Clinical Trials

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)

Check the Mipomersen product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Mipomersen is an antisense oligonucleotide that sequence-specifically binds to apolipoprotein B-100 mRNA, inducing RNase H-mediated degradation to inhibit translation of the protein. This inhibition decreases hepatic synthesis and secretion of apolipoprotein B-containing lipoproteins, thereby lowering plasma low-density lipoprotein cholesterol to improve outcomes in conditions such as familial hypercholesterolemia and coronary heart disease.

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>).

Note: Technical data last updated: Sep 1, 2026.