Skip to content

Efficacy and Safety of Alirocumab Versus Placebo on Top of Maximally Tolerated Lipid Lowering Therapy in Patients With Hypercholesterolemia Who Have Type 1 or Type 2 Diabetes and Are Treated With Insulin (ODYSSEY DM - Insulin)

A Randomized, Double-Blind, Placebo-Controlled, Parallel Group Study to Evaluate the Efficacy and Safety of Alirocumab in Insulin Treated Patients With Type 1 or Type 2 Diabetes and With Hypercholesterolemia at High Cardiovascular Risk Not Adequately Controlled on Maximally Tolerated LDL-C Lowering Therapy

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02585778
Enrollment
517
Registered
2015-10-23
Start date
2015-10-23
Completion date
2017-04-03
Last updated
2018-05-17

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

Conditions

Hypercholesterolaemia

Brief summary

Primary Objectives: * To demonstrate the superiority of alirocumab in comparison with placebo in the reduction of calculated low-density lipoprotein cholesterol (LDL-C) in participants with diabetes treated with insulin and with hypercholesterolemia at high cardiovascular risk not adequately controlled on maximally tolerated LDL-C lowering therapy. * To evaluate the safety and tolerability of alirocumab in participants with diabetes treated with insulin. Secondary Objective: To demonstrate that alirocumab was superior in comparison to placebo in its effects on other lipid parameters (i.e., measured LDL-C, non-high-density lipoprotein cholesterol \[non-HDL-C\], apolipoprotein B \[Apo B\], total cholesterol \[TC\], lipoprotein a \[Lp(a)\], high density lipoprotein cholesterol \[HDL-C\], triglyceride \[TG\] levels, triglyceride rich lipoproteins \[TGRL\], apolipoprotein A-1 \[Apo A-1\], apolipoprotein C-III \[Apo C-III\], and LDL particle number and size).

Detailed description

The maximum study duration was approximately 9 months per participant, including a 6 month treatment period, a screening period of up to 3 weeks, and an 8 week safety observation period.

Interventions

DRUGAlirocumab

Solution for injection, one subcutaneous injection in the abdomen, thigh, or outer area of upper arm with a disposable auto-injector.

DRUGPlacebo

Solution for injection, one subcutaneous injection in the abdomen, thigh, or outer area of upper arm with a disposable auto-injector.

Statins at stable, maximally tolerated dose with or without other LMT as clinically indicated.

Insulin (injectable or inhaled) alone or with other antihyperglycemic drugs as clinically indicated.

Sponsors

Regeneron Pharmaceuticals
CollaboratorINDUSTRY
Sanofi
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

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

Inclusion criteria

* Participants diagnosed with Type 1 or Type 2 diabetes at least one year prior to the screening visit (Week -3). * Signed written informed consent * Participants with type 1 or type 2 diabetes treated with insulin whose LDL-C levels were not adequately controlled with maximally tolerated lipid-modifying therapy * LDL-C of 70 mg/dL or greater * 18 years of age or more * Glycosylated hemoglobin (HbA1c) less than 10% * History of cardiovascular disease (including coronary heart disease \[CHD\] and/or CHD risk equivalents) and/or at least one additional cardiovascular risk factor

Exclusion criteria

* Not on a stable dose of statin or other lipid modifying therapy for at least 4 weeks prior to screening or from screening to randomization, unless statin intolerant * Triglycerides \>400 mg/dL * Estimated glomerular filtration rate (eGFR) \<15 mL/min/1.73 m² according to the Modification of Diet in Renal Disease (MDRD) equation * Currently received or planned to receive renal replacement therapy (for example, hemodialysis) * Change in weight of more than 5 kilograms within the prior 2 months * Not on a stable dose/regimen of insulin or other antidiabetic drugs for the past 3 months or planned to intensify insulin regimen during the study * Not treated with insulin for at least 6 months * Planned to start new lipid modifying therapy or change dose of current lipid modifying therapy during the study * Body mass index (BMI) \>45 kg/m² or planned to undergo bariatric surgery, weight loss program, or initiate weight loss drugs during the study * History of recent decompensation of diabetes within the prior 2 months (for example, diabetic ketoacidosis) The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

Design outcomes

Primary

MeasureTime frameDescription
Percent Change From Baseline in Calculated LDL-C at Week 24 - Intent-to-treat (ITT) AnalysisFrom Baseline to Week 24Adjusted Least-squares (LS) means and standard errors at Week 24 were obtained from a mixed-effect model with repeated measures (MMRM) to account for missing data. All available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment were used in the model (ITT analysis).
Percentage of Participants Who Experienced Treatment-Emergent Adverse Events (AEs)From Baseline up to 10 weeks after last study drug administration (maximum of 32 weeks)Reported adverse events are treatment-emergent adverse events that is AEs that developed/worsened during the 'treatment-emergent period' (the time from the first dose of study drug up to the last dose of study drug +70 days).

Secondary

MeasureTime frameDescription
Percent Change From Baseline in Calculated LDL-C at Week 12 - ITT AnalysisFrom Baseline to Week 24Adjusted LS means and standard errors at Week 12 from MMRM model including available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.
Percent Change From Baseline in Measured LDL-C at Week 12 - ITT AnalysisFrom Baseline to Week 24Measured LDL-C values via beta quantification method. Adjusted LS means and standard errors at Week 12 from MMRM model including available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.
Percent Change From Baseline in Non-High Density Lipoprotein Cholesterol (Non-HDL-C) at Week 24 - ITT AnalysisFrom Baseline to Week 24Adjusted LS means and standard errors at Week 24 from MMRM model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.
Percent Change From Baseline in Apolipoprotein B (Apo-B) at Week 24 - ITT AnalysisFrom Baseline to Week 24Adjusted LS means and standard errors at Week 24 from MMRM model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.
Percent Change From Baseline in Total Cholesterol (Total-C) at Week 24 - ITT AnalysisFrom Baseline to Week 24Adjusted LS means and standard errors at Week 24 from MMRM model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.
Percentage of Participants Reaching Calculated LDL-C <70 mg/dL (1.81 mmol/L) at Week 24 - On-Treatment AnalysisUp to Week 24Adjusted percentages at Week 24 from multiple imputation approach model including available post-baseline data from Week 4 to Week 24 (i.e. up to 21 days after last injection).
Absolute Change From Baseline in HbA1c at Weeks 12 and 24 - On-Treatment AnalysisBaseline, Weeks 12 and 24Absolute change = HbA1c value at specified weeks minus HbA1c value at baseline.
Percentage of Participants Reaching Calculated LDL-C <50 mg/dL (1.3 mmol/L) at Week 24 - On-Treatment AnalysisUp to Week 24Adjusted percentages at Week 24 from last observation carried forward (LOCF) approach (for T1DM participants) and multiple imputation approach model (for T2DM participants) including available post-baseline data from Week 4 to Week 24 (i.e. up to 21 days after last injection). The maximum likelihood estimate did not exist as response rate was zero in a treatment group of T1DM participants.
Percentage of Participants Reaching Calculated Non-HDL-C <100 mg/dL at Week 24 - On-Treatment AnalysisUp to Week 24Adjusted percentages at Week 24 from multiple imputation approach model including available post-baseline data from Week 4 to Week 24 (i.e. up to 21 days after last injection).
Percentage of Participants Reaching Calculated Non-HDL-C <80 mg/dL at Week 24 - On-Treatment AnalysisUp to Week 24Adjusted percentages at Week 24 from multiple imputation approach including available post-baseline on-treatment data from Week 4 to Week 24 (i.e. up to 21 days after last injection).
Percent Change From Baseline in Lipoprotein(a) at Week 24 - ITT AnalysisFrom Baseline to Week 24Adjusted means and standard errors at Week 24 were obtained from multiple imputation approach for handling of missing data followed by robust regression model. All available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment were included in the imputation model.
Percent Change From Baseline in HDL-C at Week 24 - ITT AnalysisFrom Baseline to Week 24Adjusted LS means and standard errors at Week 24 from MMRM model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.
Percent Change From Baseline in Calculated LDL-C at Week 24 - On-Treatment AnalysisFrom Baseline to Week 24Adjusted LS means and standard errors at Week 24 were obtained from MMRM model including available post-baseline on-treatment data from Week 4 to Week 24 (i.e. up to 21 days after last injection).
Percent Change From Baseline in LDL-C Particle Number at Week 24 - ITT AnalysisFrom Baseline to Week 24LDL-C particle number was calculated from lipid subfractions by nuclear magnetic resonance (NMR) spectroscopy. Adjusted LS means and standard errors at Week 24 from MMRM model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.
Percent Change From Baseline in LDL-C Particle Size at Week 24 - ITT AnalysisFrom Baseline to Week 24LDL-C particle size was calculated from lipid subfractions by NMR spectroscopy. Adjusted LS means and standard errors at Week 24 from MMRM model including available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.
Absolute Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Weeks 12 and 24 - ITT AnalysisBaseline, Weeks 12 and 24Absolute change = HbA1c value at specified weeks minus HbA1c value at baseline.
Absolute Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 12 and 24 - ITT AnalysisBaseline, Weeks 12 and 24Absolute change = FPG value at specified weeks minus FPG value at baseline.
Absolute Change From Baseline in FPG at Weeks 12 and 24 - On-Treatment AnalysisBaseline, Weeks 12 and 24Absolute change = FPG value at specified weeks minus FPG value at baseline.
Absolute Change From Baseline in Total Daily Insulin Dose at Weeks 12 and 24 - ITT AnalysisBaseline, Weeks 12 and 24Absolute change = total daily insulin dose at specified weeks minus baseline value.
Absolute Change From Baseline in Total Daily Insulin Dose at Weeks 12 and 24 - On-Treatment AnalysisBaseline, Weeks 12 and 24Absolute change = total daily insulin dose at specified weeks minus baseline value.
Absolute Change From Baseline in Insulin Daily Dose/Kg at Weeks 12 and 24 - ITT AnalysisBaseline, Weeks 12 and 24Absolute change = daily insulin dose/kg at specified weeks minus baseline value.
Absolute Change From Baseline in Insulin Daily Dose/Kg at Weeks 12 and 24 - On-Treatment AnalysisBaseline, Weeks 12 and 24Absolute change = daily insulin dose/kg at specified weeks minus baseline value.
Absolute Change From Baseline in Number of Glucose-Lowering Treatments at Weeks 12 and 24 - ITT AnalysisBaseline, Weeks 12 and 24Glucose lowering treatment was calculated for non-insulin treatments as one for each unique treatment received and for insulin treatment as one in total for all participants who have taken one or more treatments. Absolute change = number of glucose-lowering treatments at specified weeks minus baseline value.
Absolute Change From Baseline in Number of Glucose-Lowering Treatments at Weeks 12 and 24 - On-Treatment AnalysisBaseline, Weeks 12 and 24Glucose lowering treatment was calculated for non-insulin treatments as one for each unique treatment received and for insulin treatment as one in total for all participants who have taken one or more treatments. Absolute change = number of glucose-lowering treatments at specified weeks minus baseline value.
Percent Change From Baseline in Fasting Triglycerides at Week 24 - ITT AnalysisFrom Baseline to Week 24Adjusted means and standard errors at Week 24 from multiple imputation approach for handling of missing data followed by robust regression model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.
Percent Change From Baseline in Measured LDL-C at Week 24 - ITT AnalysisFrom Baseline to Week 24Measured LDL-C values via beta quantification method. Adjusted LS means and standard errors at Week 24 from MMRM model including available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.

Countries

Austria, Belgium, France, Germany, Italy, Netherlands, Spain, Switzerland, United Kingdom, United States

Participant flow

Recruitment details

The study was conducted at 103 sites in 10 countries. Of these, 97 active sites randomized at least 1 participant. Overall 796 participants were screened between October 2015 and August 2016, of whom 279 were screen failures. Screen failures were mainly due to exclusion criteria met or inclusion criteria not met.

Pre-assignment details

Randomization was stratified by diabetes type (Type 1 diabetes mellitus \[T1DM\] versus Type 2 diabetes mellitus \[T2DM\]). Assignment to treatment arms was done centrally using an Interactive Voice/Web Response System in a 2:1 ratio (Alirocumab:Placebo). A total of 517 participants were randomized. Baseline and efficacy data were analyzed per stratum.

Participants by arm

ArmCount
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM Participants
Alirocumab 75 mg SC injection Q2W added to stable, maximally tolerated dose of statin therapy with or without other LMT, insulin alone or with other antihyperglycemic drugs for 24 weeks. Alirocumab dose up-titrated to 150 mg Q2W from Week 12 when LDL-C levels ≥70 mg/dL (1.81 mmol/L) at Week 8.
51
Placebo Q2W: T1DM Participants
Placebo (for alirocumab) SC injection Q2W added to stable, maximally tolerated dose of statin therapy with or without other LMT, insulin alone or with other antihyperglycemic drugs for 24 weeks.
25
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM Participants
Alirocumab 75 mg SC injection Q2W added to stable, maximally tolerated dose of statin therapy with or without other LMT, insulin alone or with other antihyperglycemic drugs for 24 weeks. Alirocumab dose up-titrated to 150 mg Q2W from Week 12 when LDL-C levels ≥70 mg/dL (1.81 mmol/L) at Week 8.
294
Placebo Q2W: T2DM Participants
Placebo (for alirocumab) SC injection Q2W added to stable, maximally tolerated dose of statin therapy with or without other LMT, insulin alone or with other antihyperglycemic drugs for 24 weeks.
147
Total517

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event174
Overall StudyDeath01
Overall StudyOther than specified above62
Overall StudyParticipant did not wish to continue94
Overall StudyPoor compliance to study protocol02
Overall StudyRandomized but not treated12

Baseline characteristics

CharacteristicPlacebo Q2W: T1DM ParticipantsAlirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsAlirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsPlacebo Q2W: T2DM ParticipantsTotal
Age, Continuous58.5 years
STANDARD_DEVIATION 7.8
54.9 years
STANDARD_DEVIATION 10.1
63.9 years
STANDARD_DEVIATION 8.9
64.0 years
STANDARD_DEVIATION 9.4
62.8 years
STANDARD_DEVIATION 9.6
Calculated LDL-C in mg/dL110.2 mg/dL
STANDARD_DEVIATION 31.2
126.4 mg/dL
STANDARD_DEVIATION 58.2
110.8 mg/dL
STANDARD_DEVIATION 36.5
109.6 mg/dL
STANDARD_DEVIATION 39.1
112.0 mg/dL
STANDARD_DEVIATION 39.8
Calculated LDL-C in mmol/L2.853 mmol/L
STANDARD_DEVIATION 0.807
3.273 mmol/L
STANDARD_DEVIATION 1.506
2.871 mmol/L
STANDARD_DEVIATION 0.944
2.838 mmol/L
STANDARD_DEVIATION 1.013
2.900 mmol/L
STANDARD_DEVIATION 1.031
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants1 Participants13 Participants8 Participants22 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
25 Participants50 Participants280 Participants138 Participants493 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants1 Participants1 Participants2 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Asian/Oriental
0 Participants0 Participants7 Participants3 Participants10 Participants
Race/Ethnicity, Customized
Black
0 Participants1 Participants27 Participants7 Participants35 Participants
Race/Ethnicity, Customized
Native Hawaiian or other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Other
1 Participants0 Participants1 Participants2 Participants4 Participants
Race/Ethnicity, Customized
White/Caucasian
24 Participants50 Participants259 Participants135 Participants468 Participants
Sex: Female, Male
Female
8 Participants22 Participants133 Participants69 Participants232 Participants
Sex: Female, Male
Male
17 Participants29 Participants161 Participants78 Participants285 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 3441 / 170
other
Total, other adverse events
17 / 3449 / 170
serious
Total, serious adverse events
31 / 34416 / 170

Outcome results

Primary

Percentage of Participants Who Experienced Treatment-Emergent Adverse Events (AEs)

Reported adverse events are treatment-emergent adverse events that is AEs that developed/worsened during the 'treatment-emergent period' (the time from the first dose of study drug up to the last dose of study drug +70 days).

Time frame: From Baseline up to 10 weeks after last study drug administration (maximum of 32 weeks)

Population: Safety population: all randomized participants who received at least one dose or part of a dose of a study drug (treated).

ArmMeasureGroupValue (NUMBER)
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsPercentage of Participants Who Experienced Treatment-Emergent Adverse Events (AEs)Any AE64.5 percentage of participants
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsPercentage of Participants Who Experienced Treatment-Emergent Adverse Events (AEs)Any Serious AE9.0 percentage of participants
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsPercentage of Participants Who Experienced Treatment-Emergent Adverse Events (AEs)Any AE leading to death0 percentage of participants
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsPercentage of Participants Who Experienced Treatment-Emergent Adverse Events (AEs)Any AE leading to treatment discontinuation4.9 percentage of participants
Placebo Q2W: T1DM ParticipantsPercentage of Participants Who Experienced Treatment-Emergent Adverse Events (AEs)Any AE leading to treatment discontinuation2.4 percentage of participants
Placebo Q2W: T1DM ParticipantsPercentage of Participants Who Experienced Treatment-Emergent Adverse Events (AEs)Any AE64.1 percentage of participants
Placebo Q2W: T1DM ParticipantsPercentage of Participants Who Experienced Treatment-Emergent Adverse Events (AEs)Any AE leading to death0.6 percentage of participants
Placebo Q2W: T1DM ParticipantsPercentage of Participants Who Experienced Treatment-Emergent Adverse Events (AEs)Any Serious AE9.4 percentage of participants
Primary

Percent Change From Baseline in Calculated LDL-C at Week 24 - Intent-to-treat (ITT) Analysis

Adjusted Least-squares (LS) means and standard errors at Week 24 were obtained from a mixed-effect model with repeated measures (MMRM) to account for missing data. All available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment were used in the model (ITT analysis).

Time frame: From Baseline to Week 24

Population: ITT population: all randomized participants with one baseline and at least one post-baseline calculated LDL-C value on- or off-treatment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsPercent Change From Baseline in Calculated LDL-C at Week 24 - Intent-to-treat (ITT) Analysis-51.8 percent changeStandard Error 3.7
Placebo Q2W: T1DM ParticipantsPercent Change From Baseline in Calculated LDL-C at Week 24 - Intent-to-treat (ITT) Analysis-3.9 percent changeStandard Error 5.3
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsPercent Change From Baseline in Calculated LDL-C at Week 24 - Intent-to-treat (ITT) Analysis-48.2 percent changeStandard Error 1.6
Placebo Q2W: T2DM ParticipantsPercent Change From Baseline in Calculated LDL-C at Week 24 - Intent-to-treat (ITT) Analysis0.8 percent changeStandard Error 2.2
Comparison: Alirocumab group was compared to placebo group using an appropriate contrast statement.p-value: <0.000195% CI: [-60.7, -35]Mixed Models Analysis
Comparison: Alirocumab group was compared to placebo group using an appropriate contrast statement.p-value: <0.000195% CI: [-54.4, -43.6]Mixed Models Analysis
Secondary

Absolute Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 12 and 24 - ITT Analysis

Absolute change = FPG value at specified weeks minus FPG value at baseline.

Time frame: Baseline, Weeks 12 and 24

Population: ITT population. Here, 'Number Analyzed' = participants with available data at the specified time points for each arm, respectively.

ArmMeasureGroupValue (MEAN)Dispersion
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsAbsolute Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 12 and 24 - ITT AnalysisChange at Week 120.23 mmol/LStandard Deviation 4.44
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsAbsolute Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 12 and 24 - ITT AnalysisChange at Week 240.52 mmol/LStandard Deviation 5.2
Placebo Q2W: T1DM ParticipantsAbsolute Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 12 and 24 - ITT AnalysisChange at Week 240.81 mmol/LStandard Deviation 4.21
Placebo Q2W: T1DM ParticipantsAbsolute Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 12 and 24 - ITT AnalysisChange at Week 120.45 mmol/LStandard Deviation 4.73
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsAbsolute Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 12 and 24 - ITT AnalysisChange at Week 120.25 mmol/LStandard Deviation 2.73
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsAbsolute Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 12 and 24 - ITT AnalysisChange at Week 240.52 mmol/LStandard Deviation 3.43
Placebo Q2W: T2DM ParticipantsAbsolute Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 12 and 24 - ITT AnalysisChange at Week 120.13 mmol/LStandard Deviation 2.73
Placebo Q2W: T2DM ParticipantsAbsolute Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 12 and 24 - ITT AnalysisChange at Week 240.55 mmol/LStandard Deviation 2.62
Secondary

Absolute Change From Baseline in FPG at Weeks 12 and 24 - On-Treatment Analysis

Absolute change = FPG value at specified weeks minus FPG value at baseline.

Time frame: Baseline, Weeks 12 and 24

Population: mITT population. Here, 'Number Analyzed' = participants with available data at the specified time points for each arm, respectively.

ArmMeasureGroupValue (MEAN)Dispersion
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsAbsolute Change From Baseline in FPG at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 120.23 mmol/LStandard Deviation 4.44
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsAbsolute Change From Baseline in FPG at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 240.38 mmol/LStandard Deviation 5.24
Placebo Q2W: T1DM ParticipantsAbsolute Change From Baseline in FPG at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 240.71 mmol/LStandard Deviation 4.19
Placebo Q2W: T1DM ParticipantsAbsolute Change From Baseline in FPG at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 120.45 mmol/LStandard Deviation 4.73
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsAbsolute Change From Baseline in FPG at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 120.22 mmol/LStandard Deviation 2.7
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsAbsolute Change From Baseline in FPG at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 240.52 mmol/LStandard Deviation 3.47
Placebo Q2W: T2DM ParticipantsAbsolute Change From Baseline in FPG at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 120.15 mmol/LStandard Deviation 2.74
Placebo Q2W: T2DM ParticipantsAbsolute Change From Baseline in FPG at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 240.48 mmol/LStandard Deviation 2.53
Secondary

Absolute Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Weeks 12 and 24 - ITT Analysis

Absolute change = HbA1c value at specified weeks minus HbA1c value at baseline.

Time frame: Baseline, Weeks 12 and 24

Population: ITT population. Here, 'Number Analyzed' = participants with available data at the specified time points for each arm, respectively.

ArmMeasureGroupValue (MEAN)Dispersion
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsAbsolute Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Weeks 12 and 24 - ITT AnalysisChange at Week 120.00 percentage of hemoglobinStandard Deviation 0.46
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsAbsolute Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Weeks 12 and 24 - ITT AnalysisChange at Week 24-0.03 percentage of hemoglobinStandard Deviation 0.6
Placebo Q2W: T1DM ParticipantsAbsolute Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Weeks 12 and 24 - ITT AnalysisChange at Week 24-0.23 percentage of hemoglobinStandard Deviation 0.36
Placebo Q2W: T1DM ParticipantsAbsolute Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Weeks 12 and 24 - ITT AnalysisChange at Week 12-0.22 percentage of hemoglobinStandard Deviation 0.39
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsAbsolute Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Weeks 12 and 24 - ITT AnalysisChange at Week 12-0.04 percentage of hemoglobinStandard Deviation 0.57
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsAbsolute Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Weeks 12 and 24 - ITT AnalysisChange at Week 240.18 percentage of hemoglobinStandard Deviation 0.74
Placebo Q2W: T2DM ParticipantsAbsolute Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Weeks 12 and 24 - ITT AnalysisChange at Week 120.00 percentage of hemoglobinStandard Deviation 0.58
Placebo Q2W: T2DM ParticipantsAbsolute Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Weeks 12 and 24 - ITT AnalysisChange at Week 240.06 percentage of hemoglobinStandard Deviation 0.66
Secondary

Absolute Change From Baseline in HbA1c at Weeks 12 and 24 - On-Treatment Analysis

Absolute change = HbA1c value at specified weeks minus HbA1c value at baseline.

Time frame: Baseline, Weeks 12 and 24

Population: mITT population. Here, 'Number Analyzed' = participants with available data at the specified time points for each arm, respectively.

ArmMeasureGroupValue (MEAN)Dispersion
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsAbsolute Change From Baseline in HbA1c at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 120.00 percentage of hemoglobinStandard Deviation 0.46
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsAbsolute Change From Baseline in HbA1c at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 24-0.05 percentage of hemoglobinStandard Deviation 0.61
Placebo Q2W: T1DM ParticipantsAbsolute Change From Baseline in HbA1c at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 24-0.27 percentage of hemoglobinStandard Deviation 0.34
Placebo Q2W: T1DM ParticipantsAbsolute Change From Baseline in HbA1c at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 12-0.22 percentage of hemoglobinStandard Deviation 0.39
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsAbsolute Change From Baseline in HbA1c at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 12-0.04 percentage of hemoglobinStandard Deviation 0.57
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsAbsolute Change From Baseline in HbA1c at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 240.18 percentage of hemoglobinStandard Deviation 0.74
Placebo Q2W: T2DM ParticipantsAbsolute Change From Baseline in HbA1c at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 120.00 percentage of hemoglobinStandard Deviation 0.59
Placebo Q2W: T2DM ParticipantsAbsolute Change From Baseline in HbA1c at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 240.06 percentage of hemoglobinStandard Deviation 0.67
Secondary

Absolute Change From Baseline in Insulin Daily Dose/Kg at Weeks 12 and 24 - ITT Analysis

Absolute change = daily insulin dose/kg at specified weeks minus baseline value.

Time frame: Baseline, Weeks 12 and 24

Population: ITT population . Here, 'Number Analyzed' = participants with available data at the specified time points for each arm, respectively.

ArmMeasureGroupValue (MEAN)Dispersion
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsAbsolute Change From Baseline in Insulin Daily Dose/Kg at Weeks 12 and 24 - ITT AnalysisChange at Week 12-0.1 U/kgStandard Deviation 0.5
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsAbsolute Change From Baseline in Insulin Daily Dose/Kg at Weeks 12 and 24 - ITT AnalysisChange at Week 240.0 U/kgStandard Deviation 0.1
Placebo Q2W: T1DM ParticipantsAbsolute Change From Baseline in Insulin Daily Dose/Kg at Weeks 12 and 24 - ITT AnalysisChange at Week 240.0 U/kgStandard Deviation 0.1
Placebo Q2W: T1DM ParticipantsAbsolute Change From Baseline in Insulin Daily Dose/Kg at Weeks 12 and 24 - ITT AnalysisChange at Week 120.0 U/kgStandard Deviation 0.1
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsAbsolute Change From Baseline in Insulin Daily Dose/Kg at Weeks 12 and 24 - ITT AnalysisChange at Week 120.0 U/kgStandard Deviation 0.1
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsAbsolute Change From Baseline in Insulin Daily Dose/Kg at Weeks 12 and 24 - ITT AnalysisChange at Week 240.0 U/kgStandard Deviation 0.2
Placebo Q2W: T2DM ParticipantsAbsolute Change From Baseline in Insulin Daily Dose/Kg at Weeks 12 and 24 - ITT AnalysisChange at Week 120.0 U/kgStandard Deviation 0.1
Placebo Q2W: T2DM ParticipantsAbsolute Change From Baseline in Insulin Daily Dose/Kg at Weeks 12 and 24 - ITT AnalysisChange at Week 240.0 U/kgStandard Deviation 0.1
Secondary

Absolute Change From Baseline in Insulin Daily Dose/Kg at Weeks 12 and 24 - On-Treatment Analysis

Absolute change = daily insulin dose/kg at specified weeks minus baseline value.

Time frame: Baseline, Weeks 12 and 24

Population: mITT population. Here, 'Number Analyzed' = participants with available data at the specified time points for each arm, respectively.

ArmMeasureGroupValue (MEAN)Dispersion
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsAbsolute Change From Baseline in Insulin Daily Dose/Kg at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 12-0.1 U/kgStandard Deviation 0.5
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsAbsolute Change From Baseline in Insulin Daily Dose/Kg at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 240.0 U/kgStandard Deviation 0.1
Placebo Q2W: T1DM ParticipantsAbsolute Change From Baseline in Insulin Daily Dose/Kg at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 240.0 U/kgStandard Deviation 0.1
Placebo Q2W: T1DM ParticipantsAbsolute Change From Baseline in Insulin Daily Dose/Kg at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 120.0 U/kgStandard Deviation 0.1
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsAbsolute Change From Baseline in Insulin Daily Dose/Kg at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 120.0 U/kgStandard Deviation 0.1
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsAbsolute Change From Baseline in Insulin Daily Dose/Kg at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 240.0 U/kgStandard Deviation 0.1
Placebo Q2W: T2DM ParticipantsAbsolute Change From Baseline in Insulin Daily Dose/Kg at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 120.0 U/kgStandard Deviation 0.1
Placebo Q2W: T2DM ParticipantsAbsolute Change From Baseline in Insulin Daily Dose/Kg at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 240.0 U/kgStandard Deviation 0.1
Secondary

Absolute Change From Baseline in Number of Glucose-Lowering Treatments at Weeks 12 and 24 - ITT Analysis

Glucose lowering treatment was calculated for non-insulin treatments as one for each unique treatment received and for insulin treatment as one in total for all participants who have taken one or more treatments. Absolute change = number of glucose-lowering treatments at specified weeks minus baseline value.

Time frame: Baseline, Weeks 12 and 24

Population: ITT population.

ArmMeasureGroupValue (MEAN)Dispersion
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsAbsolute Change From Baseline in Number of Glucose-Lowering Treatments at Weeks 12 and 24 - ITT AnalysisChange at Week 120 glucose lowering treatmentsStandard Deviation 0
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsAbsolute Change From Baseline in Number of Glucose-Lowering Treatments at Weeks 12 and 24 - ITT AnalysisChange at Week 240 glucose lowering treatmentsStandard Deviation 0
Placebo Q2W: T1DM ParticipantsAbsolute Change From Baseline in Number of Glucose-Lowering Treatments at Weeks 12 and 24 - ITT AnalysisChange at Week 240 glucose lowering treatmentsStandard Deviation 0
Placebo Q2W: T1DM ParticipantsAbsolute Change From Baseline in Number of Glucose-Lowering Treatments at Weeks 12 and 24 - ITT AnalysisChange at Week 120 glucose lowering treatmentsStandard Deviation 0
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsAbsolute Change From Baseline in Number of Glucose-Lowering Treatments at Weeks 12 and 24 - ITT AnalysisChange at Week 120 glucose lowering treatmentsStandard Deviation 0.1
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsAbsolute Change From Baseline in Number of Glucose-Lowering Treatments at Weeks 12 and 24 - ITT AnalysisChange at Week 240 glucose lowering treatmentsStandard Deviation 0.3
Placebo Q2W: T2DM ParticipantsAbsolute Change From Baseline in Number of Glucose-Lowering Treatments at Weeks 12 and 24 - ITT AnalysisChange at Week 120 glucose lowering treatmentsStandard Deviation 0.2
Placebo Q2W: T2DM ParticipantsAbsolute Change From Baseline in Number of Glucose-Lowering Treatments at Weeks 12 and 24 - ITT AnalysisChange at Week 240 glucose lowering treatmentsStandard Deviation 0.2
Secondary

Absolute Change From Baseline in Number of Glucose-Lowering Treatments at Weeks 12 and 24 - On-Treatment Analysis

Glucose lowering treatment was calculated for non-insulin treatments as one for each unique treatment received and for insulin treatment as one in total for all participants who have taken one or more treatments. Absolute change = number of glucose-lowering treatments at specified weeks minus baseline value.

Time frame: Baseline, Weeks 12 and 24

Population: mITT population.

ArmMeasureGroupValue (MEAN)Dispersion
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsAbsolute Change From Baseline in Number of Glucose-Lowering Treatments at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 120 glucose lowering treatmentsStandard Deviation 0
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsAbsolute Change From Baseline in Number of Glucose-Lowering Treatments at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 240 glucose lowering treatmentsStandard Deviation 0
Placebo Q2W: T1DM ParticipantsAbsolute Change From Baseline in Number of Glucose-Lowering Treatments at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 240 glucose lowering treatmentsStandard Deviation 0
Placebo Q2W: T1DM ParticipantsAbsolute Change From Baseline in Number of Glucose-Lowering Treatments at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 120 glucose lowering treatmentsStandard Deviation 0
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsAbsolute Change From Baseline in Number of Glucose-Lowering Treatments at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 120 glucose lowering treatmentsStandard Deviation 0.1
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsAbsolute Change From Baseline in Number of Glucose-Lowering Treatments at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 240 glucose lowering treatmentsStandard Deviation 0.3
Placebo Q2W: T2DM ParticipantsAbsolute Change From Baseline in Number of Glucose-Lowering Treatments at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 120 glucose lowering treatmentsStandard Deviation 0.2
Placebo Q2W: T2DM ParticipantsAbsolute Change From Baseline in Number of Glucose-Lowering Treatments at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 240 glucose lowering treatmentsStandard Deviation 0.2
Secondary

Absolute Change From Baseline in Total Daily Insulin Dose at Weeks 12 and 24 - ITT Analysis

Absolute change = total daily insulin dose at specified weeks minus baseline value.

Time frame: Baseline, Weeks 12 and 24

Population: ITT population . Here, 'Number Analyzed' = participants with available data at the specified time points for each arm, respectively.

ArmMeasureGroupValue (MEAN)Dispersion
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsAbsolute Change From Baseline in Total Daily Insulin Dose at Weeks 12 and 24 - ITT AnalysisChange at Week 12-10.0 units (U)Standard Deviation 48.7
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsAbsolute Change From Baseline in Total Daily Insulin Dose at Weeks 12 and 24 - ITT AnalysisChange at Week 24-2.2 units (U)Standard Deviation 11.3
Placebo Q2W: T1DM ParticipantsAbsolute Change From Baseline in Total Daily Insulin Dose at Weeks 12 and 24 - ITT AnalysisChange at Week 24-0.8 units (U)Standard Deviation 9.8
Placebo Q2W: T1DM ParticipantsAbsolute Change From Baseline in Total Daily Insulin Dose at Weeks 12 and 24 - ITT AnalysisChange at Week 12-1.3 units (U)Standard Deviation 9.6
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsAbsolute Change From Baseline in Total Daily Insulin Dose at Weeks 12 and 24 - ITT AnalysisChange at Week 120.2 units (U)Standard Deviation 7.9
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsAbsolute Change From Baseline in Total Daily Insulin Dose at Weeks 12 and 24 - ITT AnalysisChange at Week 242.2 units (U)Standard Deviation 14.8
Placebo Q2W: T2DM ParticipantsAbsolute Change From Baseline in Total Daily Insulin Dose at Weeks 12 and 24 - ITT AnalysisChange at Week 121.4 units (U)Standard Deviation 11.4
Placebo Q2W: T2DM ParticipantsAbsolute Change From Baseline in Total Daily Insulin Dose at Weeks 12 and 24 - ITT AnalysisChange at Week 241.6 units (U)Standard Deviation 11.4
Secondary

Absolute Change From Baseline in Total Daily Insulin Dose at Weeks 12 and 24 - On-Treatment Analysis

Absolute change = total daily insulin dose at specified weeks minus baseline value.

Time frame: Baseline, Weeks 12 and 24

Population: mITT population. Here, 'Number Analyzed' = participants with available data at the specified time points for each arm, respectively.

ArmMeasureGroupValue (MEAN)Dispersion
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsAbsolute Change From Baseline in Total Daily Insulin Dose at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 12-10.0 units (U)Standard Deviation 48.7
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsAbsolute Change From Baseline in Total Daily Insulin Dose at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 24-2.2 units (U)Standard Deviation 11.3
Placebo Q2W: T1DM ParticipantsAbsolute Change From Baseline in Total Daily Insulin Dose at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 24-0.8 units (U)Standard Deviation 9.8
Placebo Q2W: T1DM ParticipantsAbsolute Change From Baseline in Total Daily Insulin Dose at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 12-1.3 units (U)Standard Deviation 9.6
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsAbsolute Change From Baseline in Total Daily Insulin Dose at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 120.2 units (U)Standard Deviation 7.9
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsAbsolute Change From Baseline in Total Daily Insulin Dose at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 241.7 units (U)Standard Deviation 11.7
Placebo Q2W: T2DM ParticipantsAbsolute Change From Baseline in Total Daily Insulin Dose at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 121.4 units (U)Standard Deviation 11.4
Placebo Q2W: T2DM ParticipantsAbsolute Change From Baseline in Total Daily Insulin Dose at Weeks 12 and 24 - On-Treatment AnalysisChange at Week 241.6 units (U)Standard Deviation 11.5
Secondary

Percentage of Participants Reaching Calculated LDL-C <50 mg/dL (1.3 mmol/L) at Week 24 - On-Treatment Analysis

Adjusted percentages at Week 24 from last observation carried forward (LOCF) approach (for T1DM participants) and multiple imputation approach model (for T2DM participants) including available post-baseline data from Week 4 to Week 24 (i.e. up to 21 days after last injection). The maximum likelihood estimate did not exist as response rate was zero in a treatment group of T1DM participants.

Time frame: Up to Week 24

Population: mITT population.

ArmMeasureValue (NUMBER)
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsPercentage of Participants Reaching Calculated LDL-C <50 mg/dL (1.3 mmol/L) at Week 24 - On-Treatment Analysis55.1 percentage of participants
Placebo Q2W: T1DM ParticipantsPercentage of Participants Reaching Calculated LDL-C <50 mg/dL (1.3 mmol/L) at Week 24 - On-Treatment Analysis0 percentage of participants
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsPercentage of Participants Reaching Calculated LDL-C <50 mg/dL (1.3 mmol/L) at Week 24 - On-Treatment Analysis50.7 percentage of participants
Placebo Q2W: T2DM ParticipantsPercentage of Participants Reaching Calculated LDL-C <50 mg/dL (1.3 mmol/L) at Week 24 - On-Treatment Analysis2.7 percentage of participants
Comparison: Testing according to the hierarchical testing procedure (only performed if the previous endpoint was statistically significant).p-value: <0.000195% CI: [16.6, 168.3]Regression, Logistic
Secondary

Percentage of Participants Reaching Calculated LDL-C <70 mg/dL (1.81 mmol/L) at Week 24 - On-Treatment Analysis

Adjusted percentages at Week 24 from multiple imputation approach model including available post-baseline data from Week 4 to Week 24 (i.e. up to 21 days after last injection).

Time frame: Up to Week 24

Population: mITT population.

ArmMeasureValue (NUMBER)
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsPercentage of Participants Reaching Calculated LDL-C <70 mg/dL (1.81 mmol/L) at Week 24 - On-Treatment Analysis70.2 percentage of participants
Placebo Q2W: T1DM ParticipantsPercentage of Participants Reaching Calculated LDL-C <70 mg/dL (1.81 mmol/L) at Week 24 - On-Treatment Analysis5.1 percentage of participants
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsPercentage of Participants Reaching Calculated LDL-C <70 mg/dL (1.81 mmol/L) at Week 24 - On-Treatment Analysis76.4 percentage of participants
Placebo Q2W: T2DM ParticipantsPercentage of Participants Reaching Calculated LDL-C <70 mg/dL (1.81 mmol/L) at Week 24 - On-Treatment Analysis7.4 percentage of participants
Comparison: Testing according to the hierarchical testing procedure (only performed if the previous endpoint was statistically significant in relevant diabetes stratum).p-value: <0.000195% CI: [13.1, 1041.8]Regression, Logistic
Comparison: Testing according to the hierarchical testing procedure (only performed if the previous endpoint was statistically significant in relevant diabetes stratum).p-value: <0.000195% CI: [36.5, 196.1]Regression, Logistic
Secondary

Percentage of Participants Reaching Calculated Non-HDL-C <100 mg/dL at Week 24 - On-Treatment Analysis

Adjusted percentages at Week 24 from multiple imputation approach model including available post-baseline data from Week 4 to Week 24 (i.e. up to 21 days after last injection).

Time frame: Up to Week 24

Population: Participants of the mITT population with one baseline and at least one post-baseline Non-HDL-C value on-treatment (Non-HDL-C mITT population).

ArmMeasureValue (NUMBER)
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsPercentage of Participants Reaching Calculated Non-HDL-C <100 mg/dL at Week 24 - On-Treatment Analysis79.0 percentage of participants
Placebo Q2W: T1DM ParticipantsPercentage of Participants Reaching Calculated Non-HDL-C <100 mg/dL at Week 24 - On-Treatment Analysis22.9 percentage of participants
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsPercentage of Participants Reaching Calculated Non-HDL-C <100 mg/dL at Week 24 - On-Treatment Analysis70.9 percentage of participants
Placebo Q2W: T2DM ParticipantsPercentage of Participants Reaching Calculated Non-HDL-C <100 mg/dL at Week 24 - On-Treatment Analysis13.8 percentage of participants
Comparison: Testing according to the hierarchical testing procedure (only performed if the previous endpoint was statistically significant in relevant diabetes stratum).p-value: <0.000195% CI: [8, 137.4]Regression, Logistic
Comparison: Testing according to the hierarchical testing procedure (only performed if the previous endpoint was statistically significant in relevant diabetes stratum).p-value: <0.000195% CI: [14.2, 51.5]Regression, Logistic
Secondary

Percentage of Participants Reaching Calculated Non-HDL-C <80 mg/dL at Week 24 - On-Treatment Analysis

Adjusted percentages at Week 24 from multiple imputation approach including available post-baseline on-treatment data from Week 4 to Week 24 (i.e. up to 21 days after last injection).

Time frame: Up to Week 24

Population: Non-HDL-C mITT population.

ArmMeasureValue (NUMBER)
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsPercentage of Participants Reaching Calculated Non-HDL-C <80 mg/dL at Week 24 - On-Treatment Analysis59.6 percentage of participants
Placebo Q2W: T1DM ParticipantsPercentage of Participants Reaching Calculated Non-HDL-C <80 mg/dL at Week 24 - On-Treatment Analysis5.3 percentage of participants
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsPercentage of Participants Reaching Calculated Non-HDL-C <80 mg/dL at Week 24 - On-Treatment Analysis52.3 percentage of participants
Placebo Q2W: T2DM ParticipantsPercentage of Participants Reaching Calculated Non-HDL-C <80 mg/dL at Week 24 - On-Treatment Analysis1.7 percentage of participants
Comparison: Testing according to the hierarchical testing procedure (only performed if the previous endpoint was statistically significant in relevant diabetes stratum).p-value: 0.000295% CI: [6.5, 473.7]Regression, Logistic
Comparison: Testing according to the hierarchical testing procedure (only performed if the previous endpoint was statistically significant in relevant diabetes stratum).p-value: <0.000195% CI: [24.6, 433.1]Regression, Logistic
Secondary

Percent Change From Baseline in Apolipoprotein B (Apo-B) at Week 24 - ITT Analysis

Adjusted LS means and standard errors at Week 24 from MMRM model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.

Time frame: From Baseline to Week 24

Population: Participants of the ITT population with one baseline and at least one post-baseline Apo B value on- or off-treatment (Apo B ITT population).

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsPercent Change From Baseline in Apolipoprotein B (Apo-B) at Week 24 - ITT Analysis-39.4 percent changeStandard Error 3
Placebo Q2W: T1DM ParticipantsPercent Change From Baseline in Apolipoprotein B (Apo-B) at Week 24 - ITT Analysis-0.4 percent changeStandard Error 4.3
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsPercent Change From Baseline in Apolipoprotein B (Apo-B) at Week 24 - ITT Analysis-33.4 percent changeStandard Error 1.3
Placebo Q2W: T2DM ParticipantsPercent Change From Baseline in Apolipoprotein B (Apo-B) at Week 24 - ITT Analysis3.3 percent changeStandard Error 1.7
Comparison: Testing according to the hierarchical testing procedure (only performed if the previous endpoint was statistically significant in relevant diabetes stratum).p-value: <0.000195% CI: [-49.4, -28.7]Mixed Models Analysis
Comparison: Testing according to the hierarchical testing procedure (only performed if the previous endpoint was statistically significant in relevant diabetes stratum).p-value: <0.000195% CI: [-40.9, -32.5]Mixed Models Analysis
Secondary

Percent Change From Baseline in Calculated LDL-C at Week 12 - ITT Analysis

Adjusted LS means and standard errors at Week 12 from MMRM model including available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.

Time frame: From Baseline to Week 24

Population: Participants of the ITT population with one baseline and at least one post-baseline calculated LDL-C value on- or off-treatment at Week 12 (ITT population at Week 12).

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsPercent Change From Baseline in Calculated LDL-C at Week 12 - ITT Analysis-49.4 percent changeStandard Error 3.5
Placebo Q2W: T1DM ParticipantsPercent Change From Baseline in Calculated LDL-C at Week 12 - ITT Analysis-4.5 percent changeStandard Error 5
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsPercent Change From Baseline in Calculated LDL-C at Week 12 - ITT Analysis-48.8 percent changeStandard Error 1.4
Placebo Q2W: T2DM ParticipantsPercent Change From Baseline in Calculated LDL-C at Week 12 - ITT Analysis1.4 percent changeStandard Error 2.1
Comparison: Testing according to the hierarchical testing procedure (only performed if the previous endpoint was statistically significant in relevant diabetes stratum).p-value: <0.000195% CI: [-56.9, -32.8]Mixed Models Analysis
Comparison: Testing according to the hierarchical testing procedure (only performed if the previous endpoint was statistically significant in relevant diabetes stratum).p-value: <0.000195% CI: [-55.2, -45.3]Mixed Models Analysis
Secondary

Percent Change From Baseline in Calculated LDL-C at Week 24 - On-Treatment Analysis

Adjusted LS means and standard errors at Week 24 were obtained from MMRM model including available post-baseline on-treatment data from Week 4 to Week 24 (i.e. up to 21 days after last injection).

Time frame: From Baseline to Week 24

Population: Modified ITT population (mITT): all randomized and treated participants with one baseline and at least one post-baseline calculated LDL-C value on-treatment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsPercent Change From Baseline in Calculated LDL-C at Week 24 - On-Treatment Analysis-53.8 percent changeStandard Error 3.7
Placebo Q2W: T1DM ParticipantsPercent Change From Baseline in Calculated LDL-C at Week 24 - On-Treatment Analysis-3.2 percent changeStandard Error 5.3
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsPercent Change From Baseline in Calculated LDL-C at Week 24 - On-Treatment Analysis-50.9 percent changeStandard Error 1.6
Placebo Q2W: T2DM ParticipantsPercent Change From Baseline in Calculated LDL-C at Week 24 - On-Treatment Analysis0.7 percent changeStandard Error 2.2
Comparison: A hierarchical testing procedure was used to control type I error and handle multiple secondary endpoint analyses. Testing was then performed sequentially in the order the endpoints are reported. The hierarchical testing sequence continued only when previous endpoint was statistically significant at 0.05 level. Hierarchical testing procedure was followed for T1DM and T2DM participants separately.p-value: <0.000195% CI: [-63.4, -37.9]Mixed Models Analysis
Comparison: Testing according to the hierarchical testing procedure (only performed if the previous endpoint was statistically significant in relevant diabetes stratum).p-value: <0.000195% CI: [-56.9, -46.4]Mixed Models Analysis
Secondary

Percent Change From Baseline in Fasting Triglycerides at Week 24 - ITT Analysis

Adjusted means and standard errors at Week 24 from multiple imputation approach for handling of missing data followed by robust regression model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.

Time frame: From Baseline to Week 24

Population: ITT population.

ArmMeasureValue (MEAN)Dispersion
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsPercent Change From Baseline in Fasting Triglycerides at Week 24 - ITT Analysis-13.6 percent changeStandard Error 4.7
Placebo Q2W: T1DM ParticipantsPercent Change From Baseline in Fasting Triglycerides at Week 24 - ITT Analysis1.9 percent changeStandard Error 6.7
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsPercent Change From Baseline in Fasting Triglycerides at Week 24 - ITT Analysis-5.7 percent changeStandard Error 2
Placebo Q2W: T2DM ParticipantsPercent Change From Baseline in Fasting Triglycerides at Week 24 - ITT Analysis0.0 percent changeStandard Error 2.7
Comparison: Testing according to the hierarchical testing procedure (only performed if the previous endpoint was statistically significant in relevant diabetes stratum).p-value: 0.090295% CI: [-12.3, 0.9]Regression, Robust
Secondary

Percent Change From Baseline in HDL-C at Week 24 - ITT Analysis

Adjusted LS means and standard errors at Week 24 from MMRM model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.

Time frame: From Baseline to Week 24

Population: Participants of the ITT population with one baseline and at least one post-baseline HDL-C value on- or off-treatment (HDL-C ITT population).

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsPercent Change From Baseline in HDL-C at Week 24 - ITT Analysis11.2 percent changeStandard Error 2.4
Placebo Q2W: T1DM ParticipantsPercent Change From Baseline in HDL-C at Week 24 - ITT Analysis7.3 percent changeStandard Error 3.5
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsPercent Change From Baseline in HDL-C at Week 24 - ITT Analysis8.1 percent changeStandard Error 1
Placebo Q2W: T2DM ParticipantsPercent Change From Baseline in HDL-C at Week 24 - ITT Analysis3.7 percent changeStandard Error 1.4
Comparison: Testing according to the hierarchical testing procedure (only performed if the previous endpoint was statistically significant in relevant diabetes stratum).p-value: 0.343495% CI: [-4.2, 12]Mixed Models Analysis
Comparison: Testing according to the hierarchical testing procedure (only performed if the previous endpoint was statistically significant in relevant diabetes stratum).p-value: 0.0195% CI: [1.1, 7.7]Mixed Models Analysis
Secondary

Percent Change From Baseline in LDL-C Particle Number at Week 24 - ITT Analysis

LDL-C particle number was calculated from lipid subfractions by nuclear magnetic resonance (NMR) spectroscopy. Adjusted LS means and standard errors at Week 24 from MMRM model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.

Time frame: From Baseline to Week 24

Population: Participants of the ITT population with one baseline and at least one post-baseline LDL-C particle number value on- or off-treatment (LDL-C particle number ITT population).

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsPercent Change From Baseline in LDL-C Particle Number at Week 24 - ITT Analysis-44.4 percent changeStandard Error 3.2
Placebo Q2W: T1DM ParticipantsPercent Change From Baseline in LDL-C Particle Number at Week 24 - ITT Analysis-4.4 percent changeStandard Error 4.6
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsPercent Change From Baseline in LDL-C Particle Number at Week 24 - ITT Analysis-38.3 percent changeStandard Error 1.3
Placebo Q2W: T2DM ParticipantsPercent Change From Baseline in LDL-C Particle Number at Week 24 - ITT Analysis1.9 percent changeStandard Error 1.9
Secondary

Percent Change From Baseline in LDL-C Particle Size at Week 24 - ITT Analysis

LDL-C particle size was calculated from lipid subfractions by NMR spectroscopy. Adjusted LS means and standard errors at Week 24 from MMRM model including available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.

Time frame: From Baseline to Week 24

Population: Participants of the ITT population with one baseline and at least one post-baseline LDL-C particle size value on- or off-treatment (LDL-C particle size ITT population).

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsPercent Change From Baseline in LDL-C Particle Size at Week 24 - ITT Analysis-2.3 percent changeStandard Error 0.3
Placebo Q2W: T1DM ParticipantsPercent Change From Baseline in LDL-C Particle Size at Week 24 - ITT Analysis0.8 percent changeStandard Error 0.5
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsPercent Change From Baseline in LDL-C Particle Size at Week 24 - ITT Analysis-2.8 percent changeStandard Error 0.1
Placebo Q2W: T2DM ParticipantsPercent Change From Baseline in LDL-C Particle Size at Week 24 - ITT Analysis-0.3 percent changeStandard Error 0.2
Secondary

Percent Change From Baseline in Lipoprotein(a) at Week 24 - ITT Analysis

Adjusted means and standard errors at Week 24 were obtained from multiple imputation approach for handling of missing data followed by robust regression model. All available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment were included in the imputation model.

Time frame: From Baseline to Week 24

Population: ITT population.

ArmMeasureValue (MEAN)Dispersion
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsPercent Change From Baseline in Lipoprotein(a) at Week 24 - ITT Analysis-23.0 percent changeStandard Error 3.8
Placebo Q2W: T1DM ParticipantsPercent Change From Baseline in Lipoprotein(a) at Week 24 - ITT Analysis-4.3 percent changeStandard Error 5.3
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsPercent Change From Baseline in Lipoprotein(a) at Week 24 - ITT Analysis-19.0 percent changeStandard Error 1.6
Placebo Q2W: T2DM ParticipantsPercent Change From Baseline in Lipoprotein(a) at Week 24 - ITT Analysis-0.5 percent changeStandard Error 2.2
Comparison: Testing according to the hierarchical testing procedure (only performed if the previous endpoint was statistically significant in relevant diabetes stratum).p-value: 0.003995% CI: [-31.4, -6]Regression, Robust
Comparison: Testing according to the hierarchical testing procedure (only performed if the previous endpoint was statistically significant in relevant diabetes stratum).p-value: <0.000195% CI: [-23.7, -13.2]Regression, Robust
Secondary

Percent Change From Baseline in Measured LDL-C at Week 12 - ITT Analysis

Measured LDL-C values via beta quantification method. Adjusted LS means and standard errors at Week 12 from MMRM model including available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.

Time frame: From Baseline to Week 24

Population: Participants of the ITT population with one baseline and at least one post-baseline measured LDL-C value on- or off-treatment at Week 12 (Measured LDL-C ITT population at Week 12).

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsPercent Change From Baseline in Measured LDL-C at Week 12 - ITT Analysis-46.7 percent changeStandard Error 3.6
Placebo Q2W: T1DM ParticipantsPercent Change From Baseline in Measured LDL-C at Week 12 - ITT Analysis-4.0 percent changeStandard Error 5.1
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsPercent Change From Baseline in Measured LDL-C at Week 12 - ITT Analysis-44.8 percent changeStandard Error 1.4
Placebo Q2W: T2DM ParticipantsPercent Change From Baseline in Measured LDL-C at Week 12 - ITT Analysis-0.8 percent changeStandard Error 2
Comparison: Testing according to the hierarchical testing procedure (only performed if the previous endpoint was statistically significant in relevant diabetes stratum).p-value: <0.000195% CI: [-54.9, -30.5]Mixed Models Analysis
Comparison: Testing according to the hierarchical testing procedure (only performed if the previous endpoint was statistically significant in relevant diabetes stratum).p-value: <0.000195% CI: [-49, -39.2]Mixed Models Analysis
Secondary

Percent Change From Baseline in Measured LDL-C at Week 24 - ITT Analysis

Measured LDL-C values via beta quantification method. Adjusted LS means and standard errors at Week 24 from MMRM model including available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.

Time frame: From Baseline to Week 24

Population: Participants of the ITT population with one baseline and at least one post-baseline measured LDL-C value on- or off-treatment (Measured LDL-C ITT population).

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsPercent Change From Baseline in Measured LDL-C at Week 24 - ITT Analysis-49.4 percent changeStandard Error 3.7
Placebo Q2W: T1DM ParticipantsPercent Change From Baseline in Measured LDL-C at Week 24 - ITT Analysis-1.1 percent changeStandard Error 5.4
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsPercent Change From Baseline in Measured LDL-C at Week 24 - ITT Analysis-43.3 percent changeStandard Error 1.6
Placebo Q2W: T2DM ParticipantsPercent Change From Baseline in Measured LDL-C at Week 24 - ITT Analysis2.4 percent changeStandard Error 2.2
Comparison: Testing according to the hierarchical testing procedure (only performed if the previous endpoint was statistically significant in relevant diabetes stratum).p-value: <0.000195% CI: [-61.2, -35.5]Mixed Models Analysis
Comparison: Testing according to the hierarchical testing procedure (only performed if the previous endpoint was statistically significant in relevant diabetes stratum).p-value: <0.000195% CI: [-50.9, -40.4]Mixed Models Analysis
Secondary

Percent Change From Baseline in Non-High Density Lipoprotein Cholesterol (Non-HDL-C) at Week 24 - ITT Analysis

Adjusted LS means and standard errors at Week 24 from MMRM model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.

Time frame: From Baseline to Week 24

Population: Participants of the ITT population with one baseline and at least one post-baseline non-HDL-C value on- or off-treatment (non-HDL-C ITT population).

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsPercent Change From Baseline in Non-High Density Lipoprotein Cholesterol (Non-HDL-C) at Week 24 - ITT Analysis-45.9 percent changeStandard Error 3.3
Placebo Q2W: T1DM ParticipantsPercent Change From Baseline in Non-High Density Lipoprotein Cholesterol (Non-HDL-C) at Week 24 - ITT Analysis-3.2 percent changeStandard Error 4.8
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsPercent Change From Baseline in Non-High Density Lipoprotein Cholesterol (Non-HDL-C) at Week 24 - ITT Analysis-37.9 percent changeStandard Error 1.4
Placebo Q2W: T2DM ParticipantsPercent Change From Baseline in Non-High Density Lipoprotein Cholesterol (Non-HDL-C) at Week 24 - ITT Analysis0.7 percent changeStandard Error 2
Comparison: Testing according to the hierarchical testing procedure (only performed if the previous endpoint was statistically significant in relevant diabetes stratum).p-value: <0.000195% CI: [-54.2, -31.3]Mixed Models Analysis
Comparison: Testing according to the hierarchical testing procedure (only performed if the previous endpoint was statistically significant in relevant diabetes stratum).p-value: <0.000195% CI: [-43.4, -33.9]Mixed Models Analysis
Secondary

Percent Change From Baseline in Total Cholesterol (Total-C) at Week 24 - ITT Analysis

Adjusted LS means and standard errors at Week 24 from MMRM model including all available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment.

Time frame: From Baseline to Week 24

Population: Participants of the ITT population with one baseline and at least one post-baseline total-C value on- or off-treatment (Total-C ITT population).

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T1DM ParticipantsPercent Change From Baseline in Total Cholesterol (Total-C) at Week 24 - ITT Analysis-29.9 percent changeStandard Error 2.5
Placebo Q2W: T1DM ParticipantsPercent Change From Baseline in Total Cholesterol (Total-C) at Week 24 - ITT Analysis-0.7 percent changeStandard Error 3.6
Alirocumab 75 mg Q2W/Up to 150 mg Q2W: T2DM ParticipantsPercent Change From Baseline in Total Cholesterol (Total-C) at Week 24 - ITT Analysis-26.8 percent changeStandard Error 1
Placebo Q2W: T2DM ParticipantsPercent Change From Baseline in Total Cholesterol (Total-C) at Week 24 - ITT Analysis0.8 percent changeStandard Error 1.5
Comparison: Testing according to the hierarchical testing procedure (only performed if the previous endpoint was statistically significant in relevant diabetes stratum).p-value: <0.000195% CI: [-37.8, -20.7]Mixed Models Analysis
Comparison: Testing according to the hierarchical testing procedure (only performed if the previous endpoint was statistically significant in relevant diabetes stratum).p-value: <0.000195% CI: [-31.2, -24.1]Mixed Models Analysis

Source: ClinicalTrials.gov · Data processed: Mar 10, 2026