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Safety and Efficacy of Evolocumab in Combination With Statin Therapy in Adults With Diabetes and Hyperlipidemia or Mixed Dyslipidemia

A Double-blind, Randomized, Placebo-controlled, Multicenter Study to Evaluate Safety and Efficacy of Evolocumab (AMG 145) in Combination With Statin Therapy in Diabetic Subjects With Hyperlipidemia or Mixed Dyslipidemia (BERSON)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02662569
Acronym
BERSON
Enrollment
986
Registered
2016-01-25
Start date
2016-04-14
Completion date
2017-12-06
Last updated
2019-01-11

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

Conditions

Diabetes, Hyperlipidemia, Mixed Dyslipidemia

Brief summary

The primary objective of this study was to evaluate the effect of 12 weeks of subcutaneous evolocumab (AMG 145) in combination with statin therapy (atorvastatin) on percent change from baseline in low-density lipoprotein cholesterol (LDL-C) in diabetic adults with hyperlipidemia or mixed dyslipidemia.

Interventions

BIOLOGICALEvolocumab

Administered by subcutaneous injection

DRUGAtorvastatin

Administered orally once a day

OTHERPlacebo

Placebo to evolocumab administered by subcutaneous injection

Sponsors

Amgen
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

Inclusion criteria

* Males and females with type 2 diabetes (receiving pharmacologic treatment for at least 6 months or longer) with stable diabetes therapy * Lipid-lowering therapy must be unchanged for at least 4 weeks or more * Subjects receiving statin therapy at screening must have a fasting LDL-C of greater than or equal to 100 mg/dL * Subjects not receiving statin therapy at screening must have a fasting LDL-C of greater than or equal to 130 mg/dL

Exclusion criteria

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

Design outcomes

Primary

MeasureTime frame
Percent Change From Baseline in LDL-C at the Mean of Weeks 10 and 12Baseline and weeks 10 and 12
Percent Change From Baseline in LDL-C at Week 12Baseline and week 12

Secondary

MeasureTime frame
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
Change From Baseline in LDL-C at the Mean of Weeks 10 and 12Baseline and weeks 10 and 12
Change From Baseline in LDL-C at Week 12Baseline and week 12
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 B100 at the Mean of Weeks 10 and 12Baseline and weeks 10 and 12
Percent Change From Baseline in Apolipoprotein B100 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 Total Cholesterol at Week 12Baseline and week 12
Percent Change From Baseline in Total Cholesterol/HDL-C Ratio at the Mean of Weeks 10 and 12Baseline and weeks 10 and 12
Percent Change From Baseline in Total Cholesterol/HDL-C Ratio at Week 12Baseline and week 12
Percent Change From Baseline in Apolipoprotein B100/Apolipoprotein A1 Ratio at the Mean of Weeks 10 and 12Baseline and weeks 10 and 12
Percent Change From Baseline in Apolipoprotein B100/Apolipoprotein A1 Ratio at Week 12Baseline and week 12
Percentage of Participants With Mean LDL-C at Weeks 10 and 12 of Less Than 70 mg/dL (1.8 mmol/L)Weeks 10 and 12
Percentage of Participants With LDL-C Less Than 70 mg/dL (1.8 mmol/L) at Week 12Week 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 Total Cholesterol at the Mean of Weeks 10 and 12Baseline and weeks 10 and 12
Percent Change From Baseline in Triglycerides at the Mean of Weeks 10 and 12Baseline and weeks 10 and 12

Countries

Argentina, Brazil, Canada, China, Colombia, France, Russia, South Korea, Turkey (Türkiye), United States

Participant flow

Recruitment details

Participants were enrolled at 102 study centers and randomized at 98 centers in Argentina, Brazil, Canada, China, Colombia, France, Republic of Korea, Russian Federation, Turkey, and the United States from 14 April 2016 to 28 July 2017.

Pre-assignment details

Participants who met eligibility criteria and completed at least 4 weeks of lipid stabilization on atorvastatin 20 mg daily were randomized in a 1:1:2:2 ratio to receive placebo every 2 weeks (Q2W), placebo once a month (QM), evolocumab Q2W, or evolocumab QM. Randomization was stratified by entry statin therapy and geographic region.

Participants by arm

ArmCount
Placebo Q2W
Participants received placebo subcutaneous injection once every 2 weeks (Q2W) and 20 mg atorvastatin orally once a day for up to 12 weeks.
166
Placebo QM
Participants received placebo subcutaneous injection once a month (QM) and 20 mg atorvastatin orally once a day for up to 12 weeks.
161
Evolocumab Q2W
Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks and 20 mg atorvastatin orally once a day for up to 12 weeks.
327
Evolocumab QM
Participants received 420 mg evolocumab by subcutaneous injection once a month and 20 mg atorvastatin orally once a day for up to 12 weeks.
332
Total986

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyLost to Follow-up1000
Overall StudyWithdrawal by Subject6164

Baseline characteristics

CharacteristicEvolocumab Q2WPlacebo Q2WPlacebo QMEvolocumab QMTotal
Age, Continuous61.0 years
STANDARD_DEVIATION 8.5
61.6 years
STANDARD_DEVIATION 8.8
61.0 years
STANDARD_DEVIATION 8.8
61.6 years
STANDARD_DEVIATION 8.4
61.3 years
STANDARD_DEVIATION 8.6
Age, Customized
18 - 64 years
206 Participants105 Participants101 Participants208 Participants620 Participants
Age, Customized
65 - 80 years
121 Participants61 Participants60 Participants124 Participants366 Participants
Apolipoprotein B100/Apolipoprotein A1 Ratio0.601 ratio
STANDARD_DEVIATION 0.2
0.573 ratio
STANDARD_DEVIATION 0.192
0.563 ratio
STANDARD_DEVIATION 0.161
0.586 ratio
STANDARD_DEVIATION 0.185
0.585 ratio
STANDARD_DEVIATION 0.188
Apolipoprotein B100 Concentration84.8 mg/dL
STANDARD_DEVIATION 23
82.1 mg/dL
STANDARD_DEVIATION 23.1
83.4 mg/dL
STANDARD_DEVIATION 22.3
84.4 mg/dL
STANDARD_DEVIATION 21.8
84.0 mg/dL
STANDARD_DEVIATION 22.5
Ethnicity (NIH/OMB)
Hispanic or Latino
65 Participants29 Participants34 Participants67 Participants195 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
262 Participants137 Participants127 Participants265 Participants791 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants
High-density Lipoprotein Cholesterol (HDL-C) Concentration46.5 mg/dL
STANDARD_DEVIATION 11.5
47.3 mg/dL
STANDARD_DEVIATION 11.9
49.9 mg/dL
STANDARD_DEVIATION 15.2
47.6 mg/dL
STANDARD_DEVIATION 12.3
47.6 mg/dL
STANDARD_DEVIATION 12.6
Lipoprotein (a)65.6 nmol/L
STANDARD_DEVIATION 92.5
67.0 nmol/L
STANDARD_DEVIATION 90.9
71.8 nmol/L
STANDARD_DEVIATION 96.5
73.2 nmol/L
STANDARD_DEVIATION 95.9
69.4 nmol/L
STANDARD_DEVIATION 94
Low-density Lipoprotein Cholesterol (LDL-C) Concentration92.4 mg/dL
STANDARD_DEVIATION 33.8
92.2 mg/dL
STANDARD_DEVIATION 32
91.0 mg/dL
STANDARD_DEVIATION 30.7
93.5 mg/dL
STANDARD_DEVIATION 33.6
92.5 mg/dL
STANDARD_DEVIATION 32.9
Non-high-density Lipoprotein Cholesterol (non-HDL-C) Concentration121.3 mg/dL
STANDARD_DEVIATION 38.1
119.2 mg/dL
STANDARD_DEVIATION 38.2
119.4 mg/dL
STANDARD_DEVIATION 36
121.2 mg/dL
STANDARD_DEVIATION 37
120.6 mg/dL
STANDARD_DEVIATION 37.4
Race/Ethnicity, Customized
American Indian or Alaska Native
1 Participants0 Participants1 Participants0 Participants2 Participants
Race/Ethnicity, Customized
Asian
164 Participants82 Participants80 Participants166 Participants492 Participants
Race/Ethnicity, Customized
Black or African American
11 Participants7 Participants6 Participants18 Participants42 Participants
Race/Ethnicity, Customized
Multiple
11 Participants5 Participants6 Participants8 Participants30 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
White
140 Participants72 Participants68 Participants140 Participants420 Participants
Sex: Female, Male
Female
178 Participants102 Participants94 Participants190 Participants564 Participants
Sex: Female, Male
Male
149 Participants64 Participants67 Participants142 Participants422 Participants
Stratification Factor: Geographic Region
China
150 Participants76 Participants75 Participants152 Participants453 Participants
Stratification Factor: Geographic Region
Other countries
163 Participants84 Participants81 Participants167 Participants495 Participants
Stratification Factor: Geographic Region
South Korea
14 Participants6 Participants5 Participants13 Participants38 Participants
Stratification Factor: Statin Therapy at Study Entry
Intensive statin usage
31 Participants16 Participants15 Participants32 Participants94 Participants
Stratification Factor: Statin Therapy at Study Entry
Non-intensive statin usage
167 Participants83 Participants80 Participants166 Participants496 Participants
Stratification Factor: Statin Therapy at Study Entry
No statin
129 Participants67 Participants66 Participants134 Participants396 Participants
Total Cholesterol167.8 mg/dL
STANDARD_DEVIATION 38.9
166.5 mg/dL
STANDARD_DEVIATION 38.6
169.3 mg/dL
STANDARD_DEVIATION 37.5
168.9 mg/dL
STANDARD_DEVIATION 38.9
168.2 mg/dL
STANDARD_DEVIATION 38.6
Total Cholesterol/High-density Lipoprotein Cholesterol(HDL-C) Ratio3.804 ratio
STANDARD_DEVIATION 1.273
3.717 ratio
STANDARD_DEVIATION 1.337
3.598 ratio
STANDARD_DEVIATION 1.071
3.725 ratio
STANDARD_DEVIATION 1.201
3.729 ratio
STANDARD_DEVIATION 1.229
Triglycerides Concentration145.9 mg/dL
STANDARD_DEVIATION 67.5
137.3 mg/dL
STANDARD_DEVIATION 77.3
150.6 mg/dL
STANDARD_DEVIATION 154.6
139.7 mg/dL
STANDARD_DEVIATION 64.9
143.1 mg/dL
STANDARD_DEVIATION 88.4
Very Low-density Lipoprotein Cholesterol (VLDL-C) Concentration28.7 mg/dL
STANDARD_DEVIATION 12.6
27.3 mg/dL
STANDARD_DEVIATION 14.9
28.4 mg/dL
STANDARD_DEVIATION 16.2
27.8 mg/dL
STANDARD_DEVIATION 12.7
28.1 mg/dL
STANDARD_DEVIATION 13.7

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 1640 / 1600 / 3250 / 332
other
Total, other adverse events
28 / 16422 / 16045 / 32549 / 332
serious
Total, serious adverse events
6 / 1645 / 16010 / 32522 / 332

Outcome results

Primary

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

Time frame: Baseline and weeks 10 and 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in LDL-C at the Mean of Weeks 10 and 124.94 percent changeStandard Error 3.48
Placebo QMPercent Change From Baseline in LDL-C at the Mean of Weeks 10 and 120.99 percent changeStandard Error 3.31
Evolocumab Q2WPercent Change From Baseline in LDL-C at the Mean of Weeks 10 and 12-65.35 percent changeStandard Error 3.09
Evolocumab QMPercent Change From Baseline in LDL-C at the Mean of Weeks 10 and 12-69.05 percent changeStandard Error 2.96
p-value: <0.000195% CI: [-75.43, -65.16]Repeated measures linear effects model
p-value: <0.000195% CI: [-74.67, -65.41]Repeated measures linear effects model
Primary

Percent Change From Baseline in LDL-C at Week 12

Time frame: Baseline and week 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in LDL-C at Week 127.10 percent changeStandard Error 3.66
Placebo QMPercent Change From Baseline in LDL-C at Week 122.63 percent changeStandard Error 3.41
Evolocumab Q2WPercent Change From Baseline in LDL-C at Week 12-64.66 percent changeStandard Error 3.2
Evolocumab QMPercent Change From Baseline in LDL-C at Week 12-62.30 percent changeStandard Error 3.02
p-value: <0.000195% CI: [-77.61, -65.93]Repeated measures linear effects model
p-value: <0.000195% CI: [-69.97, -59.89]Repeated measures linear effects model
Secondary

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

Time frame: Baseline and weeks 10 and 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WChange From Baseline in LDL-C at the Mean of Weeks 10 and 12-2.1 mg/dLStandard Error 4.1
Placebo QMChange From Baseline in LDL-C at the Mean of Weeks 10 and 12-8.8 mg/dLStandard Error 4
Evolocumab Q2WChange From Baseline in LDL-C at the Mean of Weeks 10 and 12-64.6 mg/dLStandard Error 3.6
Evolocumab QMChange From Baseline in LDL-C at the Mean of Weeks 10 and 12-71.9 mg/dLStandard Error 3.6
p-value: <0.000195% CI: [-68.2, -56.9]Repeated measures linear effects model
p-value: <0.000195% CI: [-68.4, -57.8]Repeated measures linear effects model
Secondary

Change From Baseline in LDL-C at Week 12

Time frame: Baseline and week 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WChange From Baseline in LDL-C at Week 12-0.3 mg/dLStandard Error 4.2
Placebo QMChange From Baseline in LDL-C at Week 12-7.3 mg/dLStandard Error 4.1
Evolocumab Q2WChange From Baseline in LDL-C at Week 12-63.9 mg/dLStandard Error 3.7
Evolocumab QMChange From Baseline in LDL-C at Week 12-66.1 mg/dLStandard Error 3.7
p-value: <0.000195% CI: [-69.7, -57.6]Repeated measures linear effects model
p-value: <0.000195% CI: [-64.3, -53.3]Repeated measures linear effects model
Secondary

Percentage of Participants With LDL-C Less Than 70 mg/dL (1.8 mmol/L) at Week 12

Time frame: Week 12

Population: Full analysis set

ArmMeasureValue (NUMBER)
Placebo Q2WPercentage of Participants With LDL-C Less Than 70 mg/dL (1.8 mmol/L) at Week 1220.9 percentage of participants
Placebo QMPercentage of Participants With LDL-C Less Than 70 mg/dL (1.8 mmol/L) at Week 1221.3 percentage of participants
Evolocumab Q2WPercentage of Participants With LDL-C Less Than 70 mg/dL (1.8 mmol/L) at Week 1288.2 percentage of participants
Evolocumab QMPercentage of Participants With LDL-C Less Than 70 mg/dL (1.8 mmol/L) at Week 1290.2 percentage of participants
p-value: <0.000195% CI: [58.9, 73.9]Cochran-Mantel-Haenszel
p-value: <0.000195% CI: [60.6, 75.3]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With Mean LDL-C at Weeks 10 and 12 of Less Than 70 mg/dL (1.8 mmol/L)

Time frame: Weeks 10 and 12

Population: Full analysis set

ArmMeasureValue (NUMBER)
Placebo Q2WPercentage of Participants With Mean LDL-C at Weeks 10 and 12 of Less Than 70 mg/dL (1.8 mmol/L)21.7 percentage of participants
Placebo QMPercentage of Participants With Mean LDL-C at Weeks 10 and 12 of Less Than 70 mg/dL (1.8 mmol/L)19.4 percentage of participants
Evolocumab Q2WPercentage of Participants With Mean LDL-C at Weeks 10 and 12 of Less Than 70 mg/dL (1.8 mmol/L)90.1 percentage of participants
Evolocumab QMPercentage of Participants With Mean LDL-C at Weeks 10 and 12 of Less Than 70 mg/dL (1.8 mmol/L)91.3 percentage of participants
p-value: <0.000195% CI: [60.4, 74.8]Cochran-Mantel-Haenszel
p-value: <0.000195% CI: [64.1, 77.9]Cochran-Mantel-Haenszel
Secondary

Percent Change From Baseline in Apolipoprotein B100/Apolipoprotein A1 Ratio at the Mean of Weeks 10 and 12

Time frame: Baseline and weeks 10 and 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Apolipoprotein B100/Apolipoprotein A1 Ratio at the Mean of Weeks 10 and 122.60 percent changeStandard Error 3.3
Placebo QMPercent Change From Baseline in Apolipoprotein B100/Apolipoprotein A1 Ratio at the Mean of Weeks 10 and 12-1.02 percent changeStandard Error 3.09
Evolocumab Q2WPercent Change From Baseline in Apolipoprotein B100/Apolipoprotein A1 Ratio at the Mean of Weeks 10 and 12-55.60 percent changeStandard Error 3.07
Evolocumab QMPercent Change From Baseline in Apolipoprotein B100/Apolipoprotein A1 Ratio at the Mean of Weeks 10 and 12-57.75 percent changeStandard Error 2.82
p-value: <0.000195% CI: [-62.15, -54.25]Repeated measures linear effects model
p-value: <0.000195% CI: [-60.53, -52.93]Repeated measures linear effects model
Secondary

Percent Change From Baseline in Apolipoprotein B100/Apolipoprotein A1 Ratio at Week 12

Time frame: Baseline and week 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Apolipoprotein B100/Apolipoprotein A1 Ratio at Week 123.23 percent changeStandard Error 3.39
Placebo QMPercent Change From Baseline in Apolipoprotein B100/Apolipoprotein A1 Ratio at Week 12-0.10 percent changeStandard Error 3.16
Evolocumab Q2WPercent Change From Baseline in Apolipoprotein B100/Apolipoprotein A1 Ratio at Week 12-54.98 percent changeStandard Error 3.12
Evolocumab QMPercent Change From Baseline in Apolipoprotein B100/Apolipoprotein A1 Ratio at Week 12-51.80 percent changeStandard Error 2.86
p-value: <0.000195% CI: [-62.59, -53.84]Repeated measures linear effects model
p-value: <0.000195% CI: [-55.81, -47.59]Repeated measures linear effects model
Secondary

Percent Change From Baseline in Apolipoprotein B100 at the Mean of Weeks 10 and 12

Time frame: Baseline and weeks 10 and 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Apolipoprotein B100 at the Mean of Weeks 10 and 121.97 percent changeStandard Error 3.31
Placebo QMPercent Change From Baseline in Apolipoprotein B100 at the Mean of Weeks 10 and 12-1.52 percent changeStandard Error 2.99
Evolocumab Q2WPercent Change From Baseline in Apolipoprotein B100 at the Mean of Weeks 10 and 12-54.96 percent changeStandard Error 3.07
Evolocumab QMPercent Change From Baseline in Apolipoprotein B100 at the Mean of Weeks 10 and 12-56.37 percent changeStandard Error 2.72
p-value: <0.000195% CI: [-60.93, -52.93]Repeated measures linear effects model
p-value: <0.000195% CI: [-58.52, -51.18]Repeated measures linear effects model
Secondary

Percent Change From Baseline in Apolipoprotein B100 at Week 12

Time frame: Baseline and week 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Apolipoprotein B100 at Week 123.17 percent changeStandard Error 3.42
Placebo QMPercent Change From Baseline in Apolipoprotein B100 at Week 12-0.26 percent changeStandard Error 3.03
Evolocumab Q2WPercent Change From Baseline in Apolipoprotein B100 at Week 12-53.90 percent changeStandard Error 3.14
Evolocumab QMPercent Change From Baseline in Apolipoprotein B100 at Week 12-49.68 percent changeStandard Error 2.75
p-value: <0.000195% CI: [-61.59, -52.54]Repeated measures linear effects model
p-value: <0.000195% CI: [-53.31, -45.53]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: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in HDL-C at the Mean of Weeks 10 and 121.25 percent changeStandard Error 2.19
Placebo QMPercent Change From Baseline in HDL-C at the Mean of Weeks 10 and 125.88 percent changeStandard Error 2.11
Evolocumab Q2WPercent Change From Baseline in HDL-C at the Mean of Weeks 10 and 127.59 percent changeStandard Error 1.99
Evolocumab QMPercent Change From Baseline in HDL-C at the Mean of Weeks 10 and 1213.75 percent changeStandard Error 1.9
p-value: 0.000395% CI: [3.36, 9.33]Repeated measures linear effects model
p-value: <0.000195% CI: [5.1, 10.65]Repeated measures linear effects model
Secondary

Percent Change From Baseline in HDL-C at Week 12

Time frame: Baseline and week 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in HDL-C at Week 122.57 percent changeStandard Error 2.29
Placebo QMPercent Change From Baseline in HDL-C at Week 126.04 percent changeStandard Error 2.18
Evolocumab Q2WPercent Change From Baseline in HDL-C at Week 128.45 percent changeStandard Error 2.04
Evolocumab QMPercent Change From Baseline in HDL-C at Week 1214.18 percent changeStandard Error 1.95
p-value: 0.000395% CI: [2.49, 9.27]Repeated measures linear effects model
p-value: <0.000195% CI: [5.03, 11.25]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: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Lipoprotein(a) at the Mean of Weeks 10 and 1216.89 percent changeStandard Error 17.49
Placebo QMPercent Change From Baseline in Lipoprotein(a) at the Mean of Weeks 10 and 128.48 percent changeStandard Error 9.49
Evolocumab Q2WPercent Change From Baseline in Lipoprotein(a) at the Mean of Weeks 10 and 12-38.63 percent changeStandard Error 13.67
Evolocumab QMPercent Change From Baseline in Lipoprotein(a) at the Mean of Weeks 10 and 12-42.29 percent changeStandard Error 8.49
p-value: <0.000195% CI: [-92.64, -18.4]Repeated measures linear effects model
p-value: <0.000195% CI: [-63.82, -37.72]Repeated measures linear effects model
Secondary

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

Time frame: Baseline and week 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Lipoprotein(a) at Week 1226.53 percent changeStandard Error 21.78
Placebo QMPercent Change From Baseline in Lipoprotein(a) at Week 127.47 percent changeStandard Error 10.4
Evolocumab Q2WPercent Change From Baseline in Lipoprotein(a) at Week 12-35.93 percent changeStandard Error 16.47
Evolocumab QMPercent Change From Baseline in Lipoprotein(a) at Week 12-37.85 percent changeStandard Error 9.02
p-value: <0.000195% CI: [-110.89, -14.03]Repeated measures linear effects model
p-value: <0.000195% CI: [-61.87, -28.77]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: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Non-HDL-C at the Mean of Weeks 10 and 124.33 percent changeStandard Error 3.05
Placebo QMPercent Change From Baseline in Non-HDL-C at the Mean of Weeks 10 and 120.33 percent changeStandard Error 2.95
Evolocumab Q2WPercent Change From Baseline in Non-HDL-C at the Mean of Weeks 10 and 12-56.57 percent changeStandard Error 2.7
Evolocumab QMPercent Change From Baseline in Non-HDL-C at the Mean of Weeks 10 and 12-59.08 percent changeStandard Error 2.63
p-value: <0.000195% CI: [-65.51, -56.29]Repeated measures linear effects model
p-value: <0.000195% CI: [-63.52, -55.29]Repeated measures linear effects model
Secondary

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

Time frame: Baseline and week 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Non-HDL-C at Week 125.87 percent changeStandard Error 3.2
Placebo QMPercent Change From Baseline in Non-HDL-C at Week 121.30 percent changeStandard Error 3.03
Evolocumab Q2WPercent Change From Baseline in Non-HDL-C at Week 12-55.76 percent changeStandard Error 2.79
Evolocumab QMPercent Change From Baseline in Non-HDL-C at Week 12-52.92 percent changeStandard Error 2.69
p-value: <0.000195% CI: [-66.82, -56.45]Repeated measures linear effects model
p-value: <0.000195% CI: [-58.7, -49.74]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: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Total Cholesterol at the Mean of Weeks 10 and 122.89 percent changeStandard Error 2.3
Placebo QMPercent Change From Baseline in Total Cholesterol at the Mean of Weeks 10 and 12-0.25 percent changeStandard Error 2.18
Evolocumab Q2WPercent Change From Baseline in Total Cholesterol at the Mean of Weeks 10 and 12-38.64 percent changeStandard Error 2.04
Evolocumab QMPercent Change From Baseline in Total Cholesterol at the Mean of Weeks 10 and 12-39.74 percent changeStandard Error 1.95
p-value: <0.000195% CI: [-44.95, -38.1]Repeated measures linear effects model
p-value: <0.000195% CI: [-42.47, -36.53]Repeated measures linear effects model
Secondary

Percent Change From Baseline in Total Cholesterol at Week 12

Time frame: Baseline and week 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Total Cholesterol at Week 124.40 percent changeStandard Error 2.4
Placebo QMPercent Change From Baseline in Total Cholesterol at Week 120.67 percent changeStandard Error 2.24
Evolocumab Q2WPercent Change From Baseline in Total Cholesterol at Week 12-37.82 percent changeStandard Error 2.1
Evolocumab QMPercent Change From Baseline in Total Cholesterol at Week 12-35.22 percent changeStandard Error 1.99
p-value: <0.000195% CI: [-46.02, -38.42]Repeated measures linear effects model
p-value: <0.000195% CI: [-39.12, -32.67]Repeated measures linear effects model
Secondary

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

Time frame: Baseline and weeks 10 and 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Total Cholesterol/HDL-C Ratio at the Mean of Weeks 10 and 123.03 percent changeStandard Error 2.38
Placebo QMPercent Change From Baseline in Total Cholesterol/HDL-C Ratio at the Mean of Weeks 10 and 12-2.03 percent changeStandard Error 2.41
Evolocumab Q2WPercent Change From Baseline in Total Cholesterol/HDL-C Ratio at the Mean of Weeks 10 and 12-41.06 percent changeStandard Error 2.11
Evolocumab QMPercent Change From Baseline in Total Cholesterol/HDL-C Ratio at the Mean of Weeks 10 and 12-45.70 percent changeStandard Error 2.17
p-value: <0.000195% CI: [-47.64, -40.54]Repeated measures linear effects model
p-value: <0.000195% CI: [-46.9, -40.44]Repeated measures linear effects model
Secondary

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

Time frame: Baseline and week 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Total Cholesterol/HDL-C Ratio at Week 123.22 percent changeStandard Error 2.49
Placebo QMPercent Change From Baseline in Total Cholesterol/HDL-C Ratio at Week 12-1.22 percent changeStandard Error 2.47
Evolocumab Q2WPercent Change From Baseline in Total Cholesterol/HDL-C Ratio at Week 12-40.72 percent changeStandard Error 2.18
Evolocumab QMPercent Change From Baseline in Total Cholesterol/HDL-C Ratio at Week 12-41.78 percent changeStandard Error 2.21
p-value: <0.000195% CI: [-47.9, -39.97]Repeated measures linear effects model
p-value: <0.000195% CI: [-44.08, -37.04]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: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Triglycerides at the Mean of Weeks 10 and 1211.54 percent changeStandard Error 5.27
Placebo QMPercent Change From Baseline in Triglycerides at the Mean of Weeks 10 and 128.48 percent changeStandard Error 4.48
Evolocumab Q2WPercent Change From Baseline in Triglycerides at the Mean of Weeks 10 and 12-6.48 percent changeStandard Error 4.7
Evolocumab QMPercent Change From Baseline in Triglycerides at the Mean of Weeks 10 and 12-7.15 percent changeStandard Error 4.02
p-value: 0.000295% CI: [-25.89, -10.14]Repeated measures linear effects model
p-value: <0.000195% CI: [-21.69, -9.58]Repeated measures linear effects model
Secondary

Percent Change From Baseline in Triglycerides at Week 12

Time frame: Baseline and week 12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in Triglycerides at Week 1210.50 percent changeStandard Error 5.36
Placebo QMPercent Change From Baseline in Triglycerides at Week 128.07 percent changeStandard Error 4.57
Evolocumab Q2WPercent Change From Baseline in Triglycerides at Week 12-5.91 percent changeStandard Error 4.75
Evolocumab QMPercent Change From Baseline in Triglycerides at Week 12-4.24 percent changeStandard Error 4.09
p-value: 0.000295% CI: [-24.63, -8.19]Repeated measures linear effects model
p-value: <0.000195% CI: [-18.76, -5.86]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: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo Q2WPercent Change From Baseline in VLDL-C at the Mean of Weeks 10 and 129.63 percent changeStandard Error 4.7
Placebo QMPercent Change From Baseline in VLDL-C at the Mean of Weeks 10 and 127.92 percent changeStandard Error 4.43
Evolocumab Q2WPercent Change From Baseline in VLDL-C at the Mean of Weeks 10 and 12-17.55 percent changeStandard Error 4.19
Evolocumab QMPercent Change From Baseline in VLDL-C at the Mean of Weeks 10 and 12-16.09 percent changeStandard Error 3.99
p-value: <0.000195% CI: [-34.2, -20.17]Repeated measures linear effects model
p-value: <0.000195% CI: [-29.88, -18.14]Repeated measures linear effects model

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