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Healthy VolunteerPhase 1NCT01760187

Phase I Study of the Safety, Tolerability, PK & PD of Lomitapide in Japanese and Caucasian Subjects With Elevated LDL-C

A Phase 1 study testing lomitapide in people with Healthy Volunteer, run by Aegerion Pharmaceuticals, Inc. at 1 site in United Kingdom.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a randomized, double-blind, placebo-controlled, single ascending dose (SAD) and multiple ascending dose (MAD) study of orally administered lomitapide in healthy male Japanese and Caucasian subjects with elevated LDL-C. Read more about this study

Who is it for?
Ages 20 to 45 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Volunteer
What is being tested?
lomitapide
Could I receive a placebo?
No, everyone receives an active treatment
How many people
72 participants
Where
1 siteUnited Kingdom
Study dates
7 Nov 2012to 3 Jun 2013
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 to 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • 1. Subject is a healthy male or female, Caucasian or Japanese, aged 20 - 45 years, inclusive, at screening.
  • 2. Subject has a BMI of 18.5 - 30 kg/m2 inclusive at screening.
  • 3. Subjects must have a screening LDL-C measurement and the mean of Day 5 and Day 6 measurements greater than or equal to 110mg/dL.
  • 4. Subjects must agree to use acceptable methods of contraception (details provided in the protocol)
  • 5. Subjects must be capable of understanding and complying with the requirements of the protocol and must have signed the informed consent form prior to undergoing any study-related procedures.

Who cannot join

  • Subject has a clinically significant disease or any condition or disease that might affect drug absorption, distribution or excretion.
  • Any clinically significant abnormal laboratory, vital signs or other safety findings as determined by medical history, physical examination or other evaluations conducted at screening or on admission.
  • Electrocardiogram (ECG) abnormalities in the standard 12-lead ECG (at screening) which in the opinion of the Investigator is clinically relevant or will interfere with the ECG analysis.
  • History or current evidence of any clinically relevant cardiovascular, pulmonary, hepatic, renal, gastrointestinal, haematological, endocrinological, metabolic, neurological, psychiatric or other disease.
  • Positive results in any of the serology tests for Hepatitis B Surface Antigen (HbsAg), anti-Hepatitis core antibody (anti-HBc Ig G [and anti-HBc IgM if IgG is positive], Hepatitis C antibodies (anti-HCV), and HIV 1 and 2 antibodies, (anti-HIV 1/2) at screening.
  • Confirmed positive results from urine drug screen or from the alcohol breath test at screening and on admission (Day -1).
Show all 18Show fewer
  • History or clinical evidence of alcohol or drug abuse.
  • Mentally handicapped.
  • Participation in a drug trial within 90 days prior to first drug administration.
  • Use of any medication (including over-the-counter (OTC) medication) within 2 weeks prior to admission (Day -1) or within less than 10 times the elimination half-life of the respective drug, or anticipated concomitant medication during the treatment periods.
  • Use of any substance inhibiting CYP3A4 enzymes within 2 weeks prior to admission (Day -1).
  • Donation of more than 500 mL of blood within 90 days prior to drug administration.
  • Subjects who smoke more than 10 cigarettes or equivalent amount of tobacco per day and/or who cannot stop smoking for the duration of the study whilst in the CPU.
  • Treatment with herbal supplements during the 7 days prior to dosing, or use of vitamins during 48 hours prior to admission (Day -1).
  • Any circumstances or conditions, which, in the opinion of the PI, may affect full participation in the trial or compliance with the protocol.
  • Legal incapacity or limited legal capacity at screening.
  • Subjects who are vegetarians, vegans or have any dietary restrictions conflicting with the study standardised menus.
  • If female, subject was pregnant or lactating (females of child bearing potential must have negative pregnancy tests at screening and admission).

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • Richmond Pharmacology Ltd

    Croydon, Surrey, CR7 7YE

Other trials in United Kingdom

About this study

Official title: A Randomized, Double-blind, Placebo-controlled, Single Ascending and Multiple Ascending Dose Study of the Safety, Tolerability, Pharmacokinetics(PK) and Pharmacodynamics(PD) of Lomitapide in Japanese and Caucasian Volunteers With Elevated Low-density-lipoprotein(LDL-C)

This is a randomized, double-blind, placebo-controlled, single ascending dose (SAD) and multiple ascending dose (MAD) study of orally administered lomitapide in healthy male Japanese and Caucasian subjects with elevated LDL-C. The purpose for this study is to evaluate the PK and PD of lomitapide in Japanese subjects as compared to Caucasian subjects.

Being tested
lomitapide

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • lomitapideDrug

Study groups in NCT01760187
Study groupRoleWhat they receive
Cohort 1Experimental12 Japanese and 12 Caucasian subjects. 10 out of 12 will receive 10 mg lomitapide and 2 will receive placebo.
Receives: Drug: lomitapide
Cohort 2Experimental8 Japanese and 8 Caucasian subjects. 6 out of 8 subjects will receive 20 mg lomitapide and 2 will receive placebo.
Receives: Drug: lomitapide
Cohort 3Experimental8 Japanese and 8 Caucasian subjects. 6 out of 8 subjects will receive 40 mg lomitapide and 2 will receive placebo.
Receives: Drug: lomitapide
Cohort 4Experimental8 Japanese and 8 Caucasian subjects. 6 out of 8 subjects will receive 60 mg lomitapide and 2 will receive placebo.
Receives: Drug: lomitapide

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Cmax for Lomitapide

    Maximum observed plasma concentration for lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 7

  2. Tmax for Lomitapide

    Time to maximum observed concentration for lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 7

  3. AUC0-t for Lomitapide

    Area under the plasma concentration versus time curve from hour 0 to the last measurable concentration for lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 7

  4. AUC0-∞ for Lomitapide

    Area under the plasma concentration versus time curve from zero to infinity for lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 7

  5. t1/2 for Lomitapide

    Apparent terminal elimination half-life for lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 7

  6. Cmax for Lomitapide

    Maximum observed plasma concentration for lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 27

  7. Tmax for Lomitapide

    Time to maximum observed concentration for lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 27

  8. AUC0-t for Lomitapide

    Area under the plasma concentration versus time curve from hour 0 to the last measurable concentration for lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 27

  9. t1/2 for Lomitapide

    Apparent terminal elimination half-life for lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 27

Secondary outcomes (18)
  1. Cmax for M1

    Maximum observed plasma concentration for M1 metabolite of lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 7

  2. Tmax for M1

    Time to maximum observed concentration for M1 metabolite of lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 7

  3. AUC0-t for M1

    Area under the plasma concentration versus time curve from hour 0 to the last measurable concentration for M1 metabolite of lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 7

  4. AUC0-∞ for M1

    Area under the plasma concentration versus time curve from zero to infinity for M1 metabolite of lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 7

  5. t1/2 for M1

    Apparent terminal elimination half-life for M1 metabolite of lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 7

  6. Cmax for M3

    Maximum observed plasma concentration for M3 metabolite of lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 7

  7. Tmax for M3

    Time to maximum observed concentration for M3 metabolite of lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 7

  8. AUC0-t for M3

    Area under the plasma concentration versus time curve from hour 0 to the last measurable concentration for M3 metabolite of lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 7

  9. AUC0-∞ for M3

    Area under the plasma concentration versus time curve from zero to infinity for M3 metabolite of lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 7

  10. t1/2 for M3

    Apparent terminal elimination half-life for M3 metabolite of lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 7

  11. Cmax for M1

    Maximum observed plasma concentration for M1 metabolite of lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 27

  12. Tmax for M1

    Time to maximum observed concentration for M1 metabolite of lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 27

  13. AUC0-t for M1

    Area under the plasma concentration versus time curve from hour 0 to the last measurable concentration for M1 metabolite of lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 27

  14. t1/2 for M1

    Apparent terminal elimination half-life for M1 metabolite of lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 27

  15. Cmax for M3

    Maximum observed plasma concentration for M3 metabolite of lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 27

  16. Tmax for M3

    Time to maximum observed concentration for M3 metabolite of lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 27

  17. AUC0-t for M3

    Area under the plasma concentration versus time curve from hour 0 to the last measurable concentration for M3 metabolite of lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 27

  18. t1/2 for M3

    Apparent terminal elimination half-life for M3 metabolite of lomitapide

    Measured: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 27

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Jan 2013 (estimated)
  2. Study start7 Nov 2012
  3. Primary completion3 Jun 2013
  4. Study completion3 Jun 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
72 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01760187
Sponsor's protocol ID
AEGR-733-023
Other IDs
2012-004220-37
Status last verified
Nov 2018
First submitted
21 Nov 2012
Last updated
20 Nov 2018
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing lomitapide in people with Healthy Volunteer, run by Aegerion Pharmaceuticals, Inc. at 1 site in United Kingdom.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 Nov 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 20 Nov 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Cmax for Lomitapide (time frame: 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose on Day 7). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Nov 2018.

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