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Familial HypercholesterolemiaPhase 3HAUSER-OLENCT02624869

Safety, Tolerability and Efficacy of Evolocumab (AMG 145) in Children With Inherited Elevated Low-density Lipoprotein Cholesterol (Familial Hypercholesterolemia)

A Phase 3 study testing Evolocumab in people with Familial Hypercholesterolemia, run by Amgen at 46 sites in 23 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

The main purpose of this study is to describe the safety and tolerability of 80 weeks of subcutaneous (SC) evolocumab when added to standard of care in children 10 to 17 years of age with familial hypercholesterolemia. Read more about this study

Who is it for?
Ages 10 to 17 years
Conditions the study is for
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
163 participants
Where
46 sitesin 23 countries
Study dates
10 Sep 2016to 1 Jun 2021
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 10 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Heterozygous Familial Hypercholesterolemia (HeFH):
  • -Completed Study 20120123 (NCT02392559) while still on assigned investigational product and did not experience a treatment-related serious adverse event
  • Homozygous Familial Hypercholesterolemia (HoFH):
  • Male or female, ≥ 10 to ≤ 17 years of age at time of enrollment
  • Diagnosis of HoFH
  • On a low-fat diet and receiving background lipid-lowering therapy
Show all 9Show fewer
  • Lipid-lowering therapy unchanged for ≥ 4 weeks prior to LDL-C screening; fibrates must be stable for at least 6 weeks prior to screening.
  • Fasting LDL-C at screening ≥ 130 mg/dL (3.4 mmol/L)
  • Fasting triglycerides ≤ 400 mg/dL (4.5 mmol/L)

Who cannot join

  • -Currently receiving treatment in another investigational device or drug study, or less than 30 days since ending treatment on another investigational device or drug study(s); except Study 20120123
  • HoFH:
  • Moderate to severe renal dysfunction
  • Active liver disease or hepatic dysfunction,
  • Creatine kinase > 3 times the upper limit of normal (ULN) at screening

Trial locations and contacts

46 sites in 23 countries.

46 sites in 23 countries

Italy5 sites
  • Research Site

    Palermo, 90127

  • Research Site

    Pisa, 56124

  • Research Site

    Roma, 00161

  • Research Site

    Roma, 00165

  • Research Site

    Torino, 10126

Other trials in Italy

Brazil4 sites
  • Research Site

    Brasília, Federal District, 71625-175

  • Research Site

    Fortaleza, Ceará, 60430-270

  • Research Site

    São Paulo, 04040-000

  • Research Site

    São Paulo, 05403-000

Other trials in Brazil

United States3 sites
  • Research Site

    Cincinnati, Ohio, 45227

  • Research Site

    Nashville, Tennessee, 37212

  • Research Site

    The Bronx, New York, 10467

Other trials in United States

Austria3 sites
  • Research Site

    Feldkirch, 6800

  • Research Site

    Salzburg, 5020

  • Research Site

    Vienna, 1090

Other trials in Austria

Belgium3 sites
  • Research Site

    Ghent, 9000

  • Research Site

    La Louvière, 7100

  • Research Site

    Leuven, 3000

Other trials in Belgium

Canada3 sites
  • Research Site

    Chicoutimi, Quebec, G7H 5H6

  • Research Site

    Chicoutimi, Quebec, G7H 7K9

  • Research Site

    Québec, Quebec, G1V 4W2

Other trials in Canada

Spain3 sites
  • Research Site

    A Coruña, Galicia, 15001

  • Research Site

    Córdoba, Andalusia, 14004

  • Research Site

    Lugo, Galicia, 27003

Other trials in Spain

Colombia2 sites
  • Research Site

    Barranquilla, Atlántico, 080020

  • Research Site

    Bucaramanga, Santander Department, 81004

Other trials in Colombia

Greece2 sites
  • Research Site

    Athens, 17674

  • Research Site

    Thessaloniki, 54642

Other trials in Greece

Norway2 sites
  • Research Site

    Bergen, 5021

  • Research Site

    Oslo, 0586

Other trials in Norway

South Africa2 sites
  • Research Site

    Parktown, Gauteng, 2193

  • Research Site

    Parow, Western Cape, 7505

Other trials in South Africa

Switzerland2 sites
  • Research Site

    Geneva, 1211

  • Research Site

    Reinach, 4153

Other trials in Switzerland

Turkey (Türkiye)2 sites
  • Research Site

    Ankara, 06500

  • Research Site

    Izmir, 35100

Other trials in Turkey (Türkiye)

Australia1 site
  • Research Site

    Camperdown, New South Wales, 2050

Other trials in Australia

Czechia1 site
  • Research Site

    Svitavy, 568 25

Other trials in Czechia

Hungary1 site
  • Research Site

    Budapest, 1094

Other trials in Hungary

Malaysia1 site
  • Research Site

    Kota Bharu, Kelantan, 16150

Other trials in Malaysia

Netherlands1 site
  • Research Site

    Amsterdam, 1066 EC

Other trials in Netherlands

Poland1 site
  • Research Site

    Gdansk, 80-952

Other trials in Poland

Portugal1 site
  • Research Site

    Guimarães, 4835-044

Other trials in Portugal

Russia1 site
  • Research Site

    Saint Petersburg, 191025

Other trials in Russia

Slovenia1 site
  • Research Site

    Ljubljana, 1000

Other trials in Slovenia

United Kingdom1 site
  • Research Site

    Birmingham, B4 6NH

Other trials in United Kingdom

About this study

Official title: Open-label, Single-Arm, Multicenter Study to Evaluate the Safety, Tolerability and Efficacy of Evolocumab for LDL-C Reduction, as Add-on to Diet and Lipid-lowering Therapy, in Pediatric Subjects From 10 to 17 Years of Age With Heterozygous Familial Hypercholesterolemia (HeFH) or Homozygous Familial Hypercholesterolemia (HoFH)

The main purpose of this study is to describe the safety and tolerability of 80 weeks of subcutaneous (SC) evolocumab when added to standard of care in children 10 to 17 years of age with familial hypercholesterolemia.

Being tested
Evolocumab
Keywords
Hypercholesterolemia, Elevated Cholesterol, High Cholesterol, PCSK9 mutations, Severe Familial Hypercholesterolemia, evolocumab, Repatha, Heterozygous Familial Hypercholesterolemia, Homozygous Familial Hypercholesterolemia, Pediatric, Paediatric
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 Repatha®, AMG 145

    Administered by subcutaneous injection

Study groups in NCT02624869
Study groupRoleWhat they receive
EvolocumabExperimentalParticipants receive 420 mg evolocumab administered by subcutaneous injection every 4 weeks (QM) for up to 80 weeks.
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 Treatment-emergent Adverse Events (TEAEs)

    An adverse event is defined as any untoward medical occurrence in a clinical trial participant, not necessarily having a causal relationship with study treatment.

    A serious AE is as an AE that met at least 1 of the following criteria:

    • fatal;
    • life threatening;
    • required in-patient hospitalization or prolongation of existing hospitalization;
    • resulted in persistent or significant disability/incapacity;
    • congenital anomaly/birth defect;
    • other medically important serious event.

    AEs were graded for severity using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0:

    Grade 1: Mild; asymptomatic or mild symptoms; Grade 2: Moderate; minimal, local or noninvasive intervention indicated; Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; Grade 4: Life-threatening consequences; urgent intervention indicated; Grade 5: Death related to AE.

    Measured: From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.

Secondary outcomes (25)
  1. Percent Change From Baseline to Week 80 in Low-density Lipoprotein Cholesterol (LDL-C) in HeFH Participants

    For HeFH participants baseline was defined as the baseline value of the parent study 20120123.

    Measured: Baseline and week 80

  2. Percent Change From Baseline to Week 80 in Low-density Lipoprotein Cholesterol (LDL-C) in HoFH Participants

    For HoFH participants baseline was defined as the baseline value in this study (20120124).

    Measured: Baseline and week 80

  3. Percent Change From Baseline to Week 80 in Non-HDL-C in HeFH Participants

    For HeFH participants baseline was defined as the baseline value of the parent study 20120123.

    Measured: Baseline and week 80

  4. Percent Change From Baseline to Week 80 in Non-HDL-C in HoFH Participants

    For HoFH participants baseline was defined as the baseline value in this study (20120124).

    Measured: Baseline and week 80

  5. Percent Change From Baseline to Week 80 in Apolipoprotein B in HeFH Participants

    For HeFH participants baseline was defined as the baseline value in the parent study 20120123.

    Measured: Baseline and week 80

  6. Percent Change From Baseline to Week 80 in Apolipoprotein B in HoFH Participants

    For HoFH participants baseline was defined as the baseline value in this study (20120124).

    Measured: Baseline and week 80

  7. Percent Change From Baseline to Week 80 in Total Cholesterol/HDL-C Ratio in HeFH Participants

    For HeFH participants baseline was defined as the baseline value in the parent study 20120123.

    Measured: Baseline and week 80

  8. Percent Change From Baseline to Week 80 in Total Cholesterol/HDL-C Ratio in HoFH Participants

    For HoFH participants baseline was defined as the baseline value in this study (20120124).

    Measured: Baseline and week 80

  9. Percent Change From Baseline to Week 80 in Apolipoprotein B / Apolipoprotein A1 Ratio in HeFH Participants

    For HeFH participants baseline was defined as the baseline value in the parent study 20120123.

    Measured: Baseline and week 80

  10. Percent Change From Baseline to Week 80 in Apolipoprotein B/Apolipoprotein A1 Ratio in HoFH Participants

    For HoFH participants baseline was defined as the baseline value in this study (20120124).

    Measured: Baseline and week 80

  11. Change From Baseline to Week 80 in LDL-C in HeFH Participants

    For HeFH participants baseline was defined as the baseline value of the parent study 20120123.

    Measured: Baseline and week 80

  12. Change From Baseline to Week 80 in LDL-C in HoFH Participants

    For HoFH participants baseline was defined as the baseline value in this study (20120124).

    Measured: Baseline and week 80

  13. Change From Baseline to Week 80 in Estradiol Levels

    For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).

    Measured: Baseline and week 80

  14. Change From Baseline to Week 80 in Testosterone Levels

    For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).

    Measured: Baseline and week 80

  15. Change From Baseline to Week 80 in Follicle Stimulating Hormone (FSH) Levels

    For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).

    Measured: Baseline and week 80

  16. Change From Baseline to Week 80 in Luteinizing Hormone (LH) Levels

    For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).

    Measured: Baseline and week 80

  17. Change From Baseline to Week 80 in Adenocorticotropic Hormone (ACTH) Levels

    For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).

    Measured: Baseline and week 80

  18. Change From Baseline to Week 80 in Dehydroepiandrosterone Sulfate (DHEA-S) Levels

    For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).

    Measured: Baseline and week 80

  19. Change From Baseline to Week 80 in Cortisol Levels

    For HeFH participants baseline was defined as the baseline value in the parent study 20120123. For HoFH participants baseline was defined as the baseline value in this study (20120124).

    Measured: Baseline and week 80

  20. Number of Participants With Liver Function Test Abnormalities at Week 80

    Liver function tests included alanine aminotransferase (ALT) levels, aspartate aminotransferase (AST) levels and total bilirubin levels.

    Measured: Week 80

  21. Number of Participants With Abnormalities in Levels of Creatine Kinase (CK) at Week 80

    The number of participants with levels of creatine kinase greater than 5 times the upper limit of normal (ULN) and greater than 10 times the ULN, measured by the central laboratory.

    Measured: Week 80

  22. Change From Baseline to Week 80 in Carotid Intima-media Thickness (cIMT)

    Carotid intima-media thickness measures the thickness of the intima and media, the inner two layers of the carotid artery, and is used to determine the extent of plaque buildup in the walls of the arteries (atherosclerosis) supplying blood to the head.

    CIMT was measured by ultrasonography and analyzed at a core laboratory. The largest values measured in the left common carotid artery (LCCA) and the right common carotid artery (RCCA) are averaged in this analysis.

    Measured: Baseline and week 80

  23. Change From Baseline in Height at Weeks 24, 48, and 80

    Measured: Baseline and weeks 24, 48, and 80

  24. Change From Baseline in Weight at Weeks 24, 48, and 80

    Measured: Baseline and weeks 24, 48, and 80

  25. Number of Participants With Change in Tanner Staging From Baseline to Week 80

    Pubertal growth and sexual maturity was assessed separately for males and females using the 5 Tanner stages where stage 1 = prepubertal and stage 5 = mature.

    The number of participants with any change in Tanner Stage from baseline is reported.

    Measured: Baseline and week 80

Timeline

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

  1. First posted9 Dec 2015 (estimated)
  2. Study start10 Sep 2016
  3. Primary completion1 Jun 2021
  4. Study completion1 Jun 2021

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
163 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02624869
Sponsor's protocol ID
20120124
Other IDs
2015-002276-25, 2015
Acronym
HAUSER-OLE
Status last verified
May 2024
First submitted
22 Oct 2015
Last updated
29 May 2024
Data monitoring committee
Yes
Individual data sharing
Yes: De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request

Publications

  • Santos RD, Ruzza A, Hovingh GK, Stefanutti C, Mach F, Descamps OS, Bergeron J, Wang B, Bartuli A, Buonuomo PS, Greber-Platzer S, Luirink I, Bhatia AK, Raal FJ, Kastelein JJP, Wiegman A, Gaudet D. Paediatric patients with heterozygous familial hypercholesterolaemia treated with evolocumab for 80 weeks (HAUSER-OLE): a single-arm, multicentre, open-label extension of HAUSER-RCT. Lancet Diabetes Endocrinol. 2022 Oct;10(10):732-740. doi: 10.1016/S2213-8587(22)00221-2. Epub 2022 Sep 5.

    PubMed 36075246
  • 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
  • Santos RD, Ruzza A, Wang B, Maruff P, Schembri A, Bhatia AK, Mach F, Bergeron J, Gaudet I, St Pierre J, Kastelein JJP, Hovingh GK, Wiegman A, Gaudet D, Raal FJ. Evolocumab in paediatric heterozygous familial hypercholesterolaemia: cognitive function during 80 weeks of open-label extension treatment. Eur J Prev Cardiol. 2024 Feb 15;31(3):302-310. doi: 10.1093/eurjpc/zwad332.

    PubMed 37855448
  • Wiegman A, Ruzza A, Hovingh GK, Santos RD, Mach F, Stefanutti C, Luirink IK, Bridges I, Wang B, Bhatia AK, Raal FJ, Kastelein JJP, Gaudet D. Evolocumab treatment reduces carotid intima-media thickness in paediatric patients with heterozygous familial hypercholesterolaemia. Eur J Prev Cardiol. 2026 Jul 14;33(9):1548-1556. doi: 10.1093/eurjpc/zwae369.

    PubMed 39531353

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Evolocumab in people with Familial Hypercholesterolemia, run by Amgen at 46 sites in 23 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 9 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 29 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 46 sites in Italy, Brazil, United States, Austria, Belgium and 18 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 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 14 Jan 2022). 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 Treatment-emergent Adverse Events (TEAEs) (time frame: From first dose of evolocumab in this study up to and including 30 days after the last dose or up to the end of study date, whichever was earlier; up to 80 weeks.). 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 NCT02624869, which also lists 4 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 29 May 2024.

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