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Completed

NCT Number: NCT02963311

A Study of ALN-PCSSC in Participants With Homozygous Familial Hypercholesterolemia (HoFH)

The purpose of this study is to assess the safety, tolerability, and efficacy of ALN-PCSSC in participants with homozygous familial hypercholesterolemia.

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Key information

Age range

12 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Research Site 231001, Amsterdam, Netherlands

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Males and females, ≥12 years of age with a diagnosis of homozygous familial hypercholesterolemia by genetic confirmation or a clinical diagnosis based on a history of an untreated low-density lipoprotein cholesterol (LDL-C) concentration >500 mg/deciliter (dL) [13 millimoles/liter (mmol/L)] together with either xanthoma before 10 years of age or evidence of heterozygous familial hypercholesterolemia in both parents.
  • Stable on a low-fat diet.
  • Stable on pre-existing, lipid-lowering therapies (such as statins, cholesterolabsorption inhibitors, bile-acid sequestrants, or combinations thereof) for at least 4 weeks with no planned medication or dose change for the duration of study participation.
  • Fasting central lab LDL-C concentration >130 mg/dL (3.4 mmol/L) and triglyceride concentration <400 mg/dL (4.5 mmol/L).
  • Body weight of 40 kilograms (kg) or greater at screening.

Exclusion criteria

  • LDL or plasma apheresis within 8 weeks prior to the screening visit, and no plan to receive it during the study because of the attendant difficulty in maintaining stable concentrations of LDL-C while receiving apheresis.
  • Use of mipomersen or lomitapide therapy within 5 months of screening.
  • Previous treatment with monoclonal antibodies directed towards PCSK9 within 8 weeks of screening.

The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

Treatment and study plan

ALN-PCSSC

Drug

ALN-PCSSC is a small interfering ribonucleic acid (siRNA) that inhibits PCSK9 synthesis and is given as SC injections.

Other names: PCSK9 synthesis inhibitor

Standard of care

Drug

Included maximally-tolerated statin therapy and/or other low density lipoprotein-cholesterol (LDL-C)-lowering therapies.

Primary outcomes

  1. Percentage Change From Day 1 to Day 90 in LDL-C

    Time frame: Day 1, Day 90

    Due to the small number of subjects, and the fact that the data are not normally distributed, the data are presented as descriptive statistics with no inferential and limited summary statistics presented.

  2. Percentage Change From Day 1 to Day 180 (or Final Visit) in LDL-C

    Time frame: Day 1, Day 180 (or Final Visit)

Secondary outcomes

  1. Absolute Change From Day 1 to Day 90 and to Day 180 (or Final Visit) in LDL-C

    Time frame: Day 1, Day 90, Day 180 (or Final Visit)

  2. Percentage Change From Day 1 to Day 60 and to Day 90 in PCSK9

    Time frame: Day 1, Day 60, Day 90

  3. Absolute Change From Day 1 to Day 60 and to Day 90 in PCSK9

    Time frame: Day 1, Day 60, Day 90

  4. Percentage Change From Day 1 to Day 90 and to Day 180 (or Final Visit) in Total Cholesterol

    Time frame: Day 1, Day 90, Day 180 (or Final Visit)

  5. Absolute Change From Day 1 to Day 90 and to Day 180 (or Final Visit) in Total Cholesterol

    Time frame: Day 1, Day 90, Day 180 (or Final Visit)

  6. Percentage Change From Day 1 to Day 90 and to Day 180 (or Final Visit) in Triglycerides

    Time frame: Day 1, Day 90, Day 180 (or Final Visit)

  7. Absolute Change From Day 1 to Day 90 and to Day 180 (or Final Visit) in Triglycerides

    Time frame: Day 1, Day 90, Day 180 (or Final Visit)

  8. Percentage Change From Day 1 to Day 90 and to Day 180 (or Final Visit) in HDL-C

    Time frame: Day 1, Day 90, Day 180 (or Final Visit)

  9. Absolute Change From Day 1 to Day 90 and to Day 180 (or Final Visit) in HDL-C

    Time frame: Day 1, Day 90, Day 180 (or Final Visit)

  10. Percentage Change From Day 1 to Day 90 and to Day 180 (or Final Visit) in Non-HDL-C

    Time frame: Day 1, Day 90, Day 180 (or Final Visit)

  11. Absolute Change From Day 1 to Day 90 and to Day 180 (or Final Visit) in Non-HDL-C

    Time frame: Day 1, Day 90, Day 180 (or Final Visit)

  12. Percentage Change From Day 1 to Day 90 and to Day 180 (or Final Visit) in VLDL-C

    Time frame: Day 1, Day 90, Day 180 (or Final Visit)

  13. Absolute Change From Day 1 to Day 90 and to Day 180 (or Final Visit) in VLDL-C

    Time frame: Day 1, Day 90, Day 180 (or Final Visit)

  14. Percentage Change From Day 1 to Day 90 and to Day 180 (or Final Visit) in Apolipoprotein A1

    Time frame: Day 1, Day 90, Day 180 (or Final Visit)

  15. Absolute Change From Day 1 to Day 90 and to Day 180 (or Final Visit) in Apolipoprotein A1

    Time frame: Day 1, Day 90, Day 180 (or Final Visit)

  16. Percentage Change From Day 1 to Day 90 and to Day 180 (or Final Visit) in Apolipoprotein B

    Time frame: Day 1, Day 90, Day 180 (or Final Visit)

  17. Absolute Change From Day 1 to Day 90 and to Day 180 (or Final Visit) in Apolipoprotein B

    Time frame: Day 1, Day 90, Day 180 (or Final Visit)

  18. Percentage Change From Day 1 to Day 90 and to Day 180 (or Final Visit) in Lipoprotein-a

    Time frame: Day 1, Day 90, Day 180 (or Final Visit)

    The reported percent change value is the per participant calculated Mean.

  19. Absolute Change From Day 1 to Day 90 and to Day 180 (or Final Visit) in Lipoprotein-a

    Time frame: Day 1, Day 90, Day 180 (or Final Visit)

Sponsors and collaborators

Lead sponsor

The Medicines Company

Industry

Registry information

Official study title

An Open-Label, Single-Arm, Multicenter Pilot Study to Evaluate Safety, Tolerability, and Efficacy of ALN-PCSSC in Subjects With Homozygous Familial Hypercholesterolemia (HoFH)

Acronym: ORION-2

Important dates

Study start
2016
Primary completion
2018
Study completion
2018
First posted
Nov 15, 2016
Registry last updated
May 18, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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