Study of Evinacumab (REGN1500) in Participants With Persistent Hypercholesterolemia
Hypercholesterolemia
About this trial
This is an interventional treatment trial for Hypercholesterolemia
Eligibility Criteria
The inclusion/ exclusion criteria below, include, but are not limited to, the following:
Key Inclusion Criteria:
- Men and women, ages 18 through 80 at the screening visit
- Diagnosis of primary hypercholesterolemia, either HeFH or non-HeFH with clinical ASCVD
- A history of clinical ASCVD, for those patients who are non-HeFH.
- Receiving a stable maximally tolerated statin (± ezetimibe) for at least 4 weeks at screening
- For those patients with HeFH who are not receiving a statin at screening, documentation of inability to tolerate at least 2 statins.
- Receiving alirocumab 150 mg SC Q2W, OR evolocumab 140 mg SC Q2W or 420 mg SC Q4W for at least 8 weeks prior to the screening visit
- For those patients with a history of clinical ASCVD, serum LDL-C ≥ 70 mg/dL at screening (1 repeat lab is allowed)
- For those patients without a history of clinical ASCVD, serum LDL-C ≥ 100 mg/dL at screening (1 repeat lab is allowed)
- Provide signed informed consent
Key Exclusion Criteria:
- Known history of homozygous FH (clinically, or by previous genotyping)
- Presence of any clinically significant uncontrolled endocrine disease known to influence serum lipids or lipoproteins
- Newly diagnosed diabetes (within 3 months prior to screening)
- Use of thyroid medications (except for replacement therapy which has been stable for at least 12 weeks before screening)
Laboratory findings during screening period (not including randomization labs):
- Triglycerides > 400 mg/dL (> 4.52 mmol/L) for patients without a known history of diabetes mellitus; OR Triglycerides > 300 mg/dL (> 3.39 mmol/L) for patients with a known history of diabetes mellitus
- Positive test for Hepatitis B surface antigen and/or Hepatitis C antibody (associated with a positive HCV ribonucleic acid [RNA] polymerase chain reaction)
- Positive serum beta-human chorionic gonadotropin or urine pregnancy test in women of childbearing potential
- Estimated glomerular filtration rate < 30 mL/min/1.73 m^2
- TSH > 1.5 x ULN
- Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 2 x ULN
- Systolic blood pressure > 160 mmHg or diastolic blood pressure > 100 mmHg at screening visit or time of randomization
- History of heart failure (New York Heart Association [NYHA] Class III-IV) within 12 months before screening
- History of MI, unstable angina leading to hospitalization, CABG surgery, PCI, uncontrolled cardiac arrhythmia, carotid surgery or stenting, stroke, TIA, carotid revascularization, endovascular procedure or surgical intervention for peripheral vascular disease within 3 months prior screening
- History of cancer within the past 5 years (except for adequately treated basal cell skin cancer, squamous cell skin cancer, or in situ cervical cancer)
- Having received LDL apheresis within 2 months before screening
- Pregnant or breast-feeding women
- Women of childbearing potential who are unwilling to practice a highly effective birth control method
- Men who are sexually active with women of childbearing potential (WOCBP) and are unwilling to consistently use condoms during the study drug treatment period regardless of vasectomy status.
Sites / Locations
- Cedars-Sinai Medical Center
- Office of Dr. John D Homan MD
- Preventive Cardiology Inc
- Care Research Center Inc
- Florida Lipid Institute
- St. Vincent Medical Group, Inc
- University of Kansas Medical Center
- EMMC Northeast Cardiology Assocites
- University of Maryland School of Medicine
- Massachusetts General Hospital
- Heart Health Cardiology
- Minneapolis Heart Institute Foundation
- University of Minnesota
- Washington University School of Medicine
- Mt Sinai Ichan Medical Institute
- Duke University Medical Center
- Rowan Diagnostic Clinic
- Capital Area Research, LLC
- The University Of Texas Health Science Center Houston
- San Antonio Premiere Internal Medicine
- Clear Clinical Research, LLC
- PharmaTex Research
- Wasatch Clinical Research
- Royal Prince Alfred Hospital
- Redcliffe Hospital
- University Hospital Innsbruck - Tyrolean Hospital
- Medizinische Universitaetsklinik Graz
- Robarts Research Institute
- SKDS Research Inc.
- Centre Etudes Cliniques Econogene-21
- Clinique des maladies lipidiques de Quebec
- CCR Prague, S.R.O
- Univerzita Karlova v Praze 1 Lekarska Fakulta
- University Hospital, Charles University
- Ikem Institut Klinicke A Experimentalni Mediciny
- Sydvestjysk Sygehus
- Regionshospitalet Herning
- Hopital G Et R Laennec
- Houpital Du Bocage
- Edith Wolfson Medical Center
- Galilee Medical Center
- Sheba Mc
- Sourasky Medical Center, Cardiovascular Research Center
- Azienda Ospedaliero Universitaria Federico II di Napoli
- Fondazione Toscana Gabriele Monasterio Per La Ricerca Medica E Di Sanita Pubblica
- Ausl Della Romagna-Ospedale Degli Infermi
- Dipartimento di Medicina Traslazionale e di Precisione dell'Università degli Studi di
- Tokyo-Eki Center-building Clinic
- Shonan Fujisawa Tokushukai Hospital
- Minamino Cardiovascular Hospital
- Saitama Medical University Hospital
- Istishari Hospital
- King Abdullah University Hospital-1
- King Abdullah University Hospital-2
- King Abdullah University Hospital
- VOC Hoorn
- Admiraal de Ruyter Ziekenhuis
- Academic Medical Center
- Universitair Medisch Centrum Utrech - Locatie AZU
- Lipid and Diabetes Research Group
- Papamoa Pines Medical Centre
- Clinical Horizons NZ Ltd
- M3 Helse AS
- Halina Serafin NZOZ Centrum Medyczne SERAFIN-MED
- Nzoz Przychodnia Specjalistyczna
- Wojewodzki Szpital Specjalistyczny
- Slaskie Centrum Chorob Serca, III Katedra i Oddzial Kliniczny Kardiologii SUM- Oddzial Chorob Serca i Naczyn
- Federal State Budgetary Institution Research Institute for Complex Issues of Cardiovacsular Disease
- National Research Center For Preventative Medicine of Federal Agency of High Technology Medical Aid
- Federal State Budget Institution Out-patient Clinic 3
- NII of Therapy and Preventive Medicine
- Municipal Medical and Prophylactic Institution - City Hospital for Emergency Care No.2
- Limmited Liability Company International Medical Centre SOGAZ
- Federal State Institution of Healthcare Clinical Hospital #122 N.A.L.G Sokolov
- LLC- Institute of Medical Research
- Federal State Budgetary Institution Clinical-Diagnostic Center with Polyclinic
- Samara Regional Clinical Cardiologic Dispensary
- Cardiology Research Institute
- The Charlotte Maxeke Johannesburg Academic Hospital
- Jongaie Research
- Dr JM Engelbrecht Trial Site
- University of Cape Town
- TREAD Research CC
- Hospital Universitario A Coruna
- Hospital Universitario Miguel Servet
- Hospital Universitario de Bellvitge
- Hospital Universitario Reina Sofia
- Hospital Universitario Virgen de las Nieves (HUVN)
- Hospital Universitario Virgen del Rocio
- Karolinska University Hospital
- Akardo MedSite
- Karolinska Institutet
- Akademiska sjukhuset
- Royal Free Hospital-Royal Free London NHS Foundation Trust
- Royal Victoria Infirmary - The Newcastle Upon Tyne Hospitals NHS Foundation Trust
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Group A: dosing regimen 1
Group A: dosing regimen 2
Group A: dosing regimen 3
Group A: matching placebo
Group B: dosing regimen 1
Group B: dosing regimen 2
Group B: matching placebo
SC Evinacumab QW for 16 weeks
SC Evinacumab Q2W for 16 weeks (alternating with matching placebo on opposite weeks)
SC Evinacumab QW for 16 weeks
Placebo SC QW for 16 weeks
Intravenous (IV) Evinacumab Q4W for 24 weeks
IV Evinacumab Q4W for 24 weeks
Placebo IV Q4W for 24 weeks