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HypercholesterolemiaPhase 3ODYSSEY EASTNCT02715726

Evaluation of Alirocumab Versus Ezetimibe on Top of Statin in Asia in High Cardiovascular Risk Patients With Hypercholesterolemia

A Phase 3 study testing Alirocumab, ezetimibe and atorvastatin in people with Hypercholesterolemia, run by Sanofi at 62 sites in 3 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

Primary Objective: To demonstrate the reduction of low-density lipoprotein cholesterol (LDL-C) by alirocumab as add-on therapy to stable maximally tolerated daily statin therapy in comparison to ezetimibe 10 mg daily after 24 weeks of treatment in Asia in participants with hypercholesterolemia at high cardiovascular… 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, ezetimibe and atorvastatin
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
615 participants
Where
62 sitesin 3 countries
Study dates
27 Jul 2016to 6 Aug 2018
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

  • Participants with hypercholesterolemia and established coronary heart disease (CHD) or CHD risk equivalents who are not adequately controlled with a maximally tolerated daily dose of statin at a stable dose for at least 4 weeks prior to the screening visit (Week -3).

Who cannot join

  • Participants without established CHD or CHD risk equivalents.
  • LDL-C <70 mg/dL (<1.81 mmol/L) at the screening visit (Week -3) in participants with history of documented CV disease.
  • LDL-C <100 mg/dL (<2.59 mmol/L) at the screening visit (Week -3) in participants without history of documented CV disease.
  • Change in statin dose or dose regimen from screening to randomization.
  • Currently taking a statin other than atorvastatin, rosuvastatin, or simvastatin.
  • Atorvastatin, rosuvastatin, or simvastatin was not taken daily or not taken at a registered dose.
Show all 10Show fewer
  • Daily doses above atorvastatin 80 mg, rosuvastatin 40 mg, or simvastatin 40 mg.
  • Use of cholesterol absorption inhibitor (ie, ezetimibe), omega-3 fatty acid (at doses ≥1000 mg daily), nicotinic acid, fibrates, bile acid-binding sequestrant, or red yeast rice products in the past 4 weeks prior to screening visit (Week -3).
  • Fasting serum triglycerides >400 mg/dL (>4.52 mmol/L) at the screening period.
  • The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

Trial locations and contacts

62 sites in 3 countries.

62 sites in 3 countries

China41 sites
  • Investigational Site Number 1560027

    Beijing, 100029

  • Investigational Site Number 1560043

    Beijing, 100034

  • Investigational Site Number 1560039

    Beijing, 100053

  • Investigational Site Number 1560012

    Beijing, 100730

  • Investigational Site Number 1560018

    Beijing, 100730

  • Investigational Site Number 1560006

    Changchun, 130021

  • Investigational Site Number 1560020

    Changchun, 130021

  • Investigational Site Number 1560023

    Changsha, 410011

  • Investigational Site Number 1560030

    Fuzhou, 354200

  • Investigational Site Number 1560005

    Guangzhou, 510080

  • Investigational Site Number 1560040

    Guangzhou, 510080

  • Investigational Site Number 1560025

    Guangzhou, 510120

  • Investigational Site Number 1560048

    Hangzhou, 310014

  • Investigational Site Number 1560037

    Hangzhou, 310015

  • Investigational Site Number 1560008

    Hangzhou, 310016

  • Investigational Site Number 1560014

    Hohhot, 010017

  • Investigational Site Number 1560016

    Jinan, 250013

  • Investigational Site Number 1560044

    Lanzhou, 730000

  • Investigational Site Number 1560028

    Nanchang, 330006

  • Investigational Site Number 1560045

    Nanjing, 210006

  • Investigational Site Number 1560017

    Nanjing, 210008

  • Investigational Site Number 1560031

    Nanjing, 210011

  • Investigational Site Number 1560035

    Nanning, 530031

  • Investigational Site Number 1560029

    Shanghai, 200025

  • Investigational Site Number 1560041

    Shanghai, 200040

  • Investigational Site Number 1560053

    Shanghai, 201199

  • Investigational Site Number 1560009

    Shenyang, 110004

  • Investigational Site Number 1560001

    Shenyang, 110016

  • Investigational Site Number 1560042

    Shenyang, 110016

  • Investigational Site Number 1560036

    Shenzhen, 518036

  • Investigational Site Number 1560056

    Siping, 136000

  • Investigational Site Number 1560021

    Taiyuan, 030001

  • Investigational Site Number 1560002

    Tianjin, 300052

  • Investigational Site Number 1560022

    Tianjin, 300121

  • Investigational Site Number 1560052

    Tianjin, 300140

  • Investigational Site Number 1560055

    Wenzhou, 325000

  • Investigational Site Number 1560003

    Wuhan, 430022

  • Investigational Site Number 1560004

    Xi'an, 710061

  • Investigational Site Number 1560019

    Xuzhou, 221002

  • Investigational Site Number 1560054

    Yinchuan, 750004

  • Investigational Site Number 1560057

    Zhanjiang, 524001

Other trials in China

India17 sites
  • Investigational Site Number 3560017

    Belagavi, 590010

  • Investigational Site Number 3560001

    Gūrgaon, 122001

  • Investigational Site Number 3560003

    Hubli, 580021

  • Investigational Site Number 3560010

    Kolkata, 700020

  • Investigational Site Number 3560019

    Kolkata, 700073

  • Investigational Site Number 3560020

    Mangalore, 575002

  • Investigational Site Number 3560006

    Mumbai

  • Investigational Site Number 3560007

    Nagpur, 440003

  • Investigational Site Number 3560004

    Nagpur, 440010

  • Investigational Site Number 3560008

    Nagpur, 440012

  • Investigational Site Number 3560016

    Nagpur, 440012

  • Investigational Site Number 3560014

    New Delhi, 110002

  • Investigational Site Number 3560005

    Pune, 411001

  • Investigational Site Number 3560011

    Pune, 411001

  • Investigational Site Number 3560013

    Surat, 395002

  • Investigational Site Number 3560015

    Vijayawada, 520008

  • Investigational Site Number 3560012

    Vijaywada, 520002

Other trials in India

Thailand4 sites
  • Investigational Site Number 7640004

    Bangkok, 10400

  • Investigational Site Number 7640003

    Bangkok Noi, 10700

  • Investigational Site Number 7640001

    Muang, 50200

  • Investigational Site Number 7640002

    Pratumwan, 10400

Other trials in Thailand

About this study

Official title: A Randomized, Double-blind, Parallel Group Study to Evaluate the Efficacy and Safety of Alirocumab (SAR236553/REGN727) Versus Ezetimibe in Asia in High Cardiovascular Risk Patients With Hypercholesterolemia Not Adequately Controlled With Their Statin Therapy

Primary Objective:

To demonstrate the reduction of low-density lipoprotein cholesterol (LDL-C) by alirocumab as add-on therapy to stable maximally tolerated daily statin therapy in comparison to ezetimibe 10 mg daily after 24 weeks of treatment in Asia in participants with hypercholesterolemia at high cardiovascular (CV) risk.

Read more

Secondary Objectives:

  • To evaluate the effect of alirocumab 75 mg in comparison with ezetimibe 10 mg on LDL-C after 12 weeks of treatment.
  • To evaluate the effect of alirocumab on other lipid parameters: e.g., apolipoprotein B (Apo B), non-high density lipoprotein cholesterol (non-HDL-C), total cholesterol (TC), lipoprotein a (Lp[a]), HDL-C, triglycerides (TG), apolipoprotein A-1 (Apo A-1).
  • To evaluate the safety and tolerability of alirocumab.
  • To evaluate the development of anti-alirocumab antibodies.
  • To evaluate the pharmacokinetics (PK) of alirocumab.
Read the detailed description

The maximum study duration was 35 weeks per participant, which included a screening period of up to 3 weeks, a 24-week randomized treatment period, and an 8-week post-treatment follow-up period.

Being tested
Alirocumab, Placebo for alirocumab, ezetimibe, placebo for ezetimibe, atorvastatin
Medical subject headings
Hypercholesterolemia

What participants receive

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

  • AlirocumabDrug

    Also called SAR236553 (REGN727)

    Pharmaceutical form:solution Route of administration: subcutaneous

  • Placebo for alirocumabDrug

    Pharmaceutical form:solution Route of administration: subcutaneous

  • ezetimibeDrug

    Pharmaceutical form:capsule Route of administration: oral

  • placebo for 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 groups in NCT02715726
Study groupRoleWhat they receive
Ezetimibe 10 mgActive comparatorOral ezetimibe 10 mg capsule once daily with or without food for 24 weeks and subcutaneous placebo injection for alirocumab every 2 weeks (Q2W) for 22 weeks added to lipid modifying therapy (LMT).
Receives: Drug: Placebo for alirocumab; Drug: ezetimibe; Drug: atorvastatin; Drug: rosuvastatin; Drug: simvastatin
Alirocumab 75 mg Q2W/up to 150 mg Q2WExperimentalSubcutaneous injection of alirocumab 75 mg Q2W and oral placebo capsule for ezetimibe once daily with or without food added to stable LMT for 24 weeks. Alirocumab dose up-titrated to 150 mg Q2W from Week 12 when LDL-C level was >=70 milligrams per deciliter (mg/dL) (1.81 millimoles per liter [mmol/L]) at Week 8.
Receives: Drug: Alirocumab; Drug: placebo for ezetimibe; Drug: atorvastatin; Drug: rosuvastatin; Drug: simvastatin

What is being measured

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

  1. Percent Change From Baseline in Calculated Low Density Lipoprotein Cholesterol at Week 24: Intent-to-treat (ITT) Analysis

    Adjusted least square (LS) means and standard errors at Week 24 were obtained from mixed models analysis with repeated measures (MMRM) to account for missing data. All available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment were used in the model (ITT analysis).

    Measured: From Baseline to Week 24

Secondary outcomes (21)
  1. Percent Change From Baseline in Calculated Low Density Lipoprotein Cholesterol at Week 24: On-Treatment Analysis

    Adjusted LS means and standard errors at Week 24 were obtained from MMRM model including all available post-baseline on-treatment data from Week 4 to Week 24 (i.e. up to 21 days after last injection or 3 days after the last capsule, whichever came first) (on-treatment analysis).

    Measured: From Baseline to Week 24

  2. Percent Change From Baseline in Calculated Low Density Lipoprotein Cholesterol at Week 12: ITT Analysis

    Adjusted LS means and standard errors at Week 12 were obtained from MMRM model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.

    Measured: From Baseline to Week 12

  3. Percent Change From Baseline in Calculated Low Density Lipoprotein Cholesterol at Week 12: On-Treatment Analysis

    Adjusted LS means and standard errors at Week 12 were obtained from MMRM model including all available post-baseline on-treatment data from Week 4 to Week 24 (i.e. up to 21 days after last injection or 3 days after the last capsule, whichever came first) (on-treatment analysis).

    Measured: From Baseline to Week 12

  4. Percent Change From Baseline in Apolipoprotein B (Apo B) at Week 24: ITT Analysis

    Adjusted LS means and standard errors at Week 24 were obtained from MMRM model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.

    Measured: From Baseline to Week 24

  5. Percent Change From Baseline in Apolipoprotein B at Week 24: On-Treatment Analysis

    Adjusted LS means and standard errors at Week 24 were obtained from MMRM model including all available post-baseline on-treatment data from Week 4 to Week 24 (i.e. up to 21 days after last injection or 3 days after the last capsule, whichever came first) (on-treatment analysis).

    Measured: From Baseline to Week 24

  6. Percent Change From Baseline in Non-High Density Lipoprotein Cholesterol (Non-HDL-C) at Week 24: ITT Analysis

    Adjusted LS means and standard errors at Week 24 were obtained from MMRM model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.

    Measured: From Baseline to Week 24

  7. Percent Change From Baseline in Non-High Density Lipoprotein Cholesterol at Week 24: On-Treatment Analysis

    Adjusted LS means and standard errors at Week 24 were obtained from MMRM model including all available post-baseline on-treatment data from Week 4 to Week 24 (i.e. up to 21 days after last injection or 3 days after the last capsule, whichever came first) (on-treatment analysis).

    Measured: From Baseline to Week 24

  8. Percent Change From Baseline in Total Cholesterol (Total-C) at Week 24: ITT Analysis

    Adjusted LS means and standard errors at Week 24 were obtained from MMRM model including all available post-baseline data from Week 4 up to Week 24 regardless of status on- or off-treatment.

    Measured: From Baseline to Week 24

  9. Percent Change From Baseline in Apolipoprotein B at Week 12: ITT Analysis

    Adjusted LS means and standard errors at Week 12 were obtained from MMRM model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.

    Measured: From Baseline to Week 12

  10. Percent Change From Baseline in Non-High Density Lipoprotein Cholesterol at Week 12: ITT Analysis

    Adjusted LS means and standard errors at Week 12 were obtained from MMRM model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.

    Measured: From Baseline to Week 12

  11. Percent Change From Baseline in Total Cholesterol at Week 12: ITT Analysis

    Adjusted LS means and standard errors at Week 12 were obtained from MMRM model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.

    Measured: From Baseline to Week 12

  12. Percentage of Participants Reaching Calculated Low Density Lipoprotein Cholesterol <70 mg/dL (1.81 mmol/L) at Week 24: ITT Analysis

    Adjusted percentages at Week 24 were obtained from multiple imputation approach for handling of missing data. All available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment were included in the imputation model.

    Measured: Up to Week 24

  13. Percentage of Participants Reaching Calculated Low Density Lipoprotein Cholesterol <70 mg/dL (1.81 mmol/L) at Week 24: On-Treatment Analysis

    Adjusted percentages at Week 24 were obtained from multiple imputation approach including all available post-baseline on-treatment data from Week 4 to Week 24 (i.e. up to 21 days after last injection or 3 days after the last capsule, whichever came first) (on-treatment analysis).

    Measured: Up to Week 24

  14. Percent Change From Baseline in Lipoprotein (a) (Lp[a]) at Week 24: ITT Analysis

    Adjusted means and standard errors at Week 24 were obtained from multiple imputation approach followed by robust regression model for handling missing data. All available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment were included in the imputation model.

    Measured: From Baseline to Week 24

  15. Percent Change From Baseline in High Density Lipoprotein Cholesterol at Week 24: ITT Analysis

    Adjusted LS means and standard errors at Week 24 were obtained from MMRM model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.

    Measured: From Baseline to Week 24

  16. Percent Change From Baseline in Fasting Triglycerides (TG) at Week 24: ITT Analysis

    Adjusted means and standard errors at Week 24 were obtained by using multiple imputation approach followed by robust regression model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.

    Measured: From Baseline to Week 24

  17. Percent Change From Baseline in Apolipoprotein A-1 (Apo A-1) at Week 24: ITT Analysis

    Adjusted LS means and standard errors at Week 24 were obtained from MMRM model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.

    Measured: From Baseline to Week 24

  18. Percent Change From Baseline in Lipoprotein (a) at Week 12: ITT Analysis

    Adjusted means and standard errors at Week 12 were obtained from multiple imputation approach followed by robust regression model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.

    Measured: From Baseline to Week 12

  19. Percent Change From Baseline in High Density Lipoprotein Cholesterol at Week 12: ITT Analysis

    Adjusted LS means and standard errors at Week 12 were obtained from MMRM model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.

    Measured: From Baseline to Week 12

  20. Percent Change From Baseline in Fasting Triglycerides at Week 12: ITT Analysis

    Adjusted means and standard errors at Week 12 were obtained by using multiple imputation approach followed by a robust regression model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.

    Measured: From Baseline to Week 12

  21. Percent Change From Baseline in Apolipoprotein A-1 at Week 12 : ITT Analysis

    Adjusted LS means and standard errors at Week 12 were obtained from MMRM model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.

    Measured: From Baseline to 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 posted22 Mar 2016 (estimated)
  2. Study start27 Jul 2016
  3. Primary completion6 Aug 2018
  4. Study completion6 Aug 2018

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
615 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02715726
Sponsor's protocol ID
EFC13889
Other IDs
U1111-1150-8859
Acronym
ODYSSEY EAST
Status last verified
Sep 2019
First submitted
16 Mar 2016
Last updated
30 Sep 2019
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Han Y, Chen J, Chopra VK, Zhang S, Su G, Ma C, Huang Z, Ma Y, Yao Z, Yuan Z, Zhao Q, Kuanprasert S, Baccara-Dinet MT, Manvelian G, Li J, Chen R. ODYSSEY EAST: Alirocumab efficacy and safety vs ezetimibe in high cardiovascular risk patients with hypercholesterolemia and on maximally tolerated statin in China, India, and Thailand. J Clin Lipidol. 2020 Jan-Feb;14(1):98-108.e8. doi: 10.1016/j.jacl.2019.10.015. Epub 2019 Nov 18.

    PubMed 31882376

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Alirocumab, ezetimibe and atorvastatin in people with Hypercholesterolemia, run by Sanofi at 62 sites in 3 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 1 inclusion and 10 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 30 Sep 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 62 sites in China, India, Thailand. 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 Sep 2019). 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 Calculated Low Density Lipoprotein Cholesterol at Week 24: Intent-to-treat (ITT) Analysis (time frame: From Baseline to 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 NCT02715726, 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 30 Sep 2019.

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