Study to Investigate Safety, Tolerability, PK and PD Response of SLN360 in Subjects With Elevated Lipoprotein(a)

NCT ID: NCT04606602

Last Updated: 2024-08-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-18

Study Completion Date

2023-08-23

Brief Summary

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This study will investigate the safety and tolerability of SLN360 in patients with elevated Lp(a).

Detailed Description

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This first-in-human (FIH) study will investigate the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of SLN360 after single ascending s.c. doses and multiple doses in healthy male and female subjects.

Up to 9 cohorts of 88 patients with elevated Lp(a) will be enrolled. Each patient will receive single or multiple doses of SLN360 or placebo given by subcutaneous (s.c) injection.

Conditions

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Hyperlipidemias Dyslipidemias Elevated Lp(a)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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30 mg

Group Type EXPERIMENTAL

SLN360

Intervention Type DRUG

SLN360 for subcutaneous (s.c.) injection

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Sodium chloride for subcutaneous (s.c.) injection

100 mg

Group Type EXPERIMENTAL

SLN360

Intervention Type DRUG

SLN360 for subcutaneous (s.c.) injection

300 mg

Group Type EXPERIMENTAL

SLN360

Intervention Type DRUG

SLN360 for subcutaneous (s.c.) injection

600 mg

Group Type EXPERIMENTAL

SLN360

Intervention Type DRUG

SLN360 for subcutaneous (s.c.) injection

900 mg

Group Type EXPERIMENTAL

SLN360

Intervention Type DRUG

SLN360 for subcutaneous (s.c.) injection

100 mg multi dose

Group Type EXPERIMENTAL

SLN360

Intervention Type DRUG

SLN360 for subcutaneous (s.c.) injection

200 mg multi dose

Group Type EXPERIMENTAL

SLN360

Intervention Type DRUG

SLN360 for subcutaneous (s.c.) injection

300 mg multi dose

Group Type EXPERIMENTAL

SLN360

Intervention Type DRUG

SLN360 for subcutaneous (s.c.) injection

600 mg multi dose

Group Type EXPERIMENTAL

SLN360

Intervention Type DRUG

SLN360 for subcutaneous (s.c.) injection

Placebo multi dose

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Sodium chloride for subcutaneous (s.c.) injection

Interventions

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SLN360

SLN360 for subcutaneous (s.c.) injection

Intervention Type DRUG

Placebo

Sodium chloride for subcutaneous (s.c.) injection

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Elevated plasma Lp(a) ≥ 150nmol/L.
* All subjects must agree to adhere to appropriate contraception requirements.
* Subjects must provide written informed consent and be able to comply with all study requirements.
* Body mass index of ≥ 18 kg/m2 and ≤ 45 kg/m2.
* For the MD part: confirmed history of stable atherosclerortic cardiovascular disease.

Exclusion Criteria

* Single Ascending Dose only: any history of clinically overt cardiovascular disease, defined as acute coronary syndromes, myocardial infarction, stable angina, coronary or other revascularization, ischemic stroke or transient ischemic attack and atherosclerotic peripheral arterial disease.
* Multiple Dose only: recent history of acute cardiovascular disease events within 6 months of screening (including, but not limited to, acute myocardial infarction, unstable angina, acute stroke and acute limb ischemia).
* Moderate or severe hepatic cirrhosis with Child-Pugh grade B or C, or other current or previous liver disease.
* Active serious mental illness or psychiatric disorder, including but not limited to schizophrenia, bipolar disorder, or severe depression requiring current pharmacological intervention.
* Any conditions which, in the opinion of the Investigator, would make the subject unsuitable for enrolment in the study or could interfere with the subject's participation in, or completion of the study.
* Subjects with previous or current use of medication or therapies significantly affecting Lp(a) level or hormone replacement therapy, unless on a stable dose for ≥ 8 weeks prior to screening
* History or clinical evidence of alcohol or illegal drug misuse within the 6 months before screening.
* History of multiple drug allergies or history of allergic reaction to an oligonucleotide or GalNAc, or intolerance to s.c. injections.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medpace, Inc.

INDUSTRY

Sponsor Role collaborator

Silence Therapeutics plc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Jacksonville Center for Clinical Research Ltd.

Jacksonville, Florida, United States

Site Status

Progressive Medical Research

Port Orange, Florida, United States

Site Status

Metabolic and Atherosclerosis Research Center

Cincinnati, Ohio, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Linear Clinical Research

Perth, Western Australia, Australia

Site Status

Monash Medical Centre

Clayton, , Australia

Site Status

Amsterdam Medical Centre

Amsterdam, , Netherlands

Site Status

Hammersmith Medicines Research

London, , United Kingdom

Site Status

Countries

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United States Australia Netherlands United Kingdom

References

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Nissen SE, Wolski K, Balog C, Swerdlow DI, Scrimgeour AC, Rambaran C, Wilson RJ, Boyce M, Ray KK, Cho L, Watts GF, Koren M, Turner T, Stroes ES, Melgaard C, Campion GV. Single Ascending Dose Study of a Short Interfering RNA Targeting Lipoprotein(a) Production in Individuals With Elevated Plasma Lipoprotein(a) Levels. JAMA. 2022 May 3;327(17):1679-1687. doi: 10.1001/jama.2022.5050.

Reference Type RESULT
PMID: 35368052 (View on PubMed)

Nissen SE, Wolski K, Watts GF, Koren MJ, Fok H, Nicholls SJ, Rider DA, Cho L, Romano S, Melgaard C, Rambaran C. Single Ascending and Multiple-Dose Trial of Zerlasiran, a Short Interfering RNA Targeting Lipoprotein(a): A Randomized Clinical Trial. JAMA. 2024 May 14;331(18):1534-1543. doi: 10.1001/jama.2024.4504.

Reference Type RESULT
PMID: 38587822 (View on PubMed)

Other Identifiers

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SLN360-001

Identifier Type: -

Identifier Source: org_study_id

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