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DyslipidemiaPhase 3NCT03080935

Fourier Open-label Extension Study in Subjects With Clinically Evident Cardiovascular Disease in Selected European Countries

A Phase 3 study testing Evolocumab in people with Dyslipidemia, run by Amgen at 85 sites in 7 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This is a multicenter, open-label extension (OLE) study designed to assess the extended long-term safety of evolocumab in subjects who have completed the FOURIER trial (Study 20110118). Approximately 1600 subjects will be enrolled in this study. This study will continue for 260 weeks (approximately 5 years). Read more about this study

Who is it for?
Ages 40 to 85 years
Conditions the study is for
Dyslipidemia
What is being tested?
Evolocumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,600 participants
Where
85 sitesin 7 countries
Study dates
13 Mar 2017to 4 Mar 2022
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 40 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject has provided informed consent prior to initiation of any study-specific activities/procedures.
  • Subject had completed FOURIER (Study 20110118) while still receiving assigned Investigational Product.

Who cannot join

  • Permanent discontinuation of Investigational Product during FOURIER for any reason including an adverse event or serious adverse event.
  • Currently receiving treatment in another investigational device or drug study, or less than 4 weeks since ending treatment on another investigational device or drug study(ies). Other investigational procedures while participating in this study are excluded.
  • Subject likely to not be available to complete all protocol-required study visits or procedures, and/or to comply with all required study procedures to the best of the subject and investigator's knowledge.
  • History or evidence of any other clinically significant disorder, condition or disease that, in the opinion of the investigator or Amgen physician, if consulted, would pose a risk to subject safety or interfere with the study evaluation, procedures or completion.
  • Subject has known sensitivity to any of the active substances or excipients (eg, sodium acetate) to be administered during dosing.
  • Females who are pregnant or breastfeeding or planning to become pregnant or breastfeed during treatment with evolocumab and for an additional 15 weeks after treatment with evolocumab discontinues.
  • Female subjects of childbearing potential unwilling to use an acceptable method of effective contraception during treatment and for an additional 15 weeks after the last dose of protocol-required therapies.

Trial locations and contacts

85 sites in 7 countries.

85 sites in 7 countries

Germany17 sites
  • Universitaets-Herzzentrum Freiburg - Bad Krozingen

    Bad Krozingen, 79189

  • Klinische Forschung Berlin GbR

    Berlin, 10787

  • Vivantes Klinikum Neukölln

    Berlin, 12351

  • Deutsches Rotes Kreuz Kliniken Berlin Köpenick

    Berlin, 12559

  • Deutsches Herzzentrum Berlin

    Berlin, 13353

  • Sankt-Johannes-Hospital

    Dortmund, 44137

  • Gesellschaft fur Wissens und Technologietransfer der Technischen Uni Dresden

    Dresden, 01307

  • Universitätsklinikum Köln

    Köln, 50937

  • Ambulantes Herzzentrum Kassel

    Kassel, 34121

  • Herz-Gefäß-Zentrum Nymphenburg am Klinikum Dritter Orden

    München, 80333

  • Deutsches Herzzentrum München des Freistaates Bayern

    München, 80636

  • Otto von Guericke Universität Magdeburg

    Magdeburg, 39120

  • Johannes Gutenberg Universität Mainz

    Mainz, 55131

  • Robert Bosch Krankenhaus

    Stuttgart, 70376

  • Universitätsklinikum Ulm

    Ulm, 89081

  • Forschungszentrum Ruhr

    Witten, 58455

  • Helios Universitätsklinikum Wuppertal

    Wuppertal, 42117

Other trials in Germany

Belgium16 sites
  • Algemeen Stedelijk Ziekenhuis Aalst

    Aalst, 9300

  • Onze Lieve Vrouw Ziekenhuis Aalst

    Aalst, 9300

  • Ziekenhuis Netwerk Antwerpen Middelheim

    Antwerp, 2020

  • Ziekenhuis Netwerk Antwerpen Stuivenberg

    Antwerp, 2060

  • Imelda Ziekenhuis vzw

    Bonheiden, 2820

  • Centre Hospitalier Universitaire Brugmann

    Brussels, 1020

  • Cliniques universitaires de Bruxelles Hopital Erasme

    Brussels, 1070

  • Universite Catholique de Louvain Cliniques Universitaires Saint Luc

    Brussels, 1200

  • Algemeen Ziekenhuis Sint Lucas

    Ghent, 9000

  • Universitair Ziekenhuis Gent

    Ghent, 9000

  • Medif sprl

    Gozée, 6534

  • Centre Hospitalier Universitaire de Tivoli

    La Louvière, 7100

  • Centres Hospitaliers Jolimont - Hopital de Jolimont

    La Louvière, 7100

  • Centre Hospitalier Regional de la Citadelle

    Liège, 4000

  • Centre Hospitalier Universitaire de Liege - Sart Tilman

    Liège, 4000

  • Algemeen Ziekenhuis Turnhout

    Turnhout, 2300

Other trials in Belgium

Denmark14 sites
  • Aalborg Hospital

    Aalborg, 9000

  • Center for Clinical and Basic Research Aalborg

    Aalborg, 9000

  • Aarhus Universitetshospital

    Aarhus N, 8200

  • Centre for Clinical and Basic Research Ballerup

    Ballerup Municipality, 2750

  • Sydvestjysk Sygehus

    Esbjerg, 6700

  • Frederiksberg/Bispebjerg Hospitaler

    Frederiksberg, 2000

  • Glostrup Hospital

    Glostrup Municipality, 2600

  • Hvidovre Hospital

    Hvidovre, 2650

  • Amager Hospital

    København S, 2300

  • Odense Universitetssygehus

    Odense, 5000

  • Sjaellands Universitetshospital, Roskilde

    Roskilde, 4000

  • Svendborg Sygehus

    Svendborg, 5700

  • Center for Clinical and Basic Research Vejle

    Vejle, 7100

  • Regionshospitalet Viborg

    Viborg, 8800

Other trials in Denmark

France13 sites
  • Centre Hospitalier Regional Universitaire de Besancon, Hopital Jean Minjoz

    Besançon, 25030

  • Centre Hospitalier Régional Universitaire de Tours - Hôpital Trousseau

    Chambray-lès-Tours, 37170

  • Hopital Louis Pasteur

    Le Coudray, 28630

  • Centre Hospitalier Regional Universitaire de Montpellier - Hopital Arnaud de Villeneuve

    Montpellier, 34295

  • Centre Hospitalier Universitaire de Nantes - Hopital Guillaume et Rene Laennec

    Nantes, 44093

  • Nouvelles Cliniques Nantaises

    Nantes, 44202

  • Centre Hospitalier Universitaire de Nice - Hopital Pasteur

    Nice, 06000

  • Hopital Lariboisiere

    Paris, 75010

  • Hopital Pitie-Salpetriere

    Paris, 75013

  • Centre Hospitalier de Pau - Hopital Francois Mitterrand

    Pau, 64000

  • Centre Hospitalier Universitaire de Reims - Hopital Robert Debre

    Reims, 51100

  • Centre Hospitalier Universitaire de Toulouse - Hopital Rangueil

    Toulouse, 31059

  • Centre Hospitalier Intercommunal Haute Saone

    Vesoul, 70014

Other trials in France

Sweden10 sites
  • Falu Lasarett

    Falun, 791 82

  • Helsingborgs Lasarett

    Helsingborg, 252 47

  • Länssjukhuset Ryhov

    Jönköping, 551 85

  • Sunderby Sjukhus

    Luleå, 971 80

  • Skanes Universitetssjukhus

    Lund, 221 85

  • Capio Citykliniken

    Lund, 222 21

  • Universitetssjukhuset Ã-rebro

    Örebro, 701 85

  • Ostersunds sjukhus

    Östersund, 831 83

  • Akardo MedSite

    Stockholm, 117 27

  • Norrlands Universitetssjukhus

    Umeå, 901 85

Other trials in Sweden

Italy9 sites
  • Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII

    Bergamo, 24127

  • Azienda Ospedaliero Universitaria Careggi

    Florence, 50139

  • Centro Cardiologico Monzino

    Milan, 20138

  • Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda

    Milan, 20162

  • Azienda Ospedaliera Ospedali Riuniti Villa Sofia Cervello

    Palermo, 90146

  • Fondazione IRCCS Policlinico San Matteo

    Pavia, 27100

  • Azienda Ospedaliera di Perugia Ospedale Santa Maria della Misericordia

    Perugia, 06129

  • Fondazione Toscana Gabriele Monasterio, Stabilimento Ospedaliero di Pisa

    Pisa, 56124

  • Azienda Ospedaliera Universitaria Senese Policlinico Le Scotte

    Siena, 53100

Other trials in Italy

Portugal6 sites
  • Hospital Garcia de Orta, EPE

    Almada, 2801-951

  • Centro Hospitalar e Universitario de Coimbra EPE

    Coimbra, 3000-075

  • Centro Hospitalar Cova da Beira, EPE - Hospital Pero da Covilha

    Covilha, 6200-251

  • Hospital Cuf Infante Santo

    Lisbon, 1350-352

  • Centro Hospitalar de Lisboa Ocidental, EPE - Hospital Sao Francisco Xavier

    Lisbon, 1449-005

  • Centro Hospitalar de Setubal EPE Hospital de Sao Bernardo

    Setúbal, 2910-446

Other trials in Portugal

About this study

Official title: A Multicenter, Open-label, Single-arm, Extension Study to Assess Long-term Safety of Evolocumab Therapy in Subjects With Clinically Evident Cardiovascular Disease in Selected European Countries

This is a multicenter, open-label extension (OLE) study designed to assess the extended long-term safety of evolocumab in subjects who have completed the FOURIER trial (Study 20110118). Approximately 1600 subjects will be enrolled in this study. This study will continue for 260 weeks (approximately 5 years).

Read the detailed description

This is a multicenter, open-label extension (OLE) study designed to assess the extended long-term safety of evolocumab in subjects who have completed the FOURIER trial (Study 20110118). FOURIER is a randomized placebo-controlled study of evolocumab, in patients with clinically evident atherosclerotic CVD on stable effective statin therapy. Subjects at sites participating in FOURIER OLE (Study 20160250) who are eligible and have signed the FOURIER OLE informed consent will be enrolled after completion of FOURIER.

The FOURIER OLE study requires laboratory assessments at day 1, week 12, and thereafter approximately every 6 months from day 1; the corresponding blood samples will be processed using a central laboratory.

Upon enrollment in FOURIER OLE study, subjects will receive evolocumab 140 mg every 2 weeks (Q2W) or 420 mg monthly (QM) according to their preference. Frequency and corresponding dose of administration can be changed at any scheduled time point where evolocumab is supplied to the subject, provided the appropriate supply is available. It is recommended that subjects continue the same background lipid-lowering therapy (LLT), including statin, as taken during FOURIER.

This study will continue for 260 weeks (approximately 5 years). Subjects ending administration of evolocumab should continue study assessments until the end of study. All subjects will be followed and complete procedures/assessments from enrollment through the date of study termination unless the subject has withdrawn consent, irrespective of whether the subject is continuing to receive treatment.

All deaths and cardiovascular events of interest will be reviewed by an independent external Clinical Events Committee (CEC), using standardized definitions.

Conditions
Dyslipidemia
Being tested
Evolocumab
Medical subject headings
Dyslipidemias

What participants receive

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

  • EvolocumabDrug

    Also called AMG 145

    Subjects will receive Evolocumab 140 mg every 2 weeks (Q2W) or 420 mg monthly (QM), according to the subject's preference.

Study groups in NCT03080935
Study groupRoleWhat they receive
EvolocumabExperimentalSingle arm study administering Evolocumab.
Receives: Drug: Evolocumab

What is being measured

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

  1. Number of Participants Who Experienced an Adverse Event

    All adverse event summaries for the primary analysis of the primary endpoint (OLE study period only) included all treatment-emergent events reported on the Event electronic case report form (eCRF), including CEC positively reviewed events and disease-related events.

    Measured: Up to 5 years

Secondary outcomes (2)
  1. Percent Change of Low-density Lipoprotein Cholesterol (LDL-C) From Baseline at Each Scheduled Visit

    Measured: Baseline, Week 12, Week 24, Week 48, Week 72, Week 96, Week 120, Week 144, Week 168, Week 192, Week 216, Week 260

  2. Percentage of Participants Who Achieved an LDL-C Level < 40 mg/dL

    Measured: Baseline, Week 12, Week 24, Week 48, Week 72, Week 96, Week 120, Week 144, Week 168, Week 192, Week 216, Week 260

Timeline

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

  1. First posted15 Mar 2017
  2. Study start13 Mar 2017
  3. Primary completion4 Mar 2022
  4. Study completion4 Mar 2022

Why it stopped: Amgen business decision to close study early

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
1,600 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03080935
Sponsor's protocol ID
20160250
Other IDs
2016-004066-26, 2016
Status last verified
May 2024
First submitted
10 Mar 2017
Last updated
29 May 2024
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

  • O'Donoghue ML, Giugliano RP, Wiviott SD, Atar D, Keech A, Kuder JF, Im K, Murphy SA, Flores-Arredondo JH, Lopez JAG, Elliott-Davey M, Wang B, Monsalvo ML, Abbasi S, Sabatine MS. Long-Term Evolocumab in Patients With Established Atherosclerotic Cardiovascular Disease. Circulation. 2022 Oct 11;146(15):1109-1119. doi: 10.1161/CIRCULATIONAHA.122.061620. Epub 2022 Aug 29.

    PubMed 36031810
  • McClintick DJ, O'Donoghue ML, De Ferrari GM, Ferreira J, Ran X, Im K, Lopez JAG, Elliott-Davey M, Wang B, Monsalvo ML, Atar D, Keech A, Giugliano RP, Sabatine MS. Long-Term Efficacy of Evolocumab in Patients With or Without Multivessel Coronary Disease. J Am Coll Cardiol. 2024 Feb 13;83(6):652-664. doi: 10.1016/j.jacc.2023.11.029.

    PubMed 38325990
  • Katsiki N, Athyros VG, Mikhailidis DP, Mantzoros C. Proprotein convertase subtilisin-kexin type 9 (PCSK9) inhibitors: Shaping the future after the further cardiovascular outcomes research with PCSK9 inhibition in subjects with elevated risk (FOURIER) trial. Metabolism. 2017 Sep;74:43-46. doi: 10.1016/j.metabol.2017.04.007. Epub 2017 Apr 20. No abstract available.

    PubMed 28477848

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Evolocumab in people with Dyslipidemia, run by Amgen at 85 sites in 7 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 2 inclusion and 7 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: stopped early, 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 85 sites in Germany, Belgium, Denmark, France, Sweden and 2 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 11 Jan 2023). 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 Who Experienced an Adverse Event (time frame: Up to 5 years). 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 NCT03080935, which also lists 3 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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