Study to Assess in Home Use of Evolocumab (AMG 145) Administration Using Either an Automated Mini-doser or a Prefilled Autoinjector/Pen
A Multicenter, Randomized Study in Subjects With Primary Hypercholesterolemia or Mixed Dyslipidemia to Assess Subjects' Ability to Administer a Full Dose of Evolocumab (AMG 145) in Home-use, Using Either a 3.5 mL Personal Injector or a Prefilled Autoinjector/Pen.
1 other identifier
interventional
164
2 countries
27
Brief Summary
The primary objective of this study was to assess users' ability to administer a full dose of evolocumab in a home-use setting using either an automated mini-doser (AMD) or autoinjector/pen (AI/pen).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
27 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 13, 2013
CompletedFirst Posted
Study publicly available on registry
June 17, 2013
CompletedStudy Start
First participant enrolled
July 11, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 15, 2013
CompletedResults Posted
Study results publicly available
December 23, 2015
CompletedNovember 30, 2022
November 1, 2022
4 months
June 13, 2013
September 11, 2015
November 4, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of Participants With Full Administration of Evolocumab at Both Weeks 4 and 8
Self-administration of evolocumab was assessed by a telephone interview at Weeks 4 and 8. Each participant was asked about all attempted injection(s) and if the injection was administered in part, full, or none at all. Results only include full administrations that occurred inside the prespecified visit window.
Weeks 4 and 8
Secondary Outcomes (1)
Percent Change From Baseline in LDL-C at the Mean of Weeks 10 and 12
Baseline and Weeks 10 and 12
Study Arms (2)
Evolocumab AMD
EXPERIMENTALParticipants received evolocumab 420 mg once a month subcutaneously using an automated mini-doser (AMD) (one 3.5 mL injection) for 8 weeks (Day 1, Week 4, and Week 8). Participants self-administered evolocumab in the clinic on Day 1 under supervision and then self-administered in a home setting at Weeks 4 and 8.
Evolocumab AI/pen
EXPERIMENTALParticipants received evolocumab 420 mg once a month subcutaneously using an autoinjector/pen (AI/pen) (three 1.0 mL injections) for 8 weeks (Day 1, Week 4, and Week 8). Participants self-administered evolocumab in the clinic on Day 1 under supervision and then self-administered in a home setting at Weeks 4 and 8.
Interventions
Evolocumab subcutaneous injection using a single use, disposable AMD containing 3.5 mL deliverable volume.
Evolocumab subcutaneous injection using a handheld mechanical (spring-based) prefilled AI/Pen, each containing 1.0 mL deliverable volume.
Eligibility Criteria
You may qualify if:
- Fasting LDL-C at screening \> 85 mg/dL
- Fasting triglycerides less than or equal to 400 mg/dL (4.5 mmol/L)
You may not qualify if:
- New York Heart Association (NYHA) III or IV heart failure
- Uncontrolled cardiac arrhythmia
- Uncontrolled hypertension
- Type 1 diabetes or poorly controlled type 2 diabetes
- Uncontrolled hypothyroidism or hyperthyroidism
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Amgenlead
Study Sites (27)
Research Site
Phoenix, Arizona, 85020, United States
Research Site
Encino, California, 91436, United States
Research Site
Thousand Oaks, California, 91360, United States
Research Site
Tustin, California, 92780, United States
Research Site
Ventura, California, 93003, United States
Research Site
Port Charlotte, Florida, 33952, United States
Research Site
Saint Augustine, Florida, 32086, United States
Research Site
Atlanta, Georgia, 30328, United States
Research Site
Atlanta, Georgia, 30342, United States
Research Site
Gainesville, Georgia, 30501, United States
Research Site
Lexington, Kentucky, 40504, United States
Research Site
Lewiston, Maine, 04240, United States
Research Site
Ayer, Massachusetts, 01432, United States
Research Site
Manlius, New York, 13104, United States
Research Site
Cadiz, Ohio, 43907, United States
Research Site
Marion, Ohio, 43302, United States
Research Site
Duncansville, Pennsylvania, 16635, United States
Research Site
Lansdale, Pennsylvania, 19446, United States
Research Site
Jackson, Tennessee, 38305, United States
Research Site
Nashville, Tennessee, 37203, United States
Research Site
Austin, Texas, 78731, United States
Research Site
Dallas, Texas, 75231, United States
Research Site
Burnaby, British Columbia, V5G 1T4, Canada
Research Site
London, Ontario, N5W 6A2, Canada
Research Site
Sarnia, Ontario, N7T 4X3, Canada
Research Site
Toronto, Ontario, M9V 4B4, Canada
Research Site
Pointe-Claire, Quebec, H9R 3J1, Canada
Related Publications (4)
Boccara F, Dent R, Ruilope L, Valensi P. Practical Considerations for the Use of Subcutaneous Treatment in the Management of Dyslipidaemia. Adv Ther. 2017 Aug;34(8):1876-1896. doi: 10.1007/s12325-017-0586-8. Epub 2017 Jul 17.
PMID: 28717862BACKGROUNDKasichayanula 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.
PMID: 29353350BACKGROUNDToth PP, Descamps O, Genest J, Sattar N, Preiss D, Dent R, Djedjos C, Wu Y, Geller M, Uhart M, Somaratne R, Wasserman SM; PROFICIO Investigators. Pooled Safety Analysis of Evolocumab in Over 6000 Patients From Double-Blind and Open-Label Extension Studies. Circulation. 2017 May 9;135(19):1819-1831. doi: 10.1161/CIRCULATIONAHA.116.025233. Epub 2017 Mar 1.
PMID: 28249876BACKGROUNDToth PP, Jones SR, Monsalvo ML, Elliott-Davey M, Lopez JAG, Banach M. Effect of Evolocumab on Non-High-Density Lipoprotein Cholesterol, Apolipoprotein B, and Lipoprotein(a): A Pooled Analysis of Phase 2 and Phase 3 Studies. J Am Heart Assoc. 2020 Mar 3;9(5):e014129. doi: 10.1161/JAHA.119.014129. Epub 2020 Mar 2.
PMID: 32114889BACKGROUND
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Study Director
- Organization
- Amgen Inc.
Study Officials
- STUDY DIRECTOR
MD
Amgen
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 13, 2013
First Posted
June 17, 2013
Study Start
July 11, 2013
Primary Completion
November 15, 2013
Last Updated
November 30, 2022
Results First Posted
December 23, 2015
Record last verified: 2022-11