Study of AKCEA-ANGPTL3-LRX (ISIS 703802) in Patients With With Familial Partial Lipodystrophy (FPL)
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ClinicalTrials.gov Identifier: NCT03514420 |
Recruitment Status :
Completed
First Posted : May 2, 2018
Last Update Posted : September 13, 2019
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Familial Partial Lipodystrophy | Drug: AKCEA-ANGPTL3-LRX | Phase 2 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 4 participants |
Intervention Model: | Single Group Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | An Open-label Phase 2 Study of ISIS 703802 (AKCEA-ANGPTL3-LRx) Administered Subcutaneously to Subjects With Familial Partial Lipodystrophy |
Actual Study Start Date : | May 30, 2018 |
Actual Primary Completion Date : | July 30, 2019 |
Actual Study Completion Date : | August 20, 2019 |

Arm | Intervention/treatment |
---|---|
Experimental: AKCEA-ANGPTL3-LRX Dose 1 |
Drug: AKCEA-ANGPTL3-LRX
Single open-label cohort
Other Name: ISIS 703802 |
- Reduction of fasting triglycerides (TG). [ Time Frame: 27 weeks ]Percent change in fasting TG from from Baseline to Week 27.
- Effect of ISIS 703802 on mixed meal test (MMT). [ Time Frame: 27 weeks ]Change in glucose parameters in response to a mixed meal test (MMT) from Baseline to Week 27 will be summarized.
- Effect of ISIS 703802 on lipid parameters. [ Time Frame: 27 weeks ]Absolute and percentage change on lipid parameters from Baseline to Week 27 will be summarized.
- Effect of ISIS 703802 on glycosylated hemoglobin (HbA1c). [ Time Frame: 27 weeks ]Change from Baseline in HbA1c at Week 27.
- Effect of ISIS 703802 on hepatic fat fraction. [ Time Frame: 27 weeks ]Change from Baseline in hepatic fat fraction (as assessed by magnetic resonance imaging [MRI]) at Week 27.
- Effect of ISIS 703802 on fat distribution in various areas of the body. [ Time Frame: 27 weeks ]Changes Changes from Baseline in body fat distribution for various areas in the body as measured by skinfold thickness and DEXA at Week 27.
- The safety of ISIS 703802 by the incidence of treatment-emergent adverse events. [ Time Frame: 27 weeks ]The safety of ISIS 703802 will be assessed by determining adverse effects.

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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- 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 HbA1c ≥ 7% to ≤ 12% at Screening and on anti-diabetic therapy as defined in study protocol
- Hypertriglyceridemia as defined by fasting TG levels ≥ 500 mg/dL at both Screening and Qualification visits. Patients with the clinical diagnosis of FPL and with fasting TG levels ≥ 200 (≥ 2.26 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 MRI indicating a hepatic fat fraction (HFF) ≥ 6.4%
Exclusion Criteria:
- 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 patient participating in or completing the study

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03514420
United States, Michigan | |
Clinical Site | |
Ann Arbor, Michigan, United States, 48105 |
Responsible Party: | Akcea Therapeutics |
ClinicalTrials.gov Identifier: | NCT03514420 History of Changes |
Other Study ID Numbers: |
ISIS 703802-CS5 |
First Posted: | May 2, 2018 Key Record Dates |
Last Update Posted: | September 13, 2019 |
Last Verified: | September 2019 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
Lipodystrophy Lipodystrophy, Familial Partial Lipid Metabolism Disorders |
Dyslipidemias Kobberling-Dunnigan syndrome (type 1 and 2) Lipoatrophic Diabetes |
Lipodystrophy Lipodystrophy, Familial Partial Skin Diseases, Metabolic |
Skin Diseases Lipid Metabolism Disorders Metabolic Diseases |