AzTrials
AzTrials

Severe Familial HypercholesterolemiaPhase 2/3TAUSSIGNCT01624142

Trial Assessing Long Term USe of PCSK9 Inhibition in Subjects With Genetic LDL Disorders

A Phase 2/3 study testing Evolocumab in people with Severe Familial Hypercholesterolemia, run by Amgen at 44 sites in 18 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

A study to assess the long term safety and tolerability of evolocumab (AMG 145) in adolescents and adults with severe familial hypercholesterolemia. Read more about this study

Who is it for?
Ages 12 to 80 years
Conditions the study is for
Severe Familial Hypercholesterolemia
What is being tested?
Evolocumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
300 participants
Where
44 sitesin 18 countries
Study dates
1 Jun 2012to 11 May 2018
Phase
Phase 2/3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 to 80 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Participated in Study 20110233 (NCT01588496) or another qualifying evolocumab parent protocol and have a diagnosis of familial hypercholesterolemia.
  • OR
  • Have a diagnosis of familial hypercholesterolemia AND
  • Males and females ≥ 12 to ≤ 80 years of age
  • Stable low-fat diet and lipid-lowering therapies for at least 4 weeks
  • Low-density lipoprotein cholesterol (LDL-C) >= 130 mg/dl (3.4 mmol/L) for subjects without diagnosed coronary heart disease (CHD)/CHD risk equivalent OR LDL-C >= 100 mg/dl (2.6 mmol/L) for subjects with diagnosed CHD or CHD risk equivalent OR apheresis patients have no LDL-C entry requirement
  • Fasting triglycerides ≤ 400 mg/dL(4.5 mmol/L)
  • Body weight of > 40 kg or greater at screening for subjects less than 18 years of age

Who cannot join

  • New York Heart Failure Association (NYHA) class III or IV or last known left ventricular ejection fraction < 30%
  • Myocardial infarction, unstable angina, percutaneous coronary intervention (PCI), coronary artery bypass graft (CABG) or stroke within 3 months of screening
  • Planned cardiac surgery or revascularization
  • Uncontrolled cardiac arrhythmia
  • Uncontrolled hypertension

Trial locations and contacts

44 sites in 18 countries.

44 sites in 18 countries

United States6 sites
  • Research Site

    Cincinnati, Ohio, 45227

  • Research Site

    Los Angeles, California, 90048

  • Research Site

    Nashville, Tennessee, 37232

  • Research Site

    New York, New York, 10021

  • Research Site

    New York, New York, 10029

  • Research Site

    New York, New York, 10032

Other trials in United States

Canada5 sites
  • Research Site

    Chicoutimi, Quebec, G7H 7K9

  • Research Site

    London, Ontario, N6A 5K8

  • Research Site

    Montreal, Quebec, H2W 1R7

  • Research Site

    Montreal, Quebec, H3A 1A1

  • Research Site

    Québec, Quebec, G1V 4M6

Other trials in Canada

Czechia5 sites
  • Research Site

    Brno, 656 91

  • Research Site

    Hradec Králové, 500 05

  • Research Site

    Olomouc, 775 20

  • Research Site

    Prague, 128 08

  • Research Site

    Uherské Hradiště, 686 01

Other trials in Czechia

Spain5 sites
  • Research Site

    A Coruña, Galicia, 15001

  • Research Site

    Barcelona, Catalonia, 08036

  • Research Site

    Córdoba, Andalusia, 14004

  • Research Site

    Lugo, Galicia, 27003

  • Research Site

    Madrid, 28040

Other trials in Spain

Italy3 sites
  • Research Site

    Cinisello Balsamo (MI), 20092

  • Research Site

    Naples, 80131

  • Research Site

    Pisa, 56124

Other trials in Italy

Australia2 sites
  • Research Site

    Hobart, Tasmania, 7000

  • Research Site

    Perth, Western Australia, 6000

Other trials in Australia

Belgium2 sites
  • Research Site

    Brussels, 1200

  • Research Site

    La Louvière, 7100

Other trials in Belgium

Brazil2 sites
  • Research Site

    São Paulo, São Paulo, 04039-030

  • Research Site

    São Paulo, 05403-000

Other trials in Brazil

France2 sites
  • Research Site

    Dijon, 21000

  • Research Site

    Paris, 75651

Other trials in France

Japan2 sites
  • Research Site

    Kanazawa, Ishikawa-ken, 920-8641

  • Research Site

    Suita, Osaka, 565-8565

Other trials in Japan

Netherlands2 sites
  • Research Site

    Amsterdam, 1105 AZ

  • Research Site

    Rotterdam, 3045 PM

Other trials in Netherlands

South Africa2 sites
  • Research Site

    Johannesburg, Gauteng, 2193

  • Research Site

    Observatory, Western Cape, 7925

Other trials in South Africa

Greece1 site
  • Research Site

    Athens, 17674

Other trials in Greece

Hong Kong1 site
  • Research Site

    New Territories

Other trials in Hong Kong

Israel1 site
  • Research Site

    Ramat Gan, 52621

Other trials in Israel

Lebanon1 site
  • Research Site

    Beirut, 0000

Other trials in Lebanon

New Zealand1 site
  • Research Site

    Christchurch, 8011

Other trials in New Zealand

United Kingdom1 site
  • Research Site

    Manchester, M13 9WL

Other trials in United Kingdom

About this study

Official title: A Multicenter, Open-label Study to Assess the Long-term Safety, Tolerability, and Efficacy of Evolocumab (AMG145) on LDL-C in Subjects With Severe Familial Hypercholesterolemia

A study to assess the long term safety and tolerability of evolocumab (AMG 145) in adolescents and adults with severe familial hypercholesterolemia.

Read the detailed description

This phase 2/3 open-label extension study was designed to characterize the safety and tolerability of long-term administration of evolocumab to adults and adolescents with severe FH (HoFH or non-HoFH severe FH). Participants not on lipid apheresis at enrollment or within the prior 8 weeks initiated treatment with evolocumab 420 mg once monthly (QM). Participants on lipid apheresis at enrollment initiated treatment with evolocumab 420 mg once every 2 weeks (Q2W). Dose frequency changes (420 mg QM vs 420 mg Q2W) were permitted at week 12, 24, or other visits with Sponsor approval. Participants with < 5% LDL-C reduction from baseline and serum unbound proprotein convertase subtilisin/kexin type 9 (PCSK9) < 100 ng/mL could discontinue evolocumab. If serum unbound PCSK9 was ≥ 100 ng/mL with QM dosing, the participant could switch to evolocumab 420 mg Q2W treatment. Participants on apheresis with ≥ 5% LDL-C reduction from baseline and serum unbound PCSK9 < 100 ng/mL with Q2W treatment could switch to QM dosing.

Participants were to continue to receive open-label evolocumab for up to 5 years or until evolocumab became commercially available in the relevant patient population, whichever occurred first.

Being tested
Evolocumab
Keywords
Hypercholesterolemia, Elevated Cholesterol, High Cholesterol, Homozygous Familial Hypercholesterolemia, PCSK9 mutations, Severe Familial Hypercholesterolemia
Medical subject headings
Hyperlipoproteinemia Type II, Hypercholesterolemia, Homozygous Familial Hypercholesterolemia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • EvolocumabBiological

    Also called AMG 145, Repatha

    Evolocumab was administered by subcutaneous injection either once a month (QM) or once every two weeks (Q2W).

Study groups in NCT01624142
Study groupRoleWhat they receive
EvolocumabExperimentalParticipants received 420 mg evolocumab every month (participants not on lipid apheresis) or every 2 weeks (participants on lipid apheresis) for up to 5 years. Participants could switch dosing regimens at week 12 or 24 based on LDL-C and serum unbound proprotein convertase subtilisin/kexin type 9 (PCSK9) levels.
Receives: Biological: Evolocumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Adverse Events

    The severity of each adverse event (AE) was graded according to the National Cancer Institute Common Terminology Criteria for AEs (NCI-CTCAE) grading scale, where grade 1 = mild AE, grade 2 = moderate AE, grade 3 = severe AE, grade 4 = life-threatening AE and grade 5 = death due to AE.

    Measured: From first dose of study drug in Study 20110271 up to 30 days after the last dose or until the end of study date, whichever was earlier; median duration of treatment was 48.7 months.

Secondary outcomes (7)
  1. Percent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C)

    Measured: Baseline and weeks 4, 6, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, and 216

  2. Percent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C)

    Measured: Baseline and weeks 4, 6, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, and 216

  3. Percent Change From Baseline in Lipoprotein (a)

    Measured: Baseline and weeks 4, 6, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, and 216

  4. Percent Change From Baseline in Apolipoprotein B

    Measured: Baseline and weeks 4, 6, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, and 216

  5. Percent Change From Baseline in Total Cholesterol/HDL-C Ratio

    Measured: Baseline and weeks 4, 6, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, and 216

  6. Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio

    Measured: Baseline and weeks 4, 6, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, and 216

  7. Percentage of Participants With a 15% or Greater Reduction in LDL-C

    Measured: Baseline and weeks 4, 6, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, and 216

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Jun 2012 (estimated)
  2. Study start1 Jun 2012
  3. Primary completion11 May 2018
  4. Study completion11 May 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2/3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
300 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01624142
Sponsor's protocol ID
20110271
Other IDs
2011-005400-15
Acronym
TAUSSIG
Status last verified
May 2024
First submitted
5 Jun 2012
Last updated
28 May 2024
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Raal FJ, Hovingh GK, Blom D, Santos RD, Harada-Shiba M, Bruckert E, Couture P, Soran H, Watts GF, Kurtz C, Honarpour N, Tang L, Kasichayanula S, Wasserman SM, Stein EA. Long-term treatment with evolocumab added to conventional drug therapy, with or without apheresis, in patients with homozygous familial hypercholesterolaemia: an interim subset analysis of the open-label TAUSSIG study. Lancet Diabetes Endocrinol. 2017 Apr;5(4):280-290. doi: 10.1016/S2213-8587(17)30044-X. Epub 2017 Feb 16.

    PubMed 28215937
  • 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.

    PubMed 29353350
  • Santos RD, Stein EA, Hovingh GK, Blom DJ, Soran H, Watts GF, Lopez JAG, Bray S, Kurtz CE, Hamer AW, Raal FJ. Long-Term Evolocumab in Patients With Familial Hypercholesterolemia. J Am Coll Cardiol. 2020 Feb 18;75(6):565-574. doi: 10.1016/j.jacc.2019.12.020.

    PubMed 32057369
  • Raal FJ, Hegele RA, Ruzza A, Lopez JAG, Bhatia AK, Wu J, Wang H, Gaudet D, Wiegman A, Wang J, Santos RD. Evolocumab Treatment in Pediatric Patients With Homozygous Familial Hypercholesterolemia: Pooled Data From Three Open-Label Studies. Arterioscler Thromb Vasc Biol. 2024 May;44(5):1156-1164. doi: 10.1161/ATVBAHA.123.320268. Epub 2024 Mar 28.

    PubMed 38545781
  • Schmidt AF, Carter JL, Pearce LS, Wilkins JT, Overington JP, Hingorani AD, Casas JP. PCSK9 monoclonal antibodies for the primary and secondary prevention of cardiovascular disease. Cochrane Database Syst Rev. 2020 Oct 20;10(10):CD011748. doi: 10.1002/14651858.CD011748.pub3.

    PubMed 33078867
  • Stein EA, Honarpour N, Wasserman SM, Xu F, Scott R, Raal FJ. Effect of the proprotein convertase subtilisin/kexin 9 monoclonal antibody, AMG 145, in homozygous familial hypercholesterolemia. Circulation. 2013 Nov 5;128(19):2113-20. doi: 10.1161/CIRCULATIONAHA.113.004678. Epub 2013 Sep 6.

    PubMed 24014831

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing Evolocumab in people with Severe Familial Hypercholesterolemia, run by Amgen at 44 sites in 18 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 May 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 44 sites in United States, Canada, Czechia, Spain, Italy and 13 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 28 Jan 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Adverse Events (time frame: From first dose of study drug in Study 20110271 up to 30 days after the last dose or until the end of study date, whichever was earlier; median duration of treatment was 48.7 months.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01624142, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 May 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in