Table 1.
MDCO-216 | CER-001 | CSL112 | |
---|---|---|---|
ApoA-I source | Recombinant apoA-I Milano | Recombinant wild-type apoA-I | Native apoA-I isolated from human plasma |
Phospholipid | POPC | SM and DPPG in a molar ratio of 32.3:1 | Mixed PCs isolated from soy |
Protein/phospholipid ratio | 1:1.1 | 1:2.7 | 1:1.4 |
Phase IIb study | MILANO-PILOT | CARAT | AEGIS-I trial |
Tested patient population | Acute coronary syndrome | Acute coronary syndrome | Acute coronary syndrome |
Primary outcome | Coronary atherosclerotic plaque regression in the treatment group | Coronary atherosclerotic plaque regression in the treatment group | Hepatic and renal safety and tolerability of CSL112 |
Dose mg/kg | 20 | 3 | 80 (est) |
Dose (total), g | 1.5 (est) | 0.225 (est) | 6 |
Timing of first infusion from first medical contact, days | 14 | 14 | 5 |
Dose frequency | Weekly | Weekly | Weekly |
Number of doses | 5 | 10 | 4 |
Acute response | |||
ApoA-1 level, % change | − 4 | + 6* | + 106 |
HDL-C level, % change | − 8 | NA | + 26 |
ABCA1-mediated CEC, % change | + 80–90 | + 14* | + 242 |
LCAT activity |
*Parameters are not available in the CARAT study; data from Zheng KH et al. [69] 2016
Abbreviations: ABCA1, ATP-binding cassette protein A1; AEGIS-I, ApoA-I Event Reducing in Ischemic Syndromes I; ApoA-1, apolipoprotein A-I; CARAT, CER-001 Atherosclerosis Regression Acute Coronary Syndrome Trial; CEC, cholesterol efflux capacity; DPPG, dipalmitoylphosphatidylglycerol; est, estimated; HDL-C, high-density lipoprotein cholesterol; MILANO-PILOT, MDCO-216 Infusions Leading to Changes in Atherosclerosis: a Novel Therapy in Development to Improve Cardiovascular Outcomes—Proof of Concept IVUS, Lipids, and Other Surrogate Biomarkers; NA, not applicable; PC, phosphatidylcholine; POPC, 1-palmitoyl-2-oleoylphosphocholine; SM, sphingomyelin; LCAT, lecithin cholesterol acyltransferase