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Heterozygous Familial HypercholesterolemiaPhase 3HAUSER-RCTNCT02392559

Trial Assessing Efficacy, Safety and Tolerability of Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9) Inhibition in Paediatric Subjects With Genetic Low-Density Lipoprotein (LDL) Disorders

A Phase 3 study testing Evolocumab in people with Heterozygous Familial Hypercholesterolemia, run by Amgen at 66 sites in 26 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

A study to assess safety and efficacy of evolocumab (AMG-145) in paediatric subjects aged 10-17 years diagnosed with heterozygous familial hypercholesterolemia. Read more about this study

Who is it for?
Ages 10 to 17 years
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
158 participants
Where
66 sitesin 26 countries
Study dates
24 Mar 2016to 25 Nov 2019
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 10 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Male or female ≥ 10 to ≤ 17 years of age (before 18th birthday)
  • Diagnosis of heterozygous familial hypercholesterolemia
  • On an approved statin with stable optimized dose for ≥ 4 weeks
  • Other lipid-lowering therapy stable for ≥ 4 weeks (fibrates must be stable for ≥ 6 weeks)
  • Fasting LDL-C ≥ 130 mg/dL (3.4 mmol/L)
  • Fasting triglycerides ≤ 400 mg/dL (4.5 mmol/L)

Who cannot join

  • Type 1 diabetes, or type 2 diabetes that is or poorly controlled
  • Uncontrolled hyperthyroidism or hypothyroidism
  • Cholesterylester transfer protein (CETP) inhibitor in the last 12 months, or mipomersen or lomitapide in the last 5 months
  • Previously received evolocumab or any other investigational therapy to inhibit proprotein convertase subtilisin/kexin type 9 (PCSK9).
  • Lipid apheresis within the last 12 weeks prior to screening.
  • Homozygous familial hypercholesterolemia

Trial locations and contacts

66 sites in 26 countries.

66 sites in 26 countries

United States12 sites
  • Research Site

    Asheville, North Carolina, 28803

  • Research Site

    Cincinnati, Ohio, 45227

  • Research Site

    Farmington, Connecticut, 06032

  • Research Site

    Iowa City, Iowa, 52242

  • Research Site

    Minneapolis, Minnesota, 55454

  • Research Site

    Morgantown, West Virginia, 26506

  • Research Site

    Nashville, Tennessee, 37212

  • Research Site

    Pittsburgh, Pennsylvania, 15224

  • Research Site

    Salt Lake City, Utah, 84113

  • Research Site

    The Bronx, New York, 10467

  • Research Site

    Towson, Maryland, 21204

  • Research Site

    Wilmington, Delaware, 19803

Other trials in United States

Brazil5 sites
  • Research Site

    Brasília, Federal District, 71625-175

  • Research Site

    Fortaleza, Ceará, 60430-270

  • Research Site

    São Paulo, 04040-000

  • Research Site

    São Paulo, 05403-000

  • Research Site

    Vitória, Espírito Santo, 29055-450

Other trials in Brazil

Italy5 sites
  • Research Site

    Palermo, 90127

  • Research Site

    Pisa, 56124

  • Research Site

    Roma, 00161

  • Research Site

    Roma, 00165

  • Research Site

    Torino, 10126

Other trials in Italy

Spain5 sites
  • Research Site

    A Coruña, Galicia, 15001

  • Research Site

    Barcelona, Catalonia, 08036

  • Research Site

    Córdoba, Andalusia, 14004

  • Research Site

    Lugo, Galicia, 27003

  • Research Site

    Seville, Andalusia, 41013

Other trials in Spain

Austria3 sites
  • Research Site

    Feldkirch, 6800

  • Research Site

    Salzburg, 5020

  • Research Site

    Vienna, 1090

Other trials in Austria

Belgium3 sites
  • Research Site

    Brussels, 1200

  • Research Site

    La Louvière, 7100

  • Research Site

    Leuven, 3000

Other trials in Belgium

Canada3 sites
  • Research Site

    Chicoutimi, Quebec, G7H 5H6

  • Research Site

    Chicoutimi, Quebec, G7H 7K9

  • Research Site

    Québec, Quebec, G1V 4W2

Other trials in Canada

Czechia3 sites
  • Research Site

    Ostrava-Poruba, 708 52

  • Research Site

    Prague, 150 06

  • Research Site

    Svitavy, 568 25

Other trials in Czechia

Colombia2 sites
  • Research Site

    Barranquilla, Atlántico, 080020

  • Research Site

    Floridablanca, Santander Department

Other trials in Colombia

Finland2 sites
  • Research Site

    Helsinki, 00029

  • Research Site

    Kuopio, 70029

Other trials in Finland

Greece2 sites
  • Research Site

    Athens, 17674

  • Research Site

    Thessaloniki, 54642

Other trials in Greece

Norway2 sites
  • Research Site

    Bergen, 5021

  • Research Site

    Oslo, 0586

Other trials in Norway

Russia2 sites
  • Research Site

    Moscow, 125412

  • Research Site

    Saint Petersburg, 191025

Other trials in Russia

South Africa2 sites
  • Research Site

    Parow, Western Cape, 7505

  • Research Site

    Pretoria, Gauteng, 0087

Other trials in South Africa

Switzerland2 sites
  • Research Site

    Geneva, 1211

  • Research Site

    Reinach, 4153

Other trials in Switzerland

Turkey (Türkiye)2 sites
  • Research Site

    Ankara, 06500

  • Research Site

    Izmir, 35100

Other trials in Turkey (Türkiye)

United Kingdom2 sites
  • Research Site

    Birmingham, B4 6NH

  • Research Site

    London, WC1N 3JH

Other trials in United Kingdom

Australia1 site
  • Research Site

    Camperdown, New South Wales, 2050

Other trials in Australia

Hungary1 site
  • Research Site

    Budapest, 1094

Other trials in Hungary

Malaysia1 site
  • Research Site

    Kota Bharu, Kelantan, 16150

Other trials in Malaysia

Netherlands1 site
  • Research Site

    Amsterdam, 1105 AZ

Other trials in Netherlands

New Zealand1 site
  • Research Site

    Christchurch, 8011

Other trials in New Zealand

Poland1 site
  • Research Site

    Gdansk, 80-952

Other trials in Poland

Portugal1 site
  • Research Site

    Guimarães, 4835-044

Other trials in Portugal

Slovenia1 site
  • Research Site

    Ljubljana, 1000

Other trials in Slovenia

Taiwan1 site
  • Research Site

    Taipei, 11217

Other trials in Taiwan

About this study

Official title: Double-blind, Randomized, Multicenter, Placebo-Controlled Study to Characterize the Efficacy, Safety, and Tolerability of 24 Weeks of Evolocumab for LDL-C Reduction in Pediatric Subjects 10 to 17 Years of Age With HeFH

A study to assess safety and efficacy of evolocumab (AMG-145) in paediatric subjects aged 10-17 years diagnosed with heterozygous familial hypercholesterolemia.

Read the detailed description

A study to evaluate the effect of 24 weeks of subcutaneous (SC) evolocumab compared with placebo, when added to standard of care, on percent change from baseline in low-density lipoprotein cholesterol (LDL-C) in pediatric subjects 10 to 17 years of age with heterozygous familial hypercholesterolemia (HeFH).

Being tested
Evolocumab, Placebo
Keywords
Hypercholesterolemia, Elevated Cholesterol, High Cholesterol, Heterozygous Familial Hypercholesterolemia, PCSK9 mutations, Paediatric, pediatric, Childhood Familial Hypercholesterolemia
Medical subject headings
Hypercholesterolemia

What participants receive

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

  • EvolocumabDrug

    Also called AMG 145; EvoMab

    Dose of subcutaneous evolocumab every 4 weeks

  • PlaceboDrug

    Dose of subcutaneous placebo treatment every 4 weeks

Study groups in NCT02392559
Study groupRoleWhat they receive
PlaceboPlacebo comparatorMatching subcutaneous injection every 4 weeks (QM)
Receives: Drug: Placebo
EvoMab 420 mg QMExperimentalEvolocumab subcutaneous injection QM
Receives: Drug: Evolocumab

What is being measured

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

  1. Percent Change From Baseline to Week 24 in LDL-C

    Least squares mean is from the repeated measures model which includes treatment group, stratification factors of age and screening LDL-C (from interactive voice response system [IVRS]), scheduled visit and the interaction of treatment with scheduled visit as covariates. The model uses an unstructured covariance.

    Measured: Baseline, Week 24

Secondary outcomes (13)
  1. Mean Percent Change From Baseline to Mean of Weeks 22 and 24 in LDL-C

    Least squares mean is from the repeated measures model which includes treatment group, stratification factors of age and screening LDL-C (from IVRS), scheduled visit and the interaction of treatment with scheduled visit as covariates.

    Measured: Baseline, Week 22, Week 24

  2. Change From Baseline to Week 24 in LDL-C

    Least squares mean is from the repeated measures model which includes treatment group, stratification factors of age and screening LDL-C (from IVRS), scheduled visit and the interaction of treatment with scheduled visit as covariates.

    Measured: Baseline, Week 24

  3. Percent Change From Baseline to Week 24 in Non-HDL-C

    Least squares mean is from the repeated measures model which includes treatment group, stratification factors of age and screening LDL-C (from IVRS), scheduled visit and the interaction of treatment with scheduled visit as covariates

    Measured: Baseline, Week 24

  4. Percent Change From Baseline to Week 24 in Apoliprotein-B (ApoB)

    Least squares mean is from the repeated measures model which includes treatment group, stratification factors of age and screening LDL-C (from IVRS), scheduled visit and the interaction of treatment with scheduled visit as covariates.

    Measured: Baseline, Week 24

  5. Percent Change From Baseline to Week 24 in Total Cholesterol/HDL-C Ratio

    Least squares mean is from the repeated measures model which includes treatment group, stratification factors of age and screening LDL-C (from IVRS), scheduled visit and the interaction of treatment with scheduled visit as covariates.

    Measured: Baseline, Week 24

  6. Percent Change From Baseline to Week 24 in ApoB:ApoA1 Ratio

    Least squares mean is from the repeated measures model which includes treatment group, stratification factors of age and screening LDL-C (from IVRS), scheduled visit and the interaction of treatment with scheduled visit as covariates.

    Measured: Baseline, Week 24

  7. Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs Leading to Discontinuation (DC), Fatal TEAEs, and Device-Related TEAEs

    An adverse event (AE) is defined as any untoward medical occurrence that does not necessarily have a causal relationship with study treatment. An SAE is defined as an adverse event that: is fatal; is a life threatening; requires in-patient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect; or other medically important serious event. Events were graded by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) grading scale (1=mild; 2=moderate; 3=severe; 4=life-threatening; 5=death). Events were defined as treatment emergent if they occurred after the first dose of study drug and up to and including 30 days after the last dose or the end of study date, whichever is earlier.

    Measured: From first dose of study drug up to and including 30 days after the last dose or end of study date (Week 24), whichever was earlier. Mean (SD) duration on study was 5.664 (0.278) and 5.608 (0.137) months for Placebo and EvoMab arms, respectively.

  8. Number of Participants With Maximum Post-Baseline Laboratory Toxicities of Grade ≥ 3

    Laboratory toxicity grading was based on NCI CTCAE grading. Grade 3 indicates severe toxicity and Grade 4 indicates life-threatening toxicity. Values representing a worsening from baseline are shown.

    Measured: Week 24

  9. Change From Baseline Over Time in Systolic Blood Pressure

    Measured: Baseline, Week 4, Week 12, Week 20, Week 22, Week 24

  10. Change From Baseline Over Time in Diastolic Blood Pressure

    Measured: Baseline, Week 4, Week 12, Week 20, Week 22, Week 24

  11. Change From Baseline Over Time in Heart Rate

    Measured: Baseline, Week 4, Week 12, Week 20, Week 22, Week 24

  12. Number of Participants Testing Positive for Anti-Evolocumab Antibodies

    Measured: up to Week 24

  13. Serum Evolocumab Concentrations Over Time

    Measured: Week 12, Week 22, Week 24

Timeline

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

  1. First posted19 Mar 2015 (estimated)
  2. Study start24 Mar 2016
  3. Primary completion25 Nov 2019
  4. Study completion25 Nov 2019

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
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
158 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02392559
Sponsor's protocol ID
20120123
Other IDs
2014-002277-11, 2014
Acronym
HAUSER-RCT
Status last verified
Nov 2022
First submitted
25 Feb 2015
Last updated
8 Nov 2022
Data monitoring committee
Yes
Individual data sharing
Yes: De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.

Publications

  • Santos RD, Ruzza A, Hovingh GK, Wiegman A, Mach F, Kurtz CE, Hamer A, Bridges I, Bartuli A, Bergeron J, Szamosi T, Santra S, Stefanutti C, Descamps OS, Greber-Platzer S, Luirink I, Kastelein JJP, Gaudet D; HAUSER-RCT Investigators. Evolocumab in Pediatric Heterozygous Familial Hypercholesterolemia. N Engl J Med. 2020 Oct 1;383(14):1317-1327. doi: 10.1056/NEJMoa2019910. Epub 2020 Aug 29.

    PubMed 32865373
  • Gaudet D, Langslet G, Gidding SS, Luirink IK, Ruzza A, Kurtz C, Lu C, Somaratne R, Raal FJ, Wiegman A. Efficacy, safety, and tolerability of evolocumab in pediatric patients with heterozygous familial hypercholesterolemia: Rationale and design of the HAUSER-RCT study. J Clin Lipidol. 2018 Sep-Oct;12(5):1199-1207. doi: 10.1016/j.jacl.2018.05.007. Epub 2018 May 22.

    PubMed 30318065
  • Gaudet D, Ruzza A, Bridges I, Maruff P, Schembri A, Hamer A, Mach F, Bergeron J, Gaudet I, Pierre JS, Kastelein JJP, Hovingh GK, Wiegman A, Raal FJ, Santos RD. Cognitive function with evolocumab in pediatric heterozygous familial hypercholesterolemia. J Clin Lipidol. 2022 Sep-Oct;16(5):676-684. doi: 10.1016/j.jacl.2022.07.005. Epub 2022 Jul 21.

    PubMed 36210291
  • 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.

    PubMed 33078867

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Evolocumab in people with Heterozygous Familial Hypercholesterolemia, run by Amgen at 66 sites in 26 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 6 inclusion and 6 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 8 Nov 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 66 sites in United States, Brazil, Italy, Spain, Austria and 21 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 15 Jul 2020). 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 to Week 24 in LDL-C (time frame: Baseline, Week 24). 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 NCT02392559, which also lists 4 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 8 Nov 2022.

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