HypercholesterolemiaPhase 3NCT02476006
Safety, Tolerability, and Effect of Alirocumab in High Cardiovascular Risk Patients With Severe Hypercholesterolemia Not Adequately Controlled With Conventional Lipid-modifying Therapies (ODYSSEY APPRISE)
A Phase 3 study testing ALIROCUMAB SAR236553 (REGN727), ezetimibe and atorvastatin in people with Hypercholesterolemia, run by Sanofi at 153 sites in 16 countries.
Trial summary
Primary Objective: To provide participants with severe hypercholesterolemia at risk for subsequent cardiovascular (CV) events and not adequately controlled with currently available lipid-modifying therapy (LMT) access to alirocumab ahead of commercial availability and to document the overall safety and tolerability of… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Hypercholesterolemia
- What is being tested?
- ALIROCUMAB SAR236553 (REGN727), ezetimibe and atorvastatin
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 998 participants
- Where
- 153 sitesin 16 countries
- Study dates
- 23 Jun 2015to 12 Apr 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Either A, B, C, D, or E below and not adequately controlled with a maximally tolerated dose of statin with or without other LMTs, all at stable doses for at least 4 weeks prior to the screening visit (Week-3):
- Participants suffering from heterozygous familial hypercholesterolemia (heFH) with LDL-C concentrations greater than or equal to (>=)160 mg/dL (4.14 millimoles per liter [mmol/L]) despite treatment.
- Participants suffering from heFH with LDL-C concentrations >=130 mg/dL (3.36 mmol/L) despite treatment and two or more CV risk factors among this list:
- LDL-C greater than (>) 250 milligrams per deciliter (mg/dL) (6.46 mmol/L) at the time of the familial hypercholesterolemia (FH) diagnosis (before treatment).
- Family history of premature-onset coronary heart disease (CHD; first-degree male relative with onset before age 55 years; first-degree female relative with onset before age 65 years).
- Metabolic syndrome.
Show all 16Show fewer
- HDL-C less than (<) 40 mg/dL (1.03 mmol/L).
- Hypertension (blood pressure >140/90 mmHg or drug treatment).
- Lipoprotein a (Lp[a]) >=50 mg/dL (1.78 µmol/L).
- Tendon xanthoma.
- Participants suffering from heFH with LDL-C concentrations >=130 mg/dL (3.36 mmol/L) despite treatment and one of the following characteristics:
- Established CHD or other cardiovascular disease (CVD; history of acute myocardial infarction, ischemic stroke, peripheral arterial disease, coronary or peripheral arterial revascularization, stable or unstable angina, transient ischemic attack, carotid artery stenosis >=50 percent (%), or aortic abdominal aneurysm).
- Drug-treated type 2 diabetes mellitus or type 1 with target organ damage.
- Family history of first- or second-degree relative with very premature onset CHD (first- or second-degree male relative with onset before age 45; first- or second-degree female relative with onset before age 55).
- Non-FH participants suffering from established CHD or other CVD (history of acute myocardial infarction (MI), ischemic stroke, peripheral arterial disease, coronary or peripheral arterial revascularization, stable or unstable angina, transient ischemic attack, carotid artery stenosis >=50%, or aortic abdominal aneurysm) and with LDL-C concentrations >=130 mg/dL (3.36 mmol/L).
- Participants suffering from progressive CVD (coronary artery disease, or peripheral arterial occlusive disease or cerebrovascular disease as documented clinically or by imaging techniques, with a subsequent CV event [acute MI, ischemic stroke, ischemia-driven revascularization, unstable angina, transient ischemic attack] occurring despite stable doses of maximally tolerated LMT) with LDL-C concentrations >=100 mg/dL (2.59 mmol/L).
Who cannot join
- Not on a stable dose of LMT (including statin) for at least 4 weeks prior to the screening visit (Week -3) and from screening to enrollment.
- Use of a fibrate other than fenofibrate within 4 weeks of the screening visit (Week-3) or between screening and enrollment.
- Daily doses above atorvastatin 80 mg, rosuvastatin 40 mg, or simvastatin 40 mg (except for participants on simvastatin 80 mg for more than one year, who were eligible).
- Use of statin other than simvastatin, atorvastatin, or rosuvastatin prior to the screening visit (Week-3) or between screening and enrollment, except when there was a documented reason for intolerance to the above mentioned potent statins (in which case the use of a different statin was allowed).
- Fasting serum TG >400 mg/dL (>4.52 mmol/L) at the screening visit (Week -3). Uncontrolled hypertension (>180 mmHg systolic and/or >110 mmHg diastolic at randomization visit).
- New York Heart Association Class III or IV congestive heart failure persisting despite treatment.
Show all 11Show fewer
- History of hemorrhagic stroke. Liver transaminases >3 times the upper limit of normal. Laboratory evidence of current hepatitis B or C infection. Creatine kinase >3 times the upper limit of normal. Estimated glomerular filtration rate <30 mL/min/1.73 m^2. Pregnant or breastfeeding woman or with childbearing potential without appropriate contraception.
- Male participant with a female partner of childbearing potential not protected by a highly-effective method(s) of birth control.
- Participants eligible for enrollment into an ongoing clinical study of alirocumab conducted at the same investigational site.
- Hypersensitivity to alirocumab or any of the excipients.
- The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Trial locations and contacts
153 sites in 16 countries.
153 sites in 16 countries
France47 sites
Investigational Site Number 250027
Amiens, 80054
Investigational Site Number 250034
Auxerre, 89011
Investigational Site Number 250016
Avignon, 84000
Investigational Site Number 250021
Bayonne, 64100
Investigational Site Number 250030
Bobigny, 93009
Investigational Site Number 250045
Bordeaux, 33075
Investigational Site Number 250049
Brest, 29610
Investigational Site Number 250054
Bron, 69677
Investigational Site Number 250015
Caen, 14000
Investigational Site Number 250047
Clermont-Ferrand, 63003
Investigational Site Number 250013
Corbeil-Essonnes, 91100
Investigational Site Number 250032
Coudray, 28630
Investigational Site Number 250002
Dijon, 21000
Investigational Site Number 250040
Dijon, 21000
Investigational Site Number 250012
Grenoble, 38028
Investigational Site Number 250038
Grenoble, 38043
Investigational Site Number 250033
Jossigny
Investigational Site Number 250035
Le Chesnay, 78157
Investigational Site Number 250036
Lens
Investigational Site Number 250042
Lille, 59000
Investigational Site Number 250004
Lille
Investigational Site Number 250037
Limoges, 87000
Investigational Site Number 250057
Lyon, 69009
Investigational Site Number 250028
Marseille, 13385
Investigational Site Number 250048
Marseille, 13385
Investigational Site Number 250024
Montpellier, 34295
Investigational Site Number 250006
Nantes, 44093
Investigational Site Number 250022
Nantes, 44277
Investigational Site Number 250017
Nice, 06001
Investigational Site Number 250039
Nîmes, 30029
Investigational Site Number 250014
Paris, 75014
Investigational Site Number 250041
Paris, 75014
Investigational Site Number 250026
Paris, 75018
Investigational Site Number 250044
Paris, 75181
Investigational Site Number 250001
Paris, 75475
Investigational Site Number 250051
Pessac, 33604
Investigational Site Number 250011
Poitiers, 86021
Investigational Site Number 250031
Poitiers, 86021
Investigational Site Number 250010
Reims, 51092
Investigational Site Number 250008
Rennes
Investigational Site Number 250018
Rouen, 76000
Investigational Site Number 250023
Saint-Mandé, 94160
Investigational Site Number 250025
Toulouse, 31059
Investigational Site Number 250046
Toulouse, 31076
Investigational Site Number 250007
Tours, 37000
Investigational Site Number 250019
Vénissieux, 69200
Investigational Site Number 250050
Vichy, 03201
Canada26 sites
Investigational Site Number 124018
Calgary, T2E7C5
Investigational Site Number 124015
Cambridge, N1R6V6
Investigational Site Number 124002
Chicoutimi, G7H7K9
Investigational Site Number 124027
Coquitlam, V3K3P4
Investigational Site Number 124025
Edmonton, T6G2B7
Investigational Site Number 124017
Halifax, B3H1V7
Investigational Site Number 124013
Hamilton, L8L 2X2
Investigational Site Number 124008
London, N6A 4L6
Investigational Site Number 124026
Maple Ridge, V2X5Z6
Investigational Site Number 124020
Montreal, H2W1R7
Investigational Site Number 124022
Montreal, H4A3J1
Investigational Site Number 124032
Mount Pearl, A1N1W7
Investigational Site Number 124005
Ottawa, K1Y4W7
Investigational Site Number 124024
Peterborough, K9J0B2
Investigational Site Number 124003
Québec, G1V4W2
Investigational Site Number 124019
Saint-Charles-Borromée, J6E6J2
Investigational Site Number 124007
Sarnia, N7T 4X3
Investigational Site Number 124001
Sherbrooke, J1H 5N4
Investigational Site Number 124030
Smiths Falls, K7A4W8
Investigational Site Number 124023
Toronto, M4N3M5
Investigational Site Number 124014
Toronto, M5B1W8
Investigational Site Number 124028
Trois-Rivières
Investigational Site Number 124011
Vancouver, V5Y3W2
Investigational Site Number 124012
Victoria, V8T5G4
Investigational Site Number 124031
Winnipeg, R2H2A6
Investigational Site Number 124009
Woodstock, N4S5P5
Belgium18 sites
Investigational Site Number 056005
Aalst, 9300
Investigational Site Number 056018
Antwerp, 2020
Investigational Site Number 056008
Arlon, 6700
Investigational Site Number 056013
Bruges, 8000
Investigational Site Number 056010
Brussels, 1090
Investigational Site Number 056003
Brussels, 1200
Investigational Site Number 056006
Charleroi, 6000
Investigational Site Number 056007
Edegem, 2650
Investigational Site Number 056019
Genk, 3600
Investigational Site Number 056001
Ghent, 9000
Investigational Site Number 056017
Ghent, 9000
Investigational Site Number 056002
Haine-Saint-Paul, 7100
Investigational Site Number 056015
Kortrijk, 8500
Investigational Site Number 056009
La Louvière, 7100
Investigational Site Number 056004
Leuven, 3000
Investigational Site Number 056014
Liège, 4000
Investigational Site Number 056011
Overpelt, 3900
Investigational Site Number 056016
Roeselare, 8800
Spain18 sites
Investigational Site Number 724009
Alicante, 03010
Investigational Site Number 724011
Alicante, 3550
Investigational Site Number 724003
Córdoba, 14004
Investigational Site Number 724012
Donostia / San Sebastian, 20014
Investigational Site Number 724014
Donostia / San Sebastian, 20014
Investigational Site Number 724019
Elche, 03203
Investigational Site Number 724017
Galdakao, 48960
Investigational Site Number 724020
Inca, 03700
Investigational Site Number 724001
L'Hospitalet de Llobregat, 08907
Investigational Site Number 724007
Las Palmas de Gran Canaria, 35016
Investigational Site Number 724004
Madrid, 28007
Investigational Site Number 724008
Madrid, 28034
Investigational Site Number 724010
Madrid, 28046
Investigational Site Number 724005
Málaga, 29010
Investigational Site Number 724002
Santiago de Compostela, 15706
Investigational Site Number 724006
Valencia, 46010
Investigational Site Number 724016
Valencia, 46014
Investigational Site Number 724015
Valladolid, 47011
Austria9 sites
Investigational Site Number 040001
Graz
Investigational Site Number 040008
Innsbruck, 6020
Investigational Site Number 040005
Linz, 4010
Investigational Site Number 040006
Linz, 4021
Investigational Site Number 040003
Vienna, 1030
Investigational Site Number 040002
Vienna, 1090
Investigational Site Number 040004
Vienna, 1130
Investigational Site Number 040007
Vienna, 1160
Investigational Site Number 040010
Vienna, 1160
Poland5 sites
Investigational Site Number 616005
Gdansk, 80-952
Investigational Site Number 616003
Krakow, 30-082
Investigational Site Number 616001
Lodz, 90-549
Investigational Site Number 616004
Olsztyn, 10-045
Investigational Site Number 616002
Warsaw, 04-628
Switzerland5 sites
Investigational Site Number 756005
Baden, 5404
Investigational Site Number 756002
Olten, 4600
Investigational Site Number 756004
Reinach, 4153
Investigational Site Number 756003
Sankt Gallen, 9007
Investigational Site Number 756001
Zurich, 8032
Czechia4 sites
Investigational Site Number 203004
Brno, 65691
Investigational Site Number 203002
Hradec Králové, 50005
Investigational Site Number 203001
Prague, 12808
Investigational Site Number 203005
Uherské Hradiště, 68601
Hungary4 sites
Investigational Site Number 348001
Budapest, 1125
Investigational Site Number 348002
Debrecen, 4032
Investigational Site Number 348004
Pécs
Investigational Site Number 348003
Szeged, 6725
Denmark3 sites
Investigational Site Number 208003
Aalborg, 9000
Investigational Site Number 208001
Esbjerg, 6700
Investigational Site Number 208002
Roskilde, 4000
Greece3 sites
Investigational Site Number 300003
Ampelokipoi, 11522
Investigational Site Number 300002
Ioannina, 45500
Investigational Site Number 300001
Kallithea
Romania3 sites
Investigational Site Number 642-003
Bucharest, 011461
Investigational Site Number 642-002
Iași, 700661
Investigational Site Number 642-001
Timișoara, 300298
Slovakia3 sites
Investigational Site Number 703003
Bratislava, 81108
Investigational Site Number 703002
Bratislava, 83101
Investigational Site Number 703001
Košice, 04011
Finland2 sites
Investigational Site Number 246003
Turku, 20520
Investigational Site Number 246001
Varkaus, 78300
Germany2 sites
Investigational Site Number 276001
Berlin, 12559
Investigational Site Number 276003
Magdeburg, 39120
About this study
Official title: A Multi-country, Multicenter, Single-arm, Open-label Study to Document the Safety, Tolerability and Effect of Alirocumab on Atherogenic Lipoproteins in High Cardio-vascular Risk Patients With Severe Hypercholesterolemia Not Adequately Controlled With Conventional Lipid-modifying Therapies
Primary Objective:
To provide participants with severe hypercholesterolemia at risk for subsequent cardiovascular (CV) events and not adequately controlled with currently available lipid-modifying therapy (LMT) access to alirocumab ahead of commercial availability and to document the overall safety and tolerability of alirocumab in this participant population.
Read more
Secondary Objectives:
To document the effect of alirocumab on low-density lipoprotein cholesterol (LDL-C) levels as well as non-high-density lipoprotein cholesterol (non-HDL-C), total cholesterol (total-C), high-density lipoprotein cholesterol (HDL-C), and triglyceride (TG) levels after 12 weeks of treatment.
To document participant's acceptability of self-injection (Self Injection Assessment Questionnaire, SIAQ).
Read the detailed description
The study duration included a screening period of up to 3 weeks, a treatment period of a minimum of 12 weeks and up to a maximum of 120 weeks (30 months), and at least 2 weeks after the last study treatment injection.
- Conditions
- Hypercholesterolemia
- Being tested
- ALIROCUMAB SAR236553 (REGN727), placebo (for injection training only), ezetimibe, atorvastatin, rosuvastatin
- Medical subject headings
- Hypercholesterolemia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ALIROCUMAB SAR236553 (REGN727)Drug
Also called Praluent®
Pharmaceutical form:solution Route of administration: subcutaneous
placebo (for injection training only)Drug
Pharmaceutical form:solution Route of administration: subcutaneous
ezetimibeDrug
Pharmaceutical form:capsule Route of administration: oral
atorvastatinDrug
Pharmaceutical form:tablet Route of administration: oral
rosuvastatinDrug
Pharmaceutical form:tablet Route of administration: oral
simvastatinDrug
Pharmaceutical form:tablet Route of administration: oral
| Study group | Role | What they receive |
|---|---|---|
| Alirocumab | Experimental | Participants received Alirocumab 150 milligram (mg) subcutaneously (SC) once every two weeks (Q2W) or 75 mg SC Q2W added to stable LMT up to a maximum of 120 weeks. Alirocumab dose was either up-titrated from 75 to 150 mg Q2W or down-titrated from 150 to 75 mg Q2W, based on Investigator judgment and treatment response. Receives: Drug: ALIROCUMAB SAR236553 (REGN727); Drug: placebo (for injection training only); Drug: ezetimibe; Drug: atorvastatin; Drug: rosuvastatin; Drug: simvastatin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With Treatment Emergent Adverse Events (TEAEs)
Adverse Event (AE) was defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. Treatment-emergent AEs (TEAEs) were defined as AEs that that developed or worsened or became serious during the TEAE period (time from the first injection of study drug up to the day of the last injection of study drug + 14 days). A Serious Adverse Event (SAE) was any untoward medical occurrence that at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event.
Measured: From first injection of investigational medicinal product (IMP) up to 2 weeks after last dose of study drug (Week 120)
Secondary outcomes (10)
Percent Change From Baseline in Calculated Low Density Lipoprotein Cholesterol (LDL-C) at Week 12
Calculated LDL-C values were obtained using the Friedewald formula. Calculated LDL-C in mg/dL from Friedewald formula (LDL cholesterol = Total cholesterol - HDL cholesterol - [Triglyceride/5]). Baseline value was defined as the last observation before the first dose of the treatment.
Measured: Baseline, Week 12
Percentage of Participants Reaching Calculated LDL-C <100 mg/dL (2.59 mmol/L) at Week 12
LDL-Cholesterol was calculated using the Friedewald formula. Percentage of participants who reached calculated LDL-C <100 mg/dL (2.59 mmol/L) at week 12 were reported.
Measured: At Week 12
Percentage of Participants Reaching Calculated LDL-C <70 mg/dL (1.81 mmol/L) at Week 12
LDL-Cholesterol was calculated using the Friedewald formula. Percentage of participants who reached calculated LDL-C <70 mg/dL (1.81 mmol/L) at week 12 were reported.
Measured: At Week 12
Percentage of Participants Reaching Calculated LDL-C <70 mg/dL (1.81 mmol/L) and/or >=50% Reduction From Baseline in LDL-C at Week 12
LDL-Cholesterol was calculated using the Friedewald formula. Percentage of participants who reached LDL-C <70 mg/dL at Week 12 and/or >=50% reduction from baseline in LDL-C at Week 12 are reported.
Measured: At Week 12
Percent Change From Baseline in Non-High Density Lipoprotein Cholesterol (Non-HDL-C) at Week 12
Baseline value was defined as the last observation before the first dose of the treatment.
Measured: Baseline, Week 12
Percent Change From Baseline in Total Cholesterol (Total-C) at Week 12
Baseline value was defined as the last observation before the first dose of the treatment.
Measured: Baseline, Week 12
Percent Change From Baseline in High Density Lipoprotein Cholesterol at Week 12
Baseline value was defined as the last observation before the first dose of the treatment.
Measured: Baseline, Week 12
Percent Change From Baseline in Triglycerides at Week 12
Baseline value was defined as the last observation before the first dose of the treatment.
Measured: Baseline, Week 12
Assessment of Participant's Acceptability of Self-Injection Using Self Injection Assessment Questionnaire (SIAQ): Feeling About Injections, Self Confidence, Satisfaction With Self-Injections
Pre-SIAQ: self-completed before first self-injection \& Post-SIAQ: self-completed after self-injection. Pre-SIAQ consisted of 7 items grouped into 3 domains:feelings about injections,self-confidence \& satisfaction with self-injection. Post-SIAQ consisted of 21 items grouped into 6 domains:feelings about injections,self-image,self-confidence,injection-site reactions,ease of use \& satisfaction with self-injection. Participants rated each item on 5-point (or 6-point) semantic Likert-type scale, where lower numbers indicate a worse experience. Item scores were transformed to obtain a score ranging from 0 (worst experience) to 10 (best experience). Transformed scores for items contributing to a domain were then averaged into a domain score. Each domain score ranges from 0 (worst experience) to 10 (best experience), higher score=better acceptability. Domain scores common to the Pre \& Post SIAQ were analyzed on participants belonging to Pre \& Post-SIAQ population and are reported.
Measured: Baseline (Pre-SIAQ), Week 4, Week 8, Week 12, Week 24, Week 48, Week 72, Week 96
Assessment of Participant's Acceptability of Self-Injection Using Self Injection Assessment Questionnaire (SIAQ): Self Image, Injection-Site Reactions, Ease of Use
SIAQ: contained 2 modules: Pre-SIAQ and Post-SIAQ. Post-SIAQ: self-completed after self-injection. Post-SIAQ consisted of 21 items grouped into 6 domains: feelings about injections, self-image, self-confidence, injection-site reactions, ease of use \& satisfaction with self-injection. Participants rated each item on 5-point (or 6-point) semantic Likert-type scale, where lower numbers indicated a worse experience. Item scores were transformed to obtain a score ranging from 0 (worst experience) to 10 (best experience) for each item. Transformed scores for items contributing to a domain were then averaged into a domain score. Each domain score ranges from 0 (worst experience) to 10 (best experience), higher score=better acceptability. Domain scores which are not in common with Pre-SIAQ were analyzed on the Post-SIAQ population and are reported here.
Measured: Week 4, Week 8, Week 12, Week 24, Week 48, Week 72, Week 96
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Jun 2015 (estimated)
- Study start23 Jun 2015
- Primary completion12 Apr 2019
- Study completion12 Apr 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for HypercholesterolemiaStudies of the same condition, open and under way.
- More trials run by SanofiThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 998 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sanofi
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Regeneron Pharmaceuticals
- Responsible party
- Sponsor
- Investigators
- Clinical Sciences & Operations, Study director, Sanofi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02476006
- Sponsor's protocol ID
- LPS14245
- Other IDs
- 2015-000620-28, U1111-1163-0984, 2015
- Status last verified
- Mar 2022
- First submitted
- 16 Jun 2015
- Last updated
- 28 Mar 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- Individual data sharing
- Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
Publications
Cefalu AB, Garbelotto R, Mombelli G, Pirro M, Rubba P, Arca M, Borghi C, Bonomo K, Gonnelli S, Massaroni K, Tirone G, Averna M; ODYSSEY APPRISE Study Italian Investigators. A subgroup analysis of the ODYSSEY APPRISE study: Safety and efficacy of alirocumab in the Italian cohort. Nutr Metab Cardiovasc Dis. 2022 Nov;32(11):2638-2646. doi: 10.1016/j.numecd.2022.07.020. Epub 2022 Aug 9.
PubMed 36064689
Study at a glance
From the registry record, last updated by the sponsor on 28 Mar 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multi-country, Multicenter, Single-arm, Open-label Study to Document the Safety, Tolerability and Effect of Alirocumab on Atherogenic Lipoproteins in High Cardio-vascular Risk Patients With Severe Hypercholesterolemia Not Adequately Controlled With Conventional Lipid-modifying Therapies
- ClinicalTrials.gov ID
- NCT02476006
- Acronym / sponsor ID
- LPS14245
- Conditions
- Hypercholesterolemia
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 998 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Collaborators
- Regeneron Pharmaceuticals
- Study start
- 23 Jun 2015 (actual)
- Primary completion
- 12 Apr 2019 (actual)
- Study completion
- 12 Apr 2019 (actual)
- First posted
- 19 Jun 2015 (estimated)
- Results
- Posted 30 Mar 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Primary Objective:
To provide participants with severe hypercholesterolemia at risk for subsequent cardiovascular (CV) events and not adequately controlled with currently available lipid-modifying therapy (LMT) access to alirocumab ahead of commercial availability and to document the overall safety and tolerability of alirocumab in this participant population.
Secondary Objectives:
To document the effect of alirocumab on low-density lipoprotein cholesterol (LDL-C) levels as well as non-high-density lipoprotein cholesterol (non-HDL-C), total cholesterol (total-C), high-density lipoprotein cholesterol (HDL-C), and triglyceride (TG) levels after 12 weeks of treatment.
To document participant's acceptability of self-injection (Self Injection Assessment Questionnaire, SIAQ).
Detailed description
The study duration included a screening period of up to 3 weeks, a treatment period of a minimum of 12 weeks and up to a maximum of 120 weeks (30 months), and at least 2 weeks after the last study treatment injection.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Alirocumab | Experimental | Drug: ALIROCUMAB SAR236553 (REGN727), Drug: placebo (for injection training only), Drug: ezetimibe, Drug: atorvastatin, Drug: rosuvastatin, Drug: simvastatinParticipants received Alirocumab 150 milligram (mg) subcutaneously (SC) once every two weeks (Q2W) or 75 mg SC Q2W added to stable LMT up to a maximum of 120 weeks. Alirocumab dose was either up-titrated from 75 to 150 mg Q2W or down-titrated from 150 to 75 mg Q2W, based on Investigator judgment and treatment response. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (16 listed)
- Either A, B, C, D, or E below and not adequately controlled with a maximally tolerated dose of statin with or without other LMTs, all at stable doses for at least 4 weeks prior to the screening visit (Week-3):
- Participants suffering from heterozygous familial hypercholesterolemia (heFH) with LDL-C concentrations greater than or equal to (>=)160 mg/dL (4.14 millimoles per liter [mmol/L]) despite treatment.
- Participants suffering from heFH with LDL-C concentrations >=130 mg/dL (3.36 mmol/L) despite treatment and two or more CV risk factors among this list:
- LDL-C greater than (>) 250 milligrams per deciliter (mg/dL) (6.46 mmol/L) at the time of the familial hypercholesterolemia (FH) diagnosis (before treatment).
- Family history of premature-onset coronary heart disease (CHD; first-degree male relative with onset before age 55 years; first-degree female relative with onset before age 65 years).
Key exclusion criteria (11 listed)
- Not on a stable dose of LMT (including statin) for at least 4 weeks prior to the screening visit (Week -3) and from screening to enrollment.
- Use of a fibrate other than fenofibrate within 4 weeks of the screening visit (Week-3) or between screening and enrollment.
- Daily doses above atorvastatin 80 mg, rosuvastatin 40 mg, or simvastatin 40 mg (except for participants on simvastatin 80 mg for more than one year, who were eligible).
- Use of statin other than simvastatin, atorvastatin, or rosuvastatin prior to the screening visit (Week-3) or between screening and enrollment, except when there was a documented reason for intolerance to the above mentioned potent statins (in which case the use of a different statin was allowed).
- Fasting serum TG >400 mg/dL (>4.52 mmol/L) at the screening visit (Week -3). Uncontrolled hypertension (>180 mmHg systolic and/or >110 mmHg diastolic at randomization visit).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ALIROCUMAB SAR236553 (REGN727)Also: Praluent®Pharmaceutical form:solution Route of administration: subcutaneous | Drug | Alirocumab |
| placebo (for injection training only)Pharmaceutical form:solution Route of administration: subcutaneous | Drug | Alirocumab |
| ezetimibePharmaceutical form:capsule Route of administration: oral | Drug | Alirocumab |
| atorvastatinPharmaceutical form:tablet Route of administration: oral | Drug | Alirocumab |
| rosuvastatinPharmaceutical form:tablet Route of administration: oral | Drug | Alirocumab |
| simvastatinPharmaceutical form:tablet Route of administration: oral | Drug | Alirocumab |
Primary outcome
Percentage of Participants With Treatment Emergent Adverse Events (TEAEs)
Time frame: From first injection of investigational medicinal product (IMP) up to 2 weeks after last dose of study drug (Week 120)
Adverse Event (AE) was defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. Treatment-emergent AEs (TEAEs) were defined as AEs that that developed or worsened or became serious during the TEAE period (time from the first injection of study drug up to the day of the last injection of study drug + 14 days). A Serious Adverse Event (SAE) was any untoward medical occurrence that at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event.
10 secondary outcomes
Percent Change From Baseline in Calculated Low Density Lipoprotein Cholesterol (LDL-C) at Week 12
Time frame: Baseline, Week 12
Percentage of Participants Reaching Calculated LDL-C <100 mg/dL (2.59 mmol/L) at Week 12
Time frame: At Week 12
Percentage of Participants Reaching Calculated LDL-C <70 mg/dL (1.81 mmol/L) at Week 12
Time frame: At Week 12
Percentage of Participants Reaching Calculated LDL-C <70 mg/dL (1.81 mmol/L) and/or >=50% Reduction From Baseline in LDL-C at Week 12
Time frame: At Week 12
Percent Change From Baseline in Non-High Density Lipoprotein Cholesterol (Non-HDL-C) at Week 12
Time frame: Baseline, Week 12
Percent Change From Baseline in Total Cholesterol (Total-C) at Week 12
Time frame: Baseline, Week 12
Percent Change From Baseline in High Density Lipoprotein Cholesterol at Week 12
Time frame: Baseline, Week 12
Percent Change From Baseline in Triglycerides at Week 12
Time frame: Baseline, Week 12
Assessment of Participant's Acceptability of Self-Injection Using Self Injection Assessment Questionnaire (SIAQ): Feeling About Injections, Self Confidence, Satisfaction With Self-Injections
Time frame: Baseline (Pre-SIAQ), Week 4, Week 8, Week 12, Week 24, Week 48, Week 72, Week 96
Assessment of Participant's Acceptability of Self-Injection Using Self Injection Assessment Questionnaire (SIAQ): Self Image, Injection-Site Reactions, Ease of Use
Time frame: Week 4, Week 8, Week 12, Week 24, Week 48, Week 72, Week 96
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Mar 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 36064689Cefalu AB, Garbelotto R, Mombelli G, Pirro M, Rubba P, Arca M, Borghi C, Bonomo K, Gonnelli S, Massaroni K, Tirone G, Averna M; ODYSSEY APPRISE Study Italian Investigators. A subgroup analysis of the ODYSSEY APPRISE study: Safety and efficacy of alirocumab in the Italian cohort. Nutr Metab Cardiovasc Dis. 2022 Nov;32(11):2638-2646. doi: 10.1016/j.numecd.2022.07.020. Epub 2022 Aug 9.
- Individual participant dataSharing planned: Yes. Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
Related trials for Hypercholesterolemia
Active, not recruitingObservational study
Study Evaluating LDL-C Change and Adherence to Inclisiran Lipid-lowering Therapy in ASCVD
Primary Hypercholesterolemia, Mixed Dyslipidemia
Active, not recruitingPhase 3
A Study of Inclisiran to Prevent Cardiovascular Events in High-risk Primary Prevention Patients.
Primary Prevention of Atherosclerotic Cardiovascular Disease
RecruitingObservational study
Causes and Natural History of Dyslipidemias
Hypercholesterolemia, Atherosclerosis
Active, not recruitingObservational study
Early Detection of Familial Hypercholesterolaemia in Pre-school Children ( CzeCH-IT)
Familial Hypercholesterolaemia
Not yet recruiting
Penn Family Screening for Familial Hypercholesterolemia (NHLBI R33) Trial 3
Familial Hypercholesterolemia
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Sciences & Operations study director
Sanofi
153 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing ALIROCUMAB SAR236553 (REGN727), ezetimibe and atorvastatin in people with Hypercholesterolemia, run by Sanofi at 153 sites in 16 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 16 inclusion and 11 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 28 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 153 sites in France, Canada, Belgium, Spain, Austria and 11 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. 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 30 Mar 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?
Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) (time frame: From first injection of investigational medicinal product (IMP) up to 2 weeks after last dose of study drug (Week 120)). 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 NCT02476006, which also lists 1 linked publication.
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 28 Mar 2022.