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Safety, Tolerability and Efficacy of Evolocumab (AMG 145) in Children With Inherited Elevated Low-density Lipoprotein Cholesterol (Familial Hypercholesterolemia)

Open-label, Single-Arm, Multicenter Study to Evaluate the Safety, Tolerability and Efficacy of Evolocumab for LDL-C Reduction, as Add-on to Diet and Lipid-lowering Therapy, in Pediatric Subjects From 10 to 17 Years of Age With Heterozygous Familial Hypercholesterolemia (HeFH) or Homozygous Familial Hypercholesterolemia (HoFH)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02624869
Acronym
HAUSER-OLE
Enrollment
163
Registered
2015-12-09
Start date
2016-09-10
Completion date
2021-06-01
Last updated
2024-05-29

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

Conditions

Familial Hypercholesterolemia

Keywords

Hypercholesterolemia, Elevated Cholesterol, High Cholesterol, PCSK9 mutations, Severe Familial Hypercholesterolemia, evolocumab, Repatha, Heterozygous Familial Hypercholesterolemia, Homozygous Familial Hypercholesterolemia, Pediatric, Paediatric

Brief summary

The main purpose of this study is to describe the safety and tolerability of 80 weeks of subcutaneous (SC) evolocumab when added to standard of care in children 10 to 17 years of age with familial hypercholesterolemia.

Interventions

BIOLOGICALEvolocumab

Administered by subcutaneous injection

Sponsors

Amgen
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
10 Years to 17 Years
Healthy volunteers
No

Inclusion criteria

Heterozygous Familial Hypercholesterolemia (HeFH): -Completed Study 20120123 (NCT02392559) while still on assigned investigational product and did not experience a treatment-related serious adverse event Homozygous Familial Hypercholesterolemia (HoFH): * Male or female, ≥ 10 to ≤ 17 years of age at time of enrollment * Diagnosis of HoFH * On a low-fat diet and receiving background lipid-lowering therapy * Lipid-lowering therapy unchanged for ≥ 4 weeks prior to LDL-C screening; fibrates must be stable for at least 6 weeks prior to screening. * Fasting LDL-C at screening ≥ 130 mg/dL (3.4 mmol/L) * Fasting triglycerides ≤ 400 mg/dL (4.5 mmol/L)

Exclusion criteria

-Currently receiving treatment in another investigational device or drug study, or less than 30 days since ending treatment on another investigational device or drug study(s); except Study 20120123 HoFH: * Moderate to severe renal dysfunction * Active liver disease or hepatic dysfunction, * Creatine kinase \> 3 times the upper limit of normal (ULN) at screening

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Treatment-emergent Adverse Events (TEAEs)From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.An adverse event is defined as any untoward medical occurrence in a clinical trial participant, not necessarily having a causal relationship with study treatment. A serious AE is as an AE that met at least 1 of the following criteria: * fatal; * life threatening; * required in-patient hospitalization or prolongation of existing hospitalization; * resulted in persistent or significant disability/incapacity; * congenital anomaly/birth defect; * other medically important serious event. AEs were graded for severity using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0: Grade 1: Mild; asymptomatic or mild symptoms; Grade 2: Moderate; minimal, local or noninvasive intervention indicated; Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; Grade 4: Life-threatening consequences; urgent intervention indicated; Grade 5: Death related to AE.

Secondary

MeasureTime frameDescription
Percent Change From Baseline to Week 80 in Low-density Lipoprotein Cholesterol (LDL-C) in HoFH ParticipantsBaseline and week 80For HoFH participants baseline was defined as the baseline value in this study (20120124).
Percent Change From Baseline to Week 80 in Non-HDL-C in HeFH ParticipantsBaseline and week 80For HeFH participants baseline was defined as the baseline value of the parent study 20120123.
Percent Change From Baseline to Week 80 in Non-HDL-C in HoFH ParticipantsBaseline and week 80For HoFH participants baseline was defined as the baseline value in this study (20120124).
Percent Change From Baseline to Week 80 in Apolipoprotein B in HeFH ParticipantsBaseline and week 80For HeFH participants baseline was defined as the baseline value in the parent study 20120123.
Percent Change From Baseline to Week 80 in Apolipoprotein B in HoFH ParticipantsBaseline and week 80For HoFH participants baseline was defined as the baseline value in this study (20120124).
Percent Change From Baseline to Week 80 in Total Cholesterol/HDL-C Ratio in HeFH ParticipantsBaseline and week 80For HeFH participants baseline was defined as the baseline value in the parent study 20120123.
Percent Change From Baseline to Week 80 in Total Cholesterol/HDL-C Ratio in HoFH ParticipantsBaseline and week 80For HoFH participants baseline was defined as the baseline value in this study (20120124).
Percent Change From Baseline to Week 80 in Apolipoprotein B / Apolipoprotein A1 Ratio in HeFH ParticipantsBaseline and week 80For HeFH participants baseline was defined as the baseline value in the parent study 20120123.
Percent Change From Baseline to Week 80 in Apolipoprotein B/Apolipoprotein A1 Ratio in HoFH ParticipantsBaseline and week 80For HoFH participants baseline was defined as the baseline value in this study (20120124).
Change From Baseline to Week 80 in LDL-C in HeFH ParticipantsBaseline and week 80For HeFH participants baseline was defined as the baseline value of the parent study 20120123.
Change From Baseline to Week 80 in LDL-C in HoFH ParticipantsBaseline and week 80For HoFH participants baseline was defined as the baseline value in this study (20120124).
Change From Baseline to Week 80 in Estradiol LevelsBaseline and week 80For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).
Percent Change From Baseline to Week 80 in Low-density Lipoprotein Cholesterol (LDL-C) in HeFH ParticipantsBaseline and week 80For HeFH participants baseline was defined as the baseline value of the parent study 20120123.
Change From Baseline to Week 80 in Follicle Stimulating Hormone (FSH) LevelsBaseline and week 80For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).
Change From Baseline to Week 80 in Luteinizing Hormone (LH) LevelsBaseline and week 80For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).
Change From Baseline to Week 80 in Adenocorticotropic Hormone (ACTH) LevelsBaseline and week 80For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).
Change From Baseline to Week 80 in Dehydroepiandrosterone Sulfate (DHEA-S) LevelsBaseline and week 80For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).
Change From Baseline to Week 80 in Cortisol LevelsBaseline and week 80For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).
Number of Participants With Liver Function Test Abnormalities at Week 80Week 80Liver function tests included alanine aminotransferase (ALT) levels, aspartate aminotransferase (AST) levels and total bilirubin levels.
Number of Participants With Abnormalities in Levels of Creatine Kinase (CK) at Week 80Week 80The number of participants with levels of creatine kinase greater than 5 times the upper limit of normal (ULN) and greater than 10 times the ULN, measured by the central laboratory.
Change From Baseline to Week 80 in Carotid Intima-media Thickness (cIMT)Baseline and week 80Carotid intima-media thickness measures the thickness of the intima and media, the inner two layers of the carotid artery, and is used to determine the extent of plaque buildup in the walls of the arteries (atherosclerosis) supplying blood to the head. CIMT was measured by ultrasonography and analyzed at a core laboratory. The largest values measured in the left common carotid artery (LCCA) and the right common carotid artery (RCCA) are averaged in this analysis.
Change From Baseline in Height at Weeks 24, 48, and 80Baseline and weeks 24, 48, and 80
Change From Baseline in Weight at Weeks 24, 48, and 80Baseline and weeks 24, 48, and 80
Number of Participants With Change in Tanner Staging From Baseline to Week 80Baseline and week 80Pubertal growth and sexual maturity was assessed separately for males and females using the 5 Tanner stages where stage 1 = prepubertal and stage 5 = mature. The number of participants with any change in Tanner Stage from baseline is reported.
Change From Baseline to Week 80 in Testosterone LevelsBaseline and week 80For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).

Countries

Australia, Austria, Belgium, Brazil, Canada, Colombia, Czechia, Greece, Hungary, Italy, Malaysia, Netherlands, Norway, Poland, Portugal, Russia, Slovenia, South Africa, Spain, Switzerland, Turkey (Türkiye), United Kingdom, United States

Participant flow

Recruitment details

This study was conducted at 46 centers in 23 countries (Australia, Austria, Belgium, Brazil, Canada, Colombia, Czech Republic, Greece, Hungary, Italy, Malaysia, Netherlands, Norway, Poland, Portugal, Russia, Slovenia, South Africa, Spain, Switzerland, Turkey, United Kingdom, and United States of America).

Pre-assignment details

This study enrolled participants with heterozygous familial hypercholesterolemia (HeFH) who had completed the parent study 20120123 (NCT02392559) without experiencing a treatment-related serious adverse event, and children 10 to 17 years of age with a diagnosis of homozygous familial hypercholesterolemia (HoFH).

Participants by arm

ArmCount
HeFH (Placebo in Parent Study): Evolocumab 420 mg QM
Participants with HeFH who had received placebo in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
49
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QM
Participants with HeFH who had received evolocumab in the parent study received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
101
HoFH: Evolocumab 420 mg QM
Participants with HoFH received 420 mg evolocumab administered by subcutaneous injection every 4 weeks for up to 80 weeks.
13
Total163

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyLost to Follow-up001
Overall StudyWithdrawal by Subject131

Baseline characteristics

CharacteristicHeFH (Placebo in Parent Study): Evolocumab 420 mg QMHeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMHoFH: Evolocumab 420 mg QMTotal
Age, Continuous13.8 years
STANDARD_DEVIATION 2.5
14.2 years
STANDARD_DEVIATION 2.4
12.4 years
STANDARD_DEVIATION 2
14.0 years
STANDARD_DEVIATION 2.5
Age, Customized
12 - 17 years
37 Participants76 Participants7 Participants120 Participants
Age, Customized
18 - 64 years
1 Participants7 Participants0 Participants8 Participants
Age, Customized
2 - 11 years
11 Participants18 Participants6 Participants35 Participants
Apolipoprotein B (ApoB) Concentration119.1 mg/dL
STANDARD_DEVIATION 28.1
123.1 mg/dL
STANDARD_DEVIATION 27.4
250.1 mg/dL
STANDARD_DEVIATION 84.9
131.5 mg/dL
STANDARD_DEVIATION 48.6
Apolipoprotein B/Apolipoprotein A1 Ratio0.943 ratio
STANDARD_DEVIATION 0.265
0.972 ratio
STANDARD_DEVIATION 0.306
2.388 ratio
STANDARD_DEVIATION 1.036
1.070 ratio
STANDARD_DEVIATION 0.545
Ethnicity (NIH/OMB)
Hispanic or Latino
7 Participants6 Participants0 Participants13 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
42 Participants95 Participants13 Participants150 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Low-density Lipoprotein Cholesterol (LDL-C) Concentration184.0 mg/dL
STANDARD_DEVIATION 48.3
184.4 mg/dL
STANDARD_DEVIATION 45.2
426.0 mg/dL
STANDARD_DEVIATION 166.4
202.2 mg/dL
STANDARD_DEVIATION 88.8
Non-High-Density Lipoprotein Cholesterol (Non-HDL-C) Concentration201.0 mg/dL
STANDARD_DEVIATION 49.3
203.4 mg/dL
STANDARD_DEVIATION 47.5
443.7 mg/dL
STANDARD_DEVIATION 170.8
220.5 mg/dL
STANDARD_DEVIATION 90.2
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Asian
0 Participants2 Participants2 Participants4 Participants
Race/Ethnicity, Customized
Black or African American
0 Participants2 Participants0 Participants2 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Other
9 Participants11 Participants2 Participants22 Participants
Race/Ethnicity, Customized
White
40 Participants86 Participants9 Participants135 Participants
Region
Asia Pacific
0 Participants6 Participants6 Participants12 Participants
Region
Europe
33 Participants65 Participants7 Participants105 Participants
Region
Latin America
8 Participants18 Participants0 Participants26 Participants
Region
North America
8 Participants12 Participants0 Participants20 Participants
Sex: Female, Male
Female
24 Participants59 Participants2 Participants85 Participants
Sex: Female, Male
Male
25 Participants42 Participants11 Participants78 Participants
Total Cholesterol/High-density Lipoprotein Cholesterol (HDL-C) Ratio5.546 ratio
STANDARD_DEVIATION 1.541
5.716 ratio
STANDARD_DEVIATION 1.809
14.707 ratio
STANDARD_DEVIATION 7.891
6.331 ratio
STANDARD_DEVIATION 3.557

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 490 / 1010 / 13
other
Total, other adverse events
27 / 4945 / 1017 / 12
serious
Total, serious adverse events
2 / 492 / 1012 / 12

Outcome results

Primary

Number of Participants With Treatment-emergent Adverse Events (TEAEs)

An adverse event is defined as any untoward medical occurrence in a clinical trial participant, not necessarily having a causal relationship with study treatment. A serious AE is as an AE that met at least 1 of the following criteria: * fatal; * life threatening; * required in-patient hospitalization or prolongation of existing hospitalization; * resulted in persistent or significant disability/incapacity; * congenital anomaly/birth defect; * other medically important serious event. AEs were graded for severity using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0: Grade 1: Mild; asymptomatic or mild symptoms; Grade 2: Moderate; minimal, local or noninvasive intervention indicated; Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; Grade 4: Life-threatening consequences; urgent intervention indicated; Grade 5: Death related to AE.

Time frame: From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.

Population: Full analysis set

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMNumber of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE ≥ Grade 225 Participants
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMNumber of Participants With Treatment-emergent Adverse Events (TEAEs)Serious adverse events2 Participants
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMNumber of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE ≥ Grade 40 Participants
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMNumber of Participants With Treatment-emergent Adverse Events (TEAEs)Any treatment-emergent adverse event (TEAE)36 Participants
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMNumber of Participants With Treatment-emergent Adverse Events (TEAEs)Fatal adverse events0 Participants
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMNumber of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE leading to discontinuation of evolocumab0 Participants
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMNumber of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE ≥ Grade 34 Participants
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMNumber of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE ≥ Grade 41 Participants
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMNumber of Participants With Treatment-emergent Adverse Events (TEAEs)Any treatment-emergent adverse event (TEAE)69 Participants
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMNumber of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE ≥ Grade 256 Participants
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMNumber of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE ≥ Grade 32 Participants
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMNumber of Participants With Treatment-emergent Adverse Events (TEAEs)Serious adverse events2 Participants
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMNumber of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE leading to discontinuation of evolocumab0 Participants
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMNumber of Participants With Treatment-emergent Adverse Events (TEAEs)Fatal adverse events0 Participants
HoFH: Evolocumab 420 mg QMNumber of Participants With Treatment-emergent Adverse Events (TEAEs)Serious adverse events2 Participants
HoFH: Evolocumab 420 mg QMNumber of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE ≥ Grade 25 Participants
HoFH: Evolocumab 420 mg QMNumber of Participants With Treatment-emergent Adverse Events (TEAEs)Fatal adverse events0 Participants
HoFH: Evolocumab 420 mg QMNumber of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE leading to discontinuation of evolocumab0 Participants
HoFH: Evolocumab 420 mg QMNumber of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE ≥ Grade 40 Participants
HoFH: Evolocumab 420 mg QMNumber of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE ≥ Grade 32 Participants
HoFH: Evolocumab 420 mg QMNumber of Participants With Treatment-emergent Adverse Events (TEAEs)Any treatment-emergent adverse event (TEAE)7 Participants
Secondary

Change From Baseline in Height at Weeks 24, 48, and 80

Time frame: Baseline and weeks 24, 48, and 80

Population: Full analysis set with available data at each time point.

ArmMeasureGroupValue (MEAN)Dispersion
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMChange From Baseline in Height at Weeks 24, 48, and 80Females: Baseline158.1 cmStandard Error 2.3
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMChange From Baseline in Height at Weeks 24, 48, and 80Females: Change at week 242.8 cmStandard Error 0.7
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMChange From Baseline in Height at Weeks 24, 48, and 80Females: Change at week 484.2 cmStandard Error 1
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMChange From Baseline in Height at Weeks 24, 48, and 80Females: Change at week 804.0 cmStandard Error 1.7
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMChange From Baseline in Height at Weeks 24, 48, and 80Males: Baseline158.2 cmStandard Error 3
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMChange From Baseline in Height at Weeks 24, 48, and 80Males: Change at week 243.4 cmStandard Error 0.5
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMChange From Baseline in Height at Weeks 24, 48, and 80Males: Change at week 486.2 cmStandard Error 0.8
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMChange From Baseline in Height at Weeks 24, 48, and 80Males: Change at week 809.3 cmStandard Error 1.5
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMChange From Baseline in Height at Weeks 24, 48, and 80Females: Change at week 482.8 cmStandard Error 0.5
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMChange From Baseline in Height at Weeks 24, 48, and 80Males: Change at week 486.2 cmStandard Error 0.7
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMChange From Baseline in Height at Weeks 24, 48, and 80Females: Change at week 803.4 cmStandard Error 0.7
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMChange From Baseline in Height at Weeks 24, 48, and 80Males: Baseline163.7 cmStandard Error 1.9
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMChange From Baseline in Height at Weeks 24, 48, and 80Males: Change at week 243.8 cmStandard Error 0.5
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMChange From Baseline in Height at Weeks 24, 48, and 80Females: Baseline157.9 cmStandard Error 1.3
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMChange From Baseline in Height at Weeks 24, 48, and 80Females: Change at week 242.0 cmStandard Error 0.4
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMChange From Baseline in Height at Weeks 24, 48, and 80Males: Change at week 809.0 cmStandard Error 1.1
HoFH: Evolocumab 420 mg QMChange From Baseline in Height at Weeks 24, 48, and 80Females: Change at week 481.4 cmStandard Error 2.4
HoFH: Evolocumab 420 mg QMChange From Baseline in Height at Weeks 24, 48, and 80Females: Change at week 241.6 cmStandard Error 1.1
HoFH: Evolocumab 420 mg QMChange From Baseline in Height at Weeks 24, 48, and 80Females: Baseline149.4 cmStandard Error 7.1
HoFH: Evolocumab 420 mg QMChange From Baseline in Height at Weeks 24, 48, and 80Females: Change at week 802.4 cmStandard Error 3.9
HoFH: Evolocumab 420 mg QMChange From Baseline in Height at Weeks 24, 48, and 80Males: Change at week 485.3 cmStandard Error 1.2
HoFH: Evolocumab 420 mg QMChange From Baseline in Height at Weeks 24, 48, and 80Males: Change at week 243.8 cmStandard Error 0.8
HoFH: Evolocumab 420 mg QMChange From Baseline in Height at Weeks 24, 48, and 80Males: Baseline158.9 cmStandard Error 4.8
HoFH: Evolocumab 420 mg QMChange From Baseline in Height at Weeks 24, 48, and 80Males: Change at week 809.2 cmStandard Error 1.6
Secondary

Change From Baseline in Weight at Weeks 24, 48, and 80

Time frame: Baseline and weeks 24, 48, and 80

Population: Full analysis set with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMChange From Baseline in Weight at Weeks 24, 48, and 80Males: Change at week 8010.9 kgStandard Error 1.6
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMChange From Baseline in Weight at Weeks 24, 48, and 80Females: Baseline52.8 kgStandard Error 2.9
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMChange From Baseline in Weight at Weeks 24, 48, and 80Females: Change at week 805.6 kgStandard Error 1.3
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMChange From Baseline in Weight at Weeks 24, 48, and 80Males: Change at week 486.8 kgStandard Error 1.3
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMChange From Baseline in Weight at Weeks 24, 48, and 80Females: Change at week 243.3 kgStandard Error 0.8
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMChange From Baseline in Weight at Weeks 24, 48, and 80Males: Baseline54.1 kgStandard Error 3.6
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMChange From Baseline in Weight at Weeks 24, 48, and 80Females: Change at week 484.3 kgStandard Error 1.1
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMChange From Baseline in Weight at Weeks 24, 48, and 80Males: Change at week 244.4 kgStandard Error 0.9
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMChange From Baseline in Weight at Weeks 24, 48, and 80Females: Change at week 242.3 kgStandard Error 0.6
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMChange From Baseline in Weight at Weeks 24, 48, and 80Males: Change at week 244.6 kgStandard Error 0.7
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMChange From Baseline in Weight at Weeks 24, 48, and 80Females: Baseline57.0 kgStandard Error 2
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMChange From Baseline in Weight at Weeks 24, 48, and 80Males: Change at week 8011.2 kgStandard Error 1.4
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMChange From Baseline in Weight at Weeks 24, 48, and 80Males: Change at week 487.4 kgStandard Error 1
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMChange From Baseline in Weight at Weeks 24, 48, and 80Females: Change at week 483.5 kgStandard Error 0.7
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMChange From Baseline in Weight at Weeks 24, 48, and 80Females: Change at week 805.2 kgStandard Error 0.8
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMChange From Baseline in Weight at Weeks 24, 48, and 80Males: Baseline61.0 kgStandard Error 3.2
HoFH: Evolocumab 420 mg QMChange From Baseline in Weight at Weeks 24, 48, and 80Males: Change at week 8010.6 kgStandard Error 2.3
HoFH: Evolocumab 420 mg QMChange From Baseline in Weight at Weeks 24, 48, and 80Females: Baseline42.7 kgStandard Error 1.3
HoFH: Evolocumab 420 mg QMChange From Baseline in Weight at Weeks 24, 48, and 80Females: Change at week 243.4 kgStandard Error 2.1
HoFH: Evolocumab 420 mg QMChange From Baseline in Weight at Weeks 24, 48, and 80Females: Change at week 484.7 kgStandard Error 5.3
HoFH: Evolocumab 420 mg QMChange From Baseline in Weight at Weeks 24, 48, and 80Females: Change at week 805.5 kgStandard Error 4.2
HoFH: Evolocumab 420 mg QMChange From Baseline in Weight at Weeks 24, 48, and 80Males: Baseline51.7 kgStandard Error 4.9
HoFH: Evolocumab 420 mg QMChange From Baseline in Weight at Weeks 24, 48, and 80Males: Change at week 244.6 kgStandard Error 0.9
HoFH: Evolocumab 420 mg QMChange From Baseline in Weight at Weeks 24, 48, and 80Males: Change at week 487.6 kgStandard Error 1.2
Secondary

Change From Baseline to Week 80 in Adenocorticotropic Hormone (ACTH) Levels

For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).

Time frame: Baseline and week 80

Population: Full analysis set with available data

ArmMeasureValue (MEAN)Dispersion
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMChange From Baseline to Week 80 in Adenocorticotropic Hormone (ACTH) Levels0.78 pmol/LStandard Error 0.55
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMChange From Baseline to Week 80 in Adenocorticotropic Hormone (ACTH) Levels0.55 pmol/LStandard Error 0.61
HoFH: Evolocumab 420 mg QMChange From Baseline to Week 80 in Adenocorticotropic Hormone (ACTH) Levels-0.75 pmol/LStandard Error 1.79
Secondary

Change From Baseline to Week 80 in Carotid Intima-media Thickness (cIMT)

Carotid intima-media thickness measures the thickness of the intima and media, the inner two layers of the carotid artery, and is used to determine the extent of plaque buildup in the walls of the arteries (atherosclerosis) supplying blood to the head. CIMT was measured by ultrasonography and analyzed at a core laboratory. The largest values measured in the left common carotid artery (LCCA) and the right common carotid artery (RCCA) are averaged in this analysis.

Time frame: Baseline and week 80

Population: Full analysis set with available data

ArmMeasureValue (MEAN)Dispersion
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMChange From Baseline to Week 80 in Carotid Intima-media Thickness (cIMT)-0.019 mmStandard Error 0.007
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMChange From Baseline to Week 80 in Carotid Intima-media Thickness (cIMT)-0.012 mmStandard Error 0.006
HoFH: Evolocumab 420 mg QMChange From Baseline to Week 80 in Carotid Intima-media Thickness (cIMT)0.006 mmStandard Error 0.032
Secondary

Change From Baseline to Week 80 in Cortisol Levels

For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).

Time frame: Baseline and week 80

Population: Full analysis set with available data

ArmMeasureValue (MEAN)Dispersion
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMChange From Baseline to Week 80 in Cortisol Levels29.81 nmol/LStandard Error 28.34
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMChange From Baseline to Week 80 in Cortisol Levels51.18 nmol/LStandard Error 25.19
HoFH: Evolocumab 420 mg QMChange From Baseline to Week 80 in Cortisol Levels57.26 nmol/LStandard Error 56.11
Secondary

Change From Baseline to Week 80 in Dehydroepiandrosterone Sulfate (DHEA-S) Levels

For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).

Time frame: Baseline and week 80

Population: Full analysis set with available data

ArmMeasureValue (MEAN)Dispersion
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMChange From Baseline to Week 80 in Dehydroepiandrosterone Sulfate (DHEA-S) Levels1.051 μmol/LStandard Error 0.222
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMChange From Baseline to Week 80 in Dehydroepiandrosterone Sulfate (DHEA-S) Levels0.956 μmol/LStandard Error 0.126
HoFH: Evolocumab 420 mg QMChange From Baseline to Week 80 in Dehydroepiandrosterone Sulfate (DHEA-S) Levels0.944 μmol/LStandard Error 0.247
Secondary

Change From Baseline to Week 80 in Estradiol Levels

For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).

Time frame: Baseline and week 80

Population: Full analysis set; female participants with available data

ArmMeasureValue (MEAN)Dispersion
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMChange From Baseline to Week 80 in Estradiol Levels131.3 pmol/LStandard Error 45.3
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMChange From Baseline to Week 80 in Estradiol Levels48.2 pmol/LStandard Error 58.1
HoFH: Evolocumab 420 mg QMChange From Baseline to Week 80 in Estradiol Levels283.0 pmol/LStandard Error 130
Secondary

Change From Baseline to Week 80 in Follicle Stimulating Hormone (FSH) Levels

For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).

Time frame: Baseline and week 80

Population: Full analysis set with available data

ArmMeasureValue (MEAN)Dispersion
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMChange From Baseline to Week 80 in Follicle Stimulating Hormone (FSH) Levels1.88 IU/LStandard Error 0.9
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMChange From Baseline to Week 80 in Follicle Stimulating Hormone (FSH) Levels0.60 IU/LStandard Error 0.37
HoFH: Evolocumab 420 mg QMChange From Baseline to Week 80 in Follicle Stimulating Hormone (FSH) Levels1.18 IU/LStandard Error 0.35
Secondary

Change From Baseline to Week 80 in LDL-C in HeFH Participants

For HeFH participants baseline was defined as the baseline value of the parent study 20120123.

Time frame: Baseline and week 80

Population: Full analysis set with available data

ArmMeasureValue (MEAN)Dispersion
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMChange From Baseline to Week 80 in LDL-C in HeFH Participants-67.2 mg/dLStandard Error 8.2
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMChange From Baseline to Week 80 in LDL-C in HeFH Participants-63.1 mg/dLStandard Error 5.6
Secondary

Change From Baseline to Week 80 in LDL-C in HoFH Participants

For HoFH participants baseline was defined as the baseline value in this study (20120124).

Time frame: Baseline and week 80

Population: Full analysis set with available data

ArmMeasureValue (MEDIAN)
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMChange From Baseline to Week 80 in LDL-C in HoFH Participants-36.5 mg/dL
Secondary

Change From Baseline to Week 80 in Luteinizing Hormone (LH) Levels

For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).

Time frame: Baseline and week 80

Population: Full analysis set with available data

ArmMeasureValue (MEAN)Dispersion
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMChange From Baseline to Week 80 in Luteinizing Hormone (LH) Levels2.88 IU/LStandard Error 1.51
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMChange From Baseline to Week 80 in Luteinizing Hormone (LH) Levels1.04 IU/LStandard Error 0.95
HoFH: Evolocumab 420 mg QMChange From Baseline to Week 80 in Luteinizing Hormone (LH) Levels1.76 IU/LStandard Error 0.84
Secondary

Change From Baseline to Week 80 in Testosterone Levels

For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).

Time frame: Baseline and week 80

Population: Full analysis set; male participants with available data

ArmMeasureValue (MEAN)Dispersion
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMChange From Baseline to Week 80 in Testosterone Levels5.282 nmol/LStandard Error 1.567
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMChange From Baseline to Week 80 in Testosterone Levels3.230 nmol/LStandard Error 1.167
HoFH: Evolocumab 420 mg QMChange From Baseline to Week 80 in Testosterone Levels2.916 nmol/LStandard Error 0.984
Secondary

Number of Participants With Abnormalities in Levels of Creatine Kinase (CK) at Week 80

The number of participants with levels of creatine kinase greater than 5 times the upper limit of normal (ULN) and greater than 10 times the ULN, measured by the central laboratory.

Time frame: Week 80

Population: Full analysis set with available data at week 80

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMNumber of Participants With Abnormalities in Levels of Creatine Kinase (CK) at Week 80CK > 5 x ULN0 Participants
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMNumber of Participants With Abnormalities in Levels of Creatine Kinase (CK) at Week 80CK > 10 x ULN0 Participants
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMNumber of Participants With Abnormalities in Levels of Creatine Kinase (CK) at Week 80CK > 5 x ULN0 Participants
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMNumber of Participants With Abnormalities in Levels of Creatine Kinase (CK) at Week 80CK > 10 x ULN0 Participants
HoFH: Evolocumab 420 mg QMNumber of Participants With Abnormalities in Levels of Creatine Kinase (CK) at Week 80CK > 5 x ULN1 Participants
HoFH: Evolocumab 420 mg QMNumber of Participants With Abnormalities in Levels of Creatine Kinase (CK) at Week 80CK > 10 x ULN0 Participants
Secondary

Number of Participants With Change in Tanner Staging From Baseline to Week 80

Pubertal growth and sexual maturity was assessed separately for males and females using the 5 Tanner stages where stage 1 = prepubertal and stage 5 = mature. The number of participants with any change in Tanner Stage from baseline is reported.

Time frame: Baseline and week 80

Population: Full analysis set with available data

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMNumber of Participants With Change in Tanner Staging From Baseline to Week 80Females: Staging by breast development11 Participants
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMNumber of Participants With Change in Tanner Staging From Baseline to Week 80Males: Staging by genital size13 Participants
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMNumber of Participants With Change in Tanner Staging From Baseline to Week 80Females: Staging by pubic hair11 Participants
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMNumber of Participants With Change in Tanner Staging From Baseline to Week 80Males: Staging by pubic hair14 Participants
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMNumber of Participants With Change in Tanner Staging From Baseline to Week 80Females: Staging by breast development27 Participants
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMNumber of Participants With Change in Tanner Staging From Baseline to Week 80Males: Staging by pubic hair21 Participants
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMNumber of Participants With Change in Tanner Staging From Baseline to Week 80Males: Staging by genital size20 Participants
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMNumber of Participants With Change in Tanner Staging From Baseline to Week 80Females: Staging by pubic hair26 Participants
HoFH: Evolocumab 420 mg QMNumber of Participants With Change in Tanner Staging From Baseline to Week 80Females: Staging by pubic hair1 Participants
HoFH: Evolocumab 420 mg QMNumber of Participants With Change in Tanner Staging From Baseline to Week 80Males: Staging by genital size6 Participants
HoFH: Evolocumab 420 mg QMNumber of Participants With Change in Tanner Staging From Baseline to Week 80Males: Staging by pubic hair6 Participants
HoFH: Evolocumab 420 mg QMNumber of Participants With Change in Tanner Staging From Baseline to Week 80Females: Staging by breast development1 Participants
Secondary

Number of Participants With Liver Function Test Abnormalities at Week 80

Liver function tests included alanine aminotransferase (ALT) levels, aspartate aminotransferase (AST) levels and total bilirubin levels.

Time frame: Week 80

Population: Full analysis set with available data at week 80

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMNumber of Participants With Liver Function Test Abnormalities at Week 80ALT or AST > 5 x ULN0 Participants
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMNumber of Participants With Liver Function Test Abnormalities at Week 80ALT or AST > 3 x ULN0 Participants
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMNumber of Participants With Liver Function Test Abnormalities at Week 80Total bilirubin > 2 x ULN0 Participants
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMNumber of Participants With Liver Function Test Abnormalities at Week 80ALT or AST > 5 x ULN0 Participants
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMNumber of Participants With Liver Function Test Abnormalities at Week 80ALT or AST > 3 x ULN0 Participants
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMNumber of Participants With Liver Function Test Abnormalities at Week 80Total bilirubin > 2 x ULN2 Participants
HoFH: Evolocumab 420 mg QMNumber of Participants With Liver Function Test Abnormalities at Week 80ALT or AST > 3 x ULN0 Participants
HoFH: Evolocumab 420 mg QMNumber of Participants With Liver Function Test Abnormalities at Week 80Total bilirubin > 2 x ULN1 Participants
HoFH: Evolocumab 420 mg QMNumber of Participants With Liver Function Test Abnormalities at Week 80ALT or AST > 5 x ULN0 Participants
Secondary

Percent Change From Baseline to Week 80 in Apolipoprotein B / Apolipoprotein A1 Ratio in HeFH Participants

For HeFH participants baseline was defined as the baseline value in the parent study 20120123.

Time frame: Baseline and week 80

Population: Full analysis set with available data

ArmMeasureValue (MEAN)Dispersion
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMPercent Change From Baseline to Week 80 in Apolipoprotein B / Apolipoprotein A1 Ratio in HeFH Participants-31.00 percent changeStandard Error 3.66
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMPercent Change From Baseline to Week 80 in Apolipoprotein B / Apolipoprotein A1 Ratio in HeFH Participants-29.89 percent changeStandard Error 2.8
Secondary

Percent Change From Baseline to Week 80 in Apolipoprotein B/Apolipoprotein A1 Ratio in HoFH Participants

For HoFH participants baseline was defined as the baseline value in this study (20120124).

Time frame: Baseline and week 80

Population: Full analysis set with available data

ArmMeasureValue (MEDIAN)
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMPercent Change From Baseline to Week 80 in Apolipoprotein B/Apolipoprotein A1 Ratio in HoFH Participants-2.96 percent change
Secondary

Percent Change From Baseline to Week 80 in Apolipoprotein B in HeFH Participants

For HeFH participants baseline was defined as the baseline value in the parent study 20120123.

Time frame: Baseline and week 80

Population: Full analysis set with available data

ArmMeasureValue (MEAN)Dispersion
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMPercent Change From Baseline to Week 80 in Apolipoprotein B in HeFH Participants-27.10 percent changeStandard Error 3.32
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMPercent Change From Baseline to Week 80 in Apolipoprotein B in HeFH Participants-24.15 percent changeStandard Error 2.99
Secondary

Percent Change From Baseline to Week 80 in Apolipoprotein B in HoFH Participants

For HoFH participants baseline was defined as the baseline value in this study (20120124).

Time frame: Baseline and week 80

Population: Full analysis set with available data

ArmMeasureValue (MEDIAN)
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMPercent Change From Baseline to Week 80 in Apolipoprotein B in HoFH Participants-19.17 percent change
Secondary

Percent Change From Baseline to Week 80 in Low-density Lipoprotein Cholesterol (LDL-C) in HeFH Participants

For HeFH participants baseline was defined as the baseline value of the parent study 20120123.

Time frame: Baseline and week 80

Population: Full analysis set with available data

ArmMeasureValue (MEAN)Dispersion
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMPercent Change From Baseline to Week 80 in Low-density Lipoprotein Cholesterol (LDL-C) in HeFH Participants-36.01 percent changeStandard Error 4.28
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMPercent Change From Baseline to Week 80 in Low-density Lipoprotein Cholesterol (LDL-C) in HeFH Participants-34.96 percent changeStandard Error 3.05
Secondary

Percent Change From Baseline to Week 80 in Low-density Lipoprotein Cholesterol (LDL-C) in HoFH Participants

For HoFH participants baseline was defined as the baseline value in this study (20120124).

Time frame: Baseline and week 80

Population: Full analysis set with available data

ArmMeasureValue (MEDIAN)
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMPercent Change From Baseline to Week 80 in Low-density Lipoprotein Cholesterol (LDL-C) in HoFH Participants-14.29 percent change
Secondary

Percent Change From Baseline to Week 80 in Non-HDL-C in HeFH Participants

For HeFH participants baseline was defined as the baseline value of the parent study 20120123.

Time frame: Baseline and week 80

Population: Full analysis set with available data

ArmMeasureValue (MEAN)Dispersion
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMPercent Change From Baseline to Week 80 in Non-HDL-C in HeFH Participants-32.37 percent changeStandard Error 3.96
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMPercent Change From Baseline to Week 80 in Non-HDL-C in HeFH Participants-31.95 percent changeStandard Error 2.89
Secondary

Percent Change From Baseline to Week 80 in Non-HDL-C in HoFH Participants

For HoFH participants baseline was defined as the baseline value in this study (20120124).

Time frame: Baseline and week 80

Population: Full analysis set with available data

ArmMeasureValue (MEDIAN)
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMPercent Change From Baseline to Week 80 in Non-HDL-C in HoFH Participants-13.03 percent change
Secondary

Percent Change From Baseline to Week 80 in Total Cholesterol/HDL-C Ratio in HeFH Participants

For HeFH participants baseline was defined as the baseline value in the parent study 20120123.

Time frame: Baseline and week 80

Population: Full analysis set with available data

ArmMeasureValue (MEAN)Dispersion
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMPercent Change From Baseline to Week 80 in Total Cholesterol/HDL-C Ratio in HeFH Participants-28.78 percent changeStandard Error 3.48
HeFH (Evolocumab in Parent Study): Evolocumab 420 mg QMPercent Change From Baseline to Week 80 in Total Cholesterol/HDL-C Ratio in HeFH Participants-28.32 percent changeStandard Error 2.47
Secondary

Percent Change From Baseline to Week 80 in Total Cholesterol/HDL-C Ratio in HoFH Participants

For HoFH participants baseline was defined as the baseline value in this study (20120124).

Time frame: Baseline and week 80

Population: Full analysis set with available data

ArmMeasureValue (MEDIAN)
HeFH (Placebo in Parent Study): Evolocumab 420 mg QMPercent Change From Baseline to Week 80 in Total Cholesterol/HDL-C Ratio in HoFH Participants3.71 percent change

Source: ClinicalTrials.gov · Data processed: Feb 13, 2026