To evaluate the efficacy, safety, and tolerability of 52 weeks of subcutaneous (SC) evolocumab (AMG 145) compared with placebo when added to assigned background lipid-lowering therapy.
Eligible participants with screening central laboratory low-density lipoprotein cholesterol (LDL-C) values ≥ 75 mg/dL (1.9 mmol/L) were instructed to follow National Cholesterol Education Program (NCEP) Adult Treatment Panel III (ATP) Therapeutic Lifestyle Changes (TLC) diet and were assigned to 1 of the following 4 background lipid-lowering therapies for a 4-week stabilization period based upon their screening LDL-C and its distance from the individual's required goal as stipulated by their NCEP ATP III risk category: 1. no drug therapy required - diet alone 2. low dose drug therapy required - diet plus atorvastatin 10 mg orally (PO) once daily (QD) 3. high dose drug therapy required - diet plus atorvastatin 80 mg PO QD 4. maximal drug therapy required - diet plus atorvastatin 80 mg PO QD plus ezetimibe 10 mg PO QD. If the participant met entry criteria at the end of the lipid stabilization period they were randomized 2:1 to receive evolocumab 420 mg or placebo subcutaneously once a month for 52 weeks in addition to their background therapy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
905
Administered by subcutaneous injection once a month
Administered by subcutaneous injection once a month
Background lipid lowering therapy: 10 mg or 80 mg atorvastatin orally once daily.
Percent Change From Baseline in LDL-C at Week 52
Cholesterol was measured by means of ultracentrifugation.
Time frame: Baseline and Week 52
Change From Baseline in LDL-C at Week 52
Cholesterol was measured by means of ultracentrifugation.
Time frame: Baseline and Week 52
Percentage of Participants With an LDL-C Response at Week 52
An LDL-C response is defined as LDL-C level \< 70 mg/dL (1.8 mmol/L) at Week 52.
Time frame: Week 52
Percent Change From Baseline in LDL-C at Week 12
Cholesterol was measured by means of ultracentrifugation.
Time frame: Baseline and Week 12
Percent Change From Baseline in Total Cholesterol at Week 12
Time frame: Baseline and Week 12
Percent Change From Baseline in Total Cholesterol at Week 52
Time frame: Baseline and Week 52
Percent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C) at Week 52
Time frame: Baseline and Week 52
Percent Change From Baseline in Apolipoprotein B at Week 52
Time frame: Baseline and Week 52
Percent Change From Baseline in the Total Cholesterol/HDL-C Ratio at Week 52
Time frame: Baseline and Week 52
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Background lipid lowering therapy: ezetimibe 10 mg orally once a day
Diet only, no lipid lowering background drug given
Research Site
Birmingham, Alabama, United States
Research Site
Little Rock, Arkansas, United States
Research Site
Anaheim, California, United States
Research Site
Encinitas, California, United States
Research Site
Spring Valley, California, United States
Research Site
Westlake Village, California, United States
Research Site
DeLand, Florida, United States
Research Site
Jacksonville, Florida, United States
Research Site
Jacksonville, Florida, United States
Research Site
Ponte Vedra, Florida, United States
...and 86 more locations
Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at Week 52
Time frame: Baseline and Week 52
Percent Change From Baseline in Lipoprotein(a) at Week 52
Time frame: Baseline and Week 52
Percent Change From Baseline in Triglycerides at Week 52
Time frame: Baseline and Week 52
Percent Change From Baseline in High-density Lipoprotein Cholesterol (HDL-C) at Week 52
Time frame: Baseline and Week 52
Percent Change From Baseline in Very Low-density Lipoprotein Cholesterol (VLDL-C) at Week 52
Cholesterol was measured by means of ultracentrifugation.
Time frame: Baseline and Week 52
Percent Change From Week 12 to Week 52 in LDL-C
Cholesterol was measured by means of ultracentrifugation.
Time frame: Week 12 and Week 52