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NCT03728634

Evaluate the Safety and Tolerability, as Well as the Pharmacokinetic and Pharmacodynamic Profiles of Single and Multiple Doses of Eplontersen Administered Subcutaneously to Healthy Volunteers and Patients With Hereditary Transthyretin-Mediated Amyloidosis (hATTR ).

Completed Phase 1, PHASE2 Results posted Last updated 19 December 2022
What this trial tests

Phase 1, PHASE2 trial testing ION-682884 in Healthy Volunteers in 47 participants. Completed in 20 February 2020.

Timeline
21 December 2018
Primary endpoint
20 February 2020
20 February 2020

Quick facts

Lead sponsorIonis Pharmaceuticals, Inc.
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment47
Start date21 December 2018
Primary completion20 February 2020
Estimated completion20 February 2020
Sites1 location across Canada

Drugs / interventions tested

Conditions studied

Sponsor

Ionis Pharmaceuticals, Inc. — full company profile →

Who can join

Adults 18 to 65, any sex, with Healthy Volunteers or hATTR Amyloidosis. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With at Least One Treatment-Emergent Adverse Event (TEAE) Primary · Up to Day 176

An adverse event (AE) is any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not the AE was considered related to the medicinal (investigational) product. An AE was to be regarded as a TEAE if it was present prior to receiving the first dose of study drug and subsequently worsened or was not present prior to receiving the first dose of study drug but subsequently appeared.

GroupValue95% CI
Multiple Dose Cohort: Placebo3
Multiple Dose Cohort A: ION-682884 45 mg1
Multiple Dose Cohort E: ION-682884 60 mg3
Multiple Dose Cohort B: ION-682884 90 mg7
Single Dose Cohort: Placebo1
Single Dose Cohort C: ION-682884 120 mg4
Percentage of Participants Using Concomitant Medications Primary · Up to Day 176

A concomitant therapy was any non-protocol-specified drug or substance (including over-the-counter \[OTC\] medications, herbal medications, and vitamin supplements) administered between signing of informed consent and the last study visit.

GroupValue95% CI
Multiple Dose Cohort: Placebo0.0
Multiple Dose Cohort A: ION-682884 45 mg0.0
Multiple Dose Cohort E: ION-682884 60 mg30.0
Multiple Dose Cohort B: ION-682884 90 mg0.0
Single Dose Cohort: Placebo0.0
Single Dose Cohort C: ION-682884 120 mg22.2
Number of Participants With Clinically Significant Laboratory Values Primary · Up to Day 176

Laboratory parameters included measurement of blood chemistry, hematology, coagulation, complement, or urinalysis parameters for the single-dose and multiple-dose cohorts. Number of participants with clinically significant values in laboratory based on Investigator's assessment are reported. Any value outside the normal range was to be flagged for the attention of the investigator was to assess whether or not a flagged value is of clinical significance.

GroupValue95% CI
Multiple Dose Cohort: Placebo0
Multiple Dose Cohort A: ION-682884 45 mg0
Multiple Dose Cohort E: ION-682884 60 mg0
Multiple Dose Cohort B: ION-682884 90 mg0
Single Dose Cohort: Placebo0
Single Dose Cohort C: ION-682884 120 mg0
Number of Participants With Clinically Significant Physical Examination Findings Primary · Up to Day 176

Physical examination included measurement of height and weight for body mass index (BMI) determination. Number of participants with clinically significant findings in physical examination based on Investigator's assessment are reported. Any value outside the normal range was to be flagged for the attention of the investigator was to assess whether or not a flagged value is of clinical significance.

GroupValue95% CI
Multiple Dose Cohort: Placebo0
Multiple Dose Cohort A: ION-682884 45 mg0
Multiple Dose Cohort E: ION-682884 60 mg0
Multiple Dose Cohort B: ION-682884 90 mg0
Single Dose Cohort: Placebo0
Single Dose Cohort C: ION-682884 120 mg0
Number of Participants With Clinically Significant Electrocardiogram (ECG) Values Primary · Up to Day 176

ECG measurements included assessment of ventricular rate (VR), PR interval, QR interval, QT interval, QT corrected using Fridericia's formula (QTcF), and QT corrected using Bazett's formula (QTcB). Number of participants with clinically significant values in electrocardiogram based on Investigator's assessment are reported. Any value outside the normal range was to be flagged for the attention of the investigator was to assess whether or not a flagged value is of clinical significance.

GroupValue95% CI
Multiple Dose Cohort: Placebo0
Multiple Dose Cohort A: ION-682884 45 mg0
Multiple Dose Cohort E: ION-682884 60 mg0
Multiple Dose Cohort B: ION-682884 90 mg0
Single Dose Cohort: Placebo0
Single Dose Cohort C: ION-682884 120 mg0
Cmax: Maximum Observed Plasma Drug Concentration of ION-TTR-LRx Secondary · Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post-dose on Days 1 and 85
Day 1
GroupValue95% CI
Multiple Dose Cohort A: ION-682884 45 mg0.143± 39.3
Multiple Dose Cohort E: ION-682884 60 mg0.239± 62.6
Multiple Dose Cohort B: ION-682884 90 mg0.332± 43.6
Single Dose Cohort C: ION-682884 120 mg0.542± 65.0
Day 85
GroupValue95% CI
Multiple Dose Cohort A: ION-682884 45 mg0.215± 66.1
Multiple Dose Cohort E: ION-682884 60 mg0.282± 74.5
Multiple Dose Cohort B: ION-682884 90 mg0.471± 69.5
Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) of ION-TTR-LRx Secondary · Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post-dose on Days 1 and 85
Day 1
GroupValue95% CI
Multiple Dose Cohort A: ION-682884 45 mg2.011.00 – 4.00
Multiple Dose Cohort E: ION-682884 60 mg6.003.00 – 12.0
Multiple Dose Cohort B: ION-682884 90 mg2.251.00 – 6.00
Single Dose Cohort C: ION-682884 120 mg4.001.00 – 8.00
Day 85
GroupValue95% CI
Multiple Dose Cohort A: ION-682884 45 mg3.001.00 – 3.00
Multiple Dose Cohort E: ION-682884 60 mg1.001.00 – 3.00
Multiple Dose Cohort B: ION-682884 90 mg3.001.00 – 8.00
AUCt: Area Under the Plasma Concentration-Time Curve From Time Zero to Time t for ION-TTR-LRx Secondary · From 0 to 672 hours post-dose on Day 85 for Cohorts A, B, and E; 0 hours to extrapolation to infinity post-dose on Day 1 for Cohort C
Day 1
GroupValue95% CI
Single Dose Cohort C: ION-682884 120 mg6.78± 20.3
Day 85
GroupValue95% CI
Multiple Dose Cohort A: ION-682884 45 mg1.81± 36.3
Multiple Dose Cohort E: ION-682884 60 mg2.73± 43.2
Multiple Dose Cohort B: ION-682884 90 mg4.35± 43.2
CL/F: Apparent Total Clearance of ION-TTR-LRx Secondary · From 0 to 672 hours post-dose on Day 85 for Cohorts A, B, and E; 0 hours to extrapolation to infinity post-dose on Day 1 for Cohort C
Day 1
GroupValue95% CI
Single Dose Cohort C: ION-682884 120 mg17.7± 20.3
Day 85
GroupValue95% CI
Multiple Dose Cohort A: ION-682884 45 mg24.8± 36.3
Multiple Dose Cohort E: ION-682884 60 mg22.0± 43.2
Multiple Dose Cohort B: ION-682884 90 mg20.7± 43.2
t1/2λz: Termination Half-Life of ION-TTR-LRx Secondary · Up to 92 hours; post-dose on Day 85 for Cohorts A, B, and E, and on Day 1 for Cohort C
Day 1
GroupValue95% CI
Single Dose Cohort C: ION-682884 120 mg17.912.8 – 40.7
Day 85
GroupValue95% CI
Multiple Dose Cohort A: ION-682884 45 mg22.310.3 – 52.7
Multiple Dose Cohort E: ION-682884 60 mg30.320.1 – 58.9
Multiple Dose Cohort B: ION-682884 90 mg24.815.2 – 45.0
Ae0-24h: Amount of Administered Dose of ION-TTR-LRx Excreted in Urine Over a 24-Hour Period Secondary · From 0 to 24 hours post-dose on Days 1 and 85
Day 1
GroupValue95% CI
Multiple Dose Cohort A: ION-682884 45 mg17.0± 54.1
Multiple Dose Cohort E: ION-682884 60 mg23.5± 62.3
Multiple Dose Cohort B: ION-682884 90 mg29.9± 146
Single Dose Cohort C: ION-682884 120 mg87.4± 87.9
Day 85
GroupValue95% CI
Multiple Dose Cohort A: ION-682884 45 mg40.6± 38.0
Multiple Dose Cohort E: ION-682884 60 mg68.3± 57.2
Multiple Dose Cohort B: ION-682884 90 mg133± 33.8
Change From Baseline in Plasma Transthyretin (TTR) Levels Following Single and Multiple-dose Administration of ION-TTR-LRx Secondary · Baseline, Days 29 and 99
Day 29
GroupValue95% CI
Multiple Dose Cohort: Placebo-0.225± 2.935
Multiple Dose Cohort A: ION-682884 45 mg-13.40± 4.312
Multiple Dose Cohort E: ION-682884 60 mg-18.63± 4.933
Multiple Dose Cohort B: ION-682884 90 mg-19.42± 5.441
Single Dose Cohort: Placebo0.725± 1.732
Single Dose Cohort C: ION-682884 120 mg-20.06± 3.615
Day 99
GroupValue95% CI
Multiple Dose Cohort: Placebo0.908± 4.050
Multiple Dose Cohort A: ION-682884 45 mg-18.60± 2.911
Multiple Dose Cohort E: ION-682884 60 mg-22.02± 3.564
Multiple Dose Cohort B: ION-682884 90 mg-21.91± 5.175

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to Day 176. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Multiple Dose Cohort: Placebo
Serious: 0/6 (0%)
Deaths: 0/6
Multiple Dose Cohort A: ION-682884 45 mg
Serious: 0/10 (0%)
Deaths: 0/10
Multiple Dose Cohort E: ION-682884 60 mg
Serious: 0/10 (0%)
Deaths: 0/10
Multiple Dose Cohort B: ION-682884 90 mg
Serious: 0/10 (0%)
Deaths: 0/10
Single Dose Cohort: Placebo
Serious: 0/2 (0%)
Deaths: 0/2
Single Dose Cohort C: ION-682884 120 mg
Serious: 0/9 (0%)
Deaths: 0/9
Other adverse events (20 terms — click to expand)

ReactionSystemMultiple Dose Cohort: Plac…Multiple Dose Cohort A: IO…Multiple Dose Cohort E: IO…Multiple Dose Cohort B: IO…Single Dose Cohort: PlaceboSingle Dose Cohort C: ION-…
Alanine aminotransferase increasedInvestigations
Blood creatine phosphokinase increasedInvestigations
HeadacheNervous system disorders
Weight increasedInvestigations
Injection site bruisingGeneral disorders
Injection site erythemaGeneral disorders
Injection site reactionGeneral disorders
Injection site swellingGeneral disorders
Vessel puncture site bruiseGeneral disorders
Vessel puncture site paraesthesiaGeneral disorders
Skin abrasionInjury, poisoning and procedural complications
EpistaxisRespiratory, thoracic and mediastinal disorders
Upper respiratory tract infectionInfections and infestations
Nasal congestionRespiratory, thoracic and mediastinal disorders
Rhinitis allergicRespiratory, thoracic and mediastinal disorders
RhinorrhoeaRespiratory, thoracic and mediastinal disorders
NauseaGastrointestinal disorders
Influenza like illnessGeneral disorders
MalaiseGeneral disorders
Limb discomfortMusculoskeletal and connective tissue disorders

Data from ClinicalTrials.gov NCT03728634 adverse events section.

Sponsor's own description

To evaluate the safety and tolerability, as well as the pharmacokinetic and pharmacodynamic profiles of single and multiple doses of Eplontersen administered subcutaneously to healthy volunteers and patients with Hereditary Transthyretin-Mediated Amyloidosis (hATTR ).

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Noncoding RNA therapeutics - challenges and potential solutions.
    Winkle M, El-Daly SM, Fabbri M, Calin GA. · · 2021 · cited 1123× · PMID 34145432 · DOI 10.1038/s41573-021-00219-z
  2. Antisense technology: A review.
    Crooke ST, Liang XH, Baker BF, Crooke RM. · · 2021 · cited 237× · PMID 33600796 · DOI 10.1016/j.jbc.2021.100416
  3. Pathophysiology and Therapeutic Approaches to Cardiac Amyloidosis.
    Griffin JM, Rosenblum H, Maurer MS. · · 2021 · cited 130× · PMID 33983835 · DOI 10.1161/circresaha.121.318187
  4. ATTR Amyloidosis: Current and Emerging Management Strategies: <i>JACC: CardioOncology</i> State-of-the-Art Review.
    Griffin JM, Rosenthal JL, Grodin JL, Maurer MS, et al · · 2021 · cited 110× · PMID 34729521 · DOI 10.1016/j.jaccao.2021.06.006
  5. Diagnosis and Treatment of Hereditary Transthyretin Amyloidosis (hATTR) Polyneuropathy: Current Perspectives on Improving Patient Care.
    Luigetti M, Romano A, Di Paolantonio A, Bisogni G, et al · · 2020 · cited 91× · PMID 32110029 · DOI 10.2147/tcrm.s219979
  6. Novel approaches to diagnosis and management of hereditary transthyretin amyloidosis.
    Carroll A, Dyck PJ, de Carvalho M, Kennerson M, et al · · 2022 · cited 79× · PMID 35256455 · DOI 10.1136/jnnp-2021-327909
  7. Hereditary transthyretin amyloidosis overview.
    Manganelli F, Fabrizi GM, Luigetti M, Mandich P, et al · · 2022 · cited 78× · PMID 33188616 · DOI 10.1007/s10072-020-04889-2
  8. Non-Coding RNA-Targeted Therapy: A State-of-the-Art Review.
    Nappi F. · · 2024 · cited 72× · PMID 38612441 · DOI 10.3390/ijms25073630

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03728634.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing