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NCT01375777: MENDEL

Monoclonal Antibody Against PCSK9 to Reduce Elevated Low-density Lipoprotein Cholesterol (LDL-C) in Adults Currently Not Receiving Drug Therapy for Easing Lipid Levels

Completed Phase 2 Results posted Last updated 8 November 2022
What this trial tests

Phase 2 trial testing Evolocumab in Hyperlipidemia in 411 participants. Completed in 2 March 2012.

Timeline
6 July 2011
Primary endpoint
2 March 2012
2 March 2012

Quick facts

Lead sponsorAmgen
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment411
Start date6 July 2011
Primary completion2 March 2012
Estimated completion2 March 2012
Sites58 locations across Denmark, Belgium, Canada, Australia, United States

Drugs / interventions tested

Conditions studied

Sponsor

Amgen — full company profile →

Who can join

Adults 18 to 75, any sex, with Hyperlipidemia. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 12 Primary · Baseline and Week 12

LDL-C was measured using ultracentrifugation.

GroupValue95% CI
Placebo Q2W-3.71± 2.66
Placebo Q4W4.54± 2.64
Ezetimibe-14.26± 2.60
Evolocumab 70 mg Q2W-40.98± 2.64
Evolocumab 105 mg Q2W-43.87± 2.60
Evolocumab 140 mg Q2W-50.93± 2.66
Evolocumab 280 mg Q4W-39.02± 2.57
Evolocumab 350 mg Q4W-43.20± 2.57
Evolocumab 420 mg Q4W-47.98± 2.58
Change From Baseline in LDL-C at Week 12 Secondary · Baseline and Week 12

LDL-C was measured using ultracentrifugation.

GroupValue95% CI
Placebo Q2W-3.4± 3.9
Placebo Q4W7.3± 3.7
Ezetimibe-19.2± 3.6
Evolocumab 70 mg Q2W-55.7± 3.7
Evolocumab 105 mg Q2W-66.0± 3.7
Evolocumab 140 mg Q2W-69.3± 3.6
Evolocumab 280 mg Q4W-53.5± 3.6
Evolocumab 350 mg Q4W-56.7± 3.6
Evolocumab 420 mg Q4W-65.0± 3.6
Percent Change From Baseline in Non-High-Density Lipoprotein Cholesterol (Non-HDL-C) at Week 12 Secondary · Baseline and Week 12
GroupValue95% CI
Placebo Q2W-2.89± 2.40
Placebo Q4W-0.25± 2.30
Ezetimibe-15.53± 2.36
Evolocumab 70 mg Q2W-37.95± 2.38
Evolocumab 105 mg Q2W-39.68± 2.34
Evolocumab 140 mg Q2W-48.04± 2.40
Evolocumab 280 mg Q4W-37.94± 2.24
Evolocumab 350 mg Q4W-42.14± 2.24
Evolocumab 420 mg Q4W-47.36± 2.25
Percent Change From Baseline in Apolipoprotein B at Week 12 Secondary · Baseline and Week 12
GroupValue95% CI
Placebo Q2W-0.33± 2.28
Placebo Q4W0.19± 2.28
Ezetimibe-11.17± 2.19
Evolocumab 70 mg Q2W-32.66± 2.26
Evolocumab 105 mg Q2W-36.20± 2.23
Evolocumab 140 mg Q2W-44.52± 2.28
Evolocumab 280 mg Q4W-33.04± 2.21
Evolocumab 350 mg Q4W-37.73± 2.21
Evolocumab 420 mg Q4W-42.29± 2.22
Percent Change From Baseline in Total Cholesterol/HDL-C Ratio at Week 12 Secondary · Baseline and Week 12
GroupValue95% CI
Placebo Q2W-1.21± 2.17
Placebo Q4W-3.39± 2.11
Ezetimibe-16.65± 1.99
Evolocumab 70 mg Q2W-30.07± 2.15
Evolocumab 105 mg Q2W-33.13± 2.12
Evolocumab 140 mg Q2W-38.70± 2.17
Evolocumab 280 mg Q4W-32.07± 2.05
Evolocumab 350 mg Q4W-34.60± 2.05
Evolocumab 420 mg Q4W-39.97± 2.06
Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at Week 12 Secondary · Baseline and Week 12
GroupValue95% CI
Placebo Q2W2.03± 2.40
Placebo Q4W0.14± 2.46
Ezetimibe-12.35± 2.33
Evolocumab 70 mg Q2W-32.80± 2.38
Evolocumab 105 mg Q2W-38.30± 2.35
Evolocumab 140 mg Q2W-48.13± 2.40
Evolocumab 280 mg Q4W-36.10± 2.39
Evolocumab 350 mg Q4W-40.43± 2.39
Evolocumab 420 mg Q4W-45.33± 2.40

Adverse events — posted to ClinicalTrials.gov

Time frame: 12 weeks. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo Q2W
Serious: 0/45 (0%)
Deaths:
Placebo Q4W
Serious: 0/45 (0%)
Deaths:
Ezetimibe
Serious: 0/45 (0%)
Deaths:
Evolocumab 70 mg Q2W
Serious: 0/45 (0%)
Deaths:
Evolocumab 105 mg Q2W
Serious: 1/46 (2%)
Deaths:
Evolocumab 140 mg Q2W
Serious: 1/45 (2%)
Deaths:
Evolocumab 280 mg Q4W
Serious: 0/45 (0%)
Deaths:
Evolocumab 350 mg Q4W
Serious: 1/45 (2%)
Deaths:
Evolocumab 420 mg Q4W
Serious: 0/45 (0%)
Deaths:

Serious adverse events (3 terms)

ReactionSystemPlacebo Q2WPlacebo Q4WEzetimibeEvolocumab 70 mg Q2WEvolocumab 105 mg Q2WEvolocumab 140 mg Q2WEvolocumab 280 mg Q4WEvolocumab 350 mg Q4WEvolocumab 420 mg Q4W
AppendicitisInfections and infestations
Humerus fractureInjury, poisoning and procedural complications
IgA nephropathyRenal and urinary disorders
Other adverse events (10 terms — click to expand)

ReactionSystemPlacebo Q2WPlacebo Q4WEzetimibeEvolocumab 70 mg Q2WEvolocumab 105 mg Q2WEvolocumab 140 mg Q2WEvolocumab 280 mg Q4WEvolocumab 350 mg Q4WEvolocumab 420 mg Q4W
Upper respiratory tract infectionInfections and infestations
NasopharyngitisInfections and infestations
Back painMusculoskeletal and connective tissue disorders
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
FatigueGeneral disorders
Injection site indurationGeneral disorders
HeadacheNervous system disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Sinus congestionRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Appendicitis, Humerus fracture, IgA nephropathy.

Data from ClinicalTrials.gov NCT01375777 adverse events section.

Sponsor's own description

The primary objective was to evaluate the effect of 12 weeks of subcutaneous evolocumab (AMG 145) every 2 weeks (Q2W) or every 4 weeks (Q4W), compared with placebo, on the percent change from baseline in LDL-C when used as monotherapy in adults with hypercholesterolemia.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Efficacy, safety, and tolerability of a monoclonal antibody to proprotein convertase subtilisin/kexin type 9 as monotherapy in patients with hypercholesterolaemia (MENDEL): a randomised, double-blind, placebo-controlled, phase 2 study.
    Koren MJ, Scott R, Kim JB, Knusel B, et al · · 2012 · cited 271× · PMID 23141812 · DOI 10.1016/s0140-6736(12)61771-1
  2. Antibodies to watch in 2014.
    Reichert JM. · · 2014 · cited 82× · PMID 24284914 · DOI 10.4161/mabs.27333
  3. Effect of Evolocumab on Non-High-Density Lipoprotein Cholesterol, Apolipoprotein B, and Lipoprotein(a): A Pooled Analysis of Phase 2 and Phase 3 Studies.
    Toth PP, Jones SR, Monsalvo ML, Elliott-Davey M, et al · · 2020 · cited 28× · PMID 32114889 · DOI 10.1161/jaha.119.014129
  4. Efficacy and Safety of the PCSK9 Inhibitor Evolocumab in Patients with Mixed Hyperlipidemia.
    Rosenson RS, Jacobson TA, Preiss D, Djedjos CS, et al · · 2016 · cited 27× · PMID 27240673 · DOI 10.1007/s10557-016-6666-1
  5. Effect of evolocumab on cholesterol synthesis and absorption.
    Peach M, Xu R, Fitzpatrick D, Hamilton L, et al · · 2016 · cited 14× · PMID 27707817 · DOI 10.1194/jlr.p071704
  6. Effects of Evolocumab on Low-Density Lipoprotein Cholesterol, Non-High Density Lipoprotein Cholesterol, Apolipoprotein B, and Lipoprotein(a) by Race and Ethnicity: A Meta-Analysis of Individual Participant Data From Double-Blind and Open-Label Extension Studies.
    Daviglus ML, Ferdinand KC, López JAG, Wu Y, et al · · 2021 · cited 12× · PMID 33325247 · DOI 10.1161/jaha.120.016839
  7. Systemic evaluation of inclisiran on the risk of new-onset diabetes and hyperglycemia compared to evolocumab and atorvastatin.
    Li F, Ye H, Chen L, Ma Y, et al · · 2025 · cited 1× · PMID 40735483 · DOI 10.3389/fphar.2025.1554631
  8. Effects of Alirocumab and Evolocumab on Cardiovascular Mortality and LDL-C: Stratified According to the Baseline LDL-C Levels.
    Ma H, Ma W, Liu Y, Chen L, et al · · 2025 · cited 1× · PMID 40351695 · DOI 10.31083/rcm26980

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing