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The Evaluation of Bococizumab (PF-04950615;RN316) in Reducing the Occurrence of Major Cardiovascular Events in High Risk Subjects

Phase 3 Multi-center, Double-blind, Randomized, Placebo-controlled, Parallel Group Evaluation Of The Efficacy, Safety, And Tolerability Of Bococizumab (Pf-04950615) In Reducing The Occurrence Of Major Cardiovascular Events In High Risk Subjects.

Status
Terminated
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01975376
Acronym
SPIRE-1
Enrollment
16784
Registered
2013-11-04
Start date
2013-10-29
Completion date
2017-03-22
Last updated
2018-07-11

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

Conditions

Cardiovascular Disease

Keywords

myocardial infarction, stroke, hyperlipidemia

Brief summary

This study evaluates the PCSK9 inhibitor, Bococizumab (PF-04950615;RN316), compared to placebo, in reducing the occurrence of major cardiovascular events, including cardiovascular death, myocardial infarction, stroke, and unstable angina requiring urgent revascularization, in high risk subjects who are receiving background lipid lowering therapy and have cholesterol laboratory values of LDL-C \>/= 70 mg/dL (1.8 mmol/L) or non-HDL-C \>/= 100 mg /dL (2.6 mmol/L).

Detailed description

The trial was terminated prematurely on November 1, 2016, due to the emerging clinical profile and the evolving treatment and market landscape for lipid-lowering agents. These indicated that bococizumab was not likely to provide value to patients, physicians, or shareholders. The decision was not based on a recommendation by the independent Data Monitoring Committee to stop the program.

Interventions

150 mg, every 2 weeks, subcutaneous. The duration of the treatment period will depend upon reaching the targeted number of adjudicated and confirmed CV outcome events, approximately 3 to 4 years after the entry of first subject into the study.

DRUGPlacebo

Placebo comparator, every 2 weeks, subcutaneous. The duration of the treatment period will depend upon reaching the targeted number of adjudicated and confirmed CV outcome events, approximately 3 to 4 years after the entry of first subject into the study.

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

Inclusion criteria

* Must be on background lipid lowering treatment. * Must be at high risk of a CV event. * Must have an LDL C \>/=70 mg/dL (1.8 mmol/L) or non-HDL-C \>/= 100 mg/dL (2.6 mmol/L).

Exclusion criteria

* Planned coronary (PCI or CABG) or other arterial revascularization. * New York Heart Association Class IV congestive heart failure or left ventricular ejection fraction \< 25% by cardiac imaging. * Chronic renal insufficiency with creatinine clearance of \<30 ml/min/1.73m\^2 by MDRD formula or with end state renal disease on dialysis. * History of hemorrhagic stroke. * Prior exposure to bococizumab or other investigational PCSK9 inhibitor.

Design outcomes

Primary

MeasureTime frameDescription
Event Rate Per 100 Participant-Years For First Occurrence of Major Cardiovascular (CV) EventFrom baseline until the date of first adjudicated and confirmed occurrence of major CV event (maximum duration: up to 3.4 years)Event rate per 100 participant-years for first occurrence of major CV event (adjudicated by Adjudication Committee) was reported. Major CV event was defined as any of the following: CV death (defined as sudden cardiac death, fatal myocardial infarction \[MI\], death due to heart failure, death due to stroke \[fatal ischemic stroke or fatal stroke of undetermined etiology\], or death due to other cardiovascular causes) non-fatal MI, non-fatal stroke, and hospitalization for unstable angina needing urgent revascularization. Event rate was calculated as the number of events per 100 participant-years at risk.

Secondary

MeasureTime frameDescription
Event Rate Per 100 Participant-Years For First Occurrence of Composite Endpoint of All-Cause Death, Non-Fatal Myocardial Infraction, Non-Fatal Stroke, or Hospitalization for Unstable Angina Needing Urgent RevascularizationFrom baseline until the date of first adjudicated and confirmed occurrence of all-cause death, non-fatal MI, non-fatal stroke, or hospitalization for unstable angina needing urgent revascularization (maximum duration: up to 3.4 years)Event rate per 100 participant-years for first occurrence of composite endpoint of all-cause death, non-fatal MI, non-fatal stroke, or hospitalization for unstable angina needing urgent revascularization (adjudicated by Adjudication Committee) was reported. All-cause death was defined as the death due to any cause during the course of study. Event rate was calculated as the number of events per 100 participant-years at risk.
Event Rate Per 100 Participant-Years For First Occurrence of Composite Endpoint of All-Cause Death, Non-Fatal Myocardial Infarction, or Non-Fatal StrokeFrom baseline until the date of first adjudicated and confirmed occurrence of the all-cause death, non-fatal MI, or non-fatal stroke (maximum duration: up to 3.4 years)Event rate per 100 participant-years for first occurrence of composite endpoint of all-cause death, non-fatal MI, or non-fatal stroke (adjudicated by adjudication committee) was reported. All-cause death was defined as the death due to any cause during the course of study. Event rate was calculated as the number of events per 100 participant-years at risk.
Event Rate Per 100 Participant-Years For First Occurrence of Hospitalization for Unstable Angina Needing Urgent RevascularizationFrom baseline until the date of first adjudicated and confirmed occurrence of hospitalization for unstable angina needing urgent revascularization (maximum duration: up to 3.4 years)Event rate per 100 participant-years for first occurrence of hospitalization for unstable angina needing urgent revascularization (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.
Event Rate Per 100 Participant-Years For First Occurrence of Composite Endpoint of Cardiovascular Death, Non-Fatal Myocardial Infarction, Non-Fatal Stroke and Hospitalization for Unstable AnginaFrom baseline until the date of first adjudicated and confirmed occurrence of cardiovascular death, non-fatal MI, non-fatal stroke and hospitalization for unstable angina (maximum duration: up to 3.4 years)Event rate per 100 participant-years for first occurrence of composite endpoint of cardiovascular death, non-fatal MI, non-fatal stroke and hospitalization for unstable angina (adjudicated by adjudication committee) was reported. Cardiovascular death was defined as sudden cardiac death, fatal MI, death due to heart failure, death due to stroke (fatal ischemic stroke or fatal stroke of undetermined etiology), or death due to other cardiovascular causes. Event rate was calculated as the number of events per 100 participant-years at risk.
Event Rate Per 100 Participant-Years For Cardiovascular DeathFrom baseline until the date of adjudicated and confirmed occurrence of cardiovascular death (maximum duration: up to 3.4 years)Event rate per 100 participant-years for cardiovascular death (adjudicated by adjudication committee) was reported. Cardiovascular death was defined as sudden cardiac death, fatal MI, death due to heart failure, death due to stroke (fatal ischemic stroke or fatal stroke of undetermined etiology), or death due to other cardiovascular causes. Event rate was calculated as the number of events per 100 participant-years at risk.
Event Rate Per 100 Participant-Years For First Occurrence of Any Myocardial Infarction (Fatal or Non-Fatal)From baseline until the date of first adjudicated and confirmed occurrence of any MI (fatal or non-fatal) (maximum duration: up to 3.4 years)Event rate per 100 participant-years for first occurrence of any MI (fatal or non-fatal) (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.
Event Rate Per 100 Participant-Years For Fatal Myocardial InfarctionFrom baseline until the date of adjudicated and confirmed occurrence of fatal MI (maximum duration: up to 3.4 years)Event rate per 100 participant-years for fatal MI (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.
Event Rate Per 100 Participant-Years For First Occurrence of Non-Fatal Myocardial InfarctionFrom baseline until the date of first adjudicated and confirmed occurrence of non-fatal MI (maximum duration: up to 3.4 years)Event rate per 100 participant-years for first occurrence of non-fatal MI (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.
Event Rate Per 100 Participant-Years For First Occurrence of Any Stroke (Fatal or Non-Fatal)From baseline until the date of first adjudicated and confirmed occurrence of any stroke (fatal or non-fatal) (maximum duration: up to 3.4 years)Event rate per 100 participant-years for first occurrence of any stroke (fatal or non-fatal) (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.
Event Rate Per 100 Participant-Years For First Occurrence of Any Stroke (Fatal or Non-Fatal), of Any EtiologyFrom baseline until the date of first adjudicated and confirmed occurrence of any stroke (fatal or non-fatal), of any etiology (maximum duration: up to 3.4 years)Event rate per 100 participant-years for first occurrence of any stroke (fatal or non-fatal), of any etiology (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.
Event Rate Per 100 Participant-Years For Fatal StrokeFrom baseline until the date of first adjudicated and confirmed occurrence of fatal stroke (maximum duration: up to 3.4 years)Event rate per 100 participant-years for fatal stroke (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.
Percent Change From Baseline in Low Density Lipoprotein Cholesterol at Last Post-Baseline MeasurementBaseline, last post-baseline measurement (any time up to Week 140)
Event Rate Per 100 Participant-Years For First Occurrence of Composite Endpoint of Cardiovascular Death, Non-Fatal Myocardial Infraction, or Non-Fatal StrokeFrom baseline until the date of first adjudicated and confirmed occurrence of the CV death, non-fatal MI or non-fatal stroke (maximum duration: up to 3.4 years)Event rate per 100 participant-years for first occurrence of composite endpoint of CV death, non-fatal MI or non-fatal stroke (adjudicated by Adjudication Committee) was reported. Cardiovascular death was defined as sudden cardiac death, fatal MI, death due to heart failure, death due to stroke (fatal ischemic stroke or fatal stroke of undetermined etiology), or death due to other cardiovascular causes. Event rate was calculated as the number of events per 100 participant-years at risk.
Event Rate Per 100 Participant-Years For First Occurrence of Hospitalization for Unstable AnginaFrom baseline until the date of first adjudicated and confirmed occurrence of hospitalization for unstable angina (maximum duration: up to 3.4 years)Event rate per 100 participant-years for first occurrence of hospitalization for unstable angina (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.
Event Rate Per 100 Participant-Years For First Occurrence of Hospitalization for Congestive Heart Failure (CHF)From baseline until the date of first adjudicated and confirmed occurrence of hospitalization for congestive heart failure (maximum duration: up to 3.4 years)Event rate per 100 participant-years for first occurrence of hospitalization for CHF (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.
Event Rate Per 100 Participant-Years For First Occurrence of Coronary RevascularizationFrom baseline until the date of first adjudicated and confirmed occurrence of coronary revascularization (maximum duration: up to 3.4 years)Event rate per 100 participant-years for first occurrence of coronary revascularization (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.
Event Rate Per 100 Participant-Years For First Occurrence of Coronary Artery Bypass Graft Surgery (CABG)From baseline until the date of first adjudicated and confirmed occurrence of CABG (maximum duration: up to 3.4 years)Event rate per 100 participant-years for first occurrence of CABG (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.
Event Rate Per 100 Participant-Years For First Occurrence of Percutaneous Coronary Intervention (PCI)From baseline until the date of first adjudicated and confirmed occurrence of PCI (maximum duration: up to 3.4 years)Event rate per 100 participant-years for first occurrence of PCI (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.
Event Rate Per 100 Participant-Years For First Occurrence of Any Arterial RevascularizationsFrom baseline until the date of first adjudicated and confirmed occurrence of any arterial revascularizations (maximum duration: up to 3.4 years)Event rate per 100 participant-years for first occurrence of any arterial revascularizations (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.
Event Rate Per 100 Participant-Years For All-Cause DeathFrom baseline until the date of adjudicated and confirmed occurrence of all-cause death (maximum duration: up to 3.4 years)Event rate per 100 participant-years for all-cause death (adjudicated by adjudication committee) was reported. All-cause death was defined as the death due to any cause during the course of study. Event rate was calculated as the number of events per 100 participant-years at risk.
Percent Change From Baseline in Low Density Lipoprotein Cholesterol at Week 14Baseline, Week 14
Nominal Change From Baseline in Low Density Lipoprotein Cholesterol at Week 14Baseline, Week 14
Percent Change From Baseline in Lipid Levels at Week 14Baseline, Week 14Lipids included non-high density lipoprotein cholesterol (non-HDL-C), total cholesterol, very low density lipoprotein cholesterol (VLDL-C), remnant lipoprotein cholesterol (RLP-C), apolipoprotein B (Apo B), HDL-C and apolipoprotein A-I (Apo A-I).
Percent Change From Baseline in Log-Transformed Lipoprotein (a) (Lp[a]) and Triglycerides at Week 14Baseline, Week 14
Percent Change From Baseline in Log-Transformed High Sensitivity C-Reactive Protein (Hs-CRP) at Week 14Baseline, Week 14
Event Rate Per 100 Participant-Years For First Occurrence of Non-Fatal StrokeFrom baseline until the date of first adjudicated and confirmed occurrence of non-fatal stroke (maximum duration: up to 3.4 years)Event rate per 100 participant-years for first occurrence of non-fatal stroke (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.

Countries

Argentina, Australia, Belgium, Brazil, Canada, Chile, China, Colombia, Czechia, Denmark, Finland, France, Germany, Hungary, India, Ireland, Israel, Italy, Mexico, Netherlands, New Zealand, Poland, Puerto Rico, Romania, Russia, Slovakia, South Africa, South Korea, Spain, Sweden, Switzerland, Taiwan, Thailand, Turkey (Türkiye), United Kingdom, United States

Participant flow

Participants by arm

ArmCount
Placebo
Participants received single dose of placebo matched to PF-04950615 subcutaneous injection once every 2 weeks for upto 3 years. Participants were followed up to 40 days after the last dose.
8,390
Bococizumab (PF-04950615)
Participants received single dose of PF-04950615 150 milligrams, subcutaneous injection once every 2 weeks for upto 3 years. Participants were followed up to 40 days after the last dose.
8,394
Total16,784

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event55
Overall StudyDeath6572
Overall StudyLost to Follow-up7066
Overall StudyOther24
Overall StudyRandomized, Not Treated168
Overall StudyWithdrew consent6862

Baseline characteristics

CharacteristicBococizumab (PF-04950615)TotalPlacebo
Age, Continuous63.3 Years
STANDARD_DEVIATION 9.1
63.3 Years
STANDARD_DEVIATION 9.1
63.3 Years
STANDARD_DEVIATION 9.2
Ethnicity (NIH/OMB)
Hispanic or Latino
1746 Participants3504 Participants1758 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6642 Participants13273 Participants6631 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
6 Participants7 Participants1 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
369 Participants723 Participants354 Participants
Race (NIH/OMB)
Black or African American
412 Participants804 Participants392 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
333 Participants662 Participants329 Participants
Race (NIH/OMB)
White
7280 Participants14595 Participants7315 Participants
Sex: Female, Male
Female
2207 Participants4430 Participants2223 Participants
Sex: Female, Male
Male
6187 Participants12354 Participants6167 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
65 / 8,37472 / 8,386
other
Total, other adverse events
1,570 / 8,3742,015 / 8,386
serious
Total, serious adverse events
986 / 8,3741,060 / 8,386

Outcome results

Primary

Event Rate Per 100 Participant-Years For First Occurrence of Major Cardiovascular (CV) Event

Event rate per 100 participant-years for first occurrence of major CV event (adjudicated by Adjudication Committee) was reported. Major CV event was defined as any of the following: CV death (defined as sudden cardiac death, fatal myocardial infarction \[MI\], death due to heart failure, death due to stroke \[fatal ischemic stroke or fatal stroke of undetermined etiology\], or death due to other cardiovascular causes) non-fatal MI, non-fatal stroke, and hospitalization for unstable angina needing urgent revascularization. Event rate was calculated as the number of events per 100 participant-years at risk.

Time frame: From baseline until the date of first adjudicated and confirmed occurrence of major CV event (maximum duration: up to 3.4 years)

Population: Full analysis set (FAS): all participants who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022/B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all participants enrolled at study Site 3027 where a quality-related event was identified.

ArmMeasureValue (NUMBER)
PlaceboEvent Rate Per 100 Participant-Years For First Occurrence of Major Cardiovascular (CV) Event3.02 Events Per 100 Participant-Years
Bococizumab (PF-04950615)Event Rate Per 100 Participant-Years For First Occurrence of Major Cardiovascular (CV) Event3.01 Events Per 100 Participant-Years
Comparison: Hazard ratio and 95 percent (%) Confidence Interval (CI) were from a Cox proportional hazards model stratified by geographic region and low density lipoprotein cholesterol (LDL-C) at pre-screening (less than \[\<\] 100 milligrams per deciliters \[mg/dL\], greater than and equal to \[\>=\] 100 mg/dL) with treatment as a co-variate.p-value: 0.93090595% CI: [0.8, 1.22]Log Rank
Secondary

Event Rate Per 100 Participant-Years For All-Cause Death

Event rate per 100 participant-years for all-cause death (adjudicated by adjudication committee) was reported. All-cause death was defined as the death due to any cause during the course of study. Event rate was calculated as the number of events per 100 participant-years at risk.

Time frame: From baseline until the date of adjudicated and confirmed occurrence of all-cause death (maximum duration: up to 3.4 years)

Population: FAS: all participants who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022/B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all participants enrolled at study Site 3027 where a quality-related event was identified.

ArmMeasureValue (NUMBER)
PlaceboEvent Rate Per 100 Participant-Years For All-Cause Death1.00 Events Per 100 Participant-Years
Bococizumab (PF-04950615)Event Rate Per 100 Participant-Years For All-Cause Death1.13 Events Per 100 Participant-Years
Comparison: Hazard ratio and 95% CI were from a Cox proportional hazards model stratified by geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL) with treatment as a covariate.p-value: 0.52626995% CI: [0.79, 1.6]Log Rank
Secondary

Event Rate Per 100 Participant-Years For Cardiovascular Death

Event rate per 100 participant-years for cardiovascular death (adjudicated by adjudication committee) was reported. Cardiovascular death was defined as sudden cardiac death, fatal MI, death due to heart failure, death due to stroke (fatal ischemic stroke or fatal stroke of undetermined etiology), or death due to other cardiovascular causes. Event rate was calculated as the number of events per 100 participant-years at risk.

Time frame: From baseline until the date of adjudicated and confirmed occurrence of cardiovascular death (maximum duration: up to 3.4 years)

Population: FAS: all participants who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022/B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all participants enrolled at study Site 3027 where a quality-related event was identified.

ArmMeasureValue (NUMBER)
PlaceboEvent Rate Per 100 Participant-Years For Cardiovascular Death0.52 Events Per 100 Participant-Years
Bococizumab (PF-04950615)Event Rate Per 100 Participant-Years For Cardiovascular Death0.64 Events Per 100 Participant-Years
Comparison: Hazard ratio and 95% CI were from a Cox proportional hazards model stratified by geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL) with treatment as a covariate.p-value: 0.4556995% CI: [0.74, 1.95]Log Rank
Secondary

Event Rate Per 100 Participant-Years For Fatal Myocardial Infarction

Event rate per 100 participant-years for fatal MI (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.

Time frame: From baseline until the date of adjudicated and confirmed occurrence of fatal MI (maximum duration: up to 3.4 years)

Population: FAS: all participants who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022/B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all participants enrolled at study Site 3027 where a quality-related event was identified.

ArmMeasureValue (NUMBER)
PlaceboEvent Rate Per 100 Participant-Years For Fatal Myocardial Infarction0.03 Events Per 100 Participant-Years
Bococizumab (PF-04950615)Event Rate Per 100 Participant-Years For Fatal Myocardial Infarction0.05 Events Per 100 Participant-Years
Comparison: Hazard ratio and 95% CI were from a Cox proportional hazards model stratified by geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL) with treatment as a covariate.p-value: 0.63302295% CI: [0.26, 9.23]Log Rank
Secondary

Event Rate Per 100 Participant-Years For Fatal Stroke

Event rate per 100 participant-years for fatal stroke (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.

Time frame: From baseline until the date of first adjudicated and confirmed occurrence of fatal stroke (maximum duration: up to 3.4 years)

Population: FAS: all participants who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022/B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all participants enrolled at study Site 3027 where a quality-related event was identified.

ArmMeasureValue (NUMBER)
PlaceboEvent Rate Per 100 Participant-Years For Fatal Stroke0.10 Events Per 100 Participant-Years
Bococizumab (PF-04950615)Event Rate Per 100 Participant-Years For Fatal Stroke0.05 Events Per 100 Participant-Years
Comparison: Hazard ratio and 95% CI were from a Cox proportional hazards model stratified by geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL) with treatment as a covariate.p-value: 0.31606695% CI: [0.12, 2]Log Rank
Secondary

Event Rate Per 100 Participant-Years For First Occurrence of Any Arterial Revascularizations

Event rate per 100 participant-years for first occurrence of any arterial revascularizations (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.

Time frame: From baseline until the date of first adjudicated and confirmed occurrence of any arterial revascularizations (maximum duration: up to 3.4 years)

Population: FAS: all participants who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022/B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all participants enrolled at study Site 3027 where a quality-related event was identified.

ArmMeasureValue (NUMBER)
PlaceboEvent Rate Per 100 Participant-Years For First Occurrence of Any Arterial Revascularizations1.26 Events Per 100 Participant-Years
Bococizumab (PF-04950615)Event Rate Per 100 Participant-Years For First Occurrence of Any Arterial Revascularizations1.28 Events Per 100 Participant-Years
Comparison: Hazard ratio and 95% CI were from a Cox proportional hazards model stratified by geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL) with treatment as a covariate.p-value: 0.87483595% CI: [0.74, 1.42]Log Rank
Secondary

Event Rate Per 100 Participant-Years For First Occurrence of Any Myocardial Infarction (Fatal or Non-Fatal)

Event rate per 100 participant-years for first occurrence of any MI (fatal or non-fatal) (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.

Time frame: From baseline until the date of first adjudicated and confirmed occurrence of any MI (fatal or non-fatal) (maximum duration: up to 3.4 years)

Population: FAS: all participants who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022/B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all participants enrolled at study Site 3027 where a quality-related event was identified.

ArmMeasureValue (NUMBER)
PlaceboEvent Rate Per 100 Participant-Years For First Occurrence of Any Myocardial Infarction (Fatal or Non-Fatal)1.56 Events Per 100 Participant-Years
Bococizumab (PF-04950615)Event Rate Per 100 Participant-Years For First Occurrence of Any Myocardial Infarction (Fatal or Non-Fatal)1.74 Events Per 100 Participant-Years
Comparison: Hazard ratio and 95% CI were from a Cox proportional hazards model stratified by geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL) with treatment as a covariate.p-value: 0.46949695% CI: [0.84, 1.48]Log Rank
Secondary

Event Rate Per 100 Participant-Years For First Occurrence of Any Stroke (Fatal or Non-Fatal)

Event rate per 100 participant-years for first occurrence of any stroke (fatal or non-fatal) (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.

Time frame: From baseline until the date of first adjudicated and confirmed occurrence of any stroke (fatal or non-fatal) (maximum duration: up to 3.4 years)

Population: FAS: all participants who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022/B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all participants enrolled at study Site 3027 where a quality-related event was identified.

ArmMeasureValue (NUMBER)
PlaceboEvent Rate Per 100 Participant-Years For First Occurrence of Any Stroke (Fatal or Non-Fatal)0.71 Events Per 100 Participant-Years
Bococizumab (PF-04950615)Event Rate Per 100 Participant-Years For First Occurrence of Any Stroke (Fatal or Non-Fatal)0.38 Events Per 100 Participant-Years
Comparison: Hazard ratio and 95% CI were from a Cox proportional hazards model stratified by geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL) with treatment as a covariate.p-value: 0.01546295% CI: [0.32, 0.89]Log Rank
Secondary

Event Rate Per 100 Participant-Years For First Occurrence of Any Stroke (Fatal or Non-Fatal), of Any Etiology

Event rate per 100 participant-years for first occurrence of any stroke (fatal or non-fatal), of any etiology (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.

Time frame: From baseline until the date of first adjudicated and confirmed occurrence of any stroke (fatal or non-fatal), of any etiology (maximum duration: up to 3.4 years)

Population: FAS: all participants who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022/B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all participants enrolled at study Site 3027 where a quality-related event was identified.

ArmMeasureValue (NUMBER)
PlaceboEvent Rate Per 100 Participant-Years For First Occurrence of Any Stroke (Fatal or Non-Fatal), of Any Etiology0.79 Events Per 100 Participant-Years
Bococizumab (PF-04950615)Event Rate Per 100 Participant-Years For First Occurrence of Any Stroke (Fatal or Non-Fatal), of Any Etiology0.43 Events Per 100 Participant-Years
Comparison: Hazard ratio and 95% CI were from a Cox proportional hazards model stratified by geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL) with treatment as a covariate.p-value: 0.01186395% CI: [0.33, 0.88]Log Rank
Secondary

Event Rate Per 100 Participant-Years For First Occurrence of Composite Endpoint of All-Cause Death, Non-Fatal Myocardial Infarction, or Non-Fatal Stroke

Event rate per 100 participant-years for first occurrence of composite endpoint of all-cause death, non-fatal MI, or non-fatal stroke (adjudicated by adjudication committee) was reported. All-cause death was defined as the death due to any cause during the course of study. Event rate was calculated as the number of events per 100 participant-years at risk.

Time frame: From baseline until the date of first adjudicated and confirmed occurrence of the all-cause death, non-fatal MI, or non-fatal stroke (maximum duration: up to 3.4 years)

Population: FAS: all participants who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022/B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all participants enrolled at study Site 3027 where a quality-related event was identified.

ArmMeasureValue (NUMBER)
PlaceboEvent Rate Per 100 Participant-Years For First Occurrence of Composite Endpoint of All-Cause Death, Non-Fatal Myocardial Infarction, or Non-Fatal Stroke2.98 Events Per 100 Participant-Years
Bococizumab (PF-04950615)Event Rate Per 100 Participant-Years For First Occurrence of Composite Endpoint of All-Cause Death, Non-Fatal Myocardial Infarction, or Non-Fatal Stroke3.06 Events Per 100 Participant-Years
Comparison: Hazard ratio and 95% CI were from a Cox proportional hazards model stratified by geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL) with treatment as a covariate.p-value: 0.84579795% CI: [0.83, 1.26]Log Rank
Secondary

Event Rate Per 100 Participant-Years For First Occurrence of Composite Endpoint of All-Cause Death, Non-Fatal Myocardial Infraction, Non-Fatal Stroke, or Hospitalization for Unstable Angina Needing Urgent Revascularization

Event rate per 100 participant-years for first occurrence of composite endpoint of all-cause death, non-fatal MI, non-fatal stroke, or hospitalization for unstable angina needing urgent revascularization (adjudicated by Adjudication Committee) was reported. All-cause death was defined as the death due to any cause during the course of study. Event rate was calculated as the number of events per 100 participant-years at risk.

Time frame: From baseline until the date of first adjudicated and confirmed occurrence of all-cause death, non-fatal MI, non-fatal stroke, or hospitalization for unstable angina needing urgent revascularization (maximum duration: up to 3.4 years)

Population: FAS: all participants who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022/B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all participants enrolled at study Site 3027 where a quality-related event was identified.

ArmMeasureValue (NUMBER)
PlaceboEvent Rate Per 100 Participant-Years For First Occurrence of Composite Endpoint of All-Cause Death, Non-Fatal Myocardial Infraction, Non-Fatal Stroke, or Hospitalization for Unstable Angina Needing Urgent Revascularization3.51 Events Per 100 Participant-Years
Bococizumab (PF-04950615)Event Rate Per 100 Participant-Years For First Occurrence of Composite Endpoint of All-Cause Death, Non-Fatal Myocardial Infraction, Non-Fatal Stroke, or Hospitalization for Unstable Angina Needing Urgent Revascularization3.48 Events Per 100 Participant-Years
Comparison: Hazard ratio and 95% CI were from a Cox proportional hazards model stratified by geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL) with treatment as a covariate.p-value: 0.89244195% CI: [0.81, 1.2]Log Rank
Secondary

Event Rate Per 100 Participant-Years For First Occurrence of Composite Endpoint of Cardiovascular Death, Non-Fatal Myocardial Infarction, Non-Fatal Stroke and Hospitalization for Unstable Angina

Event rate per 100 participant-years for first occurrence of composite endpoint of cardiovascular death, non-fatal MI, non-fatal stroke and hospitalization for unstable angina (adjudicated by adjudication committee) was reported. Cardiovascular death was defined as sudden cardiac death, fatal MI, death due to heart failure, death due to stroke (fatal ischemic stroke or fatal stroke of undetermined etiology), or death due to other cardiovascular causes. Event rate was calculated as the number of events per 100 participant-years at risk.

Time frame: From baseline until the date of first adjudicated and confirmed occurrence of cardiovascular death, non-fatal MI, non-fatal stroke and hospitalization for unstable angina (maximum duration: up to 3.4 years)

Population: FAS: all participants who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022/B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all participants enrolled at study Site 3027 where a quality-related event was identified.

ArmMeasureValue (NUMBER)
PlaceboEvent Rate Per 100 Participant-Years For First Occurrence of Composite Endpoint of Cardiovascular Death, Non-Fatal Myocardial Infarction, Non-Fatal Stroke and Hospitalization for Unstable Angina3.22 Events Per 100 Participant-Years
Bococizumab (PF-04950615)Event Rate Per 100 Participant-Years For First Occurrence of Composite Endpoint of Cardiovascular Death, Non-Fatal Myocardial Infarction, Non-Fatal Stroke and Hospitalization for Unstable Angina3.19 Events Per 100 Participant-Years
Comparison: Hazard ratio and 95% CI were from a Cox proportional hazards model stratified by geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL) with treatment as a covariate.p-value: 0.88379795% CI: [0.8, 1.21]Log Rank
Secondary

Event Rate Per 100 Participant-Years For First Occurrence of Composite Endpoint of Cardiovascular Death, Non-Fatal Myocardial Infraction, or Non-Fatal Stroke

Event rate per 100 participant-years for first occurrence of composite endpoint of CV death, non-fatal MI or non-fatal stroke (adjudicated by Adjudication Committee) was reported. Cardiovascular death was defined as sudden cardiac death, fatal MI, death due to heart failure, death due to stroke (fatal ischemic stroke or fatal stroke of undetermined etiology), or death due to other cardiovascular causes. Event rate was calculated as the number of events per 100 participant-years at risk.

Time frame: From baseline until the date of first adjudicated and confirmed occurrence of the CV death, non-fatal MI or non-fatal stroke (maximum duration: up to 3.4 years)

Population: FAS: all participants who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022/B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all participants enrolled at study Site 3027 where a quality-related event was identified.

ArmMeasureValue (NUMBER)
PlaceboEvent Rate Per 100 Participant-Years For First Occurrence of Composite Endpoint of Cardiovascular Death, Non-Fatal Myocardial Infraction, or Non-Fatal Stroke2.49 Events Per 100 Participant-Years
Bococizumab (PF-04950615)Event Rate Per 100 Participant-Years For First Occurrence of Composite Endpoint of Cardiovascular Death, Non-Fatal Myocardial Infraction, or Non-Fatal Stroke2.59 Events Per 100 Participant-Years
Comparison: Hazard ratio and 95% CI were from a Cox proportional hazards model stratified by geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL) with treatment as a covariate.p-value: 0.78426595% CI: [0.82, 1.3]Log Rank
Secondary

Event Rate Per 100 Participant-Years For First Occurrence of Coronary Artery Bypass Graft Surgery (CABG)

Event rate per 100 participant-years for first occurrence of CABG (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.

Time frame: From baseline until the date of first adjudicated and confirmed occurrence of CABG (maximum duration: up to 3.4 years)

Population: FAS: all participants who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022/B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all participants enrolled at study Site 3027 where a quality-related event was identified.

ArmMeasureValue (NUMBER)
PlaceboEvent Rate Per 100 Participant-Years For First Occurrence of Coronary Artery Bypass Graft Surgery (CABG)0.40 Events Per 100 Participant-Years
Bococizumab (PF-04950615)Event Rate Per 100 Participant-Years For First Occurrence of Coronary Artery Bypass Graft Surgery (CABG)0.41 Events Per 100 Participant-Years
Comparison: Hazard ratio and 95% CI were from a Cox proportional hazards model stratified by geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL) with treatment as a covariate.p-value: 0.88906595% CI: [0.59, 1.85]Log Rank
Secondary

Event Rate Per 100 Participant-Years For First Occurrence of Coronary Revascularization

Event rate per 100 participant-years for first occurrence of coronary revascularization (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.

Time frame: From baseline until the date of first adjudicated and confirmed occurrence of coronary revascularization (maximum duration: up to 3.4 years)

Population: FAS: all participants who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022/B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all participants enrolled at study Site 3027 where a quality-related event was identified.

ArmMeasureValue (NUMBER)
PlaceboEvent Rate Per 100 Participant-Years For First Occurrence of Coronary Revascularization2.74 Events Per 100 Participant-Years
Bococizumab (PF-04950615)Event Rate Per 100 Participant-Years For First Occurrence of Coronary Revascularization2.45 Events Per 100 Participant-Years
Comparison: Hazard ratio and 95% CI were from a Cox proportional hazards model stratified by geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL) with treatment as a covariate.p-value: 0.34381795% CI: [0.71, 1.12]Log Rank
Secondary

Event Rate Per 100 Participant-Years For First Occurrence of Hospitalization for Congestive Heart Failure (CHF)

Event rate per 100 participant-years for first occurrence of hospitalization for CHF (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.

Time frame: From baseline until the date of first adjudicated and confirmed occurrence of hospitalization for congestive heart failure (maximum duration: up to 3.4 years)

Population: FAS: all participants who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022/B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all participants enrolled at study Site 3027 where a quality-related event was identified.

ArmMeasureValue (NUMBER)
PlaceboEvent Rate Per 100 Participant-Years For First Occurrence of Hospitalization for Congestive Heart Failure (CHF)0.81 Events Per 100 Participant-Years
Bococizumab (PF-04950615)Event Rate Per 100 Participant-Years For First Occurrence of Hospitalization for Congestive Heart Failure (CHF)0.69 Events Per 100 Participant-Years
Comparison: Hazard ratio and 95% CI were from a Cox proportional hazards model stratified by geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL) with treatment as a covariate.p-value: 0.44308195% CI: [0.56, 1.29]Log Rank
Secondary

Event Rate Per 100 Participant-Years For First Occurrence of Hospitalization for Unstable Angina

Event rate per 100 participant-years for first occurrence of hospitalization for unstable angina (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.

Time frame: From baseline until the date of first adjudicated and confirmed occurrence of hospitalization for unstable angina (maximum duration: up to 3.4 years)

Population: FAS: all participants who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022/B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all participants enrolled at study Site 3027 where a quality-related event was identified.

ArmMeasureValue (NUMBER)
PlaceboEvent Rate Per 100 Participant-Years For First Occurrence of Hospitalization for Unstable Angina0.78 Events Per 100 Participant-Years
Bococizumab (PF-04950615)Event Rate Per 100 Participant-Years For First Occurrence of Hospitalization for Unstable Angina0.64 Events Per 100 Participant-Years
Comparison: Hazard ratio and 95% CI were from a Cox proportional hazards model stratified by geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL) with treatment as a covariate.p-value: 0.36706995% CI: [0.53, 1.27]Log Rank
Secondary

Event Rate Per 100 Participant-Years For First Occurrence of Hospitalization for Unstable Angina Needing Urgent Revascularization

Event rate per 100 participant-years for first occurrence of hospitalization for unstable angina needing urgent revascularization (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.

Time frame: From baseline until the date of first adjudicated and confirmed occurrence of hospitalization for unstable angina needing urgent revascularization (maximum duration: up to 3.4 years)

Population: FAS: all participants who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022/B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all participants enrolled at study Site 3027 where a quality-related event was identified.

ArmMeasureValue (NUMBER)
PlaceboEvent Rate Per 100 Participant-Years For First Occurrence of Hospitalization for Unstable Angina Needing Urgent Revascularization0.57 Events Per 100 Participant-Years
Bococizumab (PF-04950615)Event Rate Per 100 Participant-Years For First Occurrence of Hospitalization for Unstable Angina Needing Urgent Revascularization0.47 Events Per 100 Participant-Years
Comparison: Hazard ratio and 95% CI were from a Cox proportional hazards model stratified by geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL) with treatment as a covariate.p-value: 0.43190395% CI: [0.49, 1.36]Log Rank
Secondary

Event Rate Per 100 Participant-Years For First Occurrence of Non-Fatal Myocardial Infarction

Event rate per 100 participant-years for first occurrence of non-fatal MI (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.

Time frame: From baseline until the date of first adjudicated and confirmed occurrence of non-fatal MI (maximum duration: up to 3.4 years)

Population: FAS: all participants who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022/B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all participants enrolled at study Site 3027 where a quality-related event was identified.

ArmMeasureValue (NUMBER)
PlaceboEvent Rate Per 100 Participant-Years For First Occurrence of Non-Fatal Myocardial Infarction1.53 Events Per 100 Participant-Years
Bococizumab (PF-04950615)Event Rate Per 100 Participant-Years For First Occurrence of Non-Fatal Myocardial Infarction1.70 Events Per 100 Participant-Years
Comparison: Hazard ratio and 95% CI were from a Cox proportional hazards model stratified by geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL) with treatment as a covariate.p-value: 0.4676595% CI: [0.83, 1.48]Log Rank
Secondary

Event Rate Per 100 Participant-Years For First Occurrence of Non-Fatal Stroke

Event rate per 100 participant-years for first occurrence of non-fatal stroke (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.

Time frame: From baseline until the date of first adjudicated and confirmed occurrence of non-fatal stroke (maximum duration: up to 3.4 years)

Population: FAS: all participants who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022/B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all participants enrolled at study Site 3027 where a quality-related event was identified.

ArmMeasureValue (NUMBER)
PlaceboEvent Rate Per 100 Participant-Years For First Occurrence of Non-Fatal Stroke0.62 Events Per 100 Participant-Years
Bococizumab (PF-04950615)Event Rate Per 100 Participant-Years For First Occurrence of Non-Fatal Stroke0.33 Events Per 100 Participant-Years
Comparison: Hazard ratio and 95% CI were from a Cox proportional hazards model stratified by geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL) with treatment as a covariate.p-value: 0.02032895% CI: [0.3, 0.91]Log Rank
Secondary

Event Rate Per 100 Participant-Years For First Occurrence of Percutaneous Coronary Intervention (PCI)

Event rate per 100 participant-years for first occurrence of PCI (adjudicated by adjudication committee) was reported. Event rate was calculated as the number of events per 100 participant-years at risk.

Time frame: From baseline until the date of first adjudicated and confirmed occurrence of PCI (maximum duration: up to 3.4 years)

Population: FAS: all participants who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022/B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all participants enrolled at study Site 3027 where a quality-related event was identified.

ArmMeasureValue (NUMBER)
PlaceboEvent Rate Per 100 Participant-Years For First Occurrence of Percutaneous Coronary Intervention (PCI)2.37 Events Per 100 Participant-Years
Bococizumab (PF-04950615)Event Rate Per 100 Participant-Years For First Occurrence of Percutaneous Coronary Intervention (PCI)2.08 Events Per 100 Participant-Years
Comparison: Hazard ratio and 95% CI were from a Cox proportional hazards model stratified by geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL) with treatment as a covariate.p-value: 0.30838895% CI: [0.69, 1.13]Log Rank
Secondary

Nominal Change From Baseline in Low Density Lipoprotein Cholesterol at Week 14

Time frame: Baseline, Week 14

Population: Analysis was performed on FAS. Here, N signifies number of participants who were evaluable for this outcome measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboNominal Change From Baseline in Low Density Lipoprotein Cholesterol at Week 142.33 mg/dLStandard Error 0.28
Bococizumab (PF-04950615)Nominal Change From Baseline in Low Density Lipoprotein Cholesterol at Week 14-52.37 mg/dLStandard Error 0.28
Comparison: LS- mean differences and associated 95% CI, and p-values were from an MMRM model including observations through Week 70 with fixed effects for treatment group, visit, treatment group\*visit interaction, baseline value, baseline value\*visit interaction, geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL).p-value: <0.00195% CI: [-55.48, -53.92]Mixed Effect Model Repeat Measurement
Secondary

Percent Change From Baseline in Lipid Levels at Week 14

Lipids included non-high density lipoprotein cholesterol (non-HDL-C), total cholesterol, very low density lipoprotein cholesterol (VLDL-C), remnant lipoprotein cholesterol (RLP-C), apolipoprotein B (Apo B), HDL-C and apolipoprotein A-I (Apo A-I).

Time frame: Baseline, Week 14

Population: Analysis was performed on FAS. Here, number analyzed n signifies number of participants who were evaluable for the specified categories.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboPercent Change From Baseline in Lipid Levels at Week 14VLDL - C6.52 Percent ChangeStandard Error 0.45
PlaceboPercent Change From Baseline in Lipid Levels at Week 14Apo B2.80 Percent ChangeStandard Error 0.31
PlaceboPercent Change From Baseline in Lipid Levels at Week 14Total cholesterol2.38 Percent ChangeStandard Error 0.2
PlaceboPercent Change From Baseline in Lipid Levels at Week 14HDL - C1.19 Percent ChangeStandard Error 0.16
PlaceboPercent Change From Baseline in Lipid Levels at Week 14RLP - C9.23 Percent ChangeStandard Error 0.79
PlaceboPercent Change From Baseline in Lipid Levels at Week 14Apo A - I1.21 Percent ChangeStandard Error 0.18
PlaceboPercent Change From Baseline in Lipid Levels at Week 14Non - HDL-C3.21 Percent ChangeStandard Error 0.28
Bococizumab (PF-04950615)Percent Change From Baseline in Lipid Levels at Week 14Apo A - I4.74 Percent ChangeStandard Error 0.18
Bococizumab (PF-04950615)Percent Change From Baseline in Lipid Levels at Week 14Non - HDL-C-51.66 Percent ChangeStandard Error 0.28
Bococizumab (PF-04950615)Percent Change From Baseline in Lipid Levels at Week 14Total cholesterol-34.13 Percent ChangeStandard Error 0.2
Bococizumab (PF-04950615)Percent Change From Baseline in Lipid Levels at Week 14VLDL - C-13.65 Percent ChangeStandard Error 0.45
Bococizumab (PF-04950615)Percent Change From Baseline in Lipid Levels at Week 14RLP - C-21.02 Percent ChangeStandard Error 0.79
Bococizumab (PF-04950615)Percent Change From Baseline in Lipid Levels at Week 14Apo B-55.76 Percent ChangeStandard Error 0.31
Bococizumab (PF-04950615)Percent Change From Baseline in Lipid Levels at Week 14HDL - C7.33 Percent ChangeStandard Error 0.16
Comparison: Non-HDL-C: LS- mean differences, associated 95% CI, and p-values were from an MMRM model including observations through Week 70 with fixed effects for treatment group, visit, treatment group\*visit interaction, baseline value, baseline value\*visit interaction, geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL).p-value: <0.00195% CI: [-55.66, -54.09]Mixed Effect Model Repeat Measurement
Comparison: Total cholesterol: LS- mean differences, associated 95% CI, and p-values were from an MMRM model including observations through Week 70 with fixed effects for treatment group, visit, treatment group\*visit interaction, baseline value, baseline value\*visit interaction, geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL).p-value: <0.00195% CI: [-37.07, -35.95]Mixed Effect Model Repeat Measurement
Comparison: VLDL-C: LS- mean differences, associated 95% CI, and p-values were from an MMRM model including observations through Week 70 with fixed effects for treatment group, visit, treatment group\*visit interaction, baseline value, baseline value\*visit interaction, geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL).p-value: <0.00195% CI: [-21.42, -18.93]Mixed Effect Model Repeat Measurement
Comparison: RLP-C: LS- mean differences, associated 95% CI, and p-values were from an MMRM model including observations through Week 70 with fixed effects for treatment group, visit, treatment group\*visit interaction, baseline value, baseline value\*visit interaction, geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL).p-value: <0.00195% CI: [-32.44, -28.07]Mixed Effect Model Repeat Measurement
Comparison: Apo B: LS -mean differences, associated 95% CI, and p-values were from an MMRM model including observations through Week 52 with fixed effects for treatment group, visit, treatment group\*visit interaction, baseline value, baseline value\*visit interaction, geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL).p-value: <0.00195% CI: [-59.42, -57.69]Mixed Effect Model Repeat Measurement
Comparison: HDL-C: LS- mean differences, associated 95% CI, and p-values were from an MMRM model including observations through Week 70 with fixed effects for treatment group, visit, treatment group\*visit interaction, baseline value, baseline value\*visit interaction, geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL).p-value: <0.00195% CI: [5.69, 6.59]Mixed Effect Model Repeat Measurement
Comparison: Apo A-I: LS- mean differences, associated 95% CI, and p-values were from an MMRM model including observations through Week 52 with fixed effects for treatment group, visit, treatment group\*visit interaction, baseline value, baseline value\*visit interaction, geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL).p-value: <0.00195% CI: [3.02, 4.03]Mixed Effect Model Repeat Measurement
Secondary

Percent Change From Baseline in Log-Transformed High Sensitivity C-Reactive Protein (Hs-CRP) at Week 14

Time frame: Baseline, Week 14

Population: Analysis was performed on FAS. Here, N signifies number of participants who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Log-Transformed High Sensitivity C-Reactive Protein (Hs-CRP) at Week 14-6.5 Percent changeStandard Deviation 88.28
Bococizumab (PF-04950615)Percent Change From Baseline in Log-Transformed High Sensitivity C-Reactive Protein (Hs-CRP) at Week 14-1.1 Percent changeStandard Deviation 91.91
Comparison: LS- mean differences and associated 95% CI, and p-values were from an MMRM model on the difference of log-transformed observations through Week 52 with fixed effects for treatment group, visit, treatment group\*visit interaction, log-transformed baseline value, log-transformed baseline value\*visit interaction, geographical region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL).p-value: <0.00195% CI: [1.03, 1.1]Mixed Effect Model Repeat Measurement
Secondary

Percent Change From Baseline in Log-Transformed Lipoprotein (a) (Lp[a]) and Triglycerides at Week 14

Time frame: Baseline, Week 14

Population: Analysis was performed on FAS. Here, number analyzed n signifies number of participants who were evaluable for the specified categories.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Log-Transformed Lipoprotein (a) (Lp[a]) and Triglycerides at Week 14Triglycerides0.6 Percent ChangeStandard Deviation 32.84
PlaceboPercent Change From Baseline in Log-Transformed Lipoprotein (a) (Lp[a]) and Triglycerides at Week 14Lp (a)-1.3 Percent ChangeStandard Deviation 28.81
Bococizumab (PF-04950615)Percent Change From Baseline in Log-Transformed Lipoprotein (a) (Lp[a]) and Triglycerides at Week 14Lp (a)-33.9 Percent ChangeStandard Deviation 29.62
Bococizumab (PF-04950615)Percent Change From Baseline in Log-Transformed Lipoprotein (a) (Lp[a]) and Triglycerides at Week 14Triglycerides-18.9 Percent ChangeStandard Deviation 28.44
Comparison: Lp (a): LS- mean differences and associated 95% CI, and p-values were from an MMRM model on the difference of log-transformed observations through Week 52 with fixed effects for treatment group, visit, treatment group\*visit interaction, log-transformed baseline value, log-transformed baseline value\*visit interaction, geographical region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL).p-value: <0.00195% CI: [0.66, 0.68]Mixed Effect Model Repeat Measurement
Comparison: Triglycerides: LS- mean differences and associated 95% CI, and p-values were from an MMRM model through Week 70 on the difference of log-transformed observations with fixed effects for treatment group, visit, treatment group\*visit interaction, log-transformed baseline value, log-transformed baseline value\*visit interaction, geographical region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL).p-value: <0.00195% CI: [0.8, 0.81]Mixed Effect Model Repeat Measurement
Secondary

Percent Change From Baseline in Low Density Lipoprotein Cholesterol at Last Post-Baseline Measurement

Time frame: Baseline, last post-baseline measurement (any time up to Week 140)

Population: Analysis was performed on FAS. Here, N signifies number of participants who were evaluable for this outcome measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboPercent Change From Baseline in Low Density Lipoprotein Cholesterol at Last Post-Baseline Measurement5.05 Percent ChangeStandard Error 0.35
Bococizumab (PF-04950615)Percent Change From Baseline in Low Density Lipoprotein Cholesterol at Last Post-Baseline Measurement-41.67 Percent ChangeStandard Error 0.35
Comparison: LS- mean difference and associated 95% CI, and p-value were from an analysis of covariance (ANCOVA) model with fixed effects for treatment group, baseline value, geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL).p-value: <0.00195% CI: [-47.68, -45.76]ANCOVA
Secondary

Percent Change From Baseline in Low Density Lipoprotein Cholesterol at Week 14

Time frame: Baseline, Week 14

Population: Analysis was performed on FAS. Here, Number of participants analyzed (N) signifies those participants who were evaluable for this outcome measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboPercent Change From Baseline in Low Density Lipoprotein Cholesterol at Week 143.40 Percent changeStandard Error 0.31
Bococizumab (PF-04950615)Percent Change From Baseline in Low Density Lipoprotein Cholesterol at Week 14-57.17 Percent changeStandard Error 0.31
Comparison: Lease Square (LS)- mean differences, associated 95% CI, and p-values were from a mixed model repeated measures (MMRM) model including observations through Week 70 with fixed effects for treatment group, visit, treatment group\*visit interaction, baseline value, baseline value\*visit interaction, geographic region and LDL-C at pre-screening (\<100 mg/dL, \>=100 mg/dL).p-value: <0.00195% CI: [-61.43, -59.71]Mixed Effect Model Repeat Measurement

Source: ClinicalTrials.gov · Data processed: Mar 7, 2026