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Monoclonal Antibody Against PCSK9 to Reduce Elevated LDL-C in Subjects Currently Not Receiving Drug Therapy for Easing Lipid Levels-2

A Double-blind, Randomized, Placebo and Ezetimibe-controlled, Multicenter Study to Evaluate Safety and Efficacy of Lipid Lowering Monotherapy With AMG 145 in Subjects With a 10-Year Framingham Risk Score of 10% or Less

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01763827
Acronym
MENDEL-2
Enrollment
615
Registered
2013-01-09
Start date
2013-01-21
Completion date
2013-10-29
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, Treatment for high cholesterol, Lowering cholesterol, Lowering high cholesterol, Hypercholesterolemia

Brief summary

The primary objective was to evaluate the effect of 12 weeks of evolocumab subcutaneous (SC) monotherapy every 2 weeks (Q2W) and monthly (QM), compared with placebo and ezetimibe, on percent change from baseline in low-density lipoprotein cholesterol (LDL-C) in adults with a 10-year Framingham risk score of 10% or less.

Interventions

BIOLOGICALEvolocumab

Administered by subcutaneous injection

DRUGEzetimibe

Administered orally once a day

Administered by subcutaneous injection

Administered orally once daily

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 80 Years
Healthy volunteers
No

Inclusion criteria

* Male or female ≥ 18 to ≤ 80 years of age * National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) Framingham risk score of 10% or less * Fasting LDL-C ≥ 100 mg/dL (2.6 mmol/L) and \<190 mg/dL * Fasting triglycerides ≤ 400 mg/dL (4.5 mmol/L)

Exclusion criteria

* History of coronary heart disease * New York Heart Association (NYHA) III or IV heart failure * Uncontrolled cardiac arrhythmia * Uncontrolled hypertension * Diabetes mellitus (Type 1 diabetes, poorly controlled type 2 diabetes) * Uncontrolled hypothyroidism or hyperthyroidism

Design outcomes

Primary

MeasureTime frame
Percent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C) at Week 12Baseline and Week 12
Percent Change From Baseline in LDL-C at the Mean of Weeks 10 and 12Baseline and Weeks 10 and 12

Secondary

MeasureTime frame
Percent Change From Baseline in VLDL-C at Week 12Baseline and Week 12
Change From Baseline in LDL-C at the Mean of Weeks 10 and 12Baseline and Weeks 10 and 12
Change From Baseline in LDL-C at Week 12Baseline and Week 12
Percentage of Participants Who Achieved a Mean LDL-C at Weeks 10 and 12 of Less Than 70 mg/dLWeeks 10 and 12
Percentage of Participants Who Achieved LDL-C < 70 mg/dL at Week 12Week 12
Percent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C) at the Mean of Weeks 10 and 12Baseline and Weeks 10 and 12
Percent Change From Baseline in Non-HDL-C at Week 12Baseline and Week 12
Percent Change From Baseline in Apolipoprotein B at the Mean of Weeks 10 and 12Baseline and Weeks 10 and 12
Percent Change From Baseline in Apolipoprotein B at Week 12Baseline and Week 12
Percent Change From Baseline in Total Cholesterol/High Density Lipoprotein-cholesterol Ratio at the Mean of Weeks 10 and 12Baseline and Weeks 10 and 12
Percent Change From Baseline in Total Cholesterol/High Density Lipoprotein-cholesterol Ratio at Week 12Baseline and Week 12
Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at the Mean of Weeks 10 and 12Baseline and Weeks 10 and 12
Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at Week 12Baseline and Week 12
Percent Change From Baseline in Lipoprotein (a) at the Mean of Weeks 10 and 12Baseline and Weeks 10 and 12
Percent Change From Baseline in Lipoprotein (a) at Week 12Baseline and Week 12
Percent Change From Baseline in Triglycerides at the Mean of Weeks 10 and 12Baseline and Weeks 10 and 12
Percent Change From Baseline in Triglycerides at Week 12Baseline and Week 12
Percent Change From Baseline in Very Low Density Lipoprotein Cholesterol (VLDL-C) at the Mean of Weeks 10 and 12Baseline and Weeks 10 and 12
Percent Change From Baseline in High-density Lipoprotein Cholesterol (HDL-C) at the Mean of Weeks 10 and 12Baseline and Weeks 10 and 12
Percent Change From Baseline in HDL-C at Week 12Baseline and Week 12

Countries

Australia, Belgium, Canada, Denmark, France, South Africa, South Korea, Taiwan, Turkey (Türkiye), United States

Participant flow

Recruitment details

Men and women ≥ 18 to ≤ 80 years of age with fasting low-density lipoprotein cholesterol (LDL-C) ≥ 100 mg/dL and \< 190 mg/dL and fasting triglycerides ≤ 400 mg/dL with a 10-year Framingham Risk Score of 10% or less were eligible for this study. The first participant was enrolled on 21 January 2013 and the last participant was enrolled 29 July 2013.

Pre-assignment details

Participants received subcutaneous placebo corresponding to the once monthly dose volume during a 6 week screening period. Participants who completed the screening period and met final eligibility criteria were randomized 1:1:1:1:2:2 into 6 treatment groups. Randomization was stratified by LDL-C concentration (\< 130 mg/dL or ≥ 30 mg/dL).

Participants by arm

ArmCount
Placebo Q2W
Participants received placebo subcutaneous injection once every 2 weeks (Q2W) and placebo tablets once a day for up to 12 weeks.
77
Placebo QM
Participants received placebo subcutaneous injection once every month (QM) and placebo tablets once a day for up to 12 weeks.
78
Ezetimibe (Q2W)
Participants received placebo subcutaneous injection once every 2 weeks and 10 mg ezetimibe orally once a day for up to 12 weeks.
77
Ezetimibe (QM)
Participants received placebo subcutaneous injection once a month and 10 mg ezetimibe orally once a day for up to 12 weeks.
77
Evolocumab Q2W
Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks and placebo tablets once a day for up to 12 weeks.
153
Evolocumab QM
Participants received 420 mg evolocumab by subcutaneous injection once a month and placebo tablets once a day for up to 12 weeks.
153
Total615

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005
Overall StudyDecision by sponsor203021
Overall StudyLost to Follow-up011121
Overall StudyWithdrawal by Subject100020

Baseline characteristics

CharacteristicEzetimibe (Q2W)Ezetimibe (QM)Evolocumab Q2WEvolocumab QMTotalPlacebo Q2WPlacebo QM
Age, Continuous53.9 years
STANDARD_DEVIATION 11.3
53.0 years
STANDARD_DEVIATION 12.7
52.5 years
STANDARD_DEVIATION 13.7
52.9 years
STANDARD_DEVIATION 12.1
53.1 years
STANDARD_DEVIATION 12.1
54.4 years
STANDARD_DEVIATION 10.3
52.6 years
STANDARD_DEVIATION 10.7
Apolipoprotein B/Apolipoprotein A-1 Ratio0.691 ratio
STANDARD_DEVIATION 0.187
0.712 ratio
STANDARD_DEVIATION 0.173
0.687 ratio
STANDARD_DEVIATION 0.169
0.707 ratio
STANDARD_DEVIATION 0.17
0.697 ratio
STANDARD_DEVIATION 0.178
0.671 ratio
STANDARD_DEVIATION 0.193
0.713 ratio
STANDARD_DEVIATION 0.194
Apolipoprotein B Concentration107.2 mg/dL
STANDARD_DEVIATION 19.7
106.2 mg/dL
STANDARD_DEVIATION 17.8
104.5 mg/dL
STANDARD_DEVIATION 17.2
108.3 mg/dL
STANDARD_DEVIATION 17.9
106.2 mg/dL
STANDARD_DEVIATION 18.1
103.7 mg/dL
STANDARD_DEVIATION 16.8
107.3 mg/dL
STANDARD_DEVIATION 19.9
High-density Lipoprotein Cholesterol (HDL-C) Concentration58.5 mg/dL
INTER_QUARTILE_RANGE 16.8
53.5 mg/dL
INTER_QUARTILE_RANGE 18.5
53.0 mg/dL
INTER_QUARTILE_RANGE 18
56.5 mg/dL
INTER_QUARTILE_RANGE 18
55.3 mg/dL
INTER_QUARTILE_RANGE 18.7
57.0 mg/dL
INTER_QUARTILE_RANGE 23.6
54.0 mg/dL
INTER_QUARTILE_RANGE 17.8
LDL-C Concentration143.3 mg/dL
STANDARD_DEVIATION 23.8
143.5 mg/dL
STANDARD_DEVIATION 23.1
141.7 mg/dL
STANDARD_DEVIATION 22.3
144.4 mg/dL
STANDARD_DEVIATION 23.3
142.9 mg/dL
STANDARD_DEVIATION 22.9
139.5 mg/dL
STANDARD_DEVIATION 21.3
144.3 mg/dL
STANDARD_DEVIATION 23.9
Lipoprotein(a)28.0 nmol/L
INTER_QUARTILE_RANGE 79.1
28.0 nmol/L
INTER_QUARTILE_RANGE 65.7
20.0 nmol/L
INTER_QUARTILE_RANGE 61.5
28.0 nmol/L
INTER_QUARTILE_RANGE 86.9
25.0 nmol/L
INTER_QUARTILE_RANGE 74.5
21.0 nmol/L
INTER_QUARTILE_RANGE 62.9
21.5 nmol/L
INTER_QUARTILE_RANGE 84
Non-High-Density Lipoprotein Cholesterol (Non-HDL-C) Concentration168.8 mg/dL
STANDARD_DEVIATION 28.9
169.4 mg/dL
STANDARD_DEVIATION 27.3
166.5 mg/dL
STANDARD_DEVIATION 25.6
170.4 mg/dL
STANDARD_DEVIATION 26.6
169.0 mg/dL
STANDARD_DEVIATION 27.2
167.4 mg/dL
STANDARD_DEVIATION 25.8
172.8 mg/dL
STANDARD_DEVIATION 31
Race/Ethnicity, Customized
American Indian or Alaska Native
0 participants1 participants0 participants2 participants3 participants0 participants0 participants
Race/Ethnicity, Customized
Asian
7 participants10 participants12 participants12 participants58 participants9 participants8 participants
Race/Ethnicity, Customized
Black or African American
6 participants6 participants9 participants9 participants40 participants4 participants6 participants
Race/Ethnicity, Customized
Hispanic or Latino
9 participants11 participants14 participants21 participants69 participants6 participants8 participants
Race/Ethnicity, Customized
Mixed Race
1 participants0 participants0 participants1 participants2 participants0 participants0 participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 participants0 participants0 participants0 participants1 participants0 participants1 participants
Race/Ethnicity, Customized
Not Hispanic or Latino
68 participants66 participants139 participants132 participants546 participants71 participants70 participants
Race/Ethnicity, Customized
Other
0 participants0 participants0 participants0 participants0 participants0 participants0 participants
Race/Ethnicity, Customized
White
63 participants60 participants132 participants129 participants511 participants64 participants63 participants
Sex: Female, Male
Female
53 Participants52 Participants104 Participants101 Participants406 Participants49 Participants47 Participants
Sex: Female, Male
Male
24 Participants25 Participants49 Participants52 Participants209 Participants28 Participants31 Participants
Stratification Factor: Low-density Lipoprotein Cholesterol (LDL-C)
< 130 mg/dL
22 participants22 participants45 participants45 participants181 participants23 participants24 participants
Stratification Factor: Low-density Lipoprotein Cholesterol (LDL-C)
≥ 130 mg/dL
55 participants55 participants108 participants108 participants434 participants54 participants54 participants
Total Cholesterol/High-density Lipoprotein Cholesterol Ratio4.055 ratio
STANDARD_DEVIATION 1.082
4.335 ratio
STANDARD_DEVIATION 1.118
4.170 ratio
STANDARD_DEVIATION 1.17
4.175 ratio
STANDARD_DEVIATION 1.071
4.210 ratio
STANDARD_DEVIATION 1.191
4.148 ratio
STANDARD_DEVIATION 1.311
4.444 ratio
STANDARD_DEVIATION 1.465
Triglycerides112.5 mg/dL
INTER_QUARTILE_RANGE 64.9
116.5 mg/dL
INTER_QUARTILE_RANGE 52.4
112.0 mg/dL
INTER_QUARTILE_RANGE 62.6
119.0 mg/dL
INTER_QUARTILE_RANGE 59.1
115.3 mg/dL
INTER_QUARTILE_RANGE 65.5
113.5 mg/dL
INTER_QUARTILE_RANGE 74.7
118.0 mg/dL
INTER_QUARTILE_RANGE 83.4
Very Low-density Lipoprotein Cholesterol (VLDL-C) Concentration22.5 mg/dL
INTER_QUARTILE_RANGE 12.4
23.5 mg/dL
INTER_QUARTILE_RANGE 10.5
22.5 mg/dL
INTER_QUARTILE_RANGE 11.5
23.5 mg/dL
INTER_QUARTILE_RANGE 11.8
23.0 mg/dL
INTER_QUARTILE_RANGE 12.4
22.5 mg/dL
INTER_QUARTILE_RANGE 13.2
23.8 mg/dL
INTER_QUARTILE_RANGE 15.4

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
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
9 / 764 / 7810 / 774 / 7712 / 15312 / 153
serious
Total, serious adverse events
0 / 761 / 780 / 771 / 773 / 1531 / 153

Outcome results

Primary

Percent Change From Baseline in LDL-C at the Mean of Weeks 10 and 12

Time frame: Baseline and Weeks 10 and 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in LDL-C at the Mean of Weeks 10 and 12-0.43 percent changeStandard Error 1.45
Placebo QMPercent Change From Baseline in LDL-C at the Mean of Weeks 10 and 12-1.41 percent changeStandard Error 1.37
Ezetimibe (Q2W)Percent Change From Baseline in LDL-C at the Mean of Weeks 10 and 12-17.52 percent changeStandard Error 1.46
Ezetimibe (QM)Percent Change From Baseline in LDL-C at the Mean of Weeks 10 and 12-19.12 percent changeStandard Error 1.39
Evolocumab Q2WPercent Change From Baseline in LDL-C at the Mean of Weeks 10 and 12-56.93 percent changeStandard Error 1.07
Evolocumab QMPercent Change From Baseline in LDL-C at the Mean of Weeks 10 and 12-58.81 percent changeStandard Error 1
Comparison: The null hypothesis was that there was no mean difference in the percent change from Baseline at the mean of Weeks 10 and 12 in LDL-C between evolocumab and placebo, and the alternative hypothesis was that a mean difference did exist.p-value: <0.00195% CI: [-59.95, -53.04]Repeated measures linear effects model
Comparison: The null hypothesis was that there was no mean difference in the percent change from Baseline at the mean of Weeks 10 and 12 in LDL-C between evolocumab and placebo, and the alternative hypothesis was that a mean difference did exist.p-value: <0.00195% CI: [-60.66, -54.14]Repeated measures linear effects model
Comparison: The null hypothesis was that there was no mean difference in the percent change from Baseline at the mean of Weeks 10 and 12 in LDL-C between evolocumab and ezetimibe, and the alternative hypothesis was that a mean difference did exist.p-value: <0.00195% CI: [-42.87, -35.94]Repeated measures linear effects model
Comparison: The null hypothesis was that there was no mean difference in the percent change from Baseline at the mean of Weeks 10 and 12 in LDL-C between evolocumab and ezetimibe, and the alternative hypothesis was that a mean difference did exist.p-value: <0.00195% CI: [-42.97, -36.42]Repeated measures linear effects model
Primary

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

Time frame: Baseline and Week 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C) at Week 120.10 percent changeStandard Error 1.67
Placebo QMPercent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C) at Week 12-1.34 percent changeStandard Error 1.54
Ezetimibe (Q2W)Percent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C) at Week 12-17.75 percent changeStandard Error 1.67
Ezetimibe (QM)Percent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C) at Week 12-18.57 percent changeStandard Error 1.56
Evolocumab Q2WPercent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C) at Week 12-57.04 percent changeStandard Error 1.23
Evolocumab QMPercent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C) at Week 12-56.12 percent changeStandard Error 1.12
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: [-61.14, -53.14]Repeated measures linear effects model
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: [-58.46, -51.1]Repeated measures linear effects model
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 ezetimibe, and the alternative hypothesis was that a mean difference did exist.p-value: <0.00195% CI: [-43.28, -35.31]Repeated measures linear effects model
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 ezetimibe, and the alternative hypothesis was that a mean difference did exist.p-value: <0.00195% CI: [-41.24, -33.86]Repeated measures linear effects model
Secondary

Change From Baseline in LDL-C at the Mean of Weeks 10 and 12

Time frame: Baseline and Weeks 10 and 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WChange From Baseline in LDL-C at the Mean of Weeks 10 and 121.2 mg/dLStandard Error 2.3
Placebo QMChange From Baseline in LDL-C at the Mean of Weeks 10 and 120.0 mg/dLStandard Error 2.1
Ezetimibe (Q2W)Change From Baseline in LDL-C at the Mean of Weeks 10 and 12-23.1 mg/dLStandard Error 2.3
Ezetimibe (QM)Change From Baseline in LDL-C at the Mean of Weeks 10 and 12-25.9 mg/dLStandard Error 2.1
Evolocumab Q2WChange From Baseline in LDL-C at the Mean of Weeks 10 and 12-78.4 mg/dLStandard Error 1.7
Evolocumab QMChange From Baseline in LDL-C at the Mean of Weeks 10 and 12-81.9 mg/dLStandard Error 1.5
p-value: <0.00195% CI: [-85, -74.2]Repeated measures linear effects model
p-value: <0.00195% CI: [-87, -76.9]Repeated measures linear effects model
p-value: <0.00195% CI: [-60.7, -49.9]Repeated measures linear effects model
p-value: <0.00195% CI: [-61.1, -51]Repeated measures linear effects model
Secondary

Change From Baseline in LDL-C at Week 12

Time frame: Baseline and Week 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WChange From Baseline in LDL-C at Week 121.9 mg/dLStandard Error 2.5
Placebo QMChange From Baseline in LDL-C at Week 12-0.1 mg/dLStandard Error 2.4
Ezetimibe (Q2W)Change From Baseline in LDL-C at Week 12-23.4 mg/dLStandard Error 2.5
Ezetimibe (QM)Change From Baseline in LDL-C at Week 12-25.0 mg/dLStandard Error 2.4
Evolocumab Q2WChange From Baseline in LDL-C at Week 12-78.4 mg/dLStandard Error 1.9
Evolocumab QMChange From Baseline in LDL-C at Week 12-77.9 mg/dLStandard Error 1.7
p-value: <0.00195% CI: [-86.4, -74.3]Repeated measures linear effects model
p-value: <0.00195% CI: [-83.4, -72.2]Repeated measures linear effects model
p-value: <0.00195% CI: [-61.1, -49]Repeated measures linear effects model
p-value: <0.00195% CI: [-58.5, -47.3]Repeated measures linear effects model
Secondary

Percentage of Participants Who Achieved a Mean LDL-C at Weeks 10 and 12 of Less Than 70 mg/dL

Time frame: Weeks 10 and 12

Population: Full analysis set

ArmMeasureValue (NUMBER)
Placebo Q2WPercentage of Participants Who Achieved a Mean LDL-C at Weeks 10 and 12 of Less Than 70 mg/dL0.0 percentage of participants
Placebo QMPercentage of Participants Who Achieved a Mean LDL-C at Weeks 10 and 12 of Less Than 70 mg/dL0.0 percentage of participants
Ezetimibe (Q2W)Percentage of Participants Who Achieved a Mean LDL-C at Weeks 10 and 12 of Less Than 70 mg/dL1.3 percentage of participants
Ezetimibe (QM)Percentage of Participants Who Achieved a Mean LDL-C at Weeks 10 and 12 of Less Than 70 mg/dL2.8 percentage of participants
Evolocumab Q2WPercentage of Participants Who Achieved a Mean LDL-C at Weeks 10 and 12 of Less Than 70 mg/dL73.6 percentage of participants
Evolocumab QMPercentage of Participants Who Achieved a Mean LDL-C at Weeks 10 and 12 of Less Than 70 mg/dL71.3 percentage of participants
p-value: <0.00195% CI: [64.4, 80.2]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [62.2, 78]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [62.4, 78.9]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [58.3, 75.5]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants Who Achieved LDL-C < 70 mg/dL at Week 12

Time frame: Week 12

Population: Full analysis set

ArmMeasureValue (NUMBER)
Placebo Q2WPercentage of Participants Who Achieved LDL-C < 70 mg/dL at Week 121.4 percentage of participants
Placebo QMPercentage of Participants Who Achieved LDL-C < 70 mg/dL at Week 120.0 percentage of participants
Ezetimibe (Q2W)Percentage of Participants Who Achieved LDL-C < 70 mg/dL at Week 121.4 percentage of participants
Ezetimibe (QM)Percentage of Participants Who Achieved LDL-C < 70 mg/dL at Week 121.4 percentage of participants
Evolocumab Q2WPercentage of Participants Who Achieved LDL-C < 70 mg/dL at Week 1272.9 percentage of participants
Evolocumab QMPercentage of Participants Who Achieved LDL-C < 70 mg/dL at Week 1265.4 percentage of participants
p-value: <0.00195% CI: [61.2, 78.4]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [55.6, 72.9]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [61.3, 78.4]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [53.5, 71.6]Cochran-Mantel-Haenszel
Secondary

Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at the Mean of Weeks 10 and 12

Time frame: Baseline and Weeks 10 and 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at the Mean of Weeks 10 and 121.01 percent changeStandard Error 1.69
Placebo QMPercent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at the Mean of Weeks 10 and 123.85 percent changeStandard Error 1.77
Ezetimibe (Q2W)Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at the Mean of Weeks 10 and 12-13.39 percent changeStandard Error 1.69
Ezetimibe (QM)Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at the Mean of Weeks 10 and 12-14.49 percent changeStandard Error 1.79
Evolocumab Q2WPercent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at the Mean of Weeks 10 and 12-48.12 percent changeStandard Error 1.25
Evolocumab QMPercent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at the Mean of Weeks 10 and 12-51.10 percent changeStandard Error 1.29
p-value: <0.00195% CI: [-53.12, -45.12]Repeated measures linear effects model
p-value: <0.00195% CI: [-59.12, -50.78]Repeated measures linear effects model
p-value: <0.00195% CI: [-38.73, -30.73]Repeated measures linear effects model
p-value: <0.00195% CI: [-40.81, -32.42]Repeated measures linear effects model
Secondary

Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at Week 12

Time frame: Baseline and Week 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at Week 121.12 percent changeStandard Error 1.77
Placebo QMPercent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at Week 124.51 percent changeStandard Error 1.9
Ezetimibe (Q2W)Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at Week 12-12.69 percent changeStandard Error 1.77
Ezetimibe (QM)Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at Week 12-14.29 percent changeStandard Error 1.92
Evolocumab Q2WPercent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at Week 12-48.45 percent changeStandard Error 1.31
Evolocumab QMPercent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at Week 12-48.26 percent changeStandard Error 1.39
p-value: <0.00195% CI: [-53.78, -45.36]Repeated measures linear effects model
p-value: <0.00195% CI: [-57.28, -48.26]Repeated measures linear effects model
p-value: <0.00195% CI: [-39.95, -31.57]Repeated measures linear effects model
p-value: <0.00195% CI: [-38.48, -29.45]Repeated measures linear effects model
Secondary

Percent Change From Baseline in Apolipoprotein B at the Mean of Weeks 10 and 12

Time frame: Baseline and Weeks 10 and 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Apolipoprotein B at the Mean of Weeks 10 and 120.05 percent changeStandard Error 1.51
Placebo QMPercent Change From Baseline in Apolipoprotein B at the Mean of Weeks 10 and 121.54 percent changeStandard Error 1.41
Ezetimibe (Q2W)Percent Change From Baseline in Apolipoprotein B at the Mean of Weeks 10 and 12-13.47 percent changeStandard Error 1.52
Ezetimibe (QM)Percent Change From Baseline in Apolipoprotein B at the Mean of Weeks 10 and 12-14.75 percent changeStandard Error 1.43
Evolocumab Q2WPercent Change From Baseline in Apolipoprotein B at the Mean of Weeks 10 and 12-47.04 percent changeStandard Error 1.12
Evolocumab QMPercent Change From Baseline in Apolipoprotein B at the Mean of Weeks 10 and 12-49.39 percent changeStandard Error 1.03
p-value: <0.00195% CI: [-50.67, -43.51]Repeated measures linear effects model
p-value: <0.00195% CI: [-54.27, -47.59]Repeated measures linear effects model
p-value: <0.00195% CI: [-37.15, -29.99]Repeated measures linear effects model
p-value: <0.00195% CI: [-37.99, -31.28]Repeated measures linear effects model
Secondary

Percent Change From Baseline in Apolipoprotein B at Week 12

Time frame: Baseline and Week 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Apolipoprotein B at Week 120.59 percent changeStandard Error 1.58
Placebo QMPercent Change From Baseline in Apolipoprotein B at Week 121.84 percent changeStandard Error 1.53
Ezetimibe (Q2W)Percent Change From Baseline in Apolipoprotein B at Week 12-13.17 percent changeStandard Error 1.58
Ezetimibe (QM)Percent Change From Baseline in Apolipoprotein B at Week 12-14.02 percent changeStandard Error 1.54
Evolocumab Q2WPercent Change From Baseline in Apolipoprotein B at Week 12-47.21 percent changeStandard Error 1.17
Evolocumab QMPercent Change From Baseline in Apolipoprotein B at Week 12-46.59 percent changeStandard Error 1.12
p-value: <0.00195% CI: [-51.56, -44.05]Repeated measures linear effects model
p-value: <0.00195% CI: [-52.07, -44.79]Repeated measures linear effects model
p-value: <0.00195% CI: [-37.78, -30.3]Repeated measures linear effects model
p-value: <0.00195% CI: [-36.21, -28.92]Repeated measures linear effects model
Secondary

Percent Change From Baseline in HDL-C at Week 12

Time frame: Baseline and Week 12

Population: Full analysis set

ArmMeasureValue (MEDIAN)Dispersion
Placebo Q2WPercent Change From Baseline in HDL-C at Week 12-1.15 percent changeInter-Quartile Range 1.43
Placebo QMPercent Change From Baseline in HDL-C at Week 12-5.27 percent changeInter-Quartile Range 1.4
Ezetimibe (Q2W)Percent Change From Baseline in HDL-C at Week 12-2.79 percent changeInter-Quartile Range 1.42
Ezetimibe (QM)Percent Change From Baseline in HDL-C at Week 12-1.47 percent changeInter-Quartile Range 1.41
Evolocumab Q2WPercent Change From Baseline in HDL-C at Week 124.76 percent changeInter-Quartile Range 1.05
Evolocumab QMPercent Change From Baseline in HDL-C at Week 124.06 percent changeInter-Quartile Range 1.01
p-value: 0.00795% CI: [1.67, 10.16]Quade test
p-value: <0.00195% CI: [5.32, 13.34]Quade test
p-value: 0.01395% CI: [3.11, 12]Quade test
p-value: 0.04495% CI: [2.22, 8.84]Quade test
Secondary

Percent Change From Baseline in High-density Lipoprotein Cholesterol (HDL-C) at the Mean of Weeks 10 and 12

Time frame: Baseline and Weeks 10 and 12

Population: Full analysis set

ArmMeasureValue (MEDIAN)Dispersion
Placebo Q2WPercent Change From Baseline in High-density Lipoprotein Cholesterol (HDL-C) at the Mean of Weeks 10 and 12-1.64 percent changeInter-Quartile Range 1.26
Placebo QMPercent Change From Baseline in High-density Lipoprotein Cholesterol (HDL-C) at the Mean of Weeks 10 and 12-4.67 percent changeInter-Quartile Range 1.32
Ezetimibe (Q2W)Percent Change From Baseline in High-density Lipoprotein Cholesterol (HDL-C) at the Mean of Weeks 10 and 12-0.92 percent changeInter-Quartile Range 1.27
Ezetimibe (QM)Percent Change From Baseline in High-density Lipoprotein Cholesterol (HDL-C) at the Mean of Weeks 10 and 120.00 percent changeInter-Quartile Range 1.33
Evolocumab Q2WPercent Change From Baseline in High-density Lipoprotein Cholesterol (HDL-C) at the Mean of Weeks 10 and 123.89 percent changeInter-Quartile Range 0.93
Evolocumab QMPercent Change From Baseline in High-density Lipoprotein Cholesterol (HDL-C) at the Mean of Weeks 10 and 123.81 percent changeInter-Quartile Range 0.95
p-value: 0.00795% CI: [2.23, 8.84]Quade test
p-value: <0.00195% CI: [5.53, 11.43]Quade test
p-value: 0.01395% CI: [0.85, 8.78]Quade test
p-value: 0.04495% CI: [-0.77, 8.39]Quade test
Secondary

Percent Change From Baseline in Lipoprotein (a) at the Mean of Weeks 10 and 12

Time frame: Baseline and Weeks 10 and 12

Population: Full analysis set

ArmMeasureValue (MEDIAN)Dispersion
Placebo Q2WPercent Change From Baseline in Lipoprotein (a) at the Mean of Weeks 10 and 120.12 percent changeInter-Quartile Range 2.72
Placebo QMPercent Change From Baseline in Lipoprotein (a) at the Mean of Weeks 10 and 120.00 percent changeInter-Quartile Range 2.96
Ezetimibe (Q2W)Percent Change From Baseline in Lipoprotein (a) at the Mean of Weeks 10 and 120.00 percent changeInter-Quartile Range 2.72
Ezetimibe (QM)Percent Change From Baseline in Lipoprotein (a) at the Mean of Weeks 10 and 12-2.08 percent changeInter-Quartile Range 3.01
Evolocumab Q2WPercent Change From Baseline in Lipoprotein (a) at the Mean of Weeks 10 and 12-18.37 percent changeInter-Quartile Range 2.02
Evolocumab QMPercent Change From Baseline in Lipoprotein (a) at the Mean of Weeks 10 and 12-19.24 percent changeInter-Quartile Range 2.17
p-value: <0.00195% CI: [-25.28, -11.68]Quade test
p-value: <0.00195% CI: [-23.2, -15.28]Quade test
p-value: <0.00195% CI: [-24.39, -12.35]Quade test
p-value: <0.00195% CI: [-23.23, -11.08]Quade test
Secondary

Percent Change From Baseline in Lipoprotein (a) at Week 12

Time frame: Baseline and Week 12

Population: Full analysis set

ArmMeasureValue (MEDIAN)Dispersion
Placebo Q2WPercent Change From Baseline in Lipoprotein (a) at Week 120.00 percent changeInter-Quartile Range 2.75
Placebo QMPercent Change From Baseline in Lipoprotein (a) at Week 120.00 percent changeInter-Quartile Range 3.26
Ezetimibe (Q2W)Percent Change From Baseline in Lipoprotein (a) at Week 120.00 percent changeInter-Quartile Range 2.75
Ezetimibe (QM)Percent Change From Baseline in Lipoprotein (a) at Week 12-2.05 percent changeInter-Quartile Range 3.28
Evolocumab Q2WPercent Change From Baseline in Lipoprotein (a) at Week 12-20.41 percent changeInter-Quartile Range 2.04
Evolocumab QMPercent Change From Baseline in Lipoprotein (a) at Week 12-17.82 percent changeInter-Quartile Range 2.39
p-value: <0.00195% CI: [-27.76, -13.06]Quade test
p-value: <0.00195% CI: [-24.51, -11.12]Quade test
p-value: <0.00195% CI: [-28.13, -12.69]Quade test
p-value: <0.00195% CI: [-24.39, -7.14]Quade test
Secondary

Percent Change From Baseline in Non-HDL-C at Week 12

Time frame: Baseline and Week 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Non-HDL-C at Week 12-0.31 percent changeStandard Error 1.48
Placebo QMPercent Change From Baseline in Non-HDL-C at Week 121.51 percent changeStandard Error 1.38
Ezetimibe (Q2W)Percent Change From Baseline in Non-HDL-C at Week 12-14.89 percent changeStandard Error 1.47
Ezetimibe (QM)Percent Change From Baseline in Non-HDL-C at Week 12-16.48 percent changeStandard Error 1.39
Evolocumab Q2WPercent Change From Baseline in Non-HDL-C at Week 12-50.12 percent changeStandard Error 1.08
Evolocumab QMPercent Change From Baseline in Non-HDL-C at Week 12-49.68 percent changeStandard Error 1.01
p-value: <0.00195% CI: [-53.34, -46.27]Repeated measures linear effects model
p-value: <0.00195% CI: [-54.49, -47.9]Repeated measures linear effects model
p-value: <0.00195% CI: [-38.74, -31.71]Repeated measures linear effects model
p-value: <0.00195% CI: [-36.51, -29.9]Repeated measures linear effects model
Secondary

Percent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C) at the Mean of Weeks 10 and 12

Time frame: Baseline and Weeks 10 and 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C) at the Mean of Weeks 10 and 12-1.41 percent changeStandard Error 1.34
Placebo QMPercent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C) at the Mean of Weeks 10 and 121.32 percent changeStandard Error 1.24
Ezetimibe (Q2W)Percent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C) at the Mean of Weeks 10 and 12-14.64 percent changeStandard Error 1.35
Ezetimibe (QM)Percent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C) at the Mean of Weeks 10 and 12-16.48 percent changeStandard Error 1.25
Evolocumab Q2WPercent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C) at the Mean of Weeks 10 and 12-50.22 percent changeStandard Error 0.99
Evolocumab QMPercent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C) at the Mean of Weeks 10 and 12-51.96 percent changeStandard Error 0.9
p-value: <0.00195% CI: [-52.01, -45.61]Repeated measures linear effects model
p-value: <0.00195% CI: [-56.23, -50.33]Repeated measures linear effects model
p-value: <0.00195% CI: [-38.79, -32.38]Repeated measures linear effects model
p-value: <0.00195% CI: [-38.44, -32.53]Repeated measures linear effects model
Secondary

Percent Change From Baseline in Total Cholesterol/High Density Lipoprotein-cholesterol Ratio at the Mean of Weeks 10 and 12

Time frame: Baseline and Weeks 10 and 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Total Cholesterol/High Density Lipoprotein-cholesterol Ratio at the Mean of Weeks 10 and 120.44 percent changeStandard Error 1.29
Placebo QMPercent Change From Baseline in Total Cholesterol/High Density Lipoprotein-cholesterol Ratio at the Mean of Weeks 10 and 126.42 percent changeStandard Error 1.5
Ezetimibe (Q2W)Percent Change From Baseline in Total Cholesterol/High Density Lipoprotein-cholesterol Ratio at the Mean of Weeks 10 and 12-9.14 percent changeStandard Error 1.29
Ezetimibe (QM)Percent Change From Baseline in Total Cholesterol/High Density Lipoprotein-cholesterol Ratio at the Mean of Weeks 10 and 12-11.90 percent changeStandard Error 1.51
Evolocumab Q2WPercent Change From Baseline in Total Cholesterol/High Density Lipoprotein-cholesterol Ratio at the Mean of Weeks 10 and 12-38.49 percent changeStandard Error 0.95
Evolocumab QMPercent Change From Baseline in Total Cholesterol/High Density Lipoprotein-cholesterol Ratio at the Mean of Weeks 10 and 12-39.41 percent changeStandard Error 1.08
p-value: <0.00195% CI: [-42, -35.86]Repeated measures linear effects model
p-value: <0.00195% CI: [-49.39, -42.27]Repeated measures linear effects model
p-value: <0.00195% CI: [-32.43, -26.28]Repeated measures linear effects model
p-value: <0.00195% CI: [-31.08, -23.94]Repeated measures linear effects model
Secondary

Percent Change From Baseline in Total Cholesterol/High Density Lipoprotein-cholesterol Ratio at Week 12

Time frame: Baseline and Week 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Total Cholesterol/High Density Lipoprotein-cholesterol Ratio at Week 121.18 percent changeStandard Error 1.39
Placebo QMPercent Change From Baseline in Total Cholesterol/High Density Lipoprotein-cholesterol Ratio at Week 127.02 percent changeStandard Error 1.67
Ezetimibe (Q2W)Percent Change From Baseline in Total Cholesterol/High Density Lipoprotein-cholesterol Ratio at Week 12-10.03 percent changeStandard Error 1.39
Ezetimibe (QM)Percent Change From Baseline in Total Cholesterol/High Density Lipoprotein-cholesterol Ratio at Week 12-12.34 percent changeStandard Error 1.68
Evolocumab Q2WPercent Change From Baseline in Total Cholesterol/High Density Lipoprotein-cholesterol Ratio at Week 12-38.45 percent changeStandard Error 1.02
Evolocumab QMPercent Change From Baseline in Total Cholesterol/High Density Lipoprotein-cholesterol Ratio at Week 12-37.65 percent changeStandard Error 1.21
p-value: <0.00195% CI: [-42.97, -36.3]Repeated measures linear effects model
p-value: <0.00195% CI: [-48.66, -40.68]Repeated measures linear effects model
p-value: <0.00195% CI: [-31.73, -25.1]Repeated measures linear effects model
p-value: <0.00195% CI: [-29.31, -21.31]Repeated measures linear effects model
Secondary

Percent Change From Baseline in Triglycerides at the Mean of Weeks 10 and 12

Time frame: Baseline and Weeks 10 and 12

Population: Full analysis set

ArmMeasureValue (MEDIAN)Dispersion
Placebo Q2WPercent Change From Baseline in Triglycerides at the Mean of Weeks 10 and 12-3.89 percent changeInter-Quartile Range 3.64
Placebo QMPercent Change From Baseline in Triglycerides at the Mean of Weeks 10 and 124.89 percent changeInter-Quartile Range 4.02
Ezetimibe (Q2W)Percent Change From Baseline in Triglycerides at the Mean of Weeks 10 and 12-1.46 percent changeInter-Quartile Range 3.6
Ezetimibe (QM)Percent Change From Baseline in Triglycerides at the Mean of Weeks 10 and 12-3.97 percent changeInter-Quartile Range 4.04
Evolocumab Q2WPercent Change From Baseline in Triglycerides at the Mean of Weeks 10 and 12-9.16 percent changeInter-Quartile Range 2.65
Evolocumab QMPercent Change From Baseline in Triglycerides at the Mean of Weeks 10 and 12-15.71 percent changeInter-Quartile Range 2.92
p-value: 0.7295% CI: [-13.27, 2.73]Quade test
p-value: <0.00195% CI: [-30.98, -10.2]Quade test
p-value: 0.02795% CI: [-16.86, 1.45]Quade test
p-value: 0.04495% CI: [-21.19, -2.27]Quade test
Secondary

Percent Change From Baseline in Triglycerides at Week 12

Time frame: Baseline and Week 12

Population: Full analysis set

ArmMeasureValue (MEDIAN)Dispersion
Placebo Q2WPercent Change From Baseline in Triglycerides at Week 12-1.91 percent changeInter-Quartile Range 3.13
Placebo QMPercent Change From Baseline in Triglycerides at Week 122.01 percent changeInter-Quartile Range 3.86
Ezetimibe (Q2W)Percent Change From Baseline in Triglycerides at Week 120.00 percent changeInter-Quartile Range 3.15
Ezetimibe (QM)Percent Change From Baseline in Triglycerides at Week 12-2.41 percent changeInter-Quartile Range 3.89
Evolocumab Q2WPercent Change From Baseline in Triglycerides at Week 12-8.14 percent changeInter-Quartile Range 2.31
Evolocumab QMPercent Change From Baseline in Triglycerides at Week 12-15.64 percent changeInter-Quartile Range 2.78
p-value: 0.7295% CI: [-16.41, 3.95]Quade test
p-value: <0.00195% CI: [-26.67, -8.63]Quade test
p-value: 0.02795% CI: [-17.54, 1.26]Quade test
p-value: 0.04495% CI: [-21.69, -4.77]Quade test
Secondary

Percent Change From Baseline in Very Low Density Lipoprotein Cholesterol (VLDL-C) at the Mean of Weeks 10 and 12

Time frame: Baseline and Weeks 10 and 12

Population: Full analysis set

ArmMeasureValue (MEDIAN)Dispersion
Placebo Q2WPercent Change From Baseline in Very Low Density Lipoprotein Cholesterol (VLDL-C) at the Mean of Weeks 10 and 12-3.81 percent changeInter-Quartile Range 3.09
Placebo QMPercent Change From Baseline in Very Low Density Lipoprotein Cholesterol (VLDL-C) at the Mean of Weeks 10 and 124.22 percent changeInter-Quartile Range 3.7
Ezetimibe (Q2W)Percent Change From Baseline in Very Low Density Lipoprotein Cholesterol (VLDL-C) at the Mean of Weeks 10 and 12-2.69 percent changeInter-Quartile Range 3.12
Ezetimibe (QM)Percent Change From Baseline in Very Low Density Lipoprotein Cholesterol (VLDL-C) at the Mean of Weeks 10 and 12-3.33 percent changeInter-Quartile Range 3.69
Evolocumab Q2WPercent Change From Baseline in Very Low Density Lipoprotein Cholesterol (VLDL-C) at the Mean of Weeks 10 and 12-8.40 percent changeInter-Quartile Range 2.28
Evolocumab QMPercent Change From Baseline in Very Low Density Lipoprotein Cholesterol (VLDL-C) at the Mean of Weeks 10 and 12-16.17 percent changeInter-Quartile Range 2.65
p-value: 0.07295% CI: [-11.3, 2.12]Quade test
p-value: <0.00195% CI: [-30.11, -10.68]Quade test
p-value: 0.08295% CI: [-14.13, 2.71]Quade test
p-value: 0.04495% CI: [-22.14, -3.54]Quade test
Secondary

Percent Change From Baseline in VLDL-C at Week 12

Time frame: Baseline and Week 12

Population: Ful analysis set

ArmMeasureValue (MEDIAN)Dispersion
Placebo Q2WPercent Change From Baseline in VLDL-C at Week 12-1.58 percent changeInter-Quartile Range 3.67
Placebo QMPercent Change From Baseline in VLDL-C at Week 120.00 percent changeInter-Quartile Range 3.93
Ezetimibe (Q2W)Percent Change From Baseline in VLDL-C at Week 12-0.94 percent changeInter-Quartile Range 3.65
Ezetimibe (QM)Percent Change From Baseline in VLDL-C at Week 12-3.61 percent changeInter-Quartile Range 3.87
Evolocumab Q2WPercent Change From Baseline in VLDL-C at Week 12-9.52 percent changeInter-Quartile Range 2.64
Evolocumab QMPercent Change From Baseline in VLDL-C at Week 12-16.33 percent changeInter-Quartile Range 2.8
p-value: 0.7295% CI: [-18.81, 2.92]Quade test
p-value: <0.00195% CI: [-25.64, -7.02]Quade test
p-value: 0.08295% CI: [-18.1, 0.94]Quade test
p-value: 0.04495% CI: [-20.89, -4.54]Quade test

Source: ClinicalTrials.gov · Data processed: Mar 21, 2026