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NCT01604824

A Study of Alirocumab in Participants With Autosomal Dominant Hypercholesterolemia (ADH) and Gain-of-Function Mutations (GOFm) of the Proprotein Convertase Subtilisin Kexin 9 (PCSK9) Gene or Loss-of-Function Mutations (LOFm) of the Apolipoprotein (Apo) B Gene

Completed Phase 2 Results posted Last updated 17 June 2020
What this trial tests

Phase 2 trial testing Alirocumab in Hypercholesterolemia in 23 participants. Completed in 28 July 2017.

Timeline
22 February 2012
Primary endpoint
2 June 2014
28 July 2017

Quick facts

Lead sponsorRegeneron Pharmaceuticals
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment23
Start date22 February 2012
Primary completion2 June 2014
Estimated completion28 July 2017
Sites4 locations across France, United States

Drugs / interventions tested

Conditions studied

Sponsor

Regeneron Pharmaceuticals — full company profile →

Who can join

Adults 18 to 70, 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.

Percent Change in Measured Serum Low-Density Lipoprotein Cholesterol (LDL-C) From Baseline to Day 15 Primary · Baseline to Day 15

By day 15, participants in groups A and C had received 1 subcutaneous (SC) dose of 150 mg alirocumab and participants in group B and D had received 1 SC dose of placebo. \[Baseline adjusted least squares (LS) means and standard errors were obtained using analysis of covariance (ANCOVA) model specifying the treatment arm as the fixed effect and the baseline measured LDL-C value as a covariate.\]

GroupValue95% CI
PCSK9 GOFm: Alirocumab From Day 1 (Cohort 1: Group A)-62.48± 8.217
PCSK9 GOFm: Alirocumab From Day 15 (Cohort 1: Group B)-8.77± 7.575
PCSK9 GOFm/ApoB LOFm: Alirocumab From Day1 (Cohort 2: Group C)-48.21± 7.660
PCSK9GOFm/ApoB LOFm: Alirocumab From Day 15(Cohort 2: Group D)-4.93± 7.660
Percent Change in Apolipoprotein (Apo) B100 From Baseline to Day 15 Secondary · Baseline to Day 15

Baseline adjusted LS means and standard errors were obtained using the same ANCOVA model as for primary endpoint specifying the treatment arm as the fixed effect and the parameter value as a covariate.

GroupValue95% CI
PCSK9 GOFm: Alirocumab From Day 1 (Cohort 1: Group A)-53.33± 8.678
PCSK9 GOFm: Alirocumab From Day 15 (Cohort 1: Group B)-3.78± 8.008
PCSK9 GOFm/ApoB LOFm: Alirocumab From Day1 (Cohort 2: Group C)-47.73± 7.547
PCSK9GOFm/ApoB LOFm: Alirocumab From Day 15(Cohort 2: Group D)-3.09± 7.547
Percent Change in Non High-Density Lipoprotein Cholesterol (Non-HDL-C) From Baseline to Day 15 Secondary · Baseline to Day 15
GroupValue95% CI
PCSK9 GOFm: Alirocumab From Day 1 (Cohort 1: Group A)-56.87± 8.217
PCSK9 GOFm: Alirocumab From Day 15 (Cohort 1: Group B)-7.50± 7.575
PCSK9 GOFm/ApoB LOFm: Alirocumab From Day1 (Cohort 2: Group C)-44.40± 7.357
PCSK9GOFm/ApoB LOFm: Alirocumab From Day 15(Cohort 2: Group D)-4.04± 7.357
Percent Change in Total Cholesterol (Total-C) From Baseline to Day 15 Secondary · Baseline to Day 15
GroupValue95% CI
PCSK9 GOFm: Alirocumab From Day 1 (Cohort 1: Group A)-36.94± 5.203
PCSK9 GOFm: Alirocumab From Day 15 (Cohort 1: Group B)-6.18± 4.802
PCSK9 GOFm/ApoB LOFm: Alirocumab From Day1 (Cohort 2: Group C)-29.40± 4.422
PCSK9GOFm/ApoB LOFm: Alirocumab From Day 15(Cohort 2: Group D)-7.18± 4.422
Percent Change in Apolipoprotein (Apo) B100/ ApoA-1 Ratio From Baseline to Day 15 Secondary · Baseline to Day 15
GroupValue95% CI
PCSK9 GOFm: Alirocumab From Day 1 (Cohort 1: Group A)-55.26± 7.188
PCSK9 GOFm: Alirocumab From Day 15 (Cohort 1: Group B)-5.53± 6.647
PCSK9 GOFm/ApoB LOFm: Alirocumab From Day1 (Cohort 2: Group C)-48.34± 8.090
PCSK9GOFm/ApoB LOFm: Alirocumab From Day 15(Cohort 2: Group D)0.99± 8.090

Adverse events — posted to ClinicalTrials.gov

Time frame: From the screening visit after the last alirocumab injection in the open-label period + 70 days through the end of study. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

PCSK9 GOFm: Alirocumab From Day 1 (Cohort 1: Group A)
Serious: 1/6 (17%)
Deaths: 0/6
PCSK9 GOFm: Alirocumab From Day 15 (Cohort 1: Group B)
Serious: 0/7 (0%)
Deaths: 0/7
PCSK9 GOFm/ApoB LOFm: Alirocumab From Day1 (Cohort 2: Group C)
Serious: 0/5 (0%)
Deaths: 0/5
PCSK9GOFm/ApoB LOFm: Alirocumab From Day 15(Cohort 2:Group D)
Serious: 0/5 (0%)
Deaths: 0/5
OLE Period: PCSK9 GOFm (Cohort 1) Group A & Group B
Serious: 3/11 (27%)
Deaths: 0/11
OLE Period: PCSK9 GOFm/ ApoB LOFm (Cohort 2) Group C & Group D
Serious: 0/10 (0%)
Deaths: 0/10

Serious adverse events (5 terms)

ReactionSystemPCSK9 GOFm: Alirocumab Fro…PCSK9 GOFm: Alirocumab Fro…PCSK9 GOFm/ApoB LOFm: Alir…PCSK9GOFm/ApoB LOFm: Aliro…OLE Period: PCSK9 GOFm (Co…OLE Period: PCSK9 GOFm/ Ap…
Chest painGeneral disorders
Angina unstableCardiac disorders
Myocardial ischaemiaCardiac disorders
Salivary gland disorderGastrointestinal disorders
ObesityMetabolism and nutrition disorders
Other adverse events (100 terms — click to expand)

ReactionSystemPCSK9 GOFm: Alirocumab Fro…PCSK9 GOFm: Alirocumab Fro…PCSK9 GOFm/ApoB LOFm: Alir…PCSK9GOFm/ApoB LOFm: Aliro…OLE Period: PCSK9 GOFm (Co…OLE Period: PCSK9 GOFm/ Ap…
Viral upper respiratory tract infectionInfections and infestations
Angina pectorisCardiac disorders
GastroenteritisInfections and infestations
RhinitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
AstheniaGeneral disorders
Urinary tract infectionInfections and infestations
VertigoEar and labyrinth disorders
Dry eyeEye disorders
Ocular hyperaemiaEye disorders
Abdominal discomfortGastrointestinal disorders
Abdominal distensionGastrointestinal disorders
Abdominal painGastrointestinal disorders
HaemorrhoidsGastrointestinal disorders
ConstipationGastrointestinal disorders
Chest painGeneral disorders
Herpes zosterInfections and infestations
InfluenzaInfections and infestations
Lower respiratory tract infectionInfections and infestations
NasopharyngitisInfections and infestations
Oral herpesInfections and infestations
PneumoniaInfections and infestations
Blood bilirubin increasedInvestigations
Haemoglobin decreasedInvestigations
Musculoskeletal painMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
MigraineNervous system disorders
Neuropathy peripheralNervous system disorders
ParaesthesiaNervous system disorders
SciaticaNervous system disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
EczemaSkin and subcutaneous tissue disorders
AcneSkin and subcutaneous tissue disorders
Raynaud's phenomenonVascular disorders
RashSkin and subcutaneous tissue disorders
Ear pruritusEar and labyrinth disorders

Most-reported serious reactions: Chest pain, Angina unstable, Myocardial ischaemia, Salivary gland disorder, Obesity.

Data from ClinicalTrials.gov NCT01604824 adverse events section.

Sponsor's own description

The primary objective of the study is to assess the pharmacodynamic (PD) effect of alirocumab on serum low density lipoprotein cholesterol (LDL-C) during 14 weeks of subcutaneous (SC) administered alirocumab in patients with autosomal dominant hypercholesterolemia (ADH) and gain-of-function mutation (GOFm) in 1 or both alleles of the proprotein convertase subtilisin/kexin type 9 (PCSK9) gene or with loss-of-function mutation (LOFm) in 1 or more alleles of the apolipoprotein (ApoB) gene.

Publications & conference data

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

  1. Characterization of Autosomal Dominant Hypercholesterolemia Caused by PCSK9 Gain of Function Mutations and Its Specific Treatment With Alirocumab, a PCSK9 Monoclonal Antibody.
    Hopkins PN, Defesche J, Fouchier SW, Bruckert E, et al · · 2015 · cited 86× · PMID 26374825 · DOI 10.1161/circgenetics.115.001129
  2. Pharmacokinetic and pharmacodynamic assessment of alirocumab in patients with familial hypercholesterolemia associated with proprotein convertase subtilisin/kexin type 9 gain-of-function or apolipoprotein B loss-of-function mutations.
    Hopkins PN, Krempf M, Bruckert E, Donahue S, et al · · 2019 · cited 9× · PMID 31767518 · DOI 10.1016/j.jacl.2019.10.007
  3. Efficacy and Safety of Alirocumab in Patients With Autosomal Dominant Hypercholesterolemia Associated With Proprotein Convertase Subtilisin/Kexin Type 9 Gain-of-Function or Apolipoprotein B Loss-of-Function Mutations.
    Krempf M, Hopkins PN, Bruckert E, Lee S, et al · · 2020 · cited 3× · PMID 31932084 · DOI 10.1016/j.amjcard.2019.12.028

Verify or expand the search:

Other trials of Alirocumab

Trials testing the same drug.

Other recruiting trials for Hypercholesterolemia

Currently open trials in the same condition.

Other Regeneron Pharmaceuticals trials

Trials by the same sponsor.

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Data sources for this page

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/NCT01604824.

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