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Subjects With Hyperlipidemia, Dyslipidemia and HIV InfectionPhase 3NCT02833844

Safety, Tolerability and Efficacy on Low Density Lipoprotein Cholesterol (LDL-C) of Evolocumab in Participants With Human Immunodeficiency Virus (HIV) and Hyperlipidemia/Mixed Dyslipidemia

A Phase 3 study testing Evolocumab in people with Subjects With Hyperlipidemia, Dyslipidemia and HIV Infection, run by Amgen at 78 sites in 15 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 study is divided into 2 parts. The first part of the study will be double-blinded and will last for 24 weeks. During this time, participants will be randomized in a ratio of 2:1 to receive either evolocumab once monthly (QM) or placebo QM. The second part of the study is a 24-week open label extension period. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Evolocumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
467 participants
Where
78 sitesin 15 countries
Study dates
22 May 2017to 27 Jan 2020
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

  • Male or female ≥ 18 years of age
  • Known HIV infection with stable HIV therapy for ≥ 6 months
  • Cluster of differentiation 4 (CD4) ≥ 250 cells/mm^3 for ≥ 6 months
  • HIV viral load ≤ 50 copies/mL at screening and ≤ 200 copies/mL for ≥ 6 months
  • Subject on stable lipid-lowering therapy for ≥ 4 weeks prior to randomization and not expected to change during the duration of study
  • For subjects with known clinical atherosclerotic cardiovascular disease (ASCVD), fasting LDL-C of ≥ 70 mg/dL or non-high density lipoprotein cholesterol (non-HDL-C) ≥ 100 mg/dL. For subjects without known clinical ASCVD: fasting LDL-C of ≥ 100 mg/dL or non-HDL-C of ≥ 130 mg/dL
  • Fasting triglycerides ≤ 600 mg/dL (6.8 mmol/L)

Who cannot join

  • Taking a combination of background lipid-lowering therapy and HIV therapy known to have significant drug-drug interaction
  • New York Heart Association (NYHA) III or IV heart failure, or last known left ventricular ejection fraction (LVEF) < 30%
  • Known opportunistic infection/acquired immunodeficiency syndrome (AIDS) defining illness within 1 year prior to randomization
  • Myocardial infarction, unstable angina, percutaneous coronary intervention, coronary artery bypass graft or stroke within 3 months
  • Type 1 diabetes, new-onset or poorly controlled type 2 diabetes
  • Uncontrolled hypertension
Show all 11Show fewer
  • Taken a cholesteryl ester transfer protein inhibitor in the last 12 months
  • Moderate to severe renal dysfunction
  • Persistent active liver disease or hepatic dysfunction (Stable chronic hepatitis C of at least 1 year duration prior to randomization is allowed)
  • Malignancy (except non-melanoma skin cancers, cervical in-situ carcinoma, breast ductal carcinoma in-situ, or stage 1 prostate carcinoma) within the last 5 years prior to randomization
  • Other exclusion criteria may apply.

Trial locations and contacts

78 sites in 15 countries.

78 sites in 15 countries

United States20 sites
  • Research Site

    Albany, New York, 12208

  • Research Site

    Augusta, Georgia, 30912

  • Research Site

    Berkley, Michigan, 48072

  • Research Site

    Camden, New Jersey, 08103

  • Research Site

    Cincinnati, Ohio, 45267

  • Research Site

    Detroit, Michigan, 48202

  • Research Site

    Falls Church, Virginia, 22042

  • Research Site

    Hartford, Connecticut, 06102

  • Research Site

    Los Angeles, California, 90035

  • Research Site

    Miami, Florida, 33136

  • Research Site

    Minneapolis, Minnesota, 55415

  • Research Site

    New York, New York, 10029

  • Research Site

    Southfield, Michigan, 48075

  • Research Site

    St Louis, Missouri, 63110

  • Research Site

    Tampa, Florida, 33602

  • Research Site

    The Bronx, New York, 10467

  • Research Site

    Vero Beach, Florida, 32960

  • Research Site

    Washington D.C., District of Columbia, 20005

  • Research Site

    Washington D.C., District of Columbia, 20007

  • Research Site

    Washington D.C., District of Columbia, 20037

Other trials in United States

France7 sites
  • Research Site

    Bordeaux, 33075

  • Research Site

    Lyon, 69317

  • Research Site

    Montpellier, 34295

  • Research Site

    Nantes, 44093

  • Research Site

    Paris, 75475

  • Research Site

    Paris, 75571

  • Research Site

    Paris, 75651

Other trials in France

Australia6 sites
  • Research Site

    Darlinghurst, New South Wales, 2010

  • Research Site

    East Sydney, New South Wales, 2010

  • Research Site

    Fortitude Valley, Queensland, 4006

  • Research Site

    Melbourne, Victoria, 3004

  • Research Site

    Prahran, Victoria, 3181

  • Research Site

    Sydney, New South Wales, 2010

Other trials in Australia

Italy6 sites
  • Research Site

    Bologna, 40138

  • Research Site

    Genova, 16132

  • Research Site

    Milan, 20157

  • Research Site

    Modena, 41100

  • Research Site

    Pisa, 56124

  • Research Site

    Roma, 00149

Other trials in Italy

Canada5 sites
  • Research Site

    Calgary, Alberta, T2R 0X7

  • Research Site

    Hamilton, Ontario, L8S 1A4

  • Research Site

    Montreal, Quebec, H4A 3T2

  • Research Site

    Québec, Quebec, G1V 4G2

  • Research Site

    Vancouver, British Columbia, V6Z 1Y6

Other trials in Canada

Greece5 sites
  • Research Site

    Athens, 10676

  • Research Site

    Athens, 11527

  • Research Site

    Athens, 12462

  • Research Site

    Athens, 16121

  • Research Site

    Thessaloniki, 54636

Other trials in Greece

Portugal4 sites
  • Research Site

    Almada, 2801-951

  • Research Site

    Aveiro, 3814-501

  • Research Site

    Coimbra, 3000-075

  • Research Site

    Porto, 4200-319

Other trials in Portugal

Romania4 sites
  • Research Site

    Brasov, 500174

  • Research Site

    Bucharest, 021105

  • Research Site

    Constanța, 900708

  • Research Site

    Timișoara, 300310

Other trials in Romania

Spain4 sites
  • Research Site

    Barcelona, Catalonia, 08035

  • Research Site

    Barcelona, Catalonia, 08036

  • Research Site

    Madrid, 28040

  • Research Site

    Madrid, 28046

Other trials in Spain

Switzerland4 sites
  • Research Site

    Geneva, 1211

  • Research Site

    Lausanne, 1011

  • Research Site

    Lugano, 6900

  • Research Site

    Zurich, 8091

Other trials in Switzerland

Belgium3 sites
  • Research Site

    Antwerp, 2000

  • Research Site

    Brussels, 1000

  • Research Site

    Ghent, 9000

Other trials in Belgium

Brazil3 sites
  • Research Site

    Rio de Janeiro, 21040-900

  • Research Site

    São Paulo, São Paulo, 04121-000

  • Research Site

    São Paulo, 05403-000

Other trials in Brazil

South Africa3 sites
  • Research Site

    Bloemfontein, 9301

  • Research Site

    Pretoria, Gauteng, 0122

  • Research Site

    Westdene, Gauteng, 2092

Other trials in South Africa

United Kingdom3 sites
  • Research Site

    London, SE1 9RT

  • Research Site

    London, SW10 9NH

  • Research Site

    London, W2 1NY

Other trials in United Kingdom

Poland1 site
  • Research Site

    Warsaw, 01-201

Other trials in Poland

About this study

Official title: A Double Blind, Randomized, Placebo Controlled, Multicenter Study to Evaluate Safety, Tolerability, and Efficacy on LDL-C of Evolocumab (AMG 145) in Subjects With HIV and With Hyperlipidemia and/or Mixed Dyslipidemia

The study is divided into 2 parts. The first part of the study will be double-blinded and will last for 24 weeks. During this time, participants will be randomized in a ratio of 2:1 to receive either evolocumab once monthly (QM) or placebo QM. The second part of the study is a 24-week open label extension period. During this time all participants will receive evolocumab QM.

The clinical hypothesis is that subcutaneous evolocumab QM will be well tolerated and will result in greater reduction of low density lipoprotein cholesterol (LDL-C), defined as percent change from baseline at Week 24, compared with placebo QM in human immunodeficiency virus (HIV)-positive participants with hyperlipidemia or mixed dyslipidemia.

Being tested
Evolocumab, Placebo
Keywords
Hyperlipidemia, Dyslipidemia, Proprotein convertase subtilisin/kexin type 9 (PCSK9), Inhibition, HIV infection, Cluster of differentiation, Viral load
Medical subject headings
Dyslipidemias, HIV Infections, Hyperlipidemias, Hypercholesterolemia, Autosomal Dominant, 3, Inhibition, Psychological

What participants receive

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

  • EvolocumabDrug

    Also called EvoMab, Repatha, AMG 145

    Dose of subcutaneous evolocumab QM

  • PlaceboDrug

    Dose of matching placebo QM

Study groups in NCT02833844
Study groupRoleWhat they receive
Double-Blind Placebo SC QM/Open-Label Evolocumab 420 mg SC QMExperimentalDouble-blind placebo subcutaneous (SC) injection every 4 weeks (QM) for 24 weeks, followed by open-label evolocumab 420 mg SC QM for 24 weeks.
Receives: Drug: Evolocumab; Drug: Placebo
Double-Blind Evolocumab 420 mg SC QM/Open-Label Evolocumab 420 mg SC QMPlacebo comparatorDouble-blind evolocumab SC injection QM for 24 weeks, followed by open-label evolocumab 420 mg SC QM for 24 weeks.
Receives: Drug: Evolocumab

What is being measured

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

  1. Percent Change From Baseline in LDL-C at Week 24

    Least squares mean is from the repeated measures model which includes treatment group, statin stratification factor, scheduled visit and the interaction of treatment with scheduled visit as covariates. (Hepatitis C stratification factor is not included in the model due to low participant numbers.)

    Measured: Baseline, Week 24

Secondary outcomes (10)
  1. Change From Baseline in LDL-C at Week 24

    Least squares mean is from the repeated measures model which includes treatment group, statin stratification factor, scheduled visit and the interaction of treatment with scheduled visit as covariates. (Hepatitis C stratification factor is not included in the model due to low participant numbers.)

    Measured: Baseline, Week 24

  2. Percentage of Participants Acheiving LDL-C < 70 mg/dL (1.8 mmol/L) at Week 24

    Measured: Week 24

  3. Percentage of Participants With an LDL-C Response (50% Reduction of LDL-C From Baseline) at Week 24

    Measured: Baseline, Week 24

  4. Percent Change From Baseline in Non-High-Density Lipoprotein Cholesterol (HDL-C) at Week 24

    Least squares mean is from the repeated measures model which includes treatment group, statin stratification factor, scheduled visit and the interaction of treatment with scheduled visit as covariates. (Hepatitis C stratification factor is not included in the model due to low participant numbers.)

    Measured: Baseline, Week 24

  5. Percent Change From Baseline in Apolipoprotein B (ApoB) at Week 24

    Least squares mean is from the repeated measures model which includes treatment group, statin stratification factor, scheduled visit and the interaction of treatment with scheduled visit as covariates. (Hepatitis C stratification factor is not included in the model due to low participant numbers.)

    Measured: Baseline, Week 24

  6. Percent Change From Baseline in Total Cholesterol (TC) at Week 24

    Least squares mean is from the repeated measures model which includes treatment group, statin stratification factor, scheduled visit and the interaction of treatment with scheduled visit as covariates. (Hepatitis C stratification factor is not included in the model due to low participant numbers.)

    Measured: Baseline, Week 24

  7. Percent Change From Baseline in Lipoprotein(a) (Lp[a]) at Week 24

    Least squares mean is from the repeated measures model which includes treatment group, statin stratification factor, scheduled visit and the interaction of treatment with scheduled visit as covariates. (Hepatitis C stratification factor is not included in the model due to low participant numbers.)

    Measured: Baseline, Week 24

  8. Percent Change From Baseline in Triglycerides at Week 24

    Least squares mean is from the repeated measures model which includes treatment group, statin stratification factor, scheduled visit and the interaction of treatment with scheduled visit as covariates. (Hepatitis C stratification factor is not included in the model due to low participant numbers.)

    Measured: Baseline, Week 24

  9. Percent Change From Baseline in HDL-C at Week 24

    Least squares mean is from the repeated measures model which includes treatment group, statin stratification factor, scheduled visit and the interaction of treatment with scheduled visit as covariates. (Hepatitis C stratification factor is not included in the model due to low participant numbers.)

    Measured: Bseline, Week 24

  10. Percent Change From Baseline in Very Low-Density Lipoprotein Cholesterol (VLDL-C) at Week 24

    Least squares mean is from the repeated measures model which includes treatment group, statin stratification factor, scheduled visit and the interaction of treatment with scheduled visit as covariates. (Hepatitis C stratification factor is not included in the model due to low participant numbers.)

    Measured: Baseline, Week 24

Timeline

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

  1. First posted14 Jul 2016 (estimated)
  2. Study start22 May 2017
  3. Primary completion9 Jul 2019
  4. Study completion27 Jan 2020

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
467 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02833844
Sponsor's protocol ID
20130286
Other IDs
2015-004735-12, 2015
Status last verified
Jul 2022
First submitted
13 Jun 2016
Last updated
22 Jul 2022
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
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

  • Boccara F, Kumar PN, Caramelli B, Calmy A, Lopez JAG, Bray S, Cyrille M, Rosenson RS; BEIJERINCK Investigators. Evolocumab in HIV-Infected Patients With Dyslipidemia: Primary Results of the Randomized, Double-Blind BEIJERINCK Study. J Am Coll Cardiol. 2020 May 26;75(20):2570-2584. doi: 10.1016/j.jacc.2020.03.025. Epub 2020 Mar 28.

    PubMed 32234462
  • Boccara F, Kumar P, Caramelli B, Calmy A, Lopez JAG, Bray S, Cyrille M, Rosenson RS. Evolocumab treatment in patients with HIV and hypercholesterolemia/mixed dyslipidemia: BEIJERINCK study design and baseline characteristics. Am Heart J. 2020 Feb;220:203-212. doi: 10.1016/j.ahj.2019.11.004. Epub 2019 Nov 12.

    PubMed 31841795
  • Boccara F, Caramelli B, Calmy A, Kumar P, Lopez JAG, Bray S, Cyrille M, Rosenson RS; investigators of the BEIJERINCK study. Long-term effects of evolocumab in participants with HIV and dyslipidemia: results from the open-label extension period. AIDS. 2022 Apr 1;36(5):675-682. doi: 10.1097/QAD.0000000000003175.

    PubMed 35025817
  • 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

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Evolocumab in people with Subjects With Hyperlipidemia, Dyslipidemia and HIV Infection, run by Amgen at 78 sites in 15 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 7 inclusion and 11 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 22 Jul 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 78 sites in United States, France, Australia, Italy, Canada and 10 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. 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 21 Jul 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?

Percent Change From Baseline in LDL-C at Week 24 (time frame: Baseline, Week 24). 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 NCT02833844, 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 22 Jul 2022.

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