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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/show/NCT03399786




Registration number
NCT03399786
Ethics application status
Date submitted
8/01/2018
Date registered
16/01/2018
Date last updated
1/06/2020

Titles & IDs
Public title
Efficacy and Safety of Evinacumab in Patients With Homozygous Familial Hypercholesterolemia
Scientific title
A Randomized, Double-blind, Placebo-controlled, Parallel-group Study to Evaluate the Efficacy and Safety of Evinacumab in Patients With Homozygous Familial Hypercholesterolemia
Secondary ID [1] 0 0
2017-001388-19
Secondary ID [2] 0 0
R1500-CL-1629
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Homozygous Familial Hypercholesterolemia 0 0
Condition category
Condition code
Metabolic and Endocrine 0 0 0 0
Other metabolic disorders
Human Genetics and Inherited Disorders 0 0 0 0
Other human genetics and inherited disorders

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - evinacumab
Treatment: Drugs - Placebo

Experimental: evinacumab -

Experimental: Placebo -


Treatment: Drugs: evinacumab
IV administration of evinacumab

Treatment: Drugs: Placebo
IV administration of placebo

Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Percent change in calculated LDL-C from baseline to week 24
Timepoint [1] 0 0
Week 24
Secondary outcome [1] 0 0
Percent change in Apolipoprotein B (Apo B) from baseline to week 24
Timepoint [1] 0 0
Week 24
Secondary outcome [2] 0 0
Percent change in non-High-density lipoprotein cholesterol (HDL-C) from baseline to week 24
Timepoint [2] 0 0
Week 24
Secondary outcome [3] 0 0
Percent change in Total cholesterol (TC) from baseline to week 24
Timepoint [3] 0 0
Week 24
Secondary outcome [4] 0 0
Proportion of patients with =30% reduction in calculated LDL-C
Timepoint [4] 0 0
Week 24
Secondary outcome [5] 0 0
Proportion of patients with =50% reduction in calculated LDL-C
Timepoint [5] 0 0
Week 24
Secondary outcome [6] 0 0
Proportion of patients with LDL-C <100 mg/dL [2.59 mmol/L]
Timepoint [6] 0 0
Week 24
Secondary outcome [7] 0 0
Change in calculated LDL-C from baseline to week 24
Timepoint [7] 0 0
Week 24
Secondary outcome [8] 0 0
Proportion of patients who meet European Union (EU) apheresis eligibility criteria (see German Apheresis Working Group)
Timepoint [8] 0 0
Week 24
Secondary outcome [9] 0 0
Proportion of patients who meet United States (US) apheresis eligibility criteria (see US [National Lipid Association] Lipid Apheresis Criteria)
Timepoint [9] 0 0
Week 24
Secondary outcome [10] 0 0
Percent change in Triglyceride (TG) from baseline to week 24
Timepoint [10] 0 0
Week 24
Secondary outcome [11] 0 0
Change in Apo B from baseline to week 24
Timepoint [11] 0 0
Week 24
Secondary outcome [12] 0 0
Change in non-HDL-C from baseline to week 24
Timepoint [12] 0 0
Week 24
Secondary outcome [13] 0 0
Change in TC from baseline to week 24
Timepoint [13] 0 0
Week 24
Secondary outcome [14] 0 0
Percent change in lipoprotein a [Lp(a)] from baseline to week 24
Timepoint [14] 0 0
Week 24
Secondary outcome [15] 0 0
Proportion of patients with LDL-C <70 mg/dL [1.81 mmol/L]
Timepoint [15] 0 0
Week 24
Secondary outcome [16] 0 0
Percent change in apolipoprotein CIII (Apo CIII) from baseline to week 24
Timepoint [16] 0 0
Week 24
Secondary outcome [17] 0 0
Total evinacumab concentration in serum
Timepoint [17] 0 0
Week 24
Secondary outcome [18] 0 0
Incidence of anti-drug antibody (ADA)
Timepoint [18] 0 0
Week 24

Eligibility
Key inclusion criteria
Key

1. Diagnosis of functional HoFH

2. If undergoing LDL apheresis, must have initiated LDL apheresis at least 3 months prior
to screening and must have been on a stable weekly or every other week schedule and/or
stable settings for at least 8 weeks

3. Willing to consistently maintain his/her usual low fat or heart-healthy diet for the
duration of the study

Key
Minimum age
12 Years
Maximum age
No limit
Gender
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
1. LDL-C level <70 mg/dL (1.81 mmol/L) at the screening visit

2. Background medical Lipid Modifying Therapy (LMT) (if applicable) that has not been
stable before the screening visit

3. Lipid-apheresis schedule /apheresis settings (if applicable) that have not been stable
for at least 8 weeks before the screening visit

4. Use of nutraceuticals or over-the-counter therapies known to affect lipids, at a
dose/amount that has not been stable for at least 4 weeks prior to the screening visit

5. Presence of any clinically significant uncontrolled endocrine disease known to
influence serum lipids or lipoproteins

6. Newly diagnosed (within 3 months prior to randomization visit) diabetes mellitus or
poorly controlled (HbA1c >9%) diabetes

7. History of a MI, unstable angina leading to hospitalization, coronary artery bypass
graft surgery, percutaneous coronary intervention, uncontrolled cardiac arrhythmia,
carotid surgery or stenting, stroke, transient ischemic attack, valve replacement
surgery, carotid revascularization, endovascular procedure or surgical intervention
for peripheral vascular disease within 3 months prior to the screening visit

8. Pregnant or breastfeeding women

9. Sexually active women of child bearing potential (WOCBP), who are unwilling to
practice a highly effective birth control method prior to the initial dose, during the
study, and for 24 weeks after the last dose of study drug

10. Men who are sexually active with women of child bearing potential (WOCBP) and are
unwilling to consistently use condoms during the study drug treatment period and for
24 weeks after the last dose of study drug regardless of vasectomy status

Note: Other protocol defined inclusion/exclusion criteria may apply.

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint(s)
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
NSW,WA
Recruitment hospital [1] 0 0
Regeneron Research Site - Camperdown
Recruitment hospital [2] 0 0
Regeneron Research Site - Perth
Recruitment postcode(s) [1] 0 0
2050 - Camperdown
Recruitment postcode(s) [2] 0 0
6000 - Perth
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Florida
Country [2] 0 0
United States of America
State/province [2] 0 0
Massachusetts
Country [3] 0 0
United States of America
State/province [3] 0 0
New York
Country [4] 0 0
United States of America
State/province [4] 0 0
Ohio
Country [5] 0 0
United States of America
State/province [5] 0 0
Oregon
Country [6] 0 0
United States of America
State/province [6] 0 0
Texas
Country [7] 0 0
Austria
State/province [7] 0 0
Innsbruck
Country [8] 0 0
Canada
State/province [8] 0 0
Quebec
Country [9] 0 0
France
State/province [9] 0 0
Cedex
Country [10] 0 0
France
State/province [10] 0 0
Marseille
Country [11] 0 0
Greece
State/province [11] 0 0
Ioannina
Country [12] 0 0
Greece
State/province [12] 0 0
Athens
Country [13] 0 0
Italy
State/province [13] 0 0
Napoli
Country [14] 0 0
Japan
State/province [14] 0 0
Fukuoka
Country [15] 0 0
Japan
State/province [15] 0 0
Hyogo
Country [16] 0 0
Japan
State/province [16] 0 0
Ishikawa
Country [17] 0 0
Japan
State/province [17] 0 0
Osaka
Country [18] 0 0
Netherlands
State/province [18] 0 0
Amsterdam
Country [19] 0 0
Netherlands
State/province [19] 0 0
Rotterdam
Country [20] 0 0
South Africa
State/province [20] 0 0
Johannesburg
Country [21] 0 0
Ukraine
State/province [21] 0 0
Ivano-Frankivs'k
Country [22] 0 0
Ukraine
State/province [22] 0 0
Kharkiv
Country [23] 0 0
Ukraine
State/province [23] 0 0
Kyiv

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Regeneron Pharmaceuticals
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
The primary objective of the study is to demonstrate the reduction of low-density lipoprotein
cholesterol (LDL-C) by evinacumab intravenously (IV) in comparison to placebo after 24 weeks
in patients with homozygous familial hypercholesterolemia (HoFH). The secondary objectives of
the study are to evaluate the effect of evinacumab IV on other lipid parameters, evaluate the
effect of evinacumab on LDL-C goal attainment, assess the effect of evinacumab on eligibility
for apheresis (using German and US apheresis criteria), evaluate the safety and tolerability
of evinacumab in patients with HoFH, assess the pharmacokinetics (PK) of evinacumab in
patients with HoFH and evaluate the potential development of anti-evinacumab antibodies.
Trial website
https://clinicaltrials.gov/show/NCT03399786
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Clinical Trial Management
Address 0 0
Regeneron Pharmaceuticals
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries

Summary results
Other publications