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Phase 3 N=58 Randomized Quadruple-blind Treatment

Trial Evaluating PCSK9 Antibody in Subjects With LDL Receptor Abnormalities

Homozygous Familial Hypercholesterolemia

Enrolled (actual)
58
Serious AEs
0.0%
Results posted
Oct 2015
Primary outcome: Primary: Part A: Percent Change From Baseline in Low Density Lipoprotein Cholesterol (LDL-C) at Week 12 — -16.5 percent change

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Evolocumab (Biological); Placebo (Drug)
Age
Pediatric, Adult, Older Adult · 12+ yrs
Sex
All
Sponsor
Amgen
Primary completion
Jan 2014

Outcome Measures

OutcomeResultp-value
PRIMARY
Part A: Percent Change From Baseline in Low Density Lipoprotein Cholesterol (LDL-C) at Week 12
-16.5
PRIMARY
Part B: Percent Change From Baseline in Low Density Lipoprotein Cholesterol (LDL-C) at Week 12
7.88; -23.05 <0.001 sig
SECONDARY
Part A: Change From Baseline in LDL-C at Week 12
-70.6
SECONDARY
Part A: Percent Change From Baseline in Non-High Density Lipoprotein Cholesterol (Non-HDL-C) at Week 12
-16.6
SECONDARY
Part A: Percent Change From Baseline in Apolipoprotein B at Week 12
-14.9
SECONDARY
Part A: Percent Change From Baseline in the Total Cholesterol/HDL-C Ratio at Week 12
-18.319
SECONDARY
Part A: Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at Week 12
-15.65
SECONDARY
Part A: Percentage of Participants With 15% or Greater Reduction in LDL-C From Baseline at Week 12
50.0
SECONDARY
Part A: Change From Baseline in Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9) at Week 12
-151.3
SECONDARY
Part B: Percent Change From Baseline in LDL-C at the Mean of Weeks 6 and 12
4.22; -25.56 <0.001 sig
SECONDARY
Part B: Percent Change From Baseline in Apolipoprotein B at Week 12
3.97; -19.17 <0.001 sig
SECONDARY
Part B: Percent Change From Baseline in Apolipoprotein B at the Mean of Weeks 6 and 12
2.65; -20.24 <0.001 sig
SECONDARY
Part B: Percent Change From Baseline in Lipoprotein (a) at Week 12
2.43; -9.40 0.088
SECONDARY
Part B: Percent Change From Baseline in Lipoprotein (a) at the Mean of Weeks 6 and 12
-1.43; -12.71 0.088

Summary

A study to determine the safety, tolerability, and efficacy of evolocumab (AMG 145) in patients with homozygous familial hypercholesterolemia (HoFH).

Eligibility Criteria

Inclusion Criteria

  • Males and females ≥ 12 to ≤ 80 years of age
  • Diagnosis of homozygous familial hypercholesterolemia
  • Stable lipid-lowering therapies for at least 4 weeks
  • LDL cholesterol ≥ 130 mg/dl (3.4 mmol/L)
  • Triglyceride ≤ 400 mg/dL (4.5 mmol/L)
  • Bodyweight of ≥ 40 kg at screening.

Exclusion Criteria

  • LDL or plasma apheresis within 8 weeks prior to randomization
  • New York Heart Association (NYHA) class III or IV or last known left ventricular ejection fraction < 30%
  • Myocardial infarction, unstable angina, percutaneous coronary intervention (PCI), coronary artery bypass graft (CABG) or stroke within 3 months of randomization
  • Planned cardiac surgery or revascularization
  • Uncontrolled cardiac arrhythmia
  • Uncontrolled hypertension
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01588496). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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