AzTrials
AzTrials

HyperlipidemiaPhase 3RUTHERFORD-2NCT01763918

Reduction of LDL-C With PCSK9 Inhibition in Heterozygous Familial Hypercholesterolemia Disorder Study-2

A Phase 3 study testing Evolocumab in people with Hyperlipidemia, run by Amgen at 39 sites in 14 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The primary objective was to evaluate the effect of 12 weeks of evolocumab subcutaneously once every 2 weeks (Q2W) and once monthly (QM), compared with placebo, on percent change from baseline in low-density lipoprotein cholesterol (LDL-C) in adults with heterozygous familial hypercholesterolemia (HeFH). Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Hyperlipidemia
What is being tested?
Evolocumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
331 participants
Where
39 sitesin 14 countries
Study dates
7 Feb 2013to 19 Dec 2013
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female ≥ 18 to ≤ 80 years of age
  • Diagnosis of heterozygous familial hypercholesterolemia
  • On a stable dose of an approved statin and lipid regulating medication
  • Fasting LDL-C ≥ 100 mg/dL (2.6 mmol/L)
  • Fasting triglycerides ≤ 400 mg/dL (4.5 mmol/L)

Who cannot join

  • Homozygous familial hypercholesterolemia
  • LDL or plasma apheresis
  • New York Heart Association (NYHA) III or IV heart failure
  • Uncontrolled cardiac arrhythmia
  • Uncontrolled hypertension
  • Type 1 diabetes, poorly controlled type 2 diabetes
  • Uncontrolled hypothyroidism or hyperthyroidism

Trial locations and contacts

39 sites in 14 countries.

39 sites in 14 countries

Netherlands8 sites
  • Research Site

    Amersfoort, 3813 TZ

  • Research Site

    Amsterdam, 1091 AC

  • Research Site

    Amsterdam, 1105 AZ

  • Research Site

    Gouda, 2803 HH

  • Research Site

    Groningen, 9713 GZ

  • Research Site

    Hoorn, 1625 HV

  • Research Site

    Tilburg, 5022 GC

  • Research Site

    Utrecht, 3584 CX

Other trials in Netherlands

Canada5 sites
  • Research Site

    Chicoutimi, Quebec, G7H 7K9

  • Research Site

    London, Ontario, N6A 5K8

  • Research Site

    Montreal, Quebec, H2W 1R7

  • Research Site

    Montreal, Quebec, H3A 1A1

  • Research Site

    Vancouver, British Columbia, V6Z 1Y6

Other trials in Canada

South Africa4 sites
  • Research Site

    Johannesburg, Gauteng, 2193

  • Research Site

    Midrand, Gauteng, 1685

  • Research Site

    Observatory, Western Cape, 7925

  • Research Site

    Parow, Western Cape, 7505

Other trials in South Africa

Spain4 sites
  • Research Site

    Córdoba, Andalusia, 14004

  • Research Site

    Madrid, 28040

  • Research Site

    Reus, Catalonia, 43204

  • Research Site

    Zaragoza, Aragon, 50009

Other trials in Spain

United Kingdom4 sites
  • Research Site

    Coventry, CV2 2DX

  • Research Site

    London, SE1 7EH

  • Research Site

    London, W6 8RF

  • Research Site

    Manchester, M13 9WL

Other trials in United Kingdom

France3 sites
  • Research Site

    Bron, 69677

  • Research Site

    Nantes, 44093

  • Research Site

    Paris, 75651

Other trials in France

United States2 sites
  • Research Site

    Cincinnati, Ohio, 45227

  • Research Site

    Scottsdale, Arizona, 85258

Other trials in United States

Australia2 sites
  • Research Site

    Camperdown, New South Wales, 2015

  • Research Site

    Perth, Western Australia, 6000

Other trials in Australia

Sweden2 sites
  • Research Site

    Stockholm, 111 35

  • Research Site

    Stockholm, 141 86

Other trials in Sweden

Germany1 site
  • Research Site

    Cologne, 50937

Other trials in Germany

Hong Kong1 site
  • Research Site

    New Territories

Other trials in Hong Kong

New Zealand1 site
  • Research Site

    Christchurch, 8011

Other trials in New Zealand

Norway1 site
  • Research Site

    Oslo, 0373

Other trials in Norway

Switzerland1 site
  • Research Site

    Reinach, 4153

Other trials in Switzerland

About this study

Official title: A Double-blind, Randomized, Placebo-controlled, Multicenter Study to Evaluate Safety, Tolerability and Efficacy of AMG 145 on LDL-C in Subjects With Heterozygous Familial Hypercholesterolemia

The primary objective was to evaluate the effect of 12 weeks of evolocumab subcutaneously once every 2 weeks (Q2W) and once monthly (QM), compared with placebo, on percent change from baseline in low-density lipoprotein cholesterol (LDL-C) in adults with heterozygous familial hypercholesterolemia (HeFH).

Conditions
Hyperlipidemia
Being tested
Evolocumab, Placebo
Keywords
High cholesterol, Treatment for high cholesterol, Lowering cholesterol, Lowering high cholesterol, Hypercholesterolemia
Medical subject headings
Hyperlipidemias, Hypercholesterolemia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • EvolocumabBiological

    Also called AMG 145, Repatha

    Administered by subcutaneous injection

  • PlaceboDrug

    Administered by subcutaneous injection

Study groups in NCT01763918
Study groupRoleWhat they receive
Placebo Q2WPlacebo comparatorParticipants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks.
Receives: Drug: Placebo
Placebo QMPlacebo comparatorParticipants received placebo subcutaneous injection once every month (QM) for up to 12 weeks.
Receives: Drug: Placebo
Evolocumab Q2WExperimentalParticipants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks.
Receives: Biological: Evolocumab
Evolocumab QMExperimentalParticipants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks.
Receives: Biological: Evolocumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percent Change From Baseline in LDL-C at Week 12

    Measured: Baseline and Week 12

  2. Percent Change From Baseline in LDL-C at the Mean of Weeks 10 and 12

    Measured: Baseline and Weeks 10 and 12

Secondary outcomes (20)
  1. Change From Baseline in LDL-C at the Mean of Weeks 10 and 12

    Measured: Baseline and Weeks 10 and 12

  2. Change From Baseline in LDL-C at Week 12

    Measured: Baseline and Week 12

  3. Percentage of Participants With Mean LDL-C at Weeks 10 and 12 of Less Than 70 mg/dL (1.8 mmol/L)

    Measured: Weeks 10 and 12

  4. Percentage of Participants With LDL-C < 70 mg/dL (1.8 mmol/L) at Week 12

    Measured: Week 12

  5. Percent Change From Baseline in Non-High-Density Lipoprotein Cholesterol (Non-HDL-C) at the Mean of Weeks 10 and 12

    Measured: Baseline and Weeks 10 and 12

  6. Percent Change From Baseline in Non-HDL-C at Week 12

    Measured: Baseline and Week 12

  7. Percent Change From Baseline in Apolipoprotein B at the Mean of Weeks 10 and 12

    Measured: Baseline and Weeks 10 and 12

  8. Percent Change From Baseline in Apolipoprotein B at Week 12

    Measured: Baseline and Week 12

  9. Percent Change From Baseline in the Total Cholesterol/HDL-C Ratio at the Mean of Weeks 10 and 12

    Measured: Baseline and Weeks 10 and 12

  10. Percent Change From Baseline in the Total Cholesterol/HDL-C Ratio at Week 12

    Measured: Baseline and Week 12

  11. Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at the Mean of Weeks 10 and 12

    Measured: Baseline and Weeks 10 and 12

  12. Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at Week 12

    Measured: Baseline and Week 12

  13. Percent Change From Baseline in Lipoprotein (a) at the Mean of Weeks 10 and 12

    Measured: Baseline and Weeks 10 and 12

  14. Percent Change From Baseline in Lipoprotein (a) at Week 12

    Measured: Baseline and Week 12

  15. Percent Change From Baseline in Triglycerides at the Mean of Weeks 10 and 12

    Measured: Baseline and Weeks 10 and 12

  16. Percent Change From Baseline in Triglycerides at Week 12

    Measured: Baseline and Week 12

  17. Percent Change From Baseline in HDL-C at the Mean of Weeks 10 and 12

    Measured: Baseline and Weeks 10 and 12

  18. Percent Change From Baseline in HDL-C at Week 12

    Measured: Baseline and Week 12

  19. Percent Change From Baseline in Very Low-Density Lipoprotein Cholesterol (VLDL-C) at the Mean of Weeks 10 and 12

    Measured: Baseline and Weeks 10 and 12

  20. Percent Change From Baseline in VLDL-C at Week 12

    Measured: Baseline and Week 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Jan 2013 (estimated)
  2. Study start7 Feb 2013
  3. Primary completion27 Nov 2013
  4. Study completion19 Dec 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
331 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01763918
Sponsor's protocol ID
20110117
Other IDs
2012-001365-32
Acronym
RUTHERFORD-2
Status last verified
Jun 2019
First submitted
7 Jan 2013
Last updated
17 Jun 2019
Data monitoring committee
Yes

Publications

  • Toth PP, Descamps O, Genest J, Sattar N, Preiss D, Dent R, Djedjos C, Wu Y, Geller M, Uhart M, Somaratne R, Wasserman SM; PROFICIO Investigators. Pooled Safety Analysis of Evolocumab in Over 6000 Patients From Double-Blind and Open-Label Extension Studies. Circulation. 2017 May 9;135(19):1819-1831. doi: 10.1161/CIRCULATIONAHA.116.025233. Epub 2017 Mar 1.

    PubMed 28249876
  • Kuchimanchi M, Grover A, Emery MG, Somaratne R, Wasserman SM, Gibbs JP, Doshi S. Population pharmacokinetics and exposure-response modeling and simulation for evolocumab in healthy volunteers and patients with hypercholesterolemia. J Pharmacokinet Pharmacodyn. 2018 Jun;45(3):505-522. doi: 10.1007/s10928-018-9592-y. Epub 2018 May 7.

    PubMed 29736889
  • Kasichayanula S, Grover A, Emery MG, Gibbs MA, Somaratne R, Wasserman SM, Gibbs JP. Clinical Pharmacokinetics and Pharmacodynamics of Evolocumab, a PCSK9 Inhibitor. Clin Pharmacokinet. 2018 Jul;57(7):769-779. doi: 10.1007/s40262-017-0620-7.

    PubMed 29353350
  • Wasserman SM, Sabatine MS, Koren MJ, Giugliano RP, Legg JC, Emery MG, Doshi S, Liu T, Somaratne R, Gibbs JP. Comparison of LDL-C Reduction Using Different Evolocumab Doses and Intervals: Biological Insights and Treatment Implications. J Cardiovasc Pharmacol Ther. 2018 Sep;23(5):423-432. doi: 10.1177/1074248418774043. Epub 2018 May 16.

    PubMed 29768954
  • Raal FJ, Stein EA, Dufour R, Turner T, Civeira F, Burgess L, Langslet G, Scott R, Olsson AG, Sullivan D, Hovingh GK, Cariou B, Gouni-Berthold I, Somaratne R, Bridges I, Scott R, Wasserman SM, Gaudet D; RUTHERFORD-2 Investigators. PCSK9 inhibition with evolocumab (AMG 145) in heterozygous familial hypercholesterolaemia (RUTHERFORD-2): a randomised, double-blind, placebo-controlled trial. Lancet. 2015 Jan 24;385(9965):331-40. doi: 10.1016/S0140-6736(14)61399-4. Epub 2014 Oct 1.

    PubMed 25282519
  • Shapiro MD, Minnier J, Tavori H, Kassahun H, Flower A, Somaratne R, Fazio S. Relationship Between Low-Density Lipoprotein Cholesterol and Lipoprotein(a) Lowering in Response to PCSK9 Inhibition With Evolocumab. J Am Heart Assoc. 2019 Feb 19;8(4):e010932. doi: 10.1161/JAHA.118.010932.

    PubMed 30755061
  • Stroes E, Robinson JG, Raal FJ, Dufour R, Sullivan D, Kassahun H, Ma Y, Wasserman SM, Koren MJ. Consistent LDL-C response with evolocumab among patient subgroups in PROFICIO: A pooled analysis of 3146 patients from phase 3 studies. Clin Cardiol. 2018 Oct;41(10):1328-1335. doi: 10.1002/clc.23049. Epub 2018 Oct 21.

    PubMed 30120772

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Evolocumab in people with Hyperlipidemia, run by Amgen at 39 sites in 14 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 17 Jun 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 39 sites in Netherlands, Canada, South Africa, Spain, United Kingdom and 9 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 22 Dec 2015). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percent Change From Baseline in LDL-C at Week 12 (time frame: Baseline and Week 12). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01763918, which also lists 7 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Jun 2019.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in