Efficacy and Safety of Alirocumab (SAR236553/REGN727) Versus Placebo on Top of Lipid-Modifying Therapy in Patients With Heterozygous Familial Hypercholesterolemia Not Adequately Controlled With Their Lipid-Modifying Therapy (ODYSSEY FH I)
Primary Purpose
Hypercholesterolemia
Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Alirocumab
Placebo (for alirocumab)
Lipid Modifying Therapy (LMT)
Sponsored by
About this trial
This is an interventional treatment trial for Hypercholesterolemia focused on measuring PCSK9
Eligibility Criteria
Inclusion criteria:
- Participants with heterozygous familial hypercholesterolemia who were not adequately controlled with their lipid-modifying therapy
Exclusion criteria:
- Age < 18 years or legal age of adulthood, whichever is greater
- LDL-C < 70 mg/dL (1.81 mmol/L) and with cardiovascular disease
- LDL-C < 100 mg/dL (2.59 mmol/L) and without cardiovascular disease
- Fasting serum triglycerides > 400 mg/dL (4.52 mmol/L)
- Known history of homozygous familial hypercholesterolemia
The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Sites / Locations
- Investigational Site Number 840417
- Investigational Site Number 840429
- Investigational Site Number 840419
- Investigational Site Number 840421
- Investigational Site Number 840412
- Investigational Site Number 840428
- Investigational Site Number 840461
- Investigational Site Number 840452
- Investigational Site Number 840456
- Investigational Site Number 840418
- Investigational Site Number 840455
- Investigational Site Number 840415
- Investigational Site Number 840425
- Investigational Site Number 840411
- Investigational Site Number 840409
- Investigational Site Number 840407
- Investigational Site Number 840408
- Investigational Site Number 840401
- Investigational Site Number 840410
- Investigational Site Number 840430
- Investigational Site Number 840424
- Investigational Site Number 840404
- Investigational Site Number 840426
- Investigational Site Number 840406
- Investigational Site Number 840460
- Investigational Site Number 840422
- Investigational Site Number 040403
- Investigational Site Number 040402
- Investigational Site Number 040405
- Investigational Site Number 124404
- Investigational Site Number 124401
- Investigational Site Number 124403
- Investigational Site Number 124406
- Investigational Site Number 124407
- Investigational Site Number 203401
- Investigational Site Number 203403
- Investigational Site Number 203405
- Investigational Site Number 203402
- Investigational Site Number 208401
- Investigational Site Number 208403
- Investigational Site Number 250403
- Investigational Site Number 250401
- Investigational Site Number 250402
- Investigational Site Number 376402
- Investigational Site Number 376405
- Investigational Site Number 376404
- Investigational Site Number 376401
- Investigational Site Number 528406
- Investigational Site Number 528410
- Investigational Site Number 528408
- Investigational Site Number 528402
- Investigational Site Number 528411
- Investigational Site Number 528416
- Investigational Site Number 528409
- Investigational Site Number 528412
- Investigational Site Number 578401
- Investigational Site Number 643402
- Investigational Site Number 643407
- Investigational Site Number 643409
- Investigational Site Number 643413
- Investigational Site Number 643401
- Investigational Site Number 643412
- Investigational Site Number 643408
- Investigational Site Number 643406
- Investigational Site Number 643404
- Investigational Site Number 643410
- Investigational Site Number 710401
- Investigational Site Number 710405
- Investigational Site Number 710406
- Investigational Site Number 710402
- Investigational Site Number 710407
- Investigational Site Number 710403
- Investigational Site Number 710408
- Investigational Site Number 710404
- Investigational Site Number 710409
- Investigational Site Number 724403
- Investigational Site Number 724408
- Investigational Site Number 724406
- Investigational Site Number 724407
- Investigational Site Number 724409
- Investigational Site Number 724401
- Investigational Site Number 724405
- Investigational Site Number 724404
- Investigational Site Number 724402
- Investigational Site Number 752404
- Investigational Site Number 752401
- Investigational Site Number 826402
- Investigational Site Number 826403
- Investigational Site Number 826408
- Investigational Site Number 826409
- Investigational Site Number 826405
Arms of the Study
Arm 1
Arm 2
Arm Type
Placebo Comparator
Experimental
Arm Label
Placebo
Alirocumab 75 mg/Up to 150 mg Q2W
Arm Description
Placebo for alirocumab every 2 weeks (Q2W) on top of stable lipid-modifying therapy (LMT) for 78 weeks.
Alirocumab 75 mg Q2W on top of stable LMT for 78 weeks. Alirocumab dose up-titrated to 150 mg from Week 12 when low-density lipoprotein cholesterol (LDL-C) levels ≥ 70 mg/dL (1.81 mmol/L) at Week 8.
Outcomes
Primary Outcome Measures
Percent Change From Baseline in Calculated LDL-C at Week 24 - Intent-to-Treat (ITT) Analysis
Adjusted Least-squares (LS) means and standard errors at Week 24 were obtained from a mixed-effect model with repeated measures (MMRM) to account for missing data. All available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment were used in the model (ITT analysis).
Secondary Outcome Measures
Percent Change From Baseline in Calculated LDL-C at Week 24 - On-Treatment Analysis
Adjusted LS means and standard errors at Week 24 from MMRM model including available post-baseline on-treatment data from Week 4 to Week 52 (i.e. up to 21 days after last injection) (on-treatment analysis).
Percent Change From Baseline in Calculated LDL-C at Week 12 - ITT Analysis
Adjusted LS means and standard errors at Week 12 from MMRM including all available post-baseline data from Week 4 to Week 52 regardless of status on-or off-treatment.
Percent Change From Baseline in Calculated LDL-C at Week 12 - On-Treatment Analysis
Adjusted LS means and standard errors at Week 12 from MMRM model including available post-baseline on-treatment data from Week 4 to Week 52 (i.e. up to 21 days after last injection).
Percent Change From Baseline in Apolipoprotein B (Apo B) at Week 24 - ITT Analysis
Adjusted LS means and standard errors at Week 24 from MMRM model including all available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment.
Percent Change From Baseline in Apo B at Week 24 - On-Treatment Analysis
Adjusted LS means and standard errors at Week 24 from MMRM model including available post-baseline on-treatment data from Week 4 to Week 52 (i.e. up to 21 days after last injection).
Percent Change From Baseline in Non-High Density Lipoprotein Cholesterol (Non-HDL-C) at Week 24 - ITT Analysis
Adjusted LS means and standard errors at Week 24 from MMRM model including all available post-baseline data from Week 4 to Week 52 regardless of status on-or off-treatment.
Percent Change From Baseline in Non-HDL-C at Week 24 - On-Treatment Analysis
Adjusted LS means and standard errors at Week 24 from MMRM model including available post-baseline on-treatment data from Week 4 to Week 52 (i.e. up to 21 days after last injection).
Percent Change From Baseline in Total Cholesterol (Total-C) at Week 24 - ITT Analysis
Adjusted LS means and standard errors at Week 24 from MMRM model including all available post-baseline data from Week 4 to Week 52 regardless of status on-or off-treatment.
Percent Change From Baseline in Apo B at Week 12 - ITT Analysis
Adjusted LS means and standard errors at Week 12 from MMRM model including all available post-baseline data from Week 4 to Week 52 regardless of status on-or off-treatment.
Percent Change From Baseline in Non-HDL-C at Week 12 - ITT Analysis
Adjusted LS means and standard errors at Week 12 from MMRM model including all available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment.
Percent Change From Baseline in Total-C at Week 12 - ITT Analysis
Adjusted LS means and standard errors at Week 12 from MMRM model including all available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment.
Percent Change From Baseline in Calculated LDL-C at Week 52 - ITT Analysis
Adjusted LS means and standard errors at Week 52 from MMRM model including all available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment.
Percentage of Very High Cardiovascular (CV) Risk Participants Achieving Calculated LDL-C < 70 mg/dL (<1.81 mmol/L) or High CV Risk Participants Achieving Calculated LDL-C < 100 mg/dL (<2.59 mmol/L) at Week 24 - ITT Analysis
Very high CV risk participants: Heterozygous Familial Hypercholesterolemia (heFH) participants with coronary heart disease (CHD) or CHD risk equivalents. High CV risk participants: heFH participants without CHD or CHD risk equivalents. CHD risk equivalent: peripheral arterial disease, ischemic stroke, moderate chronic kidney disease (estimated glomerular filtration rate, 30 to <60 ml/minute/1.73 m^2 of body-surface area), or diabetes mellitus plus 2 or more additional risk factors (hypertension; ankle-brachial index of ≤0.90; microalbuminuria, macroalbuminuria, or a urinary dipstick result of >2+ protein; preproliferative or proliferative retinopathy or laser treatment for retinopathy; or a family history of premature CHD). Adjusted percentages at Week 24 were obtained from multiple imputation approach for handling of missing data. All available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment were included in the imputation model.
Percentage of Very High CV Risk Participants Achieving Calculated LDL-C < 70 mg/dL (<1.81 mmol/L) or High CV Risk Participants Achieving Calculated LDL-C < 100 mg/dL (<2.59 mmol/L) at Week 24 - On- Treatment Analysis
Adjusted percentages at Week 24 from multiple imputation approach including available post-baseline on-treatment data from Week 4 to Week 52 i.e. up to 21 days after last injection.
Percentage of Participants Achieving Calculated LDL-C <70 mg/dL (1.81 mmol/L) at Week 24 - ITT Analysis
Adjusted percentages at Week 24 from multiple imputation approach model including all available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment.
Percentage of Participants Achieving Calculated LDL-C <70 mg/dL (1.81 mmol/L) at Week 24 - On-Treatment Analysis
Adjusted percentages at Week 24 from multiple imputation approach model including available post-baseline on-treatment data from Week 4 to Week 52 i.e. up to 21 days after last injection.
Percent Change From Baseline in Lipoprotein (a) at Week 24 - ITT Analysis
Adjusted means and standard errors at Week 24 from multiple imputation approach followed by robust regression model including all available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment.
Percent Change From Baseline in HDL-C at Week 24 - ITT Analysis
Adjusted LS means and standard errors at Week 24 from MMRM model including all available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment.
Percent Change From Baseline in Fasting Triglycerides at Week 24 - ITT Analysis
Adjusted means and standard errors at Week 24 from multiple imputation approach followed by robust regression model including all available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment.
Percent Change From Baseline in Apolipoprotein A-1 (Apo A-1) at Week 24 - ITT Analysis
Adjusted LS means and standard errors at Week 24 from MMRM model including all available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment.
Percent Change From Baseline in Lipoprotein (a) at Week 12 - ITT Analysis
Adjusted means and standard errors at Week 12 from multiple imputation approach followed by robust regression model including all available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment.
Percent Change From Baseline in HDL-C at Week 12 - ITT Analysis
Adjusted LS means and standard errors at Week 12 from MMRM model including all available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment.
Percent Change From Baseline in Fasting Triglycerides at Week 12 - ITT Analysis
Adjusted means and standard errors at Week 12 from multiple imputation approach followed by robust regression model including all available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment.
Percent Change From Baseline in Apo A-1 at Week 12 - ITT Analysis
Adjusted LS means and standard errors at Week 12 from MMRM model including all available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment.
Full Information
NCT ID
NCT01623115
First Posted
June 15, 2012
Last Updated
January 11, 2016
Sponsor
Sanofi
Collaborators
Regeneron Pharmaceuticals
1. Study Identification
Unique Protocol Identification Number
NCT01623115
Brief Title
Efficacy and Safety of Alirocumab (SAR236553/REGN727) Versus Placebo on Top of Lipid-Modifying Therapy in Patients With Heterozygous Familial Hypercholesterolemia Not Adequately Controlled With Their Lipid-Modifying Therapy
Acronym
ODYSSEY FH I
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Parallel Group Study to Evaluate the Efficacy and Safety of SAR236553/REGN727 in Patients With Heterozygous Familial Hypercholesterolemia Not Adequately Controlled With Their Lipid-Modifying Therapy
Study Type
Interventional
2. Study Status
Record Verification Date
January 2016
Overall Recruitment Status
Completed
Study Start Date
July 2012 (undefined)
Primary Completion Date
April 2014 (Actual)
Study Completion Date
December 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi
Collaborators
Regeneron Pharmaceuticals
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Alirocumab (SAR236553/REGN727) is a fully human monoclonal antibody that binds PCSK9 (proprotein convertase subtilisin/kexin type 9).
Primary Objective of the study:
To evaluate the effect of alirocumab on low-density lipoprotein cholesterol (LDL-C) levels after 24 weeks of treatment in comparison with placebo.
Secondary Objectives:
To evaluate the effect of alirocumab in comparison with placebo on LDL-C at other time points
To evaluate the effects of alirocumab on other lipid parameters
To evaluate the safety and tolerability of alirocumab
Detailed Description
The maximum study duration was planned to be 89 weeks per participant including participants who successfully completed the 78-week treatment period had the possibility to join an open-label extension study (LTS13463, NCT01954394) at the end of the treatment period.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypercholesterolemia
Keywords
PCSK9
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
486 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo for alirocumab every 2 weeks (Q2W) on top of stable lipid-modifying therapy (LMT) for 78 weeks.
Arm Title
Alirocumab 75 mg/Up to 150 mg Q2W
Arm Type
Experimental
Arm Description
Alirocumab 75 mg Q2W on top of stable LMT for 78 weeks. Alirocumab dose up-titrated to 150 mg from Week 12 when low-density lipoprotein cholesterol (LDL-C) levels ≥ 70 mg/dL (1.81 mmol/L) at Week 8.
Intervention Type
Drug
Intervention Name(s)
Alirocumab
Other Intervention Name(s)
SAR236553, REGN727, Praluent
Intervention Description
Solution for subcutaneous injection in the abdomen, thigh, or outer area of the upper arm by self-injection or by another designated person using auto-injector (also known as pre filled pen).
Intervention Type
Drug
Intervention Name(s)
Placebo (for alirocumab)
Intervention Description
Solution for subcutaneous injection in the abdomen, thigh, or outer area of the upper arm by self-injection or by another designated person using auto-injector (also known as pre filled pen).
Intervention Type
Drug
Intervention Name(s)
Lipid Modifying Therapy (LMT)
Intervention Description
Statin (rosuvastatin, simvastatin or atorvastatin) at stable dose with or without other LMT as clinically indicated.
Primary Outcome Measure Information:
Title
Percent Change From Baseline in Calculated LDL-C at Week 24 - Intent-to-Treat (ITT) Analysis
Description
Adjusted Least-squares (LS) means and standard errors at Week 24 were obtained from a mixed-effect model with repeated measures (MMRM) to account for missing data. All available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment were used in the model (ITT analysis).
Time Frame
From Baseline to Week 52
Secondary Outcome Measure Information:
Title
Percent Change From Baseline in Calculated LDL-C at Week 24 - On-Treatment Analysis
Description
Adjusted LS means and standard errors at Week 24 from MMRM model including available post-baseline on-treatment data from Week 4 to Week 52 (i.e. up to 21 days after last injection) (on-treatment analysis).
Time Frame
From Baseline to Week 52
Title
Percent Change From Baseline in Calculated LDL-C at Week 12 - ITT Analysis
Description
Adjusted LS means and standard errors at Week 12 from MMRM including all available post-baseline data from Week 4 to Week 52 regardless of status on-or off-treatment.
Time Frame
From Baseline to Week 52
Title
Percent Change From Baseline in Calculated LDL-C at Week 12 - On-Treatment Analysis
Description
Adjusted LS means and standard errors at Week 12 from MMRM model including available post-baseline on-treatment data from Week 4 to Week 52 (i.e. up to 21 days after last injection).
Time Frame
From Baseline to Week 52
Title
Percent Change From Baseline in Apolipoprotein B (Apo B) at Week 24 - ITT Analysis
Description
Adjusted LS means and standard errors at Week 24 from MMRM model including all available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment.
Time Frame
From Baseline to Week 52
Title
Percent Change From Baseline in Apo B at Week 24 - On-Treatment Analysis
Description
Adjusted LS means and standard errors at Week 24 from MMRM model including available post-baseline on-treatment data from Week 4 to Week 52 (i.e. up to 21 days after last injection).
Time Frame
From Baseline to Week 52
Title
Percent Change From Baseline in Non-High Density Lipoprotein Cholesterol (Non-HDL-C) at Week 24 - ITT Analysis
Description
Adjusted LS means and standard errors at Week 24 from MMRM model including all available post-baseline data from Week 4 to Week 52 regardless of status on-or off-treatment.
Time Frame
From Baseline to Week 52
Title
Percent Change From Baseline in Non-HDL-C at Week 24 - On-Treatment Analysis
Description
Adjusted LS means and standard errors at Week 24 from MMRM model including available post-baseline on-treatment data from Week 4 to Week 52 (i.e. up to 21 days after last injection).
Time Frame
From Baseline to Week 52
Title
Percent Change From Baseline in Total Cholesterol (Total-C) at Week 24 - ITT Analysis
Description
Adjusted LS means and standard errors at Week 24 from MMRM model including all available post-baseline data from Week 4 to Week 52 regardless of status on-or off-treatment.
Time Frame
From Baseline to Week 52
Title
Percent Change From Baseline in Apo B at Week 12 - ITT Analysis
Description
Adjusted LS means and standard errors at Week 12 from MMRM model including all available post-baseline data from Week 4 to Week 52 regardless of status on-or off-treatment.
Time Frame
From Baseline to Week 52
Title
Percent Change From Baseline in Non-HDL-C at Week 12 - ITT Analysis
Description
Adjusted LS means and standard errors at Week 12 from MMRM model including all available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment.
Time Frame
From Baseline to Week 52
Title
Percent Change From Baseline in Total-C at Week 12 - ITT Analysis
Description
Adjusted LS means and standard errors at Week 12 from MMRM model including all available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment.
Time Frame
From Baseline to Week 52
Title
Percent Change From Baseline in Calculated LDL-C at Week 52 - ITT Analysis
Description
Adjusted LS means and standard errors at Week 52 from MMRM model including all available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment.
Time Frame
From Baseline to Week 52
Title
Percentage of Very High Cardiovascular (CV) Risk Participants Achieving Calculated LDL-C < 70 mg/dL (<1.81 mmol/L) or High CV Risk Participants Achieving Calculated LDL-C < 100 mg/dL (<2.59 mmol/L) at Week 24 - ITT Analysis
Description
Very high CV risk participants: Heterozygous Familial Hypercholesterolemia (heFH) participants with coronary heart disease (CHD) or CHD risk equivalents. High CV risk participants: heFH participants without CHD or CHD risk equivalents. CHD risk equivalent: peripheral arterial disease, ischemic stroke, moderate chronic kidney disease (estimated glomerular filtration rate, 30 to <60 ml/minute/1.73 m^2 of body-surface area), or diabetes mellitus plus 2 or more additional risk factors (hypertension; ankle-brachial index of ≤0.90; microalbuminuria, macroalbuminuria, or a urinary dipstick result of >2+ protein; preproliferative or proliferative retinopathy or laser treatment for retinopathy; or a family history of premature CHD). Adjusted percentages at Week 24 were obtained from multiple imputation approach for handling of missing data. All available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment were included in the imputation model.
Time Frame
Up to Week 52
Title
Percentage of Very High CV Risk Participants Achieving Calculated LDL-C < 70 mg/dL (<1.81 mmol/L) or High CV Risk Participants Achieving Calculated LDL-C < 100 mg/dL (<2.59 mmol/L) at Week 24 - On- Treatment Analysis
Description
Adjusted percentages at Week 24 from multiple imputation approach including available post-baseline on-treatment data from Week 4 to Week 52 i.e. up to 21 days after last injection.
Time Frame
Up to Week 52
Title
Percentage of Participants Achieving Calculated LDL-C <70 mg/dL (1.81 mmol/L) at Week 24 - ITT Analysis
Description
Adjusted percentages at Week 24 from multiple imputation approach model including all available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment.
Time Frame
Up to Week 52
Title
Percentage of Participants Achieving Calculated LDL-C <70 mg/dL (1.81 mmol/L) at Week 24 - On-Treatment Analysis
Description
Adjusted percentages at Week 24 from multiple imputation approach model including available post-baseline on-treatment data from Week 4 to Week 52 i.e. up to 21 days after last injection.
Time Frame
Up to Week 52
Title
Percent Change From Baseline in Lipoprotein (a) at Week 24 - ITT Analysis
Description
Adjusted means and standard errors at Week 24 from multiple imputation approach followed by robust regression model including all available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment.
Time Frame
From Baseline to Week 52
Title
Percent Change From Baseline in HDL-C at Week 24 - ITT Analysis
Description
Adjusted LS means and standard errors at Week 24 from MMRM model including all available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment.
Time Frame
From Baseline to Week 52
Title
Percent Change From Baseline in Fasting Triglycerides at Week 24 - ITT Analysis
Description
Adjusted means and standard errors at Week 24 from multiple imputation approach followed by robust regression model including all available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment.
Time Frame
From Baseline to Week 52
Title
Percent Change From Baseline in Apolipoprotein A-1 (Apo A-1) at Week 24 - ITT Analysis
Description
Adjusted LS means and standard errors at Week 24 from MMRM model including all available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment.
Time Frame
From Baseline to Week 52
Title
Percent Change From Baseline in Lipoprotein (a) at Week 12 - ITT Analysis
Description
Adjusted means and standard errors at Week 12 from multiple imputation approach followed by robust regression model including all available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment.
Time Frame
From Baseline to Week 52
Title
Percent Change From Baseline in HDL-C at Week 12 - ITT Analysis
Description
Adjusted LS means and standard errors at Week 12 from MMRM model including all available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment.
Time Frame
From Baseline to Week 52
Title
Percent Change From Baseline in Fasting Triglycerides at Week 12 - ITT Analysis
Description
Adjusted means and standard errors at Week 12 from multiple imputation approach followed by robust regression model including all available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment.
Time Frame
From Baseline to Week 52
Title
Percent Change From Baseline in Apo A-1 at Week 12 - ITT Analysis
Description
Adjusted LS means and standard errors at Week 12 from MMRM model including all available post-baseline data from Week 4 to Week 52 regardless of status on- or off-treatment.
Time Frame
From Baseline to Week 52
Other Pre-specified Outcome Measures:
Title
Percent Change From Baseline in Calculated LDL-C at Week 52 - On-Treatment Analysis
Description
Adjusted LS means and standard errors at Week 52 from MMRM model including available post-baseline on-treatment data from Week 4 to Week 52 (i.e. up to 21 days after last injection).
Time Frame
From Baseline to Week 52
Title
Percent Change From Baseline in Calculated LDL-C at Week 78 - ITT Analysis
Description
Adjusted LS means and standard errors at Week 78 from MMRM including all available post-baseline data from Week 4 to Week 78 regardless of status on-or off-treatment.
Time Frame
From Baseline to Week 78
Title
Percent Change From Baseline in Calculated LDL-C at Week 78 - On-Treatment Analysis
Description
Adjusted LS means and standard errors at Week 78 from MMRM model including available post-baseline on-treatment data from Week 4 to Week 78 (i.e. up to 21 days after last injection).
Time Frame
From Baseline to Week 78
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria:
Participants with heterozygous familial hypercholesterolemia who were not adequately controlled with their lipid-modifying therapy
Exclusion criteria:
Age < 18 years or legal age of adulthood, whichever is greater
LDL-C < 70 mg/dL (1.81 mmol/L) and with cardiovascular disease
LDL-C < 100 mg/dL (2.59 mmol/L) and without cardiovascular disease
Fasting serum triglycerides > 400 mg/dL (4.52 mmol/L)
Known history of homozygous familial hypercholesterolemia
The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Sciences & Operations
Organizational Affiliation
Sanofi
Official's Role
Study Director
Facility Information:
Facility Name
Investigational Site Number 840417
City
Bell Gardens
State/Province
California
ZIP/Postal Code
90201
Country
United States
Facility Name
Investigational Site Number 840429
City
Long Beach
State/Province
California
ZIP/Postal Code
90801
Country
United States
Facility Name
Investigational Site Number 840419
City
Los Angeles
State/Province
California
ZIP/Postal Code
90048
Country
United States
Facility Name
Investigational Site Number 840421
City
Mission Viejo
State/Province
California
ZIP/Postal Code
92691
Country
United States
Facility Name
Investigational Site Number 840412
City
Newport Beach
State/Province
California
ZIP/Postal Code
92660
Country
United States
Facility Name
Investigational Site Number 840428
City
Newport Beach
State/Province
California
Country
United States
Facility Name
Investigational Site Number 840461
City
Northridge
State/Province
California
ZIP/Postal Code
91324
Country
United States
Facility Name
Investigational Site Number 840452
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20037
Country
United States
Facility Name
Investigational Site Number 840456
City
Miami
State/Province
Florida
ZIP/Postal Code
33165
Country
United States
Facility Name
Investigational Site Number 840418
City
Ponte Vedra
State/Province
Florida
ZIP/Postal Code
32081
Country
United States
Facility Name
Investigational Site Number 840455
City
Evanston
State/Province
Illinois
ZIP/Postal Code
60201
Country
United States
Facility Name
Investigational Site Number 840415
City
Kansas City
State/Province
Kansas
ZIP/Postal Code
66160-7321
Country
United States
Facility Name
Investigational Site Number 840425
City
Auburn
State/Province
Maine
ZIP/Postal Code
04210
Country
United States
Facility Name
Investigational Site Number 840411
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
Investigational Site Number 840409
City
St Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Facility Name
Investigational Site Number 840407
City
Morristown
State/Province
New Jersey
ZIP/Postal Code
07962
Country
United States
Facility Name
Investigational Site Number 840408
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
Facility Name
Investigational Site Number 840401
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28207
Country
United States
Facility Name
Investigational Site Number 840410
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
Facility Name
Investigational Site Number 840430
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45219
Country
United States
Facility Name
Investigational Site Number 840424
City
Portland
State/Province
Oregon
ZIP/Postal Code
97201-3098
Country
United States
Facility Name
Investigational Site Number 840404
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
Investigational Site Number 840426
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
Investigational Site Number 840406
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37232
Country
United States
Facility Name
Investigational Site Number 840460
City
Dallas
State/Province
Texas
ZIP/Postal Code
75216
Country
United States
Facility Name
Investigational Site Number 840422
City
Bountiful
State/Province
Utah
ZIP/Postal Code
84010
Country
United States
Facility Name
Investigational Site Number 040403
City
Graz
ZIP/Postal Code
8036
Country
Austria
Facility Name
Investigational Site Number 040402
City
Wien
ZIP/Postal Code
1130
Country
Austria
Facility Name
Investigational Site Number 040405
City
Wien
Country
Austria
Facility Name
Investigational Site Number 124404
City
Chicoutimi
ZIP/Postal Code
G7H 5H6
Country
Canada
Facility Name
Investigational Site Number 124401
City
Montreal
ZIP/Postal Code
H2W 1R7
Country
Canada
Facility Name
Investigational Site Number 124403
City
Quebec
ZIP/Postal Code
G1V 4M6
Country
Canada
Facility Name
Investigational Site Number 124406
City
Sherbrooke
ZIP/Postal Code
J1H 5N4
Country
Canada
Facility Name
Investigational Site Number 124407
City
Toronto
ZIP/Postal Code
M5C 2T2
Country
Canada
Facility Name
Investigational Site Number 203401
City
Praha
ZIP/Postal Code
140 00
Country
Czech Republic
Facility Name
Investigational Site Number 203403
City
Praha
ZIP/Postal Code
180 00
Country
Czech Republic
Facility Name
Investigational Site Number 203405
City
Uherske Hradiste
Country
Czech Republic
Facility Name
Investigational Site Number 203402
City
Zlin
ZIP/Postal Code
760 00
Country
Czech Republic
Facility Name
Investigational Site Number 208401
City
Copenhagen
Country
Denmark
Facility Name
Investigational Site Number 208403
City
Esbjerg
ZIP/Postal Code
6700
Country
Denmark
Facility Name
Investigational Site Number 250403
City
Dijon
ZIP/Postal Code
21000
Country
France
Facility Name
Investigational Site Number 250401
City
Paris Cedex 13
ZIP/Postal Code
75651
Country
France
Facility Name
Investigational Site Number 250402
City
Saint Herblain
ZIP/Postal Code
44093
Country
France
Facility Name
Investigational Site Number 376402
City
Holon
ZIP/Postal Code
76100
Country
Israel
Facility Name
Investigational Site Number 376405
City
Jerusalem
Country
Israel
Facility Name
Investigational Site Number 376404
City
Safed
ZIP/Postal Code
13100
Country
Israel
Facility Name
Investigational Site Number 376401
City
Tel Hashomer
ZIP/Postal Code
52621
Country
Israel
Facility Name
Investigational Site Number 528406
City
Amsterdam
ZIP/Postal Code
1105 AZ
Country
Netherlands
Facility Name
Investigational Site Number 528410
City
Amsterdam
Country
Netherlands
Facility Name
Investigational Site Number 528408
City
Den Helder
ZIP/Postal Code
1782 GZ
Country
Netherlands
Facility Name
Investigational Site Number 528402
City
Groningen
ZIP/Postal Code
9728 NT
Country
Netherlands
Facility Name
Investigational Site Number 528411
City
Leiden
ZIP/Postal Code
2333 ZA
Country
Netherlands
Facility Name
Investigational Site Number 528416
City
Maastricht
ZIP/Postal Code
6229 HX
Country
Netherlands
Facility Name
Investigational Site Number 528409
City
Nieuwegein
ZIP/Postal Code
3435 CM
Country
Netherlands
Facility Name
Investigational Site Number 528412
City
Sliedrecht
Country
Netherlands
Facility Name
Investigational Site Number 578401
City
Bodø
ZIP/Postal Code
8092
Country
Norway
Facility Name
Investigational Site Number 643402
City
Arkhangelsk
ZIP/Postal Code
163000
Country
Russian Federation
Facility Name
Investigational Site Number 643407
City
Kazan
ZIP/Postal Code
420012
Country
Russian Federation
Facility Name
Investigational Site Number 643409
City
Moscow
ZIP/Postal Code
111539
Country
Russian Federation
Facility Name
Investigational Site Number 643413
City
Moscow
ZIP/Postal Code
121552
Country
Russian Federation
Facility Name
Investigational Site Number 643401
City
Moscow
ZIP/Postal Code
129301
Country
Russian Federation
Facility Name
Investigational Site Number 643412
City
Novisibirsk
Country
Russian Federation
Facility Name
Investigational Site Number 643408
City
St-Petersburg
ZIP/Postal Code
193079
Country
Russian Federation
Facility Name
Investigational Site Number 643406
City
St-Petersburg
ZIP/Postal Code
194291
Country
Russian Federation
Facility Name
Investigational Site Number 643404
City
St-Petersburg
ZIP/Postal Code
197341
Country
Russian Federation
Facility Name
Investigational Site Number 643410
City
Yaroslavl
ZIP/Postal Code
150062
Country
Russian Federation
Facility Name
Investigational Site Number 710401
City
Bloemfontein
Country
South Africa
Facility Name
Investigational Site Number 710405
City
Bloemfontein
Country
South Africa
Facility Name
Investigational Site Number 710406
City
Cap Town
ZIP/Postal Code
7530
Country
South Africa
Facility Name
Investigational Site Number 710402
City
Cape Town
ZIP/Postal Code
7708
Country
South Africa
Facility Name
Investigational Site Number 710407
City
Parktown
ZIP/Postal Code
2193
Country
South Africa
Facility Name
Investigational Site Number 710403
City
Parow
ZIP/Postal Code
7500
Country
South Africa
Facility Name
Investigational Site Number 710408
City
Pretoria
Country
South Africa
Facility Name
Investigational Site Number 710404
City
Rondebosch
Country
South Africa
Facility Name
Investigational Site Number 710409
City
Somerset West
ZIP/Postal Code
7130
Country
South Africa
Facility Name
Investigational Site Number 724403
City
A Coruna
ZIP/Postal Code
15006
Country
Spain
Facility Name
Investigational Site Number 724408
City
Barcelona
ZIP/Postal Code
08036
Country
Spain
Facility Name
Investigational Site Number 724406
City
Córdoba
ZIP/Postal Code
14004
Country
Spain
Facility Name
Investigational Site Number 724407
City
Hospitalet De Llobregat
ZIP/Postal Code
08907
Country
Spain
Facility Name
Investigational Site Number 724409
City
Madrid
ZIP/Postal Code
28029
Country
Spain
Facility Name
Investigational Site Number 724401
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Facility Name
Investigational Site Number 724405
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Facility Name
Investigational Site Number 724404
City
Reus
ZIP/Postal Code
43201
Country
Spain
Facility Name
Investigational Site Number 724402
City
Zaragoza
ZIP/Postal Code
50009
Country
Spain
Facility Name
Investigational Site Number 752404
City
Goteborg
ZIP/Postal Code
41345
Country
Sweden
Facility Name
Investigational Site Number 752401
City
Stockholm
ZIP/Postal Code
111 35
Country
Sweden
Facility Name
Investigational Site Number 826402
City
London
Country
United Kingdom
Facility Name
Investigational Site Number 826403
City
London
Country
United Kingdom
Facility Name
Investigational Site Number 826408
City
London
Country
United Kingdom
Facility Name
Investigational Site Number 826409
City
London
Country
United Kingdom
Facility Name
Investigational Site Number 826405
City
Manchester
ZIP/Postal Code
M23 9LT
Country
United Kingdom
12. IPD Sharing Statement
Citations:
PubMed Identifier
24842558
Citation
Kastelein JJ, Robinson JG, Farnier M, Krempf M, Langslet G, Lorenzato C, Gipe DA, Baccara-Dinet MT. Efficacy and safety of alirocumab in patients with heterozygous familial hypercholesterolemia not adequately controlled with current lipid-lowering therapy: design and rationale of the ODYSSEY FH studies. Cardiovasc Drugs Ther. 2014 Jun;28(3):281-9. doi: 10.1007/s10557-014-6523-z.
Results Reference
background
PubMed Identifier
26330422
Citation
Kastelein JJ, Ginsberg HN, Langslet G, Hovingh GK, Ceska R, Dufour R, Blom D, Civeira F, Krempf M, Lorenzato C, Zhao J, Pordy R, Baccara-Dinet MT, Gipe DA, Geiger MJ, Farnier M. ODYSSEY FH I and FH II: 78 week results with alirocumab treatment in 735 patients with heterozygous familial hypercholesterolaemia. Eur Heart J. 2015 Nov 14;36(43):2996-3003. doi: 10.1093/eurheartj/ehv370. Epub 2015 Sep 1.
Results Reference
result
PubMed Identifier
34298554
Citation
Mahmood T, Minnier J, Ito MK, Li QH, Koren A, Kam IW, Fazio S, Shapiro MD. Discordant responses of plasma low-density lipoprotein cholesterol and lipoprotein(a) to alirocumab: A pooled analysis from 10 ODYSSEY Phase 3 studies. Eur J Prev Cardiol. 2021 Jul 23;28(8):816-822. doi: 10.1177/2047487320915803. Epub 2020 Apr 10.
Results Reference
derived
PubMed Identifier
30183102
Citation
Leiter LA, Tinahones FJ, Karalis DG, Bujas-Bobanovic M, Letierce A, Mandel J, Samuel R, Jones PH. Alirocumab safety in people with and without diabetes mellitus: pooled data from 14 ODYSSEY trials. Diabet Med. 2018 Dec;35(12):1742-1751. doi: 10.1111/dme.13817. Epub 2018 Oct 9.
Results Reference
derived
PubMed Identifier
28964736
Citation
Defesche JC, Stefanutti C, Langslet G, Hopkins PN, Seiz W, Baccara-Dinet MT, Hamon SC, Banerjee P, Kastelein JJP. Efficacy of alirocumab in 1191 patients with a wide spectrum of mutations in genes causative for familial hypercholesterolemia. J Clin Lipidol. 2017 Nov-Dec;11(6):1338-1346.e7. doi: 10.1016/j.jacl.2017.08.016. Epub 2017 Sep 4. Erratum In: J Clin Lipidol. 2020 Sep - Oct;14(5):742.
Results Reference
derived
PubMed Identifier
28391886
Citation
Kastelein JJ, Hovingh GK, Langslet G, Baccara-Dinet MT, Gipe DA, Chaudhari U, Zhao J, Minini P, Farnier M. Efficacy and safety of the proprotein convertase subtilisin/kexin type 9 monoclonal antibody alirocumab vs placebo in patients with heterozygous familial hypercholesterolemia. J Clin Lipidol. 2017 Jan-Feb;11(1):195-203.e4. doi: 10.1016/j.jacl.2016.12.004. Epub 2016 Dec 28.
Results Reference
derived
PubMed Identifier
27777279
Citation
Ray KK, Ginsberg HN, Davidson MH, Pordy R, Bessac L, Minini P, Eckel RH, Cannon CP. Reductions in Atherogenic Lipids and Major Cardiovascular Events: A Pooled Analysis of 10 ODYSSEY Trials Comparing Alirocumab With Control. Circulation. 2016 Dec 13;134(24):1931-1943. doi: 10.1161/CIRCULATIONAHA.116.024604. Epub 2016 Oct 24.
Results Reference
derived
Learn more about this trial
Efficacy and Safety of Alirocumab (SAR236553/REGN727) Versus Placebo on Top of Lipid-Modifying Therapy in Patients With Heterozygous Familial Hypercholesterolemia Not Adequately Controlled With Their Lipid-Modifying Therapy
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