Efficacy and Safety of Alirocumab (SAR236553/REGN727) Versus Placebo on Top of Lipid-Modifying Therapy in Patients With High Cardiovascular Risk and Hypercholesterolemia (ODYSSEY COMBO I)



Status:Completed
Conditions:High Cholesterol
Therapuetic Areas:Cardiology / Vascular Diseases
Healthy:No
Age Range:18 - Any
Updated:4/21/2016
Start Date:July 2012
End Date:April 2014

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A Randomized, Double-Blind, Placebo-Controlled, Parallel Group Study to Evaluate the Efficacy and Safety of SAR236553/REGN727 in High Cardiovascular Risk Patients With Hypercholesterolemia Not Adequately Controlled With Their Lipid-Modifying Therapy

Alirocumab (SAR236553/REGN727) is a fully human monoclonal antibody that binds proprotein
convertase subtilisin/kexin type 9 (PCSK9).

Primary Objective of the study:

- To demonstrate the reduction of low-density lipoprotein cholesterol (LDL-C) by
alirocumab as add-on therapy to stable maximally tolerated daily statin therapy with or
without other lipid-modifying therapy (LMT) in comparison with placebo after 24 weeks
of treatment in high cardiovascular (CV) risk participants with hypercholesterolemia

Secondary Objectives:

- To evaluate the effect of alirocumab in comparison with placebo on LDL-C at other time
points

- To evaluate the effect of alirocumab on other lipid parameters

- To evaluate the safety and tolerability of alirocumab

The maximum study duration was 62 weeks per participant, including a 2-week screening
period, 52-week randomized treatment period, and 8-week follow-up period.

Inclusion criteria:

- Participants with hypercholesterolemia and established coronary heart disease (CHD)
or CHD risk equivalents who were not adequately controlled with a maximally tolerated
daily dose of statin with or without other LMT, both at stable dose for at least 4
weeks to 6 weeks prior to screening (Week -2)

Exclusion criteria:

- Age <18 or legal age of adulthood, whichever was greater

- Participants without established CHD or CHD risk equivalent

- LDL-C <70 mg/dL (<1.81 mmol/L) and participants with a history of documented
cardiovascular disease

- LDL-C <100 mg/dL (<2.59 mmol/L) and participants without a history of documented
cardiovascular disease

- Not on a stable dose of LMT (including statin) for at least 4 weeks and/or
fenofibrate for at least 6 weeks, as applicable, prior to the screening visit (Week
-2) and from screening to randomization

- Fasting serum triglycerides > 400 mg/dL (>4.52 mmol/L)

The above information is not intended to contain all considerations relevant to a
participant's potential participation in a clinical trial.
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