RUTHERFORD-2: Reduction of LDL-C With PCSK9 Inhibition in Heterozygous Familial Hypercholesterolemia Disorder Study-2
Study Details
Study Description
Brief Summary
The primary objective was to evaluate the effect of 12 weeks of evolocumab subcutaneously once every 2 weeks (Q2W) and once monthly (QM), compared with placebo, on percent change from baseline in low-density lipoprotein cholesterol (LDL-C) in adults with heterozygous familial hypercholesterolemia (HeFH).
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Placebo Comparator: Placebo Q2W Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks. |
Drug: Placebo
Administered by subcutaneous injection
|
Placebo Comparator: Placebo QM Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks. |
Drug: Placebo
Administered by subcutaneous injection
|
Experimental: Evolocumab Q2W Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks. |
Biological: Evolocumab
Administered by subcutaneous injection
Other Names:
|
Experimental: Evolocumab QM Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks. |
Biological: Evolocumab
Administered by subcutaneous injection
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Percent Change From Baseline in LDL-C at Week 12 [Baseline and Week 12]
- Percent Change From Baseline in LDL-C at the Mean of Weeks 10 and 12 [Baseline and Weeks 10 and 12]
Secondary Outcome Measures
- Change From Baseline in LDL-C at the Mean of Weeks 10 and 12 [Baseline and Weeks 10 and 12]
- Change From Baseline in LDL-C at Week 12 [Baseline 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 < 70 mg/dL (1.8 mmol/L) at Week 12 [Week 12]
- Percent Change From Baseline in Non-High-Density Lipoprotein Cholesterol (Non-HDL-C) at the Mean of Weeks 10 and 12 [Baseline and Weeks 10 and 12]
- Percent Change From Baseline in Non-HDL-C at Week 12 [Baseline and Week 12]
- Percent Change From Baseline in Apolipoprotein B at the Mean of Weeks 10 and 12 [Baseline and Weeks 10 and 12]
- Percent Change From Baseline in Apolipoprotein B at Week 12 [Baseline and Week 12]
- Percent Change From Baseline in the Total Cholesterol/HDL-C Ratio at the Mean of Weeks 10 and 12 [Baseline and Weeks 10 and 12]
- Percent Change From Baseline in the Total Cholesterol/HDL-C Ratio at Week 12 [Baseline and Week 12]
- Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at the Mean of Weeks 10 and 12 [Baseline and Weeks 10 and 12]
- Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at Week 12 [Baseline and Week 12]
- Percent Change From Baseline in Lipoprotein (a) at the Mean of Weeks 10 and 12 [Baseline and Weeks 10 and 12]
- Percent Change From Baseline in Lipoprotein (a) at Week 12 [Baseline and Week 12]
- Percent Change From Baseline in Triglycerides at the Mean of Weeks 10 and 12 [Baseline and Weeks 10 and 12]
- Percent Change From Baseline in Triglycerides at Week 12 [Baseline and Week 12]
- Percent Change From Baseline in HDL-C at the Mean of Weeks 10 and 12 [Baseline and Weeks 10 and 12]
- Percent Change From Baseline in HDL-C at Week 12 [Baseline and Week 12]
- Percent Change From Baseline in Very Low-Density Lipoprotein Cholesterol (VLDL-C) at the Mean of Weeks 10 and 12 [Baseline and Weeks 10 and 12]
- Percent Change From Baseline in VLDL-C at Week 12 [Baseline and Week 12]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Male or female ≥ 18 to ≤ 80 years of age
-
Diagnosis of heterozygous familial hypercholesterolemia
-
On a stable dose of an approved statin and lipid regulating medication
-
Fasting LDL-C ≥ 100 mg/dL (2.6 mmol/L)
-
Fasting triglycerides ≤ 400 mg/dL (4.5 mmol/L)
Exclusion Criteria:
-
Homozygous familial hypercholesterolemia
-
LDL or plasma apheresis
-
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
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Research Site | Scottsdale | Arizona | United States | 85258 |
2 | Research Site | Cincinnati | Ohio | United States | 45227 |
3 | Research Site | Camperdown | New South Wales | Australia | 2015 |
4 | Research Site | Perth | Western Australia | Australia | 6000 |
5 | Research Site | Vancouver | British Columbia | Canada | V6Z 1Y6 |
6 | Research Site | London | Ontario | Canada | N6A 5K8 |
7 | Research Site | Chicoutimi | Quebec | Canada | G7H 7K9 |
8 | Research Site | Montreal | Quebec | Canada | H2W 1R7 |
9 | Research Site | Montreal | Quebec | Canada | H3A 1A1 |
10 | Research Site | Bron | France | 69677 | |
11 | Research Site | Nantes Cedex 1 | France | 44093 | |
12 | Research Site | Paris Cedex 13 | France | 75651 | |
13 | Research Site | Köln | Germany | 50937 | |
14 | Research Site | New Territories | Hong Kong | ||
15 | Research Site | Amersfoort | Netherlands | 3813 TZ | |
16 | Research Site | Amsterdam | Netherlands | 1091 AC | |
17 | Research Site | Amsterdam | Netherlands | 1105 AZ | |
18 | Research Site | Gouda | Netherlands | 2803 HH | |
19 | Research Site | Groningen | Netherlands | 9713 GZ | |
20 | Research Site | Hoorn | Netherlands | 1625 HV | |
21 | Research Site | Tilburg | Netherlands | 5022 GC | |
22 | Research Site | Utrecht | Netherlands | 3584 CX | |
23 | Research Site | Christchurch | New Zealand | 8011 | |
24 | Research Site | Oslo | Norway | 0373 | |
25 | Research Site | Johannesburg | Gauteng | South Africa | 2193 |
26 | Research Site | Midrand | Gauteng | South Africa | 1685 |
27 | Research Site | Observatory | Western Cape | South Africa | 7925 |
28 | Research Site | Parow | Western Cape | South Africa | 7505 |
29 | Research Site | Cordoba | Andalucía | Spain | 14004 |
30 | Research Site | Zaragoza | Aragón | Spain | 50009 |
31 | Research Site | Reus | Cataluña | Spain | 43204 |
32 | Research Site | Madrid | Spain | 28040 | |
33 | Research Site | Stockholm | Sweden | 111 35 | |
34 | Research Site | Stockholm | Sweden | 141 86 | |
35 | Research Site | Reinach | Switzerland | 4153 | |
36 | Research Site | Coventry | United Kingdom | CV2 2DX | |
37 | Research Site | London | United Kingdom | SE1 7EH | |
38 | Research Site | London | United Kingdom | W6 8RF | |
39 | Research Site | Manchester | United Kingdom | M13 9WL |
Sponsors and Collaborators
- Amgen
Investigators
- Study Director: MD, Amgen
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
- Kasichayanula S, Grover A, Emery MG, Gibbs MA, Somaratne R, Wasserman SM, Gibbs JP. Clinical Pharmacokinetics and Pharmacodynamics of Evolocumab, a PCSK9 Inhibitor. Clin Pharmacokinet. 2018 Jul;57(7):769-779. doi: 10.1007/s40262-017-0620-7. Review.
- Kuchimanchi M, Grover A, Emery MG, Somaratne R, Wasserman SM, Gibbs JP, Doshi S. Population pharmacokinetics and exposure-response modeling and simulation for evolocumab in healthy volunteers and patients with hypercholesterolemia. J Pharmacokinet Pharmacodyn. 2018 Jun;45(3):505-522. doi: 10.1007/s10928-018-9592-y. Epub 2018 May 7.
- Raal FJ, Stein EA, Dufour R, Turner T, Civeira F, Burgess L, Langslet G, Scott R, Olsson AG, Sullivan D, Hovingh GK, Cariou B, Gouni-Berthold I, Somaratne R, Bridges I, Scott R, Wasserman SM, Gaudet D; RUTHERFORD-2 Investigators. PCSK9 inhibition with evolocumab (AMG 145) in heterozygous familial hypercholesterolaemia (RUTHERFORD-2): a randomised, double-blind, placebo-controlled trial. Lancet. 2015 Jan 24;385(9965):331-40. doi: 10.1016/S0140-6736(14)61399-4. Epub 2014 Oct 1.
- Shapiro MD, Minnier J, Tavori H, Kassahun H, Flower A, Somaratne R, Fazio S. Relationship Between Low-Density Lipoprotein Cholesterol and Lipoprotein(a) Lowering in Response to PCSK9 Inhibition With Evolocumab. J Am Heart Assoc. 2019 Feb 19;8(4):e010932. doi: 10.1161/JAHA.118.010932.
- Stroes E, Robinson JG, Raal FJ, Dufour R, Sullivan D, Kassahun H, Ma Y, Wasserman SM, Koren MJ. Consistent LDL-C response with evolocumab among patient subgroups in PROFICIO: A pooled analysis of 3146 patients from phase 3 studies. Clin Cardiol. 2018 Oct;41(10):1328-1335. doi: 10.1002/clc.23049. Epub 2018 Oct 21.
- Toth PP, Descamps O, Genest J, Sattar N, Preiss D, Dent R, Djedjos C, Wu Y, Geller M, Uhart M, Somaratne R, Wasserman SM; PROFICIO Investigators. Pooled Safety Analysis of Evolocumab in Over 6000 Patients From Double-Blind and Open-Label Extension Studies. Circulation. 2017 May 9;135(19):1819-1831. doi: 10.1161/CIRCULATIONAHA.116.025233. Epub 2017 Mar 1.
- Wasserman SM, Sabatine MS, Koren MJ, Giugliano RP, Legg JC, Emery MG, Doshi S, Liu T, Somaratne R, Gibbs JP. Comparison of LDL-C Reduction Using Different Evolocumab Doses and Intervals: Biological Insights and Treatment Implications. J Cardiovasc Pharmacol Ther. 2018 Sep;23(5):423-432. doi: 10.1177/1074248418774043. Epub 2018 May 16.
- 20110117
- 2012-001365-32
Study Results
Participant Flow
Recruitment Details | Men and women 18 to 80 years old with a diagnosis of heterozygous familial hypercholesterolemia (HeFH) on stable doses of an approved statin with fasting low-density lipoprotein cholesterol (LDL-C) ≥ 100 mg/dL were eligible for this study. The first participant enrolled on 07 February 2013 and the last participant enrolled 03 September 2013. |
---|---|
Pre-assignment Detail | Participants received subcutaneous placebo corresponding to the once monthly dose volume during a 6-week screening period. Those who completed the screening period and met final eligibility criteria were randomized 1:1:2:2 into 4 treatment groups. Randomization was stratified by LDL-C level (< 160 mg/dL vs ≥ 160 mg/dL) and ezetimibe use. |
Arm/Group Title | Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM |
---|---|---|---|---|
Arm/Group Description | Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks. | Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks. | Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks. | Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks. |
Period Title: Overall Study | ||||
STARTED | 55 | 55 | 111 | 110 |
Received Treatment | 54 | 55 | 110 | 110 |
COMPLETED | 49 | 54 | 101 | 108 |
NOT COMPLETED | 6 | 1 | 10 | 2 |
Baseline Characteristics
Arm/Group Title | Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM | Total |
---|---|---|---|---|---|
Arm/Group Description | Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks. | Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks. | Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks. | Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks. | Total of all reporting groups |
Overall Participants | 55 | 55 | 111 | 110 | 331 |
Age (years) [Mean (Standard Deviation) ] | |||||
Mean (Standard Deviation) [years] |
51.1
(14.1)
|
46.8
(12.1)
|
52.3
(12.6)
|
51.9
(12.0)
|
51.1
(12.7)
|
Sex: Female, Male (Count of Participants) | |||||
Female |
25
45.5%
|
24
43.6%
|
45
40.5%
|
46
41.8%
|
140
42.3%
|
Male |
30
54.5%
|
31
56.4%
|
66
59.5%
|
64
58.2%
|
191
57.7%
|
Race/Ethnicity, Customized (participants) [Number] | |||||
American Indian or Alaska Native |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Asian |
1
1.8%
|
3
5.5%
|
4
3.6%
|
8
7.3%
|
16
4.8%
|
Black or African American |
1
1.8%
|
0
0%
|
1
0.9%
|
1
0.9%
|
3
0.9%
|
Native Hawaiian or Other Pacific Islander |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
White |
51
92.7%
|
49
89.1%
|
100
90.1%
|
98
89.1%
|
298
90%
|
Other |
2
3.6%
|
3
5.5%
|
6
5.4%
|
3
2.7%
|
14
4.2%
|
Race/Ethnicity, Customized (participants) [Number] | |||||
Hispanic or Latino |
1
1.8%
|
0
0%
|
0
0%
|
1
0.9%
|
2
0.6%
|
Not Hispanic or Latino |
54
98.2%
|
55
100%
|
111
100%
|
109
99.1%
|
329
99.4%
|
Stratification Factor: Low-Density Lipoprotein Cholesterol (LDL-C) Level (participants) [Number] | |||||
< 160 mg/dL |
35
63.6%
|
35
63.6%
|
70
63.1%
|
70
63.6%
|
210
63.4%
|
≥ 160 mg/dL |
20
36.4%
|
20
36.4%
|
41
36.9%
|
40
36.4%
|
121
36.6%
|
Baseline Ezetimibe Use (participants) [Number] | |||||
No |
22
40%
|
21
38.2%
|
43
38.7%
|
43
39.1%
|
129
39%
|
Yes |
33
60%
|
34
61.8%
|
68
61.3%
|
67
60.9%
|
202
61%
|
LDL-C Concentration (mg/dL) [Mean (Standard Deviation) ] | |||||
Mean (Standard Deviation) [mg/dL] |
151.1
(36.5)
|
151.5
(42.5)
|
161.4
(51.0)
|
153.6
(43.3)
|
155.5
(44.9)
|
Non-High-Density Lipoprotein Cholesterol (non-HDL-C) Concentration (mg/dL) [Mean (Standard Deviation) ] | |||||
Mean (Standard Deviation) [mg/dL] |
175.4
(43.9)
|
175.4
(45.9)
|
187.4
(56.7)
|
178.5
(45.8)
|
180.4
(49.5)
|
Apolipoprotein B Concentration (mg/dL) [Mean (Standard Deviation) ] | |||||
Mean (Standard Deviation) [mg/dL] |
114.3
(29.8)
|
110.3
(21.7)
|
119.0
(30.7)
|
114.9
(25.5)
|
115.4
(27.5)
|
Total cholesterol/HDL-C Ratio (ratio) [Mean (Standard Deviation) ] | |||||
Mean (Standard Deviation) [ratio] |
4.695
(1.905)
|
4.844
(1.435)
|
5.159
(2.031)
|
4.842
(1.801)
|
4.924
(1.845)
|
Apolipoprotein B/Apolipoprotein A1 Ratio (ratio) [Mean (Standard Deviation) ] | |||||
Mean (Standard Deviation) [ratio] |
0.815
(0.264)
|
0.851
(0.249)
|
0.888
(0.322)
|
0.850
(0.331)
|
0.857
(0.305)
|
Lipoprotein(a) Concentration (nmol/L) [Median (Inter-Quartile Range) ] | |||||
Median (Inter-Quartile Range) [nmol/L] |
44.0
|
87.0
|
77.5
|
61.0
|
65.0
|
Triglyceride Concentration (mg/dL) [Median (Inter-Quartile Range) ] | |||||
Median (Inter-Quartile Range) [mg/dL] |
95.8
|
102.0
|
118.5
|
112.5
|
110.0
|
Very Low-Density Lipoprotein Cholesterol (VLDL-C) Concentration (mg/dL) [Mean (Standard Deviation) ] | |||||
Mean (Standard Deviation) [mg/dL] |
23.1
(10.7)
|
23.9
(10.5)
|
25.9
(11.8)
|
24.9
(11.7)
|
24.8
(11.4)
|
HDL-C Concentration (mg/dL) [Mean (Standard Deviation) ] | |||||
Mean (Standard Deviation) [mg/dL] |
53.2
(16.5)
|
49.1
(12.7)
|
50.4
(16.1)
|
51.9
(16.0)
|
51.1
(15.6)
|
Outcome Measures
Title | Percent Change From Baseline in LDL-C at Week 12 |
---|---|
Description | |
Time Frame | Baseline and Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set. Least squares (LS) means are from a repeated measures linear effects model; missing values were not imputed. |
Arm/Group Title | Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM |
---|---|---|---|---|
Arm/Group Description | Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks. | Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks. | Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks. | Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks. |
Measure Participants | 54 | 55 | 110 | 110 |
Least Squares Mean (Standard Error) [percent change] |
-2.02
(2.49)
|
5.53
(3.25)
|
-61.25
(1.77)
|
-55.74
(2.25)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo Q2W, Evolocumab Q2W |
---|---|---|
Comments | Within each dose frequency, the null hypothesis was that there was no mean difference in the percent change from baseline at week 12 or in the percent change from baseline at the mean of weeks 10 and 12 in LDL-C between evolocumab and placebo, and the alternative hypothesis was that a mean difference did exist. | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -59.23 | |
Confidence Interval |
(2-Sided) 95% -65.11 to -53.35 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 2.98 |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo QM, Evolocumab QM |
---|---|---|
Comments | Within each dose frequency, the null hypothesis was that there was no mean difference in the percent change from baseline at week 12 or in the percent change from baseline at the mean of weeks 10 and 12 in LDL-C between evolocumab and placebo, and the alternative hypothesis was that a mean difference did exist. | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -61.27 | |
Confidence Interval |
(2-Sided) 95% -69.00 to -53.55 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 3.91 |
|
Estimation Comments |
Title | Percent Change From Baseline in LDL-C at the Mean of Weeks 10 and 12 |
---|---|
Description | |
Time Frame | Baseline and Weeks 10 and 12 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set |
Arm/Group Title | Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM |
---|---|---|---|---|
Arm/Group Description | Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks. | Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks. | Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks. | Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks. |
Measure Participants | 54 | 55 | 110 | 110 |
Least Squares Mean (Standard Error) [percent change] |
-1.08
(2.41)
|
2.30
(2.41)
|
-61.23
(1.71)
|
-63.25
(1.70)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo Q2W, Evolocumab Q2W |
---|---|---|
Comments | Within each dose frequency, the null hypothesis was that there was no mean difference in the percent change from baseline at week 12 or in the percent change from baseline at the mean of weeks 10 and 12 in LDL-C between evolocumab and placebo, and the alternative hypothesis was that a mean difference did exist. | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -60.15 | |
Confidence Interval |
(2-Sided) 95% -65.83 to -54.46 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 2.88 |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo QM, Evolocumab QM |
---|---|---|
Comments | Within each dose frequency, the null hypothesis was that there was no mean difference in the percent change from baseline at week 12 or in the percent change from baseline at the mean of weeks 10 and 12 in LDL-C between evolocumab and placebo, and the alternative hypothesis was that a mean difference did exist. | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -65.55 | |
Confidence Interval |
(2-Sided) 95% -71.27 to -59.83 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 2.90 |
|
Estimation Comments |
Title | Change From Baseline in LDL-C at the Mean of Weeks 10 and 12 |
---|---|
Description | |
Time Frame | Baseline and Weeks 10 and 12 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set |
Arm/Group Title | Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM |
---|---|---|---|---|
Arm/Group Description | Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks. | Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks. | Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks. | Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks. |
Measure Participants | 54 | 55 | 110 | 110 |
Least Squares Mean (Standard Error) [mg/dL] |
-6.5
(4.2)
|
-1.3
(4.1)
|
-101.7
(3.0)
|
-98.8
(2.9)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo Q2W, Evolocumab Q2W |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -95.2 | |
Confidence Interval |
(2-Sided) 95% -105.1 to -85.2 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 5.0 |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo QM, Evolocumab QM |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -97.4 | |
Confidence Interval |
(2-Sided) 95% -107.1 to -87.7 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 4.9 |
|
Estimation Comments |
Title | Change From Baseline in LDL-C at Week 12 |
---|---|
Description | |
Time Frame | Baseline and Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set |
Arm/Group Title | Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM |
---|---|---|---|---|
Arm/Group Description | Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks. | Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks. | Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks. | Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks. |
Measure Participants | 54 | 55 | 110 | 110 |
Least Squares Mean (Standard Error) [mg/dL] |
-8.5
(4.2)
|
4.1
(5.2)
|
-101.3
(3.0)
|
-87.2
(3.6)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo Q2W, Evolocumab Q2W |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -92.9 | |
Confidence Interval |
(2-Sided) 95% -102.9 to -82.8 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 5.1 |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo QM, Evolocumab QM |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -91.3 | |
Confidence Interval |
(2-Sided) 95% -103.8 to -78.9 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 6.3 |
|
Estimation Comments |
Title | Percentage of Participants With Mean LDL-C at Weeks 10 and 12 of Less Than 70 mg/dL (1.8 mmol/L) |
---|---|
Description | |
Time Frame | Weeks 10 and 12 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set |
Arm/Group Title | Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM |
---|---|---|---|---|
Arm/Group Description | Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks. | Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks. | Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks. | Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks. |
Measure Participants | 54 | 55 | 110 | 110 |
Number (95% Confidence Interval) [percentage of participants] |
1.9
3.5%
|
1.9
3.5%
|
67.0
60.4%
|
80.4
73.1%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo Q2W, Evolocumab Q2W |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Cochran-Mantel-Haenszel | |
Comments | Cochran-Mantel Haenszel test stratified by baseline LDL-C and ezetimibe use. | |
Method of Estimation | Estimation Parameter | Treatment Difference |
Estimated Value | 65.1 | |
Confidence Interval |
(2-Sided) 95% 52.8 to 73.4 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo QM, Evolocumab QM |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Cochran-Mantel-Haenszel | |
Comments | Cochran-Mantel Haenszel test stratified by baseline LDL-C and ezetimibe use. | |
Method of Estimation | Estimation Parameter | Treatment Difference |
Estimated Value | 78.5 | |
Confidence Interval |
(2-Sided) 95% 66.9 to 85.1 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Percentage of Participants With LDL-C < 70 mg/dL (1.8 mmol/L) at Week 12 |
---|---|
Description | |
Time Frame | Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set |
Arm/Group Title | Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM |
---|---|---|---|---|
Arm/Group Description | Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks. | Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks. | Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks. | Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks. |
Measure Participants | 54 | 55 | 110 | 110 |
Number (95% Confidence Interval) [percentage of participants] |
2.0
3.6%
|
2.2
4%
|
68.3
61.5%
|
63.1
57.4%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo Q2W, Evolocumab Q2W |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Cochran-Mantel-Haenszel | |
Comments | Cochran-Mantel Haenszel test stratified by baseline LDL-C and ezetimibe use | |
Method of Estimation | Estimation Parameter | Treatment Difference |
Estimated Value | 66.3 | |
Confidence Interval |
(2-Sided) 95% 53.7 to 74.6 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo QM, Evolocumab QM |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Cochran-Mantel-Haenszel | |
Comments | Cochran-Mantel Haenszel test stratified by baseline LDL-C and ezetimibe use. | |
Method of Estimation | Estimation Parameter | Treatment Difference |
Estimated Value | 60.9 | |
Confidence Interval |
(2-Sided) 95% 47.6 to 69.8 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Percent Change From Baseline in Non-High-Density Lipoprotein Cholesterol (Non-HDL-C) at the Mean of Weeks 10 and 12 |
---|---|
Description | |
Time Frame | Baseline and Weeks 10 and 12 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set |
Arm/Group Title | Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM |
---|---|---|---|---|
Arm/Group Description | Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks. | Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks. | Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks. | Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks. |
Measure Participants | 54 | 55 | 110 | 110 |
Least Squares Mean (Standard Error) [percent change] |
0.21
(2.29)
|
2.72
(2.21)
|
-55.79
(1.63)
|
-57.28
(1.56)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo Q2W, Evolocumab Q2W |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -56.00 | |
Confidence Interval |
(2-Sided) 95% -61.41 to -50.59 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 2.74 |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo QM, Evolocumab QM |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -60.01 | |
Confidence Interval |
(2-Sided) 95% -65.24 to -54.77 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 2.65 |
|
Estimation Comments |
Title | Percent Change From Baseline in Non-HDL-C at Week 12 |
---|---|
Description | |
Time Frame | Baseline and Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set |
Arm/Group Title | Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM |
---|---|---|---|---|
Arm/Group Description | Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks. | Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks. | Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks. | Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks. |
Measure Participants | 54 | 55 | 110 | 110 |
Least Squares Mean (Standard Error) [percent change] |
-1.39
(2.40)
|
5.29
(2.94)
|
-56.19
(1.71)
|
-49.67
(2.04)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo Q2W, Evolocumab Q2W |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -54.79 | |
Confidence Interval |
(2-Sided) 95% -60.47 to -49.12 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 2.87 |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo QM, Evolocumab QM |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -54.95 | |
Confidence Interval |
(2-Sided) 95% -61.95 to -47.96 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 3.54 |
|
Estimation Comments |
Title | Percent Change From Baseline in Apolipoprotein B at the Mean of Weeks 10 and 12 |
---|---|
Description | |
Time Frame | Baseline and Weeks 10 and 12 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set |
Arm/Group Title | Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM |
---|---|---|---|---|
Arm/Group Description | Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks. | Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks. | Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks. | Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks. |
Measure Participants | 54 | 55 | 110 | 110 |
Least Squares Mean (Standard Error) [percent change] |
-0.19
(2.10)
|
2.21
(1.97)
|
-49.58
(1.48)
|
-52.76
(1.36)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo Q2W, Evolocumab Q2W |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -49.39 | |
Confidence Interval |
(2-Sided) 95% -54.32 to -44.46 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 2.50 |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo QM, Evolocumab QM |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -54.98 | |
Confidence Interval |
(2-Sided) 95% -59.58 to -50.38 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 2.33 |
|
Estimation Comments |
Title | Percent Change From Baseline in Apolipoprotein B at Week 12 |
---|---|
Description | |
Time Frame | Baseline and Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set |
Arm/Group Title | Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM |
---|---|---|---|---|
Arm/Group Description | Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks. | Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks. | Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks. | Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks. |
Measure Participants | 54 | 55 | 110 | 110 |
Least Squares Mean (Standard Error) [percent change] |
-0.67
(2.32)
|
4.60
(2.70)
|
-49.75
(1.63)
|
-44.81
(1.80)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo Q2W, Evolocumab Q2W |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -49.09 | |
Confidence Interval |
(2-Sided) 95% -54.55 to -43.63 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 2.76 |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo QM, Evolocumab QM |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -49.41 | |
Confidence Interval |
(2-Sided) 95% -55.73 to -43.10 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 3.19 |
|
Estimation Comments |
Title | Percent Change From Baseline in the Total Cholesterol/HDL-C Ratio at the Mean of Weeks 10 and 12 |
---|---|
Description | |
Time Frame | Baseline and Weeks 10 and 12 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set |
Arm/Group Title | Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM |
---|---|---|---|---|
Arm/Group Description | Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks. | Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks. | Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks. | Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks. |
Measure Participants | 54 | 55 | 110 | 110 |
Least Squares Mean (Standard Error) [percent change] |
0.86
(2.05)
|
4.14
(2.13)
|
-45.74
(1.45)
|
-45.02
(1.50)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo Q2W, Evolocumab Q2W |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -46.59 | |
Confidence Interval |
(2-Sided) 95% -51.43 to -41.76 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 2.45 |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo QM, Evolocumab QM |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -49.16 | |
Confidence Interval |
(2-Sided) 95% -54.21 to -44.11 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 2.56 |
|
Estimation Comments |
Title | Percent Change From Baseline in the Total Cholesterol/HDL-C Ratio at Week 12 |
---|---|
Description | |
Time Frame | Baseline and Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set |
Arm/Group Title | Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM |
---|---|---|---|---|
Arm/Group Description | Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks. | Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks. | Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks. | Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks. |
Measure Participants | 54 | 55 | 110 | 110 |
Least Squares Mean (Standard Error) [percent change] |
0.12
(2.19)
|
7.11
(3.13)
|
-45.95
(1.56)
|
-38.32
(2.15)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo Q2W, Evolocumab Q2W |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -46.08 | |
Confidence Interval |
(2-Sided) 95% -51.27 to -40.88 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 2.63 |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo QM, Evolocumab QM |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -45.42 | |
Confidence Interval |
(2-Sided) 95% -52.86 to -37.98 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 3.77 |
|
Estimation Comments |
Title | Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at the Mean of Weeks 10 and 12 |
---|---|
Description | |
Time Frame | Baseline and Weeks 10 and 12 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set |
Arm/Group Title | Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM |
---|---|---|---|---|
Arm/Group Description | Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks. | Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks. | Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks. | Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks. |
Measure Participants | 54 | 55 | 110 | 110 |
Least Squares Mean (Standard Error) [percent change] |
0.78
(2.21)
|
1.65
(2.35)
|
-52.39
(1.56)
|
-53.91
(1.60)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo Q2W, Evolocumab Q2W |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -53.17 | |
Confidence Interval |
(2-Sided) 95% -58.35 to -47.99 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 2.62 |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo QM, Evolocumab QM |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -55.56 | |
Confidence Interval |
(2-Sided) 95% -61.08 to -50.05 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 2.79 |
|
Estimation Comments |
Title | Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at Week 12 |
---|---|
Description | |
Time Frame | Baseline and Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set |
Arm/Group Title | Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM |
---|---|---|---|---|
Arm/Group Description | Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks. | Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks. | Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks. | Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks. |
Measure Participants | 54 | 55 | 110 | 110 |
Least Squares Mean (Standard Error) [percent change] |
1.54
(2.49)
|
4.23
(3.66)
|
-52.74
(1.75)
|
-45.31
(2.42)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo Q2W, Evolocumab Q2W |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -54.28 | |
Confidence Interval |
(2-Sided) 95% -60.16 to -48.41 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 2.97 |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo QM, Evolocumab QM |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -49.55 | |
Confidence Interval |
(2-Sided) 95% -58.14 to -40.96 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 4.35 |
|
Estimation Comments |
Title | Percent Change From Baseline in Lipoprotein (a) at the Mean of Weeks 10 and 12 |
---|---|
Description | |
Time Frame | Baseline and Weeks 10 and 12 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set |
Arm/Group Title | Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM |
---|---|---|---|---|
Arm/Group Description | Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks. | Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks. | Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks. | Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks. |
Measure Participants | 54 | 55 | 110 | 110 |
Least Squares Mean (Standard Error) [percent change] |
7.34
(2.97)
|
5.35
(2.95)
|
-24.03
(2.09)
|
-25.65
(2.07)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo Q2W, Evolocumab Q2W |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -31.37 | |
Confidence Interval |
(2-Sided) 95% -38.33 to -24.41 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 3.52 |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo QM, Evolocumab QM |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -31.00 | |
Confidence Interval |
(2-Sided) 95% -37.91 to -24.09 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 3.50 |
|
Estimation Comments |
Title | Percent Change From Baseline in Lipoprotein (a) at Week 12 |
---|---|
Description | |
Time Frame | Baseline and Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set |
Arm/Group Title | Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM |
---|---|---|---|---|
Arm/Group Description | Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks. | Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks. | Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks. | Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks. |
Measure Participants | 54 | 55 | 110 | 110 |
Least Squares Mean (Standard Error) [percent change] |
8.68
(3.27)
|
6.69
(3.16)
|
-22.89
(2.31)
|
-21.55
(2.17)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo Q2W, Evolocumab Q2W |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -31.57 | |
Confidence Interval |
(2-Sided) 95% -39.28 to -23.87 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 3.90 |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo QM, Evolocumab QM |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -28.24 | |
Confidence Interval |
(2-Sided) 95% -35.61 to -20.88 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 3.73 |
|
Estimation Comments |
Title | Percent Change From Baseline in Triglycerides at the Mean of Weeks 10 and 12 |
---|---|
Description | |
Time Frame | Baseline and Weeks 10 and 12 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set |
Arm/Group Title | Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM |
---|---|---|---|---|
Arm/Group Description | Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks. | Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks. | Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks. | Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks. |
Measure Participants | 54 | 55 | 110 | 110 |
Least Squares Mean (Standard Error) [percent change] |
9.09
(3.02)
|
7.49
(3.26)
|
-13.27
(2.14)
|
-9.25
(2.27)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo Q2W, Evolocumab Q2W |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -22.36 | |
Confidence Interval |
(2-Sided) 95% -29.48 to -15.24 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 3.60 |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo QM, Evolocumab QM |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -16.74 | |
Confidence Interval |
(2-Sided) 95% -24.43 to -9.05 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 3.89 |
|
Estimation Comments |
Title | Percent Change From Baseline in Triglycerides at Week 12 |
---|---|
Description | |
Time Frame | Baseline and Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set |
Arm/Group Title | Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM |
---|---|---|---|---|
Arm/Group Description | Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks. | Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks. | Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks. | Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks. |
Measure Participants | 54 | 55 | 110 | 110 |
Least Squares Mean (Standard Error) [percent change] |
3.50
(3.51)
|
6.43
(4.15)
|
-16.09
(2.49)
|
-5.13
(2.84)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo Q2W, Evolocumab Q2W |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -19.59 | |
Confidence Interval |
(2-Sided) 95% -27.92 to -11.26 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 4.22 |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo QM, Evolocumab QM |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -11.56 | |
Confidence Interval |
(2-Sided) 95% -21.38 to -1.74 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 4.97 |
|
Estimation Comments |
Title | Percent Change From Baseline in HDL-C at the Mean of Weeks 10 and 12 |
---|---|
Description | |
Time Frame | Baseline and Weeks 10 and 12 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set |
Arm/Group Title | Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM |
---|---|---|---|---|
Arm/Group Description | Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks. | Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks. | Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks. | Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks. |
Measure Participants | 54 | 55 | 110 | 110 |
Least Squares Mean (Standard Error) [percent change] |
-0.45
(1.70)
|
-2.86
(1.84)
|
7.93
(1.20)
|
6.62
(1.29)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo Q2W, Evolocumab Q2W |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | 8.38 | |
Confidence Interval |
(2-Sided) 95% 4.36 to 12.40 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 2.04 |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo QM, Evolocumab QM |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | 9.48 | |
Confidence Interval |
(2-Sided) 95% 5.10 to 13.85 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 2.21 |
|
Estimation Comments |
Title | Percent Change From Baseline in HDL-C at Week 12 |
---|---|
Description | |
Time Frame | Baseline and Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set |
Arm/Group Title | Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM |
---|---|---|---|---|
Arm/Group Description | Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks. | Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks. | Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks. | Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks. |
Measure Participants | 54 | 55 | 110 | 110 |
Least Squares Mean (Standard Error) [percent change] |
-1.15
(1.91)
|
-3.73
(2.35)
|
8.05
(1.35)
|
5.35
(1.62)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo Q2W, Evolocumab Q2W |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | 9.20 | |
Confidence Interval |
(2-Sided) 95% 4.66 to 13.74 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 2.30 |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo QM, Evolocumab QM |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | 9.07 | |
Confidence Interval |
(2-Sided) 95% 3.48 to 1466 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 2.83 |
|
Estimation Comments |
Title | Percent Change From Baseline in Very Low-Density Lipoprotein Cholesterol (VLDL-C) at the Mean of Weeks 10 and 12 |
---|---|
Description | |
Time Frame | Baseline and Weeks 10 and 12 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set |
Arm/Group Title | Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM |
---|---|---|---|---|
Arm/Group Description | Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks. | Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks. | Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks. | Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks. |
Measure Participants | 54 | 55 | 110 | 110 |
Least Squares Mean (Standard Error) [percent change] |
8.66
(2.90)
|
6.34
(3.27)
|
-13.97
(2.06)
|
-9.20
(2.27)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo Q2W, Evolocumab Q2W |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -22.63 | |
Confidence Interval |
(2-Sided) 95% -29.46 to -15.81 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 3.46 |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo QM, Evolocumab QM |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -15.54 | |
Confidence Interval |
(2-Sided) 95% -23.25 to -7.84 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 3.90 |
|
Estimation Comments |
Title | Percent Change From Baseline in VLDL-C at Week 12 |
---|---|
Description | |
Time Frame | Baseline and Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set |
Arm/Group Title | Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM |
---|---|---|---|---|
Arm/Group Description | Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks. | Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks. | Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks. | Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks. |
Measure Participants | 54 | 55 | 110 | 110 |
Least Squares Mean (Standard Error) [percent change] |
3.73
(3.50)
|
4.10
(4.17)
|
-17.25
(2.48)
|
-5.06
(2.84)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo Q2W, Evolocumab Q2W |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -20.97 | |
Confidence Interval |
(2-Sided) 95% -29.29 to -12.66 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 4.21 |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Placebo QM, Evolocumab QM |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.001 |
Comments | Multiplicity adjusted p-value is significant if less than the familywise error rate of 0.05. | |
Method | Repeated measures linear effects model | |
Comments | The model includes treatment group, baseline LDL-C and ezetimibe use, scheduled visit, and the interaction of treatment with scheduled visit. | |
Method of Estimation | Estimation Parameter | LS Mean Treatment Difference |
Estimated Value | -9.17 | |
Confidence Interval |
(2-Sided) 95% -19.01 to 0.68 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 4.98 |
|
Estimation Comments |
Adverse Events
Time Frame | From the first dose of blinded investigational product until the end of the study (up to 14 weeks). | |||||||
---|---|---|---|---|---|---|---|---|
Adverse Event Reporting Description | Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold. | |||||||
Arm/Group Title | Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM | ||||
Arm/Group Description | Participants received placebo subcutaneous injection once every 2 weeks (Q2W) for up to 12 weeks. | Participants received placebo subcutaneous injection once every month (QM) for up to 12 weeks. | Participants received 140 mg evolocumab by subcutaneous injection once every 2 weeks for up to 12 weeks. | Participants received 420 mg evolocumab by subcutaneous injection once a month for up to 12 weeks. | ||||
All Cause Mortality |
||||||||
Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM | |||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | / (NaN) | / (NaN) | / (NaN) | / (NaN) | ||||
Serious Adverse Events |
||||||||
Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM | |||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 2/54 (3.7%) | 3/55 (5.5%) | 3/110 (2.7%) | 4/110 (3.6%) | ||||
Cardiac disorders | ||||||||
Acute myocardial infarction | 0/54 (0%) | 0/55 (0%) | 1/110 (0.9%) | 0/110 (0%) | ||||
Angina pectoris | 0/54 (0%) | 0/55 (0%) | 1/110 (0.9%) | 1/110 (0.9%) | ||||
Coronary artery disease | 1/54 (1.9%) | 0/55 (0%) | 0/110 (0%) | 0/110 (0%) | ||||
Gastrointestinal disorders | ||||||||
Inguinal hernia | 1/54 (1.9%) | 0/55 (0%) | 0/110 (0%) | 0/110 (0%) | ||||
Pancreatitis acute | 0/54 (0%) | 0/55 (0%) | 0/110 (0%) | 1/110 (0.9%) | ||||
Investigations | ||||||||
Blood creatine phosphokinase increased | 0/54 (0%) | 1/55 (1.8%) | 0/110 (0%) | 0/110 (0%) | ||||
Colonoscopy abnormal | 0/54 (0%) | 0/55 (0%) | 0/110 (0%) | 1/110 (0.9%) | ||||
Endoscopy gastrointestinal abnormal | 0/54 (0%) | 0/55 (0%) | 0/110 (0%) | 1/110 (0.9%) | ||||
Nervous system disorders | ||||||||
Epilepsy | 0/54 (0%) | 0/55 (0%) | 0/110 (0%) | 1/110 (0.9%) | ||||
Psychiatric disorders | ||||||||
Depression | 0/54 (0%) | 1/55 (1.8%) | 0/110 (0%) | 0/110 (0%) | ||||
Respiratory, thoracic and mediastinal disorders | ||||||||
Chronic obstructive pulmonary disease | 0/54 (0%) | 1/55 (1.8%) | 0/110 (0%) | 0/110 (0%) | ||||
Skin and subcutaneous tissue disorders | ||||||||
Erythema | 0/54 (0%) | 0/55 (0%) | 1/110 (0.9%) | 0/110 (0%) | ||||
Other (Not Including Serious) Adverse Events |
||||||||
Placebo Q2W | Placebo QM | Evolocumab Q2W | Evolocumab QM | |||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 5/54 (9.3%) | 10/55 (18.2%) | 17/110 (15.5%) | 24/110 (21.8%) | ||||
Infections and infestations | ||||||||
Nasopharyngitis | 2/54 (3.7%) | 3/55 (5.5%) | 8/110 (7.3%) | 11/110 (10%) | ||||
Musculoskeletal and connective tissue disorders | ||||||||
Arthralgia | 1/54 (1.9%) | 1/55 (1.8%) | 7/110 (6.4%) | 1/110 (0.9%) | ||||
Back pain | 0/54 (0%) | 1/55 (1.8%) | 2/110 (1.8%) | 6/110 (5.5%) | ||||
Nervous system disorders | ||||||||
Dizziness | 1/54 (1.9%) | 3/55 (5.5%) | 0/110 (0%) | 4/110 (3.6%) | ||||
Headache | 1/54 (1.9%) | 3/55 (5.5%) | 4/110 (3.6%) | 5/110 (4.5%) |
Limitations/Caveats
More Information
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
The Clinical Trial Agreement generally does not restrict an investigator's discussion of trial results after completion. The Agreement permits Amgen a limited period of time to review material discussing trial results (typically up to 45 days and possible extension). Amgen may remove confidential information, but authors have final control and approval of publication content. For multicenter studies, the investigator agrees not to publish any results before the first multi-center publication.
Results Point of Contact
Name/Title | Study Director |
---|---|
Organization | Amgen Inc. |
Phone | 866-572-6436 |
- 20110117
- 2012-001365-32