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. 2022 May 7;24(7):585–597. doi: 10.1007/s11883-022-01025-7

Table 1.

Clinical studies and characteristics of apolipoprotein A-I infusion therapies

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 graphic file with name 11883_2022_1025_Figa_HTML.gif graphic file with name 11883_2022_1025_Figb_HTML.gif graphic file with name 11883_2022_1025_Figc_HTML.gif

*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