The purpose of the study is to evaluate the safety and tolerability of multiple doses of evolocumab when given as an add-on to stable statin therapy.
Participants receiving low-to-moderate-dose statins were randomized in a 1:3 ratio to receive subcutaneous placebo or evolocumab and enrolled sequentially into one of 5 dose-escalation cohorts: 1. Evolocumab 14 mg/placebo once weekly (QW) × 6 doses 2. Evolocumab 35 mg/placebo once weekly (QW) × 6 doses 3. Evolocumab 140 mg/placebo every 2 weeks (Q2W) × 3 doses 4. Evolocumab 280 mg/placebo every 2 weeks (Q2W) × 3 doses 5. Evolocumab 420 mg/placebo every 4 weeks (Q2W) × 2 doses. Participants receiving high-dose statins were randomized 1:3 to receive subcutaneous placebo or evolocumab 140 mg every 2 weeks × 3 doses (Cohort 6). Participants diagnosed with familial hypercholesterolemia (HeFH) were randomized 1:2 to receive subcutaneous placebo or evolocumab 140 mg every 2 weeks × 3 doses (Cohort 7).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
60
Administered by subcutaneous injection
Administered by subcutaneous injection
Number of Participants With Adverse Events
The relationship of each adverse event to the investigational product was assessed by the investigator. A serious adverse event (SAE) is defined as an adverse event that * is fatal * is life threatening (places the subject at immediate risk of death) * requires in-patient hospitalization or prolongation of existing hospitalization * results in persistent or significant disability/incapacity * is a congenital anomaly/birth defect * other significant medical hazard.
Time frame: From the first dose of study drug until Day 85
Number of Participants With Anti-Evolocumab Antibodies
Serum samples were analyzed by an electrochemiluminescence (ECL)-based immunoassay for anti-evolocumab binding antibodies. Positive samples were subsequently tested in a receptor-ligand binding bioassay for anti-evolocumab neutralizing antibodies
Time frame: From the first dose of study drug until Day 85
Maximum Observed Plasma Concentration (Cmax) of Evolocumab
Serum concentrations of evolocumab were measured by a validated enzyme-linked immunosorbent assay (ELISA). The lower limit of quantification (LLOQ) was 800 ng/mL.
Time frame: Day 1, predose and Days 4, 8, 15, 22, 29, 36, 40, 43, 50, 57, 64, 71, 78, and 85
Area Under the Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of Evolocumab
Area under the unbound evolocumab serum concentration-time curve from time of last dose to time of last quantifiable concentration following the last dose of evolocumab.
Time frame: Day 29 predose (last dose for Cohorts 3-7) and Days 36 (predose for Cohorts 1 and 2), 40, 43, 50, 57, 64, 71, 78, and 85
Percent Change From Baseline to End of the Dosing Interval in LDL-C
Time frame: Baseline and Day 43 for QW and Q2W groups or Day 57 for Q4W group
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Percent Change From Baseline to End of the Dosing Interval in PCSK9
Serum PCSK9 concentrations were determined by using a qualified enzyme-linked immunosorbent assay (ELISA). The lower limit of quantification (LLOQ) was 15 ng/mL.
Time frame: Baseline and Day 43 for QW and Q2W groups or Day 57 for Q4W group