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Familial Partial LipodystrophyPhase 2NCT03514420

Study of AKCEA-ANGPTL3-LRx (ISIS 703802) in Participants With Familial Partial Lipodystrophy (FPL)

A Phase 2 study testing AKCEA-ANGPTL3-LRx in people with Familial Partial Lipodystrophy, run by Akcea Therapeutics at 1 site in United States.

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 single-center, open-label study to evaluate the efficacy of AKCEA-ANGPTL3-LRx for reduction of fasting triglycerides in participants with familial partial lipodystrophy. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Familial Partial Lipodystrophy
What is being tested?
AKCEA-ANGPTL3-LRx
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
4 participants
Where
1 siteUnited States
Study dates
15 Jun 2018to 21 Aug 2019
Phase
Phase 2
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 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.
  • 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 hemoglobin A1c (HbA1c) ≥ 7% to ≤ 12% at Screening and on anti-diabetic therapy as defined in study protocol.
  • Hypertriglyceridemia as defined by fasting triglycerides (TG) levels ≥ 500 milligrams per deciliter (mg/dL) at both Screening and Qualification visits. Participants with the clinical diagnosis of FPL and with fasting TG levels ≥ 200 (≥ 2.26 millimoles per liter [mmol/L]) to < 500 mg/dL (≥ 5.7 mmol/L) who meet the genetic or family history criteria for study inclusion may be further screened and enrolled in the study.
  • Presence of hepatosteatosis (fatty liver), as evidenced by a Screening magnetic resonance imaging (MRI) indicating a hepatic fat fraction (HFF) ≥ 6.4%.

Who cannot join

  • Diagnosis of generalized lipodystrophy.
  • Diagnosis of acquired partial lipodystrophy (APL).
  • Acute pancreatitis within 4 weeks of Screening.
  • Acute coronary syndrome within 6 months of Screening.
  • Major surgery within 3 months 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

1 site in 1 country.

United States1 site
  • Clinical Site

    Ann Arbor, Michigan, 48105

Other trials in United States

About this study

Official title: An Open-label Phase 2 Study of ISIS 703802 (AKCEA-ANGPTL3-LRx) Administered Subcutaneously to Subjects With Familial Partial Lipodystrophy

This is a single-center, open-label study to evaluate the efficacy of AKCEA-ANGPTL3-LRx for reduction of fasting triglycerides in participants with familial partial lipodystrophy.

Being tested
AKCEA-ANGPTL3-LRx
Keywords
Lipodystrophy, Lipodystrophy, Familial Partial, Lipid Metabolism Disorders, Dyslipidemias, Kobberling-Dunnigan syndrome (type 1 and 2), Lipoatrophic Diabetes
Medical subject headings
Lipodystrophy, Familial Partial, Lipodystrophy, Lipid Metabolism Disorders, Dyslipidemias, Diabetes Mellitus, Lipoatrophic

What participants receive

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

  • AKCEA-ANGPTL3-LRxDrug

    Also called ISIS 703802

    AKCEA-ANGPTL3-LRx solution for SC injection.

Study groups in NCT03514420
Study groupRoleWhat they receive
AKCEA-ANGPTL3-LRx 20 mgExperimentalParticipants received AKCEA-ANGPTL3-LRx 20 milligrams (mg) administered every week for 26 weeks by subcutaneous (SC) injection.
Receives: Drug: AKCEA-ANGPTL3-LRx

What is being measured

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

  1. Percent Change From Baseline in Fasting Triglycerides Levels at 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.

    Measured: Baseline and End of the Treatment (Week 27)

Secondary outcomes (42)
  1. Change From Baseline in Area Under the Curve (AUC) of Plasma Glucose as Assessed by Mixed Meal Test (MMT) at End of the Treatment

    Change from Baseline to Week 27 in the area under the curve (AUC) of Plasma Glucose was assessed.

    Measured: Baseline and End of the Treatment (Week 27)

  2. Change From Baseline in AUC of Serum Insulin as Assessed by MMT at End of the Treatment

    Change from Baseline to Week 27 in the AUC of Serum Insulin was assessed.

    Measured: Baseline and End of the Treatment (Week 27)

  3. Change From Baseline in AUC of Serum C-peptide as Assessed by MMT at End of the Treatment

    Change from Baseline to Week 27 in the AUC of Serum C-peptide was assessed.

    Measured: Baseline and End of the Treatment (Week 27)

  4. Change From Baseline in AUC of Free Fatty Acid (FFA) as Assessed by MMT at End of the Treatment

    Change from Baseline to Week 27 in the AUC of FFA was assessed.

    Measured: Baseline and End of the Treatment (Week 27)

  5. Change From Baseline in AUC of Serum Ghrelin as Assessed by MMT at End of the Treatment

    Change from Baseline to Week 27 in the AUC of Serum Ghrelin was assessed.

    Measured: Baseline and End of the Treatment (Week 27)

  6. Change From Baseline in AUC of Incretin Hormone (Gastric Inhibitory Polypeptide [GIP]) as Assessed by MMT at End of the Treatment

    Change from Baseline to Week 27 in the AUC of Incretin Hormone: GIP was assessed.

    Measured: Baseline and End of the Treatment (Week 27)

  7. Change From Baseline in AUC of Incretin Hormone (Glucagon-like Peptide -1 [GLP-1]) as Assessed by MMT at End of the Treatment

    Change from Baseline to Week 27 in the AUC of Incretin Hormone: GLP-1 was assessed.

    Measured: Baseline and End of the Treatment (Week 27)

  8. Change From Baseline in AUC of Peptide Tyrosine Tyrosine (PYY) as Assessed by MMT at End of the Treatment

    Change from Baseline to Week 27 in the AUC of PYY was assessed.

    Measured: Baseline and End of the Treatment (Week 27)

  9. Change From Baseline in HDL-C at End of the Treatment

    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.

    Measured: Baseline and End of the Treatment (Week 27)

  10. Change From Baseline in LDL-C at End of the Treatment

    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. LDL-C calculated using ultracentrifugation method.

    Measured: Baseline and End of the Treatment (Week 27)

  11. Change From Baseline in Total Cholesterol (TC) at End of the Treatment

    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.

    Measured: Baseline and End of the Treatment (Week 27)

  12. Change From Baseline in VLDL-C at End of the Treatment

    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. VLDL-C was calculated using direct test method.

    Measured: Baseline and End of the Treatment (Week 27)

  13. Change From Baseline in Non-HDL-C at End of the Treatment

    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.

    Measured: Baseline and End of the Treatment (Week 27)

  14. Change From Baseline in ApoB at End of the Treatment

    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.

    Measured: Baseline and End of the Treatment (Week 27)

  15. Change From Baseline in ApoB-48 at End of the Treatment

    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.

    Measured: Baseline and End of the Treatment (Week 27)

  16. Change From Baseline in Apolipoprotein B 100 (ApoB-100) at End of the Treatment

    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.

    Measured: Baseline and End of the Treatment (Week 27)

  17. Change From Baseline in ApoA-1 at End of the Treatment

    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.

    Measured: Baseline and End of the Treatment (Week 27)

  18. Change From Baseline in ApoC-III at End of the Treatment

    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.

    Measured: Baseline and End of the Treatment (Week 27)

  19. Change From Baseline in ApoC-III: Chylomicron at End of the Treatment

    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.

    Measured: Baseline and End of the Treatment (Week 27)

  20. Change From Baseline in ApoC-III: VLDL at End of the Treatment

    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.

    Measured: Baseline and End of the Treatment (Week 27)

  21. Change From Baseline in ApoC-III: LDL at End of the Treatment

    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.

    Measured: Baseline and End of the Treatment (Week 27)

  22. Change From Baseline in ApoC-III: HDL at End of the Treatment

    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.

    Measured: Baseline and End of the Treatment (Week 27)

  23. Change From Baseline in Lipoprotein a (Lp[a]) at End of the Treatment

    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.

    Measured: Baseline and End of the Treatment (Week 27)

  24. Change From Baseline in Free Fatty Acid (FFA) at End of the Treatment

    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.

    Measured: Baseline and End of the Treatment (Week 27)

  25. Change From Baseline in Glycerol Levels at End of the Treatment

    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.

    Measured: Baseline and End of the Treatment (Week 27)

  26. Change From Baseline in Lipoprotein Particle Size at End of the Treatment

    The baseline was defined as the Day 1 pre-dose fasting assessment. Lipoprotein Particle size included: HDL size, LDL size and VLDL size.

    Measured: Baseline and End of the Treatment (Week 27)

  27. Change From Baseline in Hemoglobin A1c (HbA1c) at End of the Treatment

    The baseline was defined as the last non-missing assessment prior to the first dose of study drug.

    Measured: Baseline and End of the Treatment (Week 27)

  28. Change From Baseline in Homeostasis Model Assessment-Estimated Insulin Resistance (HOMA-IR)

    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.

    Measured: Baseline and End of the Treatment (Week 27)

  29. Change From Baseline in Adiponectin at End of the Treatment

    The baseline was defined as the Day 1 pre-dose fasting assessment.

    Measured: Baseline and End of the Treatment (Week 27)

  30. Change From Baseline in and Leptin at End of the Treatment

    The baseline was defined as the Day 1 pre-dose fasting assessment

    Measured: Baseline and End of the Treatment (Week 27)

  31. Change From Baseline in Hepatic Fat Fraction (HFF) as Assessed by Magnetic Resonance Imaging (MRI) at End of the Treatment

    The baseline was defined as the last non-missing assessment prior to the first dose of study drug.

    Measured: Baseline and End of the Treatment (Week 27)

  32. Changes From Baseline in Body Fat Distribution for Various Areas in the Body as Measured by Skinfold Thickness at End of the Treatment

    The baseline was defined as the last assessment prior to the first dose of study drug. Change in body fat distribution was measured as right anterior thigh skinfold thickness and right tricep skinfold thickness by Skinfold Thickness.

    Measured: Baseline and End of the Treatment (Week 27)

  33. Changes From Baseline in Body Fat Distribution for Various Areas in the Body as Measured by Dual-Energy X-ray Absorptiometry (DEXA) at End of the Treatment

    The baseline was defined as the Screening assessment. Change in body fat distribution (arm bone mass, arm fat mass, arm lean mass, arm total mass, leg bone mass, leg fat mass, leg lean mass, leg total mass, total bone mass, total fat mass, total lean mass, total total mass , trunk bone mass, trunk fat mass, trunk lean mass and trunk total mass) was measures obtained from DEXA.

    Measured: Baseline and End of the Treatment (Week 27)

  34. Changes From Baseline in Body Fat Distribution for Total Bone Mineral Density in the Body as Measured by Dual-Energy X-ray Absorptiometry (DEXA) at End of the Treatment

    The baseline was defined as Screening assessment. Change in body fat distribution for total Bone mineral density was measures obtained from DEXA.

    Measured: Baseline and End of the Treatment (Week 27)

  35. Change From Baseline in Visceral Adipose Tissue (VAT) as Measured by Magnetic Resonance Imaging (MRI) at End of the Treatment

    The baseline was defined as the last assessment prior to the first dose of study drug.

    Measured: Baseline and End of the Treatment (Week 27)

  36. Change From Baseline in Subcutaneous Adipose Tissue (SAT) as MRI at End of the Treatment

    The baseline was defined as the last assessment prior to the first dose of study drug.

    Measured: Baseline and End of the Treatment (Week 27)

  37. Change From Baseline in Body Weight at End of the Treatment

    The baseline was defined as the Day 1 pre-dose assessment.

    Measured: Baseline and End of the Treatment (Week 27)

  38. Change From Baseline in Waist Circumference at End of the Treatment

    The baseline was defined as the Screening assessment.

    Measured: Baseline and End of the Treatment (Week 27)

  39. Change From Baseline in Waist/Hip Ratio at End of the Treatment

    The baseline was defined as screening assessment.

    Measured: Baseline and End of the Treatment (Week 27)

  40. Change From Baseline in Quality of Life (QoL)

    The baseline was defined as the screening assessment. Quality of life measures the severity of fatigue, severity of trouble thinking or remembering and severity of waking up tired in participants, on a scale ranging from 0 to 3, where, 0= No problem, 1= Mild, 2= Moderate and 3= severe. Higher scores indicates more severity or more impact on quality of life.

    Measured: Baseline and End of the Treatment (Week 27)

  41. Change From Baseline in Pain Score at End of the Treatment

    The baseline was defined as a Screening assessment. Pain score is used to determine disease activity in participants, on a scale ranging from 0 to 5 where 0= never, 1= hardly noticed, 2= slightly, 3= moderately, 4= strongly, and 5= very strongly where higher scores indicated higher degree of pain.

    Measured: Baseline and End of the Treatment (Week 27)

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

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

    Measured: From signing of informed consent to end of follow up period (Up to week 40)

Timeline

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

  1. First posted2 May 2018
  2. Study start15 Jun 2018
  3. Primary completion30 Jul 2019
  4. Study completion21 Aug 2019

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 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
4 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03514420
Sponsor's protocol ID
ISIS 703802-CS5
Status last verified
Jan 2021
First submitted
21 Apr 2018
Last updated
16 Feb 2021
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing AKCEA-ANGPTL3-LRx in people with Familial Partial Lipodystrophy, run by Akcea Therapeutics at 1 site in United States.

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 6 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 16 Feb 2021. 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 States. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 16 Feb 2021). 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?

Percent Change From Baseline in Fasting Triglycerides Levels at End of the Treatment (Week 27) (time frame: Baseline and End of the Treatment (Week 27)). 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 16 Feb 2021.

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