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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01588496
Registration number
NCT01588496
Ethics application status
Date submitted
27/02/2012
Date registered
1/05/2012
Date last updated
29/11/2018
Titles & IDs
Public title
Trial Evaluating PCSK9 Antibody in Subjects With LDL Receptor Abnormalities
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Scientific title
2-part, Phase 2/3 Study to Assess the Safety, Tolerability and Efficacy of AMG 145 in Subjects With Homozygous Familial Hypercholesterolemia. Part A - Open-label, Single-arm, Multicenter Pilot Study to Evaluate Safety, Tolerability and Efficacy of AMG 145 in Subjects With Homozygous Familial Hypercholesterolemia. Part B - Double-blind, Randomized, Placebo-controlled, Multicenter Study to Evaluate Safety, Tolerability and Efficacy of AMG 145 in Subjects With Homozygous Familial Hypercholesterolemia
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Secondary ID [1]
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2011-005399-40
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Secondary ID [2]
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20110233
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Universal Trial Number (UTN)
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Trial acronym
TESLA
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Homozygous Familial Hypercholesterolemia
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Condition category
Condition code
Metabolic and Endocrine
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Other metabolic disorders
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Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - Evolocumab
Treatment: Drugs - Placebo
Experimental: Part A: Evolocumab - Participants received open-label evolocumab 420 mg subcutaneously once a month for 12 weeks.
Experimental: Part B: Evolocumab - Participants received double-blind evolocumab 420 mg subcutaneously once a month for 12 weeks.
Placebo comparator: Part B: Placebo - Participants received double-blind placebo subcutaneously once a month for 12 weeks.
Treatment: Other: Evolocumab
Administered by subcutaneous injection
Treatment: Drugs: Placebo
Administered by subcutaneous injection
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Intervention code [1]
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Treatment: Other
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Intervention code [2]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Part A: Percent Change From Baseline in Low Density Lipoprotein Cholesterol (LDL-C) at Week 12
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Assessment method [1]
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LDL-C was quantified using the ultracentrifugation method.
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Timepoint [1]
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Baseline and Week 12
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Primary outcome [2]
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Part B: Percent Change From Baseline in Low Density Lipoprotein Cholesterol (LDL-C) at Week 12
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Assessment method [2]
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LDL-C was quantified using the ultracentrifugation method.
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Timepoint [2]
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Baseline and Week 12
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Secondary outcome [1]
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Part A: Change From Baseline in LDL-C at Week 12
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Assessment method [1]
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LDL-C was quantified using the ultracentrifugation method.
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Timepoint [1]
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Baseline and Week 12
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Secondary outcome [2]
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Part A: Percent Change From Baseline in Non-High Density Lipoprotein Cholesterol (Non-HDL-C) at Week 12
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Assessment method [2]
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Timepoint [2]
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Baseline and Week 12
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Secondary outcome [3]
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Part A: Percent Change From Baseline in Apolipoprotein B at Week 12
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Assessment method [3]
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Timepoint [3]
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Baseline and Week 12
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Secondary outcome [4]
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Part A: Percent Change From Baseline in the Total Cholesterol/HDL-C Ratio at Week 12
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Assessment method [4]
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Timepoint [4]
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Baseline and Week 12
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Secondary outcome [5]
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Part A: Percent Change From Baseline in Apolipoprotein B/Apolipoprotein A1 Ratio at Week 12
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Assessment method [5]
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Timepoint [5]
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Baseline and Week 12
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Secondary outcome [6]
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Part A: Percentage of Participants With 15% or Greater Reduction in LDL-C From Baseline at Week 12
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Assessment method [6]
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LDL-C was quantified using the ultracentrifugation method.
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Timepoint [6]
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Baseline and Week 12
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Secondary outcome [7]
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Part A: Change From Baseline in Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9) at Week 12
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Assessment method [7]
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Timepoint [7]
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Baseline and Week 12
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Secondary outcome [8]
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Part B: Percent Change From Baseline in LDL-C at the Mean of Weeks 6 and 12
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Assessment method [8]
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LDL-C was quantified using the ultracentrifugation method.
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Timepoint [8]
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Baseline and Weeks 6 and 12
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Secondary outcome [9]
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Part B: Percent Change From Baseline in Apolipoprotein B at Week 12
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Assessment method [9]
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Timepoint [9]
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Baseline and Week 12
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Secondary outcome [10]
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Part B: Percent Change From Baseline in Apolipoprotein B at the Mean of Weeks 6 and 12
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Assessment method [10]
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Timepoint [10]
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Baseline and Weeks 6 and 12
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Secondary outcome [11]
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Part B: Percent Change From Baseline in Lipoprotein (a) at Week 12
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Assessment method [11]
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Timepoint [11]
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Baseline and Week 12
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Secondary outcome [12]
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Part B: Percent Change From Baseline in Lipoprotein (a) at the Mean of Weeks 6 and 12
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Assessment method [12]
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Timepoint [12]
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Baseline and Weeks 6 and 12
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Eligibility
Key inclusion criteria
* Males and females = 12 to = 80 years of age
* Diagnosis of homozygous familial hypercholesterolemia
* Stable lipid-lowering therapies for at least 4 weeks
* LDL cholesterol = 130 mg/dl (3.4 mmol/L)
* Triglyceride = 400 mg/dL (4.5 mmol/L)
* Bodyweight of = 40 kg at screening.
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Minimum age
12
Years
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Maximum age
80
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* LDL or plasma apheresis within 8 weeks prior to randomization
* New York Heart Association (NYHA) class III or IV or last known left ventricular ejection fraction < 30%
* Myocardial infarction, unstable angina, percutaneous coronary intervention (PCI), coronary artery bypass graft (CABG) or stroke within 3 months of randomization
* Planned cardiac surgery or revascularization
* Uncontrolled cardiac arrhythmia
* Uncontrolled hypertension
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
5/04/2012
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
31/01/2014
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Sample size
Target
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Accrual to date
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Final
58
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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New York
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United States of America
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Ohio
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Belgium
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Bruxelles
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Belgium
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La Louvière
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Canada
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Ontario
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Canada
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Quebec
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Czechia
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Brno
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Czechia
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Hradec Kralove
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Czechia
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Uherske Hradiste
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France
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Dijon
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France
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Paris Cedex 13
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Hong Kong
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New Territories
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Italy
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Pisa
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Lebanon
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Beirut
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Netherlands
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Amsterdam
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New Zealand
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Christchurch
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South Africa
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Gauteng
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South Africa
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Western Cape
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Spain
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Andalucía
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Spain
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Galicia
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Spain
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Madrid
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Amgen
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
A study to determine the safety, tolerability, and efficacy of evolocumab (AMG 145) in patients with homozygous familial hypercholesterolemia (HoFH).
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Trial website
https://clinicaltrials.gov/study/NCT01588496
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Trial related presentations / publications
Kasichayanula S, Grover A, Emery MG, Gibbs MA, Somaratne R, Wasserman SM, Gibbs JP. Clinical Pharmacokinetics and Pharmacodynamics of Evolocumab, a PCSK9 Inhibitor. Clin Pharmacokinet. 2018 Jul;57(7):769-779. doi: 10.1007/s40262-017-0620-7. Raal FJ, Honarpour N, Blom DJ, Hovingh GK, Xu F, Scott R, Wasserman SM, Stein EA; TESLA Investigators. Inhibition of PCSK9 with evolocumab in homozygous familial hypercholesterolaemia (TESLA Part B): a randomised, double-blind, placebo-controlled trial. Lancet. 2015 Jan 24;385(9965):341-50. doi: 10.1016/S0140-6736(14)61374-X. Epub 2014 Oct 1. Stein EA, Honarpour N, Wasserman SM, Xu F, Scott R, Raal FJ. Effect of the proprotein convertase subtilisin/kexin 9 monoclonal antibody, AMG 145, in homozygous familial hypercholesterolemia. Circulation. 2013 Nov 5;128(19):2113-20. doi: 10.1161/CIRCULATIONAHA.113.004678. Epub 2013 Sep 6.
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Public notes
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Contacts
Principal investigator
Name
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MD
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Address
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Amgen
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Contact person for public queries
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT01588496
Download to PDF