Safety, Tolerability & Efficacy on LDL-C of Evolocumab in Subjects With HIV & Hyperlipidemia/Mixed Dyslipidemia



Status:Active, not recruiting
Conditions:High Cholesterol, HIV / AIDS
Therapuetic Areas:Cardiology / Vascular Diseases, Immunology / Infectious Diseases
Healthy:No
Age Range:18 - Any
Updated:2/2/2019
Start Date:May 22, 2017
End Date:January 22, 2020

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A Double Blind, Randomized, Placebo Controlled, Multicenter Study to Evaluate Safety, Tolerability, and Efficacy on LDL-C of Evolocumab (AMG 145) in Subjects With HIV and With Hyperlipidemia and/or Mixed Dyslipidemia

The study is divided into 2 parts. The first part of the study will be double-blinded and
will last for 24 weeks. During this time, subjects will be randomized in a ratio of 2:1 to
receive either Repatha (evolocumab) QM or placebo QM.

The second part of the study is a 24-week open label extension period. During this time all
subjects will receive Repatha (evolocumab) QM.

The clinical hypothesis is that subcutaneous Repatha (evolocumab) QM will be well tolerated
and will result in greater reduction of LDL-C, defined as percent change from baseline at
week 24, compared with placebo QM in HIV-positive subjects with hyperlipidemia or mixed
dyslipidemia.

LDL-C = low density lipoprotein cholesterol QM = once monthly Double blind = neither the
subject, the site staff nor the Sponsor study team will know whether the subject is receiving
either evolocumab or placebo Open label = all subjects receive evolocumab

Inclusion Criteria:

- Male or female ≥ 18 years of age

- Known HIV (human immunodeficiency virus) infection with stable HIV therapy for ≥ 6
months

- Cluster of differentiation 4 (CD4) ≥ 250 cells/mm3 for ≥ 6 months

- HIV viral load ≤ 50 copies/mL at screening and ≤ 200 copies/mL for ≥ 6 months

- Subject on stable lipid-lowering therapy for ≥ 4 weeks prior to randomization and not
expected to change during the duration of study

- For subjects with known clinical astherosclerotic CVD (ASCVD), fasting LDL-C of ≥ 70
mg/dL or non-HDL-C ≥ 100 mg/dL. For subjects without known clinical ASCVD: fasting
LDL-C of ≥ 100 mg/dL or non-HDL-C of ≥ 130 mg/dL

- Fasting triglycerides ≤ 600 mg/dL (6.8 mmol/L)

Exclusion Criteria:

- Taking a combination of background lipid-lowering therapy and HIV therapy known to
have significant drug-drug interaction

- NYHA III or IV heart failure, or last known left ventricular ejection fraction (LVEF)
< 30%

- Known opportunistic infection/AIDS defining illness within 1 year prior to
randomization

- Myocardial infarction, unstable angina, percutaneous coronary intervention,coronary
artery bypass graft or stroke within 3 months

- Type 1 diabetes, new-onset or poorly controlled type 2 diabetes

- Uncontrolled hypertension

- Taken a cholesterylester transfer protein inhibitor in the last 12 months

- Moderate to severe renal dysfunction

- Persistent active liver disease or hepatic dysfunction (Stable chronic hepatitis C of
at least 1 year duration prior to randomization is allowed)

- Malignancy (except non-melanoma skin cancers, cervical in-situ carcinoma,breast ductal
carcinoma in situ, or stage 1 prostate carcinoma) within the last 5 years prior to
randomization,

- Other Exclusion Criteria May Apply.
We found this trial at
19
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