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| ID | Type | Description | Link |
|---|---|---|---|
| 2015-001719-11 | EudraCT Number |
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| Name | Class |
|---|---|
| Medical University of Vienna | OTHER |
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Study AFF012 is a single blind, single-center, randomized, placebo-controlled, parallel group, phase I clinical trial of repeated administration by subcutaneous injection of a single dose of one of two different proprotein convertase subtilisin/kexin type 9 targeting AFFITOPE® vaccines or Placebo. This study will assess Safety, Immunogenicity and low density lipoprotein cholesterol-lowering activity of the two vaccines.
72 healthy subjects are divided into three test groups (2 treatment groups, 1 placebo group), each consisting of 24 subjects. The subjects are randomized to receive either of two AFFITOPEs® (AT04A or AT06A, adsorbed to 1 mg aluminium oxyhydroxide) or placebo (1 mg aluminium oxyhydroxide).
The study consists of 3 parts, part A, encompassing Visit 1 to Visit 8, covering 3 priming immunizations at a dose of 15μg at days 0, 28 and 56 and the immediate observation period extending to day 140; the prolonged observation period: part B, encompassing Visit 9 and Visit 10 at days 273 and 365; and part C consisting of 7 visits (V11 to V17). Study participants having received 3 priming vaccinations and having completed part B will receive in part C one boost immunization at a dose of 75μg, which will be applied one year after the 3rd immunization (day 420). Probands will proceed directly from part A to part B and to part C. Continuation of parts B and C will be considered based on the part A results, primarily the immunological results. The following scenarios apply (provided that there is no safety issue). None of the two treatment groups exhibits a vaccine-specific antibody response over the placebo group at Visit 8 - this will lead to termination of the trial. One of the two groups fails to exhibit a vaccine-specific antibody response over the placebo group at Visit 8 - this will lead to its discontinuation; the other treatment group and the placebo group will be continued.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AFFITOPE® AT04A+adjuvant | Experimental | 3 injections of 15µg AFFITOPE® AT04A+adjuvant once every 4 weeks and 1 boost immunization at a dose of 75μg, which will be applied one year after the 3rd immunization |
|
| AFFITOPE® AT06A+adjuvant | Experimental | 3 injections of 15µg AFFITOPE® AT06A+adjuvant once every 4 weeks and 1 boost immunization at a dose of 75μg, which will be applied one year after the 3rd immunization |
|
| Adjuvant without active component | Placebo Comparator | 3 injections of Placebo once every 4 weeks and 1 boost immunization which will be applied one year after the 3rd immunization |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AFFITOPE® AT04A+adjuvant | Biological | subcutaneous injection |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Occurence of any Serious Adverse Event (SAE) | Evaluation of SAE being unlikely, possibly, probably or definitely related to the study vaccines Occurence of any Grade 3 or higher adverse Event (AE) Occurence of solicited local AEs Occurence of solicited systemic AEs Occurence of unsolicited non-serious AEs | 21 months |
| Measure | Description | Time Frame |
|---|---|---|
| Immunological activity of AFFITOPE® AT04A: Titer of vaccination-induced antibodies | Titer of vaccination-induced antibodies directed towards peptide components of the vaccine, the carrier, and the target proprotein convertase subtilisin/kexin type 9 | 21 months |
| Immunological activity of AFFITOPE® AT06A: Titer of vaccination-induced antibodies |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Markus Zeitlinger, MD | Medical University of Vienna | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medical University of Vienna | Vienna | 1090 | Austria |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33969434 | Derived | Zeitlinger M, Bauer M, Reindl-Schwaighofer R, Stoekenbroek RM, Lambert G, Berger-Sieczkowski E, Lagler H, Oesterreicher Z, Wulkersdorfer B, Luhrs P, Galabova G, Schwenke C, Mader RM, Medori R, Landlinger C, Kutzelnigg A, Staffler G. A phase I study assessing the safety, tolerability, immunogenicity, and low-density lipoprotein cholesterol-lowering activity of immunotherapeutics targeting PCSK9. Eur J Clin Pharmacol. 2021 Oct;77(10):1473-1484. doi: 10.1007/s00228-021-03149-2. Epub 2021 May 10. |
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| AFFITOPE® AT06A+adjuvant |
| Biological |
subcutaneous injection |
|
| Adjuvant without active component | Biological | subcutaneous injection |
|
Titer of vaccination-induced antibodies directed towards peptide components of the vaccine, the carrier, and the target proprotein convertase subtilisin/kexin type 9 |
| 21 months |
| Mean Levels of Low Density Lipoprotein Cholesterol (LDLc) | Change from baseline | 21 months |
| Mean Levels of High Density Lipoprotein Cholesterol (HDLc) | Change from baseline | 21 months |
| Mean Levels of Very Low Density Lipoprotein (VLDL) | Change from baseline | 21 months |
| Mean Levels of Total Cholesterol (TC) | Change from baseline | 21 months |
| Mean Levels of Triglycerides (TG) | Change from baseline | 21 months |
| Mean Levels of PCSK9 | Change from baseline | 21 months |
| Correlation analysis: Relating the strength of antibody responses to Lipid lowering effects | Relating the strength of antibody responses to Lipid lowering effects | 21 months |
| ID | Term |
|---|---|
| D006937 | Hypercholesterolemia |
| ID | Term |
|---|---|
| D006949 | Hyperlipidemias |
| D050171 | Dyslipidemias |
| D052439 | Lipid Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D000277 | Adjuvants, Pharmaceutic |
| ID | Term |
|---|---|
| D010592 | Pharmaceutic Aids |
| D004364 | Pharmaceutical Preparations |
| D020313 | Specialty Uses of Chemicals |
| D020164 | Chemical Actions and Uses |
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