Trial Outcomes & Findings for Efficacy, Safety and Tolerability of ISIS 304801 in People With Partial Lipodystrophy With an Open-Label Extension (NCT NCT02639286)

NCT ID: NCT02639286

Last Updated: 2020-10-20

Results Overview

Change from baseline to 16 weeks in log 10 fasting triglycerides

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

5 participants

Primary outcome timeframe

Baseline and 16 weeks

Results posted on

2020-10-20

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo
Placebo administered via SC
ISIS 304801
300 mg of ISIS 304801 administered as SC
Overall Study
STARTED
3
2
Overall Study
COMPLETED
3
2
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Efficacy, Safety and Tolerability of ISIS 304801 in People With Partial Lipodystrophy With an Open-Label Extension

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=3 Participants
Placebo administered via SC
ISIS 304801
n=2 Participants
300 mg of ISIS 304801 administered as SC
Total
n=5 Participants
Total of all reporting groups
Sex: Female, Male
Male
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Age, Continuous
43.7 Years
STANDARD_DEVIATION 9.0 • n=99 Participants
32.0 Years
STANDARD_DEVIATION 12.7 • n=107 Participants
39 Years
STANDARD_DEVIATION 11 • n=206 Participants
Sex: Female, Male
Female
3 Participants
n=99 Participants
2 Participants
n=107 Participants
5 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3 Participants
n=99 Participants
1 Participants
n=107 Participants
4 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
White
3 Participants
n=99 Participants
2 Participants
n=107 Participants
5 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
3 participants
n=99 Participants
2 participants
n=107 Participants
5 participants
n=206 Participants
Log triglyceride (mg/dL)
2.6 log mg/dL
STANDARD_DEVIATION 0.3 • n=99 Participants
2.7 log mg/dL
STANDARD_DEVIATION 0.0 • n=107 Participants
2.6 log mg/dL
STANDARD_DEVIATION 0.2 • n=206 Participants

PRIMARY outcome

Timeframe: Baseline and 16 weeks

Change from baseline to 16 weeks in log 10 fasting triglycerides

Outcome measures

Outcome measures
Measure
Placebo
n=3 Participants
Placebo administered via SC
ISIS 304801
n=2 Participants
300 mg of ISIS 304801 administered as SC
Change in Log 10 Fasting Triglycerides.
0.1 log 10 mg/dl
Standard Deviation 0.2
-0.2 log 10 mg/dl
Standard Deviation 0.4

SECONDARY outcome

Timeframe: Baseline and 16 weeks

Change in lipolysis rate measured using stable isotope tracers (Glycerol rate of appearance) (mg/kgLBM/min)

Outcome measures

Outcome measures
Measure
Placebo
n=3 Participants
Placebo administered via SC
ISIS 304801
n=2 Participants
300 mg of ISIS 304801 administered as SC
Change in Lipolysis Rate (Glycerol)
0.1 mg/kgLBM/min
Standard Deviation 0.6
0.3 mg/kgLBM/min
Standard Deviation 2.0

SECONDARY outcome

Timeframe: Baseline and 16 weeks

Change in lipolysis rate measured using stable isotope tracers (Palmitate rate of appearance) measured in milligrams per kilogram lean body mass per minute (mg/kgLBM/min)

Outcome measures

Outcome measures
Measure
Placebo
n=3 Participants
Placebo administered via SC
ISIS 304801
n=2 Participants
300 mg of ISIS 304801 administered as SC
Change in Lipolysis Rate (Palmitate)
0.0 mg/kgLBM/min
Standard Deviation 0.1
-0.2 mg/kgLBM/min
Standard Deviation 0.0

SECONDARY outcome

Timeframe: Baseline and 16 weeks

Change from baseline in hepatic steatosis (magnetic resonance spectroscopy) (mL)

Outcome measures

Outcome measures
Measure
Placebo
n=3 Participants
Placebo administered via SC
ISIS 304801
n=2 Participants
300 mg of ISIS 304801 administered as SC
Change From Baseline in Liver Volume
-114.5 mL
Standard Deviation 384.2
129.2 mL
Standard Deviation 145

SECONDARY outcome

Timeframe: Baseline and 16 weeks

Change from baseline in hepatic steatosis via magnetic resonance spectroscopy

Outcome measures

Outcome measures
Measure
Placebo
n=2 Participants
Placebo administered via SC
ISIS 304801
n=2 Participants
300 mg of ISIS 304801 administered as SC
Change From Baseline in Hepatic Steatosis
4.6 percent
Standard Deviation 14.9
-3.8 percent
Standard Deviation 0.92

SECONDARY outcome

Timeframe: Baseline and 16 weeks

Lipoprotein lipase activity in plasma is measured using blood samples obtained 10 minutes after intravenous infusion of 60 units/kg of unfractionated heparin.

Outcome measures

Outcome measures
Measure
Placebo
n=3 Participants
Placebo administered via SC
ISIS 304801
n=2 Participants
300 mg of ISIS 304801 administered as SC
Change in Lipoprotein Lipase Activity
-1.6 nmol FFA/min
Standard Deviation 1.6
-3.2 nmol FFA/min
Standard Deviation 2.0

SECONDARY outcome

Timeframe: Baseline and 16 weeks

Change in total body insulin sensitivity using the hyperinsulinemic euglycemic clamp (mg/kgLBM/min)

Outcome measures

Outcome measures
Measure
Placebo
n=3 Participants
Placebo administered via SC
ISIS 304801
n=2 Participants
300 mg of ISIS 304801 administered as SC
Change in Total Body Insulin Sensitivity
-0.1 mg/kgLBM/min
Standard Deviation 2.0
0.4 mg/kgLBM/min
Standard Deviation 1.5

SECONDARY outcome

Timeframe: Baseline and 16 weeks

Change in hemoglobin A1c (HbA1c) (%)

Outcome measures

Outcome measures
Measure
Placebo
n=3 Participants
Placebo administered via SC
ISIS 304801
n=2 Participants
300 mg of ISIS 304801 administered as SC
Change in HbA1c
0.6 Percent
Standard Deviation 0.3
0.7 Percent
Standard Deviation 0.2

SECONDARY outcome

Timeframe: Baseline and 16 weeks

Change in fasting plasma glucose in mg/dL

Outcome measures

Outcome measures
Measure
Placebo
n=3 Participants
Placebo administered via SC
ISIS 304801
n=2 Participants
300 mg of ISIS 304801 administered as SC
Change in Fasting Plasma Glucose
-47 mg/dL
Standard Deviation 77
-71 mg/dL
Standard Deviation 100

SECONDARY outcome

Timeframe: 16 weeks

Measured via a non-compartmental plasma PK analysis of ISIS 304801

Outcome measures

Outcome measures
Measure
Placebo
n=3 Participants
Placebo administered via SC
ISIS 304801
n=2 Participants
300 mg of ISIS 304801 administered as SC
Plasma ISIS 304801 Level
0 ng/mL
Standard Error 0
34.5 ng/mL
Standard Error 21.5

Adverse Events

Placebo

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

ISIS 304801

Serious events: 1 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=3 participants at risk
Placebo administered via SC
ISIS 304801
n=2 participants at risk
300 mg of ISIS 304801 administered as SC
Gastrointestinal disorders
Acute Pancreatitis
0.00%
0/3 • 16 weeks of treatment
50.0%
1/2 • 16 weeks of treatment

Other adverse events

Other adverse events
Measure
Placebo
n=3 participants at risk
Placebo administered via SC
ISIS 304801
n=2 participants at risk
300 mg of ISIS 304801 administered as SC
Investigations
Injection site reactions
0.00%
0/3 • 16 weeks of treatment
100.0%
2/2 • 16 weeks of treatment
Hepatobiliary disorders
Elevated liver enzymes
33.3%
1/3 • 16 weeks of treatment
50.0%
1/2 • 16 weeks of treatment
Nervous system disorders
Headache
0.00%
0/3 • 16 weeks of treatment
50.0%
1/2 • 16 weeks of treatment
Investigations
IV infiltration
33.3%
1/3 • 16 weeks of treatment
0.00%
0/2 • 16 weeks of treatment
Renal and urinary disorders
Urinary tract infection
0.00%
0/3 • 16 weeks of treatment
50.0%
1/2 • 16 weeks of treatment
Infections and infestations
Influenza
0.00%
0/3 • 16 weeks of treatment
50.0%
1/2 • 16 weeks of treatment
Metabolism and nutrition disorders
Hyperglycemia
0.00%
0/3 • 16 weeks of treatment
50.0%
1/2 • 16 weeks of treatment
Blood and lymphatic system disorders
Pancytopenia
0.00%
0/3 • 16 weeks of treatment
50.0%
1/2 • 16 weeks of treatment
Respiratory, thoracic and mediastinal disorders
URI
33.3%
1/3 • 16 weeks of treatment
0.00%
0/2 • 16 weeks of treatment
Gastrointestinal disorders
Nausea
33.3%
1/3 • 16 weeks of treatment
0.00%
0/2 • 16 weeks of treatment
Gastrointestinal disorders
Vomiting
33.3%
1/3 • 16 weeks of treatment
0.00%
0/2 • 16 weeks of treatment

Additional Information

Dr. Rebecca Brown

NIDDK

Phone: 301-594-0609

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place