Efficacy and Safety of Alirocumab (SAR236553/REGN727) Versus Ezetimibe on Top of Statin in High Cardiovascular Risk Patients With Hypercholesterolemia (ODYSSEY COMBO II)



Status:Completed
Conditions:High Cholesterol
Therapuetic Areas:Cardiology / Vascular Diseases
Healthy:No
Age Range:18 - Any
Updated:4/21/2016
Start Date:August 2012
End Date:July 2015

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

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

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 in comparison with
ezetimibe after 24 weeks of treatment in participants with hypercholesterolemia at high
cardiovascular (CV) risk.

Secondary Objectives:

- To evaluate the effect of alirocumab in comparison with ezetimibe 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 115 weeks per participant, including a 3-week screening
period, 104-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 at stable dose for at least 4 weeks prior to the screening visit (Week -2).

Exclusion criteria:

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

- Participants without established CHD or CHD risk equivalents

- 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 CV
disease

- 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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