Trial Outcomes & Findings for Safety, Tolerability and Efficacy of Evolocumab (AMG 145) in Children With Inherited Elevated Low-density Lipoprotein Cholesterol (Familial Hypercholesterolemia) (NCT NCT02624869)

NCT ID: NCT02624869

Last Updated: 2024-05-29

Results Overview

An adverse event is defined as any untoward medical occurrence in a clinical trial participant, not necessarily having a causal relationship with study treatment. A serious AE is as an AE that met at least 1 of the following criteria: * fatal; * life threatening; * required in-patient hospitalization or prolongation of existing hospitalization; * resulted in persistent or significant disability/incapacity; * congenital anomaly/birth defect; * other medically important serious event. AEs were graded for severity using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0: Grade 1: Mild; asymptomatic or mild symptoms; Grade 2: Moderate; minimal, local or noninvasive intervention indicated; Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; Grade 4: Life-threatening consequences; urgent intervention indicated; Grade 5: Death related to AE.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

163 participants

Primary outcome timeframe

From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.

Results posted on

2024-05-29

Participant Flow

This study was conducted at 46 centers in 23 countries (Australia, Austria, Belgium, Brazil, Canada, Colombia, Czech Republic, Greece, Hungary, Italy, Malaysia, Netherlands, Norway, Poland, Portugal, Russia, Slovenia, South Africa, Spain, Switzerland, Turkey, United Kingdom, and United States of America).

This study enrolled participants with heterozygous familial hypercholesterolemia (HeFH) who had completed the parent study 20120123 (NCT02392559) without experiencing a treatment-related serious adverse event, and children 10 to 17 years of age with a diagnosis of homozygous familial hypercholesterolemia (HoFH).

Participant milestones

Participant milestones
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
Participants with heterozygous familial hypercholesterolemia (HeFH) who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
Participants with homozygous familial hypercholesterolemia (HoFH) received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Overall Study
STARTED
49
101
13
Overall Study
Received Study Drug
49
101
12
Overall Study
COMPLETED
48
98
11
Overall Study
NOT COMPLETED
1
3
2

Reasons for withdrawal

Reasons for withdrawal
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
Participants with heterozygous familial hypercholesterolemia (HeFH) who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
Participants with homozygous familial hypercholesterolemia (HoFH) received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Overall Study
Lost to Follow-up
0
0
1
Overall Study
Withdrawal by Subject
1
3
1

Baseline Characteristics

The full analysis set included all participants with HeFH from parent Study 20120123 who were enrolled and dosed as well as all participants with HoFH who were enrolled and dosed in this study.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=49 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
n=101 Participants
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
n=13 Participants
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Total
n=163 Participants
Total of all reporting groups
Region
North America
8 Participants
n=49 Participants
12 Participants
n=101 Participants
0 Participants
n=13 Participants
20 Participants
n=163 Participants
Region
Europe
33 Participants
n=49 Participants
65 Participants
n=101 Participants
7 Participants
n=13 Participants
105 Participants
n=163 Participants
Region
Latin America
8 Participants
n=49 Participants
18 Participants
n=101 Participants
0 Participants
n=13 Participants
26 Participants
n=163 Participants
Region
Asia Pacific
0 Participants
n=49 Participants
6 Participants
n=101 Participants
6 Participants
n=13 Participants
12 Participants
n=163 Participants
Age, Continuous
13.8 years
STANDARD_DEVIATION 2.5 • n=49 Participants
14.2 years
STANDARD_DEVIATION 2.4 • n=101 Participants
12.4 years
STANDARD_DEVIATION 2.0 • n=13 Participants
14.0 years
STANDARD_DEVIATION 2.5 • n=163 Participants
Age, Customized
2 - 11 years
11 Participants
n=49 Participants
18 Participants
n=101 Participants
6 Participants
n=13 Participants
35 Participants
n=163 Participants
Age, Customized
12 - 17 years
37 Participants
n=49 Participants
76 Participants
n=101 Participants
7 Participants
n=13 Participants
120 Participants
n=163 Participants
Age, Customized
18 - 64 years
1 Participants
n=49 Participants
7 Participants
n=101 Participants
0 Participants
n=13 Participants
8 Participants
n=163 Participants
Sex: Female, Male
Female
24 Participants
n=49 Participants
59 Participants
n=101 Participants
2 Participants
n=13 Participants
85 Participants
n=163 Participants
Sex: Female, Male
Male
25 Participants
n=49 Participants
42 Participants
n=101 Participants
11 Participants
n=13 Participants
78 Participants
n=163 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
7 Participants
n=49 Participants
6 Participants
n=101 Participants
0 Participants
n=13 Participants
13 Participants
n=163 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
42 Participants
n=49 Participants
95 Participants
n=101 Participants
13 Participants
n=13 Participants
150 Participants
n=163 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=49 Participants
0 Participants
n=101 Participants
0 Participants
n=13 Participants
0 Participants
n=163 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants
n=49 Participants
0 Participants
n=101 Participants
0 Participants
n=13 Participants
0 Participants
n=163 Participants
Race/Ethnicity, Customized
Asian
0 Participants
n=49 Participants
2 Participants
n=101 Participants
2 Participants
n=13 Participants
4 Participants
n=163 Participants
Race/Ethnicity, Customized
Black or African American
0 Participants
n=49 Participants
2 Participants
n=101 Participants
0 Participants
n=13 Participants
2 Participants
n=163 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants
n=49 Participants
0 Participants
n=101 Participants
0 Participants
n=13 Participants
0 Participants
n=163 Participants
Race/Ethnicity, Customized
White
40 Participants
n=49 Participants
86 Participants
n=101 Participants
9 Participants
n=13 Participants
135 Participants
n=163 Participants
Race/Ethnicity, Customized
Other
9 Participants
n=49 Participants
11 Participants
n=101 Participants
2 Participants
n=13 Participants
22 Participants
n=163 Participants
Low-density Lipoprotein Cholesterol (LDL-C) Concentration
184.0 mg/dL
STANDARD_DEVIATION 48.3 • n=49 Participants • The full analysis set included all participants with HeFH from parent Study 20120123 who were enrolled and dosed as well as all participants with HoFH who were enrolled and dosed in this study.
184.4 mg/dL
STANDARD_DEVIATION 45.2 • n=101 Participants • The full analysis set included all participants with HeFH from parent Study 20120123 who were enrolled and dosed as well as all participants with HoFH who were enrolled and dosed in this study.
426.0 mg/dL
STANDARD_DEVIATION 166.4 • n=12 Participants • The full analysis set included all participants with HeFH from parent Study 20120123 who were enrolled and dosed as well as all participants with HoFH who were enrolled and dosed in this study.
202.2 mg/dL
STANDARD_DEVIATION 88.8 • n=162 Participants • The full analysis set included all participants with HeFH from parent Study 20120123 who were enrolled and dosed as well as all participants with HoFH who were enrolled and dosed in this study.
Non-High-Density Lipoprotein Cholesterol (Non-HDL-C) Concentration
201.0 mg/dL
STANDARD_DEVIATION 49.3 • n=49 Participants • Full analysis set
203.4 mg/dL
STANDARD_DEVIATION 47.5 • n=101 Participants • Full analysis set
443.7 mg/dL
STANDARD_DEVIATION 170.8 • n=12 Participants • Full analysis set
220.5 mg/dL
STANDARD_DEVIATION 90.2 • n=162 Participants • Full analysis set
Apolipoprotein B (ApoB) Concentration
119.1 mg/dL
STANDARD_DEVIATION 28.1 • n=47 Participants • Full analysis set with available baseline data
123.1 mg/dL
STANDARD_DEVIATION 27.4 • n=100 Participants • Full analysis set with available baseline data
250.1 mg/dL
STANDARD_DEVIATION 84.9 • n=12 Participants • Full analysis set with available baseline data
131.5 mg/dL
STANDARD_DEVIATION 48.6 • n=159 Participants • Full analysis set with available baseline data
Total Cholesterol/High-density Lipoprotein Cholesterol (HDL-C) Ratio
5.546 ratio
STANDARD_DEVIATION 1.541 • n=49 Participants • Full analysis set with available baseline data
5.716 ratio
STANDARD_DEVIATION 1.809 • n=101 Participants • Full analysis set with available baseline data
14.707 ratio
STANDARD_DEVIATION 7.891 • n=12 Participants • Full analysis set with available baseline data
6.331 ratio
STANDARD_DEVIATION 3.557 • n=162 Participants • Full analysis set with available baseline data
Apolipoprotein B/Apolipoprotein A1 Ratio
0.943 ratio
STANDARD_DEVIATION 0.265 • n=47 Participants • Full analysis set with available baseline data
0.972 ratio
STANDARD_DEVIATION 0.306 • n=100 Participants • Full analysis set with available baseline data
2.388 ratio
STANDARD_DEVIATION 1.036 • n=12 Participants • Full analysis set with available baseline data
1.070 ratio
STANDARD_DEVIATION 0.545 • n=159 Participants • Full analysis set with available baseline data

PRIMARY outcome

Timeframe: From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.

Population: Full analysis set

An adverse event is defined as any untoward medical occurrence in a clinical trial participant, not necessarily having a causal relationship with study treatment. A serious AE is as an AE that met at least 1 of the following criteria: * fatal; * life threatening; * required in-patient hospitalization or prolongation of existing hospitalization; * resulted in persistent or significant disability/incapacity; * congenital anomaly/birth defect; * other medically important serious event. AEs were graded for severity using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0: Grade 1: Mild; asymptomatic or mild symptoms; Grade 2: Moderate; minimal, local or noninvasive intervention indicated; Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; Grade 4: Life-threatening consequences; urgent intervention indicated; Grade 5: Death related to AE.

Outcome measures

Outcome measures
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=49 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
n=101 Participants
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
n=12 Participants
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Any treatment-emergent adverse event (TEAE)
36 Participants
69 Participants
7 Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
TEAE ≥ Grade 2
25 Participants
56 Participants
5 Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
TEAE ≥ Grade 3
4 Participants
2 Participants
2 Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
TEAE ≥ Grade 4
0 Participants
1 Participants
0 Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Serious adverse events
2 Participants
2 Participants
2 Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
TEAE leading to discontinuation of evolocumab
0 Participants
0 Participants
0 Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Fatal adverse events
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline and week 80

Population: Full analysis set with available data

For HeFH participants baseline was defined as the baseline value of the parent study 20120123.

Outcome measures

Outcome measures
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=40 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
n=88 Participants
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Percent Change From Baseline to Week 80 in Low-density Lipoprotein Cholesterol (LDL-C) in HeFH Participants
-36.01 percent change
Standard Error 4.28
-34.96 percent change
Standard Error 3.05

SECONDARY outcome

Timeframe: Baseline and week 80

Population: Full analysis set with available data

For HoFH participants baseline was defined as the baseline value in this study (20120124).

Outcome measures

Outcome measures
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=11 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Percent Change From Baseline to Week 80 in Low-density Lipoprotein Cholesterol (LDL-C) in HoFH Participants
-14.29 percent change
Interval -40.61 to 3.54

SECONDARY outcome

Timeframe: Baseline and week 80

Population: Full analysis set with available data

For HeFH participants baseline was defined as the baseline value of the parent study 20120123.

Outcome measures

Outcome measures
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=40 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
n=88 Participants
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Percent Change From Baseline to Week 80 in Non-HDL-C in HeFH Participants
-32.37 percent change
Standard Error 3.96
-31.95 percent change
Standard Error 2.89

SECONDARY outcome

Timeframe: Baseline and week 80

Population: Full analysis set with available data

For HoFH participants baseline was defined as the baseline value in this study (20120124).

Outcome measures

Outcome measures
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=11 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Percent Change From Baseline to Week 80 in Non-HDL-C in HoFH Participants
-13.03 percent change
Interval -40.68 to 2.69

SECONDARY outcome

Timeframe: Baseline and week 80

Population: Full analysis set with available data

For HeFH participants baseline was defined as the baseline value in the parent study 20120123.

Outcome measures

Outcome measures
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=44 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
n=87 Participants
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Percent Change From Baseline to Week 80 in Apolipoprotein B in HeFH Participants
-27.10 percent change
Standard Error 3.32
-24.15 percent change
Standard Error 2.99

SECONDARY outcome

Timeframe: Baseline and week 80

Population: Full analysis set with available data

For HoFH participants baseline was defined as the baseline value in this study (20120124).

Outcome measures

Outcome measures
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=11 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Percent Change From Baseline to Week 80 in Apolipoprotein B in HoFH Participants
-19.17 percent change
Interval -33.33 to 11.59

SECONDARY outcome

Timeframe: Baseline and week 80

Population: Full analysis set with available data

For HeFH participants baseline was defined as the baseline value in the parent study 20120123.

Outcome measures

Outcome measures
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=40 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
n=88 Participants
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Percent Change From Baseline to Week 80 in Total Cholesterol/HDL-C Ratio in HeFH Participants
-28.78 percent change
Standard Error 3.48
-28.32 percent change
Standard Error 2.47

SECONDARY outcome

Timeframe: Baseline and week 80

Population: Full analysis set with available data

For HoFH participants baseline was defined as the baseline value in this study (20120124).

Outcome measures

Outcome measures
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=11 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Percent Change From Baseline to Week 80 in Total Cholesterol/HDL-C Ratio in HoFH Participants
3.71 percent change
Interval -41.17 to 7.57

SECONDARY outcome

Timeframe: Baseline and week 80

Population: Full analysis set with available data

For HeFH participants baseline was defined as the baseline value in the parent study 20120123.

Outcome measures

Outcome measures
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=44 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
n=87 Participants
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Percent Change From Baseline to Week 80 in Apolipoprotein B / Apolipoprotein A1 Ratio in HeFH Participants
-31.00 percent change
Standard Error 3.66
-29.89 percent change
Standard Error 2.80

SECONDARY outcome

Timeframe: Baseline and week 80

Population: Full analysis set with available data

For HoFH participants baseline was defined as the baseline value in this study (20120124).

Outcome measures

Outcome measures
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=11 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Percent Change From Baseline to Week 80 in Apolipoprotein B/Apolipoprotein A1 Ratio in HoFH Participants
-2.96 percent change
Interval -35.71 to 9.3

SECONDARY outcome

Timeframe: Baseline and week 80

Population: Full analysis set with available data

For HeFH participants baseline was defined as the baseline value of the parent study 20120123.

Outcome measures

Outcome measures
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=40 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
n=88 Participants
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Change From Baseline to Week 80 in LDL-C in HeFH Participants
-67.2 mg/dL
Standard Error 8.2
-63.1 mg/dL
Standard Error 5.6

SECONDARY outcome

Timeframe: Baseline and week 80

Population: Full analysis set with available data

For HoFH participants baseline was defined as the baseline value in this study (20120124).

Outcome measures

Outcome measures
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=11 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Change From Baseline to Week 80 in LDL-C in HoFH Participants
-36.5 mg/dL
Interval -180.5 to 16.0

SECONDARY outcome

Timeframe: Baseline and week 80

Population: Full analysis set; female participants with available data

For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).

Outcome measures

Outcome measures
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=23 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
n=54 Participants
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
n=2 Participants
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Change From Baseline to Week 80 in Estradiol Levels
131.3 pmol/L
Standard Error 45.3
48.2 pmol/L
Standard Error 58.1
283.0 pmol/L
Standard Error 130.0

SECONDARY outcome

Timeframe: Baseline and week 80

Population: Full analysis set; male participants with available data

For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).

Outcome measures

Outcome measures
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=18 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
n=34 Participants
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
n=7 Participants
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Change From Baseline to Week 80 in Testosterone Levels
5.282 nmol/L
Standard Error 1.567
3.230 nmol/L
Standard Error 1.167
2.916 nmol/L
Standard Error 0.984

SECONDARY outcome

Timeframe: Baseline and week 80

Population: Full analysis set with available data

For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).

Outcome measures

Outcome measures
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=44 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
n=91 Participants
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
n=10 Participants
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Change From Baseline to Week 80 in Follicle Stimulating Hormone (FSH) Levels
1.88 IU/L
Standard Error 0.90
0.60 IU/L
Standard Error 0.37
1.18 IU/L
Standard Error 0.35

SECONDARY outcome

Timeframe: Baseline and week 80

Population: Full analysis set with available data

For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).

Outcome measures

Outcome measures
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=44 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
n=92 Participants
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
n=10 Participants
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Change From Baseline to Week 80 in Luteinizing Hormone (LH) Levels
2.88 IU/L
Standard Error 1.51
1.04 IU/L
Standard Error 0.95
1.76 IU/L
Standard Error 0.84

SECONDARY outcome

Timeframe: Baseline and week 80

Population: Full analysis set with available data

For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).

Outcome measures

Outcome measures
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=43 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
n=84 Participants
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
n=11 Participants
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Change From Baseline to Week 80 in Adenocorticotropic Hormone (ACTH) Levels
0.78 pmol/L
Standard Error 0.55
0.55 pmol/L
Standard Error 0.61
-0.75 pmol/L
Standard Error 1.79

SECONDARY outcome

Timeframe: Baseline and week 80

Population: Full analysis set with available data

For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).

Outcome measures

Outcome measures
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=43 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
n=89 Participants
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
n=11 Participants
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Change From Baseline to Week 80 in Dehydroepiandrosterone Sulfate (DHEA-S) Levels
1.051 μmol/L
Standard Error 0.222
0.956 μmol/L
Standard Error 0.126
0.944 μmol/L
Standard Error 0.247

SECONDARY outcome

Timeframe: Baseline and week 80

Population: Full analysis set with available data

For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).

Outcome measures

Outcome measures
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=43 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
n=90 Participants
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
n=11 Participants
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Change From Baseline to Week 80 in Cortisol Levels
29.81 nmol/L
Standard Error 28.34
51.18 nmol/L
Standard Error 25.19
57.26 nmol/L
Standard Error 56.11

SECONDARY outcome

Timeframe: Week 80

Population: Full analysis set with available data at week 80

Liver function tests included alanine aminotransferase (ALT) levels, aspartate aminotransferase (AST) levels and total bilirubin levels.

Outcome measures

Outcome measures
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=45 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
n=91 Participants
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
n=10 Participants
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Number of Participants With Liver Function Test Abnormalities at Week 80
Total bilirubin > 2 x ULN
0 Participants
2 Participants
1 Participants
Number of Participants With Liver Function Test Abnormalities at Week 80
ALT or AST > 3 x ULN
0 Participants
0 Participants
0 Participants
Number of Participants With Liver Function Test Abnormalities at Week 80
ALT or AST > 5 x ULN
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Week 80

Population: Full analysis set with available data at week 80

The number of participants with levels of creatine kinase greater than 5 times the upper limit of normal (ULN) and greater than 10 times the ULN, measured by the central laboratory.

Outcome measures

Outcome measures
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=45 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
n=90 Participants
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
n=10 Participants
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Number of Participants With Abnormalities in Levels of Creatine Kinase (CK) at Week 80
CK > 5 x ULN
0 Participants
0 Participants
1 Participants
Number of Participants With Abnormalities in Levels of Creatine Kinase (CK) at Week 80
CK > 10 x ULN
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline and week 80

Population: Full analysis set with available data

Carotid intima-media thickness measures the thickness of the intima and media, the inner two layers of the carotid artery, and is used to determine the extent of plaque buildup in the walls of the arteries (atherosclerosis) supplying blood to the head. CIMT was measured by ultrasonography and analyzed at a core laboratory. The largest values measured in the left common carotid artery (LCCA) and the right common carotid artery (RCCA) are averaged in this analysis.

Outcome measures

Outcome measures
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=34 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
n=59 Participants
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
n=7 Participants
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Change From Baseline to Week 80 in Carotid Intima-media Thickness (cIMT)
-0.019 mm
Standard Error 0.007
-0.012 mm
Standard Error 0.006
0.006 mm
Standard Error 0.032

SECONDARY outcome

Timeframe: Baseline and weeks 24, 48, and 80

Population: Full analysis set with available data at each time point.

Outcome measures

Outcome measures
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=49 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
n=101 Participants
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
n=12 Participants
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Change From Baseline in Height at Weeks 24, 48, and 80
Females: Baseline
158.1 cm
Standard Error 2.3
157.9 cm
Standard Error 1.3
149.4 cm
Standard Error 7.1
Change From Baseline in Height at Weeks 24, 48, and 80
Females: Change at week 24
2.8 cm
Standard Error 0.7
2.0 cm
Standard Error 0.4
1.6 cm
Standard Error 1.1
Change From Baseline in Height at Weeks 24, 48, and 80
Females: Change at week 48
4.2 cm
Standard Error 1.0
2.8 cm
Standard Error 0.5
1.4 cm
Standard Error 2.4
Change From Baseline in Height at Weeks 24, 48, and 80
Females: Change at week 80
4.0 cm
Standard Error 1.7
3.4 cm
Standard Error 0.7
2.4 cm
Standard Error 3.9
Change From Baseline in Height at Weeks 24, 48, and 80
Males: Baseline
158.2 cm
Standard Error 3.0
163.7 cm
Standard Error 1.9
158.9 cm
Standard Error 4.8
Change From Baseline in Height at Weeks 24, 48, and 80
Males: Change at week 24
3.4 cm
Standard Error 0.5
3.8 cm
Standard Error 0.5
3.8 cm
Standard Error 0.8
Change From Baseline in Height at Weeks 24, 48, and 80
Males: Change at week 48
6.2 cm
Standard Error 0.8
6.2 cm
Standard Error 0.7
5.3 cm
Standard Error 1.2
Change From Baseline in Height at Weeks 24, 48, and 80
Males: Change at week 80
9.3 cm
Standard Error 1.5
9.0 cm
Standard Error 1.1
9.2 cm
Standard Error 1.6

SECONDARY outcome

Timeframe: Baseline and weeks 24, 48, and 80

Population: Full analysis set with available data at each time point

Outcome measures

Outcome measures
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=49 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
n=101 Participants
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
n=12 Participants
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Change From Baseline in Weight at Weeks 24, 48, and 80
Females: Baseline
52.8 kg
Standard Error 2.9
57.0 kg
Standard Error 2.0
42.7 kg
Standard Error 1.3
Change From Baseline in Weight at Weeks 24, 48, and 80
Females: Change at week 24
3.3 kg
Standard Error 0.8
2.3 kg
Standard Error 0.6
3.4 kg
Standard Error 2.1
Change From Baseline in Weight at Weeks 24, 48, and 80
Females: Change at week 48
4.3 kg
Standard Error 1.1
3.5 kg
Standard Error 0.7
4.7 kg
Standard Error 5.3
Change From Baseline in Weight at Weeks 24, 48, and 80
Females: Change at week 80
5.6 kg
Standard Error 1.3
5.2 kg
Standard Error 0.8
5.5 kg
Standard Error 4.2
Change From Baseline in Weight at Weeks 24, 48, and 80
Males: Baseline
54.1 kg
Standard Error 3.6
61.0 kg
Standard Error 3.2
51.7 kg
Standard Error 4.9
Change From Baseline in Weight at Weeks 24, 48, and 80
Males: Change at week 24
4.4 kg
Standard Error 0.9
4.6 kg
Standard Error 0.7
4.6 kg
Standard Error 0.9
Change From Baseline in Weight at Weeks 24, 48, and 80
Males: Change at week 48
6.8 kg
Standard Error 1.3
7.4 kg
Standard Error 1.0
7.6 kg
Standard Error 1.2
Change From Baseline in Weight at Weeks 24, 48, and 80
Males: Change at week 80
10.9 kg
Standard Error 1.6
11.2 kg
Standard Error 1.4
10.6 kg
Standard Error 2.3

SECONDARY outcome

Timeframe: Baseline and week 80

Population: Full analysis set with available data

Pubertal growth and sexual maturity was assessed separately for males and females using the 5 Tanner stages where stage 1 = prepubertal and stage 5 = mature. The number of participants with any change in Tanner Stage from baseline is reported.

Outcome measures

Outcome measures
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=45 Participants
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
n=91 Participants
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
n=11 Participants
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Number of Participants With Change in Tanner Staging From Baseline to Week 80
Males: Staging by genital size
13 Participants
20 Participants
6 Participants
Number of Participants With Change in Tanner Staging From Baseline to Week 80
Males: Staging by pubic hair
14 Participants
21 Participants
6 Participants
Number of Participants With Change in Tanner Staging From Baseline to Week 80
Females: Staging by breast development
11 Participants
27 Participants
1 Participants
Number of Participants With Change in Tanner Staging From Baseline to Week 80
Females: Staging by pubic hair
11 Participants
26 Participants
1 Participants

Adverse Events

HeFH (Placebo in Parent Study): Evolocumab 420 mg QM

Serious events: 2 serious events
Other events: 27 other events
Deaths: 0 deaths

HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM

Serious events: 2 serious events
Other events: 45 other events
Deaths: 0 deaths

HoFH: Evolocumab 420 mg QM

Serious events: 2 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=49 participants at risk
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
n=101 participants at risk
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
n=12 participants at risk
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Infections and infestations
Appendicitis
0.00%
0/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.00%
0/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
8.3%
1/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
Infections and infestations
Appendicitis perforated
2.0%
1/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.00%
0/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.00%
0/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
Infections and infestations
Peritonitis
2.0%
1/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.00%
0/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.00%
0/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
Injury, poisoning and procedural complications
Arteriovenous fistula aneurysm
0.00%
0/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.00%
0/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
8.3%
1/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
Injury, poisoning and procedural complications
Wrist fracture
2.0%
1/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.00%
0/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.00%
0/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
Nervous system disorders
Headache
0.00%
0/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.99%
1/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.00%
0/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
Psychiatric disorders
Anorexia nervosa
0.00%
0/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.99%
1/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.00%
0/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.

Other adverse events

Other adverse events
Measure
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
n=49 participants at risk
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
n=101 participants at risk
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
HoFH: Evolocumab 420 mg QM
n=12 participants at risk
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
Gastrointestinal disorders
Abdominal pain upper
2.0%
1/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
5.0%
5/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
8.3%
1/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
Gastrointestinal disorders
Nausea
0.00%
0/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.99%
1/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
8.3%
1/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
General disorders
Fatigue
8.2%
4/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
3.0%
3/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.00%
0/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
General disorders
Influenza like illness
10.2%
5/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
7.9%
8/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.00%
0/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
General disorders
Injection site erythema
8.2%
4/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.99%
1/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.00%
0/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
General disorders
Injection site haemorrhage
0.00%
0/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.99%
1/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
8.3%
1/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
General disorders
Pyrexia
10.2%
5/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.99%
1/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.00%
0/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
Infections and infestations
Gastroenteritis
6.1%
3/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
6.9%
7/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.00%
0/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
Infections and infestations
Influenza
0.00%
0/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
3.0%
3/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
8.3%
1/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
Infections and infestations
Nasopharyngitis
16.3%
8/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
13.9%
14/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.00%
0/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
Infections and infestations
Otitis media
0.00%
0/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.99%
1/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
8.3%
1/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
Infections and infestations
Tonsillitis
0.00%
0/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
4.0%
4/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
8.3%
1/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
Infections and infestations
Upper respiratory tract infection
6.1%
3/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
5.9%
6/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
8.3%
1/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
Injury, poisoning and procedural complications
Vascular pseudoaneurysm
0.00%
0/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.00%
0/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
8.3%
1/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
Metabolism and nutrition disorders
Vitamin D deficiency
0.00%
0/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
3.0%
3/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
8.3%
1/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
Musculoskeletal and connective tissue disorders
Myositis
0.00%
0/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.00%
0/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
8.3%
1/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lipoma
0.00%
0/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.00%
0/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
8.3%
1/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
Nervous system disorders
Headache
8.2%
4/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
8.9%
9/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
8.3%
1/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
Psychiatric disorders
Attention deficit hyperactivity disorder
4.1%
2/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
2.0%
2/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
8.3%
1/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.00%
0/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.99%
1/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
16.7%
2/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
8.2%
4/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
5.0%
5/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
0.00%
0/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
Skin and subcutaneous tissue disorders
Acne
0.00%
0/49 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
3.0%
3/101 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
8.3%
1/12 • From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.

Additional Information

Study Director

Amgen Inc.

Phone: 866-572-6436

Results disclosure agreements

  • Principal investigator is a sponsor employee The Clinical Trial Agreement generally does not restrict an investigator's discussion of trial results after completion. The Agreement permits Amgen a limited period of time to review material discussing trial results (typically up to 45 days and possible extension). Amgen may remove confidential information, but authors have final control and approval of publication content. For multicenter studies, the investigator agrees not to publish any results before the first multi-center publication.
  • Publication restrictions are in place

Restriction type: OTHER