MedPath

Alirocumab

Generic Name
Alirocumab
Brand Names
Praluent
Drug Type
Biotech
Chemical Formula
-
CAS Number
1245916-14-6
Unique Ingredient Identifier
PP0SHH6V16
Background

Alirocumab is a biopharmaceutical that obtained FDA approval in July 2015 as a second line treatment for high cholesterol in adults whose LDL-cholesterol (LDL-C) is not controlled by the combination of diet and statin treatment. It is a human monoclonal antibody part of the family of the PCSK9 inhibitors which are a novel class of anticholesterol therapeutics. From this family, it was the first agent to receive FDA approval. The FDA approval was contingent on the completion of further clinical trials to better determine efficacy and safety. PCSK9 inhibition facilitates more LDL-C clearance from the blood.

Indication

Alirocumab is an antibody eliciting proprotein convertase subtilisin kexin type 9 (PCSK9) inhibitor activity that is indicated for:

(i) use in reducing the risk of myocardial infarction, stroke, and unstable angina requiring hospitalization in adults with established cardiovascular disease , and/or

(ii) use as an adjunct to diet or use alone or in combination with other lipid-lowering therapies (statins, ezetimibe, for example) for the treatment of adults with primary hyperlipidemia (including heterozygous familial hypercholesterolemia) to reduce low-density lipoprotein cholesterol (LDL-C) levels in the body .

Associated Conditions
Heterozygous Familial Hypercholesterolemia (HeFH), Homozygous Familial Hypercholesterolaemia (HoFH), Myocardial Infarction, Stroke, Unstable Angina Pectoris, Primary Hyperlipidemia
Associated Therapies
-

TOP 2301: Neoadjuvant Chemo for NSCLC

Phase 2
Recruiting
Conditions
Non Small Cell Lung Cancer
Interventions
First Posted Date
2024-04-26
Last Posted Date
2024-11-18
Lead Sponsor
Duke University
Target Recruit Count
126
Registration Number
NCT06385262
Locations
🇺🇸

Duke University, Durham, North Carolina, United States

The Effect of Early Administration of PCSK9 Inhibitor to Acute Ischemic Stroke Patients Associated With Atherosclerosis on the Stroke Prognosis and Lipid Profile

Phase 4
Not yet recruiting
Conditions
Stroke, Acute Ischemic
PCSK9 Inhibitor
Interventions
First Posted Date
2023-10-16
Last Posted Date
2023-10-16
Lead Sponsor
Sun U. Kwon
Target Recruit Count
200
Registration Number
NCT06083961
Locations
🇰🇷

Asan Medical Center, Seoul, Korea, Republic of

Extra Alirocumab in Addition to Statin Therapy in Asymptomatic Intracranial Atherosclerotic Stenosis (EAST-aICAS)

Phase 3
Not yet recruiting
Conditions
Atherosclerotic Plaque
Intracranial Atherosclerosis
Stenosis
Interventions
First Posted Date
2023-10-12
Last Posted Date
2023-12-21
Lead Sponsor
The First Affiliated Hospital with Nanjing Medical University
Target Recruit Count
80
Registration Number
NCT06080256
Locations
🇨🇳

the First affiliated hospital of Nanjing Medical University, Nanjing, Jiangsu, China

Extra Alirocumab in Addition to Statin Therapy in Symptomatic IntraCranial Atherosclerotic Stenosis ----a Pilot Study

Recruiting
Conditions
Stroke
Intracranial Atherosclerotic Stenosis
Interventions
First Posted Date
2023-09-25
Last Posted Date
2023-09-28
Lead Sponsor
The First Affiliated Hospital with Nanjing Medical University
Target Recruit Count
50
Registration Number
NCT06052020
Locations
🇨🇳

the First affiliated hospital of Nanjing Medical University, Nanjing, Jiangsu, China

Alirocumab in Patients With Sepsis

Phase 1
Recruiting
Conditions
Sepsis
Interventions
Drug: Placebo
Drug: Alirocumab
First Posted Date
2022-07-21
Last Posted Date
2024-07-01
Lead Sponsor
Jonathan Sevransky
Target Recruit Count
50
Registration Number
NCT05469347
Locations
🇺🇸

Grady Memorial Hospital, Atlanta, Georgia, United States

🇺🇸

Emory University Hospital, Atlanta, Georgia, United States

Alirocumab and Plaque Burden In Familial Hypercholesterolaemia

Phase 4
Completed
Conditions
Familial Hypercholesterolemia
Interventions
First Posted Date
2022-07-19
Last Posted Date
2022-07-19
Lead Sponsor
Fundación Hipercolesterolemia Familiar
Target Recruit Count
104
Registration Number
NCT05465278
Locations
🇪🇸

Fundacion Hipercolesterolemia Familiar, Madrid, Spain

Impact of Early PCSK9 Inhibitor Treatment on Heart After Acute Myocardium Infarction

Phase 4
Recruiting
Conditions
Acute Myocardial Infarction
Interventions
Other: conventional treatment
Drug: alirocumab
First Posted Date
2022-03-23
Last Posted Date
2024-12-20
Lead Sponsor
Shanghai Tong Ren Hospital
Target Recruit Count
160
Registration Number
NCT05292404
Locations
🇨🇳

nineth people's hospital, School of Medicine, shanghai jiaotong university, Shanghai, Shanghai, China

🇨🇳

Shanghai chest hospital, Shanghai, Shanghai, China

🇨🇳

Shanghai tongren hospital, Shanghai, Shanghai, China

and more 2 locations

Trial of PCSK9 Inhibition in Patients With Acute Stroke and Symptomatic Intracranial Atherosclerosis

Phase 2
Recruiting
Conditions
Intracranial Atherosclerosis
Acute Ischemic Stroke
ICAS - Intracranial Atherosclerosis
Interventions
First Posted Date
2021-08-12
Last Posted Date
2023-09-06
Lead Sponsor
Chang Gung Memorial Hospital
Target Recruit Count
60
Registration Number
NCT05001984
Locations
🇨🇳

Yenchu Huang, Chiayi City, Taiwan

Safety, Tolerability, and Bioeffects of Alirocumab in Non-treatment Seeking Heavy Drinkers

Phase 1
Recruiting
Conditions
Alcohol Associated Liver Disease
Heavy Drinking Behavior
Interventions
Drug: Alirocumab
Other: Placebo
First Posted Date
2021-03-04
Last Posted Date
2024-11-07
Lead Sponsor
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Target Recruit Count
100
Registration Number
NCT04781322
Locations
🇺🇸

National Institutes of Health Clinical Center, Bethesda, Maryland, United States

Markers of Cardiovascular Risk in Patients With Premature Coronary Artery Disease and Treatment

Not Applicable
Conditions
Acute Coronary Syndrome
Premature Coronary Heart Disease
Lipoproteinemia
Inflammation
Genetic Polymorphisms
Interventions
First Posted Date
2020-11-03
Last Posted Date
2020-11-03
Lead Sponsor
University Medical Centre Ljubljana
Target Recruit Count
70
Registration Number
NCT04613167
Locations
🇸🇮

University Medical Centre Ljubljana-Department of Vascular diseases and dept. of Cardiology, Ljubljana, Slovenia

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