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Goal Achievement After Utilizing an Anti-PCSK9 Antibody in Statin Intolerant Subjects-4

A Double-blind, Randomized, Multicenter Study to Evaluate the Safety and Efficacy of Evolocumab, Compared With Ezetimibe, in Hypercholesterolemic Japanese Subjects Unable to Tolerate an Effective Dose of a HMG-CoA Reductase Inhibitor Due to Muscle Related Side Effects

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02634580
Acronym
GAUSS-4
Enrollment
61
Registered
2015-12-18
Start date
2016-02-27
Completion date
2018-05-26
Last updated
2020-11-10

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

Conditions

Hypercholesterolemia

Keywords

Japanese, High cholesterol, Treatment of high cholesterol, Lowering cholesterol, Lowering high cholesterol, Hypercholesterolemia, Statin intolerant

Brief summary

The primary objective of the study was to evaluate the effect of 12 weeks of subcutaneous (SC) evolocumab compared with ezetimibe, on percent change from baseline in low-density lipoprotein cholesterol (LDL-C) in hypercholesterolemic adults unable to tolerate an effective dose of a statin.

Detailed description

After screening participants who met all inclusion/exclusion criteria were randomized with an allocation ratio of 2:2:1:1 into 4 groups: evolocumab (AMG 145) 420 mg administered by subcutaneous injection monthly and placebo pill daily; evolocumab 140 mg administered by subcutaneous injection every two weeks and placebo pill by mouth daily; placebo 420 mg administered by subcutaneous injection monthly and ezetimibe 10 mg pill daily; placebo 140 mg administered subcutaneous injection every two weeks and ezetimibe 10 mg pill daily. Randomization was stratified by screening LDL-C level and baseline statin use. Participants on low or atypical statin dose therapy must have been on a stable dose for at least 4 weeks prior to screening and throughout the blinded portion of the study; the dose could not be adjusted during screening and for the duration of the study. After Week 12, ezetimibe was discontinued and participants moved to an open-label dose of evolocumab administered by subcutaneous injection either every two weeks or monthly and their standard of care.

Interventions

BIOLOGICALEvolocumab

Administered by subcutaneous injection

DRUGEzetimibe

Tablet for oral administration

Administered by subcutaneous injection

Tablet for oral administration

Sponsors

Amgen
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
ALL
Age
20 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* Male or female ≥ 20 to ≤ 80 years of age * Japanese by self-identification * Not on a statin or on a low dose statin with stable dose for at least 4 weeks. * Subject not at LDL-C goal * History of statin intolerance to at least 2 statins * Lipid lowering therapy has been stable prior to screening for at least 4 weeks * Fasting triglycerides ≤ 400 mg/dL

Exclusion criteria

* New York Heart Association (NYHA) III or IV heart failure * Uncontrolled cardiac arrhythmia * Uncontrolled hypertension * Type 1 diabetes * Poorly controlled type 2 diabetes * Uncontrolled hypothyroidism or hyperthyroidism

Design outcomes

Primary

MeasureTime frameDescription
Percent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at the Mean of Weeks 10 and 12Baseline and Weeks 10 and 12For all efficacy endpoints the two dosing regimens (every 2 weeks and every month) for each treatment were pooled for analysis.
Percent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 12Baseline and week 12

Secondary

MeasureTime frameDescription
Percentage of Participants Who Achieved a Mean LDL-C at Weeks 10 and 12 of Less Than 70 mg/dLWeeks 10 and 12Mean low density lipoprotein-cholesterol response was defined as LDL-C \< 70 mg/dL \[1.8 mol/L\].
Percentage of Participants Who Achieved a LDL-C of Less Than 70 mg/dL at Week 12Week 12
Percent Change From Baseline in Total Cholesterol at the Mean of Weeks 10 and 12Baseline and weeks 10 and 12
Percent Change From Baseline in Total Cholesterol at Week 12Baseline and week 12
Percent Change From Baseline in Non-HDL-C at the Mean of Weeks 10 and 12Baseline and weeks 10 and 12
Percent Change From Baseline in Non-HDL-C at Week 12Baseline and week 12
Percent Change From Baseline in Apolipoprotein B at the Mean of Weeks 10 and 12Baseline and Weeks 10 and 12
Percent Change From Baseline in Apolipoprotein B at Week 12Baseline and week 12
Percent Change From Baseline in the Total Cholesterol/HDL-C Ratio at the Mean of Weeks 10 and 12Baseline and weeks 10 and 12
Percent Change From Baseline in the Total Cholesterol/HDL-C Ratio at Week 12Baseline and week 12
Change From Baseline in LDL-C at the Mean of Weeks 10 and 12Baseline and weeks 10 and 12
Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at Week 12Baseline and week 12
Percent Change From Baseline in Lipoprotein(a) at the Mean of Weeks 10 and 12Baseline and weeks 10 and 12
Percent Change From Baseline in Lipoprotein(a) at Week 12Baseline and week 12
Percent Change From Baseline in Triglycerides at the Mean of Weeks 10 and 12Baseline and weeks 10 and 12
Percent Change From Baseline in Triglycerides at Week 12Baseline and week 12
Percent Change From Baseline in HDL-C at the Mean of Weeks 10 and 12Baseline and weeks 10 and 12
Percent Change From Baseline in HDL-C at Week 12Baseline and week 12
Percent Change From Baseline in VLDL-C at the Mean of Weeks 10 and 12Baseline and weeks 10 and 12
Percent Change From Baseline in VLDL-C at Week 12Baseline and week 12
Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at the Mean of Weeks 10 and 12Baseline and weeks 10 and 12
Change From Baseline in LDL-C at Week 12Baseline and week 12

Countries

Japan

Participant flow

Recruitment details

This study was conducted at 30 centers in Japan. Participants were enrolled from 27 February 2016 to 18 May 2017. The study consisted of a 12-week double-blind (DB) treatment period and a 9-month open-label extension (OLE) period.

Pre-assignment details

Participants were randomized 1:1:2:2 into 1 of 4 treatment groups for the 12-week, double-blind treatment period. Randomization was stratified by screening low-density lipoprotein cholesterol (LDL-C) level (\< 180 mg/dL vs. ≥ 180 mg/dL) and baseline statin use (yes vs. no).

Participants by arm

ArmCount
Ezetimibe (Q2W)
Participants received placebo subcutaneous injection once every 2 weeks and 10 mg ezetimibe orally once a day for 12 weeks.
10
Ezetimibe (QM)
Participants received placebo subcutaneous injection once a month and 10 mg ezetimibe orally once a day for 12 weeks.
11
Evolocumab Q2W
Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks and placebo tablets once a day for 12 weeks.
19
Evolocumab QM
Participants received 420 mg evolocumab by subcutaneous injection once a month and placebo tablets once a day for 12 weeks.
21
Total61

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Double-blind Treatment PeriodSubject Request1011
Open-label Extension PeriodWithdrawal by Subject0101

Baseline characteristics

CharacteristicTotalEzetimibe (QM)Evolocumab Q2WEzetimibe (Q2W)Evolocumab QM
Age, Continuous64.4 years
STANDARD_DEVIATION 10.6
58.7 years
STANDARD_DEVIATION 12.5
65.1 years
STANDARD_DEVIATION 10.5
65.2 years
STANDARD_DEVIATION 10.8
66.4 years
STANDARD_DEVIATION 9.3
ApolipoproteinB/Apolipoprotein A1 Ratio0.9 ratio
STANDARD_DEVIATION 0.3
0.8 ratio
STANDARD_DEVIATION 0.2
1.0 ratio
STANDARD_DEVIATION 0.4
0.8 ratio
STANDARD_DEVIATION 0.2
0.9 ratio
STANDARD_DEVIATION 0.2
Apolipoprotein B Concentration135.1 mg/dL
STANDARD_DEVIATION 27.9
121.9 mg/dL
STANDARD_DEVIATION 29.3
140.4 mg/dL
STANDARD_DEVIATION 31.7
132.1 mg/dL
STANDARD_DEVIATION 19.4
138.7 mg/dL
STANDARD_DEVIATION 26.2
High-density Lipoprotein Cholesterol (HDL-C) Concentration60.8 mg/dL
STANDARD_DEVIATION 18.6
64.1 mg/dL
STANDARD_DEVIATION 16.1
54.3 mg/dL
STANDARD_DEVIATION 18.2
62.5 mg/dL
STANDARD_DEVIATION 15.6
64.1 mg/dL
STANDARD_DEVIATION 20.9
Intolerance to Statins
Four or more statins
4 Participants0 Participants1 Participants0 Participants3 Participants
Intolerance to Statins
One statin
2 Participants0 Participants1 Participants1 Participants0 Participants
Intolerance to Statins
Three statins
10 Participants1 Participants3 Participants2 Participants4 Participants
Intolerance to Statins
Two statins
45 Participants10 Participants14 Participants7 Participants14 Participants
LDL-C Concentration189.0 mg/dL
STANDARD_DEVIATION 53.9
182.7 mg/dL
STANDARD_DEVIATION 72.2
198.1 mg/dL
STANDARD_DEVIATION 64.1
181.0 mg/dL
STANDARD_DEVIATION 34.7
188.0 mg/dL
STANDARD_DEVIATION 41.6
Lipoprotein(a) Concentration61.7 nmol/L
STANDARD_DEVIATION 79.5
66.0 nmol/L
STANDARD_DEVIATION 83.2
61.3 nmol/L
STANDARD_DEVIATION 72.6
48.0 nmol/L
STANDARD_DEVIATION 72.3
66.2 nmol/L
STANDARD_DEVIATION 91
Non-HDL-C Concentration219.8 mg/dL
STANDARD_DEVIATION 53.7
211.1 mg/dL
STANDARD_DEVIATION 71.2
227.7 mg/dL
STANDARD_DEVIATION 63.3
217.5 mg/dL
STANDARD_DEVIATION 37.3
218.2 mg/dL
STANDARD_DEVIATION 42.2
Race/Ethnicity, Customized
Japanese
61 Participants11 Participants19 Participants10 Participants21 Participants
Sex: Female, Male
Female
31 Participants5 Participants9 Participants5 Participants12 Participants
Sex: Female, Male
Male
30 Participants6 Participants10 Participants5 Participants9 Participants
Stratification Factor: Baseline Statin Use
No
47 Participants8 Participants16 Participants7 Participants16 Participants
Stratification Factor: Baseline Statin Use
Yes
14 Participants3 Participants3 Participants3 Participants5 Participants
Stratification Factor: Screening LDL-C Level
< 180 mg/dL [4.66 mmol/L]
30 Participants6 Participants9 Participants5 Participants10 Participants
Stratification Factor: Screening LDL-C Level
≥ 180 mg/dL [4.66 mmol/L]
31 Participants5 Participants10 Participants5 Participants11 Participants
Total Cholesterol Concentration280.5 mg/dL
STANDARD_DEVIATION 57.3
275.2 mg/dL
STANDARD_DEVIATION 79.7
282.0 mg/dL
STANDARD_DEVIATION 63.9
280.0 mg/dL
STANDARD_DEVIATION 34.4
282.3 mg/dL
STANDARD_DEVIATION 49.6
Total cholesterol/HDL-C ratio5.0 ratio
STANDARD_DEVIATION 1.6
4.4 ratio
STANDARD_DEVIATION 1.1
5.7 ratio
STANDARD_DEVIATION 2
4.8 ratio
STANDARD_DEVIATION 1.4
4.8 ratio
STANDARD_DEVIATION 1.4
Triglycerides Concentration153.8 mg/dL
STANDARD_DEVIATION 73.7
142.3 mg/dL
STANDARD_DEVIATION 80.1
148.0 mg/dL
STANDARD_DEVIATION 59.8
183.1 mg/dL
STANDARD_DEVIATION 111.1
151.0 mg/dL
STANDARD_DEVIATION 61.3
Very Low-density Lipoprotein Cholesterol (VLDL) Concentration30.7 mg/dL
STANDARD_DEVIATION 14.7
28.4 mg/dL
STANDARD_DEVIATION 16.1
29.6 mg/dL
STANDARD_DEVIATION 12
36.5 mg/dL
STANDARD_DEVIATION 21.9
30.2 mg/dL
STANDARD_DEVIATION 12.3

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
0 / 100 / 110 / 190 / 210 / 59
other
Total, other adverse events
4 / 108 / 1111 / 1912 / 2144 / 58
serious
Total, serious adverse events
1 / 101 / 110 / 190 / 214 / 58

Outcome results

Primary

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

For all efficacy endpoints the two dosing regimens (every 2 weeks and every month) for each treatment were pooled for analysis.

Time frame: Baseline and Weeks 10 and 12

Population: All randomized participants who received at least 1 dose of study drug in the double-blind treatment period.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
EzetimibePercent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at the Mean of Weeks 10 and 12-20.39 percent changeStandard Error 3.19
EvolocumabPercent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at the Mean of Weeks 10 and 12-59.75 percent changeStandard Error 2.3
p-value: <0.000195% CI: [-47.23, -31.48]Repeated measures linear effects model
Primary

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

Time frame: Baseline and week 12

Population: All randomized participants who received at least 1 dose of study drug in the double-blind treatment period.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
EzetimibePercent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 12-19.13 percent changeStandard Error 3.45
EvolocumabPercent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 12-59.27 percent changeStandard Error 2.5
p-value: <0.000195% CI: [-48.68, -31.6]Repeated measures linear effects model
Secondary

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

Time frame: Baseline and weeks 10 and 12

Population: All randomized participants who received at least 1 dose of study drug in the double-blind treatment period.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
EzetimibeChange From Baseline in LDL-C at the Mean of Weeks 10 and 12-35.6 mg/dLStandard Error 6.6
EvolocumabChange From Baseline in LDL-C at the Mean of Weeks 10 and 12-113.2 mg/dLStandard Error 4.8
p-value: <0.000195% CI: [-93.9, -61.3]Repeated measures linear effects model
Secondary

Change From Baseline in LDL-C at Week 12

Time frame: Baseline and week 12

Population: All randomized participants who received at least 1 dose of study drug in the double-blind treatment period.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
EzetimibeChange From Baseline in LDL-C at Week 12-33.4 mg/dLStandard Error 7
EvolocumabChange From Baseline in LDL-C at Week 12-112.7 mg/dLStandard Error 5.1
p-value: <0.000195% CI: [-96.7, -62]Repeated measures linear effects model
Secondary

Percentage of Participants Who Achieved a LDL-C of Less Than 70 mg/dL at Week 12

Time frame: Week 12

Population: All randomized participants who received at least 1 dose of study drug in the double-blind treatment period.

ArmMeasureValue (NUMBER)
EzetimibePercentage of Participants Who Achieved a LDL-C of Less Than 70 mg/dL at Week 120.00 percentage of participants
EvolocumabPercentage of Participants Who Achieved a LDL-C of Less Than 70 mg/dL at Week 1252.63 percentage of participants
p-value: <0.000195% CI: [30.36, 67.52]Cochran-Mantel-Haenszel
Secondary

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

Mean low density lipoprotein-cholesterol response was defined as LDL-C \< 70 mg/dL \[1.8 mol/L\].

Time frame: Weeks 10 and 12

Population: All randomized participants who received at least 1 dose of study drug in the double-blind treatment period.

ArmMeasureValue (NUMBER)
EzetimibePercentage of Participants Who Achieved a Mean LDL-C at Weeks 10 and 12 of Less Than 70 mg/dL0.00 percentage of participants
EvolocumabPercentage of Participants Who Achieved a Mean LDL-C at Weeks 10 and 12 of Less Than 70 mg/dL56.41 percentage of participants
p-value: <0.000195% CI: [34.1, 70.7]Cochran-Mantel-Haenszel
Secondary

Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at the Mean of Weeks 10 and 12

Time frame: Baseline and weeks 10 and 12

Population: All randomized participants who received at least 1 dose of study drug in the double-blind treatment period.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
EzetimibePercent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at the Mean of Weeks 10 and 12-15.39 percent changeStandard Error 2.67
EvolocumabPercent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at the Mean of Weeks 10 and 12-52.46 percent changeStandard Error 1.91
p-value: <0.000195% CI: [-43.65, -30.5]Repeated measures linear effects model
Secondary

Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at Week 12

Time frame: Baseline and week 12

Population: All randomized participants who received at least 1 dose of study drug in the double-blind treatment period.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
EzetimibePercent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at Week 12-15.62 percent changeStandard Error 2.88
EvolocumabPercent Change From Baseline in Apolipoprotein B/Apolipoprotein A-1 Ratio at Week 12-51.91 percent changeStandard Error 2.06
p-value: <0.000195% CI: [-43.39, -29.2]Repeated measures linear effects model
Secondary

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

Time frame: Baseline and Weeks 10 and 12

Population: All randomized participants who received at least 1 dose of study drug in the double-blind treatment period.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
EzetimibePercent Change From Baseline in Apolipoprotein B at the Mean of Weeks 10 and 12-13.23 percent changeStandard Error 2.69
EvolocumabPercent Change From Baseline in Apolipoprotein B at the Mean of Weeks 10 and 12-48.90 percent changeStandard Error 1.93
p-value: <0.000195% CI: [-42.3, -29.04]Repeated measures linear effects model
Secondary

Percent Change From Baseline in Apolipoprotein B at Week 12

Time frame: Baseline and week 12

Population: All randomized participants who received at least 1 dose of study drug in the double-blind treatment period.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
EzetimibePercent Change From Baseline in Apolipoprotein B at Week 12-11.32 percent changeStandard Error 2.99
EvolocumabPercent Change From Baseline in Apolipoprotein B at Week 12-47.91 percent changeStandard Error 2.14
p-value: <0.000195% CI: [-43.98, -29.22]Repeated measures linear effects model
Secondary

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

Time frame: Baseline and weeks 10 and 12

Population: All randomized participants who received at least 1 dose of study drug in the double-blind treatment period.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
EzetimibePercent Change From Baseline in HDL-C at the Mean of Weeks 10 and 123.10 percent changeStandard Error 2.5
EvolocumabPercent Change From Baseline in HDL-C at the Mean of Weeks 10 and 1211.06 percent changeStandard Error 1.8
p-value: 0.01295% CI: [1.78, 14.14]Repeated measures linear effects model
Secondary

Percent Change From Baseline in HDL-C at Week 12

Time frame: Baseline and week 12

Population: All randomized participants who received at least 1 dose of study drug in the double-blind treatment period.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
EzetimibePercent Change From Baseline in HDL-C at Week 126.45 percent changeStandard Error 2.59
EvolocumabPercent Change From Baseline in HDL-C at Week 1212.04 percent changeStandard Error 1.88
p-value: 0.08695% CI: [-0.82, 12]Repeated measures linear effects model
Secondary

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

Time frame: Baseline and weeks 10 and 12

Population: All randomized participants who received at least 1 dose of study drug in the double-blind treatment period.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
EzetimibePercent Change From Baseline in Lipoprotein(a) at the Mean of Weeks 10 and 12-5.89 percent changeStandard Error 4.34
EvolocumabPercent Change From Baseline in Lipoprotein(a) at the Mean of Weeks 10 and 12-37.02 percent changeStandard Error 3.11
p-value: <0.000195% CI: [-41.83, -20.43]Repeated measures linear effects model
Secondary

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

Time frame: Baseline and week 12

Population: All randomized participants who received at least 1 dose of study drug in the double-blind treatment period.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
EzetimibePercent Change From Baseline in Lipoprotein(a) at Week 12-5.21 percent changeStandard Error 5.02
EvolocumabPercent Change From Baseline in Lipoprotein(a) at Week 12-36.41 percent changeStandard Error 3.59
p-value: <0.000195% CI: [-43.57, -18.84]Repeated measures linear effects model
Secondary

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

Time frame: Baseline and weeks 10 and 12

Population: All randomized participants who received at least 1 dose of study drug in the double-blind treatment period.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
EzetimibePercent Change From Baseline in Non-HDL-C at the Mean of Weeks 10 and 12-18.82 percent changeStandard Error 2.77
EvolocumabPercent Change From Baseline in Non-HDL-C at the Mean of Weeks 10 and 12-52.35 percent changeStandard Error 2.01
p-value: <0.000195% CI: [-40.38, -26.68]Repeated measures linear effects model
Secondary

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

Time frame: Baseline and week 12

Population: All randomized participants who received at least 1 dose of study drug in the double-blind treatment period.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
EzetimibePercent Change From Baseline in Non-HDL-C at Week 12-18.28 percent changeStandard Error 3.03
EvolocumabPercent Change From Baseline in Non-HDL-C at Week 12-51.71 percent changeStandard Error 2.2
p-value: <0.000195% CI: [-40.94, -25.94]Repeated measures linear effects model
Secondary

Percent Change From Baseline in the Total Cholesterol/HDL-C Ratio at the Mean of Weeks 10 and 12

Time frame: Baseline and weeks 10 and 12

Population: All randomized participants who received at least 1 dose of study drug in the double-blind treatment period.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
EzetimibePercent Change From Baseline in the Total Cholesterol/HDL-C Ratio at the Mean of Weeks 10 and 12-15.73 percent changeStandard Error 2.69
EvolocumabPercent Change From Baseline in the Total Cholesterol/HDL-C Ratio at the Mean of Weeks 10 and 12-44.34 percent changeStandard Error 1.94
p-value: <0.000195% CI: [-35.26, -21.97]Repeated measures linear effects model
Secondary

Percent Change From Baseline in the Total Cholesterol/HDL-C Ratio at Week 12

Time frame: Baseline and week 12

Population: All randomized participants who received at least 1 dose of study drug in the double-blind treatment period.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
EzetimibePercent Change From Baseline in the Total Cholesterol/HDL-C Ratio at Week 12-17.34 percent changeStandard Error 2.81
EvolocumabPercent Change From Baseline in the Total Cholesterol/HDL-C Ratio at Week 12-44.39 percent changeStandard Error 2.04
p-value: <0.000195% CI: [-34, -20.09]Repeated measures linear effects model
Secondary

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

Time frame: Baseline and weeks 10 and 12

Population: All randomized participants who received at least 1 dose of study drug in the double-blind treatment period.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
EzetimibePercent Change From Baseline in Total Cholesterol at the Mean of Weeks 10 and 12-13.80 percent changeStandard Error 2.17
EvolocumabPercent Change From Baseline in Total Cholesterol at the Mean of Weeks 10 and 12-39.24 percent changeStandard Error 1.57
p-value: <0.000195% CI: [-30.8, -20.08]Repeated measures linear effects model
Secondary

Percent Change From Baseline in Total Cholesterol at Week 12

Time frame: Baseline and week 12

Population: All randomized participants who received at least 1 dose of study drug in the double-blind treatment period.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
EzetimibePercent Change From Baseline in Total Cholesterol at Week 12-12.69 percent changeStandard Error 2.34
EvolocumabPercent Change From Baseline in Total Cholesterol at Week 12-38.52 percent changeStandard Error 1.7
p-value: <0.000195% CI: [-31.63, -20.04]Repeated measures linear effects model
Secondary

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

Time frame: Baseline and weeks 10 and 12

Population: All randomized participants who received at least 1 dose of study drug in the double-blind treatment period.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
EzetimibePercent Change From Baseline in Triglycerides at the Mean of Weeks 10 and 12-5.21 percent changeStandard Error 5.92
EvolocumabPercent Change From Baseline in Triglycerides at the Mean of Weeks 10 and 12-1.73 percent changeStandard Error 4.28
p-value: 0.6395% CI: [-11.15, 18.13]Repeated measures linear effects model
Secondary

Percent Change From Baseline in Triglycerides at Week 12

Time frame: Baseline and week 12

Population: All randomized participants who received at least 1 dose of study drug in the double-blind treatment period.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
EzetimibePercent Change From Baseline in Triglycerides at Week 12-9.87 percent changeStandard Error 7.71
EvolocumabPercent Change From Baseline in Triglycerides at Week 121.92 percent changeStandard Error 5.6
p-value: 0.2295% CI: [-7.29, 30.87]Repeated measures linear effects model
Secondary

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

Time frame: Baseline and weeks 10 and 12

Population: All randomized participants who received at least 1 dose of study drug in the double-blind treatment period.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
EzetimibePercent Change From Baseline in VLDL-C at the Mean of Weeks 10 and 12-4.67 percent changeStandard Error 5.89
EvolocumabPercent Change From Baseline in VLDL-C at the Mean of Weeks 10 and 12-5.34 percent changeStandard Error 4.25
p-value: 0.9395% CI: [-15.22, 13.87]Repeated measures linear effects model
Secondary

Percent Change From Baseline in VLDL-C at Week 12

Time frame: Baseline and week 12

Population: All randomized participants who received at least 1 dose of study drug in the double-blind treatment period.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
EzetimibePercent Change From Baseline in VLDL-C at Week 12-9.06 percent changeStandard Error 8
EvolocumabPercent Change From Baseline in VLDL-C at Week 12-1.42 percent changeStandard Error 5.8
p-value: 0.4495% CI: [-12.15, 27.43]Repeated measures linear effects model

Source: ClinicalTrials.gov · Data processed: Feb 20, 2026