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Familial Chylomicronemia SyndromePhase 3NCT02658175

The Approach Open Label Study: A Study of Volanesorsen (Formerly IONIS-APOCIIIRx) in Participants With Familial Chylomicronemia Syndrome

A Phase 3 study testing Volanesorsen in people with Familial Chylomicronemia Syndrome and Lipoprotein Lipase Deficiency, run by Akcea Therapeutics at 34 sites in 11 countries.

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

An open-label study of volanesorsen (ISIS 304801) administered subcutaneously to participants with FCS. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Volanesorsen
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
68 participants
Where
34 sitesin 11 countries
Study dates
23 Dec 2015to 15 Jan 2020
Phase
Phase 3

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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Must give written informed consent to participate in the study (signed and dated) and any authorization required by law.
  • Able and willing to participate in a 65-week study.
  • Group 1 and 2:
  • Satisfactory completion of ISIS 304801-CS6 (NCT02211209) or ISIS 304801-CS16 (NCT02300233) index studies with an acceptable safety profile, per Sponsor and Investigator judgment.
  • Group 3:
  • Participants who did not participate in the CS6 or CS16 index studies and meet additional inclusion criteria of FCS may enroll in the study.
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  • History of chylomicronemia.
  • A diagnosis of FCS (Type 1 Hyperlipoproteinemia.)
  • Fasting triglycerides greater than or equal to (≥)750 milligrams per deciliter [mg/dL] (8.4 millimoles per liter [mmol/L]) at Screening.

Who cannot join

  • Unwilling to comply with lifestyle requirements for the duration of the study.
  • Group 1 and 2:
  • Have any new condition or worsening of existing condition which in the opinion of the Investigator would make the participant unsuitable for enrollment, or could interfere with the participant participating in or completing the study.
  • Group 3:
  • Diabetes mellitus if newly diagnosed or if hemoglobin A1c (HbA1c)≥ 9.0%.
  • Active pancreatitis within 4 weeks of screening.
Show all 10Show fewer
  • Acute Coronary Syndrome within 6 months of screening.
  • Major surgery within 3 months of screening.
  • Treatment with Glybera therapy within 2 years of screening.
  • Have any other conditions in the opinion of the investigator which could interfere with the participant participating in or completing the study.

Trial locations and contacts

34 sites in 11 countries.

34 sites in 11 countries

United States8 sites
  • IONIS Investigative Site

    Boca Raton, Florida, 33434

  • IONIS Investigative Site

    Boston, Massachusetts, 02114

  • IONIS Investigative Site

    Houston, Texas, 77030

  • IONIS Investigative Site

    Huntington Beach, California, 94143

  • IONIS Investigative Site

    Norfolk, Virginia, 23510

  • IONIS Investigative Site

    Philadelphia, Pennsylvania, 19104

  • IONIS Investigative Site

    San Francisco, California, 94143

  • IONIS Investigative Site

    Seattle, Washington, 98104

Other trials in United States

Spain5 sites
  • IONIS Investigative Site

    A Coruña, 15001

  • IONIS Investigative Site

    Barcelona, 08036

  • IONIS Investigative Site

    Madrid, 28007

  • IONIS Investigative Site

    Seville, 41013

  • IONIS Investigative Site

    Zaragoza, 50009

Other trials in Spain

Canada4 sites
  • IONIS Investigative Site

    Chicoutimi, Quebec, G7H 7K9

  • IONIS Investigative Site

    Montreal, Quebec, H2W 1R7

  • IONIS Investigative Site

    Québec, G1V 4W2

  • IONIS Investigative Site

    Vancouver, British Columbia, V6Z1Y6

Other trials in Canada

United Kingdom4 sites
  • IONIS Investigative Site

    Birmingham, B9 5SS

  • IONIS Investigative Site

    London, SE1 7EH

  • IONIS Investigative Site

    Manchester, M13 9WL

  • IONIS Investigative Site

    Manchester, M23 9LT

Other trials in United Kingdom

France3 sites
  • IONIS Investigative Site

    Marseille, 13385

  • IONIS Investigative Site

    Nantes, 44800

  • IONIS Investigative Site

    Paris, Cedex 13, 75013

Other trials in France

Italy3 sites
  • IONIS Investigative Site

    Palermo, 90127

  • IONIS Investigative Site

    Roma, 00161

  • IONIS Investigative Site

    Rome, 00161

Other trials in Italy

Brazil2 sites
  • IONIS Investigative Site

    São Paulo, 04040-001

  • IONIS Investigative Site

    São Paulo, CEP-05403-000

Other trials in Brazil

Germany2 sites
  • IONIS Investigative Site

    Berlin, 13353

  • IONIS Investigative Site

    Cologne, 50937

Other trials in Germany

Israel1 site
  • IONIS Investigative Site

    Safed, 13110

Other trials in Israel

Netherlands1 site
  • IONIS Investigative Site

    Amsterdam-Zuidoost, 1105 AZ

Other trials in Netherlands

South Africa1 site
  • IONIS Investigative Site

    Cape Town, 7925

Other trials in South Africa

About this study

Official title: ISIS 304801-CS7 The APPROACH Open Label Study Volanesorsen (ISIS 304801) An Open-Label Study of Volanesorsen Administered Subcutaneously to Patients With Familial Chylomicronemia Syndrome (FCS)

An open-label study of volanesorsen (ISIS 304801) administered subcutaneously to participants with FCS.

Read the detailed description

This is a multi-center, open-label study for FCS participants rolling over from the ISIS 304801-CS6 (NCT02211209) index study, FCS participants rolling over from the ISIS 304801-CS16 (NCT02300233) index study and Treatment-naïve group. All participants were to receive volanesorsen 300 milligrams (mg) once per week for 52 weeks. Participants were allowed dose adjustment/dose reduction based on monitoring rules. Participants had the option of continuing dosing for an additional 52 weeks (France: up to an additional 104 weeks for a total of 156 weeks) until an expanded access program was approved and available in their country. Participants who were not participating in an expanded access program were to enter a 13-week (France: 26-week) post-treatment evaluation period.

Being tested
Volanesorsen
Medical subject headings
Familial hyperchylomicronemia syndrome, Hyperlipoproteinemia Type I

What participants receive

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

  • VolanesorsenDrug

    Also called IONIS-APOCIIIRx, ISIS 304801

    300 mg volanesorsen administered via SC injection.

Study groups in NCT02658175
Study groupRoleWhat they receive
Treatment-naïve GroupExperimentalTreatment naïve group included combined group of ISIS 304801-CS7 (CS7-New) study participant and participant on placebo in index studies (ISIS 304801-CS6 [NCT02211209] and ISIS 304801-CS16 [NCT02300233]), were to receive 300 mg of volanesorsen as single SC once weekly for Weeks 1-52 of this study. Participants were allowed dose adjustment/dose reduction based on monitoring rules. Following Week 52 visit, participants had option of participating in expanded access program or continuing treatment with 300 mg of volanesorsen as single SC once-weekly for up to additional 52 weeks (Weeks 53-104) and in France participants, up to additional 104 weeks for total of 156 weeks (Weeks 105 to Week 156) until expanded access program was approved and available in their country. Participants who were not participating in expanded access program were to enter 13-week post-treatment (PT) evaluation period and in France, participants not continuing treatment were to enter 26-week PT follow-up period.
Receives: Drug: Volanesorsen
CS6-VolanesorsenExperimentalParticipants with FCS rolling over from the ISIS 304801-CS6 (NCT02211209) index study after receiving volanesorsen, were to receive 300 mg of volanesorsen as a single SC injection once weekly for Weeks 1-52 of this study. Participants were allowed dose adjustment/dose reduction based on monitoring rules. Following the Week 52 visit, participants had the option of participating in an expanded access program or continuing treatment with 300 mg of volanesorsen as a single SC injection once-weekly for up to an additional 52 weeks (Weeks 53-104) and in France participants, up to an additional 104 weeks for total of 156 weeks of treatment (Weeks 105 to Week 156) of this study until an expanded access program was approved and available in their country. Participants who were not participating in an expanded access program were to enter a 13-week post-treatment evaluation period and in France, participants not continuing treatment were to enter a 26-week post-treatment follow-up period.
Receives: Drug: Volanesorsen
CS16-VolanesorsenExperimentalParticipants with FCS rolling over from the ISIS 304801-CS16 (NCT02300233) index study after receiving volanesorsen, were to receive 300 mg of volanesorsen as a single SC injection once weekly for Weeks 1-52 of this study. Participants were allowed dose adjustment/dose reduction based on monitoring rules. Following the Week 52 visit, participants had the option of participating in an expanded access program or continuing treatment with 300 mg of volanesorsen as a single SC injection once-weekly for up to an additional 52 weeks (Weeks 53-104) and in France participants, up to an additional 104 weeks for total of 156 weeks of treatment (Weeks 105 to Week 156) of this study until an expanded access program was approved and available in their country. Participants who were not participating in an expanded access program were to enter a 13-week post-treatment evaluation period and in France, participants not continuing treatment were to enter a 26-week post-treatment follow-up period.
Receives: Drug: Volanesorsen

What is being measured

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

  1. Mean Percent Change From Baseline in Fasting Triglyceride (TG)

    Baseline for treatment-naïve group was defined as the average of open-label Day 1 pre-dose assessment and the last measurement prior to open-label Day 1. Baseline for CS6-volanesorsen and CS16-volanesorsen arm groups was defined as the average of index study Day 1 pre-dose assessment and the last measurement prior index study Day 1. The values at the Month 3 analysis time point were defined as the average of the Week 12 (Day 78) and Week 13 (Day 85) fasting assessments. The Month 6 analysis time point was at the end of Month 6, and the values were defined as the average of the Week 25 (Day 169) and Week 26 (Day 176) fasting assessments. The values at the Month 12 analysis time point were defined as the average of the Week 50 (Day 344) and Week 52 (Day 358) fasting assessments.

    Measured: Baseline and Months 3, 6, and 12

  2. Number of Participants With Treatment-emergent Adverse Events (TEAEs)

    An adverse event (AE) was defined as any unfavorable and unintended sign (including a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the study or use of investigational drug product, whether or not the AE was considered related to the investigational drug product. A TEAE was defined as any AE starting or getting worse on or after the first dose of the study drug.

    Measured: From first dose of study drug to end of follow-up period [Up to Week 182]

Timeline

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

  1. First posted18 Jan 2016 (estimated)
  2. Study start23 Dec 2015
  3. Primary completion15 Jan 2020
  4. Study completion15 Jan 2020

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 3
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
68 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02658175
Sponsor's protocol ID
ISIS 304801-CS7
Other IDs
2015-003755-21, 2015
Status last verified
Aug 2021
First submitted
12 Jan 2016
Last updated
26 Aug 2021
Data monitoring committee
Yes
FDA-regulated drug
Yes

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