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Homozygous Familial HypercholesterolemiaPhase 3ODYSSEY HoFHNCT03156621

Study in Participants With Homozygous Familial Hypercholesterolemia (HoFH)

A Phase 3 study testing Alirocumab in people with Homozygous Familial Hypercholesterolemia, run by Regeneron Pharmaceuticals at 28 sites in 13 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 of the study is to demonstrate the reduction of low-density lipoprotein cholesterol (LDL-C) with alirocumab subcutaneous (SC) every 2 weeks (Q2W) in comparison to placebo after 12 weeks of treatment. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Homozygous Familial Hypercholesterolemia
What is being tested?
Alirocumab
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
69 participants
Where
28 sitesin 13 countries
Study dates
3 Oct 2017to 13 Feb 2020
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

  • Diagnosis of HoFH by at least 1 of the following genotype or clinical criteria (all patients on LDL apheresis must be diagnosed based on genotype):
  • Documented homozygous or compound heterozygous mutations in both low-density lipoprotein receptor (LDLR) alleles
  • Presence of homozygous or compound heterozygous mutations in Apo B, PCSK9 or LDL receptor adaptor protein 1 (LDLRAP1)
  • Presence of double heterozygous mutations, i.e, mutations on different genes in the LDLR, Apo B or PCSK9 alleles
  • Untreated TC >500 mg/dL (12.93 mmol/L) and TG <300 mg/dL (3.39 mmol/L) AND Both parents with history of TC >250 mg/dL (6.46 mmol/L) OR cutaneous or tendinous xanthoma before age 10
  • Receiving a stable dose of a statin at the screening visit (documentation if statin ineffective or patient unable to tolerate statin)
  • If undergoing LDL apheresis, must have initiated LDL apheresis at least 3 months prior to screening and must have been on a stable weekly (every 7 days) or every other week (every 14 days) schedule or stable settings for at least 8 weeks

Who cannot join

  • Documented evidence of a null mutation in both LDLR alleles
  • Use of a PCSK9 inhibitor within 10 weeks from screening visit
  • Background medical lipid modifying therapy (LMT) that has not been stable for at least 4 weeks (6 weeks for fibrates, 24 weeks for mipomersen, 12 weeks for maximum tolerated dose of lomitapide) before the screening visit.
  • LDL apheresis schedule/apheresis settings that have not been stable for at least 8 weeks before the screening visit or an apheresis schedule/settings that is not anticipated to be stable over the next 24 weeks.
  • Use of nutraceuticals or over-the-counter (OTC) therapies known to affect lipids, at a dose/amount that has not been stable for at least 4 weeks prior to the screening visit or between the screening and randomization visits.
  • Chronic use of systemic corticosteroids, unless on a stable regimen of 10 mg daily prednisone equivalent or less for at least 6 weeks prior to randomization. Note: topical, intra-articular, nasal, inhaled and ophthalmic steroid therapies are not considered as 'systemic' and are allowed
Show all 9Show fewer
  • Systolic blood pressure >160 mmHg or diastolic blood pressure >100 mmHg at the screening visit (1 repeat measurement is allowed).
  • LDL-C level <70 mg/dL (1.81 mmol/L) at the screening visit
  • History of a myocardial infarction (MI), unstable angina leading to hospitalization, coronary artery bypass graft surgery, percutaneous coronary intervention , uncontrolled cardiac arrhythmia, carotid surgery or stenting, stroke, transient ischemic attack, valve replacement surgery, carotid revascularization, endovascular procedure or surgical intervention for peripheral vascular disease within 3 months prior to the screening visit.

Trial locations and contacts

28 sites in 13 countries.

28 sites in 13 countries

Ukraine5 sites
  • Regeneron Research Site

    Ivano-Frankivsk, 76005

  • Regeneron Research Site

    Kharkiv, 61039

  • Regeneron Research Site

    Kharkiv, 61176

  • Regeneron Research Site

    Kyiv, 02166

  • Regeneron Research Site

    Kyiv, 03680

Other trials in Ukraine

United States4 sites
  • Regeneron Research Site

    Boca Raton, Florida, 33434

  • Regeneron Research Site

    Cincinnati, Ohio, 45227

  • Regeneron Study Site

    Dallas, Texas, 78226

  • Regeneron Research Site

    New York, New York, 10029

Other trials in United States

Japan3 sites
  • Regeneron Research Site

    Kanazawa, Ishikawa-ken, 920-8641

  • Regeneron Research Site

    Nishinomiya, Hyōgo, 662-0918

  • Regeneron Research Site

    Suita, Osaka, 565-8565

Other trials in Japan

Canada2 sites
  • Regeneron Research Site

    Chicoutimi, Quebec, G7H 7K9

  • Regeneron Research Site

    Québec, Quebec, GIV 4W2

Other trials in Canada

France2 sites
  • Regeneron Research Site

    Marseille, 13285

  • Regeneron Research Site

    Paris, 75651

Other trials in France

Greece2 sites
  • Regeneron Research Site

    Athens, 17674

  • Regeneron Research Site

    Ioannina, 45500

Other trials in Greece

Italy2 sites
  • Regeneron Research Site

    Naples, 80131

  • Regeneron Research Site

    Roma, 00161

Other trials in Italy

South Africa2 sites
  • Regeneron Research Site

    Cape Town, Western Cape, 7925

  • Regeneron Research Site

    Parktown, Johannesburg, 2000

Other trials in South Africa

Turkey (Türkiye)2 sites
  • Regeneron Research Site

    Beşevler, Ankara, 06500

  • Regeneron Research Site

    Izmir, Bornova, 35040

Other trials in Turkey (Türkiye)

Austria1 site
  • Regeneron Research Site

    Innsbruck, Tyrol, 6020

Other trials in Austria

Czechia1 site
  • Regeneron Research Site

    Prague, 128 08

Other trials in Czechia

Germany1 site
  • Regeneron Research Site

    Berlin, 12200

Other trials in Germany

Taiwan1 site
  • Regeneron Study Site

    Taipei, 11217

Other trials in Taiwan

About this study

Official title: A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of Alirocumab in Patients With Homozygous Familial Hypercholesterolemia

The primary objective of the study is to demonstrate the reduction of low-density lipoprotein cholesterol (LDL-C) with alirocumab subcutaneous (SC) every 2 weeks (Q2W) in comparison to placebo after 12 weeks of treatment.

The secondary objectives of the study are:

  • To evaluate the effect of alirocumab Q2W on other lipid parameters (ie, apolipoprotein [Apo] A-1 and B, non-high-density lipoprotein cholesterol [non-HDL-C], total-cholesterol [TC], proportion of participants with 15%, 30%, and 50% LDL-C reductions, Lp(a), HDL-C, triglycerides [TG]) in participants with HoFH
  • To evaluate the safety and tolerability of alirocumab SC Q2W in participants with HoFH
  • To assess the pharmacokinetics of alirocumab SC Q2W in participants with HoFH
  • To assess the potential development of anti-drug (alirocumab) antibodies
Being tested
Alirocumab, Placebo
Medical subject headings
Homozygous Familial Hypercholesterolemia

What participants receive

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

  • AlirocumabDrug

    Also called PRALUENT®, REGN727, SAR236553

    Alirocumab SC Q2W

  • PlaceboDrug

    Matching placebo SC Q2W

Study groups in NCT03156621
Study groupRoleWhat they receive
Alirocumab SC Q2WExperimentalAlirocumab SC every 2 weeks (Q2W) from baseline (day 1) through week 10 during the double-blind treatment period Starting at week 12, and continuing through week 22, participants will receive open-label alirocumab SC Q2W
Receives: Drug: Alirocumab
Placebo SC Q2WExperimentalMatching placebo SC Q2W from baseline through week 10 during the double-blind treatment period Starting at week 12, and continuing through week 22, participants will receive open-label alirocumab SC Q2W
Receives: Drug: Alirocumab; Drug: Placebo

What is being measured

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

  1. Percent Change in Low-density Lipoprotein Cholesterol (LDL-C) From Baseline to Week 12 (Intent-to-Treat [ITT] Estimand)

    The percent change in LDL-C from baseline to week 12 is defined as: 100x (LDL-C value at week 12 - LDL-C value at baseline) / LDL-C value at baseline.

    Measured: Baseline to Week 12

Secondary outcomes (22)
  1. Percent Change in Apolipoprotein (Apo) B From Baseline to Week 12 (ITT Estimand)

    ITT estimand; The percent change in Apo B from baseline to week 12 is defined as: 100x (Apo B value at week 12 - Apo B value at baseline) / Apo B value at baseline.

    Measured: Baseline to Week 12

  2. Percent Change in Non-high-density Lipoprotein Cholesterol (Non-HDL-C) From Baseline to Week 12

    ITT estimand; The percent change in non-HDL-C from baseline to week 12 is defined as: 100x (non-HDL-C value at week 12 - non-HDL-C value at baseline) / non-HDL-C value at baseline.

    Measured: Baseline to Week 12

  3. Percent Change in Total Cholesterol (TC) From Baseline to Week 12

    ITT estimand; The percent change in TC from baseline to week 12 is defined as: 100x (TC value at week 12 - TC value at baseline) / TC value at baseline.

    Measured: Baseline to Week 12

  4. Percentage of Participants With ≥15% Reduction in LDL-C at Week 12

    ITT estimand

    Measured: At Week 12

  5. Percentage of Participants With ≥30% Reduction in LDL-C at Week 12

    ITT estimand

    Measured: At Week 12

  6. Percent Change in Lipoprotein(a) [Lp(a)] From Baseline to Week 12

    ITT estimand; The percent change in Lp(a) from baseline to week 12 is defined as: 100x (Lp(a) value at week 12 - Lp(a) value at baseline) / Lp(a) value at baseline.

    Measured: Baseline to Week 12

  7. Percentage of Participants With ≥50% Reduction in LDL-C at Week 12

    ITT estimand

    Measured: At Week 12

  8. Percent Change in HDL-C From Baseline to Week 12 - ITT Analysis

    ITT estimand; The percent change in HDL-C from baseline to week 12 is defined as: 100x (HDL-C value at week 12 - HDL-C value at baseline) / HDL-C value at baseline.

    Measured: Baseline to Week 12

  9. Percent Change in Fasting Triglycerides (TG) From Baseline to Week 12

    ITT estimand; The percent change in TG from baseline to week 12 is defined as: 100x (TG value at week 12 - TG value at baseline) / TG value at baseline.

    Measured: Baseline to Week 12

  10. Percent Change in Apo A-1 From Baseline to Week 12 -- ITT Analysis

    ITT estimand; The percent change in Apo A-1 from baseline to week 12 is defined as: 100x (Apo A-1 value at week 12 - Apo A-1 value at baseline) / Apo A-1 value at baseline.

    Measured: Baseline to Week 12

  11. Percent Change in LDL-C From Baseline to Week 12 (On-treatment Estimand)

    Percent change for LDL-C from baseline to Week 12 during the efficacy treatment period, which is defined as the time from the first double-blind investigational study drug injection up to 21 days after the last double-blind investigational study drug injection, or the first dose of the open-label investigational study drug, whichever is earlier.

    Measured: Baseline to Week 12

  12. Percent Change in Apo B From Baseline to Week 12 (On-treatment Estimand)

    Percent change for Apo B from baseline to Week 12 during the efficacy treatment period, which is defined as the time from the first double-blind investigational study drug injection up to 21 days after the last double-blind investigational study drug injection, or the first dose of the open-label nvestigational study drug, whichever is earlier.

    Measured: Baseline to Week 12

  13. Percent Change in Non-HDL-C From Baseline to Week 12 (On-treatment Estimand)

    Percent change for non-HDL-C from baseline to Week 12 during the efficacy treatment period, which is defined as the time from the first double-blind investigational study drug injection up to 21 days after the last double-blind investigational study drug injection, or the first dose of the open-label investigational study drug, whichever is earlier.

    Measured: Baseline to Week 12

  14. Percent Change in TC From Baseline to Week 12 (On-treatment Estimand)

    Percent change for TC from baseline to Week 12 during the efficacy treatment period, which is defined as the time from the first double-blind investigational study drug injection up to 21 days after the last double-blind investigational study drug injection, or the first dose of the open-label investigational study drug, whichever is earlier.

    Measured: Baseline to Week 12

  15. Percent Change in Lp(a) From Baseline to Week 12 (On-treatment Estimand)

    Percent change for LP(a) from baseline to Week 12 during the efficacy treatment period, which is defined as the time from the first double-blind investigational study drug injection up to 21 days after the last double-blind investigational study drug injection, or the first dose of the open-label investigational study drug, whichever is earlier.

    Measured: Baseline to Week 12

  16. Percent Change in HDL-C From Baseline to Week 12 (On-treatment Estimand)

    Percent change for HDL-C from baseline to Week 12 during the efficacy treatment period, which is defined as the time from the first double-blind investigational study drug injection up to 21 days after the last double-blind investigational study drug injection, or the first dose of the open-label investigational study drug, whichever is earlier.

    Measured: Baseline to Week 12

  17. Percent Change in Fasting TG From Baseline to Week 12 (On-treatment Estimand)

    Percent change for fasting TG from baseline to Week 12 during the efficacy treatment period, which is defined as the time from the first double-blind investigational study drug injection up to 21 days after the last double-blind investigational study drug injection, or the first dose of the open-label investigational study drug, whichever is earlier.

    Measured: Baseline to Week 12

  18. Percent Change in Apo A-1 From Baseline to Week 12 (On-treatment Estimand)

    Percent change for Apo A-1 from baseline to Week 12 during the efficacy treatment period, which is defined as the time from the first double-blind investigational study drug injection up to 21 days after the last double-blind investigational study drug injection, or the first dose of the open-label investigational study drug, whichever is earlier.

    Measured: Baseline to Week 12

  19. Percentage of Participants With ≥15% Reduction, ≥30% Reduction, and ≥50% Reduction in LDL-C at Week 12 (On-treatment Estimand)

    Measured: At Week 12

  20. Absolute Change in the Ratio of Apo B/Apo A-1 From Baseline to Week 12 (ITT Estimand)

    Ratio of Apo B/Apo A1 at week 12 minus ratio of Apo B/Apo A1 at baseline

    Measured: Baseline to Week 12

  21. Number of Participants With Anti-Drug Antibodies (ADA) to REGN727 Over Time

    Measured: 26 weeks

  22. Number of Participants With Adverse Events (AEs)

    All AEs will be recorded from time of informed consent to end of study. Only treatment-emergent adverse events (TEAE) will be reported. Double-blind TEAE observation period is defined as time from first dose of double-blind study drug to last dose of double-blind study drug +70 days, or up to day before first dose of open-label study drug administration, whichever is earlier. Open-label TEAE observation period is defined as time from first open-label study treatment administration to last open-label study treatment administration +70 days.

    Measured: Baseline to week 32 (End of Study)

Timeline

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

  1. First posted17 May 2017
  2. Study start3 Oct 2017
  3. Primary completion27 Sep 2019
  4. Study completion13 Feb 2020

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, Investigator, Outcomes assessor
Enrolment
69 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03156621
Sponsor's protocol ID
R727-CL-1628
Other IDs
2017-000351-95, 2017
Acronym
ODYSSEY HoFH
Status last verified
Jun 2021
First submitted
15 May 2017
Last updated
29 Jun 2021
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Blom DJ, Harada-Shiba M, Rubba P, Gaudet D, Kastelein JJP, Charng MJ, Pordy R, Donahue S, Ali S, Dong Y, Khilla N, Banerjee P, Baccara-Dinet M, Rosenson RS. Efficacy and Safety of Alirocumab in Adults With Homozygous Familial Hypercholesterolemia: The ODYSSEY HoFH Trial. J Am Coll Cardiol. 2020 Jul 14;76(2):131-142. doi: 10.1016/j.jacc.2020.05.027.

    PubMed 32646561

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Alirocumab in people with Homozygous Familial Hypercholesterolemia, run by Regeneron Pharmaceuticals at 28 sites in 13 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 7 inclusion and 9 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 29 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 sites in Ukraine, United States, Japan, Canada, France and 8 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 29 Jun 2021). 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 in Low-density Lipoprotein Cholesterol (LDL-C) From Baseline to Week 12 (Intent-to-Treat [ITT] Estimand) (time frame: Baseline to Week 12). 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 NCT03156621, 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 29 Jun 2021.

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