A Study of Olezarsen (Formerly Known as AKCEA-APOCIII-LRX) Administered to Adults With Familial Chylomicronemia Syndrome (FCS) Previously Treated With Volanesorsen

NCT ID: NCT05185843

Last Updated: 2025-12-12

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-02-25

Study Completion Date

2027-06-30

Brief Summary

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The purpose of the study is to evaluate the safety, tolerability, pharmacokinetic (PK) and pharmacodynamic (PD) effects of olezarsen (formerly known as AKCEA -APOCIII-LRX) in participants with FCS previously treated with volanesorsen.

Detailed Description

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This is a Phase 3, multi-center, open-label safety study in 24 participants with FCS, previously treated with volanesorsen. The study consists of an 8- week screening period, treatment period up to week 209 and a 13-week follow-up period. Participants enrolled will receive olezarsen every 4 weeks during the 209-week Treatment Period.

Treatment period was extended to allow participants to receive olezarsen for an additional 52 weeks for a total of a 209-week treatment period until the drug may be commercially available in the patient's country, or until the Sponsor discontinues the olezarsen development program, whichever occurs earlier.

Conditions

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Familial Chylomicronemia Syndrome

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Olezarsen

Olezarsen will be administered once every 4 weeks by subcutaneous (SC) injection for up to 209 weeks.

Group Type EXPERIMENTAL

Olezarsen

Intervention Type DRUG

Olezarsen will be administered by SC injection.

Interventions

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Olezarsen

Olezarsen will be administered by SC injection.

Intervention Type DRUG

Other Intervention Names

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ISIS 678354 AKCEA-APOCIII-LRx

Eligibility Criteria

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Inclusion Criteria

1. Participants with FCS (clinical or genetic diagnosis) currently on or previously treated with volanesorsen (ISIS 304801)

o Study participants in countries where Waylivra® is commercially approved and available for participants should not be deprived of the treatment option with Waylivra®. Participation in this study for such participants will only be allowed when Waylivra® was discontinued due to AEs
2. The following concomitant medications will be allowed if dosing regimen is expected to remain constant through the end of the study (occasional or intermittent use of over-the-counter (OTC) medications will be allowed at Investigator's discretion):

* Statins, omega-3 fatty acids (prescription and OTC), fibrates, or other lipid-lowering medications. Participants taking OTC omega-3 fatty acids should make every effort to remain on the same brand through the end of the study
* Antidiabetic medications
* Oral anticoagulants (e.g., dabigatran, rivaroxaban, or apixaban, and warfarin with regular clinical monitoring)
* Tamoxifen, estrogens or progestins

Exclusion Criteria

1. Treatment with another investigational drug (non-oligonucleotide), biological agent, or device within 4 weeks of Screening, or 5 half-lives of investigational agent, whichever is longer
2. Concomitant medication/procedure restrictions:

1. Systemic corticosteroids or anabolic steroids within 6 weeks prior to Screening and during the study unless approved by the Sponsor Medical Monitor
2. Plasma apheresis within 4 weeks prior to Screening or planned during the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ionis Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Diabetes/Lipid Management & Research Center

Huntington Beach, California, United States

Site Status

Excel Medical Clinical Trials, LLC

Boca Raton, Florida, United States

Site Status

University of Michigan, Department of Internal Medicine, Division of Metabolism, Endocrinology and Diabetes (MEND)

Ann Arbor, Michigan, United States

Site Status

University of Rochester School of Medicine

Rochester, New York, United States

Site Status

Centre for Heart Lung Innovation

Vancouver, British Columbia, Canada

Site Status

ARC Biosystems, Clinical Assessment Unit (CAU)

Vancouver, British Columbia, Canada

Site Status

St. Boniface General Hospital

Winnipeg, Manitoba, Canada

Site Status

Ecogene-21

Chicoutimi, Quebec, Canada

Site Status

Clinique des Maladies Lipidiques de Quebec Inc.

Québec, Quebec, Canada

Site Status

Centre Hospitalier Universite de Sherbrooke (CHUS)

Sherbrooke, Quebec, Canada

Site Status

Karolinska University Hospital Huddinge

Stockholm, , Sweden

Site Status

Countries

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United States Canada Sweden

Other Identifiers

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2021-003635-29

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

2023-508815-22-00

Identifier Type: CTIS

Identifier Source: secondary_id

ISIS 678354-CS7

Identifier Type: -

Identifier Source: org_study_id

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