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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04606602
Registration number
NCT04606602
Ethics application status
Date submitted
7/10/2020
Date registered
28/10/2020
Date last updated
12/08/2024
Titles & IDs
Public title
Study to Investigate Safety, Tolerability, PK and PD Response of SLN360 in Subjects With Elevated Lipoprotein(a)
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Scientific title
A Randomised, Double-blind, Placebo Controlled, First-in-human Study to Investigate the Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Response of SLN360 in Subjects With Elevated Lipoprotein(a)
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Secondary ID [1]
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SLN360-001
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hyperlipidemias
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Dyslipidemias
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Elevated Lp(a)
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Condition category
Condition code
Cardiovascular
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Other cardiovascular diseases
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Blood
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Other blood disorders
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Metabolic and Endocrine
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Other metabolic disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - SLN360
Treatment: Drugs - Placebo
Experimental: 30 mg -
Placebo comparator: Placebo -
Experimental: 100 mg -
Experimental: 300 mg -
Experimental: 600 mg -
Experimental: 900 mg -
Experimental: 100 mg multi dose -
Experimental: 200 mg multi dose -
Experimental: 300 mg multi dose -
Experimental: 600 mg multi dose -
Placebo comparator: Placebo multi dose -
Treatment: Drugs: SLN360
SLN360 for subcutaneous (s.c.) injection
Treatment: Drugs: Placebo
Sodium chloride for subcutaneous (s.c.) injection
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Incidence of treatment-emergent adverse events
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Assessment method [1]
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safety and tolerability will be reported separately following single-dose administration.
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Timepoint [1]
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Day 150
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Primary outcome [2]
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Incidence of treatment-emergent adverse events
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Assessment method [2]
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safety and tolerability will be reported separately following multiple-dose administration.
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Timepoint [2]
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Day 201
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Secondary outcome [1]
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Pharmacokinetic: peak plasma concentration (Cmax)
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Assessment method [1]
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safety and tolerability will be reported separately following single-dose and multiple-dose administration.
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Timepoint [1]
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Day 150 and Day 201
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Secondary outcome [2]
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Pharmacokinetic: area under the plasma concentration (AUC)
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Assessment method [2]
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safety and tolerability will be reported separately following single-dose and multiple-dose administration.
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Timepoint [2]
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Day 150 and Day 201
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Secondary outcome [3]
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Pharmacokinetic: apparent total clearance from plasma after s.c injection (CL/F)
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Assessment method [3]
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safety and tolerability will be reported separately following single-dose and multiple-dose administration.
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Timepoint [3]
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Day 150 and Day 201
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Secondary outcome [4]
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Pharmacodynamic: Change in Lp(a)
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Assessment method [4]
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safety and tolerability will be reported separately following single-dose and multiple-dose administration.
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Timepoint [4]
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Day 150 and Day 201
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Eligibility
Key inclusion criteria
Inclusion criteria:
* Elevated plasma Lp(a) = 150nmol/L.
* All subjects must agree to adhere to appropriate contraception requirements.
* Subjects must provide written informed consent and be able to comply with all study requirements.
* Body mass index of = 18 kg/m2 and = 45 kg/m2.
* For the MD part: confirmed history of stable atherosclerortic cardiovascular disease.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Exclusion criteria:
* Single Ascending Dose only: any history of clinically overt cardiovascular disease, defined as acute coronary syndromes, myocardial infarction, stable angina, coronary or other revascularization, ischemic stroke or transient ischemic attack and atherosclerotic peripheral arterial disease.
* Multiple Dose only: recent history of acute cardiovascular disease events within 6 months of screening (including, but not limited to, acute myocardial infarction, unstable angina, acute stroke and acute limb ischemia).
* Moderate or severe hepatic cirrhosis with Child-Pugh grade B or C, or other current or previous liver disease.
* Active serious mental illness or psychiatric disorder, including but not limited to schizophrenia, bipolar disorder, or severe depression requiring current pharmacological intervention.
* Any conditions which, in the opinion of the Investigator, would make the subject unsuitable for enrolment in the study or could interfere with the subject's participation in, or completion of the study.
* Subjects with previous or current use of medication or therapies significantly affecting Lp(a) level or hormone replacement therapy, unless on a stable dose for = 8 weeks prior to screening
* History or clinical evidence of alcohol or illegal drug misuse within the 6 months before screening.
* History of multiple drug allergies or history of allergic reaction to an oligonucleotide or GalNAc, or intolerance to s.c. injections.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
18/11/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
23/08/2023
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Sample size
Target
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Accrual to date
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Final
70
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment hospital [1]
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Linear Clinical Research - Perth
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Recruitment hospital [2]
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Monash Medical Centre - Clayton
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Recruitment postcode(s) [1]
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- Perth
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Recruitment postcode(s) [2]
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- Clayton
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Florida
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Country [2]
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United States of America
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State/province [2]
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Ohio
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Country [3]
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Netherlands
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State/province [3]
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Amsterdam
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Country [4]
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United Kingdom
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State/province [4]
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London
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Silence Therapeutics plc
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Address
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Country
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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Medpace, Inc.
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
This study will investigate the safety and tolerability of SLN360 in patients with elevated Lp(a).
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Trial website
https://clinicaltrials.gov/study/NCT04606602
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Trial related presentations / publications
Nissen SE, Wolski K, Balog C, Swerdlow DI, Scrimgeour AC, Rambaran C, Wilson RJ, Boyce M, Ray KK, Cho L, Watts GF, Koren M, Turner T, Stroes ES, Melgaard C, Campion GV. Single Ascending Dose Study of a Short Interfering RNA Targeting Lipoprotein(a) Production in Individuals With Elevated Plasma Lipoprotein(a) Levels. JAMA. 2022 May 3;327(17):1679-1687. doi: 10.1001/jama.2022.5050. Nissen SE, Wolski K, Watts GF, Koren MJ, Fok H, Nicholls SJ, Rider DA, Cho L, Romano S, Melgaard C, Rambaran C. Single Ascending and Multiple-Dose Trial of Zerlasiran, a Short Interfering RNA Targeting Lipoprotein(a): A Randomized Clinical Trial. JAMA. 2024 May 14;331(18):1534-1543. doi: 10.1001/jama.2024.4504.
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Type
Citations or Other Details
Journal
Nissen SE, Wolski K, Balog C, Swerdlow DI, Scrimge...
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More Details
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Journal
Nissen SE, Wolski K, Watts GF, Koren MJ, Fok H, Ni...
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More Details
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Results not provided in
https://clinicaltrials.gov/study/NCT04606602
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