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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.

Completed

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

Official record
Search all trials

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

Other trials in United States

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

Other trials in Czechia

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

Other trials in Denmark

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

Other trials in Poland

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

Other trials in Slovakia

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

Other trials in Spain

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

Other trials in Netherlands

Hungary4 sites
  • Research Site

    Balatonfüred, 8230

  • Research Site

    Békéscsaba, 5600

  • Research Site

    Debrecen, 4032

  • Research Site

    Orosháza, 5900

Other trials in Hungary

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 groups in NCT04964557
Study groupRoleWhat they receive
AZD8233ExperimentalAZD8233 for subcutaneous use
Receives: Drug: AZD8233
PlaceboPlacebo comparatorPlacebo solution for subcutaneous injection
Receives: Drug: Placebo

What is being measured

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

  1. 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

  2. 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.

  3. 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.

  4. Vital Sign - Weight

    Mean and standard deviation of Weight at each scheduled visit by treatment.

    Measured: Baseline and Day 281.

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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)
  1. 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

  2. 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

  3. 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.

  1. First posted16 Jul 2021
  2. Study start7 Jul 2021
  3. Primary completion15 Jul 2022
  4. Study completion15 Jul 2022

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
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
411 participants (actual)
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
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.

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.

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