Reduction of Low-Density Lipoprotein Cholesterol (LDL-C) With PCSK9 Inhibition in Heterozygous Familial Hypercholesterolemia Disorder Study
Phase 2
Completed
- Conditions
- Hypercholesterolemia, Familial
- Registration Number
- NCT01375751
- Lead Sponsor
- Amgen
- Brief Summary
The primary objective of this study was to evaluate the effect of 12 weeks of subcutaneous evolocumab (AMG 145), compared with placebo, on percent change from baseline in LDL-C in adults with heterozygous familial hypercholesterolemia (HeFH).
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 168
Inclusion Criteria
- Male or female ≥ 18 to ≤ 75 years of age
- Diagnosis of heterozygous familial hypercholesterolemia by having met the diagnostic criteria outlined by the Simon Broome Register Group (Scientific Steering Committee 1991)
- On an approved statin, with or without ezetimibe, with stable dose(s) for at least 4 weeks
- Fasting Low-Density Lipoprotein Cholesterol (LDL-C) ≥ 100 mg/dL
- Fasting triglycerides ≤ 400 mg/dL
Exclusion Criteria
- Homozygous familial hypercholesterolemia
- Low-Density Lipoprotein (LDL) or plasma apheresis within 12 months prior to randomization
- New York Heart Association (NYHA) III or IV heart failure, or known left ventricular ejection fraction < 30%
- Uncontrolled cardiac arrhythmia
- Myocardial infarction, unstable angina, percutaneous coronary intervention (PCI), coronary artery bypass graft (CABG) or stroke within 3 months prior to randomization
- Type 1 diabetes; newly diagnosed or poorly controlled type 2 diabetes (HbA1c > 8.5%)
- Uncontrolled hypertension
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Percent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 12 Baseline and Week 12 LDL-C was measured using ultracentrifugation.
- Secondary Outcome Measures
Name Time Method Absolute Change From Baseline in LDL-C at Week 12 Baseline and Week 12 LDL-C was measured using ultracentrifugation.
Percent Change From Baseline in Apolipoprotein B at Week 12 Baseline and Week 12 Percent Change From Baseline in Non-High Density Lipoprotein Cholesterol (HDL-C) at Week 12 Baseline and Week 12 Percent Change From Baseline in the Total Cholesterol/HDL-C Ratio at Week 12 Baseline and Week 12 Percent Change From Baseline in Apolipoprotein B /Apolipoprotein A-1 Ratio at Week 12 Baseline and Week 12
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What are the molecular mechanisms by which evolocumab inhibits PCSK9 to reduce LDL-C in HeFH patients?
How does evolocumab's efficacy in reducing LDL-C compare to standard-of-care statins in HeFH individuals?
Which biomarkers correlate with LDL-C reduction response to PCSK9 inhibitors like evolocumab in HeFH?
What adverse events were observed in NCT01375751 and how were they managed in HeFH patients?
How do PCSK9 inhibitors like evolocumab compare to other lipid-lowering therapies in treating HeFH?