Numerous Phase 1, Phase 2, and Phase 3 clinical trials have evaluated mipomersen for treating familial hypercholesterolemia, severe dyslipidemias, and coronary heart disease, alongside pharmacokinetic assessments in healthy volunteers. Sponsored by organizations such as Kastle Therapeutics, LLC and Ludwig-Maximilians - University of Munich, these completed studies investigated the efficacy and long-term tolerability of mipomersen as an adjunct therapy in high-risk patients. Overall, these trials demonstrate the clinical utility of mipomersen in managing severe lipid metabolism disorders.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT01475825 | COMPLETED | Hypercholesterolemia; Heterozygous Familial |
Kastle Therapeutics, LLC |
2011-12 | PHASE3 |
| NCT01598948 | COMPLETED | Atherosclerosis; LDL-hypercholesterolemia |
Ludwig-Maximilians - University of Munich |
2012-08 | PHASE3 |
| NCT00694109 | COMPLETED | Lipid Metabolism, Inborn Errors; Hypercholesterolemia, Autosomal Dominant; Hyperlipidemias; Metabolic Diseases; Hyperlipoproteinemia Type II; Metabolism, Inborn Errors; Genetic Diseases, Inborn; Infant, Newborn, Diseases; Metabolic Disorder; Congenital Abnormalities; Hypercholesterolemia; Hyperlipoproteinemias; Dyslipidemias; Lipid Metabolism Disorders |
Kastle Therapeutics, LLC |
2008-04 | PHASE3 |
| NCT01414881 | COMPLETED | Healthy Volunteer |
Kastle Therapeutics, LLC |
2011-09 | PHASE1 |
| NCT01299298 | COMPLETED | Healthy Volunteer |
Kastle Therapeutics, LLC |
2011-01 | PHASE1 |
| NCT00477594 | COMPLETED | Lipid Metabolism, Inborn Errors; Hypercholesterolemia, Autosomal Dominant; Hyperlipidemias; Metabolic Diseases; Hyperlipoproteinemia Type II; Metabolism, Inborn Errors; Genetic Diseases, Inborn; Infant, Newborn, Diseases; Metabolic Disorder; Congenital Abnormalities; Hypercholesterolemia; Hyperlipoproteinemias; Dyslipidemias; Lipid Metabolism Disorders |
Kastle Therapeutics, LLC |
2007-05 | PHASE2 |
| NCT00707746 | COMPLETED | Metabolic Diseases; Hyperlipidemias; Metabolic Disorder; Hypercholesterolemia; Dyslipidemias; Lipid Metabolism Disorders |
Kastle Therapeutics, LLC |
2008-10 | PHASE2 |
| NCT00770146 | COMPLETED | Hypercholesterolemia; Coronary Heart Disease |
Kastle Therapeutics, LLC |
2008-11 | PHASE3 |
| NCT00794664 | COMPLETED | Hypercholesterolemia; Coronary Heart Disease |
Kastle Therapeutics, LLC |
2009-01 | PHASE3 |
| NCT01133366 | COMPLETED | Healthy |
Kastle Therapeutics, LLC |
2010-05 | PHASE1 |
| NCT01090661 | COMPLETED | Healthy |
Kastle Therapeutics, LLC |
2010-03 | PHASE1 |
| NCT00362180 | COMPLETED | Lipid Metabolism, Inborn Errors; Hyperlipidemias; Metabolic Diseases; Hypolipoproteinemia; Hypolipoproteinemias; Hypobetalipoproteinemias; Metabolism, Inborn Errors; Genetic Diseases, Inborn; Infant, Newborn, Diseases; Congenital Abnormalities; Metabolic Disorder; Hypercholesterolemia; Dyslipidemias; Lipid Metabolism Disorders |
Kastle Therapeutics, LLC |
2006-07 | PHASE2 |
| NCT01061814 | COMPLETED | Healthy Volunteer |
Kastle Therapeutics, LLC |
2010-01 | PHASE1 |
| NCT00706849 | COMPLETED | Heterozygous Familial Hypercholesterolemia; Coronary Artery Disease |
Kastle Therapeutics, LLC |
2008-07 | PHASE3 |
| NCT00607373 | COMPLETED | Lipid Metabolism, Inborn Errors; Hypercholesterolemia, Autosomal Dominant; Hyperlipidemias; Metabolic Diseases; Hyperlipoproteinemia Type II; Metabolism, Inborn Errors; Genetic Diseases, Inborn; Infant, Newborn, Diseases; Metabolic Disorder; Congenital Abnormalities; Hypercholesterolemia; Hyperlipoproteinemias; Dyslipidemias; Lipid Metabolism Disorders |
Kastle Therapeutics, LLC |
2007-07 | PHASE3 |
(data from https://clinicaltrials.gov, updated on 2019-03-26)
Mechanism and Biochemical Profile
Appendix RUO and cGMP Quality Standards
| Quality Dimension | RUO (Research Use Only) | cGMP (Current Good Manufacturing Practice) |
|---|---|---|
| Clinical Applicability | Prohibited in human clinical trials or medical diagnostics. | Mandatory for human clinical trials (Phase I–III) and therapies. |
| Regulatory Status | Non-regulated grade; exempt from drug manufacturing laws. | Legally enforced by health authorities (e.g., FDA, EMA, NMPA). |
| Facility Environment | Unclassified analytical or research laboratories. | Validated Cleanrooms (ISO Class 5–8) with continuous monitoring. |
| Quality Control | Basic purity and activity testing. | Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma). |
| Process Validation | Basic equipment calibration; no process validation required. | Full qualification (IQ/OQ/PQ) and complete batch records. |
| Quality Assurance | Vendor self-declared without required formal QMS. | Mandatory QA/QC unit, Change Control, CAPA, and vendor audits. |
| Regulatory Impact | High risk of IND rejection if used as a critical raw material. | Required for IND/NDA filings, supported by Drug Master Files (DMF). |
Footnotes
Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).