Efficacy and Safety of SAR236553 (REGN727) Versus Ezetimibe on Top of Statin in High Cardiovascular Risk Patients With Hypercholesterolemia (ODYSSEY Combo II)
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Purpose
Primary Objective:
To demonstrate the reduction of low-density lipoprotein cholesterol (LDL-C) by SAR236553 (REGN727) as add-on therapy to stable maximally tolerated daily statin therapy in comparison with ezetimibe after 24 weeks of treatment in patients with hypercholesterolemia at high cardiovascular (CV) risk.
Secondary Objectives:
- To evaluate the effect of SAR236553 (REGN727) in comparison with ezetimibe on LDL-C at other time points.
- To evaluate the effect of SAR236553 (REGN727) on other lipid parameters.
- To evaluate the safety and tolerability of SAR236553 (REGN727).
| Condition | Intervention | Phase |
|---|---|---|
|
Hypercholesterolemia |
Drug: SAR236553 (REGN727) Drug: matching placebo SAR236553 (REGN727) Drug: Ezetimibe Drug: matching placebo for Ezetimibe |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Randomized, Double-Blind, Parallel Group Study to Evaluate the Efficacy and Safety of SAR236553/REGN727 Versus Ezetimibe in High Cardiovascular Risk Patients With Hypercholesterolemia Not Adequately Controlled With Their Statin Therapy |
- Percent change in LDL-C [ Time Frame: From baseline to week 24 ] [ Designated as safety issue: No ]
- Percent change in LDL-C [ Time Frame: From baseline up to week 12 ] [ Designated as safety issue: No ]
- Percent change in other lipid parameters [ Time Frame: At weeks 12 and 24 ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 660 |
| Study Start Date: | August 2012 |
| Estimated Study Completion Date: | July 2015 |
| Estimated Primary Completion Date: | May 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: SAR236553 (REGN727) / Ezetimibe placebo
Injection through subcutaneous (SC) administration. Ezetimibe placebo is administered orally.
|
Drug: SAR236553 (REGN727)
SAR236553 (REGN727) is a fully human monoclonal antibody that binds PCSK9 (proprotein convertase subtilisin/kexin type 9) Pharmaceutical form:Solution for injection Route of administration: subcutaneous Pharmaceutical form:capsules Route of administration: oral
|
|
Active Comparator: SAR236553 (REGN727) Placebo / Ezetimibe
Injection through subcutaneous (SC) administration. Ezetimibe is administered orally.
|
Drug: matching placebo SAR236553 (REGN727)
Pharmaceutical form:Solution for injection Route of administration: subcutaneous
Drug: Ezetimibe
Pharmaceutical form:encapsulated tablets Route of administration: oral
|
Detailed Description:
The maximum study duration will be 114 weeks per patient, including a 2 week screening period, 104 week randomized treatment period and 8 week follow-up period.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion criteria:
Patients with hypercholesterolemia and established coronary heart disease (CHD) or CHD risk equivalents who are not adequately controlled with a maximally tolerated daily dose of statin at stable dose for at least 4 weeks prior to the screening visit (Week -2).
Exclusion criteria:
- Age < 18 or legal age of adulthood, whichever is greater.
- Patients without established CHD or CHD risk equivalents.
- LDL-C <70 mg/dL (<1.81 mmol/L) and patients with a history of documented cardiovascular disease.
- LDL-C <100 mg/dL (<2.59 mmol/L) and patients without a history of documented CV disease.
- Fasting serum triglycerides >400 mg/dL (>4.52 mmol/L).
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Contacts and Locations| Contact: For site information, send an email with site number to | Contact-Us@sanofi.com |
Show 139 Study Locations| Study Director: | Clinical Sciences & Operations | Sanofi |
More Information
No publications provided
| Responsible Party: | Sanofi |
| ClinicalTrials.gov Identifier: | NCT01644188 History of Changes |
| Other Study ID Numbers: | EFC11569, U1111-1121-4315 |
| Study First Received: | July 16, 2012 |
| Last Updated: | June 17, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Hypercholesterolemia Hyperlipidemias Dyslipidemias Lipid Metabolism Disorders Metabolic Diseases Ezetimibe Anticholesteremic Agents |
Hypolipidemic Agents Antimetabolites Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Lipid Regulating Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on June 18, 2013