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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
-

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

Phase 4
Recruiting
Conditions
Cardiac Allograft Vasculopathy
Interventions
Drug: Alirocumab
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Withdrawn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
Drug: Alirocumab
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

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

PCSK9 Inhibition After Heart Transplantation

Phase 2
Conditions
Vasculopathy
Interventions
Biological: placebo
Biological: alirocumab
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

To Evaluate the Efficacy of Alirocumab for Neoatherosclerosis by Using OCT, in Comparison With Standard Statin Therapy

Recruiting
Conditions
Coronary Artery Disease Progression
Interventions
First Posted Date
2018-05-23
Last Posted Date
2018-05-30
Lead Sponsor
Kobe University
Target Recruit Count
31
Registration Number
NCT03533959
Locations
🇯🇵

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

PCSK9 Inhibition in Patients With Symptomatic Intracranial Atherosclerosis

Early Phase 1
Terminated
Conditions
Stroke
Intracranial Atherosclerosis
Intraplaque Hemorrhage
Interventions
Drug: Placebo
Drug: Alirocumab
First Posted Date
2018-04-25
Last Posted Date
2020-04-21
Lead Sponsor
University of Utah
Target Recruit Count
20
Registration Number
NCT03507374
Locations
🇺🇸

University of Utah, Salt Lake City, Utah, United States

Effect of Alirocumab on Postprandial Hyperlipemia in Patients With Type 2 Diabetes

Phase 3
Completed
Conditions
Type2 Diabetes
Interventions
Other: Placebo
Drug: Alirocumab
First Posted Date
2017-11-17
Last Posted Date
2022-09-27
Lead Sponsor
Nantes University Hospital
Target Recruit Count
22
Registration Number
NCT03344692
Locations
🇫🇷

University Hospital of Nantes, Nantes, France

Effect of PCSK9 Inhibition on Cardiovascular Risk in Treated HIV Infection (EPIC-HIV Study)

Phase 3
Recruiting
Conditions
Dyslipidemias
Cardiovascular Diseases
HIV Infections
Interventions
Drug: Alirocumab
Other: Placebo
First Posted Date
2017-07-05
Last Posted Date
2023-07-03
Lead Sponsor
University of California, San Francisco
Target Recruit Count
140
Registration Number
NCT03207945
Locations
🇺🇸

San Francisco General Hospital, San Francisco, California, United States

Study in Participants With Homozygous Familial Hypercholesterolemia (HoFH)

Phase 3
Completed
Conditions
Homozygous Familial Hypercholesterolemia
Interventions
Drug: Alirocumab
Drug: Placebo
First Posted Date
2017-05-17
Last Posted Date
2021-06-29
Lead Sponsor
Regeneron Pharmaceuticals
Target Recruit Count
69
Registration Number
NCT03156621
Locations
🇨🇳

Regeneron Study Site, Taipei, Taiwan

🇺🇦

Regeneron Research Site, Kyiv, Ukraine

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