Safety, Tolerability and Efficacy on Low Density Lipoprotein Cholesterol (LDL-C) of Evolocumab in Participants With Human Immunodeficiency Virus (HIV) and Hyperlipidemia/Mixed Dyslipidemia
Subjects With Hyperlipidemia, Dyslipidemia and HIV Infection
About this trial
This is an interventional treatment trial for Subjects With Hyperlipidemia, Dyslipidemia and HIV Infection focused on measuring Hyperlipidemia, Dyslipidemia, Proprotein convertase subtilisin/kexin type 9 (PCSK9), Inhibition, HIV infection, Cluster of differentiation, Viral load
Eligibility Criteria
Inclusion Criteria:
- Male or female ≥ 18 years of age
- Known HIV infection with stable HIV therapy for ≥ 6 months
- Cluster of differentiation 4 (CD4) ≥ 250 cells/mm^3 for ≥ 6 months
- HIV viral load ≤ 50 copies/mL at screening and ≤ 200 copies/mL for ≥ 6 months
- Subject on stable lipid-lowering therapy for ≥ 4 weeks prior to randomization and not expected to change during the duration of study
- For subjects with known clinical atherosclerotic cardiovascular disease (ASCVD), fasting LDL-C of ≥ 70 mg/dL or non-high density lipoprotein cholesterol (non-HDL-C) ≥ 100 mg/dL. For subjects without known clinical ASCVD: fasting LDL-C of ≥ 100 mg/dL or non-HDL-C of ≥ 130 mg/dL
- Fasting triglycerides ≤ 600 mg/dL (6.8 mmol/L)
Exclusion Criteria:
- Taking a combination of background lipid-lowering therapy and HIV therapy known to have significant drug-drug interaction
- New York Heart Association (NYHA) III or IV heart failure, or last known left ventricular ejection fraction (LVEF) < 30%
- Known opportunistic infection/acquired immunodeficiency syndrome (AIDS) defining illness within 1 year prior to randomization
- Myocardial infarction, unstable angina, percutaneous coronary intervention, coronary artery bypass graft or stroke within 3 months
- Type 1 diabetes, new-onset or poorly controlled type 2 diabetes
- Uncontrolled hypertension
- Taken a cholesteryl ester transfer protein inhibitor in the last 12 months
- Moderate to severe renal dysfunction
- Persistent active liver disease or hepatic dysfunction (Stable chronic hepatitis C of at least 1 year duration prior to randomization is allowed)
- Malignancy (except non-melanoma skin cancers, cervical in-situ carcinoma, breast ductal carcinoma in-situ, or stage 1 prostate carcinoma) within the last 5 years prior to randomization
Other exclusion criteria may apply.
Sites / Locations
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Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Double-Blind Placebo SC QM/Open-Label Evolocumab 420 mg SC QM
Double-Blind Evolocumab 420 mg SC QM/Open-Label Evolocumab 420 mg SC QM
Double-blind placebo subcutaneous (SC) injection every 4 weeks (QM) for 24 weeks, followed by open-label evolocumab 420 mg SC QM for 24 weeks.
Double-blind evolocumab SC injection QM for 24 weeks, followed by open-label evolocumab 420 mg SC QM for 24 weeks.