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Heterozygous Familial HypercholesterolemiaPhase 3ODYSSEY ESCAPENCT02326220

Study of Alirocumab (REGN727/SAR236553) in Patients With Heterozygous Familial Hypercholesterolemia (HeFH) Undergoing Low-density Lipoprotein (LDL) Apheresis Therapy

A Phase 3 study testing Alirocumab in people with Heterozygous Familial Hypercholesterolemia, run by Regeneron Pharmaceuticals at 13 sites in 2 countries.

Completed

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

Official record
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Trial summary

The primary objective of the study is to evaluate the effect of alirocumab 150 mg every 2 weeks (Q2W) in comparison with placebo on the frequency of low-density lipoprotein (LDL) apheresis treatments in participants with heterozygous familial hypercholesterolemia (HeFH) undergoing weekly or bi-weekly LDL apheresis… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Alirocumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
62 participants
Where
13 sitesin 2 countries
Study dates
31 Mar 2015to 30 Apr 2016
Phase
Phase 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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men and women ≥18 years of age at the time of the screening visit
  • Diagnosis of HeFH (Heterozygous familial hypercholesterolemia)
  • Currently undergoing LDL (low-density lipoprotein) apheresis therapy QW (weekly) or Q2W (every 2 weeks) or at least 8 weeks prior to the screening visit

Who cannot join

  • Homozygous FH (familial hypercholesterolemia)
  • Background medical LMT (lipid-modifying therapy) (if applicable) that has not been stable for at least 8 weeks prior to the screening visit
  • LDL apheresis schedule/ apheresis settings that have not been stable for at least 8 weeks prior to the screening visit
  • An LDL apheresis schedule other than QW to Q2W
  • Initiation of a new exercise program or exercise that has not remained stable within 8 weeks prior to the screening visit (week -2)
  • Initiation of a new diet or a diet that has not been stable within 8 weeks prior to the screening visit (week -2)
Show all 12Show fewer
  • Use of nutraceuticals or over-the-counter therapies known to affect lipids, at a dose/amount that has not been stable for at least 8 weeks prior to the screening visit (week -2), or between the screening and randomization visit
  • Presence of any clinically significant uncontrolled endocrine disease known to influence serum lipids or lipoproteins
  • Known history of a positive test for human immunodeficiency virus
  • Use of any active investigational drugs within 1 month or 5 half-lives of screening, whichever is longer
  • Patients who have been treated with at least 1 dose of alirocumab or any other anti-PCSK9 monoclonal antibody in any other clinical studies
  • Pregnant or breastfeeding women

Trial locations and contacts

13 sites in 2 countries.

13 sites in 2 countries

United States7 sites
  • Study site

    Aurora, Colorado

  • Study site

    Hartford, Connecticut

  • Study site

    Kansas City, Kansas

  • Study site

    Philadelphia, Pennsylvania

  • Study site

    Portland, Oregon

  • Study site

    Rochester, Minnesota

  • Study site

    Scarborough, Maine

Other trials in United States

Germany6 sites
  • Study site

    Berlin

  • Study site

    Dresden, Saxony

  • Study site

    Göttingen

  • Study site

    Muenchen (2 Locations)

  • Study site

    Passau

  • Study site

    Rostock

Other trials in Germany

About this study

Official title: A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of Alirocumab in Patients With Heterozygous Familial Hypercholesterolemia Undergoing Lipid Apheresis Therapy

The primary objective of the study is to evaluate the effect of alirocumab 150 mg every 2 weeks (Q2W) in comparison with placebo on the frequency of low-density lipoprotein (LDL) apheresis treatments in participants with heterozygous familial hypercholesterolemia (HeFH) undergoing weekly or bi-weekly LDL apheresis therapy.

Read the detailed description

LDL apheresis removes low-density lipoproteins (LDL) that transport cholesterol in the plasma portion of the blood. This treatment is mainly used for familial hypercholesterolemia, but can be used in other rare diseases. Familial hypercholesterolemia (HeFH) is an inherited genetic condition that causes accumulation of cholesterol in the blood, which can lead to atherosclerosis and heart disease. This treatment is recommended for patients who do not respond to dietary and/or medication control of LDL cholesterol.

Being tested
Placebo, Alirocumab

What participants receive

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

  • PlaceboDrug

  • AlirocumabDrug

    Also called REGN727, SAR236553, Praluent®

Study groups in NCT02326220
Study groupRoleWhat they receive
Placebo Q2W (Double Blind Period)ExperimentalPlacebo (for alirocumab) subcutaneous (SC) injection Q2W up to Week 16.
Receives: Drug: Placebo
Alirocumab 150 mg Q2W (Double Blind Period)ExperimentalAlirocumab 150 mg SC injection Q2W up to Week 16.
Receives: Drug: Alirocumab
Alirocumab 150 Q2W (Open Label Treatment Period)ExperimentalAlirocumab 150 mg SC injection Q2W starting from Week 18 up to Week 76.
Receives: Drug: Alirocumab

What is being measured

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

  1. Change in Standardized Rate of Apheresis Treatments From Week 7 to Week 18

    Rate of apheresis treatments were normalized by the number of planned apheresis treatments according to each participant's established schedule at screening, week -10 to week -2. The normalized rate of apheresis was defined for each participant as the number of actual apheresis treatments received from week 7 to week 18 divided by the number of planned apheresis treatments per randomization strata at baseline (6 for Q2W and 12 for QW).

    Measured: Week 7 to Week 18 (before start of open-label treatment)

Secondary outcomes (22)
  1. Percent Change From Baseline in Calculated LDL-C (Pre-apheresis) at Week 6

    Adjusted Least-squares (LS) means and standard errors at Week 6 were obtained from a mixed-effect model with repeated measures (MMRM) to account for missing data. All available post-baseline data from Week 2 to Week 18 regardless of status on or off-treatment were used in the model (ITT analysis).

    Measured: Baseline and at Week 6

  2. Change in Standardized Rate of Apheresis Treatments From Week 15 to Week 18

    Rate of apheresis treatments were normalized by the rate by the number of actual apheresis treatments according to received from week 15 to week 18 divided by the planned apheresis treatments per randomization strata at baseline (2 for Q2W and 4 for QW). Only legitimate apheresis treatment skipping per point-of-care LDL-C value is counted as "apheresis not occurred". Missing apheresis treatment information (any reason) from week 7 to week 18 is assigned an outcome of the apheresis treatment occurred at the visit (i.e. impute 1 apheresis treatment for that visit).

    Measured: Week 15 up to Week 18 (before the start of open-label treatment dose)

  3. Percent Change From Baseline in Apolipoprotein B (Apo B) (Pre-apheresis) to Week 6

    Adjusted LS means and standard errors at Week 6 were obtained from MMRM to account for missing data. All available post-baseline data from Week 2 (pre-apheresis) to Week 18 (pre-apheresis) regardless of status on- or off-treatment were used in the model (ITT analysis).

    Measured: From Baseline to Week 6

  4. Percent Change From Baseline in Non-High-Density Lipoprotein Cholesterol (Non-HDL-C) (Pre-apheresis) to Week 6

    Adjusted LS means and standard errors at Week 6 were obtained from MMRM to account for missing data. All available post-baseline data from Week 2 (pre-apheresis) to Week 18 (pre-apheresis) regardless of status on- or off-treatment were used in the model (ITT analysis).

    Measured: From Baseline to Week 6

  5. Percent Change From Baseline in Total Cholesterol (Pre-apheresis) to Week 6

    Adjusted LS means and standard errors at Week 6 were obtained from MMRM to account for missing data. All available post-baseline data from Week 2 (pre-apheresis) to Week 18 (pre-apheresis) regardless of status on- or off-treatment were used in the model (ITT analysis).

    Measured: From Baseline to Week 6

  6. Percent Change From Baseline in Apolipoprotein A (Apo A1) (Pre-apheresis) to Week 6

    Adjusted LS means and standard errors at Week 6 were obtained from MMRM to account for missing data. All available post-baseline data from Week 2 (pre-apheresis) to Week 18 (pre-apheresis) regardless of status on- or off-treatment were used in the model (ITT analysis).

    Measured: From Baseline to Week 6

  7. Percentage of Participants With At Least (>=) 30% Reduction in Calculated LDL-C (Pre-apheresis) at Week 6

    Percentage of participants at Week 6 was obtained from a last observation carried forward (LOCF) model for handling of missing data. All available post-baseline data regardless of status on- or off-treatment were used in the model (ITT analysis).

    Measured: From Baseline to Week 6

  8. Percentage of Participants With At Least (>=) 50% Reduction in Calculated LDL-C (Pre-apheresis) at Week 6

    Percentage of participants at Week 6 was obtained from LOCF model for handling of missing data. All available post-baseline data regardless of status on- or off-treatment were used in the model (ITT analysis).

    Measured: From Baseline to Week 6

  9. Percent Change From Baseline in Calculated LDL-C (Pre-Apheresis) to Week 18

    Adjusted LS means and standard errors at Week 18 were obtained from MMRM to account for missing data. All available post-baseline data from Week 2 (pre-apheresis) to Week 18 (pre-apheresis) regardless of status on- or off-treatment were used in the model (ITT analysis).

    Measured: From Baseline to Week 18

  10. Percent Change From Baseline in Apolipoprotein B (Apo B) (Pre-apheresis) to Week 18

    Adjusted LS means and standard errors at Week 18 were obtained from MMRM to account for missing data. All available post-baseline data from Week 2 (pre-apheresis) to Week 18 (pre-apheresis) regardless of status on- or off-treatment were used in the model (ITT analysis).

    Measured: From Baseline to Week 18

  11. Percent Change From Baseline in Non-HDL-C (Pre-apheresis) to Week 18

    Adjusted LS means and standard errors at Week 18 were obtained from MMRM to account for missing data. All available post-baseline data from Week 2 (pre-apheresis) to Week 18 (pre-apheresis) regardless of status on- or off-treatment were used in the model (ITT analysis).

    Measured: From Baseline to Week 18

  12. Percent Change From Baseline in Total Cholesterol (Pre-apheresis) to Week 18

    Adjusted LS means and standard errors at Week 18 were obtained from MMRM to account for missing data. All available post-baseline data from Week 2 (pre-apheresis) to Week 18 (pre-apheresis) regardless of status on- or off-treatment were used in the model (ITT analysis).

    Measured: From Baseline to Week 18

  13. Percent Change From Baseline in Apo A1 (Pre-apheresis) to Week 18

    Adjusted LS means and standard errors at Week 18 were obtained from MMRM to account for missing data. All available post-baseline data from Week 2 (pre-apheresis) to Week 18 (pre-apheresis) regardless of status on- or off-treatment were used in the model (ITT analysis).

    Measured: From Baseline to Week 18

  14. Percentage of Participants With At Least (>=) 30% Reduction in Calculated LDL-C (Pre-apheresis) at Week 18

    Percentage of participants at Week 18 was obtained from LOCF model for handling of missing data. All available post-baseline data regardless of status on- or off-treatment were used in the model (ITT analysis).

    Measured: From Baseline to Week 18

  15. Percentage of Participants With At Least (>=) 50% Reduction in Calculated LDL-C (Pre-apheresis) at Week 18

    Percentage of participants at Week 18 was obtained from LOCF model for handling of missing data. All available post-baseline data regardless of status on- or off-treatment were used in the model (ITT analysis).

    Measured: From Baseline to Week 18

  16. Change From Baseline in W-BQ22 (Well-being Questionnaire) Index Score at Week 18

    The W-BQ22 (well-being) questionnaire was a standardized and generic instrument used for measuring the impact of hypercholesterolemia and treatment on well-being of participants. The general well-being score was calculated as the sum of 22 questions in the W-BQ22 questionnaire (each question scored from 0 to 3 [0 = not at all and 3 = all the time]). Total score for 22 questions range from 0 to 66 [0 = worst condition and 66 = best well-being condition).

    Measured: From Baseline to Week 18

  17. Percent Change From Baseline in Lipoprotein (a) (Lp [a]) (Pre-apheresis) to Week 6

    Adjusted means and standard errors at Week 6 from a multiple imputation approach followed by robust regression model including all available post-baseline data from Week 2 (pre-apheresis) to Week 18 (pre-apheresis) regardless of status on- or off-treatment were used in the model (ITT analysis).

    Measured: From Baseline to Week 6

  18. Percent Change From Baseline in High-Density Lipoprotein Cholesterol (HDL-C) (Pre-apheresis) to Week 6

    Adjusted LS means and standard errors at Week 6 were obtained from MMRM to account for missing data. All available post-baseline data from Week 2 (pre-apheresis) to Week 18 (pre-apheresis) regardless of status on- or off-treatment were used in the model (ITT analysis).

    Measured: From Baseline to Week 6

  19. Percent Change From Baseline in Triglyceride (TG) Levels (Pre-apheresis) to Week 6

    Adjusted means and standard errors at Week 6 from a multiple imputation approach followed by robust regression model including all available post-baseline data from Week 2 (pre-apheresis) to Week 18 (pre-apheresis) regardless of status on- or off-treatment were used in the model (ITT analysis).

    Measured: From Baseline to Week 6

  20. Percent Change From Baseline in Lp (a) (Pre-apheresis) to Week 18

    Adjusted means and standard errors at Week 18 from a multiple imputation approach followed by robust regression model including all available post-baseline data from Week 2 (pre-apheresis) to Week 18 (pre-apheresis) regardless of status on- or off-treatment were used in the model (ITT analysis).

    Measured: From Baseline to Week 18

  21. Percent Change From Baseline in HDL-C (Pre-apheresis) to Week 18

    Adjusted LS means and standard errors at Week 18 were obtained from MMRM to account for missing data. All available post-baseline data from Week 2 (pre-apheresis) to Week 18 (pre-apheresis) regardless of status on- or off-treatment were used in the model (ITT analysis).

    Measured: From Baseline to Week 18

  22. Percent Change From Baseline in TG Levels (Pre-apheresis) to Week 18

    Adjusted means and standard errors at Week 18 from a multiple imputation approach followed by robust regression model including all available post-baseline data from Week 2 (pre-apheresis) to Week 18 (pre-apheresis) regardless of status on- or off-treatment were used in the model (ITT analysis).

    Measured: From Baseline to Week 18

Timeline

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

  1. First posted29 Dec 2014 (estimated)
  2. Study start31 Mar 2015
  3. Primary completion31 Jan 2016
  4. Study completion30 Apr 2016

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
62 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02326220
Sponsor's protocol ID
R727-CL-1216
Acronym
ODYSSEY ESCAPE
Status last verified
Apr 2020
First submitted
22 Dec 2014
Last updated
1 May 2020
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Moriarty PM, Parhofer KG, Babirak SP, Cornier MA, Duell PB, Hohenstein B, Leebmann J, Ramlow W, Schettler V, Simha V, Steinhagen-Thiessen E, Thompson PD, Vogt A, von Stritzky B, Du Y, Manvelian G. Alirocumab in patients with heterozygous familial hypercholesterolaemia undergoing lipoprotein apheresis: the ODYSSEY ESCAPE trial. Eur Heart J. 2016 Dec 21;37(48):3588-3595. doi: 10.1093/eurheartj/ehw388. Epub 2016 Aug 29.

    PubMed 27572070
  • Moriarty PM, Parhofer KG, Babirak SP, deGoma E, Duell PB, Hohenstein B, Ramlow W, Simha V, Steinhagen-Thiessen E, Thompson PD, Vogt A, von Stritzky B, Du Y, Manvelian G. Alirocumab in patients with heterozygous familial hypercholesterolemia undergoing lipoprotein apheresis: Rationale and design of the ODYSSEY ESCAPE trial. J Clin Lipidol. 2016 May-Jun;10(3):627-34. doi: 10.1016/j.jacl.2016.02.003. Epub 2016 Feb 18.

    PubMed 27206951

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Alirocumab in people with Heterozygous Familial Hypercholesterolemia, run by Regeneron Pharmaceuticals at 13 sites in 2 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 3 inclusion and 12 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 1 May 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites in United States, Germany. 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 phase mean?

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 1 May 2020). 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?

Change in Standardized Rate of Apheresis Treatments From Week 7 to Week 18 (time frame: Week 7 to Week 18 (before start of open-label treatment)). 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 NCT02326220, which also lists 2 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 1 May 2020.

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