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Completed

NCT Number: NCT03933293

A Study to Evaluate the Safety and Efficacy of the PCSK9 Inhibitor AK102 in Patients With HoFH

AK102 is being developed for the treatment of HoFH. The study will be conducted in 2 parts, part 1 is open label, single arm study to evaluate the safety, tolerability and efficacy of PCSK9 inhibitor AK102, and part 2 is double blind, randomized, placebo controlled study to evaluate the efficacy and safety of PCSK9 inhibitor AK102. The treatment period will last 12 week.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Beijing Anzhen Hospital, Beijing, Beijing Municipality, China

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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, ≥18 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 pre-existing, lipid-lowering therapies (statins in combination with ezetimibe) 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

  • Received LDL plasma replacement therapy within 8 weeks before Investigational product administration
  • Received Lomitapide or Mipomersen within 5 months before Investigational product administration
  • Received prior treatment with PCSK9 inhibitors or AK102.
  • Unexplained creatine kinase (CK) ≥ 5 times the upper limit of normal (ULN)
  • Subjects with untreated chronic hepatitis B or chronic hepatitis B virus (HBV) DNA exceeding 500 IU/ mL or active hepatitis C virus (HCV) should be excluded. Subjects with non-active HBsAg carriers, treated and stable hepatitis B (HBV DNA <500 IU/ mL) , and cured hepatitis C can be enrolled. Subjects with positive HCV antibodies are eligible only if the HCV RNA test results are negative.
  • Known allergic reactions to any ingredients of AK102
  • Any other condition(s) that would compromise the safety of the patient or compromise the quality of the clinical study as judged by the Investigator and/or Medical Monitor.

Treatment and study plan

AK102

Drug

450mg, Q4W, subcutaneous injection

Statins

Drug

Lipid-lowering therapies

ezetimibe

Drug

Lipid-lowering therapies

Primary outcomes

  1. Percent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 12

    Time frame: Week 12

  2. Incidence of treatment-emergent adverse events as assessed by CTCAE V5.0(only for part 1)

    Time frame: From baseline through 12 weeks

Secondary outcomes

  1. Percent Change From Baseline in High-density lipoprotein (HDL) cholesterol

    Time frame: From baseline through 12 weeks

  2. Percent Change From Baseline in non High-density lipoprotein (non-HDL) cholesterol

    Time frame: From baseline through 12 weeks

  3. Percent Change From Baseline in Serum Triglyceride (TG)

    Time frame: From baseline through 12 weeks

  4. Percent Change From Baseline in Apolipoprotein B (Apo B)

    Time frame: From baseline through 12 weeks

  5. Percent Change From Baseline in Apolipoprotein A-I (Apo A-I)

    Time frame: From baseline through 12 weeks

  6. Percent Change From Baseline in Total Cholesterol(TC)

    Time frame: From baseline through 12 weeks

  7. Change From Baseline in Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9)

    Time frame: From baseline through 12 weeks

  8. Concentrations of AK102 in Serum

    Time frame: Part 1: Day 1,Day 2, Day 4, Day 8, Day 15, Day 22, D29, D57. Part 2: Day 1, Day 29, Day 57

  9. Number of subjects who develop detectable anti-drug antibodies (ADAs)

    Time frame: From baseline through 12 weeks

Sponsors and collaborators

Lead sponsor

Akeso

Industry

Collaborators

  • AD Pharmaceuticals Co., Ltd.

Registry information

Official study title

A Phase 2 Study to Evaluate the Safety and Efficacy of PCSK9 Inhibitor AK102 in Patients With Homozygous Familial Hypercholesterolemia (HoFH)

Important dates

Study start
2019
Primary completion
2021
Study completion
2021
First posted
May 1, 2019
Registry last updated
Mar 2, 2023

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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