Safety and Activity of Oral HPBCD in Coronary Artery Disease
A Single-group Treatment, Phase 2a, Open-label, Single-arm Study to Assess the Safety, Tolerability, and Pharmacodynamic Effect of Oral HPBCD in Adult Participants with Coronary Artery Disease
PPD part of Thermo Fisher
10 participants
Dec 7, 2022
Interventional
Conditions
Summary
Repeat-dosing of HPBCD is expected to result in increased levels of ApoA1, and the subsequent formation of high-density lipoprotein (HDL) particles in patients. This is a multi-centre, Phase 2a study. It is a single-arm, open label study in patients with coronary artery disease. Patients will receive a daily oral dose of HPBCD at 250mg/kg for 14 days. The study aims to evaluate the safety and tolerability of single and multiple oral doses of HPBCD. The study will also evaluate the changes in levels of Apo1 after a single and multiple oral doses of HPBCD over the duration of the study
Eligibility
Inclusion Criteria17
- Participant must be 18 to 75 years of age (inclusive) at the time of signing the informed
- consent form (ICF).
- Has a documented history of stable (>3 months prior to screening) coronary heart disease (at least 1 of the following):
- Acute coronary syndrome or myocardial infarction.
- Coronary revascularization procedure.
- Diagnosis of coronary heart disease based on anatomic or functional test results.
- Any antihypertensives, glucose- or lipid-lowering medications, or hormone therapies must have been taken as a stable dose for at least 4 weeks prior to screening.
- Body mass index within the range of 18.5 to 35 kg/m2 (inclusive) and body weight less than or equal to 140kg.
- Male participants are eligible if they agree to all of the following requirements during the study intervention period and for at least 30 days after the last dose of study drug:
- Refrain from donating sperm; AND
- Be abstinent from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long-term and persistent basis) or agree to utilize highly effective contraception
- Female participants are eligible if they meet all of the following requirements during the study intervention period and for at least 30 days after the last dose of study drug:
- Refrain from donating eggs (ova, oocytes) for the purpose of reproduction.
- Meet at least one of the following criteria:
- +Is not a woman of childbearing potential (WOCBP); OR
- +Is a WOCBP, has a negative serum pregnancy test within 24 hours before the first dose of study drug, and agrees to utilize highly effective contraception.
- Is capable of understanding the ICF, has provided signed and witnessed informed consent, and agreed to comply with the protocol requirements.
Exclusion Criteria29
- History of any significant cardiac event or procedure within 3 months prior to Screening, including:
- Acute coronary syndrome or myocardial infarction
- Coronary revascularization procedure
- Clinically significant electrocardiogram (ECG) abnormalities, including but not limited to conduction abnormalities or atrial fibrillation
- Insulin-dependent diabetes mellitus Type 1 or Type 2, or hemoglobin A1c lower than or equal to 9.5%
- Systolic blood pressure greater than or equal to 160 mmHg or diastolic blood pressure greater than or equal to 100 mmHg despite antihypertensive medication
- Donation or loss of blood greater than or equal to 450 mL within 8 weeks prior to screening
- Clinically significant laboratory abnormalities, including:
- Aspartate transaminase (AST) or alanine transaminase (ALT) > 3 × upper limit of normal (ULN)
- Total bilirubin > 1.5 × ULN
- Fasting serum triglycerides greater than or equal to 500 mg/dL
- LDL cholesterol lower than or equal to 40 mg/dL
- HDL cholesterol > 80 mg/dL
- Hemoglobin < 11.0 g/dL
- Platelet count < 150,000/µL
- Thyroid-stimulating hormone (TSH) > 1.5 × ULN
- Any physical or psychiatric condition which at the Investigator’s discretion may put the
- participant at risk, may confound the trial results, or may interfere with participation in
- this clinical trial.
- The participant is pregnant or breastfeeding.
- History of any malignancy (other than basal cell carcinoma of the skin or in situ cervical
- cancer) within the past 5 years.
- Cognitive, psychological, or addictive conditions (including alcoholism or drug/ chemical abuse) that, in the opinion of the Investigator, may interfere with participant compliance,put the participant at risk, or preclude informed consent.
- Current use of bile acid sequestrants or cholesterol absorption inhibitors (for example, ezetimibe).
- Current enrollment or past participation in another investigational study in which an investigational intervention (for example, drug, vaccine, and invasive device) was administered within 30 days or 5 half-lives, whichever is longer, of screening in this clinical study.
- Positive blood screen for hepatitis B surface antigen or core antibody, hepatitis C antibody, or human immunodeficiency virus 1 or 2 antibodies.
- Presence of any clinically significant uncontrolled endocrine disease known to influence serum lipids or lipoproteins (thyroid replacement therapy can be included if on stable dose for at least 12 weeks prior to screening and TSH level is within normal limits).
- Planned surgery or coronary angiography/intervention during the time of study participation; any major surgery within 6 weeks of screening, or surgical or medical condition which might jeopardize participant’s safety.
- Sensitivity to the study drug, or components thereof, or drug or other allergy that, in the opinion of the Investigator or medical monitor, contraindicates participation in the study.
Interested in this trial?
Get notified about updates and connect with the research team.
Interventions
Patients will receive 250 mg/kg oral dose of HPBCD daily for 14 days. The active ingredient of HPBCD is 2-hydroxypropyl-ß-cyclodextrin (HPBCD). Patient will take HPBCD as an oral solution. HPBCD will be administered to patients by site staff and adherence will be assessed through source data where record of the quantity of HPBCD dispensed to and administered by each participant must be maintained and reconciled with study drug administration and compliance records
Locations(1)
View Full Details on ANZCTR
For the most up-to-date information, visit the official listing.
ACTRN12622001377729