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Phase 3 Completed N=113 Randomized Quadruple-blind Treatment

The COMPASS Study: A Study of Volanesorsen (Formally ISIS-APOCIIIRx) in Patients With Hypertriglyceridemia

Source: ClinicalTrials.gov NCT02300233 ↗
Enrolled (actual)
113
Serious AEs
10.6%
Results posted
Apr 2022
Primary outcomePrimary: Percent Change in Fasting Triglycerides (TG) From Baseline to Month 3 — -0.9; -71.2 percent change — p=<0.0001
◆ Published Evidence
Highly cited
226citations · ~45 / year
Efficacy and safety of volanesorsen in patients with multifactorial chylomicronaemia (COMPASS): a multicentre, double-blind, randomised, placebo-controlled, phase 3 trial.
The lancet. Diabetes & endocrinology · 2021 · Likely link

Summary

The purpose of this study is to evaluate the efficacy and safety of volanesorsen given for 26 weeks in participants with Hypertriglyceridemia.

Linked Publications (2)

  • Efficacy and safety of volanesorsen in patients with multifactorial chylomicronaemia (COMPASS): a multicentre, double-blind, randomised, placebo-controlled, phase 3 trial.
    The lancet. Diabetes & endocrinology · 2021 · 226 citations · Likely link
  • APOC3 inhibition with volanesorsen reduces hepatic steatosis in patients with severe hypertriglyceridemia.
    Journal of clinical lipidology · 2023 · 45 citations · Open access · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Percent Change in Fasting Triglycerides (TG) From Baseline to Month 3
-0.9; -71.2 <0.0001 sig
SECONDARY
Absolute Change in Fasting TG From Baseline to Month 3
74; -869 <0.0001 sig
SECONDARY
Treatment Response Rate Defined as Participants With Fasting TG ≥ 40% Reduction From Baseline at Month 3
5; 65 <0.0001 sig
SECONDARY
Percent Change in High-density Lipoprotein-cholesterol (HDL-C) From Baseline
4.4; 61.2 <0.0001 sig
SECONDARY
Treatment Response Rate Defined as Participants With Fasting TG < 150 mg/dL Reduction From Baseline at Month 3
0; 11 0.0474 sig
SECONDARY
Change From Baseline in Homeostasis Model Assessment-estimated Insulin Resistance (HOMA-IR)
-0.29; 1.53; -0.45; -0.37; 1.54; 0.56
SECONDARY
Change From Baseline in Glycated Hemoglobin (HbA1c) in Type 2 Diabetes Mellitus (T2DM) Participants
-0.0; 0.4; 0.1; -0.2; 0.8; 0.3

Eligibility Criteria

Inclusion Criteria

  • Body mass index (BMI) ≤ 45 kg/m2
  • Fasting Triglycerides (TG) ≥ 500 mg/dL (≥ 5.7 mmol/L) at Screening.
  • If on statin or fibrate, participants must be on stable, labeled dose for at least 3 months prior to screening. Participants not receiving these drugs within 4 weeks prior to screening are also eligible.

Exclusion Criteria

  • Type 1 diabetes mellitus
  • Newly diagnosed type 2 diabetes mellitus (within 12 weeks of screening) or HbA1c ≥ 9.0% at Screening
  • Acute pancreatitis within 3 months of screening
  • Acute Coronary Syndrome within 6 months of screening
  • Major surgery within 3 months of screening
  • Prior exposure to ISIS 304801
  • Have any other conditions in the opinion of the investigator which could interfere with the participant participating in or completing the study
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02300233) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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