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HyperlipidemiaPhase 3SPIRE-AINCT02458287

Efficacy, Safety, Tolerability And Actual Use Study Of Bococizumab And An Autoinjector (Pre-Filled Pen) In Subjects With Hyperlipidemia Or Dyslipidemia

A Phase 3 study testing Bococizumab 150mg and Bococizumab 75mg in people with Hyperlipidemia, run by Pfizer at 30 sites in United States.

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

This study is a multicenter, randomized study in subjects with high cholesterol receiving statins to assess the efficacy to lower LDL-C, the safety, tolerability and actual use of bococizumab and an autoinjector (pre-filled pen). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Hyperlipidemia
What is being tested?
Bococizumab 150mg and Bococizumab 75mg
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
299 participants
Where
30 sitesUnited States
Study dates
Jun 2015to Feb 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

  • Treated with a statin - Fasting LDL-C >=70mg/dL and triglycerides <=400mg/dL

Who cannot join

  • Pregnant or breastfeeding females - Cardiovascular or cerebrovascular event or procedures during the past 90 days - Congestive heart failure NYHA class IV - Poorly controlled hypertension

Trial locations and contacts

30 sites in 1 country.

30 sites in 1 country

United States30 sites
  • ACRC - Cardiology

    Atlantis, Florida, 33462

  • Radiant Research Incorporated

    Chandler, Arizona, 85224

  • Sterling Research Group, Ltd.

    Cincinnati, Ohio, 45219

  • Clinical Research of South Florida

    Coral Gables, Florida, 33134

  • Evanston Premier Healthcare Research,LLC

    Evanston, Illinois, 60201

  • Invesclinic, LLC

    Fort Lauderdale, Florida, 33308

  • PharmQuest

    Greensboro, North Carolina, 27408

  • Heart Care Associates, P.C.

    Hopewell, Virginia, 23860

  • Texas Center for Drug Development, Inc.

    Houston, Texas, 77081

  • Midwest Institute For Clinical Research

    Indianapolis, Indiana, 46260

  • Clinical Trial Research

    Lincoln, California, 95648

  • National Research Institute

    Los Angeles, California, 90057

  • L-MARC Research Center

    Louisville, Kentucky, 40213

  • Manassas Clinical Research Center

    Manassas, Virginia, 20110

  • Solaris Clinical Research

    Meridian, Idaho, 83646

  • Omega Clinical Research Center

    Metairie, Louisiana, 70006

  • Clinical Research of Miami, Inc.

    Miami, Florida, 33126

  • Prestige Clinical Research Center, Inc.

    Miami, Florida, 33133

  • PMG Research Of Charleston

    Mt. Pleasant, South Carolina, 29464

  • California Medical Research Associates Inc.

    Northridge, California, 91324

  • A & R Research Group LLC

    Pembroke Pines, Florida, 33024

  • Rainier Clinical Research Center, Inc.

    Renton, Washington, 98057

  • National Clinical Research-Richmond, Inc.

    Richmond, Virginia, 23294

  • Northern California Research

    Sacramento, California, 95821

  • Clinical Research Atlanta

    Stockbridge, Georgia, 30281

  • Palmetto Clinical Research

    Summerville, South Carolina, 29485

  • Buynak Clinical Research, P.C.

    Valparaiso, Indiana, 46383

  • Diablo Clinical Research, Inc.

    Walnut Creek, California, 94598

  • North Georgia Clinical Research

    Woodstock, Georgia, 30189

  • North Georgia Internal Medicine

    Woodstock, Georgia, 30189

Other trials in United States

About this study

Official title: A 12 Week, Phase 3, Double-blind, Randomized, Placebo-controlled, Parallel Group Study To Assess The Efficacy, Safety, Tolerability And Actual Use Of Bococizumab And An Autoinjector (Pre-filled Pen) In Subjects With Primary Hyperlipidemia Or Mixed Dyslipidemia

This study is a multicenter, randomized study in subjects with high cholesterol receiving statins to assess the efficacy to lower LDL-C, the safety, tolerability and actual use of bococizumab and an autoinjector (pre-filled pen).

Conditions
Hyperlipidemia
Being tested
Bococizumab 150mg, Bococizumab 75mg, Bococizumab 150mg placebo, Bococizumab 75mg placebo
Keywords
mixed dyslipidemia
Medical subject headings
Hyperlipidemias

What participants receive

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

  • Bococizumab 150mgBiological

    Bococizumab autoinjector (pre-filled pen) combination Product. 150mg every 2 weeks for 10 weeks, subcutaneous injection.

  • Bococizumab 75mgBiological

    Bococizumab autoinjector (pre-filled pen) combination Product. 75mg every 2 weeks for 10 weeks, subcutaneous injection.

  • Bococizumab 150mg placeboBiological

    Bococizumab placebo autoinjector (pre-filled pen) combination Product. 150mg placebo every 2 weeks for 10 weeks, subcutaneous injection.

  • Bococizumab 75mg placeboBiological

    Bococizumab placebo autoinjector (pre-filled pen) combination product. 75mg placebo every 2 weeks for 10 weeks, subcutaneous injection.

Study groups in NCT02458287
Study groupRoleWhat they receive
Bococizumab 150mgExperimentalBococizumab 150mg autoinjector (pre-filled pen)
Receives: Biological: Bococizumab 150mg
Bococizumab 75mgExperimentalBococizumab 75mg autoinjector (pre-filled pen)
Receives: Biological: Bococizumab 75mg
Bococizumab 150mg placeboPlacebo comparatorBococizumab 150mg placebo autoinjector (pre-filled pen)
Receives: Biological: Bococizumab 150mg placebo
Bococizumab 75mg placeboPlacebo comparatorBococizumab 75mg autoinjector (pre-filled pen)
Receives: Biological: Bococizumab 75mg placebo

What is being measured

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

  1. Percent Change From Baseline at Week 12 in Fasting Low Density Lipoprotein Cholesterol (LDL-C) Level for Bococizumab 150 mg Dose Group and Matched Placebo

    Measured: Baseline, Week 12

  2. Percentage of Injections That Met the Definition for Successful Assessment Using the Participant Assessment Tool (PAT) for Bococizumab 150 mg Dose Group at Week 0 (Day 1)

    A successful injection based on PAT was an injection where the participant answered "yes" to all the three questions: "Were you able to inject your medicine?" "Has the blue bar moved across the window?" Was the medicine not flowing after needle withdrawn?"

    Measured: Week 0 (Day 1)

  3. Percentage of Injections That Met the Definition for Successful Assessment Using the Participant Assessment Tool (PAT) for Bococizumab 150 mg Dose Group at Week 2

    A successful injection based on PAT was an injection where the participant answered "yes" to all the three questions: "Were you able to inject your medicine?" "Has the blue bar moved across the window?" Was the medicine not flowing after needle withdrawn?"

    Measured: Week 2

  4. Percentage of Injections That Met the Definition for Successful Assessment Using the Participant Assessment Tool (PAT) for Bococizumab 150 mg Dose Group at Week 4

    A successful injection based on PAT was an injection where the participant answered "yes" to all the three questions: "Were you able to inject your medicine?" "Has the blue bar moved across the window?" Was the medicine not flowing after needle withdrawn?"

    Measured: Week 4

  5. Percentage of Injections That Met the Definition for Successful Assessment Using the Participant Assessment Tool (PAT) for Bococizumab 150 mg Dose Group at Week 6

    A successful injection based on PAT was an injection where the participant answered "yes" to all the three questions: "Were you able to inject your medicine?" "Has the blue bar moved across the window?" Was the medicine not flowing after needle withdrawn?"

    Measured: Week 6

  6. Percentage of Injections That Met the Definition for Successful Assessment Using the Participant Assessment Tool (PAT) for Bococizumab 150 mg Dose Group at Week 8

    A successful injection based on PAT was an injection where the participant answered "yes" to all the three questions: "Were you able to inject your medicine?" "Has the blue bar moved across the window?" Was the medicine not flowing after needle withdrawn?"

    Measured: Week 8

  7. Percentage of Injections That Met the Definition for Successful Assessment Using the Participant Assessment Tool (PAT) for Bococizumab 150 mg Dose Group at Week 10

    A successful injection based on PAT was an injection where the participant answered "yes" to all the three questions: "Were you able to inject your medicine?" "Has the blue bar moved across the window?" Was the medicine not flowing after needle withdrawn?"

    Measured: Week 10

Secondary outcomes (10)
  1. Percentage of Injections That Met the Definition for Successful Assessment Using the Participant Assessment Tool (PAT) for Bococizumab 75 mg Dose Group and Combined Bococizumab 150 mg and 75 mg Dose Group at Week 0 (Day 1), 2, 4, 6, 8 and 10

    A successful injection based on PAT was an injection where the participant answered "yes" to all the three questions: "Were you able to inject your medicine?" "Has the blue bar moved across the window?" Was the medicine not flowing after needle withdrawn?"

    Measured: Week 0 (Day 1), 2, 4, 6, 8, 10

  2. Percentage of Injections That Met the Definition for Successful Assessment Using the Observer Assessment Tool (OAT) for Bococizumab 150 mg Dose, Bococizumab 75 mg Dose Group and Combined Bococizumab 150 mg and 75 mg Dose Group at Week 0 (Day 1), 4 and 8

    As per the OAT, a 'successful' injection was based on observer's response for the question - "Was the administration successful?''. Observer's response being 'Yes' corresponded to a successful injection.

    Measured: Week 0 (Day 1), 4, 8

  3. Percent Change From Baseline at Week 12 in Fasting Low Density Lipoprotein Cholesterol (LDL-C) Level for Bococizumab 75 mg Dose Group and Matched Placebo

    Measured: Baseline, Week 12

  4. Percent Change From Baseline in Fasting Total Cholesterol (TC) at Week 12

    Measured: Baseline, Week 12

  5. Percent Change From Baseline in Apolipoprotein B (ApoB) at Week 12

    Measured: Baseline, Week 12

  6. Percent Change From Baseline in Fasting Non- High Density Lipoprotein Cholesterol (Non HDL-C) at Week 12

    Measured: Baseline, Week 12

  7. Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; Initial or prolonged inpatient hospitalization; life threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events between first dose of study drug up to the follow up visit (up to 18 weeks), that were absent before treatment or that worsened relative to pretreatment state. AEs included both SAEs and non-SAEs.

    Measured: Baseline up to 18 weeks

  8. Percentage of Participants With Anti-Drug Antibodies (ADA) and Neutralizing Antibodies (nAb)

    Percentage of participants with at least 1 positive ADA titer or 1 positive nAb titer were reported. Participants with their ADA titer levels >=6.23 were considered as ADA positive and participants with their nAb titer level >=1.58 were considered as nAb positive.

    Measured: Baseline up to 18 weeks

  9. Plasma Concentration of Bococizumab at Week 12

    Measured: Week 12

  10. Plasma Concentration of Proprotein Convertase Subtilisin Kexin Type 9 (PCSK9) at Week 12

    PCSK9 is an enzyme encoded by the PCSK9 gene in humans on chromosome. It is the 9th member of the proprotein convertase family of proteins that activate other proteins.

    Measured: Week 12

Timeline

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

  1. First posted1 Jun 2015 (estimated)
  2. Study startJun 2015
  3. Primary completionFeb 2016
  4. Study completionFeb 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
299 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02458287
Sponsor's protocol ID
B1481046
Other IDs
SPIRE-AI
Acronym
SPIRE-AI
Status last verified
Nov 2017
First submitted
2 Apr 2015
Last updated
19 Dec 2017
Data monitoring committee
No

Publications

  • Ridker PM, Tardif JC, Amarenco P, Duggan W, Glynn RJ, Jukema JW, Kastelein JJP, Kim AM, Koenig W, Nissen S, Revkin J, Rose LM, Santos RD, Schwartz PF, Shear CL, Yunis C; SPIRE Investigators. Lipid-Reduction Variability and Antidrug-Antibody Formation with Bococizumab. N Engl J Med. 2017 Apr 20;376(16):1517-1526. doi: 10.1056/NEJMoa1614062. Epub 2017 Mar 17.

    PubMed 28304227

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Bococizumab 150mg and Bococizumab 75mg in people with Hyperlipidemia, run by Pfizer at 30 sites in United States.

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 1 inclusion and 1 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 19 Dec 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 30 sites in United States. 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. Some participants in this study may receive a placebo. 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 19 Dec 2017). 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?

Percent Change From Baseline at Week 12 in Fasting Low Density Lipoprotein Cholesterol (LDL-C) Level for Bococizumab 150 mg Dose Group and Matched Placebo (time frame: Baseline, Week 12). The study lists 7 primary outcomes in all. 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 NCT02458287, which also lists 1 linked publication.

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 19 Dec 2017.

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