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| Name | Class |
|---|---|
| Ionis Pharmaceuticals, Inc. | INDUSTRY |
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To assess the electrocardiogram (ECG) effects of mipomersen administered as a 200-mg subcutaneous (SC) therapeutic and a 200-mg intravenous (IV; [2-hour infusion]) supra-therapeutic dose relative to placebo in healthy adult male and female subjects; and to evaluate the safety and pharmacokinetics (PK) of mipomersen when administered as a single therapeutic (200 mg) SC and a single, supra-therapeutic (200 mg) IV dose.
This will be a randomized, double-blind, single-site, crossover study in healthy male and female subjects to determine if mipomersen administered as a single therapeutic (200 mg) SC and a single supra-therapeutic (200 mg) IV dose delays cardiac repolarization as determined by the measurement of QT/corrected QT (QTc) interval. A total of 60 healthy male and female subjects will be enrolled in this 4-way crossover study, randomly assigned to 1 of 8 treatment sequences, and cross over into 4 treatment periods where each subject will receive both a single SC injection and a single IV infusion during each period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| mipomersen IV (supra-therapeutic dose) | Experimental | 200 mg of mipomersen IV / placebo SC |
|
| mipomersen SC (therapeutic dose) | Experimental | 200 mg of mipomersen SC / placebo IV |
|
| moxifloxacin IV | Active Comparator | 400 mg of moxifloxacin IV / placebo SC |
|
| placebo | Placebo Comparator | Placebo IV / placebo SC |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| mipomersen sodium | Drug | 200 mg of mipomersen intravenous (IV) (single dose) |
|
| Measure | Description | Time Frame |
|---|---|---|
| change from baseline in QTcF (corrected Frederica's CT interval) | ECG monitoring up to 24 hours post dose |
| Measure | Description | Time Frame |
|---|---|---|
| ECG intervals (QTcB (corrected Bazett's QT interval), HR (heart rate, PR, QRS, and QT) | ECG monitoring up to 24 hours post dose | |
| change in ECG morphological patterns | ECG monitoring up to 24 hours post dose |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Monitor | Genzyme, a Sanofi Company | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| PPD Development, LP | Austin | Texas | United States |
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| ID | Term |
|---|---|
| C524142 | mipomersen |
| D000077266 | Moxifloxacin |
| ID | Term |
|---|---|
| D024841 | Fluoroquinolones |
| D042462 | 4-Quinolones |
| D015363 | Quinolones |
| D011804 | Quinolines |
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| mipomersen sodium | Drug | 200 mg of mipomersen subcutaneous (SC) (single dose) |
|
|
| moxifloxacin hydrochloride (Avelox®) | Drug | 400 mg of moxifloxacin intravenous (IV) single dose |
|
| placebo | Drug | placebo intravenous (IV) single dose |
|
| placebo | Drug | placebo subcutaneous (SC) single dose |
|
| Correlation between delta delta QTc interval and plasma mipomersen concentrations | ECG monitoring up to 24 hours post dose |
| Incidence of treatment-emergent Adverse Events | Assessed at each visit |
| mipomersen plasma pharmacokinetic (PK) parameters: Area Under the Curve (AUC 0-22.5h), Maximum Concentration (Cmax), Time to Maximum Concentration (Tmax) | Serial PK sampling up to 24 hours post dose |
| D006574 |
| Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |