Efficacy and Safety of Alirocumab Versus Usual Care on Top of Maximally Tolerated Statin Therapy in Patients With Type 2 Diabetes and Mixed Dyslipidemia (ODYSSEY DM-Dyslipidemia)



Status:Completed
Conditions:High Cholesterol
Therapuetic Areas:Cardiology / Vascular Diseases
Healthy:No
Age Range:18 - Any
Updated:5/3/2018
Start Date:March 15, 2016
End Date:May 15, 2017

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A Randomized, Open-Label, Parallel Group Study to Evaluate the Efficacy and Safety of Alirocumab Versus Usual Care in Patients With Type 2 Diabetes and Mixed Dyslipidemia at High Cardiovascular Risk With Non-HDL-C Not Adequately Controlled With Maximally Tolerated Statin Therapy

Primary Objective:

To demonstrate the superiority of alirocumab in comparison with usual care in the reduction
of non-high-density lipoprotein cholesterol (non-HDL-C) in participants with type 2 diabetes
and mixed dyslipidemia at high cardiovascular risk with non-HDL-C not adequately controlled
with maximally tolerated statin therapy.

Secondary Objectives:

- To demonstrate whether alirocumab is superior in comparison with usual care in its
effects on other lipid parameters (ie, low-density lipoprotein cholesterol (LDL-C),
apolipoprotein B (Apo B), total cholesterol (Total -C), lipoprotein a (Lp[a]),
high-density lipoprotein cholesterol (HDL-C), triglycerides (TGs), triglyceride rich
lipoproteins (TGRLs), apolipoprotein A-1 (Apo A-1), apolipoprotein C-III (Apo C-III),
lipid subfractions by nuclear magnetic resonance (NMR) spectroscopy (ie, LDL-C particle
size and LDL, very low-density lipoprotein [VLDL], HDL, and intermediate-density
lipoprotein [IDL] particle number).

- To assess changes in glycemic parameters with alirocumab vs. usual care treatment.

- To demonstrate the safety and tolerability of alirocumab.

- To evaluate treatment acceptance of alirocumab.

- To evaluate proprotein convertase subtilisin kexin type 9 (PCSK9) concentrations and
antibody development.

- To demonstrate the superiority of alirocumab vs. fenofibrate on non-HDL-C and other
lipid parameters (subgroup analysis).

The maximum study duration was approximately 9 months per participant, including a 6 month
treatment period, a screening period of up to 3 weeks, and an 8 week safety observation
period.

For the purpose of scientific communication, a first-step analysis (both efficacy and safety)
was performed at the Week 24 cut-off date. A second-step analysis was performed once all
participants had completed the study to include a final update of the safety analysis.

Inclusion criteria:

- Participants with type 2 diabetes and mixed dyslipidemia whose non-HDL-C was not
adequately controlled with a stable, maximum dose/regimen of statin that was tolerated
by the participant.

- 18 years of age or more.

- Documented history of atherosclerotic cardiovascular disease (ASCVD) or at least one
additional cardiovascular risk factor.

- Non-HDL-C of 100 mg/dL or greater.

- Triglycerides greater than or equal to 150 mg/dL and less than 500 mg/dL.

- Stable anti-hyperglycemic agents for at least 3 months prior to the screening visit
and between screening and randomization (including stable insulin dose defined as no
variation more than 30% in daily insulin dose within the preceding 3 months, as judged
by the Investigator).

- No change in weight of more than 5 kg within the prior 3 months.

- On stable dose of medications that are known to influence weight and/or lipids within
the last 3 months.

Exclusion criteria:

- Use of any lipid modifying therapies other than statins within the last 4 weeks (eg,
ezetimibe, fenofibrate, nicotinic acid, omega-3 fatty acids, etc.) or use of over the
counter products/nutraceuticals known to impact lipids (eg, red yeast rice) within the
last 4 weeks.

- Currently drinking more than 2 standard alcoholic drinks per day.

- Body Mass Index (BMI) >45 kg/m² or currently enrolled in a weight loss program and
still in active phase of weight loss.

- Glycosylated hemoglobin (HbA1c) 9% or greater.

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