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The main objective of this study is to evaluate the pharmacokinetics (PK) of a single dose of Olpasiran in Chinese participants with elevated serum lipoprotein(a) (Lp[a]).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Olpasiran Dose A | Experimental | Participants will be administered Olpasiran dose A as a subcutaneous injection. |
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| Olpasiran Dose B | Experimental | Participants will be administered Olpasiran dose B as a subcutaneous injection. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Olpasiran | Drug | Subcutaneous injection |
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| Measure | Description | Time Frame |
|---|---|---|
| Maximum Observed Concentration (Cmax) of Olpasiran | The serum pharmacokinetic (PK) parameters of olpasiran were calculated using standard noncompartmental methods. | Predose, 30 and 60 minutes, 2, 3, 6, 9, 12, 24, and 36 hours postdose on Day 1 and on study Days 3, 4, 7, 15, 29, 57, and 85 |
| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Serum Concentration-time Curve From Time 0 Extrapolated to Infinity (AUCinf) of Olpasiran | The serum PK parameters of olpasiran were calculated using standard noncompartmental methods. | Predose, 30 and 60 minutes, 2, 3, 6, 9, 12, 24, and 36 hours postdose on Day 1 and on study Days 3, 4, 7, 15, 29, 57, and 85 |
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Inclusion Criteria:
Inclusion eligibility criteria will be evaluated in 2 parts during the screening period:
Part 1:
Part 2:
In good health, determined by no clinically significant findings from medical history, physical examination, 12-lead ECG, vital sign measurements, and clinical laboratory evaluations (congenital nonhemolytic hyperbilirubinemia [e.g., suspicion of Gilbert's syndrome based on total and direct bilirubin] is not acceptable) as assessed by the Investigator (or designee).
Body mass index between 18 and 32 kg/m^2 (inclusive) at the time of Screening.
Subjects who are on statin must be on a stable dose of the same statin for at least 6 weeks prior to enrollment, and plan to remain on a stable dose (i.e., no change in medication or dosage) for the duration of the study.
Females must be of non-reproductive potential:
a. Postmenopausal defined as: i. Age of ≥ 55 years with no menses for at least 12 months; OR ii. Age of < 55 years with no menses for at least 12 months AND with a follicle stimulating hormone (FSH) level > 40 IU/L or according to the definition of "postmenopausal range" for the laboratory involved; OR b. History of hysterectomy; OR c. History of bilateral oophorectomy.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| MD | Amgen | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Queen Mary Hospital | Hong Kong | HK | Hong Kong |
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| Label | URL |
|---|---|
| AmgenTrials clinical trials website | View source |
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De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.
Data sharing requests relating to this study will be considered beginning 18 months after the study has ended and either 1) the product and indication have been granted marketing authorization in both the US and Europe or 2) clinical development for the product and/or indication discontinues and the data will not be submitted to regulatory authorities. There is no end date for eligibility to submit a data sharing request for this study.
Qualified researchers may submit a request containing the research objectives, the Amgen product(s) and Amgen study/studies in scope, endpoints/outcomes of interest, statistical analysis plan, data requirements, publication plan, and qualifications of the researcher(s). In general, Amgen does not grant external requests for individual patient data for the purpose of re-evaluating safety and efficacy issues already addressed in the product labelling. Requests are reviewed by a committee of internal advisors. If not approved, a Data Sharing Independent Review Panel will arbitrate and make the final decision. Upon approval, information necessary to address the research question will be provided under the terms of a data sharing agreement. This may include anonymized individual patient data and/or available supporting documents, containing fragments of analysis code where provided in analysis specifications. Further details are available at the URL below.
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| ID | Title | Description |
|---|---|---|
| FG000 | Olpasiran Low Dose | Participants were administered a single dose of olpasiran low dose as a subcutaneous injection on Day 1. |
| FG001 | Olpasiran High Dose | Participants were administered a single dose of olpasiran high dose as a subcutaneous injection on Day 1. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jul 28, 2021 | Nov 8, 2024 |
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| Area Under the Serum Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of Olpasiran |
The serum PK parameters of olpasiran were calculated using standard noncompartmental methods. |
| Predose, 30 and 60 minutes, 2, 3, 6, 9, 12, 24, and 36 hours postdose on Day 1 and on study Days 3, 4, 7, 15, 29, 57, and 85 |
| Time to Cmax (Tmax) of Olpasiran | The serum PK parameters of olpasiran were calculated using standard noncompartmental methods. | Predose, 30 and 60 minutes, 2, 3, 6, 9, 12, 24, and 36 hours postdose on Day 1 and on study Days 3, 4, 7, 15, 29, 57, and 85 |
| Apparent Terminal Elimination Half-life (T1/2) of Olpasiran | The serum PK parameters of olpasiran were calculated using standard noncompartmental methods. | Predose, 30 and 60 minutes, 2, 3, 6, 9, 12, 24, and 36 hours postdose on Day 1 and on study Days 3, 4, 7, 15, 29, 57, and 85 |
| Apparent Volume of Distribution During the Terminal Elimination Phase (Vz/F) of Olpasiran | The serum PK parameters of olpasiran were calculated using standard noncompartmental methods. | Predose, 30 and 60 minutes, 2, 3, 6, 9, 12, 24, and 36 hours postdose on Day 1 and on study Days 3, 4, 7, 15, 29, 57, and 85 |
| Apparent Total Body Clearance (CL/F) of Olpasiran | The serum PK parameters of olpasiran were calculated using standard noncompartmental methods. | Predose, 30 and 60 minutes, 2, 3, 6, 9, 12, 24, and 36 hours postdose on Day 1 and on study Days 3, 4, 7, 15, 29, 57, and 85 |
| Number of Participants Who Experienced Treatment-Emergent Adverse Events (TEAEs) | An adverse event (AE) was defined as any untoward medical occurrence in a clinical trial participant. A TEAE was defined as an AE that starts on or after the first dose of investigational product and up to end of study. Clinically significant changes in clinical laboratory tests, 12-lead electrocardiograms, and vital signs were reported as AEs. | Up to Day 225 |
| Percentage Change From Baseline in Triglycerides | Participants were fasted overnight (at least 10 hours) before collection of blood samples for lipids. | Baseline and Days 7, 15, 57, 155 and 225 |
| Percentage Change From Baseline in Very Low-density Lipoprotein Cholesterol (VLDL-C) | Participants were fasted overnight (at least 10 hours) before collection of blood samples for lipids. | Baseline and Days 7, 15, 57, 155 and 225 |
| Percentage Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C) | Participants were fasted overnight (at least 10 hours) before collection of blood samples for lipids. | Baseline and Days 7, 15, 57, 155 and 225 |
| Percentage Change From Baseline in High-density Lipoprotein Cholesterol (HDL-C) | Participants were fasted overnight (at least 10 hours) before collection of blood samples for lipids. | Baseline and Days 7, 15, 57, 155 and 225 |
| Percentage Change From Baseline in Total Cholesterol | Participants were fasted overnight (at least 10 hours) before collection of blood samples for lipids. | Baseline and Days 7, 15, 57, 155 and 225 |
| Percentage Change From Baseline in Apolipoprotein A1 (ApoA1) | Participants were fasted overnight (at least 10 hours) before collection of blood samples for lipids. | Baseline and Days 7, 15, 57, 155 and 225 |
| Percentage Change From Baseline in Apolipoprotein B (Apo B) | Participants were fasted overnight (at least 10 hours) before collection of blood samples for lipids. | Baseline and Days 7, 15, 57, 155 and 225 |
| Percentage Change From Baseline in Lipoprotein-a (Lp[a]) | Participants were fasted overnight (at least 10 hours) before collection of blood samples for lipids. | Baseline and Days 2, 4, 7, 15, 29, 57, 85, 113, 155, 183 and 225 |
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| NOT COMPLETED |
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Safety Analysis Set: included all randomized participants who received olpasiran.
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| ID | Title | Description |
|---|---|---|
| BG000 | Olpasiran Low Dose | Participants were administered a single dose of olpasiran low dose as a subcutaneous injection on Day 1. |
| BG001 | Olpasiran High Dose | Participants were administered a single dose of olpasiran high dose as a subcutaneous injection on Day 1. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
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| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Maximum Observed Concentration (Cmax) of Olpasiran | The serum pharmacokinetic (PK) parameters of olpasiran were calculated using standard noncompartmental methods. | PK Analysis Set: included all randomized participants who received olpasiran and had evaluable PK data. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | Predose, 30 and 60 minutes, 2, 3, 6, 9, 12, 24, and 36 hours postdose on Day 1 and on study Days 3, 4, 7, 15, 29, 57, and 85 |
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| Secondary | Area Under the Serum Concentration-time Curve From Time 0 Extrapolated to Infinity (AUCinf) of Olpasiran | The serum PK parameters of olpasiran were calculated using standard noncompartmental methods. | PK Analysis Set: included all randomized participants who received olpasiran and had evaluable PK data. | Posted | Geometric Mean | Geometric Coefficient of Variation | h*ng/mL | Predose, 30 and 60 minutes, 2, 3, 6, 9, 12, 24, and 36 hours postdose on Day 1 and on study Days 3, 4, 7, 15, 29, 57, and 85 |
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| Secondary | Area Under the Serum Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of Olpasiran | The serum PK parameters of olpasiran were calculated using standard noncompartmental methods. | PK Analysis Set: included all randomized participants who received olpasiran and had evaluable PK data. | Posted | Geometric Mean | Geometric Coefficient of Variation | h*ng/mL | Predose, 30 and 60 minutes, 2, 3, 6, 9, 12, 24, and 36 hours postdose on Day 1 and on study Days 3, 4, 7, 15, 29, 57, and 85 |
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| Secondary | Time to Cmax (Tmax) of Olpasiran | The serum PK parameters of olpasiran were calculated using standard noncompartmental methods. | PK Analysis Set: included all randomized participants who received olpasiran and had evaluable PK data. | Posted | Median | Full Range | hours | Predose, 30 and 60 minutes, 2, 3, 6, 9, 12, 24, and 36 hours postdose on Day 1 and on study Days 3, 4, 7, 15, 29, 57, and 85 |
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| Secondary | Apparent Terminal Elimination Half-life (T1/2) of Olpasiran | The serum PK parameters of olpasiran were calculated using standard noncompartmental methods. | PK Analysis Set: included all randomized participants who received olpasiran and had evaluable PK data. | Posted | Mean | Standard Deviation | hours | Predose, 30 and 60 minutes, 2, 3, 6, 9, 12, 24, and 36 hours postdose on Day 1 and on study Days 3, 4, 7, 15, 29, 57, and 85 |
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| Secondary | Apparent Volume of Distribution During the Terminal Elimination Phase (Vz/F) of Olpasiran | The serum PK parameters of olpasiran were calculated using standard noncompartmental methods. | PK Analysis Set: included all randomized participants who received olpasiran and had evaluable PK data. | Posted | Geometric Mean | Geometric Coefficient of Variation | liters | Predose, 30 and 60 minutes, 2, 3, 6, 9, 12, 24, and 36 hours postdose on Day 1 and on study Days 3, 4, 7, 15, 29, 57, and 85 |
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| Secondary | Apparent Total Body Clearance (CL/F) of Olpasiran | The serum PK parameters of olpasiran were calculated using standard noncompartmental methods. | PK Analysis Set: included all randomized participants who received olpasiran and had evaluable PK data. | Posted | Geometric Mean | Geometric Coefficient of Variation | L/h | Predose, 30 and 60 minutes, 2, 3, 6, 9, 12, 24, and 36 hours postdose on Day 1 and on study Days 3, 4, 7, 15, 29, 57, and 85 |
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| Secondary | Number of Participants Who Experienced Treatment-Emergent Adverse Events (TEAEs) | An adverse event (AE) was defined as any untoward medical occurrence in a clinical trial participant. A TEAE was defined as an AE that starts on or after the first dose of investigational product and up to end of study. Clinically significant changes in clinical laboratory tests, 12-lead electrocardiograms, and vital signs were reported as AEs. | Safety Analysis Set: included all randomized participants who received olpasiran. | Posted | Count of Participants | Participants | Up to Day 225 |
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| Secondary | Percentage Change From Baseline in Triglycerides | Participants were fasted overnight (at least 10 hours) before collection of blood samples for lipids. | Pharmacodynamic (PD) Analysis Set: included all randomized participants who received olpasiran and had evaluable PD data. | Posted | Mean | Standard Deviation | percentage change in triglycerides | Baseline and Days 7, 15, 57, 155 and 225 |
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| Secondary | Percentage Change From Baseline in Very Low-density Lipoprotein Cholesterol (VLDL-C) | Participants were fasted overnight (at least 10 hours) before collection of blood samples for lipids. | PD Analysis Set: included all randomized participants who received olpasiran and had evaluable PD data. | Posted | Mean | Standard Deviation | percentage change in VLDL-C | Baseline and Days 7, 15, 57, 155 and 225 |
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| Secondary | Percentage Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C) | Participants were fasted overnight (at least 10 hours) before collection of blood samples for lipids. | PD Analysis Set: included all randomized participants who received olpasiran and had evaluable PD data. | Posted | Mean | Standard Deviation | percentage change in LDL-C | Baseline and Days 7, 15, 57, 155 and 225 |
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| Secondary | Percentage Change From Baseline in High-density Lipoprotein Cholesterol (HDL-C) | Participants were fasted overnight (at least 10 hours) before collection of blood samples for lipids. | PD Analysis Set: included all randomized participants who received olpasiran and had evaluable PD data. | Posted | Mean | Standard Deviation | percentage change in HDL-C | Baseline and Days 7, 15, 57, 155 and 225 |
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| Secondary | Percentage Change From Baseline in Total Cholesterol | Participants were fasted overnight (at least 10 hours) before collection of blood samples for lipids. | PD Analysis Set: included all randomized participants who received olpasiran and had evaluable PD data. | Posted | Mean | Standard Deviation | percentage change in total cholesterol | Baseline and Days 7, 15, 57, 155 and 225 |
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| Secondary | Percentage Change From Baseline in Apolipoprotein A1 (ApoA1) | Participants were fasted overnight (at least 10 hours) before collection of blood samples for lipids. | PD Analysis Set: included all randomized participants who received olpasiran and had evaluable PD data. | Posted | Mean | Standard Deviation | percentage change in ApoA1 | Baseline and Days 7, 15, 57, 155 and 225 |
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| Secondary | Percentage Change From Baseline in Apolipoprotein B (Apo B) | Participants were fasted overnight (at least 10 hours) before collection of blood samples for lipids. | PD Analysis Set: included all randomized participants who received olpasiran and had evaluable PD data. | Posted | Mean | Standard Deviation | percentage change in Apo B | Baseline and Days 7, 15, 57, 155 and 225 |
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| Secondary | Percentage Change From Baseline in Lipoprotein-a (Lp[a]) | Participants were fasted overnight (at least 10 hours) before collection of blood samples for lipids. | PD Analysis Set: included all randomized participants who received olpasiran and had evaluable PD data. | Posted | Mean | Standard Deviation | percentage change in Lp(a) | Baseline and Days 2, 4, 7, 15, 29, 57, 85, 113, 155, 183 and 225 |
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Up to 225 days
Safety Analysis Set: included all randomized participants who received olpasiran.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Olpasiran Low Dose | Participants were administered a single dose of olpasiran low dose as a subcutaneous injection on Day 1. | 0 | 12 | 1 | 12 | 11 | 12 |
| EG001 | Olpasiran High Dose | Participants were administered a single dose of olpasiran high dose as a subcutaneous injection on Day 1. | 0 | 12 | 1 | 12 | 9 | 12 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Clavicle fracture | Injury, poisoning and procedural complications | MedDRA 24.0 | Systematic Assessment |
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| Alanine aminotransferase increased | Investigations | MedDRA 24.0 | Systematic Assessment |
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| Aspartate aminotransferase increased | Investigations | MedDRA 24.0 | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal discomfort | Gastrointestinal disorders | MedDRA 24.0 | Systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | MedDRA 24.0 | Systematic Assessment |
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| Gastritis | Gastrointestinal disorders | MedDRA 24.0 | Systematic Assessment |
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| Haemorrhoids | Gastrointestinal disorders | MedDRA 24.0 | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA 24.0 | Systematic Assessment |
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| Toothache | Gastrointestinal disorders | MedDRA 24.0 | Systematic Assessment |
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| Vomiting | Gastrointestinal disorders | MedDRA 24.0 | Systematic Assessment |
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| Influenza like illness | General disorders | MedDRA 24.0 | Systematic Assessment |
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| Injection site bruising | General disorders | MedDRA 24.0 | Systematic Assessment |
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| Injection site erythema | General disorders | MedDRA 24.0 | Systematic Assessment |
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| Injection site pain | General disorders | MedDRA 24.0 | Systematic Assessment |
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| Injection site swelling | General disorders | MedDRA 24.0 | Systematic Assessment |
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| Pyrexia | General disorders | MedDRA 24.0 | Systematic Assessment |
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| Covid-19 | Infections and infestations | MedDRA 24.0 | Systematic Assessment |
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| Gastroenteritis | Infections and infestations | MedDRA 24.0 | Systematic Assessment |
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| Periodontitis | Infections and infestations | MedDRA 24.0 | Systematic Assessment |
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| Rhinitis | Infections and infestations | MedDRA 24.0 | Systematic Assessment |
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| Contusion | Injury, poisoning and procedural complications | MedDRA 24.0 | Systematic Assessment |
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| Dental restoration failure | Injury, poisoning and procedural complications | MedDRA 24.0 | Systematic Assessment |
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| Thermal burn | Injury, poisoning and procedural complications | MedDRA 24.0 | Systematic Assessment |
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| Type 2 diabetes mellitus | Metabolism and nutrition disorders | MedDRA 24.0 | Systematic Assessment |
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| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 24.0 | Systematic Assessment |
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| Fracture pain | Musculoskeletal and connective tissue disorders | MedDRA 24.0 | Systematic Assessment |
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| Musculoskeletal chest pain | Musculoskeletal and connective tissue disorders | MedDRA 24.0 | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA 24.0 | Systematic Assessment |
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| Hypoaesthesia | Nervous system disorders | MedDRA 24.0 | Systematic Assessment |
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| Tremor | Nervous system disorders | MedDRA 24.0 | Systematic Assessment |
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| Insomnia | Psychiatric disorders | MedDRA 24.0 | Systematic Assessment |
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| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA 24.0 | Systematic Assessment |
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| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | MedDRA 24.0 | Systematic Assessment |
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| Hyperhidrosis | Skin and subcutaneous tissue disorders | MedDRA 24.0 | Systematic Assessment |
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| Rash | Skin and subcutaneous tissue disorders | MedDRA 24.0 | Systematic Assessment |
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| Rash macular | Skin and subcutaneous tissue disorders | MedDRA 24.0 | Systematic Assessment |
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| Urticaria | Skin and subcutaneous tissue disorders | MedDRA 24.0 | Systematic Assessment |
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The Clinical Trial Agreement generally does not restrict an investigator's discussion of trial results after completion. The Agreement permits Amgen a limited period of time to review material discussing trial results (typically up to 45 days and possible extension). Amgen may remove confidential information, but authors have final control and approval of publication content. For multicenter studies, the investigator agrees not to publish any results before the first multi-center publication.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | Amgen Inc. | 866-572-6436 | medinfo@amgen.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Dec 6, 2022 | Nov 8, 2024 | SAP_001.pdf |
| ID | Term |
|---|---|
| C000723009 | olpasiran |
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| Male |
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| Not Hispanic or Latino |
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| Unknown or Not Reported |
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| Asian |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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