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Active, not recruitingNCT05681351Updated Dec 1, 2025

CORE-OLE: A Study of Olezarsen (ISIS 678354) Administered Subcutaneously to Participants With Severe Hypertriglyceridemia (SHTG)

A Phase 3 interventional study of Olezarsen in Severe Hypertriglyceridemia, sponsored by Ionis Pharmaceuticals, Inc.. Active, not recruiting at 262 sites in 33 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-01.

Sponsored by Ionis Pharmaceuticals, Inc. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
885
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety and tolerability of olezarsen in participants with SHTG.

Read the detailed description

This is a multi-center, open-label extension (OLE) study of approximately 800 participants with SHTG who would be rolled over from studies ISIS 678354-CS5 (NCT05079919) or ISIS 678354-CS6 (NCT05552326). Day 1 of this study may be same as the Week 53 visit of either ISIS 678354-CS5 or ISIS 678354-CS6, as applicable. Participants will receive olezarsen during the 157-week treatment period. The study will include a 31-day qualification Period, a 157-week treatment period, and a 13-week post-treatment period.

02

Conditions studied

  • Severe Hypertriglyceridemia

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Keywords

  • ISIS 678354
  • Olezarsen
03

In context

Hypertriglyceridemia

296 studies on the registry are indexed under Hypertriglyceridemia; 39 are open to participants now.

This study's enrollment of 885 is above the median of 66 across 259 interventional studies indexed under Hypertriglyceridemia.

Browse Hypertriglyceridemia studies →

Lead sponsor

Ionis Pharmaceuticals, Inc. is the lead sponsor of 116 studies on the registry; 10 are open to participants now.

Of its 48 completed or terminated interventional studies of FDA-regulated products, 21 (44%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Satisfactory completion of either ISIS 678354-CS5 or ISIS 678354-CS6 with an acceptable safety profile, per Investigator judgment. Satisfactory completion requires that the patient did not terminate early from treatment.
  • Participants must be on a stable regimen of lipid-lowering therapy that should adhere to standard of care (SOC) per local guidelines. A patient may be eligible if their regimen of lipid-lowering therapy has been changed recently, provided that lipid lowering medications are optimized and stabilized for at least 4 weeks prior to the end of the Qualification Period of this OLE study; ideally, such changes are initiated after Week 53 of the index study (ISIS 678354-CS5 or CS6).
  • A patient may re-enroll in the study after having completed the study when the Treatment Period was 53 weeks, if the patient satisfactorily completed the study with an acceptable safety profile, per Investigator judgment. In the case of re-enrollment, there is no limit on the time gap between completion of treatment under the previous protocol and dosing upon re-enrollment (i.e., may exceed 17 weeks between doses).

Key Exclusion Criteria:

  • Have any new condition or worsening of existing condition which in the opinion of the Investigator would make the participant unsuitable for enrollment, or could interfere with the participant participating in or completing the study, including need for treatment with disallowed medications, or need to change the required stable regimen as per either ISIS 678354-CS5 or ISIS 678354-CS6 study entry criteria. It is acceptable to adjust a regimen of lipid-lowering therapy as described in the second Key Inclusion Criterion above, and it is acceptable to adjust or stop lipid-lowering therapy at or after Week 13 per Investigator judgment.

NOTE: Other Inclusion/Exclusion criteria may apply.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
885 participants (actual)

Study arms

  • Experimental
    Olezarsen

    Participants who completed either ISIS 678354-CS5 (NCT05079919) or ISIS 678354-CS6 (NCT05552326) study would be enrolled to receive olezarsen, subcutaneous (SC) injection, once every 4 weeks from Week 1 through Week 153.

    Drug: Olezarsen

Interventions

  • DrugOlezarsen

    Administered as SC injection.

    Also known as: AKCEA-APOCIII-LRx, ISIS 678354

06

What researchers measure

Primary outcomes

  1. Proportion of Participants With Change in Clinical Laboratory Values From Baseline to Week 53, From Baseline to Week 105, and From Baseline to Week 157

    Time frame: Baseline up to Week 157

  2. Proportion of Participants Who Experience Adverse Events (AEs)

    Time frame: Baseline up to Week 157

  3. Proportion of Participants Who Use Concomitant Medications

    Time frame: Baseline up to Week 157

07

Study locations

262 sites
  • LA Universal Research Center, Inc.
    Los Angeles, California 90057, United States
  • University of California, San Diego (UCSD)
    San Diego, California 92161, United States
  • Metabolic Institute of America
    Tarzana, California 91356, United States
  • Excel Medical Clinical Trials
    Boca Raton, Florida 33434, United States
  • Finlay Medical Research
    Greenacres City, Florida 33467, United States
  • Columbus Clinical Services, LLC
    Miami, Florida 33125, United States
  • Finlay Medical Research
    Miami, Florida 33126, United States
  • Innovia Research Center, Inc.
    Miramar, Florida 33027, United States
  • Harmony Clinical Research, Inc.
    North Miami Beach, Florida 33162, United States
  • R & B Medical Center LLC
    Tampa, Florida 33614, United States
  • VICIS Clinical Research
    Tampa, Florida 33615, United States
  • JSV Clinical Research Study, Inc.
    Tampa, Florida 33634, United States
  • Bayside Clinical Research
    Trinity, Florida 34655, United States
  • Centricity Research
    Columbus, Georgia 31904, United States
  • IACT Health
    Columbus, Georgia 31904, United States
  • Affinity Health
    Oak Brook, Illinois 60523, United States
  • St. Vincent Medical Group, Inc.
    Carmel, Indiana 46290, United States
  • University of Kansas Medical Center (KUMC)
    Kansas City, Kansas 66160, United States
  • The Research Group of Lexington, LLC
    Lexington, Kentucky 40503, United States
  • Louisville Metabolic and Atherosclerosis Research Center (L-MARC)
    Louisville, Kentucky 40213, United States
  • Grace Research, LLC
    Bossier City, Louisiana 71111, United States
  • University of Maryland School of Medicine
    Baltimore, Maryland 21201, United States
  • IRC Clinics
    Towson, Maryland 21204, United States
  • Massachusetts General Hospital Heart Center
    Boston, Massachusetts 02114, United States
  • University of Michigan- Endocrinology & Metabolism
    Ann Arbor, Michigan 48109, United States
  • Aa Mrc, Llc
    Flint, Michigan 48504, United States
  • Washington School of Medicine
    St Louis, Missouri 63110, United States
  • Bryan Medical Center
    Lincoln, Nebraska 68506, United States
  • Palm Research Center, Inc.
    Las Vegas, Nevada 89128, United States
  • Hudson County Clinical Trials Research Center
    Union City, New Jersey 07087, United States
  • Modern Medical
    Brooklyn, New York 33709, United States
  • NYU Langone Health
    Mineola, New York 11501, United States
  • Langone Medical Center
    New York, New York 10016, United States
  • Vagelos College of Physicians and Surgeons of Columbia University
    New York, New York 10032, United States
  • Orchard Park Family Practice
    Orchard Park, New York 14127, United States
  • The Presbyterian Hospital DBA Novant Health Heart and Vascular Institute
    Charlotte, North Carolina 28204, United States
  • Kenneth Hilty
    Greensboro, North Carolina 27401, United States
  • Clinical Trials of America, LLC
    Lenoir, North Carolina 28645, United States
  • Lexington
    Winston-Salem, North Carolina 27103, United States
  • The Ohio State University
    Columbus, Ohio 43203, United States
  • Central Oklahoma Early Detection Center
    Edmond, Oklahoma 73034, United States
  • Oklahoma Heart Institute
    Tulsa, Oklahoma 74104, United States
  • University of Pennsylvania
    Philadelphia, Pennsylvania 19014, United States
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
  • Walker Family Care
    Little River, South Carolina 29566, United States
  • Monument Health Clinical Research
    Rapid City, South Dakota 57701, United States
  • Health Concepts
    Rapid City, South Dakota 57702, United States
  • Chattanooga Research & Medicine, PLLC
    Chattanooga, Tennessee 37404, United States
  • The Jackson Clinic
    Jackson, Tennessee 38301, United States
  • University of Texas Southwestern
    Dallas, Texas 75390, United States
  • Baylor College of Medicine
    Houston, Texas 77030, United States
  • Juno Research
    Houston, Texas 77040, United States
  • Pioneer Research Solutions
    Houston, Texas 77099, United States
  • Sante Clinical Research LLC
    Kerrville, Texas 78028, United States
  • FMC Science
    Lampasas, Texas 76550, United States
  • DCT- McAllen Primary Care, LLC
    McAllen, Texas 78503, United States
  • Texas Institute of Cardiology
    McKinney, Texas 75071, United States
  • SMS Clinical Research, LLC
    Mesquite, Texas 75149, United States
  • Southern Endocrinology Associates
    Mesquite, Texas 75149, United States
  • Permian Research Foundation
    Odessa, Texas 79761, United States
  • Diabetes & Glandular Disease Clinic, P.A.
    San Antonio, Texas 78229, United States
  • Tranquil Clinical and Research Consulting Services
    Webster, Texas 77598, United States
  • Manassas Clinical Research
    Manassas, Virginia 20110, United States
  • York Clinical Research
    Norfolk, Virginia 23510, United States
  • WVU Heart and Vascular Institute
    Morgantown, West Virginia 26506, United States
  • CIPREC
    Buenos Aires, C1061, Argentina
  • Fundacion Favaloro
    Buenos Aires, C1093AAS, Argentina
  • Centro Medico Dra. Laura Maffei-Investigacion Clinica Aplicad
    Buenos Aires, C1425AGC, Argentina
  • Glenny Corp SA
    Buenos Aires, C1430CKE, Argentina
  • Instituto Medico DAMIC
    Córdoba, X5003DCE, Argentina
  • Clinica FUSAVIM Privada
    Villa María, X5900JKA, Argentina
  • Royal North Shore Hospital
    Saint Leonards, New South Wales 2065, Australia
  • Royal Adelaide Hospital
    Adelaide, 5000, Australia
  • Royal Prince Alfred Hospital
    Camperdown, 2050, Australia
  • Monash Medical Centre
    Clayton, 3168, Australia
  • Dr Heart Pty Ltd
    Woolloongabba, 4102, Australia
  • Universite Libre de Brussels (ULB)- Hopital Erasme
    Brussels, 1070, Belgium
  • Jessa Ziekenhuis
    Hasselt, 3500, Belgium
  • Universitaire Ziekenhuizen Leuven
    Leuven, 3000, Belgium
  • Centro Especializado em Cardiologia
    Campinas, 13010-001, Brazil
  • Nucleo de Pesquisa Clinica S/S
    Curitiba, 80730-150, Brazil
  • Hospital Universitario Walter Cantidio- UFC
    Fortaleza, 60430-270, Brazil
  • Nucleo de Pasquisa em Cirurgia Vascular
    Porto Alegre, 90035-903, Brazil
  • Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo- FMUSP
    São Paulo, 05403-000, Brazil
  • Instituto do Coracao (InCor) do Hospital das Clinicas da FMUSP
    São Paulo, CEP-05403-000, Brazil
  • CPQuali Pesquisa Clinica Ltda.
    São Paulo, SP-01228-00, Brazil
  • MHAT- Blagoevgrad AD
    Blagoevgrad, 2700, Bulgaria
  • Medical Center Doctor Staykov EOOD
    Burgas, 8000, Bulgaria
  • Medical Center Diamedical 2013 OOD
    Dimitrovgrad, 6400, Bulgaria
  • MHAT
    Gabrovo, 5300, Bulgaria
  • MHAT Haskovo AD
    Haskovo, 6300, Bulgaria
  • Multiprofile Hospital for Active Treament Pazardzhik, Cardiology Department
    Pazardzhik, 4400, Bulgaria
  • SBAL "Special Medic" Ltd.
    Plovdiv, 4000, Bulgaria
  • UHMAT Kaspela Ltd
    Plovdiv, 4001, Bulgaria
  • University Multiprofile Hospital for Active Treatment Pulmed, Clinic of Endocrinology
    Plovdiv, 4002, Bulgaria
  • Medical Center Rusemed EOOD
    Rousse, 7000, Bulgaria
  • UMHAT Kanev AD
    Rousse, 7002, Bulgaria
  • DCC-1 Sliven Ltd.
    Sliven, 8800, Bulgaria
  • Medical Center Smolyan Clinical Research OOD
    Smolyan, 4700, Bulgaria
  • Medical Center for Specialized Medical Help in Cardiovascular Diseases OOD
    Sofia, 1000, Bulgaria

Showing the first 100 of 262 sites across 33 countries.

08

References and documents

Individual participant data

Plan to share: Yes — Ionis may share anonymized individual participant data, aggregated clinical data, and other types of data that support the results in this study. Data requests from qualified researchers will be considered once all three of the following criteria are met: (1) 12 months from marketing approval of the study drug in both the United States and European Union; (2) 18 months from conclusion of the study; and (3) 6 months from publication of study article. Access would be via a secure environment and is contingent upon approval of a research proposal and entry into an appropriate data use agreement. Requests to access data can be submitted via the website https://vivli.org/ourmember/ionis/.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 1, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05681351
Lead sponsor
Ionis Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Jan 12, 2023
Start date
Dec 13, 2022
Primary completion
Mar 2027 (estimated)
Completion
Mar 2027 (estimated)
Last update
Dec 1, 2025

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Nov 2025. You cannot join it, but the record below documents what was studied.

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