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Randomized Clinical Trial of Bococizumab (PF-04950615; RN316) in Subjects With Primary Hyperlipidemia or Mixed Dyslipidemia At Risk Of Cardiovascular Events

Phase 3
Completed
Conditions
Hyperlipidemia
Interventions
Registration Number
NCT02100514
Lead Sponsor
Pfizer
Brief Summary

This study is a multicenter, double-blind, randomized study to access the efficacy, safety and tolerability of Bococizumab (PF-04950615; RN316) in subjects with hyperlipidemia receiving background statin therapy.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
746
Inclusion Criteria
  • Treated with a statin
  • Fasting LDL-C >=100 mg/dL and triglyceride <= 400 mg/dL
  • High or very high risk of incurring a cardiovascular event
Exclusion Criteria
  • Pregnant or breastfeeding females
  • Cardiovascular or cerebrovascular event or procedure within 90 days
  • Congestive heart failure NYHA class IV
  • Poorly controlled hypertension

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
placeboPlacebo-
Bococizumab (PF-04950615; RN316)Bococizumab (PF-04950615; RN316)Bococizumab (PF-04950615; RN316)
Primary Outcome Measures
NameTimeMethod
Percent Change From Baseline in Fasting Low Density Lipoprotein Cholesterol (LDL-C) at Week 12Baseline, Week 12
Secondary Outcome Measures
NameTimeMethod
Percentage of Participants Achieving Fasting Low Density Lipoprotein Cholesterol (LDL-C) Less Than or Equal to (<=) 70 Milligram Per Deciliter (mg/dL) at Week 12, 24 and 52Week 12, 24, 52
Percent Change From Baseline in Fasting Total Cholesterol (TC) at Week 12, 24 and 52Baseline, Week 12, 24, 52
Percent Change From Baseline in Fasting Apolipoprotein B (ApoB) at Week 12, 24 and 52Baseline, Week 12, 24, 52
Percent Change From Baseline in Fasting Non High Density Lipoprotein Cholesterol (Non HDL-C) at Week 12, 24 and 52Baseline, Week 12, 24, 52
Percent Change From Baseline in Fasting Low Density Lipoprotein Cholesterol (LDL-C) by Triglycerides Cut-off of Less Than (<) 200 Milligram Per Deciliter (mg/dL) at Week 12, 24 and 52Baseline, Week 12, 24, 52
Percent Change From Baseline in Fasting Low Density Lipoprotein Cholesterol (LDL-C) by Triglycerides Cut-off of Greater Than or Equal to (>=) 200 Milligram Per Deciliter (mg/dL) at Week 12, 24 and 52Baseline, Week 12, 24, 52
Percent Change From Baseline in Fasting Lipoprotein (A) (Lp[A]) at Week 12, 24 and 52Baseline, Week 12, 24, 52
Percent Change From Baseline in Fasting High Density Lipoprotein Cholesterol (HDL-C) at Week 12, 24 and 52Baseline, Week 12, 24, 52
Percent Change From Baseline in Fasting Low Density Lipoprotein Cholesterol (LDL-C) at Week 24, 52: Treatment PeriodBaseline, Week 24, 52
Percent Change From Baseline in Fasting Triglycerides (TG) at Week 12, 24 and 52Baseline, Week 12, 24, 52
Percent Change From Baseline in Fasting Apolipoprotein A-I (ApoA-I) at Week 12, 24 and 52Baseline, Week 12, 24, 52
Percent Change From Baseline in Fasting Apolipoprotein A-II (ApoA-II) at Week 12, 24 and 52Baseline, Week 12, 24, 52
Percent Change From Baseline in Fasting Very Low Density Lipoprotein Cholesterol (VLDL-C) at Week 12, 24 and 52Baseline, Week 12, 24, 52
Absolute Change From Baseline in Fasting Low Density Lipoprotein Cholesterol (LDL-C) by Triglycerides Cut-off of Less Than (<) 200 Milligram Per Deciliter (mg/dL) at Week 12Baseline, Week 12
Absolute Change From Baseline in Fasting Low Density Lipoprotein Cholesterol (LDL-C) by Triglycerides Cut-off of Greater Than or Equal to (>=) 200 Milligram Per Deciliter (mg/dL) at Week 12Baseline, Week 12
Absolute Change From Baseline in Fasting Low Density Lipoprotein Cholesterol (LDL-C) at Week 12Baseline, Week 12
Absolute Change From Baseline in Fasting Total Cholesterol (TC) at Week 12Baseline, Week 12
Absolute Change From Baseline in Fasting Non High Density Lipoprotein Cholesterol (Non HDL-C) at Week 12Baseline, Week 12
Absolute Change From Baseline in Fasting Apolipoprotein B (ApoB) at Week 12Baseline, Week 12
Absolute Change From Baseline in Fasting Lipoprotein (A) (Lp[A]) at Week 12Baseline, Week 12
Absolute Change From Baseline in Fasting High Density Lipoprotein Cholesterol (HDL-C) at Week 12Baseline, Week 12
Absolute Change From Baseline in Ratio of Fasting Total Cholesterol (TC) to High Density Lipoprotein Cholesterol (HDL-C) at Week 12, 24 and 52Baseline, Week 12, 24, 52
Absolute Change From Baseline in Ratio of Fasting Apolipoprotein B (ApoB) to Apolipoprotein A-I (ApoA-I) at Week 12, 24 and 52Baseline, Week 12, 24, 52
Percentage of Participants Achieving Fasting Low Density Lipoprotein Cholesterol (LDL-C) Less Than or Equal to (<=) 100 Milligram Per Deciliter (mg/dL) at Week 12, 24 and 52Week 12, 24, 52
Plasma Concentration Versus Time Summary of PF-04950615Week 12, 24, 52
Percentage of Participants With Adverse Events (AEs) Related to Type 1 and 3 Hypersensitivity Reactions and Injection Site ReactionsBaseline up to end of study (up to 110 weeks)

Type 1 hypersensitivity or allergic reactions were possible in response to any injected protein and included shortness of breath, urticaria, anaphylaxis and angioedema. Type 3 hypersensitivity reactions were similar to Type 1 hypersensitivity reactions but were likely to be delayed from the time of injection and included symptoms such as rash, urticaria, polyarthritis, myalgia's, polysynovitis, fever and if severe then included glomerulonephritis. Injection site reactions included injection site bruising, discolouration, erythema, haematoma, haemorrhage, nodule, induration, inflammation, mass, pain, paraesthesia, pruritus, swelling, vesicles, warmth, scab and rash. Participants with type 1 or type 3 hypersensitivity reactions and participants with injection site reactions were reported in this outcome measure.

Percentage of Participants With Anti-Drug Antibodies (ADA) and Neutralizing Antibodies (nAb): Treatment PeriodBaseline up to Week 58

Percentage of participants with at least 1 positive ADA titer or 1 positive nAb titer were reported. ADA titer \>=6.23 (log 2) unit was considered to be ADA positive and nAb titer \>=1.58 (log 2) unit was considered to be nAb positive.

Number of Participants Who Changed Concomitant Medication During Extension PeriodWeek 58 follow-up to Week 110

In this outcome measure, total number of participants who changed their lipid-lowering medications or added a monoclonal antibody medication during the extension period were reported.

Percent Change From Baseline in Fasting Low Density Lipoprotein Cholesterol (LDL-C) at Week 58 (Follow up), 71, 84, 97 and 110: Extension PeriodBaseline, Week 58 (follow up), 71, 84, 97, 110
Percentage of Participants With Anti-Drug Antibodies (ADA) and Neutralizing Antibodies (nAb): Extension PeriodWeek 58 (follow-up), Week 71, Week 84, Week 97, Week 110

Percentage of participants with at least 1 positive ADA titer or 1 positive nAb titer were reported. ADA titer \>=6.23 log2 unit was considered to be ADA positive and nAb titer \>=1.58 log2 unit was considered to be nAb positive.

Trial Locations

Locations (214)

Advanced Cardiovascular, LLC Research

🇺🇸

Alexander City, Alabama, United States

Advanced Cardiovascular, LLC, Research

🇺🇸

Auburn, Alabama, United States

Clinical Research Advantage, Inc./Family Practice Specialists, Ltd.

🇺🇸

Phoenix, Arizona, United States

Clinical Research Advantage, Inc./Family Practice Specialists, LTD

🇺🇸

Phoenix, Arizona, United States

Radiant Research, Inc.

🇺🇸

Santa Rosa, California, United States

Radiant Research, Inc

🇺🇸

Tucson, Arizona, United States

Lynn Institute of the Ozarks

🇺🇸

Little Rock, Arkansas, United States

The Office of Larry Watkins, MD

🇺🇸

Little Rock, Arkansas, United States

American Institute of Research

🇺🇸

Los Angeles, California, United States

lntermed Group

🇺🇸

Los Angeles, California, United States

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Advanced Cardiovascular, LLC Research
🇺🇸Alexander City, Alabama, United States

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