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NCT02662569: BERSON

Safety and Efficacy of Evolocumab in Combination With Statin Therapy in Adults With Diabetes and Hyperlipidemia or Mixed Dyslipidemia

Completed Phase 3 Results posted Last updated 11 January 2019
What this trial tests

Phase 3 trial testing Evolocumab in Diabetes, Hyperlipidemia, Mixed Dyslipidemia in 986 participants. Completed in 6 December 2017.

Timeline
14 April 2016
Primary endpoint
6 December 2017
6 December 2017

Quick facts

Lead sponsorAmgen
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment986
Start date14 April 2016
Primary completion6 December 2017
Estimated completion6 December 2017
Sites110 locations across France, Colombia, Russia, South Korea, Argentina, Canada, China, United States

Drugs / interventions tested

Conditions studied

Sponsor

Amgen — full company profile →

Who can join

Adults 18 to 80, any sex, with Diabetes, Hyperlipidemia, Mixed Dyslipidemia. 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 LDL-C at the Mean of Weeks 10 and 12 Primary · Baseline and weeks 10 and 12
GroupValue95% CI
Placebo Q2W4.94± 3.48
Placebo QM0.99± 3.31
Evolocumab Q2W-65.35± 3.09
Evolocumab QM-69.05± 2.96
Percent Change From Baseline in LDL-C at Week 12 Primary · Baseline and week 12
GroupValue95% CI
Placebo Q2W7.10± 3.66
Placebo QM2.63± 3.41
Evolocumab Q2W-64.66± 3.20
Evolocumab QM-62.30± 3.02
Change From Baseline in LDL-C at the Mean of Weeks 10 and 12 Secondary · Baseline and weeks 10 and 12
GroupValue95% CI
Placebo Q2W-2.1± 4.1
Placebo QM-8.8± 4.0
Evolocumab Q2W-64.6± 3.6
Evolocumab QM-71.9± 3.6
Change From Baseline in LDL-C at Week 12 Secondary · Baseline and week 12
GroupValue95% CI
Placebo Q2W-0.3± 4.2
Placebo QM-7.3± 4.1
Evolocumab Q2W-63.9± 3.7
Evolocumab QM-66.1± 3.7
Percent Change From Baseline in Non-HDL-C at the Mean of Weeks 10 and 12 Secondary · Baseline and weeks 10 and 12
GroupValue95% CI
Placebo Q2W4.33± 3.05
Placebo QM0.33± 2.95
Evolocumab Q2W-56.57± 2.70
Evolocumab QM-59.08± 2.63
Percent Change From Baseline in Non-HDL-C at Week 12 Secondary · Baseline and week 12
GroupValue95% CI
Placebo Q2W5.87± 3.20
Placebo QM1.30± 3.03
Evolocumab Q2W-55.76± 2.79
Evolocumab QM-52.92± 2.69
Percent Change From Baseline in Apolipoprotein B100 at the Mean of Weeks 10 and 12 Secondary · Baseline and weeks 10 and 12
GroupValue95% CI
Placebo Q2W1.97± 3.31
Placebo QM-1.52± 2.99
Evolocumab Q2W-54.96± 3.07
Evolocumab QM-56.37± 2.72
Percent Change From Baseline in Apolipoprotein B100 at Week 12 Secondary · Baseline and week 12
GroupValue95% CI
Placebo Q2W3.17± 3.42
Placebo QM-0.26± 3.03
Evolocumab Q2W-53.90± 3.14
Evolocumab QM-49.68± 2.75
Percent Change From Baseline in Total Cholesterol at the Mean of Weeks 10 and 12 Secondary · Baseline and weeks 10 and 12
GroupValue95% CI
Placebo Q2W2.89± 2.30
Placebo QM-0.25± 2.18
Evolocumab Q2W-38.64± 2.04
Evolocumab QM-39.74± 1.95
Percent Change From Baseline in Total Cholesterol at Week 12 Secondary · Baseline and week 12
GroupValue95% CI
Placebo Q2W4.40± 2.40
Placebo QM0.67± 2.24
Evolocumab Q2W-37.82± 2.10
Evolocumab QM-35.22± 1.99
Percent Change From Baseline in Total Cholesterol/HDL-C Ratio at the Mean of Weeks 10 and 12 Secondary · Baseline and weeks 10 and 12
GroupValue95% CI
Placebo Q2W3.03± 2.38
Placebo QM-2.03± 2.41
Evolocumab Q2W-41.06± 2.11
Evolocumab QM-45.70± 2.17
Percent Change From Baseline in Total Cholesterol/HDL-C Ratio at Week 12 Secondary · Baseline and week 12
GroupValue95% CI
Placebo Q2W3.22± 2.49
Placebo QM-1.22± 2.47
Evolocumab Q2W-40.72± 2.18
Evolocumab QM-41.78± 2.21

Adverse events — posted to ClinicalTrials.gov

Time frame: From the first dose of study drug to 30 days after last dose; up to 14 weeks.. Reporting threshold: 2%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo Q2W
Serious: 6/164 (4%)
Deaths: 0/164
Placebo QM
Serious: 5/160 (3%)
Deaths: 0/160
Evolocumab Q2W
Serious: 10/325 (3%)
Deaths: 0/325
Evolocumab QM
Serious: 22/332 (7%)
Deaths: 0/332

Serious adverse events (40 terms)

ReactionSystemPlacebo Q2WPlacebo QMEvolocumab Q2WEvolocumab QM
Type 2 diabetes mellitusMetabolism and nutrition disorders
Atrial fibrillationCardiac disorders
Cerebral infarctionNervous system disorders
Acute coronary syndromeCardiac disorders
Angina pectorisCardiac disorders
Angina unstableCardiac disorders
Coronary artery diseaseCardiac disorders
CataractEye disorders
ColitisGastrointestinal disorders
Gastric ulcerGastrointestinal disorders
OesophagitisGastrointestinal disorders
Small intestinal obstructionGastrointestinal disorders
CystGeneral disorders
Herpes zoster cutaneous disseminatedInfections and infestations
Lung infectionInfections and infestations
PeriodontitisInfections and infestations
PneumoniaInfections and infestations
TonsillitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
Urinary tract infectionInfections and infestations
Humerus fractureInjury, poisoning and procedural complications
Lower limb fractureInjury, poisoning and procedural complications
Diabetic ketoacidosisMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
Intervertebral disc protrusionMusculoskeletal and connective tissue disorders
Other adverse events (7 terms — click to expand)

ReactionSystemPlacebo Q2WPlacebo QMEvolocumab Q2WEvolocumab QM
Diabetes mellitusMetabolism and nutrition disorders
Upper respiratory tract infectionInfections and infestations
NasopharyngitisInfections and infestations
HypertensionVascular disorders
CoughRespiratory, thoracic and mediastinal disorders
HypoglycaemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Type 2 diabetes mellitus, Atrial fibrillation, Cerebral infarction, Acute coronary syndrome, Angina pectoris, Angina unstable, Coronary artery disease, Cataract.

Data from ClinicalTrials.gov NCT02662569 adverse events section.

Sponsor's own description

The primary objective of this study was to evaluate the effect of 12 weeks of subcutaneous evolocumab (AMG 145) in combination with statin therapy (atorvastatin) on percent change from baseline in low-density lipoprotein cholesterol (LDL-C) in diabetic adults with hyperlipidemia or mixed dyslipidemia.

Publications & conference data

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

  1. Targeting proprotein convertase subtilisin/kexin type 9 (PCSK9): from bench to bedside.
    Bao X, Liang Y, Chang H, Cai T, et al · · 2024 · cited 101× · PMID 38185721 · DOI 10.1038/s41392-023-01690-3
  2. PCSK9 Inhibitors in Lipid Management of Patients With Diabetes Mellitus and High Cardiovascular Risk: A Review.
    Handelsman Y, Lepor NE. · · 2018 · cited 49× · PMID 29934421 · DOI 10.1161/jaha.118.008953
  3. Network Meta-Analysis of Randomized Trials Evaluating the Comparative Efficacy of Lipid-Lowering Therapies Added to Maximally Tolerated Statins for the Reduction of Low-Density Lipoprotein Cholesterol.
    Toth PP, Bray S, Villa G, Palagashvili T, et al · · 2022 · cited 35× · PMID 36073669 · DOI 10.1161/jaha.122.025551
  4. Randomised study of evolocumab in patients with type 2 diabetes and dyslipidaemia on background statin: Primary results of the BERSON clinical trial.
    Lorenzatti AJ, Eliaschewitz FG, Chen Y, Lu J, et al · · 2019 · cited 29× · PMID 30821053 · DOI 10.1111/dom.13680
  5. 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
  6. Randomized study of evolocumab in patients with type 2 diabetes and dyslipidaemia on background statin: Pre-specified analysis of the Chinese population from the BERSON clinical trial.
    Chen Y, Yuan Z, Lu J, Eliaschewitz FG, et al · · 2019 · cited 28× · PMID 30851062 · DOI 10.1111/dom.13700
  7. Effects of evolocumab in individuals with type 2 diabetes with and without atherogenic dyslipidemia: An analysis from BANTING and BERSON.
    Lorenzatti AJ, Monsalvo ML, López JAG, Wang H, et al · · 2021 · cited 21× · PMID 33941192 · DOI 10.1186/s12933-021-01287-6
  8. Rationale and design of a randomized study to assess the efficacy and safety of evolocumab in patients with diabetes and dyslipidemia: The BERSON clinical trial.
    Lorenzatti AJ, Eliaschewitz FG, Chen Y, Fialkow J, et al · · 2018 · cited 16× · PMID 29962050 · DOI 10.1002/clc.23018

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