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.
COMPLETED
PHASE3
163 participants
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.
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
| 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
| 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
| 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
| 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 80Population: Full analysis set with available data
For HeFH participants baseline was defined as the baseline value of the parent study 20120123.
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 80Population: Full analysis set with available data
For HoFH participants baseline was defined as the baseline value in this study (20120124).
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 80Population: Full analysis set with available data
For HeFH participants baseline was defined as the baseline value of the parent study 20120123.
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 80Population: Full analysis set with available data
For HoFH participants baseline was defined as the baseline value in this study (20120124).
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 80Population: Full analysis set with available data
For HeFH participants baseline was defined as the baseline value in the parent study 20120123.
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 80Population: Full analysis set with available data
For HoFH participants baseline was defined as the baseline value in this study (20120124).
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 80Population: Full analysis set with available data
For HeFH participants baseline was defined as the baseline value in the parent study 20120123.
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 80Population: Full analysis set with available data
For HoFH participants baseline was defined as the baseline value in this study (20120124).
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 80Population: Full analysis set with available data
For HeFH participants baseline was defined as the baseline value in the parent study 20120123.
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 80Population: Full analysis set with available data
For HoFH participants baseline was defined as the baseline value in this study (20120124).
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 80Population: Full analysis set with available data
For HeFH participants baseline was defined as the baseline value of the parent study 20120123.
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 80Population: Full analysis set with available data
For HoFH participants baseline was defined as the baseline value in this study (20120124).
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 80Population: 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
| 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 80Population: 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
| 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 80Population: 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
| 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 80Population: 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
| 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 80Population: 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
| 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 80Population: 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
| 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 80Population: 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
| 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 80Population: 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
| 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 80Population: 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
| 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 80Population: 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
| 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 80Population: Full analysis set with available data at each time point.
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 80Population: Full analysis set with available data at each time point
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 80Population: 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
| 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
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
HoFH: Evolocumab 420 mg QM
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
| 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
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