A Phase 2 interventional study of Evolocumab and Standard of care in Hypercholesterolemia, sponsored by Amgen. Completed at 187 sites in 18 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2022-09-21.
Sponsored by Amgen · Phase 2, Interventional, and Treatment
The primary clinical hypothesis is that long-term exposure of evolocumab (AMG 145) will be safe and well tolerated in adults with hypercholesterolemia.
1,238 studies on the registry are indexed under Hypercholesterolemia; 109 are open to participants now.
This study's enrollment of 1,324 is above the median of 99 across 991 interventional studies indexed under Hypercholesterolemia.
Browse Hypercholesterolemia studies →Amgen is the lead sponsor of 1,015 studies on the registry; 49 are open to participants now.
Of its 245 completed or terminated interventional studies of FDA-regulated products, 159 (65%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Participants received standard of care (SOC) treatment for the first year of the study (SOC-controlled period). At week 52 participants began treatment with evolocumab 420 mg once a month (QM) for 4 years during the all-investigational product \[all-IP\] period.
Biological: Evolocumab · Other: Standard of care
Participants received evolocumab 420 mg once a month plus standard of care for the first year of the study (SOC-controlled period). At week 52 participants continued treatment with evolocumab 420 mg QM for another 4 years during the all-IP period.
Biological: Evolocumab
Administered by subcutaneous injection
Also known as: AMG 145, Repatha
Standard of care therapy as per local practices. This could include prescribed therapies and/or dietary/exercise regimes
Number of Participants With Adverse Events
Adverse event (AE) severity assessments were made using National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) grading, version 4.03, where grade 1 = mild AE, grade 2 = moderate AE, Grade 3 = severe AE, grade 4 = life-threatening AE and Grade 5 = death due to AE.
Time frame: 52 weeks in the SOC-controlled period and up to 4 years in the All-IP period; actual median duration of treatment in the All-IP period was 46.9 months.
Low-density Lipoprotein Cholesterol (LDL-C) Level at Week 24 and Week 52
Time frame: Baseline of parent study and extension study weeks 24 and 52
Non-high-density Lipoprotein Cholesterol (Non-HDL-C) Level at Week 24 and Week 52
Time frame: Baseline of parent study and extension study weeks 24 and 52
Apolipoprotein B Level at Week 24 and Week 52
Time frame: Baseline of parent study and extension study weeks 24 and 52
Total Cholesterol/HDL-C Ratio at Week 24 and Week 52
Time frame: Baseline of parent study and extension study weeks 24 and 52
Apolipoprotein B/Apolipoprotein A1 Ratio at Week 24 and Week 52
Time frame: Baseline of parent study and extension study weeks 24 and 52
This extension study was conducted at 188 centers in 18 countries. Participants were enrolled from one of five eligible phase 2 parent studies: 20101154 (NCT01375777), 20101155 (NCT01380730), 20090158 (NCT01375751), 20090159 (NCT01375764), and 20110231 (NCT01652703). Participants were enrolled from October 2011 to June 2013.
| Milestone | Standard of Care | Evolocumab + SOC |
|---|---|---|
| Started | 442 | 882 |
| Received evolocumab | 0 | 881 |
| Completed | 398 | 822 |
| Not completed | 44 | 60 |
| Withdrew: Withdrawal by subject | 24 | 38 |
| Withdrew: Death | 2 | 1 |
| Withdrew: Sponsor decision | 0 | 1 |
| Withdrew: Lost to follow-up | 10 | 5 |
| Withdrew: Other | 8 | 13 |
| Withdrew: Reason missing | 0 | 2 |
| Milestone | Standard of Care | Evolocumab + SOC |
|---|---|---|
| Started | 398 | 822 |
| Received evolocumab | 374 | 777 |
| Completed | 328 | 682 |
| Not completed | 70 | 140 |
| Withdrew: Lost to follow-up | 21 | 30 |
| Withdrew: Withdrawal by subject | 30 | 66 |
| Withdrew: Death | 3 | 13 |
| Withdrew: Sponsor decision | 1 | 0 |
| Withdrew: Other | 14 | 31 |
| Withdrew: Reason missing | 1 | 0 |
Adverse event (AE) severity assessments were made using National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) grading, version 4.03, where grade 1 = mild AE, grade 2 = moderate AE, Grade 3 = severe AE, grade 4 = life-threatening AE and Grade 5 = death due to AE.
| Participants | SOC-controlled Period: Standard of Care | SOC-controlled Period: Evolocumab + SOC | All-IP Period: SOC / Evolocumab + SOC | All-IP Period: Evolocumab + SOC / Evolocumab + SOC |
|---|---|---|---|---|
| All adverse events | 327 | 728 | 342 | 718 |
| Adverse events ≥ grade 3 | 46 | 99 | 111 | 229 |
| Adverse events ≥ grade 4 | 2 | 11 | 8 | 28 |
| Serious adverse events | 30 | 72 | 76 | 172 |
| AEs leading to discontinuation of evolocumab | 0 | 28 | 16 | 27 |
| Fatal adverse events | 0 | 0 | 1 | 3 |
| mg/dL | Standard of Care | Evolocumab + SOC | Control in Parent Study: SOC | Control in Parent Study: Evolocumab + SOC | Evolocumab in Parent Study: SOC | Evolocumab in Parent Study: Evolocumab + SOC |
|---|---|---|---|---|---|---|
| Parent Study Baseline | 144.6 ± 37.4 | 139.7 ± 36.7 | 147.7 ± 34.3 | 139.5 ± 33.6 | 143.4 ± 38.5 | 139.8 ± 37.8 |
| Week 24 | 136.9 ± 41.5 | 64.1 ± 33.3 | 142.5 ± 44.7 | 63.9 ± 34.6 | 134.8 ± 40.2 | 64.2 ± 32.9 |
| Week 52 | 140.5 ± 40.0 | 65.0 ± 34.4 | 143.1 ± 39.8 | 64.1 ± 33.2 | 139.4 ± 40.1 | 65.3 ± 34.9 |
| mg/dL | Standard of Care | Evolocumab + SOC | Control in Parent Study: SOC | Control in Parent Study: Evolocumab + SOC | Evolocumab in Parent Study: SOC | Evolocumab in Parent Study: Evolocumab + SOC |
|---|---|---|---|---|---|---|
| Parent Study Baseline | 170.7 ± 43.0 | 165.1 ± 40.9 | 173.8 ± 39.6 | 165.5 ± 38.9 | 169.6 ± 44.2 | 165.0 ± 41.7 |
| Week 24 | 161.4 ± 45.5 | 84.3 ± 37.7 | 166.9 ± 47.5 | 84.3 ± 39.0 | 159.4 ± 44.6 | 84.3 ± 37.3 |
| Week 52 | 164.9 ± 44.5 | 85.3 ± 39.0 | 168.8 ± 45.3 | 85.0 ± 38.4 | 163.4 ± 44.1 | 85.4 ± 39.2 |
| mg/dL | Standard of Care | Evolocumab + SOC | Control in Parent Study: SOC | Control in Parent Study: Evolocumab + SOC | Evolocumab in Parent Study: SOC | Evolocumab in Parent Study: Evolocumab + SOC |
|---|---|---|---|---|---|---|
| Parent Study Baseline | 113.2 ± 25.3 | 110.4 ± 23.8 | 115.4 ± 23.1 | 110.3 ± 22.4 | 112.4 ± 26.0 | 110.4 ± 24.3 |
| Week 24 | 107.9 ± 26.3 | 60.8 ± 23.3 | 110.5 ± 27.0 | 60.7 ± 23.9 | 106.9 ± 26.0 | 60.9 ± 23.1 |
| Week 52 | 109.5 ± 26.8 | 61.6 ± 23.5 | 110.7 ± 26.3 | 61.7 ± 23.0 | 109.1 ± 27.0 | 61.6 ± 23.7 |
| ratio | Standard of Care | Evolocumab + SOC | Control in Parent Study: SOC | Control in Parent Study: Evolocumab + SOC | Evolocumab in Parent Study: SOC | Evolocumab in Parent Study: Evolocumab + SOC |
|---|---|---|---|---|---|---|
| Parent Study Baseline | 4.516 ± 1.617 | 4.386 ± 1.393 | 4.458 ± 1.345 | 4.388 ± 1.340 | 4.538 ± 1.708 | 4.386 ± 1.413 |
| Week 24 | 4.198 ± 1.536 | 2.603 ± 0.978 | 4.192 ± 1.408 | 2.594 ± 0.970 | 4.201 ± 1.584 | 2.607 ± 0.982 |
| Week 52 | 4.277 ± 1.652 | 2.626 ± 1.025 | 4.252 ± 1.434 | 2.622 ± 1.033 | 4.286 ± 1.733 | 2.628 ± 1.023 |
| ratio | Standard of Care | Evolocumab + SOC | Control in Parent Study: SOC | Control in Parent Study: Evolocumab + SOC | Evolocumab in Parent Study: SOC | Evolocumab in Parent Study: Evolocumab + SOC |
|---|---|---|---|---|---|---|
| Parent Study Baseline | 0.759 ± 0.237 | 0.739 ± 0.217 | 0.764 ± 0.201 | 0.735 ± 0.212 | 0.757 ± 0.249 | 0.741 ± 0.218 |
| Week 24 | 0.717 ± 0.242 | 0.386 ± 0.178 | 0.715 ± 0.222 | 0.385 ± 0.183 | 0.718 ± 0.250 | 0.387 ± 0.176 |
| Week 52 | 0.726 ± 0.256 | 0.394 ± 0.185 | 0.719 ± 0.216 | 0.393 ± 0.186 | 0.729 ± 0.271 | 0.394 ± 0.185 |
Collected over 52 weeks in the SOC-controlled period and up to 4 years in the All-IP period; median duration of treatment in the All-IP period was 46.9 months.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| SOC-controlled Period: SOC | 2/442 (0.5%) | 30/442 (6.8%) | 217/442 (49.1%) |
| SOC-controlled Period: Evolocumab + SOC | 1/882 (0.1%) | 72/882 (8.2%) | 513/882 (58.2%) |
| All-IP Period: SOC / Evolocumab | 3/398 (0.8%) | 78/398 (19.6%) | 311/398 (78.1%) |
| All-IP Period: Evolocumab + SOC / Evolocumab | 13/822 (1.6%) | 181/822 (22%) | 626/822 (76.2%) |
| All-IP Period: Total | 16/1,220 (1.3%) | 259/1,220 (21.2%) | 937/1,220 (76.8%) |
| Event | SOC-controlled Period: SOC | SOC-controlled Period: Evolocumab + SOC | All-IP Period: SOC / Evolocumab | All-IP Period: Evolocumab + SOC / Evolocumab | All-IP Period: Total |
|---|---|---|---|---|---|
| OsteoarthritisMusculoskeletal and connective tissue disorders | 1/442 | 3/882 | 5/398 | 9/822 | 14/1220 |
| Angina pectorisCardiac disorders | 2/442 | 4/882 | 1/398 | 9/822 | 10/1220 |
| Atrial fibrillationCardiac disorders | 1/442 | 1/882 | 2/398 | 7/822 | 9/1220 |
| Non-cardiac chest painGeneral disorders | 1/442 | 4/882 | 0/398 | 7/822 | 7/1220 |
| Chest painGeneral disorders | 1/442 | 4/882 | 1/398 | 6/822 | 7/1220 |
| Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 1/442 | 0/882 | 1/398 | 5/822 | 6/1220 |
| AppendicitisInfections and infestations | 1/442 | 5/882 | 2/398 | 3/822 | 5/1220 |
| Coronary artery diseaseCardiac disorders | 0/442 | 1/882 | 2/398 | 4/822 | 6/1220 |
| CataractEye disorders | 0/442 | 0/882 | 2/398 | 2/822 | 4/1220 |
| Inguinal herniaGastrointestinal disorders | 1/442 | 0/882 | 2/398 | 0/822 | 2/1220 |
| Event | SOC-controlled Period: SOC | SOC-controlled Period: Evolocumab + SOC | All-IP Period: SOC / Evolocumab | All-IP Period: Evolocumab + SOC / Evolocumab | All-IP Period: Total |
|---|---|---|---|---|---|
| NasopharyngitisInfections and infestations | 64/442 | 148/882 | 122/398 | 236/822 | 358/1220 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 18/442 | 59/882 | 63/398 | 109/822 | 172/1220 |
| Upper respiratory tract infectionInfections and infestations | 29/442 | 72/882 | 57/398 | 118/822 | 175/1220 |
| Back painMusculoskeletal and connective tissue disorders | 22/442 | 62/882 | 51/398 | 117/822 | 168/1220 |
| HypertensionVascular disorders | 20/442 | 52/882 | 40/398 | 99/822 | 139/1220 |
| InfluenzaInfections and infestations | 24/442 | 57/882 | 47/398 | 81/822 | 128/1220 |
| BronchitisInfections and infestations | 17/442 | 48/882 | 40/398 | 94/822 | 134/1220 |
| CoughRespiratory, thoracic and mediastinal disorders | 19/442 | 41/882 | 40/398 | 77/822 | 117/1220 |
| Pain in extremityMusculoskeletal and connective tissue disorders | 14/442 | 44/882 | 32/398 | 70/822 | 102/1220 |
| DiarrhoeaGastrointestinal disorders | 11/442 | 41/882 | 33/398 | 61/822 | 94/1220 |
The full analysis set included all randomized participants
| Age, Continuous(years) | Standard of Care | Evolocumab + SOC | Total |
|---|---|---|---|
| Mean | 57.6 ± 11.5 | 56.9 ± 11.6 | 57.1 ± 11.6 |
| Age, Customized(Participants) | Standard of Care | Evolocumab + SOC | Total |
|---|---|---|---|
| < 65 years | 307 | 632 | 939 |
| ≥ 65 years | 135 | 250 | 385 |
| Sex: Female, Male(Participants) | Standard of Care | Evolocumab + SOC | Total |
|---|---|---|---|
| Female | 241 | 459 | 700 |
| Male | 201 | 423 | 624 |
| Ethnicity (NIH/OMB)(Participants) | Standard of Care | Evolocumab + SOC | Total |
|---|---|---|---|
| Hispanic or Latino | 13 | 39 | 52 |
| Not Hispanic or Latino | 429 | 843 | 1272 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Race/Ethnicity, Customized(Participants) | Standard of Care | Evolocumab + SOC | Total |
|---|---|---|---|
| American Indian or Alaska Native | 3 | 1 | 4 |
| Asian | 87 | 168 | 255 |
| Black or African American | 24 | 54 | 78 |
| Native Hawaiian or Other Pacific Islander | 2 | 5 | 7 |
| White | 325 | 648 | 973 |
| Other | 1 | 4 | 5 |
| Mixed Race | 0 | 2 | 2 |
| Region(Participants) | Standard of Care | Evolocumab + SOC | Total |
|---|---|---|---|
| North America | 214 | 441 | 655 |
| Europe | 133 | 261 | 394 |
| Asia Pacific | 95 | 180 | 275 |
| Parent Study Baseline Low-density Lipoprotein Cholesterol (LDL-C) Concentration(mg/dL) | Standard of Care | Evolocumab + SOC | Total |
|---|---|---|---|
| Mean | 144.6 ± 37.4 | 139.7 ± 36.7 | 141.3 ± 37.0 |
| Stratification Factor: Parent Study Treatment Assignment(Participants) | Standard of Care | Evolocumab + SOC | Total |
|---|---|---|---|
| Evolocumab once monthly (QM) | 193 | 387 | 580 |
| Evolocumab every 2 weeks (Q2M) | 129 | 256 | 385 |
| No evolocumab | 120 | 239 | 359 |
Showing the first 100 of 187 sites across 18 countries.
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