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A Multiple Ascending Dose Study of CSL112 in Healthy Volunteers

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2]

Official Title

Official Title

An adaptive, phase I, randomized, placebo-controlled, sponsor-unblinded, multiple ascending dose study to investigate the safety, tolerability and pharmacokinetics of intravenous CSL112 in healthy volunteers

Objectives

Objectives

  • To measure the biomarkers of cholesterol movement following a single and multiple infusions of CSL-112 in healthy subjects.[1]
  • To evaluate role of CSL-112 in decreasing cholesterol-loaded plaques that contribute to cardiovascular disease.[1]
Sponsor

CSL Limited

Timeline

Timeline

Timeline
Start Date January 2011
End Date June 2011
Status Completed

The previous information was derived from ClinicalTrials.gov on 09/19/2013 using the identification number NCT01281774.

Study Description

Study Description

Study Description
Study Type Interventional
Study Phase Phase 1
Study Design
Allocation Randomized
Endpoint Safety study
Interventional Model Parallel assignment
Masking Double blind
Study Details
Primary Purpose Treatment
Condition Healthy
Intervention Biological: CSL112 (reconstituted high density lipoprotein)
Biological: Placebo (normal saline)
Study Arms Multiple ascending intravenous doses of CSL112
Placebo
Population Size 36

The previous information was derived from ClinicalTrials.gov on 09/19/2013 using the identification number NCT01281774.

Eligibility Criteria

Eligibility Criteria

Inclusion Criteria

  • Healthy individual
  • Age: 18-55 year old
  • Weight ≥ 5 kg
  • BMI between 18-42 kg/m2

Exclusion Criteria

  • Clinically significant medical condition or disease
  • Abnormal lab test result
  • History of alcohol or other substance abuse
Outcomes

Outcomes

Primary Outcomes

Safety and tolerability defined as rate of clinically-associated adverse events that occur within 14 days of CSL112 infusion.[1]

Secondary Outcomes

Evaluation of lipoprotein pharmacokinetics during a time frame of 10 days following CSL112 infusion and measurement of plasma levels of lipoprotein.[1]

Publications

Publications

Results

  • Infusions of CSL-112 caused immediate and profound elevation in all the biomarkers of cholesterol transport, including preBeta1-HDL and global cholesterol efflux as measured by activity of ATP-binding cassette transporter (ABCA1) cells.[1]
  • The infusion of CSL112 caused a dose-dependent increase of all biomarkers. Levels were consistent in magnitude and time course following the first and last infusions.[1]
  • Serum preBeta1-HDL and cholesterol efflux capacity peaked after infusion and returned to baseline at 24 hour while there was a 72 hour sustained response for serum HDL following its peak at 24-48 hours after infusion.[1]
  • Multiple infusions of CSL112 cause a greater efflux of cholesterol from tissues to HDL when compared with a single infusion.[1]
  • There were no observed changes in the baseline of other lipoproteins.[1]

Conclusion

Single and multiple infusions of CSL-112 in healthy subjects rapidly initiates the reverse cholesterol transport, and this is beneficial in rapidly lowering the risk of recurrent cardiovascular events following acute coronary syndromes.[1]

References

References

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