A Study of Olezarsen (Formerly Known as AKCEA-APOCIII-LRx) in Participants With Familial Chylomicronemia Syndrome (FCS)
An Open-Label Extension Study of AKCEA-APOCIII-LRx Administered Subcutaneously to Patients With Familial Chylomicronemia Syndrome (FCS)
2 other identifiers
interventional
60
11 countries
27
Brief Summary
The purpose of this study is to evaluate the effect of olezarsen (formerly known as AKCEA-APOCIII-LRx) on the percent change in fasting triglycerides (TG) from baseline.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Nov 2021
Longer than P75 for phase_3
27 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 11, 2021
CompletedStudy Start
First participant enrolled
November 18, 2021
CompletedFirst Posted
Study publicly available on registry
November 23, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
February 1, 2028
December 12, 2025
December 1, 2025
6.2 years
November 11, 2021
December 5, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percent Change From Baseline in Fasting TG at 6 Months (Average of Weeks 23, 25, and 27) Compared to Baseline
Baseline and 6 months
Secondary Outcomes (18)
Percent Change From Baseline in Fasting TG at 12 Months (Average of Weeks 51 and 53) at 24 Months (Average of Week 103 and Week 105) and 36 Months (Average of Week 155 and Week 157)
Baseline and 36 months
Percentage of Participants Who Achieve ≥ 40% Reduction in Fasting TG From Baseline at 6 Months
At 6 months
Percentage of Participants Who Achieve ≥ 40% Reduction in Fasting TG From Baseline at 12, 24, 36 Months
At 12, 24, 36 months
Percent Change in Fasting apoC-III from Baseline at Month 6
Baseline and 6 months
Percent Change in Fasting apoC-III from Month 12, 24, 36
At 12, 24, 36 months
- +13 more secondary outcomes
Study Arms (1)
Olezarsen
EXPERIMENTALOlezarsen will be administered once every 4 weeks by subcutaneous (SC) injection from Week 1 through Week 153.
Interventions
Olezarsen will be administered by SC injection.
Eligibility Criteria
You may qualify if:
- Satisfactory completion of treatment with olezarsen in the index study (ISIS 678354-CS3, last dose as scheduled at Week 49) with an acceptable safety profile, per Investigator judgement.
You may not qualify if:
- Have any new condition or worsening of existing condition which in the opinion of the Investigator would make the participant unsuitable for enrollment, or could interfere with the patient participating in or completing the study, including need for treatment with medications disallowed in the index study (ISIS 678354-CS3).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (27)
Diabetes/Lipid Management & Research Center
Huntington Beach, California, 92648, United States
Excel Medical Clinical Trials, LLC
Boca Raton, Florida, 33434, United States
Department of Pharmacy
Park Ridge, Illinois, 60068, United States
University of Kansas Medical Center (KUMC)
Kansas City, Kansas, 66160, United States
CTSI Investigational Pharmacy
New York, New York, 10016, United States
Milstein Hospital
New York, New York, 10032, United States
IDS Central
Philadelphia, Pennsylvania, 19104, United States
Ecogene-21
Chicoutimi, Quebec, G7H 7K9, Canada
Institute de Recherches Cliniques de Montreal
Montreal, Quebec, H2W 1R7, Canada
Nathalie Saint-Pierre
Montreal, Quebec, H2W 1R7, Canada
Clinique des Maladies Lipidiques de Quebec Inc.
Québec, Quebec, G1V 4W2, Canada
Groupement Hospitalier Est- Pharmacie Secteur Essais Clinique
Bron, 69677, France
Hôpital Bicêtre
Le Kremlin-Bicêtre, 94270, France
Pharmacie Hopital de la Conception
Marseille, 05 13385, France
Via Sergio Pansini 5
Naples, 80131, Italy
UOC di Farmacia AOUP PAOLO GIACCONE
Palermo, 90127, Italy
Azienda Ospedaliero Universitaria Policlinico Umberto I
Rome, 00161, Italy
Academisch Medisch Centrum Goederenontvangst Apotheek t.a.v. Kenniscentrum
Amsterdam, Noor-Holland, 1105 AZ, Netherlands
Oslo Hospital Pharmacy Rikshospitalet
Oslo, 0372, Norway
Hospital da Senhora da Oliveira Guimaraes
Creixomil, 4835-044, Portugal
Dra Margarida Falcao Centro Hospitalar Lisboa Ocidental Hospital Egas Moniz
Lisbon, 1340-019, Portugal
Metabolicke centrum MU
Bratislava, 83101, Slovakia
Hospital Clínic Barcelona C/ Villarroel
Barcelona, 08036, Spain
Hospital Universitario 12 de Octubre
Madrid, 28041, Spain
Hospital Universitario Virgen del Rocío
Seville, 41013, Spain
Apokteket AB
Malmo, 211 24, Sweden
Royal Manchester Children's Hospital
Manchester, M13 9WL, United Kingdom
MeSH Terms
Conditions
Interventions
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
- Expanded Access
- Yes
Study Record Dates
First Submitted
November 11, 2021
First Posted
November 23, 2021
Study Start
November 18, 2021
Primary Completion (Estimated)
February 1, 2028
Study Completion (Estimated)
February 1, 2028
Last Updated
December 12, 2025
Record last verified: 2025-12
Data Sharing
- IPD Sharing
- Will share
Ionis may share anonymized individual participant data, aggregated clinical data, and other types of data that support the results in this study. Data requests from qualified researchers will be considered once all three of the following criteria are met: (1) 12 months from marketing approval of the study drug in both the United States and European Union; (2) 18 months from conclusion of the study; and (3) 6 months from publication of study article. Access would be via a secure environment and is contingent upon approval of a research proposal and entry into an appropriate data use agreement. Requests to access data can be submitted via the website https://vivli.org/ourmember/ionis/.