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
-

Study of Alirocumab (REGN727/SAR236553) in Patients With Heterozygous Familial Hypercholesterolemia (HeFH) Undergoing Low-density Lipoprotein (LDL) Apheresis Therapy

Phase 3
Completed
Conditions
Heterozygous Familial Hypercholesterolemia
Interventions
Drug: Placebo
Drug: Alirocumab
First Posted Date
2014-12-29
Last Posted Date
2020-05-01
Lead Sponsor
Regeneron Pharmaceuticals
Target Recruit Count
62
Registration Number
NCT02326220

Evaluation of Alirocumab in Addition to Lipid-Modifying Therapy in Patients With High Cardiovascular Risk and Hypercholesterolemia in South Korea and Taiwan

Phase 3
Completed
Conditions
Hypercholesterolemia
Interventions
Drug: Placebo (for Alirocumab)
Drug: Alirocumab
Drug: Lipid-Modifying Therapy (LMT)
First Posted Date
2014-11-13
Last Posted Date
2017-06-26
Lead Sponsor
Sanofi
Target Recruit Count
199
Registration Number
NCT02289963
Locations
🇰🇷

Investigational Site Number 410017, Busan, Korea, Republic of

🇰🇷

Investigational Site Number 410018, Jeonju-Si, Korea, Republic of

🇰🇷

Investigational Site Number 410009, Anyang-Si, Korea, Republic of

and more 24 locations

Efficacy and Safety Evaluation of Alirocumab in Patients With Heterozygous Familial Hypercholesterolemia or High Cardiovascular Risk Patients With Hypercholesterolemia on Lipid Modifying Therapy (ODYSSEY JAPAN)

Phase 3
Completed
Conditions
Hypercholesterolemia
Interventions
Drug: Placebo (for alirocumab)
Drug: Alirocumab
Drug: Lipid-Modifying Therapy (LMT)
First Posted Date
2014-04-08
Last Posted Date
2016-10-04
Lead Sponsor
Sanofi
Target Recruit Count
216
Registration Number
NCT02107898
Locations
🇯🇵

Investigational Site Number 392016, Adachi-Ku, Japan

🇯🇵

Investigational Site Number 392012, Chuo-Ku, Japan

🇯🇵

Investigational Site Number 392024, Aki-Gun, Japan

and more 29 locations

Phase III Study To Evaluate Alirocumab in Patients With Hypercholesterolemia Not Treated With a Statin (ODYSSEY CHOICE II)

Phase 3
Completed
Conditions
Hypercholesterolemia
Interventions
Drug: Alirocumab
Drug: Placebo (for Alirocumab)
Other: Diet Alone
Drug: Non-statin LMT
First Posted Date
2013-12-30
Last Posted Date
2018-07-27
Lead Sponsor
Sanofi
Target Recruit Count
233
Registration Number
NCT02023879
Locations
🇳🇿

Investigational Site Number 554701, Christchurch, New Zealand

🇪🇸

Investigational Site Number 724707, Barcelona, Spain

🇪🇸

Investigational Site Number 724705, Granada, Spain

and more 40 locations

Effect of Alirocumab on Lipid Metabolism in Adults With Elevated LDL-Cholesterol

Phase 1
Completed
Conditions
Hypercholesterolemia
Interventions
Drug: alirocumab
Drug: Placebo
First Posted Date
2013-10-10
Last Posted Date
2017-05-02
Lead Sponsor
Sanofi
Target Recruit Count
20
Registration Number
NCT01959971
Locations
🇺🇸

Investigational Site Number 840001, New York, New York, United States

Open Label Study of Long Term Safety Evaluation of Alirocumab

Phase 3
Completed
Conditions
Hypercholesterolemia
Interventions
Drug: Alirocumab
Drug: Lipid-Modifying Therapy (LMT)
First Posted Date
2013-10-01
Last Posted Date
2018-07-24
Lead Sponsor
Sanofi
Target Recruit Count
986
Registration Number
NCT01954394
Locations
🇺🇸

Investigational Site Number 840321, Huntsville, Alabama, United States

🇺🇸

Investigational Site Number 840334, Bell Gardens, California, United States

🇺🇸

Investigational Site Number 840319, Fountain Valley, California, United States

and more 174 locations

Study to Evaluate the Efficacy and Safety of an Every Four Weeks Treatment Regimen of Alirocumab (REGN727/ SAR236553) in Patients With Primary Hypercholesterolemia (ODYSSEY CHOICE 1)

Phase 3
Completed
Conditions
Hypercholesterolemia
Interventions
Drug: Placebo (for alirocumab)
Drug: Alirocumab
Drug: Statin
First Posted Date
2013-08-21
Last Posted Date
2017-03-21
Lead Sponsor
Regeneron Pharmaceuticals
Target Recruit Count
803
Registration Number
NCT01926782

Efficacy and Safety Evaluation of Alirocumab (SAR236553/REGN727) in Patients With Primary Hypercholesterolemia on Stable Atorvastatin Therapy in Japan

Phase 2
Completed
Conditions
Hypercholesterolemia
Interventions
Drug: Placebo (for alirocumab)
Drug: Alirocumab
Drug: Atorvastatin
First Posted Date
2013-03-18
Last Posted Date
2016-10-04
Lead Sponsor
Sanofi
Target Recruit Count
100
Registration Number
NCT01812707
Locations
🇯🇵

Investigational Site Number 392001, Shinjuku-Ku, Japan

🇯🇵

Investigational Site Number 392003, Suita-Shi, Japan

🇯🇵

Investigational Site Number 392002, Koganei-Shi, Japan

and more 1 locations

Study of Alirocumab (REGN727/SAR236553) added-on to Rosuvastatin Versus Other Lipid Modifying Treatments (LMT) (ODYSSEY OPTIONS II)

Phase 3
Completed
Conditions
Hypercholesterolemia
Interventions
First Posted Date
2012-11-21
Last Posted Date
2020-04-07
Lead Sponsor
Regeneron Pharmaceuticals
Target Recruit Count
305
Registration Number
NCT01730053
Locations
🇪🇸

(2 Locations), Barcelona, Spain

🇲🇽

(3 Locations), Guadalajara, Mexico

Study of the Efficacy and Safety of Alirocumab (REGN727/SAR236553) in Combination With Other Lipid-modifying Treatment (LMT) (ODYSSEY OPTIONS I)

Phase 3
Completed
Conditions
Hypercholesterolemia
Interventions
First Posted Date
2012-11-21
Last Posted Date
2015-08-31
Lead Sponsor
Regeneron Pharmaceuticals
Target Recruit Count
355
Registration Number
NCT01730040
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