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NCT01439880: OSLER

Open Label Study of Long Term Evaluation Against LDL-C Trial

Completed Phase 2 Results posted Last updated 21 September 2022
What this trial tests

Phase 2 trial testing Evolocumab in Hypercholesterolemia in 1,324 participants. Completed in 20 June 2018.

Timeline
7 October 2011
Primary endpoint
20 June 2018
20 June 2018

Quick facts

Lead sponsorAmgen
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment1,324
Start date7 October 2011
Primary completion20 June 2018
Estimated completion20 June 2018
Sites187 locations across Denmark, Hong Kong, Finland, Japan, Netherlands, South Africa, Belgium, Sweden

Drugs / interventions tested

Conditions studied

Sponsor

Amgen — full company profile →

Who can join

Adults 18 to 75, any sex, with Hypercholesterolemia. 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.

Number of Participants With Adverse Events Primary · 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.

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.

All adverse events
GroupValue95% CI
SOC-controlled Period: Standard of Care327
SOC-controlled Period: Evolocumab + SOC728
All-IP Period: SOC / Evolocumab + SOC342
All-IP Period: Evolocumab + SOC / Evolocumab + SOC718
Adverse events ≥ grade 3
GroupValue95% CI
SOC-controlled Period: Standard of Care46
SOC-controlled Period: Evolocumab + SOC99
All-IP Period: SOC / Evolocumab + SOC111
All-IP Period: Evolocumab + SOC / Evolocumab + SOC229
Adverse events ≥ grade 4
GroupValue95% CI
SOC-controlled Period: Standard of Care2
SOC-controlled Period: Evolocumab + SOC11
All-IP Period: SOC / Evolocumab + SOC8
All-IP Period: Evolocumab + SOC / Evolocumab + SOC28
Serious adverse events
GroupValue95% CI
SOC-controlled Period: Standard of Care30
SOC-controlled Period: Evolocumab + SOC72
All-IP Period: SOC / Evolocumab + SOC76
All-IP Period: Evolocumab + SOC / Evolocumab + SOC172
AEs leading to discontinuation of evolocumab
GroupValue95% CI
SOC-controlled Period: Standard of Care0
SOC-controlled Period: Evolocumab + SOC28
All-IP Period: SOC / Evolocumab + SOC16
All-IP Period: Evolocumab + SOC / Evolocumab + SOC27
Fatal adverse events
GroupValue95% CI
SOC-controlled Period: Standard of Care0
SOC-controlled Period: Evolocumab + SOC0
All-IP Period: SOC / Evolocumab + SOC1
All-IP Period: Evolocumab + SOC / Evolocumab + SOC3
Low-density Lipoprotein Cholesterol (LDL-C) Level at Week 24 and Week 52 Secondary · Baseline of parent study and extension study weeks 24 and 52
Parent Study Baseline
GroupValue95% CI
Standard of Care144.6± 37.4
Evolocumab + SOC139.7± 36.7
Control in Parent Study: SOC147.7± 34.3
Control in Parent Study: Evolocumab + SOC139.5± 33.6
Evolocumab in Parent Study: SOC143.4± 38.5
Evolocumab in Parent Study: Evolocumab + SOC139.8± 37.8
Week 24
GroupValue95% CI
Standard of Care136.9± 41.5
Evolocumab + SOC64.1± 33.3
Control in Parent Study: SOC142.5± 44.7
Control in Parent Study: Evolocumab + SOC63.9± 34.6
Evolocumab in Parent Study: SOC134.8± 40.2
Evolocumab in Parent Study: Evolocumab + SOC64.2± 32.9
Week 52
GroupValue95% CI
Standard of Care140.5± 40.0
Evolocumab + SOC65.0± 34.4
Control in Parent Study: SOC143.1± 39.8
Control in Parent Study: Evolocumab + SOC64.1± 33.2
Evolocumab in Parent Study: SOC139.4± 40.1
Evolocumab in Parent Study: Evolocumab + SOC65.3± 34.9
Non-high-density Lipoprotein Cholesterol (Non-HDL-C) Level at Week 24 and Week 52 Secondary · Baseline of parent study and extension study weeks 24 and 52
Parent Study Baseline
GroupValue95% CI
Standard of Care170.7± 43.0
Evolocumab + SOC165.1± 40.9
Control in Parent Study: SOC173.8± 39.6
Control in Parent Study: Evolocumab + SOC165.5± 38.9
Evolocumab in Parent Study: SOC169.6± 44.2
Evolocumab in Parent Study: Evolocumab + SOC165.0± 41.7
Week 24
GroupValue95% CI
Standard of Care161.4± 45.5
Evolocumab + SOC84.3± 37.7
Control in Parent Study: SOC166.9± 47.5
Control in Parent Study: Evolocumab + SOC84.3± 39.0
Evolocumab in Parent Study: SOC159.4± 44.6
Evolocumab in Parent Study: Evolocumab + SOC84.3± 37.3
Week 52
GroupValue95% CI
Standard of Care164.9± 44.5
Evolocumab + SOC85.3± 39.0
Control in Parent Study: SOC168.8± 45.3
Control in Parent Study: Evolocumab + SOC85.0± 38.4
Evolocumab in Parent Study: SOC163.4± 44.1
Evolocumab in Parent Study: Evolocumab + SOC85.4± 39.2
Apolipoprotein B Level at Week 24 and Week 52 Secondary · Baseline of parent study and extension study weeks 24 and 52
Parent Study Baseline
GroupValue95% CI
Standard of Care113.2± 25.3
Evolocumab + SOC110.4± 23.8
Control in Parent Study: SOC115.4± 23.1
Control in Parent Study: Evolocumab + SOC110.3± 22.4
Evolocumab in Parent Study: SOC112.4± 26.0
Evolocumab in Parent Study: Evolocumab + SOC110.4± 24.3
Week 24
GroupValue95% CI
Standard of Care107.9± 26.3
Evolocumab + SOC60.8± 23.3
Control in Parent Study: SOC110.5± 27.0
Control in Parent Study: Evolocumab + SOC60.7± 23.9
Evolocumab in Parent Study: SOC106.9± 26.0
Evolocumab in Parent Study: Evolocumab + SOC60.9± 23.1
Week 52
GroupValue95% CI
Standard of Care109.5± 26.8
Evolocumab + SOC61.6± 23.5
Control in Parent Study: SOC110.7± 26.3
Control in Parent Study: Evolocumab + SOC61.7± 23.0
Evolocumab in Parent Study: SOC109.1± 27.0
Evolocumab in Parent Study: Evolocumab + SOC61.6± 23.7
Total Cholesterol/HDL-C Ratio at Week 24 and Week 52 Secondary · Baseline of parent study and extension study weeks 24 and 52
Parent Study Baseline
GroupValue95% CI
Standard of Care4.516± 1.617
Evolocumab + SOC4.386± 1.393
Control in Parent Study: SOC4.458± 1.345
Control in Parent Study: Evolocumab + SOC4.388± 1.340
Evolocumab in Parent Study: SOC4.538± 1.708
Evolocumab in Parent Study: Evolocumab + SOC4.386± 1.413
Week 24
GroupValue95% CI
Standard of Care4.198± 1.536
Evolocumab + SOC2.603± 0.978
Control in Parent Study: SOC4.192± 1.408
Control in Parent Study: Evolocumab + SOC2.594± 0.970
Evolocumab in Parent Study: SOC4.201± 1.584
Evolocumab in Parent Study: Evolocumab + SOC2.607± 0.982
Week 52
GroupValue95% CI
Standard of Care4.277± 1.652
Evolocumab + SOC2.626± 1.025
Control in Parent Study: SOC4.252± 1.434
Control in Parent Study: Evolocumab + SOC2.622± 1.033
Evolocumab in Parent Study: SOC4.286± 1.733
Evolocumab in Parent Study: Evolocumab + SOC2.628± 1.023
Apolipoprotein B/Apolipoprotein A1 Ratio at Week 24 and Week 52 Secondary · Baseline of parent study and extension study weeks 24 and 52
Parent Study Baseline
GroupValue95% CI
Standard of Care0.759± 0.237
Evolocumab + SOC0.739± 0.217
Control in Parent Study: SOC0.764± 0.201
Control in Parent Study: Evolocumab + SOC0.735± 0.212
Evolocumab in Parent Study: SOC0.757± 0.249
Evolocumab in Parent Study: Evolocumab + SOC0.741± 0.218
Week 24
GroupValue95% CI
Standard of Care0.717± 0.242
Evolocumab + SOC0.386± 0.178
Control in Parent Study: SOC0.715± 0.222
Control in Parent Study: Evolocumab + SOC0.385± 0.183
Evolocumab in Parent Study: SOC0.718± 0.250
Evolocumab in Parent Study: Evolocumab + SOC0.387± 0.176
Week 52
GroupValue95% CI
Standard of Care0.726± 0.256
Evolocumab + SOC0.394± 0.185
Control in Parent Study: SOC0.719± 0.216
Control in Parent Study: Evolocumab + SOC0.393± 0.186
Evolocumab in Parent Study: SOC0.729± 0.271
Evolocumab in Parent Study: Evolocumab + SOC0.394± 0.185

Adverse events — posted to ClinicalTrials.gov

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

SOC-controlled Period: SOC
Serious: 30/442 (7%)
Deaths: 2/442
SOC-controlled Period: Evolocumab + SOC
Serious: 72/882 (8%)
Deaths: 1/882
All-IP Period: SOC / Evolocumab
Serious: 78/398 (20%)
Deaths: 3/398
All-IP Period: Evolocumab + SOC / Evolocumab
Serious: 181/822 (22%)
Deaths: 13/822
All-IP Period: Total
Serious: 259/1220 (21%)
Deaths: 16/1220

Serious adverse events (345 terms)

ReactionSystemSOC-controlled Period: SOCSOC-controlled Period: Evo…All-IP Period: SOC / Evolo…All-IP Period: Evolocumab …All-IP Period: Total
OsteoarthritisMusculoskeletal and connective tissue disorders
Angina pectorisCardiac disorders
Atrial fibrillationCardiac disorders
Chest painGeneral disorders
Non-cardiac chest painGeneral disorders
Coronary artery diseaseCardiac disorders
PneumoniaInfections and infestations
Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
CholelithiasisHepatobiliary disorders
AppendicitisInfections and infestations
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
CataractEye disorders
Cholecystitis acuteHepatobiliary disorders
BronchitisInfections and infestations
PyelonephritisInfections and infestations
Urinary tract infectionInfections and infestations
Femur fractureInjury, poisoning and procedural complications
Wrist fractureInjury, poisoning and procedural complications
Back painMusculoskeletal and connective tissue disorders
Spinal column stenosisMusculoskeletal and connective tissue disorders
SyncopeNervous system disorders
NephrolithiasisRenal and urinary disorders
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Other adverse events (23 terms — click to expand)

ReactionSystemSOC-controlled Period: SOCSOC-controlled Period: Evo…All-IP Period: SOC / Evolo…All-IP Period: Evolocumab …All-IP Period: Total
NasopharyngitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
HypertensionVascular disorders
BronchitisInfections and infestations
InfluenzaInfections and infestations
CoughRespiratory, thoracic and mediastinal disorders
Pain in extremityMusculoskeletal and connective tissue disorders
SinusitisInfections and infestations
DiarrhoeaGastrointestinal disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders
OsteoarthritisMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
DizzinessNervous system disorders
CystitisInfections and infestations
ContusionInjury, poisoning and procedural complications
Muscle spasmsMusculoskeletal and connective tissue disorders
FatigueGeneral disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
NauseaGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
Procedural painInjury, poisoning and procedural complications

Most-reported serious reactions: Osteoarthritis, Angina pectoris, Atrial fibrillation, Chest pain, Non-cardiac chest pain, Coronary artery disease, Pneumonia, Breast cancer.

Data from ClinicalTrials.gov NCT01439880 adverse events section.

Sponsor's own description

The primary clinical hypothesis is that long-term exposure of evolocumab (AMG 145) will be safe and well tolerated in adults with hypercholesterolemia.

Publications & conference data

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

  1. Efficacy and safety of evolocumab in reducing lipids and cardiovascular events.
    Sabatine MS, Giugliano RP, Wiviott SD, Raal FJ, et al · · 2015 · cited 1125× · PMID 25773607 · DOI 10.1056/nejmoa1500858
  2. Efficacy, safety, and tolerability of a monoclonal antibody to proprotein convertase subtilisin/kexin type 9 in combination with a statin in patients with hypercholesterolaemia (LAPLACE-TIMI 57): a randomised, placebo-controlled, dose-ranging, phase 2 study.
    Giugliano RP, Desai NR, Kohli P, Rogers WJ, et al · · 2012 · cited 329× · PMID 23141813 · DOI 10.1016/s0140-6736(12)61770-x
  3. Efficacy and safety of longer-term administration of evolocumab (AMG 145) in patients with hypercholesterolemia: 52-week results from the Open-Label Study of Long-Term Evaluation Against LDL-C (OSLER) randomized trial.
    Koren MJ, Giugliano RP, Raal FJ, Sullivan D, et al · · 2014 · cited 162× · PMID 24255061 · DOI 10.1161/circulationaha.113.007012
  4. Long-Term Efficacy and Safety of Evolocumab in Patients With Hypercholesterolemia.
    Koren MJ, Sabatine MS, Giugliano RP, Langslet G, et al · · 2019 · cited 105× · PMID 31648705 · DOI 10.1016/j.jacc.2019.08.1024
  5. Long-term Low-Density Lipoprotein Cholesterol-Lowering Efficacy, Persistence, and Safety of Evolocumab in Treatment of Hypercholesterolemia: Results Up to 4 Years From the Open-Label OSLER-1 Extension Study.
    Koren MJ, Sabatine MS, Giugliano RP, Langslet G, et al · · 2017 · cited 101× · PMID 28291870 · DOI 10.1001/jamacardio.2017.0747
  6. Antibodies to watch in 2014.
    Reichert JM. · · 2014 · cited 82× · PMID 24284914 · DOI 10.4161/mabs.27333
  7. PCSK9 monoclonal antibodies for the primary and secondary prevention of cardiovascular disease.
    Schmidt AF, Pearce LS, Wilkins JT, Overington JP, et al · · 2017 · cited 78× · PMID 28453187 · DOI 10.1002/14651858.cd011748.pub2
  8. PCSK9 monoclonal antibodies for the primary and secondary prevention of cardiovascular disease.
    Schmidt AF, Carter JL, Pearce LS, Wilkins JT, et al · · 2020 · cited 56× · PMID 33078867 · DOI 10.1002/14651858.cd011748.pub3

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01439880.

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