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LAPLACE-TIMI 57: Low-density Lipoprotein Cholesterol (LDL-C) Assessment With PCSK9 monoclonaL Antibody Inhibition Combined With Statin thErapy

LAPLACE TIMI 57 - A Double-blind, Randomized, Placebo-controlled, Multicenter, Dose-ranging Study to Evaluate Tolerability and Efficacy of AMG 145 on LDL-C in Combination With HMG-CoA Reductase Inhibitors in Hypercholesterolemic Subjects

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01380730
Acronym
LAPLACE
Enrollment
631
Registered
2011-06-27
Start date
2011-07-01
Completion date
2012-04-05
Last updated
2022-11-15

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

Conditions

Hyperlipidemia

Keywords

Hypercholesterolemia, Proprotein convertase subtilisin/kexin type 9 (PCSK9)

Brief summary

To evaluate the effect of 12 weeks of subcutaneous (SC) evolocumab (AMG 145) administered every 2 weeks (Q2W) or every 4 weeks (Q4W), compared with placebo, on percent change from baseline in LDL-C when used in addition to a statin in adults with hypercholesterolemia.

Interventions

BIOLOGICALEvolocumab

Administered by subcutaneous injection

Administered by subcutaneous injection

Sponsors

The TIMI Study Group
CollaboratorOTHER
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 80 Years
Healthy volunteers
No

Inclusion criteria

* Male or female ≥ 18 to ≤ 80 years of age * On an approved statin, with or without ezetimibe, with stable dose(s) for at least 4 weeks * Fasting LDL-C ≥ 85 mg/dL * Fasting triglycerides ≤ 400 mg/dL

Exclusion criteria

* Myocardial infarction, unstable angina, percutaneous coronary intervention (PCI), coronary artery bypass graft (CABG) or stroke within 3 months prior to randomization * Type 1 diabetes; newly diagnosed or poorly controlled type 2 diabetes (Glycosyated Hemoglobin (HbA1c) \> 8.5%) * Uncontrolled hypertension * New York Heart Association (NYHA) III or IV heart failure, or known left ventricular ejection fraction \< 30% * Uncontrolled cardiac arrhythmia

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

Canada, Czechia, Denmark, Hungary, United States

Participant flow

Recruitment details

This study enrolled adults aged 18 - 80 years who were on a statin, with or without ezetimibe, with stable dose(s) for at least 4 weeks, and fasting low-density lipoprotein cholesterol (LDL-C) ≥ 85 mg/dL. The first patient enrolled on 18 July 2011 and the last patient enrolled on 22 December 2011.

Pre-assignment details

Eligible participants were randomized equally into 1 of 8 treatment groups. Randomization was stratified by screening LDL-C level (\< 130 mg/dL or ≥ 130 mg/dL) and ezetimibe use at baseline (yes or no).

Participants by arm

ArmCount
Placebo Q2W
Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for 12 weeks.
78
Placebo Q4W
Participants received placebo subcutaneous injection once every 4 weeks (Q4W) for 12 weeks.
77
Evolocumab 70 mg Q2W
Participants received 70 mg evolocumab by subcutaneous injection once every 2 weeks for 12 weeks.
79
Evolocumab 105 mg Q2W
Participants received 105 mg evolocumab by subcutaneous injection once every 2 weeks for 12 weeks.
79
Evolocumab 140 mg Q2W
Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for 12 weeks.
78
Evolocumab 280 mg Q4W
Participants received 280 mg evolocumab by subcutaneous injection once every 4 weeks for 12 weeks.
79
Evolocumab 350 mg Q4W
Participants received 350 mg evolocumab by subcutaneous injection once every 4 weeks for 12 weeks.
79
Evolocumab 420 mg Q4W
Participants received 420 mg evolocumab by subcutaneous injection once every 4 weeks for 12 weeks.
80
Total629

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007
Overall StudyDeath00001000

Baseline characteristics

CharacteristicPlacebo Q4WPlacebo Q2WTotalEvolocumab 420 mg Q4WEvolocumab 350 mg Q4WEvolocumab 280 mg Q4WEvolocumab 140 mg Q2WEvolocumab 105 mg Q2WEvolocumab 70 mg Q2W
Age, Continuous60.1 years
STANDARD_DEVIATION 9.6
60.2 years
STANDARD_DEVIATION 8.8
60.5 years
STANDARD_DEVIATION 9.5
60.9 years
STANDARD_DEVIATION 10.3
61.9 years
STANDARD_DEVIATION 8.8
60.3 years
STANDARD_DEVIATION 8.4
62.4 years
STANDARD_DEVIATION 10.2
58.8 years
STANDARD_DEVIATION 9.7
59.4 years
STANDARD_DEVIATION 9.9
Apolipoprotein B/Apolipoprotein A-1 Ratio0.676 ratio
STANDARD_DEVIATION 0.194
0.660 ratio
STANDARD_DEVIATION 0.155
0.670 ratio
STANDARD_DEVIATION 0.184
0.653 ratio
STANDARD_DEVIATION 0.177
0.687 ratio
STANDARD_DEVIATION 0.175
0.662 ratio
STANDARD_DEVIATION 0.199
0.649 ratio
STANDARD_DEVIATION 0.155
0.695 ratio
STANDARD_DEVIATION 0.219
0.675 ratio
STANDARD_DEVIATION 0.191
Apolipoprotein B Concentration101.6 mg/dL
STANDARD_DEVIATION 20
99.9 mg/dL
STANDARD_DEVIATION 17
100.9 mg/dL
STANDARD_DEVIATION 19
99.9 mg/dL
STANDARD_DEVIATION 18.6
102.6 mg/dL
STANDARD_DEVIATION 18.9
101.3 mg/dL
STANDARD_DEVIATION 21.2
98.8 mg/dL
STANDARD_DEVIATION 16.6
103.6 mg/dL
STANDARD_DEVIATION 22.3
99.9 mg/dL
STANDARD_DEVIATION 16.8
LDL-C Concentration124.9 mg/dL
STANDARD_DEVIATION 30.6
122.2 mg/dL
STANDARD_DEVIATION 27.1
122.8 mg/dL
STANDARD_DEVIATION 27.7
120.8 mg/dL
STANDARD_DEVIATION 26.5
123.2 mg/dL
STANDARD_DEVIATION 27.1
122.0 mg/dL
STANDARD_DEVIATION 28.8
120.9 mg/dL
STANDARD_DEVIATION 25.1
127.4 mg/dL
STANDARD_DEVIATION 32.1
121.4 mg/dL
STANDARD_DEVIATION 24.4
Non-High-Density Lipoprotein Cholesterol (non-HDL-C) Concentration150.2 mg/dL
STANDARD_DEVIATION 36.5
146.9 mg/dL
STANDARD_DEVIATION 29.9
147.4 mg/dL
STANDARD_DEVIATION 31.8
144.4 mg/dL
STANDARD_DEVIATION 31.2
150.0 mg/dL
STANDARD_DEVIATION 29.1
146.3 mg/dL
STANDARD_DEVIATION 33.3
145.3 mg/dL
STANDARD_DEVIATION 26.2
151.2 mg/dL
STANDARD_DEVIATION 37.2
145.3 mg/dL
STANDARD_DEVIATION 29.9
Race/Ethnicity, Customized
American Indian or Alaska Native
1 participants0 participants3 participants0 participants0 participants1 participants1 participants0 participants0 participants
Race/Ethnicity, Customized
Asian
2 participants0 participants12 participants1 participants2 participants2 participants1 participants3 participants1 participants
Race/Ethnicity, Customized
Black or African American
0 participants6 participants50 participants9 participants4 participants8 participants9 participants8 participants6 participants
Race/Ethnicity, Customized
Hispanic or Latino
6 participants1 participants21 participants2 participants0 participants1 participants6 participants0 participants5 participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 participants0 participants3 participants0 participants0 participants2 participants0 participants1 participants0 participants
Race/Ethnicity, Customized
Not Hispanic or Latino
71 participants77 participants608 participants78 participants79 participants78 participants72 participants79 participants74 participants
Race/Ethnicity, Customized
Other
0 participants0 participants3 participants0 participants1 participants2 participants0 participants0 participants0 participants
Race/Ethnicity, Customized
White
74 participants72 participants558 participants70 participants72 participants64 participants67 participants67 participants72 participants
Sex: Female, Male
Female
41 Participants42 Participants319 Participants44 Participants38 Participants40 Participants45 Participants25 Participants44 Participants
Sex: Female, Male
Male
36 Participants36 Participants310 Participants36 Participants41 Participants39 Participants33 Participants54 Participants35 Participants
Stratification Factor: Baseline Ezetimibe Use
No
69 participants71 participants572 participants73 participants72 participants72 participants71 participants72 participants72 participants
Stratification Factor: Baseline Ezetimibe Use
Yes
8 participants7 participants57 participants7 participants7 participants7 participants7 participants7 participants7 participants
Stratification Factor: LDL-C Level
< 130 mg/dL
51 participants51 participants412 participants53 participants52 participants51 participants52 participants51 participants51 participants
Stratification Factor: LDL-C Level
≥ 130 mg/dL
26 participants27 participants217 participants27 participants27 participants28 participants26 participants28 participants28 participants
Total Cholesterol/HDL-C ratio4.057 ratio
STANDARD_DEVIATION 1.303
3.940 ratio
STANDARD_DEVIATION 1.016
4.008 ratio
STANDARD_DEVIATION 1.184
3.885 ratio
STANDARD_DEVIATION 1.09
4.118 ratio
STANDARD_DEVIATION 0.963
4.007 ratio
STANDARD_DEVIATION 1.3
3.932 ratio
STANDARD_DEVIATION 1.022
4.128 ratio
STANDARD_DEVIATION 1.473
4.002 ratio
STANDARD_DEVIATION 1.243

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
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
15 / 7817 / 7720 / 7928 / 7927 / 7821 / 7923 / 7930 / 80
serious
Total, serious adverse events
4 / 780 / 770 / 791 / 794 / 782 / 792 / 792 / 80

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 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 122.76 percent changeStandard Error 2.39
Placebo Q4WPercent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 12-0.98 percent changeStandard Error 2.51
Evolocumab 70 mg Q2WPercent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 12-39.06 percent changeStandard Error 2.39
Evolocumab 105 mg Q2WPercent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 12-57.48 percent changeStandard Error 2.39
Evolocumab 140 mg Q2WPercent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 12-63.34 percent changeStandard Error 2.4
Evolocumab 280 mg Q4WPercent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 12-42.82 percent changeStandard Error 2.52
Evolocumab 350 mg Q4WPercent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 12-50.98 percent changeStandard Error 2.51
Evolocumab 420 mg Q4WPercent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 12-51.31 percent changeStandard Error 2.53
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: [-71.48, -60.72]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: [-65.61, -54.88]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: [-47.18, -36.45]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: [-56.04, -44.62]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: [-55.69, -44.31]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: [-47.55, -36.13]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 data at Week 12 were imputed using LOCF.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WChange From Baseline in LDL-C at Week 12-0.2 mg/dLStandard Error 3.4
Placebo Q4WChange From Baseline in LDL-C at Week 12-3.2 mg/dLStandard Error 3.3
Evolocumab 70 mg Q2WChange From Baseline in LDL-C at Week 12-50.9 mg/dLStandard Error 3.4
Evolocumab 105 mg Q2WChange From Baseline in LDL-C at Week 12-77.6 mg/dLStandard Error 3.5
Evolocumab 140 mg Q2WChange From Baseline in LDL-C at Week 12-79.5 mg/dLStandard Error 3.4
Evolocumab 280 mg Q4WChange From Baseline in LDL-C at Week 12-53.7 mg/dLStandard Error 3.3
Evolocumab 350 mg Q4WChange From Baseline in LDL-C at Week 12-64.3 mg/dLStandard Error 3.3
Evolocumab 420 mg Q4WChange From Baseline in LDL-C at Week 12-64.3 mg/dLStandard Error 3.3
p-value: <0.00195% CI: [-87, -71.5]ANCOVA
p-value: <0.00195% CI: [-85.2, -69.6]ANCOVA
p-value: <0.00195% CI: [-58.5, -43]ANCOVA
p-value: <0.00195% CI: [-68.6, -53.7]ANCOVA
p-value: <0.00195% CI: [-68.5, -53.7]ANCOVA
p-value: <0.00195% CI: [-58, -43.1]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 12-0.30 percent changeStandard Error 2.13
Placebo Q4WPercent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at Week 12-0.35 percent changeStandard Error 2.38
Evolocumab 70 mg Q2WPercent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at Week 12-35.04 percent changeStandard Error 2.13
Evolocumab 105 mg Q2WPercent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at Week 12-47.60 percent changeStandard Error 2.12
Evolocumab 140 mg Q2WPercent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at Week 12-53.73 percent changeStandard Error 2.14
Evolocumab 280 mg Q4WPercent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at Week 12-34.11 percent changeStandard Error 2.4
Evolocumab 350 mg Q4WPercent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at Week 12-42.74 percent changeStandard Error 2.39
Evolocumab 420 mg Q4WPercent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at Week 12-43.28 percent changeStandard Error 2.4
p-value: <0.00195% CI: [-58.23, -48.65]ANCOVA
p-value: <0.00195% CI: [-52.08, -42.52]ANCOVA
p-value: <0.00195% CI: [-39.53, -29.97]ANCOVA
p-value: <0.00195% CI: [-48.36, -37.5]ANCOVA
p-value: <0.00195% CI: [-47.81, -36.98]ANCOVA
p-value: <0.00195% CI: [-39.2, -28.33]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 125.86 percent changeStandard Error 2.15
Placebo Q4WPercent Change From Baseline in Apolipoprotein B at Week 123.22 percent changeStandard Error 2.25
Evolocumab 70 mg Q2WPercent Change From Baseline in Apolipoprotein B at Week 12-28.88 percent changeStandard Error 2.15
Evolocumab 105 mg Q2WPercent Change From Baseline in Apolipoprotein B at Week 12-44.29 percent changeStandard Error 2.14
Evolocumab 140 mg Q2WPercent Change From Baseline in Apolipoprotein B at Week 12-50.59 percent changeStandard Error 2.15
Evolocumab 280 mg Q4WPercent Change From Baseline in Apolipoprotein B at Week 12-31.16 percent changeStandard Error 2.26
Evolocumab 350 mg Q4WPercent Change From Baseline in Apolipoprotein B at Week 12-37.55 percent changeStandard Error 2.26
Evolocumab 420 mg Q4WPercent Change From Baseline in Apolipoprotein B at Week 12-38.81 percent changeStandard Error 2.27
p-value: <0.00195% CI: [-61.28, -51.61]ANCOVA
p-value: <0.00195% CI: [-54.97, -45.33]ANCOVA
p-value: <0.00195% CI: [-39.56, -29.92]ANCOVA
p-value: <0.00195% CI: [-47.16, -36.9]ANCOVA
p-value: <0.00195% CI: [-45.88, -35.66]ANCOVA
p-value: <0.00195% CI: [-39.51, -29.25]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 122.21 percent changeStandard Error 2.2
Placebo Q4WPercent Change From Baseline in Non-High Density Lipoprotein Cholesterol (Non-HDL-C) at Week 12-1.26 percent changeStandard Error 2.26
Evolocumab 70 mg Q2WPercent Change From Baseline in Non-High Density Lipoprotein Cholesterol (Non-HDL-C) at Week 12-36.23 percent changeStandard Error 2.2
Evolocumab 105 mg Q2WPercent Change From Baseline in Non-High Density Lipoprotein Cholesterol (Non-HDL-C) at Week 12-53.21 percent changeStandard Error 2.2
Evolocumab 140 mg Q2WPercent Change From Baseline in Non-High Density Lipoprotein Cholesterol (Non-HDL-C) at Week 12-59.19 percent changeStandard Error 2.21
Evolocumab 280 mg Q4WPercent Change From Baseline in Non-High Density Lipoprotein Cholesterol (Non-HDL-C) at Week 12-39.05 percent changeStandard Error 2.27
Evolocumab 350 mg Q4WPercent Change From Baseline in Non-High Density Lipoprotein Cholesterol (Non-HDL-C) at Week 12-47.05 percent changeStandard Error 2.26
Evolocumab 420 mg Q4WPercent Change From Baseline in Non-High Density Lipoprotein Cholesterol (Non-HDL-C) at Week 12-48.83 percent changeStandard Error 2.27
p-value: <0.00195% CI: [-66.37, -56.43]ANCOVA
p-value: <0.00195% CI: [-60.37, -50.47]ANCOVA
p-value: <0.00195% CI: [-43.39, -33.48]ANCOVA
p-value: <0.00195% CI: [-52.72, -42.44]ANCOVA
p-value: <0.00195% CI: [-50.92, -40.67]ANCOVA
p-value: <0.00195% CI: [-42.94, -32.65]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 122.64 percent changeStandard Error 1.97
Placebo Q4WPercent Change From Baseline in Total Cholesterol/HDL-C Ratio at Week 12-2.00 percent changeStandard Error 1.9
Evolocumab 70 mg Q2WPercent Change From Baseline in Total Cholesterol/HDL-C Ratio at Week 12-28.76 percent changeStandard Error 1.97
Evolocumab 105 mg Q2WPercent Change From Baseline in Total Cholesterol/HDL-C Ratio at Week 12-40.73 percent changeStandard Error 1.97
Evolocumab 140 mg Q2WPercent Change From Baseline in Total Cholesterol/HDL-C Ratio at Week 12-45.09 percent changeStandard Error 1.98
Evolocumab 280 mg Q4WPercent Change From Baseline in Total Cholesterol/HDL-C Ratio at Week 12-29.73 percent changeStandard Error 1.91
Evolocumab 350 mg Q4WPercent Change From Baseline in Total Cholesterol/HDL-C Ratio at Week 12-37.97 percent changeStandard Error 1.91
Evolocumab 420 mg Q4WPercent Change From Baseline in Total Cholesterol/HDL-C Ratio at Week 12-37.66 percent changeStandard Error 1.92
p-value: <0.00195% CI: [-52.18, -43.29]ANCOVA
p-value: <0.00195% CI: [-47.81, -38.94]ANCOVA
p-value: <0.00195% CI: [-35.83, -26.97]ANCOVA
p-value: <0.00195% CI: [-39.99, -31.32]ANCOVA
p-value: <0.00195% CI: [-40.29, -31.65]ANCOVA
p-value: <0.00195% CI: [-32.06, -23.39]ANCOVA

Source: ClinicalTrials.gov · Data processed: Mar 26, 2026