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Efficacy and Safety of Alirocumab Versus Placebo on Top of Maximally Tolerated Lipid Lowering Therapy in Patients With Hypercholesterolemia Who Have Type 1 or Type 2 Diabetes and Are Treated With Insulin (ODYSSEY DM - Insulin)

Primary Purpose

Hypercholesterolaemia

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Alirocumab
Placebo
Lipid-Modifying Therapy (LMT)
Antihyperglycemic Drug
Sponsored by
Sanofi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypercholesterolaemia

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion criteria:

  • Participants diagnosed with Type 1 or Type 2 diabetes at least one year prior to the screening visit (Week -3).
  • Signed written informed consent
  • Participants with type 1 or type 2 diabetes treated with insulin whose LDL-C levels were not adequately controlled with maximally tolerated lipid-modifying therapy
  • LDL-C of 70 mg/dL or greater
  • 18 years of age or more
  • Glycosylated hemoglobin (HbA1c) less than 10%
  • History of cardiovascular disease (including coronary heart disease [CHD] and/or CHD risk equivalents) and/or at least one additional cardiovascular risk factor

Exclusion criteria:

  • Not on a stable dose of statin or other lipid modifying therapy for at least 4 weeks prior to screening or from screening to randomization, unless statin intolerant
  • Triglycerides >400 mg/dL
  • Estimated glomerular filtration rate (eGFR) <15 mL/min/1.73 m² according to the Modification of Diet in Renal Disease (MDRD) equation
  • Currently received or planned to receive renal replacement therapy (for example, hemodialysis)
  • Change in weight of more than 5 kilograms within the prior 2 months
  • Not on a stable dose/regimen of insulin or other antidiabetic drugs for the past 3 months or planned to intensify insulin regimen during the study
  • Not treated with insulin for at least 6 months
  • Planned to start new lipid modifying therapy or change dose of current lipid modifying therapy during the study
  • Body mass index (BMI) >45 kg/m² or planned to undergo bariatric surgery, weight loss program, or initiate weight loss drugs during the study
  • History of recent decompensation of diabetes within the prior 2 months (for example, diabetic ketoacidosis)

The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

Sites / Locations

  • Investigational Site Number 840020
  • Investigational Site Number 840002
  • Investigational Site Number 840029
  • Investigational Site Number 840027
  • Investigational Site Number 840026
  • Investigational Site Number 840006
  • Investigational Site Number 840023
  • Investigational Site Number 840028
  • Investigational Site Number 840022
  • Investigational Site Number 840021
  • Investigational Site Number 840007
  • Investigational Site Number 840011
  • Investigational Site Number 840015
  • Investigational Site Number 840010
  • Investigational Site Number 840005
  • Investigational Site Number 840018
  • Investigational Site Number 840013
  • Investigational Site Number 840016
  • Investigational Site Number 840004
  • Investigational Site Number 840012
  • Investigational Site Number 840014
  • Investigational Site Number 840009
  • Investigational Site Number 840024
  • Investigational Site Number 840001
  • Investigational Site Number 840003
  • Investigational Site Number 840019
  • Investigational Site Number 840025
  • Investigational Site Number 840017
  • Investigational Site Number 840008
  • Investigational Site Number 040002
  • Investigational Site Number 040005
  • Investigational Site Number 040003
  • Investigational Site Number 040004
  • Investigational Site Number 040001
  • Investigational Site Number 056002
  • Investigational Site Number 056003
  • Investigational Site Number 056001
  • Investigational Site Number 250-008
  • Investigational Site Number 250-005
  • Investigational Site Number 250-004
  • Investigational Site Number 250-003
  • Investigational Site Number 250-009
  • Investigational Site Number 250-002
  • Investigational Site Number 250-007
  • Investigational Site Number 250-006
  • Investigational Site Number 250-001
  • Investigational Site Number 276015
  • Investigational Site Number 276002
  • Investigational Site Number 276011
  • Investigational Site Number 276019
  • Investigational Site Number 276014
  • Investigational Site Number 276009
  • Investigational Site Number 276021
  • Investigational Site Number 276018
  • Investigational Site Number 276005
  • Investigational Site Number 276013
  • Investigational Site Number 276022
  • Investigational Site Number 276008
  • Investigational Site Number 276017
  • Investigational Site Number 276004
  • Investigational Site Number 276003
  • Investigational Site Number 276006
  • Investigational Site Number 276010
  • Investigational Site Number 276016
  • Investigational Site Number 380004
  • Investigational Site Number 380003
  • Investigational Site Number 380011
  • Investigational Site Number 380006
  • Investigational Site Number 380007
  • Investigational Site Number 380005
  • Investigational Site Number 380009
  • Investigational Site Number 380008
  • Investigational Site Number 380002
  • Investigational Site Number 380001
  • Investigational Site Number 380010
  • Investigational Site Number 380012
  • Investigational Site Number 528002
  • Investigational Site Number 528005
  • Investigational Site Number 528003
  • Investigational Site Number 528001
  • Investigational Site Number 528004
  • Investigational Site Number 724007
  • Investigational Site Number 724001
  • Investigational Site Number 724006
  • Investigational Site Number 724013
  • Investigational Site Number 724005
  • Investigational Site Number 724004
  • Investigational Site Number 724011
  • Investigational Site Number 724008
  • Investigational Site Number 724014
  • Investigational Site Number 724009
  • Investigational Site Number 724002
  • Investigational Site Number 724010
  • Investigational Site Number 724012
  • Investigational Site Number 724003
  • Investigational Site Number 756001
  • Investigational Site Number 756003
  • Investigational Site Number 826010
  • Investigational Site Number 826011
  • Investigational Site Number 826009
  • Investigational Site Number 826005
  • Investigational Site Number 826004
  • Investigational Site Number 826001
  • Investigational Site Number 826015
  • Investigational Site Number 826012
  • Investigational Site Number 826007
  • Investigational Site Number 826006
  • Investigational Site Number 826003
  • Investigational Site Number 826008
  • Investigational Site Number 826002

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Alirocumab 75 mg Q2W/Up to 150 mg Q2W

Placebo Q2W

Arm Description

Alirocumab 75 mg subcutaneous (SC) injection every 2 weeks (Q2W) added to stable, maximally tolerated dose of statin therapy with or without other lipid-modifying therapy (LMT), insulin alone or with other antihyperglycemic drugs for 24 weeks. Alirocumab dose up-titrated to 150 mg Q2W from Week 12 when LDL-C levels ≥70 mg/dL (1.81 mmol/L) at Week 8.

Placebo (for alirocumab) SC injection Q2W added to stable, maximally tolerated dose of statin therapy with or without other LMT, insulin alone or with other antihyperglycemic drugs for 24 weeks.

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 24 regardless of status on- or off-treatment were used in the model (ITT analysis).
Percentage of Participants Who Experienced Treatment-Emergent Adverse Events (AEs)
Reported adverse events are treatment-emergent adverse events that is AEs that developed/worsened during the 'treatment-emergent period' (the time from the first dose of study drug up to the last dose of study drug +70 days).

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 were obtained from MMRM model including available post-baseline on-treatment data from Week 4 to Week 24 (i.e. up to 21 days after last injection).
Percent Change From Baseline in Measured LDL-C at Week 24 - ITT Analysis
Measured LDL-C values via beta quantification method. Adjusted LS means and standard errors at Week 24 from MMRM model including available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.
Percent Change From Baseline in Calculated LDL-C at Week 12 - ITT Analysis
Adjusted LS means and standard errors at Week 12 from MMRM model including available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.
Percent Change From Baseline in Measured LDL-C at Week 12 - ITT Analysis
Measured LDL-C values via beta quantification method. Adjusted LS means and standard errors at Week 12 from MMRM model including available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.
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 24 regardless of status on- or off-treatment.
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 24 regardless of status on- or off-treatment.
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 24 regardless of status on- or off-treatment.
Percentage of Participants Reaching 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 data from Week 4 to Week 24 (i.e. up to 21 days after last injection).
Percentage of Participants Reaching Calculated LDL-C <50 mg/dL (1.3 mmol/L) at Week 24 - On-Treatment Analysis
Adjusted percentages at Week 24 from last observation carried forward (LOCF) approach (for T1DM participants) and multiple imputation approach model (for T2DM participants) including available post-baseline data from Week 4 to Week 24 (i.e. up to 21 days after last injection). The maximum likelihood estimate did not exist as response rate was zero in a treatment group of T1DM participants.
Percentage of Participants Reaching Calculated Non-HDL-C <100 mg/dL at Week 24 - On-Treatment Analysis
Adjusted percentages at Week 24 from multiple imputation approach model including available post-baseline data from Week 4 to Week 24 (i.e. up to 21 days after last injection).
Percentage of Participants Reaching Calculated Non-HDL-C <80 mg/dL 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 24 (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 were obtained from multiple imputation approach for handling of missing data followed by robust regression model. All available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment were included in the imputation model.
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 24 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 for handling of missing data followed by robust regression model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.
Percent Change From Baseline in LDL-C Particle Number at Week 24 - ITT Analysis
LDL-C particle number was calculated from lipid subfractions by nuclear magnetic resonance (NMR) spectroscopy. Adjusted LS means and standard errors at Week 24 from MMRM model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.
Percent Change From Baseline in LDL-C Particle Size at Week 24 - ITT Analysis
LDL-C particle size was calculated from lipid subfractions by NMR spectroscopy. Adjusted LS means and standard errors at Week 24 from MMRM model including available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.
Absolute Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Weeks 12 and 24 - ITT Analysis
Absolute change = HbA1c value at specified weeks minus HbA1c value at baseline.
Absolute Change From Baseline in HbA1c at Weeks 12 and 24 - On-Treatment Analysis
Absolute change = HbA1c value at specified weeks minus HbA1c value at baseline.
Absolute Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 12 and 24 - ITT Analysis
Absolute change = FPG value at specified weeks minus FPG value at baseline.
Absolute Change From Baseline in FPG at Weeks 12 and 24 - On-Treatment Analysis
Absolute change = FPG value at specified weeks minus FPG value at baseline.
Absolute Change From Baseline in Total Daily Insulin Dose at Weeks 12 and 24 - ITT Analysis
Absolute change = total daily insulin dose at specified weeks minus baseline value.
Absolute Change From Baseline in Total Daily Insulin Dose at Weeks 12 and 24 - On-Treatment Analysis
Absolute change = total daily insulin dose at specified weeks minus baseline value.
Absolute Change From Baseline in Insulin Daily Dose/Kg at Weeks 12 and 24 - ITT Analysis
Absolute change = daily insulin dose/kg at specified weeks minus baseline value.
Absolute Change From Baseline in Insulin Daily Dose/Kg at Weeks 12 and 24 - On-Treatment Analysis
Absolute change = daily insulin dose/kg at specified weeks minus baseline value.
Absolute Change From Baseline in Number of Glucose-Lowering Treatments at Weeks 12 and 24 - ITT Analysis
Glucose lowering treatment was calculated for non-insulin treatments as one for each unique treatment received and for insulin treatment as one in total for all participants who have taken one or more treatments. Absolute change = number of glucose-lowering treatments at specified weeks minus baseline value.
Absolute Change From Baseline in Number of Glucose-Lowering Treatments at Weeks 12 and 24 - On-Treatment Analysis
Glucose lowering treatment was calculated for non-insulin treatments as one for each unique treatment received and for insulin treatment as one in total for all participants who have taken one or more treatments. Absolute change = number of glucose-lowering treatments at specified weeks minus baseline value.

Full Information

First Posted
October 22, 2015
Last Updated
May 1, 2018
Sponsor
Sanofi
Collaborators
Regeneron Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT02585778
Brief Title
Efficacy and Safety of Alirocumab Versus Placebo on Top of Maximally Tolerated Lipid Lowering Therapy in Patients With Hypercholesterolemia Who Have Type 1 or Type 2 Diabetes and Are Treated With Insulin (ODYSSEY DM - Insulin)
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Parallel Group Study to Evaluate the Efficacy and Safety of Alirocumab in Insulin Treated Patients With Type 1 or Type 2 Diabetes and With Hypercholesterolemia at High Cardiovascular Risk Not Adequately Controlled on Maximally Tolerated LDL-C Lowering Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
April 2018
Overall Recruitment Status
Completed
Study Start Date
October 23, 2015 (Actual)
Primary Completion Date
April 3, 2017 (Actual)
Study Completion Date
April 3, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi
Collaborators
Regeneron Pharmaceuticals

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Primary Objectives: To demonstrate the superiority of alirocumab in comparison with placebo in the reduction of calculated low-density lipoprotein cholesterol (LDL-C) in participants with diabetes treated with insulin and with hypercholesterolemia at high cardiovascular risk not adequately controlled on maximally tolerated LDL-C lowering therapy. To evaluate the safety and tolerability of alirocumab in participants with diabetes treated with insulin. Secondary Objective: To demonstrate that alirocumab was superior in comparison to placebo in its effects on other lipid parameters (i.e., measured LDL-C, non-high-density lipoprotein cholesterol [non-HDL-C], apolipoprotein B [Apo B], total cholesterol [TC], lipoprotein a [Lp(a)], high density lipoprotein cholesterol [HDL-C], triglyceride [TG] levels, triglyceride rich lipoproteins [TGRL], apolipoprotein A-1 [Apo A-1], apolipoprotein C-III [Apo C-III], and LDL particle number and size).
Detailed Description
The maximum study duration was approximately 9 months per participant, including a 6 month treatment period, a screening period of up to 3 weeks, and an 8 week safety observation period.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypercholesterolaemia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
517 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Alirocumab 75 mg Q2W/Up to 150 mg Q2W
Arm Type
Experimental
Arm Description
Alirocumab 75 mg subcutaneous (SC) injection every 2 weeks (Q2W) added to stable, maximally tolerated dose of statin therapy with or without other lipid-modifying therapy (LMT), insulin alone or with other antihyperglycemic drugs for 24 weeks. Alirocumab dose up-titrated to 150 mg Q2W from Week 12 when LDL-C levels ≥70 mg/dL (1.81 mmol/L) at Week 8.
Arm Title
Placebo Q2W
Arm Type
Placebo Comparator
Arm Description
Placebo (for alirocumab) SC injection Q2W added to stable, maximally tolerated dose of statin therapy with or without other LMT, insulin alone or with other antihyperglycemic drugs for 24 weeks.
Intervention Type
Drug
Intervention Name(s)
Alirocumab
Other Intervention Name(s)
Praluent, SAR236553, REGN727
Intervention Description
Solution for injection, one subcutaneous injection in the abdomen, thigh, or outer area of upper arm with a disposable auto-injector.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Solution for injection, one subcutaneous injection in the abdomen, thigh, or outer area of upper arm with a disposable auto-injector.
Intervention Type
Drug
Intervention Name(s)
Lipid-Modifying Therapy (LMT)
Intervention Description
Statins at stable, maximally tolerated dose with or without other LMT as clinically indicated.
Intervention Type
Drug
Intervention Name(s)
Antihyperglycemic Drug
Intervention Description
Insulin (injectable or inhaled) alone or with other antihyperglycemic drugs 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 24 regardless of status on- or off-treatment were used in the model (ITT analysis).
Time Frame
From Baseline to Week 24
Title
Percentage of Participants Who Experienced Treatment-Emergent Adverse Events (AEs)
Description
Reported adverse events are treatment-emergent adverse events that is AEs that developed/worsened during the 'treatment-emergent period' (the time from the first dose of study drug up to the last dose of study drug +70 days).
Time Frame
From Baseline up to 10 weeks after last study drug administration (maximum of 32 weeks)
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 were obtained from MMRM model including available post-baseline on-treatment data from Week 4 to Week 24 (i.e. up to 21 days after last injection).
Time Frame
From Baseline to Week 24
Title
Percent Change From Baseline in Measured LDL-C at Week 24 - ITT Analysis
Description
Measured LDL-C values via beta quantification method. Adjusted LS means and standard errors at Week 24 from MMRM model including available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.
Time Frame
From Baseline to Week 24
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 model including available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.
Time Frame
From Baseline to Week 24
Title
Percent Change From Baseline in Measured LDL-C at Week 12 - ITT Analysis
Description
Measured LDL-C values via beta quantification method. Adjusted LS means and standard errors at Week 12 from MMRM model including available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.
Time Frame
From Baseline to Week 24
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 24 regardless of status on- or off-treatment.
Time Frame
From Baseline to Week 24
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 24 regardless of status on- or off-treatment.
Time Frame
From Baseline to Week 24
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 24 regardless of status on- or off-treatment.
Time Frame
From Baseline to Week 24
Title
Percentage of Participants Reaching 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 data from Week 4 to Week 24 (i.e. up to 21 days after last injection).
Time Frame
Up to Week 24
Title
Percentage of Participants Reaching Calculated LDL-C <50 mg/dL (1.3 mmol/L) at Week 24 - On-Treatment Analysis
Description
Adjusted percentages at Week 24 from last observation carried forward (LOCF) approach (for T1DM participants) and multiple imputation approach model (for T2DM participants) including available post-baseline data from Week 4 to Week 24 (i.e. up to 21 days after last injection). The maximum likelihood estimate did not exist as response rate was zero in a treatment group of T1DM participants.
Time Frame
Up to Week 24
Title
Percentage of Participants Reaching Calculated Non-HDL-C <100 mg/dL at Week 24 - On-Treatment Analysis
Description
Adjusted percentages at Week 24 from multiple imputation approach model including available post-baseline data from Week 4 to Week 24 (i.e. up to 21 days after last injection).
Time Frame
Up to Week 24
Title
Percentage of Participants Reaching Calculated Non-HDL-C <80 mg/dL 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 24 (i.e. up to 21 days after last injection).
Time Frame
Up to Week 24
Title
Percent Change From Baseline in Lipoprotein(a) at Week 24 - ITT Analysis
Description
Adjusted means and standard errors at Week 24 were obtained from multiple imputation approach for handling of missing data followed by robust regression model. All available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment were included in the imputation model.
Time Frame
From Baseline to Week 24
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 24 regardless of status on- or off-treatment.
Time Frame
From Baseline to Week 24
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 for handling of missing data followed by robust regression model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.
Time Frame
From Baseline to Week 24
Title
Percent Change From Baseline in LDL-C Particle Number at Week 24 - ITT Analysis
Description
LDL-C particle number was calculated from lipid subfractions by nuclear magnetic resonance (NMR) spectroscopy. Adjusted LS means and standard errors at Week 24 from MMRM model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.
Time Frame
From Baseline to Week 24
Title
Percent Change From Baseline in LDL-C Particle Size at Week 24 - ITT Analysis
Description
LDL-C particle size was calculated from lipid subfractions by NMR spectroscopy. Adjusted LS means and standard errors at Week 24 from MMRM model including available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.
Time Frame
From Baseline to Week 24
Title
Absolute Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Weeks 12 and 24 - ITT Analysis
Description
Absolute change = HbA1c value at specified weeks minus HbA1c value at baseline.
Time Frame
Baseline, Weeks 12 and 24
Title
Absolute Change From Baseline in HbA1c at Weeks 12 and 24 - On-Treatment Analysis
Description
Absolute change = HbA1c value at specified weeks minus HbA1c value at baseline.
Time Frame
Baseline, Weeks 12 and 24
Title
Absolute Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 12 and 24 - ITT Analysis
Description
Absolute change = FPG value at specified weeks minus FPG value at baseline.
Time Frame
Baseline, Weeks 12 and 24
Title
Absolute Change From Baseline in FPG at Weeks 12 and 24 - On-Treatment Analysis
Description
Absolute change = FPG value at specified weeks minus FPG value at baseline.
Time Frame
Baseline, Weeks 12 and 24
Title
Absolute Change From Baseline in Total Daily Insulin Dose at Weeks 12 and 24 - ITT Analysis
Description
Absolute change = total daily insulin dose at specified weeks minus baseline value.
Time Frame
Baseline, Weeks 12 and 24
Title
Absolute Change From Baseline in Total Daily Insulin Dose at Weeks 12 and 24 - On-Treatment Analysis
Description
Absolute change = total daily insulin dose at specified weeks minus baseline value.
Time Frame
Baseline, Weeks 12 and 24
Title
Absolute Change From Baseline in Insulin Daily Dose/Kg at Weeks 12 and 24 - ITT Analysis
Description
Absolute change = daily insulin dose/kg at specified weeks minus baseline value.
Time Frame
Baseline, Weeks 12 and 24
Title
Absolute Change From Baseline in Insulin Daily Dose/Kg at Weeks 12 and 24 - On-Treatment Analysis
Description
Absolute change = daily insulin dose/kg at specified weeks minus baseline value.
Time Frame
Baseline, Weeks 12 and 24
Title
Absolute Change From Baseline in Number of Glucose-Lowering Treatments at Weeks 12 and 24 - ITT Analysis
Description
Glucose lowering treatment was calculated for non-insulin treatments as one for each unique treatment received and for insulin treatment as one in total for all participants who have taken one or more treatments. Absolute change = number of glucose-lowering treatments at specified weeks minus baseline value.
Time Frame
Baseline, Weeks 12 and 24
Title
Absolute Change From Baseline in Number of Glucose-Lowering Treatments at Weeks 12 and 24 - On-Treatment Analysis
Description
Glucose lowering treatment was calculated for non-insulin treatments as one for each unique treatment received and for insulin treatment as one in total for all participants who have taken one or more treatments. Absolute change = number of glucose-lowering treatments at specified weeks minus baseline value.
Time Frame
Baseline, Weeks 12 and 24

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Participants diagnosed with Type 1 or Type 2 diabetes at least one year prior to the screening visit (Week -3). Signed written informed consent Participants with type 1 or type 2 diabetes treated with insulin whose LDL-C levels were not adequately controlled with maximally tolerated lipid-modifying therapy LDL-C of 70 mg/dL or greater 18 years of age or more Glycosylated hemoglobin (HbA1c) less than 10% History of cardiovascular disease (including coronary heart disease [CHD] and/or CHD risk equivalents) and/or at least one additional cardiovascular risk factor Exclusion criteria: Not on a stable dose of statin or other lipid modifying therapy for at least 4 weeks prior to screening or from screening to randomization, unless statin intolerant Triglycerides >400 mg/dL Estimated glomerular filtration rate (eGFR) <15 mL/min/1.73 m² according to the Modification of Diet in Renal Disease (MDRD) equation Currently received or planned to receive renal replacement therapy (for example, hemodialysis) Change in weight of more than 5 kilograms within the prior 2 months Not on a stable dose/regimen of insulin or other antidiabetic drugs for the past 3 months or planned to intensify insulin regimen during the study Not treated with insulin for at least 6 months Planned to start new lipid modifying therapy or change dose of current lipid modifying therapy during the study Body mass index (BMI) >45 kg/m² or planned to undergo bariatric surgery, weight loss program, or initiate weight loss drugs during the study History of recent decompensation of diabetes within the prior 2 months (for example, diabetic ketoacidosis) The above information was 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 840020
City
Encino
State/Province
California
ZIP/Postal Code
91436
Country
United States
Facility Name
Investigational Site Number 840002
City
Fresno
State/Province
California
ZIP/Postal Code
93720
Country
United States
Facility Name
Investigational Site Number 840029
City
Oakland
State/Province
California
ZIP/Postal Code
94612
Country
United States
Facility Name
Investigational Site Number 840027
City
Loveland
State/Province
Colorado
ZIP/Postal Code
80538
Country
United States
Facility Name
Investigational Site Number 840026
City
Atlantis
State/Province
Florida
ZIP/Postal Code
33462
Country
United States
Facility Name
Investigational Site Number 840006
City
Bradenton
State/Province
Florida
ZIP/Postal Code
33180
Country
United States
Facility Name
Investigational Site Number 840023
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32205
Country
United States
Facility Name
Investigational Site Number 840028
City
Palm Harbor
State/Province
Florida
ZIP/Postal Code
34684
Country
United States
Facility Name
Investigational Site Number 840022
City
Ponte Vedra Beach
State/Province
Florida
Country
United States
Facility Name
Investigational Site Number 840021
City
Roswell
State/Province
Georgia
ZIP/Postal Code
30076
Country
United States
Facility Name
Investigational Site Number 840007
City
Springfield
State/Province
Illinois
ZIP/Postal Code
62704
Country
United States
Facility Name
Investigational Site Number 840011
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46260
Country
United States
Facility Name
Investigational Site Number 840015
City
Valparaiso
State/Province
Indiana
ZIP/Postal Code
46383
Country
United States
Facility Name
Investigational Site Number 840010
City
Des Moines
State/Province
Iowa
ZIP/Postal Code
50314
Country
United States
Facility Name
Investigational Site Number 840005
City
Louisville
State/Province
Kentucky
Country
United States
Facility Name
Investigational Site Number 840018
City
Auburn
State/Province
Maine
ZIP/Postal Code
04210
Country
United States
Facility Name
Investigational Site Number 840013
City
Hyattsville
State/Province
Maryland
ZIP/Postal Code
20782
Country
United States
Facility Name
Investigational Site Number 840016
City
Rockville
State/Province
Maryland
ZIP/Postal Code
20852
Country
United States
Facility Name
Investigational Site Number 840004
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55416
Country
United States
Facility Name
Investigational Site Number 840012
City
Jamaica
State/Province
New York
ZIP/Postal Code
11432
Country
United States
Facility Name
Investigational Site Number 840014
City
Maumee
State/Province
Ohio
ZIP/Postal Code
43537
Country
United States
Facility Name
Investigational Site Number 840009
City
Greer
State/Province
South Carolina
ZIP/Postal Code
29651
Country
United States
Facility Name
Investigational Site Number 840024
City
Chattanooga
State/Province
Tennessee
ZIP/Postal Code
37404
Country
United States
Facility Name
Investigational Site Number 840001
City
Austin
State/Province
Texas
ZIP/Postal Code
78756
Country
United States
Facility Name
Investigational Site Number 840003
City
Dallas
State/Province
Texas
ZIP/Postal Code
75230
Country
United States
Facility Name
Investigational Site Number 840019
City
Dallas
State/Province
Texas
ZIP/Postal Code
75246
Country
United States
Facility Name
Investigational Site Number 840025
City
Houston
State/Province
Texas
ZIP/Postal Code
77090
Country
United States
Facility Name
Investigational Site Number 840017
City
Ogden
State/Province
Utah
ZIP/Postal Code
84405
Country
United States
Facility Name
Investigational Site Number 840008
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84102
Country
United States
Facility Name
Investigational Site Number 040002
City
Innsbruck
ZIP/Postal Code
6020
Country
Austria
Facility Name
Investigational Site Number 040005
City
Linz
ZIP/Postal Code
4021
Country
Austria
Facility Name
Investigational Site Number 040003
City
Salzburg
ZIP/Postal Code
5020
Country
Austria
Facility Name
Investigational Site Number 040004
City
Salzburg
ZIP/Postal Code
5026
Country
Austria
Facility Name
Investigational Site Number 040001
City
Wien
ZIP/Postal Code
1160
Country
Austria
Facility Name
Investigational Site Number 056002
City
Edegem
ZIP/Postal Code
2650
Country
Belgium
Facility Name
Investigational Site Number 056003
City
Haine-Saint-Paul
ZIP/Postal Code
7100
Country
Belgium
Facility Name
Investigational Site Number 056001
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
Facility Name
Investigational Site Number 250-008
City
Besancon
ZIP/Postal Code
25030
Country
France
Facility Name
Investigational Site Number 250-005
City
Corbeil Essonnes
ZIP/Postal Code
91100
Country
France
Facility Name
Investigational Site Number 250-004
City
La Rochelle Cedex 1
ZIP/Postal Code
17019
Country
France
Facility Name
Investigational Site Number 250-003
City
Le Creusot
ZIP/Postal Code
71200
Country
France
Facility Name
Investigational Site Number 250-009
City
Mulhouse
Country
France
Facility Name
Investigational Site Number 250-002
City
Nantes cedex 01
ZIP/Postal Code
44093
Country
France
Facility Name
Investigational Site Number 250-007
City
Paris
ZIP/Postal Code
75018
Country
France
Facility Name
Investigational Site Number 250-006
City
Strasbourg Cedex 2
ZIP/Postal Code
67098
Country
France
Facility Name
Investigational Site Number 250-001
City
TOULOUSE Cedex 9
ZIP/Postal Code
31059
Country
France
Facility Name
Investigational Site Number 276015
City
Aschaffenburg
ZIP/Postal Code
63739
Country
Germany
Facility Name
Investigational Site Number 276002
City
Berlin
ZIP/Postal Code
10115
Country
Germany
Facility Name
Investigational Site Number 276011
City
Dortmund
ZIP/Postal Code
44137
Country
Germany
Facility Name
Investigational Site Number 276019
City
Dresden
ZIP/Postal Code
01099
Country
Germany
Facility Name
Investigational Site Number 276014
City
Dresden
ZIP/Postal Code
01279
Country
Germany
Facility Name
Investigational Site Number 276009
City
Dresden
ZIP/Postal Code
01307
Country
Germany
Facility Name
Investigational Site Number 276021
City
Hamburg
ZIP/Postal Code
20246
Country
Germany
Facility Name
Investigational Site Number 276018
City
Hamburg
ZIP/Postal Code
22041
Country
Germany
Facility Name
Investigational Site Number 276005
City
Heidelberg
ZIP/Postal Code
69115
Country
Germany
Facility Name
Investigational Site Number 276013
City
Lüneburg
ZIP/Postal Code
21339
Country
Germany
Facility Name
Investigational Site Number 276022
City
Magdeburg
ZIP/Postal Code
39120
Country
Germany
Facility Name
Investigational Site Number 276008
City
Neumünster
ZIP/Postal Code
24534
Country
Germany
Facility Name
Investigational Site Number 276017
City
Neuwied
ZIP/Postal Code
56564
Country
Germany
Facility Name
Investigational Site Number 276004
City
Oldenburg
ZIP/Postal Code
26133
Country
Germany
Facility Name
Investigational Site Number 276003
City
Pirna
ZIP/Postal Code
01796
Country
Germany
Facility Name
Investigational Site Number 276006
City
Riesa
ZIP/Postal Code
01587
Country
Germany
Facility Name
Investigational Site Number 276010
City
Saarlouis
ZIP/Postal Code
66740
Country
Germany
Facility Name
Investigational Site Number 276016
City
Sulzbach-Rosenberg
ZIP/Postal Code
92237
Country
Germany
Facility Name
Investigational Site Number 380004
City
Catania
ZIP/Postal Code
95122
Country
Italy
Facility Name
Investigational Site Number 380003
City
Catanzaro
Country
Italy
Facility Name
Investigational Site Number 380011
City
Como
ZIP/Postal Code
22100
Country
Italy
Facility Name
Investigational Site Number 380006
City
Milano
ZIP/Postal Code
20132
Country
Italy
Facility Name
Investigational Site Number 380007
City
Milano
ZIP/Postal Code
20162
Country
Italy
Facility Name
Investigational Site Number 380005
City
Moncalieri
ZIP/Postal Code
10024
Country
Italy
Facility Name
Investigational Site Number 380009
City
Napoli
ZIP/Postal Code
80138
Country
Italy
Facility Name
Investigational Site Number 380008
City
Padova
Country
Italy
Facility Name
Investigational Site Number 380002
City
Palermo
ZIP/Postal Code
90127
Country
Italy
Facility Name
Investigational Site Number 380001
City
Pisa
ZIP/Postal Code
56124
Country
Italy
Facility Name
Investigational Site Number 380010
City
Roma
ZIP/Postal Code
00133
Country
Italy
Facility Name
Investigational Site Number 380012
City
Verona
ZIP/Postal Code
37126
Country
Italy
Facility Name
Investigational Site Number 528002
City
Apeldoorn
ZIP/Postal Code
7334 DZ
Country
Netherlands
Facility Name
Investigational Site Number 528005
City
Groningen
Country
Netherlands
Facility Name
Investigational Site Number 528003
City
Hoogeveen
ZIP/Postal Code
7909AA
Country
Netherlands
Facility Name
Investigational Site Number 528001
City
Rotterdam
ZIP/Postal Code
3045PM
Country
Netherlands
Facility Name
Investigational Site Number 528004
City
Utrecht
Country
Netherlands
Facility Name
Investigational Site Number 724007
City
Badalona
ZIP/Postal Code
08915
Country
Spain
Facility Name
Investigational Site Number 724001
City
Barcelona
ZIP/Postal Code
08025
Country
Spain
Facility Name
Investigational Site Number 724006
City
Ferrol
ZIP/Postal Code
15405
Country
Spain
Facility Name
Investigational Site Number 724013
City
Granada
ZIP/Postal Code
18003
Country
Spain
Facility Name
Investigational Site Number 724005
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Facility Name
Investigational Site Number 724004
City
Madrid
Country
Spain
Facility Name
Investigational Site Number 724011
City
Majadahonda
ZIP/Postal Code
28222
Country
Spain
Facility Name
Investigational Site Number 724008
City
Málaga
ZIP/Postal Code
29010
Country
Spain
Facility Name
Investigational Site Number 724014
City
Oviedo
ZIP/Postal Code
33006
Country
Spain
Facility Name
Investigational Site Number 724009
City
Palma de Mallorca
ZIP/Postal Code
07198
Country
Spain
Facility Name
Investigational Site Number 724002
City
Pamplona
ZIP/Postal Code
31008
Country
Spain
Facility Name
Investigational Site Number 724010
City
Sant Joan Despí
ZIP/Postal Code
08970
Country
Spain
Facility Name
Investigational Site Number 724012
City
Segovia
Country
Spain
Facility Name
Investigational Site Number 724003
City
Sevilla
ZIP/Postal Code
41071
Country
Spain
Facility Name
Investigational Site Number 756001
City
Olten
ZIP/Postal Code
4600
Country
Switzerland
Facility Name
Investigational Site Number 756003
City
St. Gallen
ZIP/Postal Code
9016
Country
Switzerland
Facility Name
Investigational Site Number 826010
City
Airdrie
ZIP/Postal Code
ML60JS
Country
United Kingdom
Facility Name
Investigational Site Number 826011
City
Bath
ZIP/Postal Code
BA13NG
Country
United Kingdom
Facility Name
Investigational Site Number 826009
City
Bournemouth
ZIP/Postal Code
BH77DW
Country
United Kingdom
Facility Name
Investigational Site Number 826005
City
Bradford
ZIP/Postal Code
BD96RJ
Country
United Kingdom
Facility Name
Investigational Site Number 826004
City
Bristol
ZIP/Postal Code
BS28HW
Country
United Kingdom
Facility Name
Investigational Site Number 826001
City
Burton On Trent
ZIP/Postal Code
DE13 0RB
Country
United Kingdom
Facility Name
Investigational Site Number 826015
City
Durham
ZIP/Postal Code
DH15TW
Country
United Kingdom
Facility Name
Investigational Site Number 826012
City
High Wycombe
ZIP/Postal Code
HP112TT
Country
United Kingdom
Facility Name
Investigational Site Number 826007
City
Manchester
ZIP/Postal Code
M239LT
Country
United Kingdom
Facility Name
Investigational Site Number 826006
City
Peterborough
ZIP/Postal Code
PE39QZ
Country
United Kingdom
Facility Name
Investigational Site Number 826003
City
Southampton
ZIP/Postal Code
SO303JB
Country
United Kingdom
Facility Name
Investigational Site Number 826008
City
Truro
ZIP/Postal Code
TR13LJ
Country
United Kingdom
Facility Name
Investigational Site Number 826002
City
Welwyn Garden City
ZIP/Postal Code
AL74HQ
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
33078867
Citation
Schmidt AF, Carter JL, Pearce LS, Wilkins JT, Overington JP, Hingorani AD, Casas JP. PCSK9 monoclonal antibodies for the primary and secondary prevention of cardiovascular disease. Cochrane Database Syst Rev. 2020 Oct 20;10(10):CD011748. doi: 10.1002/14651858.CD011748.pub3.
Results Reference
derived
PubMed Identifier
31706300
Citation
Ray KK, Del Prato S, Muller-Wieland D, Cariou B, Colhoun HM, Tinahones FJ, Domenger C, Letierce A, Mandel J, Samuel R, Bujas-Bobanovic M, Leiter LA. Alirocumab therapy in individuals with type 2 diabetes mellitus and atherosclerotic cardiovascular disease: analysis of the ODYSSEY DM-DYSLIPIDEMIA and DM-INSULIN studies. Cardiovasc Diabetol. 2019 Nov 9;18(1):149. doi: 10.1186/s12933-019-0951-9.
Results Reference
derived
PubMed Identifier
28905478
Citation
Leiter LA, Cariou B, Muller-Wieland D, Colhoun HM, Del Prato S, Tinahones FJ, Ray KK, Bujas-Bobanovic M, Domenger C, Mandel J, Samuel R, Henry RR. Efficacy and safety of alirocumab in insulin-treated individuals with type 1 or type 2 diabetes and high cardiovascular risk: The ODYSSEY DM-INSULIN randomized trial. Diabetes Obes Metab. 2017 Dec;19(12):1781-1792. doi: 10.1111/dom.13114. Epub 2017 Oct 10.
Results Reference
derived

Learn more about this trial

Efficacy and Safety of Alirocumab Versus Placebo on Top of Maximally Tolerated Lipid Lowering Therapy in Patients With Hypercholesterolemia Who Have Type 1 or Type 2 Diabetes and Are Treated With Insulin (ODYSSEY DM - Insulin)

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