MedPath

Alirocumab

Generic Name
Alirocumab
Brand Names
Praluent
Drug Type
Biotech
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

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

Phase 1
Recruiting
Conditions
Alcohol Associated Liver Disease
Heavy Drinking Behavior
Interventions
Other: Placebo
First Posted Date
2021-03-04
Last Posted Date
2025-03-19
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

Efficacy and Safety Of Alirocumab to Prevent Early Cardiac Allograft Vasculopathy in Recent Heart Transplant Recipients

Phase 4
Recruiting
Conditions
Cardiac Allograft Vasculopathy
Interventions
Other: Placebo
First Posted Date
2019-12-10
Last Posted Date
2023-10-03
Lead Sponsor
Institute for Clinical and Experimental Medicine
Target Recruit Count
126
Registration Number
NCT04193306
Locations
🇨🇿

Institute for Clinical and Experimental Medicine, Prague, Czechia

Early Alirocumab to Reduce LDL-C in Myocardial Infarction

Phase 4
Withdrawn
Conditions
Myocardial Infarction
Dyslipidemias
Interventions
First Posted Date
2018-11-23
Last Posted Date
2019-06-13
Lead Sponsor
Imperial College London
Registration Number
NCT03750760
Locations
🇬🇧

Freeman Hospital, Newcastle Upon Tyne, Tyne And Wear, United Kingdom

🇬🇧

Hull Royal Infirmary, Hull, North Humberside, United Kingdom

🇬🇧

Northwick Park Hospital, Harrow, Middlesex, United Kingdom

and more 14 locations

Effects of Acute, Rapid Lowering of LDL Cholesterol With Alirocumab in Patients With STEMI Undergoing Primary PCI

Phase 2
Completed
Conditions
ST Elevation Myocardial Infarction
Acute Coronary Syndrome
Hypercholesterolemia
Dyslipidemias
Hyperlipidemias
Physiological Effects of Drugs
Interventions
Other: Sham Control
First Posted Date
2018-10-24
Last Posted Date
2022-04-11
Lead Sponsor
Population Health Research Institute
Target Recruit Count
97
Registration Number
NCT03718286
Locations
🇨🇦

Hamilton Health Sciences, General Hospital, Hamilton, Ontario, Canada

Long Term Safety Study of PRALUENT

Phase 4
Terminated
Conditions
Heterozygous Familial Hypercholesterolemia
Non-familial Hypercholesterolemia
Interventions
First Posted Date
2018-10-03
Last Posted Date
2021-06-15
Lead Sponsor
Regeneron Pharmaceuticals
Target Recruit Count
1389
Registration Number
NCT03694197
Locations
🇺🇦

Regeneron Research Site, Vinnytsya, Ukraine

🇷🇺

Regeneron Research Site 2, Yaroslavl, Russian Federation

🇺🇦

Regeneron Research Site #2, Kyiv, Ukraine

and more 2 locations

Treatment of Severe Infection With Antihyperlipidemia Drug

Phase 2
Conditions
Septic Shock
Sepsis
Interventions
First Posted Date
2018-08-16
Last Posted Date
2018-08-16
Lead Sponsor
Wolfson Medical Center
Target Recruit Count
712
Registration Number
NCT03634293
Locations
🇮🇱

Eduard Ilgiyaev, Rishon LeZion, Israel

The Efficacy of Alirocumab for Thin-cap fIbroatheroma in Patients With Coronary Artery Disease Estimated by Optical Coherence Tomography

Phase 4
Conditions
Coronary Artery Disease
Thin-cap fIbroatheroma
Interventions
First Posted Date
2018-06-11
Last Posted Date
2018-11-14
Lead Sponsor
Kobe University
Target Recruit Count
24
Registration Number
NCT03552432
Locations
🇯🇵

Kobe University Graduate School of Medicine, Department of Cardiology, Kobe, Hyogo, Japan

The Alirocumab for Stopping Atherosclerosis Progression in Saphenous Vein Grafts (ASAP-SVG) Pilot Trial

Phase 4
Terminated
Conditions
Saphenous Vein Graft Atherosclerosis
Interventions
Drug: Matching Placebo subcutaneous injection
First Posted Date
2018-05-31
Last Posted Date
2021-09-16
Lead Sponsor
Minneapolis Heart Institute Foundation
Target Recruit Count
46
Registration Number
NCT03542110
Locations
🇺🇸

San Francisco VA Medical Center, San Francisco, California, United States

🇺🇸

Atlanta VA Medical Center, Atlanta, Georgia, United States

🇺🇸

Minneapolis Heart Institute/ Abbott North Western Hospital-Allina Health, Minneapolis, Minnesota, United States

and more 1 locations

PCSK9 Inhibition After Heart Transplantation

Phase 2
Conditions
Vasculopathy
Interventions
Biological: placebo
First Posted Date
2018-05-25
Last Posted Date
2023-11-28
Lead Sponsor
Stanford University
Target Recruit Count
120
Registration Number
NCT03537742
Locations
🇺🇸

Stanford University, Stanford, California, United States

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