CClinicalTrials.gg
CompletedNCT01576484Updated Aug 5, 2020Results posted

Open-Label Extension of Study R727-CL-1003 (NCT01266876) to Evaluate the Long-Term Safety and Efficacy of Alirocumab (REGN727) in Participants With Heterozygous Familial Hypercholesterolemia (HeFH)

A Phase 2 interventional study of Alirocumab and Placebo Matched to Alirocumab in Hypercholesterolemia and Heterozygous Familial Hypercholesterolemia, sponsored by Regeneron Pharmaceuticals. Completed at 14 sites in 2 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2020-08-05.

Sponsored by Regeneron Pharmaceuticals · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
58
Allocation
Non-randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The primary objective of the study was to assess the long-term safety and tolerability of alirocumab in patients with heFH who were receiving concomitant treatment with hydroxymethyl glutaryl-coenzyme A (HMG-CoA) reductase inhibitors (statins), with or without other lipid-modifying therapies (LMTs).

02

Conditions studied

  • Hypercholesterolemia
  • Heterozygous Familial Hypercholesterolemia
03

In context

Hyperlipoproteinemia Type II

245 studies on the registry are indexed under Hyperlipoproteinemia Type II; 52 are open to participants now.

This study's enrollment of 58 is below the median of 86 across 170 interventional studies indexed under Hyperlipoproteinemia Type II.

Browse Hyperlipoproteinemia Type II studies →

Lead sponsor

Regeneron Pharmaceuticals is the lead sponsor of 400 studies on the registry; 91 are open to participants now.

Of its 120 completed or terminated interventional studies of FDA-regulated products, 77 (64%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  1. Prior participation in and the successful completion of the R727-CL-1003 study (NCT01266876).
  2. Patients must be on a stable daily statin regimen for at least 3 weeks before prior to entry into the study
  3. A negative urine pregnancy at the screening/baseline visit for women of childbearing potential

Key Exclusion Criteria:

  1. Reported a drug-related serious adverse event (SAE) or drug-related clinical or laboratory adverse event (AE) in the R727-CL-1003 study that resulted in early termination or withdrawal
  2. Significant protocol deviation in R727-CL-1003, such as non-compliance by the investigator or patient
  3. Low-density lipoprotein (LDL) apheresis within 12 months before the screening/baseline visit

Note: Other exclusion criteria applied

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
58 participants (actual)

Study arms

  • Placebo comparator
    Placebo Matched to Alirocumab

    Participants who received placebo in parent study (NCT01576484), has received a subcutaneous injection of placebo matched to alirocumab every 2 weeks for 4 years in this study.

    Drug: Placebo Matched to Alirocumab

  • Experimental
    Alirocumab 150 mg

    Participants who received alirocumab in parent study (NCT01576484), has received a subcutaneous injection of alirocumab 150 milligram (mg) every 2 weeks for 4 years in this study.

    Drug: Alirocumab

Interventions

  • DrugAlirocumab

    Alirocumab was supplied in a pre-filled syringe and administered subcutaneously (SC) in the abdomen, thigh, or outer upper arm; REGN727(SAR236553) is an anti-PCSK9 (proprotein convertase subtilisin/kexin type 9) antibody

    Also known as: REGN727, SAR236553, PRALUENT

  • DrugPlacebo Matched to Alirocumab

    Placebo matched to alirocumab was supplied in a pre-filled syringe and administered subcutaneously (SC) in the abdomen, thigh, or outer upper arm; REGN727(SAR236553) is an anti-PCSK9 (proprotein convertase subtilisin/kexin type 9) antibody

06

What researchers measure

Primary outcomes

  1. Number of Participants Who Experienced Treatment Emergent Adverse Events (TEAEs), Serious TEAEs and TEAEs Leading to Death

    An AE was defined as any untoward medical occurrence in a participant administered a study drug which may or may not have a causal relationship with the study drug. Treatment- emergent adverse events (TEAEs) were defined as AEs that developed or worsened or became serious during on- treatment period (time from the first dose of study drug to the last dose of study drug plus 70 days). A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in any of the following outcomes: death, life- threatening, required initial or prolonged in-patient hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect, or considered as medically important event. Any TEAE included participants with both serious and non-serious AEs.

    Time frame: Baseline (Day 1 of current study) to end of study (Week 218)

Secondary outcomes

  1. Percent Change in Low-density Lipoprotein Cholesterol (LDL-C) From Baseline in the Current Study to Week 24

    Percent change for serum LDL-C (Low-density lipoprotein cholesterol) from baseline to Week 24 during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study.

    Time frame: Baseline (current study) to Week 24

  2. Percent Change in Low Density Lipoprotein Cholesterol (LDL-C) From Baseline in Current Study to Week 12

    Percent change for serum LDL-C (Low-density lipoprotein cholesterol) from baseline to Week 12 during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study.

    Time frame: Baseline (current study) up to Week 12

  3. Percent Change in Apolipoprotein (Apo) B, Non-High Density Lipoprotein Cholesterol (HDL-C), and Total Cholesterol From Baseline in Current Study to Week 24

    Percent change for Apo B, Non-HDL-C and Total Cholesterol from baseline to Week 24 during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study.

    Time frame: Baseline(current study) up to Week 24

  4. Percent Change in Apolipoprotein (Apo) B, Non-High Density Lipoprotein Cholesterol (HDL-C), and Total Cholesterol From Baseline in Current Study to Week 12

    Percent change for serum Apo B, Non-HDL-C, and Total Cholesterol from baseline to Week 12 during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study.

    Time frame: Baseline (current study) up to Week 12

  5. Percent Change in Low Density Lipoprotein Cholesterol (LDL-C) From Baseline in Current Study to Week 52

    Percent change for serum LDL-C from baseline to Week 52 during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study.

    Time frame: Baseline (current study) up to Week 52

  6. Percentage of Participants With Low Density Lipoprotein Cholesterol (LDL-C) Less Than (<) 70 Milligrams Per Deciliter (mg/dL) for Prior Myocardial Infarction (MI)/Stroke, or <100 mg/dL [2.59 mmol/L] for Participants Without Prior MI/Stroke at Week 24

    Percentage of participants reaching LDL-C goal (ie, LDL-C \<70 mg/dL (1.81 millimoles per liter \[mmol/L\]) in case of prior MI/stroke, or \<100 mg/dL \[2.59 mmol/L\] for participants without prior MI/stroke) at week 24 during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study, were reported.

    Time frame: At Week 24

  7. Percent Change in Lipoprotein a (Lp[a]) at Week 24

    Percent change in serum lipoprotein a at week 24 during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study, was reported.

    Time frame: At Week 24

  8. Percent Change in High Density Lipoprotein Cholesterol (HDL-C) at Week 24 and Week 12

    Percent change for serum High Density Lipoprotein Cholesterol (HDL-C) in the current study at weeks 24 and week 12, during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study, was reported.

    Time frame: At Week 24 and 12

  9. Percent Change in Lipoprotein a at Week 12

    Percent change for serum Lipoprotein a at Week 12 during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study, was reported.

    Time frame: At Week 12

  10. Percent Change in Triglycerides (TG) at Week 24 and Week 12

    Percent change for serum TG at Week 24 and Week 12 during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study, was reported.

    Time frame: At Week 24 and 12

  11. Percent Change in Apolipoprotein A-1 (Apo A-1) at Week 24 and Week 12

    Percent change for serum Apo A-1 at Week 24 and Week 12 during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study, was reported.

    Time frame: At Week 24 and Week 12

  12. Percent Change in Low Density Lipoprotein Cholesterol (LDL-C) From Baseline in the Current Study to the End of Treatment

    Percent change for serum LDL-C from baseline to Week 208 during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study.

    Time frame: Baseline (current study) to the End of Treatment (Week 208)

  13. Percentage of Participants With Low Density Lipoprotein Cholesterol (LDL-C) Less Than (<) 70 Milligrams Per Deciliter (mg/dL) for Prior MI/Stroke, or <100 mg/dL [2.59 mmol/L] for Participants Without Prior MI/Stroke at Week 12, 52 and End of Treatment

    Percentage of participants reaching LDL-C goal (ie, LDL-C \<70 mg/dL (1.81 millimoles per liter \[mmol/L\]) in case of prior MI/stroke, or \<100 mg/dL \[2.59 mmol/L\] for participants without prior MI/stroke) at week 12, 52 and end of treatment, during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study, were reported.

    Time frame: At Week 12, 52 and End of Treatment (Week 208)

  14. Absolute Change in Low-density Lipoprotein Cholesterol (LDL-C) From Baseline in the Current Study to Weeks 12, 24, 52, and End of Treatment

    Absolute change was reported for serum LDL-C from baseline to weeks 12, 24, 52, and end of Treatment (Week 208) during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study.

    Time frame: Baseline (current study) to Weeks 12, 24, 52, and End of Treatment (Week 208)

  15. Percent Change in Apolipoprotein (Apo) B, Non-High Density Lipoprotein Cholesterol (HDL-C), Total Cholesterol, Lipoprotein a (Lp[a]), HDL-C, Triglycerides, and Apolipoprotein A-1 From Baseline in Current Study to Week 52 and End of Treatment

    Percent change was reported for serum (Apo B), non-HDL-C, total-C, Lp(a), HDL-C, TG, and Apo A-1 from baseline to weeks 52 and end of treatment (Week 208) during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study.

    Time frame: Baseline (current study) up to Weeks 52 and End of Treatment (Week 208)

  16. Change in Ratio in Apolipoprotein (Apo) B/Apo A-1 From Baseline in Current Study to Week 12, 24, 52, and End of Treatment.

    Change in ratio in Apolipoprotein (Apo) B/Apo A-1 from baseline in current Study to week 12, 24, 52, and end of treatment (Week 208) during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study.

    Time frame: Baseline (current study) to Weeks 12, 24, 52, and End of Treatment (Week 208)

  17. Percentage of Participants With Apolipoprotein (Apo) B <80 mg/dL at Week 12, 24, 52, and End of Treatment

    Percentage of participants was calculated with Apo B \<80 mg/dL (0.8 mmol/L) at week 12, 24, 52, and End of Treatment (Week 208) during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study.

    Time frame: At Week 12, 24, 52, and End of Treatment (Week 208)

  18. Percentage of Participants With Non-High Density Lipoprotein Cholesterol (HDL-C) <100 mg/dL (2.59 mmol/L) at Week 12, 24, 52, and End of Treatment

    Percentage of participants was calculated with non-HDL-C \<100 mg/dL (2.59 mmol/L) at Weeks 12, 24, 52, and End of Treatment (Week 208) during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study.

    Time frame: At Week 12, 24, 52, and End of Treatment (Week 208)

  19. Percentage of Participants With Low Density Lipoprotein Cholesterol (LDL-C) Less Than (<) 70 Milligrams Per Deciliter (mg/dL) and/or ≥ 50% Reduction in LDL-C (if LDL-C >70 mg/dL [1.81 mmol/L]) at Week 12, 24, 52, and End of Treatment

    Percentage of Participants was calculated with LDL-C \<70 mg/dL (1.81 mmol/L) and/or ≥ 50% Reduction in LDL-C (if LDL-C \>70 mg/dL \[1.81 mmol/L\]) at Weeks 12, 24, 52, and End of Treatment (Week 208) during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study.

    Time frame: At Week 12, 24, 52, and End of Treatment (Week 208)

07

Results

Posted Aug 5, 2020

Participant flow

The study was conducted at 15 sites in the United States and Canada between 28 Feb 2012 and 22 Dec 2016. A total of 59 participants were screened in the study.

Participant flow — Overall Study
MilestonePlacebo Participants in Parent StudyParticipants Previously Exposed to Alirocumab in Parent Study
Started1246
Completed727
Not completed519
Withdrew: Adverse event11
Withdrew: Protocol violation02
Withdrew: Sponsor decision28
Withdrew: Withdrawal by subject03
Withdrew: Other25

Outcome measures

PrimaryNumber of Participants Who Experienced Treatment Emergent Adverse Events (TEAEs), Serious TEAEs and TEAEs Leading to Death

An AE was defined as any untoward medical occurrence in a participant administered a study drug which may or may not have a causal relationship with the study drug. Treatment- emergent adverse events (TEAEs) were defined as AEs that developed or worsened or became serious during on- treatment period (time from the first dose of study drug to the last dose of study drug plus 70 days). A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in any of the following outcomes: death, life- threatening, required initial or prolonged in-patient hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect, or considered as medically important event. Any TEAE included participants with both serious and non-serious AEs.

Time frame:
Baseline (Day 1 of current study) to end of study (Week 218)
Reported as:
Count of participants · Participants
Number of Participants Who Experienced Treatment Emergent Adverse Events (TEAEs), Serious TEAEs and TEAEs Leading to Death
ParticipantsPlacebo Participants in Parent StudyParticipants Previously Exposed to Alirocumab in Parent StudyAll Participants
Adverse Events124254
Serious Adverse Events4812
Adverse Events Leading to Death000
SecondaryPercent Change in Low-density Lipoprotein Cholesterol (LDL-C) From Baseline in the Current Study to Week 24

Percent change for serum LDL-C (Low-density lipoprotein cholesterol) from baseline to Week 24 during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study.

Time frame:
Baseline (current study) to Week 24
Reported as:
Mean · percent change
Percent Change in Low-density Lipoprotein Cholesterol (LDL-C) From Baseline in the Current Study to Week 24
percent changePlacebo Participants in Parent StudyParticipants Previously Exposed to Alirocumab in Parent StudyAll Participants
Percent Change in Low-density Lipoprotein Cholesterol (LDL-C) From Baseline in the Current Study to Week 24-73.15 ± 15.01-63.40 ± 22.04-65.35 ± 21.07
SecondaryPercent Change in Low Density Lipoprotein Cholesterol (LDL-C) From Baseline in Current Study to Week 12

Percent change for serum LDL-C (Low-density lipoprotein cholesterol) from baseline to Week 12 during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study.

Time frame:
Baseline (current study) up to Week 12
Reported as:
Mean · percent change
Percent Change in Low Density Lipoprotein Cholesterol (LDL-C) From Baseline in Current Study to Week 12
percent changePlacebo Participants in Parent StudyParticipants Previously Exposed to Alirocumab in Parent StudyAll Participants
Percent Change in Low Density Lipoprotein Cholesterol (LDL-C) From Baseline in Current Study to Week 12-55.93 ± 29.53-63.94 ± 23.35-62.22 ± 24.73
SecondaryPercent Change in Apolipoprotein (Apo) B, Non-High Density Lipoprotein Cholesterol (HDL-C), and Total Cholesterol From Baseline in Current Study to Week 24

Percent change for Apo B, Non-HDL-C and Total Cholesterol from baseline to Week 24 during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study.

Time frame:
Baseline(current study) up to Week 24
Reported as:
Mean · percent change
Percent Change in Apolipoprotein (Apo) B, Non-High Density Lipoprotein Cholesterol (HDL-C), and Total Cholesterol From Baseline in Current Study to Week 24
percent changePlacebo Participants in Parent StudyParticipants Previously Exposed to Alirocumab in Parent StudyAll Participants
Apo B-52.23 ± 20.30-50.52 ± 18.18-50.86 ± 18.43
Non-HDL-C-56.75 ± 21.80-55.43 ± 20.97-55.71 ± 20.95
Total cholesterol-42.72 ± 15.30-41.47 ± 16.37-41.74 ± 16.02
SecondaryPercent Change in Apolipoprotein (Apo) B, Non-High Density Lipoprotein Cholesterol (HDL-C), and Total Cholesterol From Baseline in Current Study to Week 12

Percent change for serum Apo B, Non-HDL-C, and Total Cholesterol from baseline to Week 12 during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study.

Time frame:
Baseline (current study) up to Week 12
Reported as:
Mean · percent change
Percent Change in Apolipoprotein (Apo) B, Non-High Density Lipoprotein Cholesterol (HDL-C), and Total Cholesterol From Baseline in Current Study to Week 12
percent changePlacebo Participants in Parent StudyParticipants Previously Exposed to Alirocumab in Parent StudyAll Participants
Apo- B-40.69 ± 30.46-48.78 ± 20.24-47.16 ± 22.56
Non-HDL- C-47.81 ± 32.92-54.97 ± 22.85-53.44 ± 25.18
Total Cholesterol-36.78 ± 24.88-40.47 ± 16.93-39.68 ± 18.72
SecondaryPercent Change in Low Density Lipoprotein Cholesterol (LDL-C) From Baseline in Current Study to Week 52

Percent change for serum LDL-C from baseline to Week 52 during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study.

Time frame:
Baseline (current study) up to Week 52
Reported as:
Mean · percent change
Percent Change in Low Density Lipoprotein Cholesterol (LDL-C) From Baseline in Current Study to Week 52
percent changePlacebo Participants in Parent StudyParticipants Previously Exposed to Alirocumab in Parent StudyAll Participants
Percent Change in Low Density Lipoprotein Cholesterol (LDL-C) From Baseline in Current Study to Week 52-54.57 ± 26.20-55.67 ± 34.41-55.43 ± 32.53
SecondaryPercentage of Participants With Low Density Lipoprotein Cholesterol (LDL-C) Less Than (<) 70 Milligrams Per Deciliter (mg/dL) for Prior Myocardial Infarction (MI)/Stroke, or <100 mg/dL [2.59 mmol/L] for Participants Without Prior MI/Stroke at Week 24

Percentage of participants reaching LDL-C goal (ie, LDL-C \<70 mg/dL (1.81 millimoles per liter \[mmol/L\]) in case of prior MI/stroke, or \<100 mg/dL \[2.59 mmol/L\] for participants without prior MI/stroke) at week 24 during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study, were reported.

Time frame:
At Week 24
Reported as:
Number · Percentage of Participants
Percentage of Participants With Low Density Lipoprotein Cholesterol (LDL-C) Less Than (<) 70 Milligrams Per Deciliter (mg/dL) for Prior Myocardial Infarction (MI)/Stroke, or <100 mg/dL [2.59 mmol/L] for Participants Without Prior MI/Stroke at Week 24
Percentage of ParticipantsPlacebo Participants in Parent StudyParticipants Previously Exposed to Alirocumab in Parent StudyAll Participants
Percentage of Participants With Low Density Lipoprotein Cholesterol (LDL-C) Less Than (<) 70 Milligrams Per Deciliter (mg/dL) for Prior Myocardial Infarction (MI)/Stroke, or <100 mg/dL [2.59 mmol/L] for Participants Without Prior MI/Stroke at Week 24100.0090.9192.73
SecondaryPercent Change in Lipoprotein a (Lp[a]) at Week 24

Percent change in serum lipoprotein a at week 24 during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study, was reported.

Time frame:
At Week 24
Reported as:
Mean · percent change
Percent Change in Lipoprotein a (Lp[a]) at Week 24
percent changePlacebo Participants in Parent StudyParticipants Previously Exposed to Alirocumab in Parent StudyAll Participants
Percent Change in Lipoprotein a (Lp[a]) at Week 24-27.91 ± 23.62-29.41 ± 25.01-29.11 ± 24.53
SecondaryPercent Change in High Density Lipoprotein Cholesterol (HDL-C) at Week 24 and Week 12

Percent change for serum High Density Lipoprotein Cholesterol (HDL-C) in the current study at weeks 24 and week 12, during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study, was reported.

Time frame:
At Week 24 and 12
Reported as:
Mean · percent change
Percent Change in High Density Lipoprotein Cholesterol (HDL-C) at Week 24 and Week 12
percent changePlacebo Participants in Parent StudyParticipants Previously Exposed to Alirocumab in Parent StudyAll Participants
Week 242.61 ± 15.757.14 ± 16.046.17 ± 15.94
Week 121.46 ± 14.0810.43 ± 15.988.51 ± 15.91
SecondaryPercent Change in Lipoprotein a at Week 12

Percent change for serum Lipoprotein a at Week 12 during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study, was reported.

Time frame:
At Week 12
Reported as:
Mean · percent change
Percent Change in Lipoprotein a at Week 12
percent changePlacebo Matched to R727Participants Previously Exposed to Alirocumab in Parent StudyAll Participants
Percent Change in Lipoprotein a at Week 12-20.30 ± 24.10-26.98 ± 22.71-25.64 ± 22.92
SecondaryPercent Change in Triglycerides (TG) at Week 24 and Week 12

Percent change for serum TG at Week 24 and Week 12 during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study, was reported.

Time frame:
At Week 24 and 12
Reported as:
Mean · percent change
Percent Change in Triglycerides (TG) at Week 24 and Week 12
percent changePlacebo Participants in Parent StudyParticipants Previously Exposed to Alirocumab in Parent StudyAll Participants
Week 240.19 ± 54.71-2.01 ± 41.22-1.54 ± 43.91
Week 12-6.40 ± 46.110.52 ± 34.17-0.96 ± 36.69
SecondaryPercent Change in Apolipoprotein A-1 (Apo A-1) at Week 24 and Week 12

Percent change for serum Apo A-1 at Week 24 and Week 12 during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study, was reported.

Time frame:
At Week 24 and Week 12
Reported as:
Mean · percent change
Percent Change in Apolipoprotein A-1 (Apo A-1) at Week 24 and Week 12
percent changePlacebo Participants in Parent StudyParticipants Previously Exposed to Alirocumab in Parent StudyAll Participants
Week 245.41 ± 11.964.78 ± 11.204.91 ± 11.24
Week 1211.10 ± 11.438.64 ± 10.999.13 ± 11.02
SecondaryPercent Change in Low Density Lipoprotein Cholesterol (LDL-C) From Baseline in the Current Study to the End of Treatment

Percent change for serum LDL-C from baseline to Week 208 during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study.

Time frame:
Baseline (current study) to the End of Treatment (Week 208)
Reported as:
Mean · percent change
Percent Change in Low Density Lipoprotein Cholesterol (LDL-C) From Baseline in the Current Study to the End of Treatment
percent changePlacebo Participants in Parent StudyParticipants Previously Exposed to Alirocumab in Parent StudyAll Participants
Percent Change in Low Density Lipoprotein Cholesterol (LDL-C) From Baseline in the Current Study to the End of Treatment-52.20 ± 16.86-58.46 ± 23.51-57.36 ± 22.15
SecondaryPercentage of Participants With Low Density Lipoprotein Cholesterol (LDL-C) Less Than (<) 70 Milligrams Per Deciliter (mg/dL) for Prior MI/Stroke, or <100 mg/dL [2.59 mmol/L] for Participants Without Prior MI/Stroke at Week 12, 52 and End of Treatment

Percentage of participants reaching LDL-C goal (ie, LDL-C \<70 mg/dL (1.81 millimoles per liter \[mmol/L\]) in case of prior MI/stroke, or \<100 mg/dL \[2.59 mmol/L\] for participants without prior MI/stroke) at week 12, 52 and end of treatment, during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study, were reported.

Time frame:
At Week 12, 52 and End of Treatment (Week 208)
Reported as:
Number · percentage of participants
Percentage of Participants With Low Density Lipoprotein Cholesterol (LDL-C) Less Than (<) 70 Milligrams Per Deciliter (mg/dL) for Prior MI/Stroke, or <100 mg/dL [2.59 mmol/L] for Participants Without Prior MI/Stroke at Week 12, 52 and End of Treatment
percentage of participantsPlacebo Participants in Parent StudyParticipants Previously Exposed to Alirocumab in Parent StudyAll Participants
Week 1283.3390.9189.29
Week 5275.0083.3381.48
End of Treatment (Week 208)10085.7188.24
SecondaryAbsolute Change in Low-density Lipoprotein Cholesterol (LDL-C) From Baseline in the Current Study to Weeks 12, 24, 52, and End of Treatment

Absolute change was reported for serum LDL-C from baseline to weeks 12, 24, 52, and end of Treatment (Week 208) during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study.

Time frame:
Baseline (current study) to Weeks 12, 24, 52, and End of Treatment (Week 208)
Reported as:
Mean · Milligram per Deciliter (mg/dL)
Absolute Change in Low-density Lipoprotein Cholesterol (LDL-C) From Baseline in the Current Study to Weeks 12, 24, 52, and End of Treatment
Milligram per Deciliter (mg/dL)Placebo Participants in Parent StudyParticipants Previously Exposed to Alirocumab in Parent StudyAll Participants
Week 12-92.0 ± 54.3-96.8 ± 44.7-95.8 ± 46.4
Week 24-113.2 ± 24.9-95.3 ± 40.0-98.9 ± 37.9
Week 52-87.0 ± 44.5-83.8 ± 58.6-84.5 ± 55.4
Week 208-80.3 ± 38.7-78.1 ± 33.6-78.5 ± 33.2
SecondaryPercent Change in Apolipoprotein (Apo) B, Non-High Density Lipoprotein Cholesterol (HDL-C), Total Cholesterol, Lipoprotein a (Lp[a]), HDL-C, Triglycerides, and Apolipoprotein A-1 From Baseline in Current Study to Week 52 and End of Treatment

Percent change was reported for serum (Apo B), non-HDL-C, total-C, Lp(a), HDL-C, TG, and Apo A-1 from baseline to weeks 52 and end of treatment (Week 208) during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study.

Time frame:
Baseline (current study) up to Weeks 52 and End of Treatment (Week 208)
Reported as:
Mean · percent change
Percent Change in Apolipoprotein (Apo) B, Non-High Density Lipoprotein Cholesterol (HDL-C), Total Cholesterol, Lipoprotein a (Lp[a]), HDL-C, Triglycerides, and Apolipoprotein A-1 From Baseline in Current Study to Week 52 and End of Treatment
percent changePlacebo Participants in Parent StudyParticipants Previously Exposed to Alirocumab in Parent StudyAll Participants
Apo B : Week 52-43.04 ± 25.60-45.17 ± 28.51-44.73 ± 27.71
Apo B : Week 208-45.02 ± 17.58-48.07 ± 18.61-47.53 ± 17.93
Non- HDL-C: Week 52-47.10 ± 27.26-48.60 ± 31.71-48.27 ± 30.54
Non- HDL-C: Week 208-43.29 ± 17.98-50.34 ± 21.40-49.10 ± 20.50
Total -C : Week 52-35.09 ± 19.16-36.41 ± 24.89-36.11 ± 23.57
Total -C : Week 208-35.33 ± 11.92-37.01 ± 16.59-36.72 ± 15.55
Lp-(a): Week 52-24.77 ± 25.14-22.91 ± 30.33-23.30 ± 29.11
Lp-(a): Week 208-23.92 ± 39.92-31.29 ± 30.20-29.99 ± 30.80
HDL-C: Week 525.40 ± 17.647.74 ± 14.217.22 ± 14.89
HDL-C: Week 208-9.83 ± 12.494.94 ± 11.252.34 ± 12.49
TG : Week 52-6.04 ± 41.12-3.84 ± 40.25-4.33 ± 40.07
TG : Week 20816.69 ± 28.93-5.28 ± 23.05-1.40 ± 24.71
Apo A-1 : Week 526.76 ± 10.823.90 ± 10.804.49 ± 10.76
Apo A-1 : Week 208-1.46 ± 4.489.53 ± 7.457.59 ± 8.14
SecondaryChange in Ratio in Apolipoprotein (Apo) B/Apo A-1 From Baseline in Current Study to Week 12, 24, 52, and End of Treatment.

Change in ratio in Apolipoprotein (Apo) B/Apo A-1 from baseline in current Study to week 12, 24, 52, and end of treatment (Week 208) during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study.

Time frame:
Baseline (current study) to Weeks 12, 24, 52, and End of Treatment (Week 208)
Reported as:
Mean · Ratio
Change in Ratio in Apolipoprotein (Apo) B/Apo A-1 From Baseline in Current Study to Week 12, 24, 52, and End of Treatment.
RatioPlacebo Participants in Parent StudyParticipants Previously Exposed to Alirocumab in Parent StudyAll Participants
Change at Week 12-0.397 ± 0.234-0.456 ± 0.230-0.444 ± 0.230
Change at Week 24-0.450 ± 0.162-0.460 ± 0.211-0.458 ± 0.201
Change at Week 52-0.385 ± 0.210-0.416 ± 0.295-0.410 ± 0.278
Change at Week 208-0.330 ± 0.165-0.402 ± 0.164-0.389 ± 0.161
SecondaryPercentage of Participants With Apolipoprotein (Apo) B <80 mg/dL at Week 12, 24, 52, and End of Treatment

Percentage of participants was calculated with Apo B \<80 mg/dL (0.8 mmol/L) at week 12, 24, 52, and End of Treatment (Week 208) during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study.

Time frame:
At Week 12, 24, 52, and End of Treatment (Week 208)
Reported as:
Number · percentage of participants
Percentage of Participants With Apolipoprotein (Apo) B <80 mg/dL at Week 12, 24, 52, and End of Treatment
percentage of participantsPlacebo Participants in Parent StudyParticipants Previously Exposed to Alirocumab in Parent StudyAll Participants
Week 1266.6779.5576.79
Week 2491.6781.8283.93
Week 5266.6773.8172.22
Week 208100.0085.7188.24
SecondaryPercentage of Participants With Non-High Density Lipoprotein Cholesterol (HDL-C) <100 mg/dL (2.59 mmol/L) at Week 12, 24, 52, and End of Treatment

Percentage of participants was calculated with non-HDL-C \<100 mg/dL (2.59 mmol/L) at Weeks 12, 24, 52, and End of Treatment (Week 208) during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study.

Time frame:
At Week 12, 24, 52, and End of Treatment (Week 208)
Reported as:
Number · percentage of participants
Percentage of Participants With Non-High Density Lipoprotein Cholesterol (HDL-C) <100 mg/dL (2.59 mmol/L) at Week 12, 24, 52, and End of Treatment
percentage of participantsPlacebo Participants in Parent StudyParticipants Previously Exposed to Alirocumab in Parent StudyAll Participants
Week 1258.3375.0071.43
Week 2491.6781.8283.93
Week 5258.3373.8170.37
Week 20866.6778.5776.47
SecondaryPercentage of Participants With Low Density Lipoprotein Cholesterol (LDL-C) Less Than (<) 70 Milligrams Per Deciliter (mg/dL) and/or ≥ 50% Reduction in LDL-C (if LDL-C >70 mg/dL [1.81 mmol/L]) at Week 12, 24, 52, and End of Treatment

Percentage of Participants was calculated with LDL-C \<70 mg/dL (1.81 mmol/L) and/or ≥ 50% Reduction in LDL-C (if LDL-C \>70 mg/dL \[1.81 mmol/L\]) at Weeks 12, 24, 52, and End of Treatment (Week 208) during the efficacy treatment period, which is defined as the time from the first study drug injection up to 21 days after the last study drug injection in the current study.

Time frame:
At Week 12, 24, 52, and End of Treatment (Week 208)
Reported as:
Number · percentage of participants
Percentage of Participants With Low Density Lipoprotein Cholesterol (LDL-C) Less Than (<) 70 Milligrams Per Deciliter (mg/dL) and/or ≥ 50% Reduction in LDL-C (if LDL-C >70 mg/dL [1.81 mmol/L]) at Week 12, 24, 52, and End of Treatment
percentage of participantsPlacebo Participants in Parent StudyParticipants Previously Exposed to Alirocumab in Parent StudyAll Participants
Week 1266.6786.3682.14
Week 24100.0081.8285.45
Week 5275.0073.8174.07
Week 20866.6785.7182.35

Adverse events

Collected over All Adverse Events (AE) were collected from signature of the informed consent form up to the final visit (Week 218) regardless of seriousness or relationship to investigational product.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo Participants in Parent Study0/12 (0%)4/12 (33.3%)12/12 (100%)
Participants Previously Exposed to Alirocumab in Parent Study0/46 (0%)8/46 (17.4%)38/46 (82.6%)
Most frequent serious events
Showing 10 of 14
Most frequent serious events
EventPlacebo Participants in Parent StudyParticipants Previously Exposed to Alirocumab in Parent Study
Aortic valve stenosisCardiac disorders1/120/46
Intestinal obstructionGastrointestinal disorders1/120/46
AmnesiaNervous system disorders1/120/46
Carotid artery diseaseNervous system disorders1/120/46
Neuropsychiatric symptomsPsychiatric disorders1/120/46
Angina unstableCardiac disorders0/121/46
Atrial fibrillationCardiac disorders0/121/46
Atrial flutterCardiac disorders0/121/46
Coronary artery diseaseCardiac disorders0/121/46
Colitis ischaemicGastrointestinal disorders0/121/46
Most frequent other events
Showing 10 of 107
Most frequent other events
EventPlacebo Participants in Parent StudyParticipants Previously Exposed to Alirocumab in Parent Study
Injection site bruisingGeneral disorders5/126/46
Upper respiratory tract infectionInfections and infestations4/1213/46
ArthralgiaMusculoskeletal and connective tissue disorders3/128/46
NasopharyngitisInfections and infestations2/1211/46
BronchitisInfections and infestations2/1210/46
HeadacheNervous system disorders1/1210/46
Back painMusculoskeletal and connective tissue disorders0/129/46
MyalgiaMusculoskeletal and connective tissue disorders1/128/46
DiarrhoeaGastrointestinal disorders2/126/46
FatigueGeneral disorders2/123/46

Baseline characteristics

The safety analysis set consisted of 58 patients (46 patients who previously received alirocumab and 12 patients who previously received placebo).

Age, Continuous
Age, Continuous(Years)Placebo Participants in Parent StudyParticipants Previously Exposed to Alirocumab in Parent StudyTotal
Mean54.9 ± 9.754.3 ± 9.454.4 ± 9.4
Sex: Female, Male
Sex: Female, Male(Participants)Placebo Participants in Parent StudyParticipants Previously Exposed to Alirocumab in Parent StudyTotal
Female61420
Male63238
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Placebo Participants in Parent StudyParticipants Previously Exposed to Alirocumab in Parent StudyTotal
Hispanic or Latino224
Not Hispanic or Latino104454
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Placebo Participants in Parent StudyParticipants Previously Exposed to Alirocumab in Parent StudyTotal
American Indian or Alaska Native000
Asian101
Native Hawaiian or Other Pacific Islander000
Black or African American022
White114455
More than one race000
Unknown or Not Reported000
08

Study locations

14 sites
  • Mission Viejo, California, United States
  • Newport Beach, California, United States
  • Thousand Oaks, California, United States
  • Miami, Florida, United States
  • Port Orange, Florida, United States
  • Kansas City, Kansas, United States
  • Auburn, Maine, United States
  • Saint Louis, Missouri, United States
  • Durham, North Carolina, United States
  • Cincinnati, Ohio, United States
  • Houston, Texas, United States
  • Chicoutimi, Quebec, Canada
  • Montreal, Quebec, Canada
  • Sainte-Foy, Quebec, Canada
09

References and documents

Publications

  • Dufour R, Bergeron J, Gaudet D, Weiss R, Hovingh GK, Qing Z, Yang F, Andisik M, Torri A, Pordy R, Gipe DA. Open-label therapy with alirocumab in patients with heterozygous familial hypercholesterolemia: Results from three years of treatment. Int J Cardiol. 2017 Feb 1;228:754-760. doi: 10.1016/j.ijcard.2016.11.046. Epub 2016 Nov 9. PubMed 27886619 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 5, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01576484
Lead sponsor
Regeneron Pharmaceuticals
Collaborators
Sanofi
Responsible party
Sponsor
First posted
Apr 12, 2012
Start date
Feb 28, 2012
Primary completion
Dec 22, 2016
Completion
Dec 22, 2016
Results posted
Aug 5, 2020
Last update
Aug 5, 2020

Study contacts

Clinical Trial Management
study director · Regeneron Pharmaceuticals

Oversight

Data monitoring committee
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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