Key result
Volanesorsen 300 mg SC and 300 mg IV did not have a clinically relevant effect on the QTc interval, with the largest mean placebo-corrected change from baseline QTcF being 3.0 ms after SC dosing.
Why the study?
The study was conducted to assess the effect of volanesorsen on the corrected QT (QTc) interval.
Does volanesorsen affect the QTc interval in healthy volunteers?
RCT (n=52)
Double-blind
Randomized to 1 of 12 treatment sequences in a four-way crossover design
No
Does volanesorsen affect the QTc interval in healthy volunteers?
Volanesorsen at therapeutic and supratherapeutic doses does not cause clinically meaningful QTc prolongation in healthy volunteers.
Supports volanesorsen use without QTc monitoring; confirms cardiac safety in dedicated RCT.
The aim of this study was to assess the effect of volanesorsen on the corrected QT (QTc) interval. This thorough QT study enrolled 52 healthy male and female subjects who were randomized at a single site in a four-way crossover study. Subjects were randomly assigned to 1 of 12 treatment sequences and crossed over into four treatment periods over the course of which each subject was to receive a single therapeutic dose of volanesorsen as a 300 mg subcutaneous (SC) injection, a single supratherapeutic dose of volanesorsen as 300 mg intravenous (IV) infusion, a single oral (PO) dose of moxifloxacin (positive control), and placebo dose. The study demonstrated that volanesorsen 300 mg SC and 300 mg IV did not have a clinically relevant effect on ΔΔQTcF exceeding 10 ms. The largest mean effect at any postdose time point was 3.0 ms (90% confidence interval [CI]: 0.8-5.2) after SC dosing and 1.8 ms (90% CI -0.4 to 4.0) after IV dosing. Volanesorsen, at the studied therapeutic and supratherapeutic doses, does not have a clinically meaningful effect on the QTc.
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Watts et al. (2020) conducted an RCT in Healthy volunteers (n=52). Volanesorsen vs. Placebo was evaluated on Placebo-corrected change from baseline QTcF (ΔΔQTcF) (MD 3.0 ms, 95% CI 0.8-5.2). Volanesorsen 300 mg SC and 300 mg IV did not have a clinically relevant effect on the QTc interval, with the largest mean placebo-corrected change from baseline QTcF being 3.0 ms after SC dosing.
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