HyperlipidaemiaPhase 2SOLANONCT04964557
A Study to Assess the Safety, Efficacy and Tolerability of AZD8233 Treatment in Participants With Hyperlipidaemia
A Phase 2 study testing AZD8233 in people with Hyperlipidaemia, run by AstraZeneca at 66 sites in 8 countries.
Trial summary
AZD8233 is a PCSK9-targeted ASO for the reduction of circulating levels of LDL-C. This study aims to evaluate safety, efficacy and tolerability of AZD8233. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Hyperlipidaemia
- What is being tested?
- AZD8233
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 411 participants
- Where
- 66 sitesin 8 countries
- Study dates
- 7 Jul 2021to 15 Jul 2022
- 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 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participant must be 18 to 75 years of age, inclusive, at the time of signing the informed consent
- Participants who have a fasting LDL-C ≥ 70 mg/dL (1.8 mmol/L) but < 190 mg/dL (4.9 mmol/L) at screening
- Participants who have fasting triglycerides < 400 mg/dL (< 4.52 mmol/L) at screening
- Participants are receiving a stable dose (≥ 3 months) of maximally tolerated statin and/or ezetimibe therapy
- Male or female of non-childbearing potential
- Signed and dated written informed consent prior to any mandatory study specific procedures, sampling, and analyses
Who cannot join
- eGFR < 40 mL/min/1.73m2 using the CKD-EPI
- History or presence of gastrointestinal, hepatic or renal disease or any other conditions known to interfere with absorption, distribution, metabolism or excretion of drugs
- Any uncontrolled or serious disease, or any medical (eg,. known major active infection or major haematological, renal, metabolic, gastrointestinal or endocrine dysfunction) or surgical condition that, in the opinion of the investigator, may either interfere with participation in the clinical study and/or put the participant at significant risk (according to the investigator's judgment) if he/she participates in the clinical study
- Poorly controlled T2DM, defined as HbA1c > 10%
- Acute ischaemic cardiovascular events including stroke within 30 days, or heart failure with New York Heart Association (NYHA) Class III to IV
- Blood dyscrasias with increased risk of bleeding including idiopathic thrombocytopenic purpura and thrombotic thrombocytopenic purpura or symptoms of increased risk of bleeding (frequent bleeding gums or nose bleeds)
Show all 32Show fewer
- High-risk of bleeding diathesis or anti-platelet therapy other than low dose aspirin (≤100mg/day).
- Malignancy within the last 10 years
- Recipient of any major organ transplant
- LDL or plasma apheresis within 12 months prior to randomisation
- Uncontrolled hypertension defined as average supine SBP > 160 mmHg or DBP > 90 mmHg
- Heart rate after 10 minutes supine rest < 50 or > 100 bpm
- Any laboratory values with the following deviations at the Screening Visit; test may be repeated at the discretion of the investigator if abnormal:
- Any positive result on screening for serum hepatitis B surface antigen, hepatitis C antibody, and human immunodeficiency virus (HIV)
- ALT > 1.5 × ULN
- AST > 1.5 × ULN
- TBL > ULN
- ALP > 1.5 × ULN
- WBC < lower limit of normal (LLN).
- Haemoglobin < 12 g/dL in males or < 11 g/dL in females
- Platelet count ≤ LLN
- aPTT > ULN or Prothrombin Time > ULN
- UACR > 11 mg/mmol (100 mg/g)
- UPCR > 300 mg/g
- Any clinically important abnormalities in rhythm, conduction or morphology of the resting ECG and any clinically important abnormalities in the 12-lead ECG
- QTcF > 470 ms; high degree atrioventricular (AV)-block grade II-III and sinus node dysfunction with significant sinus pause untreated with pacemaker; and cardiac tachyarrhythmias
- History of drug and/or alcohol abuse or a positive screen for drugs of abuse
- Use of warfarin, direct or indirect thrombin inhibitors or factor Xa inhibitors
- Mipomersen, or lomitapide within 12 months prior to randomisation
- Any fibrate therapy other than fenofibrate; if the participant is on fenofibrate therapy, the dose should be stable for at least 6 weeks prior to randomisation
- Previous administration of AZD8233/AZD6615) or inclisiran (LEQVIO ® Novartis)
- Use of evolocumab (REPATHA® Amgen) and alirocumab (PRALUENT® Regeneron) within 3 months of screening
Trial locations and contacts
66 sites in 8 countries.
66 sites in 8 countries
United States16 sites
Research Site
Canoga Park, California, 91303
Research Site
Cincinnati, Ohio, 45219
Research Site
Cincinnati, Ohio, 45246
Research Site
Fargo, North Dakota, 58104
Research Site
Greensboro, North Carolina, 27408
Research Site
Huntsville, Alabama, 35801
Research Site
Indianapolis, Indiana, 46260
Research Site
Inverness, Florida, 34452
Research Site
Jacksonville, Florida, 32216
Research Site
Lincoln, California, 95648
Research Site
Meridian, Idaho, 83646
Research Site
Mt. Pleasant, South Carolina, 29464
Research Site
New Windsor, New York, 12553
Research Site
Pembroke Pines, Florida, 33024
Research Site
Stow, Ohio, 44224
Research Site
Suffolk, Virginia, 23435
Czechia10 sites
Research Site
Benešov, 256 01
Research Site
Brandýs nad Labem, 250 01
Research Site
Brno, 603 00
Research Site
Jaroměř, 551 01
Research Site
Liberec, 460 01
Research Site
Louny, 440 01
Research Site
Ostrava-Dubina, 700 30
Research Site
Příbram, 261 01
Research Site
Teplice, 415 01
Research Site
Uherské Hradiště, 686 01
Denmark8 sites
Research Site
Aarhus N, 8200
Research Site
Herlev, 2730
Research Site
Herning, 7400
Research Site
Hvidovre, 2650
Research Site
København NV, 2400
Research Site
Roskilde, 4000
Research Site
Svendborg, 5700
Research Site
Viborg, 8800
Poland8 sites
Research Site
Bydgoszcz, 85-079
Research Site
Chrzanów, 32-500
Research Site
Krakow, 30-082
Research Site
Lodz, 91-002
Research Site
Puławy, 24-100
Research Site
Ruda Śląska, 41-710
Research Site
Tychy, 43-100
Research Site
Wierzchosławice, 33-122
Slovakia7 sites
Research Site
Bratislava, 831 03
Research Site
Brezno, 977 01
Research Site
Lučenec, 984 01
Research Site
Prešov, 080 01
Research Site
Rožňava, 048 01
Research Site
Svidník, 08901
Research Site
Trebišov, 7501
Spain7 sites
Research Site
A Coruña, 15006
Research Site
Ferrol, 15405
Research Site
L'Hospitalet de Llobregat, 08907
Research Site
Santiago de Compostela, 15706
Research Site
Seville, 41009
Research Site
Seville, 41014
Research Site
Zaragoza, 50009
Netherlands6 sites
Research Site
Amsterdam, 1105 AZ
Research Site
Doetinchem, 7009 BL
Research Site
Ede, 6716 RP
Research Site
Gouda, 2803 HH
Research Site
Harderwijk, 3844 DG
Research Site
Rotterdam, 3045 PM
Hungary4 sites
Research Site
Balatonfüred, 8230
Research Site
Békéscsaba, 5600
Research Site
Debrecen, 4032
Research Site
Orosháza, 5900
About this study
Official title: A Randomised, Parallel, Double-Blind, Placebo-Controlled Phase 2b Study to Assess the Safety, Tolerability and Efficacy of AZD8233 Treatment in Participants With Hyperlipidaemia
AZD8233 is a PCSK9-targeted ASO for the reduction of circulating levels of LDL-C. This study aims to evaluate safety, efficacy and tolerability of AZD8233.
Read the detailed description
This is a randomized parallel, double-blind, placebo-controlled Phase 2b study in approximately 376 participants with hyperlipidaemia. The primary objective of the study is to assess the safety and tolerability of AZD8233 as compared with placebo, and the effect of AZD8233 versus placebo on relative change in LDL-C. The study will be conducted at up to 100 sites in up to 8 countries.
The screening period starts up to 28 days before the randomization visit and ends on Day -1. Eligible participants will attend 1 enrollment visit and 15 visits during the treatment period and 2 additional visits during the safety follow up period.
- Conditions
- Hyperlipidaemia
- Being tested
- AZD8233, Placebo
- Keywords
- AZD8233, Efficacy, PK, PD, Safety, Tolerability
- Medical subject headings
- Hyperlipidemias
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AZD8233Drug
PCSK9-targeted ASO for the reduction of circulating levels of LDL-C.
PlaceboDrug
Placebo solution
| Study group | Role | What they receive |
|---|---|---|
| AZD8233 | Experimental | AZD8233 for subcutaneous use Receives: Drug: AZD8233 |
| Placebo | Placebo comparator | Placebo solution for subcutaneous injection Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage Change From Baseline on Serum LDL-C
Percentage change in Low-density Lipoprotein Cholesterol (LDL-C) from baseline to Day 197.
Measured: From baseline to Day 197
Number of Subjects With Adverse Events (AEs)
Please refer to the adverse event module for specifics.
Measured: On-study includes adverse events with an onset date on or after the date of first dose of IP through study competition, planned visit date Day 281.
Vital Signs - Temperature
Mean and standard deviation of Temperature at each scheduled visit by treatment.
Measured: Baseline, Days 15, 29, 57, 85, 113, 141, 169, 197, 225, and 281.
Vital Sign - Weight
Mean and standard deviation of Weight at each scheduled visit by treatment.
Measured: Baseline and Day 281.
Number of Participants With an ECG Determined to be Abnormal and Clinically Significant
Number of participants With an ECG Determined to be Abnormal and Clinically Significant at each scheduled visit by treatment
Measured: Baseline, Days 85, 169, 225, and 281.
Vital Sign - Systolic Blood Pressure
Mean and standard deviation of Systolic Blood Pressure at each scheduled visit by treatment.
Measured: Baseline, Days 15, 29, 57, 85, 113, 141, 169, 197, 225, and 281.
Vital Sign - Diastolic Blood Pressure
Mean and standard deviation of Diastolic Blood Pressure at each scheduled visit by treatment.
Measured: Baseline, Days 15, 29, 57, 85, 113, 141, 169, 197, 225, and 281.
Vital Sign - Pulse Rate
Mean and standard deviation of Pulse rate at each scheduled visit by treatment.
Measured: Baseline, Days 15, 29, 57, 85, 113, 141, 169, 197, 225, and 281.
Treatment Emergent Platelet Count Abnormalities
Treatment emergent platelet count abnormalities by pre-specified criteria by treatment.
Measured: Treatment emergent includes results after the first dose of IP through study competition, planned visit date Day 281.
Secondary outcomes (3)
Percentage Change From Baseline on Serum PCSK9
Percentage change in Proprotein convertase subtilisin/kexin type-9 (PCSK9) from baseline to Day 197.
Measured: From baseline to Day 197
Plasma Concentration of AZD8233
AZD8233 full length ASO concentrations in plasma were summarised by descriptive statistics by sampling time point and listed on individual level based on the PK analysis set.
Measured: Pre-dose of Day 29, Day 85, Day 141, Day 183, Day 197
Anti-drug Antibodies (ADAs) During the Treatment Period and Follow-up Period
Number of ADA positive subjects at each time point during the treatment period and follow-up period.
Measured: Pre-dose of Day 1, Day 29, Day 57, Day 85, Day 113, Day 141, Day 169, Day 197, Day 281
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Jul 2021
- Study start7 Jul 2021
- Primary completion15 Jul 2022
- Study completion15 Jul 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for HyperlipidaemiaStudies of the same condition, open and under way.
- More trials run by AstraZenecaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 411 participants (actual)
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04964557
- Sponsor's protocol ID
- D7990C00004
- Other IDs
- 2020-005845-18
- Acronym
- SOLANO
- Status last verified
- Nov 2023
- First submitted
- 15 Jun 2021
- Last updated
- 15 Dec 2023
- Results posted
- Yes, on ClinicalTrials.gov
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
Study at a glance
From the registry record, last updated by the sponsor on 15 Dec 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomised, Parallel, Double-Blind, Placebo-Controlled Phase 2b Study to Assess the Safety, Tolerability and Efficacy of AZD8233 Treatment in Participants With Hyperlipidaemia
- ClinicalTrials.gov ID
- NCT04964557
- Acronym / sponsor ID
- SOLANO / D7990C00004
- Conditions
- Hyperlipidaemia
- Keywords
- AZD8233, Efficacy, PK, PD, Safety, Tolerability
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 411 participants (actual)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Study start
- 7 Jul 2021 (actual)
- Primary completion
- 15 Jul 2022 (actual)
- Study completion
- 15 Jul 2022 (actual)
- First posted
- 16 Jul 2021 (actual)
- Results
- Posted 15 Dec 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
AZD8233 is a PCSK9-targeted ASO for the reduction of circulating levels of LDL-C. This study aims to evaluate safety, efficacy and tolerability of AZD8233.
Detailed description
This is a randomized parallel, double-blind, placebo-controlled Phase 2b study in approximately 376 participants with hyperlipidaemia. The primary objective of the study is to assess the safety and tolerability of AZD8233 as compared with placebo, and the effect of AZD8233 versus placebo on relative change in LDL-C. The study will be conducted at up to 100 sites in up to 8 countries.
The screening period starts up to 28 days before the randomization visit and ends on Day -1. Eligible participants will attend 1 enrollment visit and 15 visits during the treatment period and 2 additional visits during the safety follow up period.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| AZD8233 | Experimental | Drug: AZD8233AZD8233 for subcutaneous use |
| Placebo | Placebo comparator | Drug: PlaceboPlacebo solution for subcutaneous injection |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Participant must be 18 to 75 years of age, inclusive, at the time of signing the informed consent
- Participants who have a fasting LDL-C ≥ 70 mg/dL (1.8 mmol/L) but < 190 mg/dL (4.9 mmol/L) at screening
- Participants who have fasting triglycerides < 400 mg/dL (< 4.52 mmol/L) at screening
- Participants are receiving a stable dose (≥ 3 months) of maximally tolerated statin and/or ezetimibe therapy
- Male or female of non-childbearing potential
Key exclusion criteria (32 listed)
- eGFR < 40 mL/min/1.73m2 using the CKD-EPI
- History or presence of gastrointestinal, hepatic or renal disease or any other conditions known to interfere with absorption, distribution, metabolism or excretion of drugs
- Any uncontrolled or serious disease, or any medical (eg,. known major active infection or major haematological, renal, metabolic, gastrointestinal or endocrine dysfunction) or surgical condition that, in the opinion of the investigator, may either interfere with participation in the clinical study and/or put the participant at significant risk (according to the investigator's judgment) if he/she participates in the clinical study
- Poorly controlled T2DM, defined as HbA1c > 10%
- Acute ischaemic cardiovascular events including stroke within 30 days, or heart failure with New York Heart Association (NYHA) Class III to IV
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AZD8233PCSK9-targeted ASO for the reduction of circulating levels of LDL-C. | Drug | AZD8233 |
| PlaceboPlacebo solution | Drug | Placebo |
Primary outcome
Percentage Change From Baseline on Serum LDL-C
Time frame: From baseline to Day 197
Percentage change in Low-density Lipoprotein Cholesterol (LDL-C) from baseline to Day 197.
Number of Subjects With Adverse Events (AEs)
Time frame: On-study includes adverse events with an onset date on or after the date of first dose of IP through study competition, planned visit date Day 281.
Please refer to the adverse event module for specifics.
Vital Signs - Temperature
Time frame: Baseline, Days 15, 29, 57, 85, 113, 141, 169, 197, 225, and 281.
Mean and standard deviation of Temperature at each scheduled visit by treatment.
Vital Sign - Weight
Time frame: Baseline and Day 281.
Mean and standard deviation of Weight at each scheduled visit by treatment.
Number of Participants With an ECG Determined to be Abnormal and Clinically Significant
Time frame: Baseline, Days 85, 169, 225, and 281.
Number of participants With an ECG Determined to be Abnormal and Clinically Significant at each scheduled visit by treatment
Vital Sign - Systolic Blood Pressure
Time frame: Baseline, Days 15, 29, 57, 85, 113, 141, 169, 197, 225, and 281.
Mean and standard deviation of Systolic Blood Pressure at each scheduled visit by treatment.
Vital Sign - Diastolic Blood Pressure
Time frame: Baseline, Days 15, 29, 57, 85, 113, 141, 169, 197, 225, and 281.
Mean and standard deviation of Diastolic Blood Pressure at each scheduled visit by treatment.
Vital Sign - Pulse Rate
Time frame: Baseline, Days 15, 29, 57, 85, 113, 141, 169, 197, 225, and 281.
Mean and standard deviation of Pulse rate at each scheduled visit by treatment.
Treatment Emergent Platelet Count Abnormalities
Time frame: Treatment emergent includes results after the first dose of IP through study competition, planned visit date Day 281.
Treatment emergent platelet count abnormalities by pre-specified criteria by treatment.
3 secondary outcomes
Percentage Change From Baseline on Serum PCSK9
Time frame: From baseline to Day 197
Plasma Concentration of AZD8233
Time frame: Pre-dose of Day 29, Day 85, Day 141, Day 183, Day 197
Anti-drug Antibodies (ADAs) During the Treatment Period and Follow-up Period
Time frame: Pre-dose of Day 1, Day 29, Day 57, Day 85, Day 113, Day 141, Day 169, Day 197, Day 281
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Dec 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- CSRsynopsis\_redactedLink provided by the sponsor.
- CSP\_redactedLink provided by the sponsor.
- SAP\_redactedLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
66 sites in 8 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing AZD8233 in people with Hyperlipidaemia, run by AstraZeneca at 66 sites in 8 countries.
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 6 inclusion and 32 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 15 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 66 sites in United States, Czechia, Denmark, Poland, Slovakia and 3 more countries. 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. Some participants in this study may receive a placebo. 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 15 Dec 2023). 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?
Percentage Change From Baseline on Serum LDL-C (time frame: From baseline to Day 197). 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 15 Dec 2023.