Evolocumab Compared to LDL-C Apheresis in Patients Receiving LDL-C Apheresis Prior to Study Enrollment

NCT ID: NCT02585895

Last Updated: 2022-11-30

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

39 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-12-21

Study Completion Date

2017-01-20

Brief Summary

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To evaluate the efficacy of subcutaneous (SC) evolocumab, compared to regularly scheduled low-density lipoprotein cholesterol (LDL-C) apheresis, on reducing the need for future apheresis.

Detailed Description

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Conditions

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Hypercholesterolemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Evolocumab

Participants received 140 mg evolocumab every 2 weeks (Q2W) administered by subcutaneous injection for 6 weeks during the primary period of the study. Starting at week 6 (beginning of the post-primary period), participants received 140 mg evolocumab Q2W up to week 24.

Group Type EXPERIMENTAL

Evolocumab

Intervention Type BIOLOGICAL

Administered by subcutaneous injection once every 2 weeks

Low Density Lipoprotein Cholesterol (LDL-C) Apheresis

Participants continued apheresis at the same schedule, every week (QW) or every two weeks (Q2W), as prior to study entry, for the first 6 weeks. Starting at week 6 (beginning of the post-primary period), participants received 140 mg evolocumab Q2W up to week 24.

Group Type ACTIVE_COMPARATOR

Evolocumab

Intervention Type BIOLOGICAL

Administered by subcutaneous injection once every 2 weeks

Low-density Lipoprotein Cholesterol (LDL-C) Apheresis

Intervention Type PROCEDURE

Participants received apheresis for LDL-C according the their physician's prescription and local custom.

Interventions

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Evolocumab

Administered by subcutaneous injection once every 2 weeks

Intervention Type BIOLOGICAL

Low-density Lipoprotein Cholesterol (LDL-C) Apheresis

Participants received apheresis for LDL-C according the their physician's prescription and local custom.

Intervention Type PROCEDURE

Other Intervention Names

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Repatha AMG 145

Eligibility Criteria

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Inclusion Criteria

* Male or female, ≥ 18 years of age
* Subject has been receiving regular apheresis for LDL-C lowering for at least 3 months immediately prior to lipid screening and has a treatment goal of LDL-C \< 100 mg/dL (2.6 mmol/L), and has been receiving LDL-C apheresis during the last ≥ 4 weeks prior to lipid screening at regular QW or Q2W schedule and with no changes in apheresis type
* Subject is receiving lipid-lowering pharmacological background therapy which includes a high-intensity statin dose (moderate-intensity statin dose with attestation that a higher dose is not appropriate for the subject) unless the subject has a history of statin intolerance
* Lipid-lowering therapy status (ie, any therapy for lowering lipids, including apheresis type and frequency) must be unchanged for ≥ 4 weeks prior to LDL-C screening
* Pre-apheresis LDL-C is ≥ 100 mg/dL (≥ 2.6 mmol/L) and ≤ 190 mg/dL (≤ 4.9 mmol/L) at screening
* Fasting triglycerides ≤ 400 mg/dL (4.5 mmol/L) at screening.

Exclusion Criteria

* Known homozygous familial hypercholesterolemia
* Missing any apheresis session is medically contraindicated or inappropriate
* Stopping apheresis would be inappropriate in the opinion of the investigator even if LDL-C is controlled to \< 100 mg/dL with other therapies
* Myocardial infarction, unstable angina, percutaneous coronary intervention (PCI), coronary artery bypass graft (CABG) or stroke within 3 months prior to randomization.
* Uncontrolled hypertension
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Amgen

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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MD

Role: STUDY_DIRECTOR

Amgen

Locations

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Research Site

Boca Raton, Florida, United States

Site Status

Research Site

Kansas City, Kansas, United States

Site Status

Research Site

Grandville, Michigan, United States

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Research Site

Portland, Oregon, United States

Site Status

Research Site

Heidelberg, Victoria, Australia

Site Status

Research Site

Hradec Králové, , Czechia

Site Status

Research Site

Bron, , France

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Research Site

Nantes, , France

Site Status

Research Site

Berlin, , Germany

Site Status

Research Site

Dresden, , Germany

Site Status

Research Site

Düsseldorf, , Germany

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Flensburg, , Germany

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Research Site

Pisa, , Italy

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Roma, , Italy

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Research Site

Seville, Andalusia, Spain

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Research Site

Harefield, , United Kingdom

Site Status

Research Site

Penarth, , United Kingdom

Site Status

Countries

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United States Australia Czechia France Germany Italy Spain United Kingdom

References

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Baum SJ, Sampietro T, Datta D, Moriarty PM, Knusel B, Schneider J, Somaratne R, Kurtz C, Hohenstein B. Effect of evolocumab on lipoprotein apheresis requirement and lipid levels: Results of the randomized, controlled, open-label DE LAVAL study. J Clin Lipidol. 2019 Nov-Dec;13(6):901-909.e3. doi: 10.1016/j.jacl.2019.10.003. Epub 2019 Oct 11.

Reference Type BACKGROUND
PMID: 31759938 (View on PubMed)

Related Links

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http://www.amgentrials.com

AmgenTrials clinical trials website

Other Identifiers

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2015-001343-37

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

20140316

Identifier Type: -

Identifier Source: org_study_id

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