volunteers: PlaceboPLACEBO_COMPARATORmatching placebo subcutaneous (SC) of LGT209 300 mg in healthy volunteers
Patient: LGT209 0.3 mg/kgEXPERIMENTAL0.3 mg/kg LGT209 intravenous administration in patients on stable doses of statins
Patient: LGT209 1 mg/kgEXPERIMENTAL1 mg/kg LGT209 intravenous administration in patients on stable doses of statins
Patient: LGT209 3 mg/kgEXPERIMENTAL3 mg/kg LGT209 intravenous administration in patients on stable doses of statins
Patient: LGT209 10 mg/kgEXPERIMENTAL10 mg/kg LGT209 intravenous administration in patients on stable doses of statins
Patient: LGT209 20 mg/kgEXPERIMENTAL20 mg/kg LGT209 intravenous administration in patients on stable doses of statins
Healthy Volunteers: LGT209 0.3 mg/kgEXPERIMENTAL0.3 mg/kg LGT209 intravenous administration in healthy volunteers
Healthy Volunteers: LGT209 1 mg/kgEXPERIMENTAL1 mg/kg LGT209 intravenous administration in healthy volunteers
Healthy Volunteers: LGT209 3 mg/kgEXPERIMENTAL3 mg/kg LGT209 intravenous administration in healthy volunteers
Healthy Volunteers: LGT209 10 mg/kgEXPERIMENTAL10 mg/kg LGT209 intravenous administration in healthy volunteers
Healthy Volunteers: 20 mg/kgEXPERIMENTAL20 mg/kg LGT209 intravenous administration in healthy volunteers
Interventions
NameTypeDescription
LGT209 50 mgDRUGActive experimental drug
LGT209 300 mgDRUGActive experimental drug
PlaceboDRUGPlacebo comparator
Statins (atorvastatin or simvastatin)DRUGStable doses of atorvastatin or simvastatin
LGT209DRUG150 mg lyophilized powder in glass vial
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Eligibility Criteria
Age Range18 Years — 70 Years
SexALL
Healthy VolunteersYes
Study Sites2

Inclusion Criteria: * Healthy volunteers: Male and female subjects 18 to 70 years of age, in general good health with fasting LDL-cholesterol \>90 mg/dL and fasting serum triglycerides \<400 mg/dL * Patients on statin therapy: Male and female patients 18 to 70 years of age receiving atorvastatin or...

Countries:United States
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