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Monoclonal Antibody Against PCSK9 to Reduce Elevated Low-density Lipoprotein Cholesterol (LDL-C) in Adults Currently Not Receiving Drug Therapy for Easing Lipid Levels

A Randomized, Placebo- and Ezetimibe-controlled, Dose-ranging Study to Evaluate Tolerability and Efficacy of AMG 145 on LDL-C in Hypercholesterolemic Subjects With a 10-year Framingham Risk Score of 10% or Less

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01375777
Acronym
MENDEL
Enrollment
411
Registered
2011-06-17
Start date
2011-07-06
Completion date
2012-03-02
Last updated
2022-11-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hyperlipidemia

Keywords

High cholesterol, Proprotein convertase subtilisin/kexin type 9 (PCSK9), Treatment for high cholesterol, Lowering cholesterol, Lowering high cholesterol, Hypercholesterolemia

Brief summary

The primary objective was to evaluate the effect of 12 weeks of subcutaneous evolocumab (AMG 145) every 2 weeks (Q2W) or every 4 weeks (Q4W), compared with placebo, on the percent change from baseline in LDL-C when used as monotherapy in adults with hypercholesterolemia.

Interventions

BIOLOGICALEvolocumab

Administered by subcutaneous injection

DRUGEzetimibe

Administered orally once a day

Administered by subcutaneous injection

Sponsors

Amgen
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* Male or female ≥ 18 to ≤ 75 years of age * Low density lipoprotein cholesterol (LDL-C) ≥ 100 mg/dL and \< 190 mg/dL * Framingham risk score of 10% or less * Fasting triglycerides \< 400 mg/dL

Exclusion criteria

* History of coronary heart disease * New York Heart Association (NYHA) II - IV heart failure * Uncontrolled cardiac arrhythmia * Uncontrolled hypertension

Design outcomes

Primary

MeasureTime frameDescription
Percent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 12Baseline and Week 12LDL-C was measured using ultracentrifugation.

Secondary

MeasureTime frameDescription
Change From Baseline in LDL-C at Week 12Baseline and Week 12LDL-C was measured using ultracentrifugation.
Percent Change From Baseline in Non-High-Density Lipoprotein Cholesterol (Non-HDL-C) at Week 12Baseline and Week 12
Percent Change From Baseline in Apolipoprotein B at Week 12Baseline and Week 12
Percent Change From Baseline in Total Cholesterol/HDL-C Ratio at Week 12Baseline and Week 12
Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at Week 12Baseline and Week 12

Countries

Australia, Belgium, Canada, Denmark, United States

Participant flow

Recruitment details

This study enrolled adults 18 - 75 years with fasting low-density lipoprotein cholesterol (LDL-C) ≥ 100 mg/dL and \< 190 mg/dL, fasting triglycerides ≤ 400 mg/dL and a National Cholesterol Education Program Adult Treatment Panel III Framingham risk score of 10% or less. First patient enrolled 06 July 2011, last patient enrolled 25 November 2011.

Pre-assignment details

Participants were randomized with equal allocation into 1 of 9 treatment groups. Randomization was stratified on the basis of screening LDL-C concentration (\< 130 mg/dL \[3.4 mmol/L\] or ≥ 130 mg/dL).

Participants by arm

ArmCount
Placebo Q2W
Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for 12 weeks.
45
Placebo Q4W
Participants received placebo subcutaneous injection once every 4 weeks (Q4W) for 12 weeks.
45
Ezetimibe
Participants received 10 mg ezetimibe orally once a day for 12 weeks.
45
Evolocumab 70 mg Q2W
Participants received 70 mg evolocumab by subcutaneous injection once every 2 weeks for 12 weeks.
45
Evolocumab 105 mg Q2W
Participants received 105 mg evolocumab by subcutaneous injection once every 2 weeks for 12 weeks.
46
Evolocumab 140 mg Q2W
Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for 12 weeks.
45
Evolocumab 280 mg Q4W
Participants received 280 mg evolocumab by subcutaneous injection once every 4 weeks for 12 weeks.
45
Evolocumab 350 mg Q4W
Participants received 350 mg evolocumab by subcutaneous injection once every 4 weeks for 12 weeks.
45
Evolocumab 420 mg Q4W
Participants received 420 mg evolocumab by subcutaneous injection once every 4 weeks for 12 weeks.
45
Total406

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008
Overall StudyLost to Follow-up100000100
Overall StudyOther110000001
Overall StudyWithdrawal by Subject021011121

Baseline characteristics

CharacteristicPlacebo Q4WTotalEvolocumab 420 mg Q4WEvolocumab 350 mg Q4WEvolocumab 280 mg Q4WEvolocumab 140 mg Q2WPlacebo Q2WEvolocumab 105 mg Q2WEvolocumab 70 mg Q2WEzetimibe
Age, Continuous50.7 years
STANDARD_DEVIATION 12.6
50.6 years
STANDARD_DEVIATION 11.8
50.1 years
STANDARD_DEVIATION 12
50.9 years
STANDARD_DEVIATION 13.1
49.3 years
STANDARD_DEVIATION 10.3
52.8 years
STANDARD_DEVIATION 11.6
52.5 years
STANDARD_DEVIATION 9.8
48.3 years
STANDARD_DEVIATION 11.8
50.9 years
STANDARD_DEVIATION 12.9
50.0 years
STANDARD_DEVIATION 12
Apolipoprotein B/Apolipoprotein A-1 Ratio0.785 ratio
STANDARD_DEVIATION 0.322
0.738 ratio
STANDARD_DEVIATION 0.196
0.758 ratio
STANDARD_DEVIATION 0.191
0.706 ratio
STANDARD_DEVIATION 0.185
0.751 ratio
STANDARD_DEVIATION 0.161
0.709 ratio
STANDARD_DEVIATION 0.175
0.729 ratio
STANDARD_DEVIATION 0.18
0.744 ratio
STANDARD_DEVIATION 0.168
0.705 ratio
STANDARD_DEVIATION 0.161
0.752 ratio
STANDARD_DEVIATION 0.176
Apolipoprotein B Concentration110.4 mg/dL
STANDARD_DEVIATION 17.2
109.1 mg/dL
STANDARD_DEVIATION 16.5
110.2 mg/dL
STANDARD_DEVIATION 18.4
105.8 mg/dL
STANDARD_DEVIATION 15.9
109.2 mg/dL
STANDARD_DEVIATION 15.7
107.2 mg/dL
STANDARD_DEVIATION 16.3
111.7 mg/dL
STANDARD_DEVIATION 17.1
108.5 mg/dL
STANDARD_DEVIATION 15.2
108.7 mg/dL
STANDARD_DEVIATION 15.7
109.9 mg/dL
STANDARD_DEVIATION 17.7
LDL-C Concentration142.3 mg/dL
STANDARD_DEVIATION 24.3
141.6 mg/dL
STANDARD_DEVIATION 22.3
138.9 mg/dL
STANDARD_DEVIATION 21.9
136.6 mg/dL
STANDARD_DEVIATION 20.8
141.1 mg/dL
STANDARD_DEVIATION 21.8
139.8 mg/dL
STANDARD_DEVIATION 21.1
147.0 mg/dL
STANDARD_DEVIATION 21
141.5 mg/dL
STANDARD_DEVIATION 22.3
143.1 mg/dL
STANDARD_DEVIATION 21.7
144.2 mg/dL
STANDARD_DEVIATION 25.8
Non-High-Density Lipoprotein Cholesterol (non-HDL-C) Concentration169.1 mg/dL
STANDARD_DEVIATION 27.7
167.8 mg/dL
STANDARD_DEVIATION 27.4
167.9 mg/dL
STANDARD_DEVIATION 29.6
161.1 mg/dL
STANDARD_DEVIATION 26.1
166.3 mg/dL
STANDARD_DEVIATION 27.8
163.8 mg/dL
STANDARD_DEVIATION 23.7
173.8 mg/dL
STANDARD_DEVIATION 30.5
169.2 mg/dL
STANDARD_DEVIATION 24.3
169.0 mg/dL
STANDARD_DEVIATION 24.5
170.0 mg/dL
STANDARD_DEVIATION 32
Race/Ethnicity, Customized
American Indian or Alaska Native
0 participants3 participants0 participants1 participants1 participants0 participants0 participants0 participants1 participants0 participants
Race/Ethnicity, Customized
Asian
1 participants17 participants2 participants2 participants1 participants2 participants2 participants3 participants3 participants1 participants
Race/Ethnicity, Customized
Black or African American
7 participants64 participants10 participants6 participants8 participants4 participants8 participants5 participants7 participants9 participants
Race/Ethnicity, Customized
Hispanic or Latino
6 participants56 participants10 participants5 participants7 participants8 participants5 participants5 participants5 participants5 participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
1 participants2 participants0 participants0 participants0 participants0 participants0 participants1 participants0 participants0 participants
Race/Ethnicity, Customized
Other
0 participants1 participants0 participants0 participants0 participants0 participants0 participants0 participants1 participants0 participants
Race/Ethnicity, Customized
ot Hispanic or Latino
39 participants350 participants35 participants40 participants38 participants37 participants40 participants41 participants40 participants40 participants
Race/Ethnicity, Customized
White
36 participants319 participants33 participants36 participants35 participants39 participants35 participants37 participants33 participants35 participants
Sex: Female, Male
Female
30 Participants267 Participants26 Participants33 Participants28 Participants36 Participants25 Participants33 Participants30 Participants26 Participants
Sex: Female, Male
Male
15 Participants139 Participants19 Participants12 Participants17 Participants9 Participants20 Participants13 Participants15 Participants19 Participants
Stratification Factor: LDL-C level
< 130 mg/dL
14 participants131 participants14 participants15 participants15 participants14 participants15 participants15 participants14 participants15 participants
Stratification Factor: LDL-C level
≥ 130 mg/dL
31 participants275 participants31 participants30 participants30 participants31 participants30 participants31 participants31 participants30 participants
Total Cholesterol/HDL-C Ratio4.793 ratio
STANDARD_DEVIATION 1.836
4.512 ratio
STANDARD_DEVIATION 1.351
4.741 ratio
STANDARD_DEVIATION 1.656
4.335 ratio
STANDARD_DEVIATION 1.282
4.500 ratio
STANDARD_DEVIATION 1.154
4.181 ratio
STANDARD_DEVIATION 1.131
4.477 ratio
STANDARD_DEVIATION 1.293
4.571 ratio
STANDARD_DEVIATION 1.269
4.335 ratio
STANDARD_DEVIATION 1.09
4.670 ratio
STANDARD_DEVIATION 1.258

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
10 / 4510 / 4514 / 4511 / 4511 / 4614 / 457 / 4511 / 459 / 45
serious
Total, serious adverse events
0 / 450 / 450 / 450 / 451 / 461 / 450 / 451 / 450 / 45

Outcome results

Primary

Percent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 12

LDL-C was measured using ultracentrifugation.

Time frame: Baseline and Week 12

Population: Full analysis set; missing ultracentrifugation (UC) LDL-C at Week 12 was imputed using last observation carried forward (LOCF) and calculated LDL-C.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 12-3.71 percent changeStandard Error 2.66
Placebo Q4WPercent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 124.54 percent changeStandard Error 2.64
EzetimibePercent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 12-14.26 percent changeStandard Error 2.6
Evolocumab 70 mg Q2WPercent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 12-40.98 percent changeStandard Error 2.64
Evolocumab 105 mg Q2WPercent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 12-43.87 percent changeStandard Error 2.6
Evolocumab 140 mg Q2WPercent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 12-50.93 percent changeStandard Error 2.66
Evolocumab 280 mg Q4WPercent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 12-39.02 percent changeStandard Error 2.57
Evolocumab 350 mg Q4WPercent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 12-43.20 percent changeStandard Error 2.57
Evolocumab 420 mg Q4WPercent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 12-47.98 percent changeStandard Error 2.58
Comparison: The null hypothesis was that there was no mean difference in the percent change from Baseline at Week 12 in LDL-C between evolocumab and placebo, and the alternative hypothesis was that a mean difference did exist.p-value: <0.00195% CI: [-54.52, -39.93]ANCOVA
Comparison: The null hypothesis was that there was no mean difference in the percent change from Baseline at Week 12 in LDL-C between evolocumab and placebo, and the alternative hypothesis was that a mean difference did exist.p-value: <0.00195% CI: [-47.38, -32.95]ANCOVA
Comparison: The null hypothesis was that there was no mean difference in the percent change from Baseline at Week 12 in LDL-C between evolocumab and placebo, and the alternative hypothesis was that a mean difference did exist.p-value: <0.00195% CI: [-44.53, -30.02]ANCOVA
Comparison: The null hypothesis was that there was no mean difference in the percent change from Baseline at Week 12 in LDL-C between evolocumab and placebo, and the alternative hypothesis was that a mean difference did exist.p-value: <0.00195% CI: [-59.67, -45.38]ANCOVA
Comparison: The null hypothesis was that there was no mean difference in the percent change from Baseline at Week 12 in LDL-C between evolocumab and placebo, and the alternative hypothesis was that a mean difference did exist.p-value: <0.00195% CI: [-54.89, -40.6]ANCOVA
Comparison: The null hypothesis was that there was no mean difference in the percent change from Baseline at Week 12 in LDL-C between evolocumab and placebo, and the alternative hypothesis was that a mean difference did exist.p-value: <0.00195% CI: [-50.71, -36.42]ANCOVA
Secondary

Change From Baseline in LDL-C at Week 12

LDL-C was measured using ultracentrifugation.

Time frame: Baseline and Week 12

Population: Full analysis set; missing ultracentrifugation (UC) LDL-C at Week 12 was imputed using LOCF.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WChange From Baseline in LDL-C at Week 12-3.4 mg/dLStandard Error 3.9
Placebo Q4WChange From Baseline in LDL-C at Week 127.3 mg/dLStandard Error 3.7
EzetimibeChange From Baseline in LDL-C at Week 12-19.2 mg/dLStandard Error 3.6
Evolocumab 70 mg Q2WChange From Baseline in LDL-C at Week 12-55.7 mg/dLStandard Error 3.7
Evolocumab 105 mg Q2WChange From Baseline in LDL-C at Week 12-66.0 mg/dLStandard Error 3.7
Evolocumab 140 mg Q2WChange From Baseline in LDL-C at Week 12-69.3 mg/dLStandard Error 3.6
Evolocumab 280 mg Q4WChange From Baseline in LDL-C at Week 12-53.5 mg/dLStandard Error 3.6
Evolocumab 350 mg Q4WChange From Baseline in LDL-C at Week 12-56.7 mg/dLStandard Error 3.6
Evolocumab 420 mg Q4WChange From Baseline in LDL-C at Week 12-65.0 mg/dLStandard Error 3.6
p-value: <0.00195% CI: [-76.3, -55.6]ANCOVA
p-value: <0.00195% CI: [-73.2, -52.2]ANCOVA
p-value: <0.00195% CI: [-62.7, -41.9]ANCOVA
p-value: <0.00195% CI: [-82.2, -62.4]ANCOVA
p-value: <0.00195% CI: [-73.9, -54]ANCOVA
p-value: <0.00195% CI: [-70.7, -50.9]ANCOVA
Secondary

Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at Week 12

Time frame: Baseline and Week 12

Population: Full analysis set; missing data at Week 12 were imputed using LOCF.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at Week 122.03 percent changeStandard Error 2.4
Placebo Q4WPercent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at Week 120.14 percent changeStandard Error 2.46
EzetimibePercent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at Week 12-12.35 percent changeStandard Error 2.33
Evolocumab 70 mg Q2WPercent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at Week 12-32.80 percent changeStandard Error 2.38
Evolocumab 105 mg Q2WPercent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at Week 12-38.30 percent changeStandard Error 2.35
Evolocumab 140 mg Q2WPercent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at Week 12-48.13 percent changeStandard Error 2.4
Evolocumab 280 mg Q4WPercent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at Week 12-36.10 percent changeStandard Error 2.39
Evolocumab 350 mg Q4WPercent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at Week 12-40.43 percent changeStandard Error 2.39
Evolocumab 420 mg Q4WPercent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at Week 12-45.33 percent changeStandard Error 2.4
p-value: <0.00195% CI: [-56.75, -43.58]ANCOVA
p-value: <0.00195% CI: [-46.84, -33.82]ANCOVA
p-value: <0.00195% CI: [-41.38, -28.28]ANCOVA
p-value: <0.00195% CI: [-52.12, -38.82]ANCOVA
p-value: <0.00195% CI: [-47.22, -33.92]ANCOVA
p-value: <0.00195% CI: [-42.9, -29.6]ANCOVA
Secondary

Percent Change From Baseline in Apolipoprotein B at Week 12

Time frame: Baseline and Week 12

Population: Full analysis set; missing data at Week 12 were imputed using LOCF.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Apolipoprotein B at Week 12-0.33 percent changeStandard Error 2.28
Placebo Q4WPercent Change From Baseline in Apolipoprotein B at Week 120.19 percent changeStandard Error 2.28
EzetimibePercent Change From Baseline in Apolipoprotein B at Week 12-11.17 percent changeStandard Error 2.19
Evolocumab 70 mg Q2WPercent Change From Baseline in Apolipoprotein B at Week 12-32.66 percent changeStandard Error 2.26
Evolocumab 105 mg Q2WPercent Change From Baseline in Apolipoprotein B at Week 12-36.20 percent changeStandard Error 2.23
Evolocumab 140 mg Q2WPercent Change From Baseline in Apolipoprotein B at Week 12-44.52 percent changeStandard Error 2.28
Evolocumab 280 mg Q4WPercent Change From Baseline in Apolipoprotein B at Week 12-33.04 percent changeStandard Error 2.21
Evolocumab 350 mg Q4WPercent Change From Baseline in Apolipoprotein B at Week 12-37.73 percent changeStandard Error 2.21
Evolocumab 420 mg Q4WPercent Change From Baseline in Apolipoprotein B at Week 12-42.29 percent changeStandard Error 2.22
p-value: <0.00195% CI: [-50.45, -37.94]ANCOVA
p-value: <0.00195% CI: [-42.06, -29.69]ANCOVA
p-value: <0.00195% CI: [-38.55, -26.11]ANCOVA
p-value: <0.00195% CI: [-48.63, -36.32]ANCOVA
p-value: <0.00195% CI: [-44.07, -31.76]ANCOVA
p-value: <0.00195% CI: [-39.38, -27.07]ANCOVA
Secondary

Percent Change From Baseline in Non-High-Density Lipoprotein Cholesterol (Non-HDL-C) at Week 12

Time frame: Baseline and Week 12

Population: Full analysis set; missing data at Week 12 were imputed using LOCF.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Non-High-Density Lipoprotein Cholesterol (Non-HDL-C) at Week 12-2.89 percent changeStandard Error 2.4
Placebo Q4WPercent Change From Baseline in Non-High-Density Lipoprotein Cholesterol (Non-HDL-C) at Week 12-0.25 percent changeStandard Error 2.3
EzetimibePercent Change From Baseline in Non-High-Density Lipoprotein Cholesterol (Non-HDL-C) at Week 12-15.53 percent changeStandard Error 2.36
Evolocumab 70 mg Q2WPercent Change From Baseline in Non-High-Density Lipoprotein Cholesterol (Non-HDL-C) at Week 12-37.95 percent changeStandard Error 2.38
Evolocumab 105 mg Q2WPercent Change From Baseline in Non-High-Density Lipoprotein Cholesterol (Non-HDL-C) at Week 12-39.68 percent changeStandard Error 2.34
Evolocumab 140 mg Q2WPercent Change From Baseline in Non-High-Density Lipoprotein Cholesterol (Non-HDL-C) at Week 12-48.04 percent changeStandard Error 2.4
Evolocumab 280 mg Q4WPercent Change From Baseline in Non-High-Density Lipoprotein Cholesterol (Non-HDL-C) at Week 12-37.94 percent changeStandard Error 2.24
Evolocumab 350 mg Q4WPercent Change From Baseline in Non-High-Density Lipoprotein Cholesterol (Non-HDL-C) at Week 12-42.14 percent changeStandard Error 2.24
Evolocumab 420 mg Q4WPercent Change From Baseline in Non-High-Density Lipoprotein Cholesterol (Non-HDL-C) at Week 12-47.36 percent changeStandard Error 2.25
p-value: <0.00195% CI: [-51.72, -38.58]ANCOVA
p-value: <0.00195% CI: [-43.29, -30.29]ANCOVA
p-value: <0.00195% CI: [-41.59, -28.52]ANCOVA
p-value: <0.00195% CI: [-53.33, -40.89]ANCOVA
p-value: <0.00195% CI: [-48.11, -35.67]ANCOVA
p-value: <0.00195% CI: [-43.92, -31.47]ANCOVA
Secondary

Percent Change From Baseline in Total Cholesterol/HDL-C Ratio at Week 12

Time frame: Baseline and Week 12

Population: Full analysis set; missing data at Week 12 were imputed using LOCF.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Total Cholesterol/HDL-C Ratio at Week 12-1.21 percent changeStandard Error 2.17
Placebo Q4WPercent Change From Baseline in Total Cholesterol/HDL-C Ratio at Week 12-3.39 percent changeStandard Error 2.11
EzetimibePercent Change From Baseline in Total Cholesterol/HDL-C Ratio at Week 12-16.65 percent changeStandard Error 1.99
Evolocumab 70 mg Q2WPercent Change From Baseline in Total Cholesterol/HDL-C Ratio at Week 12-30.07 percent changeStandard Error 2.15
Evolocumab 105 mg Q2WPercent Change From Baseline in Total Cholesterol/HDL-C Ratio at Week 12-33.13 percent changeStandard Error 2.12
Evolocumab 140 mg Q2WPercent Change From Baseline in Total Cholesterol/HDL-C Ratio at Week 12-38.70 percent changeStandard Error 2.17
Evolocumab 280 mg Q4WPercent Change From Baseline in Total Cholesterol/HDL-C Ratio at Week 12-32.07 percent changeStandard Error 2.05
Evolocumab 350 mg Q4WPercent Change From Baseline in Total Cholesterol/HDL-C Ratio at Week 12-34.60 percent changeStandard Error 2.05
Evolocumab 420 mg Q4WPercent Change From Baseline in Total Cholesterol/HDL-C Ratio at Week 12-39.97 percent changeStandard Error 2.06
p-value: <0.00195% CI: [-43.43, -31.54]ANCOVA
p-value: <0.00195% CI: [-37.79, -26.04]ANCOVA
p-value: <0.00195% CI: [-34.77, -22.95]ANCOVA
p-value: <0.00195% CI: [-42.29, -30.88]ANCOVA
p-value: <0.00195% CI: [-36.92, -25.51]ANCOVA
p-value: <0.00195% CI: [-34.39, -22.98]ANCOVA

Source: ClinicalTrials.gov · Data processed: Mar 25, 2026