Trial Outcomes & Findings for Study of ISIS 678354 (AKCEA-APOCIII-LRx) in Participants With Hypertriglyceridemia and Established Cardiovascular Disease (CVD) (NCT NCT03385239)

NCT ID: NCT03385239

Last Updated: 2023-01-11

Results Overview

An analysis of covariance (ANCOVA) model was performed on the log ratio of TG value at the Primary Analysis Time Point to TG value at Baseline. The estimate of the log ratio was converted back to the original scale and percent change was calculated using formula: (ratio of TG value at the Primary Analysis Time Point to TG value at Baseline - 1) × 100.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

114 participants

Primary outcome timeframe

Baseline and Month 6 (Week 25 for Cohorts A and B and Week 27 for Cohorts C and D)

Results posted on

2023-01-11

Participant Flow

Participants with a clinical diagnosis of hypertriglyceridemia and established cardiovascular disease (CVD) or at high risk for CVD were enrolled in 32 study sites in United States and Canada between 30 January 2018 to 25 February 2020.

114 participants were randomized in a 1:1:1:1 ratio to Cohorts A, B, C or D. In each cohort, participants were randomized in a 4:1 ratio to receive ISIS 678354 or placebo. Placebo participants from all cohorts were pooled for analysis and presented as the pooled placebo group.

Participant milestones

Participant milestones
Measure
Pooled Placebo
Participants in each cohort were randomized to receive placebo at a dose-matched volume of study drug (ISIS 678354).
Cohort A: ISIS 678354: 10 mg Q4W
Cohort A participants received 10 milligrams (mg) ISIS 678354, subcutaneous (SC) injection, once every 4 weeks (Q4W), for up to 49 weeks and a maximum of 13 doses.
Cohort C: ISIS 678354: 15 mg Q2W
Cohort C participants received 15 mg ISIS 678354, SC injection, once every 2 weeks (Q2W) for up to 51 weeks and a maximum of 26 doses.
Cohort D: ISIS 678354: 10 mg QW
Cohort D participants received 10 mg ISIS 678354, SC injection, once weekly (QW) for up to 52 weeks and a maximum of 52 doses.
Cohort B: ISIS 678354: 50 mg Q4W
Cohort B participants received 50 mg ISIS 678354, SC injection, once Q4W for up to 49 weeks and a maximum of 13 doses.
Overall Study
STARTED
24
22
23
23
22
Overall Study
COMPLETED
22
19
20
19
22
Overall Study
NOT COMPLETED
2
3
3
4
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Pooled Placebo
Participants in each cohort were randomized to receive placebo at a dose-matched volume of study drug (ISIS 678354).
Cohort A: ISIS 678354: 10 mg Q4W
Cohort A participants received 10 milligrams (mg) ISIS 678354, subcutaneous (SC) injection, once every 4 weeks (Q4W), for up to 49 weeks and a maximum of 13 doses.
Cohort C: ISIS 678354: 15 mg Q2W
Cohort C participants received 15 mg ISIS 678354, SC injection, once every 2 weeks (Q2W) for up to 51 weeks and a maximum of 26 doses.
Cohort D: ISIS 678354: 10 mg QW
Cohort D participants received 10 mg ISIS 678354, SC injection, once weekly (QW) for up to 52 weeks and a maximum of 52 doses.
Cohort B: ISIS 678354: 50 mg Q4W
Cohort B participants received 50 mg ISIS 678354, SC injection, once Q4W for up to 49 weeks and a maximum of 13 doses.
Overall Study
Voluntary Withdrawal
2
3
2
3
0
Overall Study
Adverse Event
0
0
1
0
0
Overall Study
Other
0
0
0
1
0

Baseline Characteristics

Study of ISIS 678354 (AKCEA-APOCIII-LRx) in Participants With Hypertriglyceridemia and Established Cardiovascular Disease (CVD)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pooled Placebo
n=24 Participants
Participants in each cohort were randomized to receive placebo at a dose-matched volume of study drug (ISIS 678354).
Cohort A: ISIS 678354: 10 mg Q4W
n=22 Participants
Cohort A participants received 10 mg ISIS 678354, SC injection, Q4W, for up to 49 weeks and a maximum of 13 doses.
Cohort C: ISIS 678354: 15 mg Q2W
n=23 Participants
Cohort C participants received 15 mg ISIS 678354, SC injection, Q2W for up to 51 weeks and a maximum of 26 doses.
Cohort D: ISIS 678354: 10 mg QW
n=23 Participants
Cohort D participants received 10 mg ISIS 678354, SC injection, QW for up to 52 weeks and a maximum of 52 doses.
Cohort B: ISIS 678354: 50 mg Q4W
n=22 Participants
Cohort B participants received 50 mg ISIS 678354, SC injection, once Q4W for up to 49 weeks and a maximum of 13 doses.
Total
n=114 Participants
Total of all reporting groups
Age, Continuous
64.6 years
STANDARD_DEVIATION 7.93 • n=99 Participants
64.4 years
STANDARD_DEVIATION 9.13 • n=107 Participants
68.9 years
STANDARD_DEVIATION 6.82 • n=206 Participants
65.6 years
STANDARD_DEVIATION 8.48 • n=7 Participants
62.9 years
STANDARD_DEVIATION 7.40 • n=31 Participants
65.3 years
STANDARD_DEVIATION 8.10 • n=30 Participants
Sex: Female, Male
Female
4 Participants
n=99 Participants
8 Participants
n=107 Participants
4 Participants
n=206 Participants
5 Participants
n=7 Participants
7 Participants
n=31 Participants
28 Participants
n=30 Participants
Sex: Female, Male
Male
20 Participants
n=99 Participants
14 Participants
n=107 Participants
19 Participants
n=206 Participants
18 Participants
n=7 Participants
15 Participants
n=31 Participants
86 Participants
n=30 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=99 Participants
3 Participants
n=107 Participants
2 Participants
n=206 Participants
1 Participants
n=7 Participants
0 Participants
n=31 Participants
7 Participants
n=30 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
23 Participants
n=99 Participants
19 Participants
n=107 Participants
21 Participants
n=206 Participants
22 Participants
n=7 Participants
22 Participants
n=31 Participants
107 Participants
n=30 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
0 Participants
n=30 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
0 Participants
n=30 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
1 Participants
n=30 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
0 Participants
n=7 Participants
0 Participants
n=31 Participants
0 Participants
n=30 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=99 Participants
1 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
2 Participants
n=31 Participants
4 Participants
n=30 Participants
Race (NIH/OMB)
White
22 Participants
n=99 Participants
20 Participants
n=107 Participants
23 Participants
n=206 Participants
23 Participants
n=7 Participants
18 Participants
n=31 Participants
106 Participants
n=30 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
1 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
2 Participants
n=31 Participants
3 Participants
n=30 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
0 Participants
n=30 Participants
Fasting Triglycerides (TG)
293.8 milligrams per deciliter (mg/dL)
STANDARD_DEVIATION 86.68 • n=99 Participants
281.6 milligrams per deciliter (mg/dL)
STANDARD_DEVIATION 73.43 • n=107 Participants
284.8 milligrams per deciliter (mg/dL)
STANDARD_DEVIATION 94.54 • n=206 Participants
292.3 milligrams per deciliter (mg/dL)
STANDARD_DEVIATION 89.29 • n=7 Participants
268.4 milligrams per deciliter (mg/dL)
STANDARD_DEVIATION 85.08 • n=31 Participants
284.4 milligrams per deciliter (mg/dL)
STANDARD_DEVIATION 85.16 • n=30 Participants
Apolipoprotein CIII (ApoC-III)
16.618 mg/dL
STANDARD_DEVIATION 4.4720 • n=99 Participants
16.030 mg/dL
STANDARD_DEVIATION 4.1482 • n=107 Participants
15.849 mg/dL
STANDARD_DEVIATION 4.2456 • n=206 Participants
16.810 mg/dL
STANDARD_DEVIATION 4.2021 • n=7 Participants
15.669 mg/dL
STANDARD_DEVIATION 3.2484 • n=31 Participants
16.205 mg/dL
STANDARD_DEVIATION 4.0466 • n=30 Participants
Total Cholesterol (TC)
144.8 mg/dL
STANDARD_DEVIATION 26.00 • n=99 Participants
149.2 mg/dL
STANDARD_DEVIATION 28.81 • n=107 Participants
163.1 mg/dL
STANDARD_DEVIATION 35.09 • n=206 Participants
160.0 mg/dL
STANDARD_DEVIATION 34.55 • n=7 Participants
166.8 mg/dL
STANDARD_DEVIATION 35.30 • n=31 Participants
156.7 mg/dL
STANDARD_DEVIATION 32.66 • n=30 Participants
LDL Cholesterol (LDL-C)
55.9 mg/dL
STANDARD_DEVIATION 26.06 • n=99 Participants
62.4 mg/dL
STANDARD_DEVIATION 22.57 • n=107 Participants
73.1 mg/dL
STANDARD_DEVIATION 29.73 • n=206 Participants
71.2 mg/dL
STANDARD_DEVIATION 30.24 • n=7 Participants
74.8 mg/dL
STANDARD_DEVIATION 22.47 • n=31 Participants
67.4 mg/dL
STANDARD_DEVIATION 27.02 • n=30 Participants
HDL Cholesterol (HDL-C)
34.6 mg/dL
STANDARD_DEVIATION 8.61 • n=99 Participants
34.1 mg/dL
STANDARD_DEVIATION 9.07 • n=107 Participants
33.9 mg/dL
STANDARD_DEVIATION 9.48 • n=206 Participants
34.8 mg/dL
STANDARD_DEVIATION 8.61 • n=7 Participants
36.8 mg/dL
STANDARD_DEVIATION 10.54 • n=31 Participants
34.8 mg/dL
STANDARD_DEVIATION 9.16 • n=30 Participants
Non-HDL Cholesterol (Non-HDL-C)
110.3 mg/dL
STANDARD_DEVIATION 23.96 • n=99 Participants
115.1 mg/dL
STANDARD_DEVIATION 28.93 • n=107 Participants
129.2 mg/dL
STANDARD_DEVIATION 33.32 • n=206 Participants
125.3 mg/dL
STANDARD_DEVIATION 32.09 • n=7 Participants
130.1 mg/dL
STANDARD_DEVIATION 31.02 • n=31 Participants
121.9 mg/dL
STANDARD_DEVIATION 30.52 • n=30 Participants
VLDL Cholesterol (VLDL-C)
54.9 mg/dL
STANDARD_DEVIATION 12.71 • n=99 Participants
54.0 mg/dL
STANDARD_DEVIATION 10.99 • n=107 Participants
56.1 mg/dL
STANDARD_DEVIATION 21.45 • n=206 Participants
54.1 mg/dL
STANDARD_DEVIATION 11.80 • n=7 Participants
55.2 mg/dL
STANDARD_DEVIATION 26.84 • n=31 Participants
54.9 mg/dL
STANDARD_DEVIATION 17.51 • n=30 Participants
Apolipoprotein B (ApoB)
77.1 mg/dL
STANDARD_DEVIATION 19.71 • n=99 Participants
79.6 mg/dL
STANDARD_DEVIATION 16.55 • n=107 Participants
87.9 mg/dL
STANDARD_DEVIATION 20.60 • n=206 Participants
86.8 mg/dL
STANDARD_DEVIATION 19.62 • n=7 Participants
88.5 mg/dL
STANDARD_DEVIATION 14.29 • n=31 Participants
83.9 mg/dL
STANDARD_DEVIATION 18.65 • n=30 Participants
Apolipoprotein A1 (ApoA-I)
131.4 mg/dL
STANDARD_DEVIATION 19.28 • n=99 Participants
130.2 mg/dL
STANDARD_DEVIATION 19.15 • n=107 Participants
129.0 mg/dL
STANDARD_DEVIATION 16.69 • n=206 Participants
132.5 mg/dL
STANDARD_DEVIATION 22.95 • n=7 Participants
136.3 mg/dL
STANDARD_DEVIATION 23.07 • n=31 Participants
131.9 mg/dL
STANDARD_DEVIATION 20.14 • n=30 Participants

PRIMARY outcome

Timeframe: Baseline and Month 6 (Week 25 for Cohorts A and B and Week 27 for Cohorts C and D)

Population: FAS included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo). Here, 'Number analyzed' ('n') = Participants evaluable for this outcome measure at the specified timepoint.

An analysis of covariance (ANCOVA) model was performed on the log ratio of TG value at the Primary Analysis Time Point to TG value at Baseline. The estimate of the log ratio was converted back to the original scale and percent change was calculated using formula: (ratio of TG value at the Primary Analysis Time Point to TG value at Baseline - 1) × 100.

Outcome measures

Outcome measures
Measure
Pooled Placebo
n=24 Participants
Participants in each cohort were randomized to receive placebo at a dose-matched volume of study drug (ISIS 678354).
Cohort A: ISIS 678354: 10 mg Q4W
n=22 Participants
Cohort A participants received 10 mg ISIS 678354, SC injection, Q4W, for up to 49 weeks and a maximum of 13 doses.
Cohort C: ISIS 678354: 15 mg Q2W
n=23 Participants
Cohort C participants received 15 mg ISIS 678354, SC injection, Q2W for up to 51 weeks and a maximum of 26 doses.
Cohort D: ISIS 678354: 10 mg QW
n=23 Participants
Cohort D participants received 10 mg ISIS 678354, SC injection, QW for up to 52 weeks and a maximum of 52 doses.
Cohort B: ISIS 678354: 50 mg Q4W
n=22 Participants
Cohort B participants received 50 mg ISIS 678354, SC injection, once Q4W for up to 49 weeks and a maximum of 13 doses.
Percent Change From Baseline in Fasting Triglycerides (TG) at the Primary Analysis Time Point
6 percent change
Interval -9.0 to 23.0
-23 percent change
Interval -34.0 to -10.0
-56 percent change
Interval -62.0 to -49.0
-60 percent change
Interval -66.0 to -54.0
-60 percent change
Interval -65.0 to -53.0

PRIMARY outcome

Timeframe: Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)

Population: Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).

An adverse event (AE) was defined as any unfavorable and unintended sign (including a clinically-significant abnormal laboratory finding, for example), symptom, or disease temporally associated with the study or use of investigational drug product, whether or not the AE was considered to be related to the investigational drug product. A TEAE was defined as any AE starting on or after the first dose of the study drug.

Outcome measures

Outcome measures
Measure
Pooled Placebo
n=24 Participants
Participants in each cohort were randomized to receive placebo at a dose-matched volume of study drug (ISIS 678354).
Cohort A: ISIS 678354: 10 mg Q4W
n=22 Participants
Cohort A participants received 10 mg ISIS 678354, SC injection, Q4W, for up to 49 weeks and a maximum of 13 doses.
Cohort C: ISIS 678354: 15 mg Q2W
n=23 Participants
Cohort C participants received 15 mg ISIS 678354, SC injection, Q2W for up to 51 weeks and a maximum of 26 doses.
Cohort D: ISIS 678354: 10 mg QW
n=23 Participants
Cohort D participants received 10 mg ISIS 678354, SC injection, QW for up to 52 weeks and a maximum of 52 doses.
Cohort B: ISIS 678354: 50 mg Q4W
n=22 Participants
Cohort B participants received 50 mg ISIS 678354, SC injection, once Q4W for up to 49 weeks and a maximum of 13 doses.
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
20 Participants
17 Participants
20 Participants
22 Participants
21 Participants

SECONDARY outcome

Timeframe: Baseline and Month 6 (Week 25 for Cohorts A and B and Week 27 for Cohorts C and D)

Population: FAS included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo). Here, 'Number analyzed' ('n') = Participants evaluable for this outcome measure for each specified category.

An ANCOVA model was performed on the log ratio of Primary Analysis Time Point value to Baseline value for ApoC-III, TC, LDL-C, HDL-C, Non-HDL-C, VLDL-C, ApoB, and ApoA-I. The estimate of the log ratio was converted back to the original scale and percent change for each lipid parameter was calculated using formula: (ratio of Primary Analysis Time Point value to Baseline value - 1) × 100.

Outcome measures

Outcome measures
Measure
Pooled Placebo
n=24 Participants
Participants in each cohort were randomized to receive placebo at a dose-matched volume of study drug (ISIS 678354).
Cohort A: ISIS 678354: 10 mg Q4W
n=22 Participants
Cohort A participants received 10 mg ISIS 678354, SC injection, Q4W, for up to 49 weeks and a maximum of 13 doses.
Cohort C: ISIS 678354: 15 mg Q2W
n=23 Participants
Cohort C participants received 15 mg ISIS 678354, SC injection, Q2W for up to 51 weeks and a maximum of 26 doses.
Cohort D: ISIS 678354: 10 mg QW
n=23 Participants
Cohort D participants received 10 mg ISIS 678354, SC injection, QW for up to 52 weeks and a maximum of 52 doses.
Cohort B: ISIS 678354: 50 mg Q4W
n=22 Participants
Cohort B participants received 50 mg ISIS 678354, SC injection, once Q4W for up to 49 weeks and a maximum of 13 doses.
Percent Change From Baseline in ApoC-III, TC, LDL-C, HDL-C, Non-HDL-C, VLDL-C, ApoB, and ApoA-I at the Primary Analysis Time Point
Apo-C III
2 percent change
Interval -16.0 to 23.0
-29 percent change
Interval -42.0 to -13.0
-68 percent change
Interval -74.0 to -61.0
-73 percent change
Interval -78.0 to -67.0
-74 percent change
Interval -78.0 to -69.0
Percent Change From Baseline in ApoC-III, TC, LDL-C, HDL-C, Non-HDL-C, VLDL-C, ApoB, and ApoA-I at the Primary Analysis Time Point
TC
1 percent change
Interval -6.0 to 7.0
-2 percent change
Interval -8.0 to 5.0
-12 percent change
Interval -17.0 to -5.0
-3 percent change
Interval -9.0 to 4.0
-8 percent change
Interval -13.0 to -2.0
Percent Change From Baseline in ApoC-III, TC, LDL-C, HDL-C, Non-HDL-C, VLDL-C, ApoB, and ApoA-I at the Primary Analysis Time Point
LDL-C
-2 percent change
Interval -13.0 to 11.0
5 percent change
Interval -7.0 to 19.0
2 percent change
Interval -10.0 to 15.0
27 percent change
Interval 13.0 to 44.0
10 percent change
Interval -2.0 to 23.0
Percent Change From Baseline in ApoC-III, TC, LDL-C, HDL-C, Non-HDL-C, VLDL-C, ApoB, and ApoA-I at the Primary Analysis Time Point
HDL-C
-1 percent change
Interval -8.0 to 6.0
11 percent change
Interval 3.0 to 19.0
33 percent change
Interval 24.0 to 43.0
40 percent change
Interval 30.0 to 51.0
29 percent change
Interval 20.0 to 39.0
Percent Change From Baseline in ApoC-III, TC, LDL-C, HDL-C, Non-HDL-C, VLDL-C, ApoB, and ApoA-I at the Primary Analysis Time Point
Non-HDL-C
1 percent change
Interval -8.0 to 10.0
-6 percent change
Interval -15.0 to 3.0
-24 percent change
Interval -31.0 to -17.0
-15 percent change
Interval -23.0 to -7.0
-19 percent change
Interval -26.0 to -12.0
Percent Change From Baseline in ApoC-III, TC, LDL-C, HDL-C, Non-HDL-C, VLDL-C, ApoB, and ApoA-I at the Primary Analysis Time Point
VLDL-C
-2 percent change
Interval -13.0 to 11.0
-22 percent change
Interval -32.0 to -12.0
-54 percent change
Interval -59.0 to -48.0
-59 percent change
Interval -63.0 to -53.0
-60 percent change
Interval -65.0 to -55.0
Percent Change From Baseline in ApoC-III, TC, LDL-C, HDL-C, Non-HDL-C, VLDL-C, ApoB, and ApoA-I at the Primary Analysis Time Point
ApoB
-2 percent change
Interval -8.0 to 5.0
0 percent change
Interval -7.0 to 8.0
-17 percent change
Interval -23.0 to -12.0
-7 percent change
Interval -13.0 to 0.0
-12 percent change
Interval -18.0 to -6.0
Percent Change From Baseline in ApoC-III, TC, LDL-C, HDL-C, Non-HDL-C, VLDL-C, ApoB, and ApoA-I at the Primary Analysis Time Point
ApoA-1
0 percent change
Interval -4.0 to 4.0
5 percent change
Interval 1.0 to 10.0
14 percent change
Interval 9.0 to 19.0
18 percent change
Interval 13.0 to 23.0
14 percent change
Interval 9.0 to 18.0

SECONDARY outcome

Timeframe: Baseline and Month 6 (Week 25 for Cohorts A and B and Week 27 for Cohorts C and D)

Population: FAS included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).

The percentage of participants who achieved \<= 150 mg/dL or \<= 1.7 mmol/L of fasting TG levels at the primary analysis time point were compared between each ISIS 678354 treatment group and pooled placebo group using a logistic regression model with log-transformed baseline TG value as a covariate.

Outcome measures

Outcome measures
Measure
Pooled Placebo
n=24 Participants
Participants in each cohort were randomized to receive placebo at a dose-matched volume of study drug (ISIS 678354).
Cohort A: ISIS 678354: 10 mg Q4W
n=22 Participants
Cohort A participants received 10 mg ISIS 678354, SC injection, Q4W, for up to 49 weeks and a maximum of 13 doses.
Cohort C: ISIS 678354: 15 mg Q2W
n=23 Participants
Cohort C participants received 15 mg ISIS 678354, SC injection, Q2W for up to 51 weeks and a maximum of 26 doses.
Cohort D: ISIS 678354: 10 mg QW
n=23 Participants
Cohort D participants received 10 mg ISIS 678354, SC injection, QW for up to 52 weeks and a maximum of 52 doses.
Cohort B: ISIS 678354: 50 mg Q4W
n=22 Participants
Cohort B participants received 50 mg ISIS 678354, SC injection, once Q4W for up to 49 weeks and a maximum of 13 doses.
Percentage of Participants Who Achieved Fasting Triglycerides (TG) <= 150 mg/dL (<= 1.7 Millimoles Per Liter [mmol/L])
4.2 percentage of participants
13.6 percentage of participants
65.2 percentage of participants
73.9 percentage of participants
90.9 percentage of participants

SECONDARY outcome

Timeframe: Baseline and Month 6 (Week 25 for Cohorts A and B and Week 27 for Cohorts C and D)

Population: FAS included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).

The percentage of participants who achieved \<= 100 mg/dL or \<= 1.13 mmol/L of fasting TG levels at the primary analysis time point were compared between each ISIS 678354 treatment group and pooled placebo group using a logistic regression model with log-transformed baseline TG value as a covariate.

Outcome measures

Outcome measures
Measure
Pooled Placebo
n=24 Participants
Participants in each cohort were randomized to receive placebo at a dose-matched volume of study drug (ISIS 678354).
Cohort A: ISIS 678354: 10 mg Q4W
n=22 Participants
Cohort A participants received 10 mg ISIS 678354, SC injection, Q4W, for up to 49 weeks and a maximum of 13 doses.
Cohort C: ISIS 678354: 15 mg Q2W
n=23 Participants
Cohort C participants received 15 mg ISIS 678354, SC injection, Q2W for up to 51 weeks and a maximum of 26 doses.
Cohort D: ISIS 678354: 10 mg QW
n=23 Participants
Cohort D participants received 10 mg ISIS 678354, SC injection, QW for up to 52 weeks and a maximum of 52 doses.
Cohort B: ISIS 678354: 50 mg Q4W
n=22 Participants
Cohort B participants received 50 mg ISIS 678354, SC injection, once Q4W for up to 49 weeks and a maximum of 13 doses.
Percentage of Participants Who Achieved Fasting Triglycerides (TG) <= 100 mg/dL (<= 1.13 mmol/L)
0 percentage of participants
0 percentage of participants
30.4 percentage of participants
26.1 percentage of participants
45.5 percentage of participants

SECONDARY outcome

Timeframe: Predose, 1, 2, 4, 8, 24 hours post the first dose (Day 1), Week 21 (for Cohorts A and B) and Week 25 (for Cohorts C and D)

Population: Pharmacokinetic (PK) subgroup: Subset of participants who were randomized, received at least (\>=) 1 dose of ISIS 678354, had \>= 1 evaluable concentration result post first dose and had additional PK sampling after dose administration on Day 1 and Week 21 (Cohorts A and B) or Week 25 (Cohorts C and D). 'Number analyzed' = participants evaluable for this outcome measure at specified time points.

Outcome measures

Outcome measures
Measure
Pooled Placebo
n=5 Participants
Participants in each cohort were randomized to receive placebo at a dose-matched volume of study drug (ISIS 678354).
Cohort A: ISIS 678354: 10 mg Q4W
n=8 Participants
Cohort A participants received 10 mg ISIS 678354, SC injection, Q4W, for up to 49 weeks and a maximum of 13 doses.
Cohort C: ISIS 678354: 15 mg Q2W
n=4 Participants
Cohort C participants received 15 mg ISIS 678354, SC injection, Q2W for up to 51 weeks and a maximum of 26 doses.
Cohort D: ISIS 678354: 10 mg QW
n=2 Participants
Cohort D participants received 10 mg ISIS 678354, SC injection, QW for up to 52 weeks and a maximum of 52 doses.
Cohort B: ISIS 678354: 50 mg Q4W
Cohort B participants received 50 mg ISIS 678354, SC injection, once Q4W for up to 49 weeks and a maximum of 13 doses.
Maximum Plasma Concentration (Cmax) of ISIS 678354
Day 1
53.7 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 181.2
45.9 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 36.2
35.8 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 71.1
48.8 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 333.3
Maximum Plasma Concentration (Cmax) of ISIS 678354
Week 21 (for Cohorts A and B) and Week 25 (for Cohorts C and D)
41.0 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 324.1
48.0 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 29.9
45.1 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 47.4
127 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 29.9

SECONDARY outcome

Timeframe: Predose, 1, 2, 4, 8, 24 hours post the first dose (Day 1), Week 21 (for Cohorts A and B) and Week 25 (for Cohorts C and D)

Population: PK subgroup: Subset of participants who were randomized, received \>= 1 dose of ISIS 678354, had \>= 1 evaluable concentration result post first dose and had additional PK sampling after dose administration on Day 1 and Week 21 (Cohorts A and B) or Week 25 (Cohorts C and D). 'Number analyzed' = participants evaluable for this outcome measure at specified time points.

Outcome measures

Outcome measures
Measure
Pooled Placebo
n=5 Participants
Participants in each cohort were randomized to receive placebo at a dose-matched volume of study drug (ISIS 678354).
Cohort A: ISIS 678354: 10 mg Q4W
n=8 Participants
Cohort A participants received 10 mg ISIS 678354, SC injection, Q4W, for up to 49 weeks and a maximum of 13 doses.
Cohort C: ISIS 678354: 15 mg Q2W
n=4 Participants
Cohort C participants received 15 mg ISIS 678354, SC injection, Q2W for up to 51 weeks and a maximum of 26 doses.
Cohort D: ISIS 678354: 10 mg QW
n=2 Participants
Cohort D participants received 10 mg ISIS 678354, SC injection, QW for up to 52 weeks and a maximum of 52 doses.
Cohort B: ISIS 678354: 50 mg Q4W
Cohort B participants received 50 mg ISIS 678354, SC injection, once Q4W for up to 49 weeks and a maximum of 13 doses.
Time to Reach Maximum Plasma Concentration (Tmax) of ISIS 678354
Day 1
1.08 hours (h)
Interval 1.0 to 2.0
2.00 hours (h)
Interval 1.98 to 4.0
3.03 hours (h)
Interval 2.0 to 4.0
1.50 hours (h)
Interval 1.05 to 1.95
Time to Reach Maximum Plasma Concentration (Tmax) of ISIS 678354
Week 21 (for Cohorts A and B) and Week 25 (for Cohorts C and D)
2.00 hours (h)
Interval 0.917 to 8.0
2.08 hours (h)
Interval 1.0 to 4.0
2.50 hours (h)
Interval 1.0 to 4.0
4.04 hours (h)
Interval 4.02 to 4.07

SECONDARY outcome

Timeframe: Predose, 1, 2, 4, 8, 24 hours post the first dose (Day 1), Week 21 (for Cohorts A and B) and Week 25 (for Cohorts C and D)

Population: PK subgroup: Subset of participants who were randomized, received \>= 1 dose of ISIS 678354, had \>= 1 evaluable concentration result post first dose and had additional PK sampling after dose administration on Day 1 and Week 21 (Cohorts A and B) or Week 25 (Cohorts C and D). 'Number analyzed' = participants evaluable for this outcome measure at specified time points.

Outcome measures

Outcome measures
Measure
Pooled Placebo
n=5 Participants
Participants in each cohort were randomized to receive placebo at a dose-matched volume of study drug (ISIS 678354).
Cohort A: ISIS 678354: 10 mg Q4W
n=8 Participants
Cohort A participants received 10 mg ISIS 678354, SC injection, Q4W, for up to 49 weeks and a maximum of 13 doses.
Cohort C: ISIS 678354: 15 mg Q2W
n=4 Participants
Cohort C participants received 15 mg ISIS 678354, SC injection, Q2W for up to 51 weeks and a maximum of 26 doses.
Cohort D: ISIS 678354: 10 mg QW
n=2 Participants
Cohort D participants received 10 mg ISIS 678354, SC injection, QW for up to 52 weeks and a maximum of 52 doses.
Cohort B: ISIS 678354: 50 mg Q4W
Cohort B participants received 50 mg ISIS 678354, SC injection, once Q4W for up to 49 weeks and a maximum of 13 doses.
Area Under the Plasma Concentration Versus Time Curve From Time Zero to 24 Hours (AUC0-24) of ISIS 678354
Day 1
618 nanograms*hours per milliliter (ng*h/mL)
Geometric Coefficient of Variation 115.6
499 nanograms*hours per milliliter (ng*h/mL)
Geometric Coefficient of Variation 31.1
411 nanograms*hours per milliliter (ng*h/mL)
Geometric Coefficient of Variation 59.0
563 nanograms*hours per milliliter (ng*h/mL)
Geometric Coefficient of Variation 334.6
Area Under the Plasma Concentration Versus Time Curve From Time Zero to 24 Hours (AUC0-24) of ISIS 678354
Week 21 (for Cohorts A and B) and Week 25 (for Cohorts C and D)
468 nanograms*hours per milliliter (ng*h/mL)
Geometric Coefficient of Variation 258.4
499 nanograms*hours per milliliter (ng*h/mL)
Geometric Coefficient of Variation 11.2
454 nanograms*hours per milliliter (ng*h/mL)
Geometric Coefficient of Variation 26.3
1460 nanograms*hours per milliliter (ng*h/mL)
Geometric Coefficient of Variation 13.6

Adverse Events

Pooled Placebo

Serious events: 2 serious events
Other events: 16 other events
Deaths: 0 deaths

Cohort A: ISIS 678354: 10 mg Q4W

Serious events: 3 serious events
Other events: 15 other events
Deaths: 0 deaths

Cohort C: ISIS 678354: 15 mg Q2W

Serious events: 4 serious events
Other events: 19 other events
Deaths: 1 deaths

Cohort D: ISIS 678354: 10 mg QW

Serious events: 1 serious events
Other events: 20 other events
Deaths: 0 deaths

Cohort B: ISIS 678354: 50 mg Q4W

Serious events: 3 serious events
Other events: 22 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Pooled Placebo
n=24 participants at risk
Participants in each cohort were randomized to receive placebo at a dose-matched volume of study drug (ISIS 678354).
Cohort A: ISIS 678354: 10 mg Q4W
n=22 participants at risk
Cohort A participants received 10 mg ISIS 678354, SC injection, Q4W, for up to 49 weeks and a maximum of 13 doses.
Cohort C: ISIS 678354: 15 mg Q2W
n=23 participants at risk
Cohort C participants received 15 mg ISIS 678354, SC injection, Q2W for up to 51 weeks and a maximum of 26 doses.
Cohort D: ISIS 678354: 10 mg QW
n=23 participants at risk
Cohort D participants received 10 mg ISIS 678354, SC injection, QW for up to 52 weeks and a maximum of 52 doses.
Cohort B: ISIS 678354: 50 mg Q4W
n=22 participants at risk
Cohort B participants received 50 mg ISIS 678354, SC injection, once Q4W for up to 49 weeks and a maximum of 13 doses.
Cardiac disorders
Acute coronary syndrome
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Cardiac disorders
Acute myocardial infarction
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Cardiac disorders
Angina unstable
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Cardiac disorders
Cardiac arrest
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Cardiac disorders
Cardiomyopathy
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Cardiac disorders
Supraventricular tachycardia
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Infections and infestations
Pneumonia
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Infections and infestations
Influenza
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
General disorders
Asthenia
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Hepatobiliary disorders
Cholelithiasis
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Nervous system disorders
Post polio syndrome
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Nervous system disorders
Cerebral ischaemia
4.2%
1/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Skin and subcutaneous tissue disorders
Henoch-Schonlein purpura
4.2%
1/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).

Other adverse events

Other adverse events
Measure
Pooled Placebo
n=24 participants at risk
Participants in each cohort were randomized to receive placebo at a dose-matched volume of study drug (ISIS 678354).
Cohort A: ISIS 678354: 10 mg Q4W
n=22 participants at risk
Cohort A participants received 10 mg ISIS 678354, SC injection, Q4W, for up to 49 weeks and a maximum of 13 doses.
Cohort C: ISIS 678354: 15 mg Q2W
n=23 participants at risk
Cohort C participants received 15 mg ISIS 678354, SC injection, Q2W for up to 51 weeks and a maximum of 26 doses.
Cohort D: ISIS 678354: 10 mg QW
n=23 participants at risk
Cohort D participants received 10 mg ISIS 678354, SC injection, QW for up to 52 weeks and a maximum of 52 doses.
Cohort B: ISIS 678354: 50 mg Q4W
n=22 participants at risk
Cohort B participants received 50 mg ISIS 678354, SC injection, once Q4W for up to 49 weeks and a maximum of 13 doses.
Infections and infestations
Nasopharyngitis
12.5%
3/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
13.6%
3/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
17.4%
4/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
21.7%
5/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
18.2%
4/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Infections and infestations
Upper respiratory tract infection
12.5%
3/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
9.1%
2/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
13.0%
3/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
17.4%
4/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
13.6%
3/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Infections and infestations
Urinary tract infection
4.2%
1/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
9.1%
2/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
8.7%
2/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
18.2%
4/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Infections and infestations
Bronchitis
8.3%
2/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
8.7%
2/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
8.7%
2/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
9.1%
2/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Infections and infestations
Sinusitis
4.2%
1/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
8.7%
2/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
13.6%
3/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Infections and infestations
Ear infection
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
9.1%
2/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
13.6%
3/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
13.0%
3/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
13.0%
3/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
9.1%
2/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Musculoskeletal and connective tissue disorders
Back pain
4.2%
1/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
13.6%
3/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
13.0%
3/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
13.6%
3/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Musculoskeletal and connective tissue disorders
Pain in extremity
4.2%
1/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
8.7%
2/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
18.2%
4/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Musculoskeletal and connective tissue disorders
Muscle spasms
8.3%
2/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
13.6%
3/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Musculoskeletal and connective tissue disorders
Myalgia
16.7%
4/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
13.0%
3/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
4.2%
1/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
9.1%
2/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Musculoskeletal and connective tissue disorders
Tendonitis
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
9.1%
2/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
General disorders
Injection site erythema
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
9.1%
2/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
13.0%
3/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
21.7%
5/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
18.2%
4/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
General disorders
Fatigue
4.2%
1/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
9.1%
2/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
8.7%
2/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
General disorders
Non-cardiac chest pain
8.3%
2/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
9.1%
2/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
8.7%
2/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
General disorders
Injection site pruritus
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
8.7%
2/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
General disorders
Oedema peripheral
8.3%
2/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
8.7%
2/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
General disorders
Injection site haemorrhage
4.2%
1/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
8.7%
2/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
General disorders
Injection site pain
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
9.1%
2/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
General disorders
Influenza like illness
8.3%
2/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
General disorders
Pain
8.3%
2/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Gastrointestinal disorders
Nausea
4.2%
1/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
13.6%
3/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
18.2%
4/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Gastrointestinal disorders
Diarrhoea
8.3%
2/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
8.7%
2/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
13.6%
3/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Nervous system disorders
Dizziness
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
13.0%
3/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
8.7%
2/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Nervous system disorders
Hypoaesthesia
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
8.7%
2/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Nervous system disorders
Presyncope
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
8.7%
2/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Vascular disorders
Hypertension
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
8.7%
2/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
13.6%
3/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Vascular disorders
Hypotension
4.2%
1/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
9.1%
2/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Investigations
Glomerular filtration rate decreased
8.3%
2/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
8.7%
2/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Investigations
Haemoglobin decreased
8.3%
2/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Investigations
Prostatic specific antigen increased
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
8.7%
2/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Respiratory, thoracic and mediastinal disorders
Cough
8.3%
2/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
13.6%
3/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Respiratory, thoracic and mediastinal disorders
Nasal congestion
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
9.1%
2/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Skin and subcutaneous tissue disorders
Erythema
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
8.7%
2/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
9.1%
2/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
9.1%
2/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Metabolism and nutrition disorders
Hypoglycaemia
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
8.7%
2/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Metabolism and nutrition disorders
Diabetes mellitus
8.3%
2/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Blood and lymphatic system disorders
Anaemia
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
13.6%
3/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.5%
1/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Eye disorders
Cataract
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
9.1%
2/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Eye disorders
Vision blurred
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
8.7%
2/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Hepatobiliary disorders
Hepatic steatosis
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
9.1%
2/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
9.1%
2/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Injury, poisoning and procedural complications
Contusion
4.2%
1/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
4.3%
1/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
9.1%
2/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinoma
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
8.7%
2/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
Renal and urinary disorders
Proteinuria
0.00%
0/24 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
8.7%
2/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/23 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).
0.00%
0/22 • Up to the 13-week post-treatment follow-up period (Up to approximately 15 months)
Safety set included all participants who were randomized and received at least 1 dose of study drug (ISIS 678354 or placebo).

Additional Information

Study Director

Akcea Therapeutics

Phone: 617-207-0289

Results disclosure agreements

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

Restriction type: LTE60