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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01763918
Registration number
NCT01763918
Ethics application status
Date submitted
7/01/2013
Date registered
9/01/2013
Date last updated
17/06/2019
Titles & IDs
Public title
Reduction of LDL-C With PCSK9 Inhibition in Heterozygous Familial Hypercholesterolemia Disorder Study-2
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Scientific title
A Double-blind, Randomized, Placebo-controlled, Multicenter Study to Evaluate Safety, Tolerability and Efficacy of AMG 145 on LDL-C in Subjects With Heterozygous Familial Hypercholesterolemia
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Secondary ID [1]
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2012-001365-32
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Secondary ID [2]
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20110117
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Universal Trial Number (UTN)
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Trial acronym
RUTHERFORD-2
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hyperlipidemia
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Condition category
Condition code
Metabolic and Endocrine
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Other metabolic disorders
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Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - Evolocumab
Treatment: Drugs - Placebo
Placebo comparator: Placebo Q2W - Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks.
Placebo comparator: Placebo QM - Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks.
Experimental: Evolocumab Q2W - Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks.
Experimental: Evolocumab QM - Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks.
Treatment: Other: Evolocumab
Administered by subcutaneous injection
Treatment: Drugs: Placebo
Administered by subcutaneous injection
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Intervention code [1]
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Treatment: Other
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Intervention code [2]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Percent Change From Baseline in LDL-C at Week 12
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Assessment method [1]
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Timepoint [1]
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Baseline and Week 12
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Primary outcome [2]
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Percent Change From Baseline in LDL-C at the Mean of Weeks 10 and 12
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Assessment method [2]
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Timepoint [2]
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Baseline and Weeks 10 and 12
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Secondary outcome [1]
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Change From Baseline in LDL-C at the Mean of Weeks 10 and 12
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Assessment method [1]
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Timepoint [1]
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Baseline and Weeks 10 and 12
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Secondary outcome [2]
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Change From Baseline in LDL-C at Week 12
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Assessment method [2]
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Timepoint [2]
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Baseline and Week 12
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Secondary outcome [3]
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Percentage of Participants With Mean LDL-C at Weeks 10 and 12 of Less Than 70 mg/dL (1.8 mmol/L)
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Assessment method [3]
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Timepoint [3]
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Weeks 10 and 12
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Secondary outcome [4]
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Percentage of Participants With LDL-C < 70 mg/dL (1.8 mmol/L) at Week 12
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Assessment method [4]
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Timepoint [4]
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Week 12
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Secondary outcome [5]
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Percent Change From Baseline in Non-High-Density Lipoprotein Cholesterol (Non-HDL-C) at the Mean of Weeks 10 and 12
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Assessment method [5]
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Timepoint [5]
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Baseline and Weeks 10 and 12
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Secondary outcome [6]
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Percent Change From Baseline in Non-HDL-C at Week 12
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Assessment method [6]
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Timepoint [6]
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Baseline and Week 12
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Secondary outcome [7]
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Percent Change From Baseline in Apolipoprotein B at the Mean of Weeks 10 and 12
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Assessment method [7]
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Timepoint [7]
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Baseline and Weeks 10 and 12
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Secondary outcome [8]
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Percent Change From Baseline in Apolipoprotein B at Week 12
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Assessment method [8]
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Timepoint [8]
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Baseline and Week 12
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Secondary outcome [9]
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Percent Change From Baseline in the Total Cholesterol/HDL-C Ratio at the Mean of Weeks 10 and 12
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Assessment method [9]
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Timepoint [9]
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Baseline and Weeks 10 and 12
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Secondary outcome [10]
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Percent Change From Baseline in the Total Cholesterol/HDL-C Ratio at Week 12
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Assessment method [10]
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Timepoint [10]
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Baseline and Week 12
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Secondary outcome [11]
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Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at the Mean of Weeks 10 and 12
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Assessment method [11]
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Timepoint [11]
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Baseline and Weeks 10 and 12
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Secondary outcome [12]
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Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at Week 12
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Assessment method [12]
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Timepoint [12]
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Baseline and Week 12
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Secondary outcome [13]
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Percent Change From Baseline in Lipoprotein (a) at the Mean of Weeks 10 and 12
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Assessment method [13]
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Timepoint [13]
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Baseline and Weeks 10 and 12
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Secondary outcome [14]
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Percent Change From Baseline in Lipoprotein (a) at Week 12
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Assessment method [14]
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Timepoint [14]
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Baseline and Week 12
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Secondary outcome [15]
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Percent Change From Baseline in Triglycerides at the Mean of Weeks 10 and 12
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Assessment method [15]
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Timepoint [15]
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Baseline and Weeks 10 and 12
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Secondary outcome [16]
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Percent Change From Baseline in Triglycerides at Week 12
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Assessment method [16]
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Timepoint [16]
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Baseline and Week 12
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Secondary outcome [17]
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Percent Change From Baseline in HDL-C at the Mean of Weeks 10 and 12
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Assessment method [17]
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Timepoint [17]
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Baseline and Weeks 10 and 12
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Secondary outcome [18]
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Percent Change From Baseline in HDL-C at Week 12
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Assessment method [18]
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Timepoint [18]
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Baseline and Week 12
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Secondary outcome [19]
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Percent Change From Baseline in Very Low-Density Lipoprotein Cholesterol (VLDL-C) at the Mean of Weeks 10 and 12
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Assessment method [19]
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Timepoint [19]
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Baseline and Weeks 10 and 12
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Secondary outcome [20]
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Percent Change From Baseline in VLDL-C at Week 12
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Assessment method [20]
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Timepoint [20]
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Baseline and Week 12
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Eligibility
Key inclusion criteria
* Male or female = 18 to = 80 years of age
* Diagnosis of heterozygous familial hypercholesterolemia
* On a stable dose of an approved statin and lipid regulating medication
* Fasting LDL-C = 100 mg/dL (2.6 mmol/L)
* Fasting triglycerides = 400 mg/dL (4.5 mmol/L)
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Homozygous familial hypercholesterolemia
* LDL or plasma apheresis
* New York Heart Association (NYHA) III or IV heart failure
* Uncontrolled cardiac arrhythmia
* Uncontrolled hypertension
* Type 1 diabetes, poorly controlled type 2 diabetes
* Uncontrolled hypothyroidism or hyperthyroidism
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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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
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
7/02/2013
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
19/12/2013
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Sample size
Target
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Accrual to date
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Final
331
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Recruitment in Australia
Recruitment state(s)
NSW,WA
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Recruitment hospital [1]
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Research Site - Camperdown
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Recruitment hospital [2]
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Research Site - Perth
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Recruitment postcode(s) [1]
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2015 - Camperdown
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Recruitment postcode(s) [2]
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6000 - Perth
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Recruitment outside Australia
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United States of America
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Arizona
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United States of America
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Ohio
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Canada
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British Columbia
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Canada
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Ontario
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Canada
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Quebec
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France
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Bron
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France
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Nantes Cedex 1
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France
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Paris Cedex 13
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Germany
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Köln
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Hong Kong
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New Territories
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Netherlands
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Amersfoort
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Netherlands
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Amsterdam
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Netherlands
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Gouda
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Netherlands
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Groningen
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Netherlands
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Hoorn
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Netherlands
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Tilburg
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Netherlands
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Utrecht
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New Zealand
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Christchurch
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Norway
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Oslo
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South Africa
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Gauteng
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South Africa
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Western Cape
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Spain
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Andalucía
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Spain
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Aragón
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Spain
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Cataluña
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Spain
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Madrid
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Sweden
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Stockholm
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Switzerland
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Reinach
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United Kingdom
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Coventry
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United Kingdom
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London
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United Kingdom
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Manchester
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Amgen
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
The primary objective was to evaluate the effect of 12 weeks of evolocumab subcutaneously once every 2 weeks (Q2W) and once monthly (QM), compared with placebo, on percent change from baseline in low-density lipoprotein cholesterol (LDL-C) in adults with heterozygous familial hypercholesterolemia (HeFH).
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Trial website
https://clinicaltrials.gov/study/NCT01763918
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Trial related presentations / publications
Toth PP, Descamps O, Genest J, Sattar N, Preiss D, Dent R, Djedjos C, Wu Y, Geller M, Uhart M, Somaratne R, Wasserman SM; PROFICIO Investigators. Pooled Safety Analysis of Evolocumab in Over 6000 Patients From Double-Blind and Open-Label Extension Studies. Circulation. 2017 May 9;135(19):1819-1831. doi: 10.1161/CIRCULATIONAHA.116.025233. Epub 2017 Mar 1. Kuchimanchi M, Grover A, Emery MG, Somaratne R, Wasserman SM, Gibbs JP, Doshi S. Population pharmacokinetics and exposure-response modeling and simulation for evolocumab in healthy volunteers and patients with hypercholesterolemia. J Pharmacokinet Pharmacodyn. 2018 Jun;45(3):505-522. doi: 10.1007/s10928-018-9592-y. Epub 2018 May 7. Kasichayanula S, Grover A, Emery MG, Gibbs MA, Somaratne R, Wasserman SM, Gibbs JP. Clinical Pharmacokinetics and Pharmacodynamics of Evolocumab, a PCSK9 Inhibitor. Clin Pharmacokinet. 2018 Jul;57(7):769-779. doi: 10.1007/s40262-017-0620-7. Wasserman SM, Sabatine MS, Koren MJ, Giugliano RP, Legg JC, Emery MG, Doshi S, Liu T, Somaratne R, Gibbs JP. Comparison of LDL-C Reduction Using Different Evolocumab Doses and Intervals: Biological Insights and Treatment Implications. J Cardiovasc Pharmacol Ther. 2018 Sep;23(5):423-432. doi: 10.1177/1074248418774043. Epub 2018 May 16. Raal FJ, Stein EA, Dufour R, Turner T, Civeira F, Burgess L, Langslet G, Scott R, Olsson AG, Sullivan D, Hovingh GK, Cariou B, Gouni-Berthold I, Somaratne R, Bridges I, Scott R, Wasserman SM, Gaudet D; RUTHERFORD-2 Investigators. PCSK9 inhibition with evolocumab (AMG 145) in heterozygous familial hypercholesterolaemia (RUTHERFORD-2): a randomised, double-blind, placebo-controlled trial. Lancet. 2015 Jan 24;385(9965):331-40. doi: 10.1016/S0140-6736(14)61399-4. Epub 2014 Oct 1. Shapiro MD, Minnier J, Tavori H, Kassahun H, Flower A, Somaratne R, Fazio S. Relationship Between Low-Density Lipoprotein Cholesterol and Lipoprotein(a) Lowering in Response to PCSK9 Inhibition With Evolocumab. J Am Heart Assoc. 2019 Feb 19;8(4):e010932. doi: 10.1161/JAHA.118.010932. Stroes E, Robinson JG, Raal FJ, Dufour R, Sullivan D, Kassahun H, Ma Y, Wasserman SM, Koren MJ. Consistent LDL-C response with evolocumab among patient subgroups in PROFICIO: A pooled analysis of 3146 patients from phase 3 studies. Clin Cardiol. 2018 Oct;41(10):1328-1335. doi: 10.1002/clc.23049. Epub 2018 Oct 21.
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Public notes
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Contacts
Principal investigator
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MD
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Address
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Amgen
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Contact person for public queries
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT01763918
Download to PDF