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| ID | Type | Description | Link |
|---|---|---|---|
| 2016-003307-62 | EudraCT Number |
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The primary objective is to determine the change in Triglyceride (TG) levels following 12 weeks of repeated Intravenous (IV) doses of evinacumab.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| evinacumab | Experimental |
| |
| Placebo | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| evinacumab | Drug | Administered by Intravenous (IV) |
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| Measure | Description | Time Frame |
|---|---|---|
| Percent Change From Baseline in Fasting Triglycerides (TG) Level Following 12 Weeks of Repeated IV Doses of Evinacumab in Actual Cohort 3 Participants | For participants randomized to evinacumab treatment group, baseline (Week 0) TG was defined as the geometric mean of all available TG results at day -28, day -14 and week 0; for participants randomized to placebo treatment group, baseline (Week 12) TG was defined as the geometric mean of all available TG results at weeks 6, 8, and 12. | Participants randomized to evinacumab: Week 0 corresponds to Baseline and 12 weeks treatment corresponds to Week 12 of the DBTP; Participants randomized to placebo: Week 12 corresponds to Baseline and 12 weeks treatment corresponds to Week 24 of the SBTP |
| Measure | Description | Time Frame |
|---|---|---|
| Percent Change From Baseline in Fasting TG Level Following 2 to 24 Weeks of Repeated IV Doses of Evinacumab Overall Group | Percent change from baseline in fasting TG level following 2 to 24 weeks of repeated IV doses of evinacumab overall group during DBTP and SBTP was reported. | DBTP: Baseline, Weeks 2, 4, 6, 8, 12; SBTP: Weeks 16, 20, and 24 |
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Key Inclusion Criteria:
Key Exclusion Criteria:
Note: Other protocol defined Inclusion/Exclusion criteria may apply
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Trial Management | Regeneron Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Regeneron Research Facility | Boca Raton | Florida | 33434 | United States | ||
| Regeneron Research Facility |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36879129 | Derived | Rosenson RS, Gaudet D, Ballantyne CM, Baum SJ, Bergeron J, Kershaw EE, Moriarty PM, Rubba P, Whitcomb DC, Banerjee P, Gewitz A, Gonzaga-Jauregui C, McGinniss J, Ponda MP, Pordy R, Zhao J, Rader DJ. Evinacumab in severe hypertriglyceridemia with or without lipoprotein lipase pathway mutations: a phase 2 randomized trial. Nat Med. 2023 Mar;29(3):729-737. doi: 10.1038/s41591-023-02222-w. Epub 2023 Mar 6. |
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Based upon information (or lack of information) on genotype in medical history at screening, eligible patients were enrolled into 1 of 3 cohorts; 51 of 74 patients screened were randomized and treated during the double-blind treatment period (DBTP).
A total of 17 centers enrolled participants in Italy, Canada, the United Kingdom of Great Britain and Northern Ireland, and the United States.
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo IV Q4W (DBTP) | Participants received placebo matching evinacumab intravenously (IV) every 4 weeks (Q4W) on days 1, 29, and 57 during 12-week DBTP. |
| FG001 | Evinacumab 15 mg/kg (DBTP) |
| Title | Milestones | Reasons Not Completed | ||||
|---|---|---|---|---|---|---|
| Double-Blind Treatment Period (12 Weeks) |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Oct 15, 2019 | Dec 13, 2022 |
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| Placebo | Drug | Administered by Intravenous (IV) |
|
| Percent Change From Baseline in Fasting TG Level Following 2 to 24 Weeks of Repeated IV Doses of Evinacumab in Actual Cohorts 1, 2, and 3 | Percent change from baseline in fasting TG level following 2 to 24 weeks of repeated IV doses of evinacumab in actual cohorts 1, 2, and 3 participants were reported. | Weeks 2, 4, 6, 8, 12, 16, 20, and 24 |
| Change From Baseline in Total Score of Participants Reported Abdominal and Gastrointestinal (GI) Symptoms Using Hypertriglyceridemia and Acute Pancreatitis Symptom Scale (HAP-SS) | HAP-SS: 19-item measure of symptoms with a 24-hour recall period. 4 pain items were captured on 0-10-point severity NRS, each scored 0 (No pain) to 10 (Worst possible pain), while 15 non-pain items captured on 5-point frequency Likert scale, each scored from 1 (None of the time) to 5 (All of the time). Pain domain 4 items: stomach pain average, worst stomach pain, worst back pain, stomach pain after eating (score range: 0 to 40). Abdominal symptoms domain 6 items: bloated, nausea, vomiting, passed excessive gas, diarrhea, light-colored or greasy stool (score range: 6 to 30). Physical symptoms domain 5 items: fever, insomnia, excessive sweating, dizziness, racing heart rate (score range 5 to 25). Other symptoms domain 4 items: fatigue, loss of appetite, hungry after eating, felt full after eating a small amount (score range 4 to 20). All items were transformed on to total score ranges from 0 (no symptoms) to 100 (severe symptoms). Negative change indicates better condition. | Baseline, Week 12 (DBTP), Week 24 (SBTP) |
| Change From Baseline in Total Score of Participants Reported Dietary Behavior Questionnaire (HAP-DB) | Dietary habits and impact were measured by the Hypertriglyceridemia and Acute Pancreatitis Dietary Behavior (HAP-DB) questionnaire, a 6- item measure of dietary behavior that had a 24-hour recall period using a 5-point frequency Likert scale (1= None of the time to 5= All of the time) and a dietary impact total score, ranging from 6 (no impact) to 30 (severe impact). The six HAP-DB items were: 1 -amount of food eaten), 2 -fatty or greasy food), 3 -carbohydrates), i4 (-sugar or sugary foods), 5 -alcohol intake), 6 -skipped meal). The total score was calculated as the sum of the six item scores and then transformed to a 0-100 score, where lower score indicates less of an issue with dietary behaviors. Transformed score = 100 * (score - minimum possible score) / (maximum - minimum possible score). Change from baseline in total score of participants reported daily dietary habits and impact questionnaire during DBTP and SBTP was reported. | Baseline, Week 12 (DBTP), Week 24 (SBTP) |
| DBTP: Change From Baseline in Degree of Pancreatic Injury/Inflammation Through 18F-2-Fluoro-2-Deoxy-D Glucose Positron Emission Tomography (18F-FDG-PET) Imaging Following 12 Weeks of Treatment With Evinacumab Assessed by 18F-FDG SUVmax and SUVmean | 18F-FDG-PET is a molecular imaging modality that has demonstrated high sensitivity in the in vivo detection of glycolytic tissues, including tumors and inflammatory foci. 18F-FDG PET has been applied in a clinical setting to the assessment of inflammation for a variety of indications, including auto immune pancreatitis, atherosclerosis and infection. 18F-FDG-PET was performed at baseline (placebo run-in period) and following 12 weeks of study treatment (double-blind treatment period) as a method to measure inflammation in the pancreas. Here, SUVmax was standardized uptake values maximum and SUVmean was mean standardized uptake values were reported. | Participants randomized to evinacumab: Week 0 corresponds to Baseline and 12 weeks treatment corresponds to Week 12 of the DBTP; Participants randomized to placebo: Week 12 corresponds to Baseline and 12 weeks treatment corresponds to Week 24 of the SBTP |
| DBTP: Change From Baseline in Degree of Pancreatic Injury/Inflammation Through Diffusion Weighted-Magnetic Resonance Imaging (DW-MRI) Following 12 Weeks of Treatment With Evinacumab Assessed by Apparent Diffusion Coefficient (ADC) | In DW-MRI the random diffusion of water molecules occurring within intracellular, extracellular and intravascular spaces were measured, enabling detection of macroscopic soft tissue pathology such as edema, necrosis and fibrosis. The ADC was a principal metric quantified in DW-MRI experiments, where ADC values was mapped across a region of interest at a spatial resolution of ~3*3*5 cubic millimeter (mm^3). Normal pancreas ADCs were considered as (1.77±0.32)*103 square-millimeters per second (mm^2/sec) while acute pancreatitis ADCs were (1.32±0.32)* 103 mm^2/sec showing a significant window for measuring projected inflammatory changes in pancreas. DW-MRI was performed at baseline (placebo run-in period) and following 12 weeks of study treatment (double-blind treatment period) as a method to measure inflammation in the pancreas. Change from baseline in degree of pancreatic injury/inflammation through DW-MRI following 12 weeks of treatment with evinacumab assessed by ADC was reported. | Participants randomized to evinacumab: Week 0 corresponds to Baseline and 12 weeks treatment corresponds to Week 12 of the DBTP; Participants randomized to placebo: Week 12 corresponds to Baseline and 12 weeks treatment corresponds to Week 24 of the SBTP |
| SBTP: Change From Baseline to Degree of Pancreatic Injury/Inflammation Through DW-MRI Following 24 Weeks of Treatment With Evinacumab as Assessed by ADC | In DW-MRI, the random diffusion of water molecules occurring within intracellular, extracellular and intravascular spaces were measured, enabling detection of macroscopic soft tissue pathology such as edema, necrosis and fibrosis. The ADC was a principal metric quantified in DW-MRI experiments, where ADC values was mapped across a region of interest at a spatial resolution of ~3*3*5 mm^3. Normal pancreas ADCs were considered as (1.77±0.32)*103 mm^2/sec while acute pancreatitis ADCs are (1.32±0.32)* 103 mm^2/sec showing a significant window for measuring the projected inflammatory changes in the pancreas. Change from baseline to degree of pancreatic injury/inflammation through DW-MRI following 24 weeks of treatment with evinacumab assessed by ADC was reported. | Baseline (Week 0 DBTP), Week 24 (SBTP) |
| Total Evinacumab Concentration in Serum | Concentrations of total evinacumab in serum by time and DBTP treatment group reported | Up to 44 weeks |
| Total Angiopoietin-like (ANGPTL3) Concentration in Serum | Concentrations of total ANGPTL3 in serum by time and DBTP treatment group reported | Up to 44 weeks |
| Number of Participants With Antidrug Antibodies (ADA) | ADA were classified as the following: 1) Negative any time (negative in ADA assay at all time points); 2) Pre-existing immunoreactivity (ADA positive response at baseline with all post treatment ADA results negative or ADA positive response at baseline with all post treatment responses less than 9-fold of baseline titer levels); 3) Treatment-boosted Response (ADA positive response in assay post first dose that is at least 9-fold over baseline titer levels, when baseline results were positive); 4) Treatment-emergent ADA response (ADA positive response post first dose, when baseline results were negative or missing). Number of participants with ADA by DBTP treatment group reported. | Up to 44 weeks |
| DBTP: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs | TEAEs are AEs that developed or worsened or became serious during the respective TEAE period. Number of participants who experienced a TEAE/serious TEAE during the DBTP reported. | From first dose of DB treatment to day of last dose of DB treatment + 24 weeks (if not proceeding to SBTP) or up to day before first dose of SB treatment in SBTP |
| SBTP: Number of Participants With TEAEs and Serious TEAEs | TEAEs are AEs that developed or worsened or became serious during the respective TEAE period. Number of participants who experienced a TEAE/serious TEAE during the SBTP reported. | From day of first SB study treatment to day of last SB treatment + 24 weeks |
| Number of Participants With Liver Function Laboratory Abnormalities in Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Alkaline Phosphatase (ALP), and Total Bilirubin | The number of participants with laboratory abnormalities in ALT, AST, ALP, and total bilirubin that fell into the pre-defined potentially clinically significant value (PCSV) categories reported: ALT: greater than (>)2 upper limit of normal (ULN) and baseline (BL) less than or equal to (<=) 2 ULN, less than (>) 3 ULN and baseline <= 3 ULN, >5 ULN and baseline <= 5 ULN, >10 ULN and baseline ≤ 10 ULN, >20 ULN and baseline <= 20 ULN; AST: >2 ULN and baseline ≤ 2 ULN, >3 ULN and baseline <= 3 ULN, >5 ULN and baseline <= 5 ULN, >10 ULN and baseline <= 10 ULN, >20 ULN and baseline <= 20 ULN; ALP: > 1.5 ULN and baseline <= 1.5 ULN; Total Bilirubin (TB): > 1.5 ULN and baseline <= 1.5 ULN, > 2 ULN and baseline <= 2 ULN. | Baseline up to 44 weeks |
| Atlanta |
| Georgia |
| 30328 |
| United States |
| Regeneron Research Facility | Kansas City | Kansas | 66160 | United States |
| Regeneron Research Facility | New York | New York | 10029 | United States |
| Regeneron Research Facility | Philadelphia | Pennsylvania | 19104 | United States |
| Regeneron Research Facility | Pittsburgh | Pennsylvania | 15261 | United States |
| Regeneron Research Facility | Dallas | Texas | 75390 | United States |
| Regeneron Research Facility | Houston | Texas | 77030 | United States |
| Regeneron Research Facility | Milwaukee | Wisconsin | 53226 | United States |
| Regeneron Research Facility | Chicoutimi | Quebec | G7H7K9 | Canada |
| Regeneron Research Facility | Québec | Quebec | G1V4W2 | Canada |
| Regeneron Research Facility | Naples | Campania | 80131 | Italy |
| Regeneron Research Facility | Rome | 00161 | Italy |
| Regeneron Research Facility | Birmingham | B15 2TH | United Kingdom |
| Regeneron Research Facility | London | NW3 2QG | United Kingdom |
| Regeneron Research Facility | London | SE1 7EH | United Kingdom |
| Regeneron Research Facility | Manchester | M13 9WL | United Kingdom |
Participants received IV infusion of evinacumab 15 milligram per kilogram (mg/kg) Q4W on days 1, 29, and 57 during the 12-week DBTP.
| FG002 | Evinacumab 15 mg/kg (SBTP) | All participants who completed the DBTP (placebo IV Q4W and evinacumab 15 mg/kg arm) received IV infusion of evinacumab 15 mg/kg Q4W on days 85, 113, and 141 during 12-week the SBTP. |
|
| Treated | Randomized and Treated |
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| Actual Cohort 1 | Actual Cohort 1 included participants with homozygous or compound heterozygous loss-of-function (LOF) mutations in genes in the lipoprotein lipase (LPL) pathway as was determined based on genotype data. |
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| Actual Cohort 2 | Actual Cohort 2 included participants with heterozygous LOF mutations in genes in the LPL pathway as was determined based on genotype data. |
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| Actual Cohort 3 | Actual Cohort 3 included participants without LOF mutations in genes in the LPL pathway as was determined based on genotype data. |
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| COMPLETED |
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| NOT COMPLETED |
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| Single-Blind Treatment Period (12 Weeks) |
|
|
The full analysis set (FAS) included all randomized participants who received any double-blind study drug based on the treatment assigned (as randomized).
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| ID | Title | Description |
|---|---|---|
| BG000 | Placebo IV Q4W (DBTP) | Participants received placebo matching evinacumab IV Q4W on days 1, 29, and 57 during 12-week DBTP. |
| BG001 | Evinacumab 15 mg/kg (DBTP) | Participants received IV infusion of evinacumab 15 mg/kg Q4W on days 1, 29, and 57 during the 12-week DBTP. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Race | Number | Participants |
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| Fasting Triglycerides | Mean | Standard Deviation | milligrams/deciliter (mg/dL) |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Primary | Percent Change From Baseline in Fasting Triglycerides (TG) Level Following 12 Weeks of Repeated IV Doses of Evinacumab in Actual Cohort 3 Participants | For participants randomized to evinacumab treatment group, baseline (Week 0) TG was defined as the geometric mean of all available TG results at day -28, day -14 and week 0; for participants randomized to placebo treatment group, baseline (Week 12) TG was defined as the geometric mean of all available TG results at weeks 6, 8, and 12. | The FAS included all randomized participants who received any double-blind study drug based on the treatment assigned (as randomized). Mixed-effect Model for Repeated Measures (MMRM) method assessed within-patient treatment comparisons (using an unstructured covariance matrix), while accounting for baseline TG, study visit, and baseline TG by study visit interaction. Here, "Overall number of participants analyzed" signifies those participants who were evaluable for this outcome measure. | Posted | Least Squares Mean | Standard Error | Percent Change | Participants randomized to evinacumab: Week 0 corresponds to Baseline and 12 weeks treatment corresponds to Week 12 of the DBTP; Participants randomized to placebo: Week 12 corresponds to Baseline and 12 weeks treatment corresponds to Week 24 of the SBTP |
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| Secondary | Percent Change From Baseline in Fasting TG Level Following 2 to 24 Weeks of Repeated IV Doses of Evinacumab Overall Group | Percent change from baseline in fasting TG level following 2 to 24 weeks of repeated IV doses of evinacumab overall group during DBTP and SBTP was reported. | The FAS included all randomized participants who received any double-blind study drug based on the treatment assigned (as randomized). Here, "Overall number of participants analyzed" signifies those participants who were evaluable for this outcome measure for specified arm/period and "number analyzed" signifies to participants evaluable for this outcome at given timepoints. | Posted | Mean | Standard Deviation | Percent Change | DBTP: Baseline, Weeks 2, 4, 6, 8, 12; SBTP: Weeks 16, 20, and 24 |
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| Secondary | Percent Change From Baseline in Fasting TG Level Following 2 to 24 Weeks of Repeated IV Doses of Evinacumab in Actual Cohorts 1, 2, and 3 | Percent change from baseline in fasting TG level following 2 to 24 weeks of repeated IV doses of evinacumab in actual cohorts 1, 2, and 3 participants were reported. | The FAS included all randomized participants who received any double-blind study drug based on the treatment assigned (as randomized). Here, "Overall number of participants analyzed" signifies those participants who were evaluable for this outcome measure for specified arm/period and "number analyzed" signifies to participants evaluable for this outcome at given timepoints. | Posted | Median | Inter-Quartile Range | Percent Change | Weeks 2, 4, 6, 8, 12, 16, 20, and 24 |
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| Secondary | Change From Baseline in Total Score of Participants Reported Abdominal and Gastrointestinal (GI) Symptoms Using Hypertriglyceridemia and Acute Pancreatitis Symptom Scale (HAP-SS) | HAP-SS: 19-item measure of symptoms with a 24-hour recall period. 4 pain items were captured on 0-10-point severity NRS, each scored 0 (No pain) to 10 (Worst possible pain), while 15 non-pain items captured on 5-point frequency Likert scale, each scored from 1 (None of the time) to 5 (All of the time). Pain domain 4 items: stomach pain average, worst stomach pain, worst back pain, stomach pain after eating (score range: 0 to 40). Abdominal symptoms domain 6 items: bloated, nausea, vomiting, passed excessive gas, diarrhea, light-colored or greasy stool (score range: 6 to 30). Physical symptoms domain 5 items: fever, insomnia, excessive sweating, dizziness, racing heart rate (score range 5 to 25). Other symptoms domain 4 items: fatigue, loss of appetite, hungry after eating, felt full after eating a small amount (score range 4 to 20). All items were transformed on to total score ranges from 0 (no symptoms) to 100 (severe symptoms). Negative change indicates better condition. | Patient-reported outcomes (PRO) analysis set included all randomized participants who received any double-blind study treatment with a baseline and at least 1 non-missing post-baseline PRO evaluation. Here, "Overall number of participants analyzed" signifies those participants who were evaluable for this outcome measure for specified arm/period. | Posted | Mean | Standard Deviation | Score on a Scale | Baseline, Week 12 (DBTP), Week 24 (SBTP) |
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| Secondary | Change From Baseline in Total Score of Participants Reported Dietary Behavior Questionnaire (HAP-DB) | Dietary habits and impact were measured by the Hypertriglyceridemia and Acute Pancreatitis Dietary Behavior (HAP-DB) questionnaire, a 6- item measure of dietary behavior that had a 24-hour recall period using a 5-point frequency Likert scale (1= None of the time to 5= All of the time) and a dietary impact total score, ranging from 6 (no impact) to 30 (severe impact). The six HAP-DB items were: 1 -amount of food eaten), 2 -fatty or greasy food), 3 -carbohydrates), i4 (-sugar or sugary foods), 5 -alcohol intake), 6 -skipped meal). The total score was calculated as the sum of the six item scores and then transformed to a 0-100 score, where lower score indicates less of an issue with dietary behaviors. Transformed score = 100 * (score - minimum possible score) / (maximum - minimum possible score). Change from baseline in total score of participants reported daily dietary habits and impact questionnaire during DBTP and SBTP was reported. | PRO analysis set includes all randomized participants who received any double-blind study treatment with a baseline and at least 1 non-missing post-baseline PRO evaluation. Here, "Overall number of participants analyzed" signifies those participants who were evaluable for this outcome measure for specified arm/period. | Posted | Mean | Standard Deviation | Score on a Scale | Baseline, Week 12 (DBTP), Week 24 (SBTP) |
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| Secondary | DBTP: Change From Baseline in Degree of Pancreatic Injury/Inflammation Through 18F-2-Fluoro-2-Deoxy-D Glucose Positron Emission Tomography (18F-FDG-PET) Imaging Following 12 Weeks of Treatment With Evinacumab Assessed by 18F-FDG SUVmax and SUVmean | 18F-FDG-PET is a molecular imaging modality that has demonstrated high sensitivity in the in vivo detection of glycolytic tissues, including tumors and inflammatory foci. 18F-FDG PET has been applied in a clinical setting to the assessment of inflammation for a variety of indications, including auto immune pancreatitis, atherosclerosis and infection. 18F-FDG-PET was performed at baseline (placebo run-in period) and following 12 weeks of study treatment (double-blind treatment period) as a method to measure inflammation in the pancreas. Here, SUVmax was standardized uptake values maximum and SUVmean was mean standardized uptake values were reported. | PET analysis set included all randomized participants who received any double-blind study treatment with a baseline and a post-baseline (positron emission tomography) PET evaluation. Here, "Overall number of participants analyzed" signifies those participants who were evaluable for this outcome measure for specified arm/period. | Posted | Mean | Standard Deviation | gram/milliliter (g/ml) | Participants randomized to evinacumab: Week 0 corresponds to Baseline and 12 weeks treatment corresponds to Week 12 of the DBTP; Participants randomized to placebo: Week 12 corresponds to Baseline and 12 weeks treatment corresponds to Week 24 of the SBTP |
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| Secondary | DBTP: Change From Baseline in Degree of Pancreatic Injury/Inflammation Through Diffusion Weighted-Magnetic Resonance Imaging (DW-MRI) Following 12 Weeks of Treatment With Evinacumab Assessed by Apparent Diffusion Coefficient (ADC) | In DW-MRI the random diffusion of water molecules occurring within intracellular, extracellular and intravascular spaces were measured, enabling detection of macroscopic soft tissue pathology such as edema, necrosis and fibrosis. The ADC was a principal metric quantified in DW-MRI experiments, where ADC values was mapped across a region of interest at a spatial resolution of ~3*3*5 cubic millimeter (mm^3). Normal pancreas ADCs were considered as (1.77±0.32)*103 square-millimeters per second (mm^2/sec) while acute pancreatitis ADCs were (1.32±0.32)* 103 mm^2/sec showing a significant window for measuring projected inflammatory changes in pancreas. DW-MRI was performed at baseline (placebo run-in period) and following 12 weeks of study treatment (double-blind treatment period) as a method to measure inflammation in the pancreas. Change from baseline in degree of pancreatic injury/inflammation through DW-MRI following 12 weeks of treatment with evinacumab assessed by ADC was reported. | Magnetic resonance imaging (MRI) analysis set included all randomized participants who received any double-blind study treatment with a baseline and at least 1 post-baseline MRI evaluation. Here, "Overall number of participants analyzed" signifies those participants who were evaluable for this outcome measure for specified arm/period and "number analyzed" signifies to participants evaluable for this outcome at given timepoints. | Posted | Mean | Standard Deviation | Square-millimeters per second (mm^2/sec) | Participants randomized to evinacumab: Week 0 corresponds to Baseline and 12 weeks treatment corresponds to Week 12 of the DBTP; Participants randomized to placebo: Week 12 corresponds to Baseline and 12 weeks treatment corresponds to Week 24 of the SBTP | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | SBTP: Change From Baseline to Degree of Pancreatic Injury/Inflammation Through DW-MRI Following 24 Weeks of Treatment With Evinacumab as Assessed by ADC | In DW-MRI, the random diffusion of water molecules occurring within intracellular, extracellular and intravascular spaces were measured, enabling detection of macroscopic soft tissue pathology such as edema, necrosis and fibrosis. The ADC was a principal metric quantified in DW-MRI experiments, where ADC values was mapped across a region of interest at a spatial resolution of ~3*3*5 mm^3. Normal pancreas ADCs were considered as (1.77±0.32)*103 mm^2/sec while acute pancreatitis ADCs are (1.32±0.32)* 103 mm^2/sec showing a significant window for measuring the projected inflammatory changes in the pancreas. Change from baseline to degree of pancreatic injury/inflammation through DW-MRI following 24 weeks of treatment with evinacumab assessed by ADC was reported. | MRI analysis set included all randomized participants who received any double-blind study treatment with a baseline and at least 1 post-baseline MRI evaluation. Here, "Overall number of participants analyzed" signifies those participants who were evaluable for this outcome measure for specified arm/period. | Posted | Mean | Standard Deviation | mm^2/sec | Baseline (Week 0 DBTP), Week 24 (SBTP) |
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| Secondary | Total Evinacumab Concentration in Serum | Concentrations of total evinacumab in serum by time and DBTP treatment group reported | Pharmacokinetic (PK) analysis set included all randomized participants who received any study drug and have at least 1 non-missing measurement of evinacumab concentration following the first dose of the study drug. Here, "number analyzed" signifies to participants evaluable for this outcome at given timepoints. | Posted | Mean | Standard Deviation | milligram per liter (mg/L) | Up to 44 weeks |
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| Secondary | Total Angiopoietin-like (ANGPTL3) Concentration in Serum | Concentrations of total ANGPTL3 in serum by time and DBTP treatment group reported | The total target analysis set is defined as all randomized participants who received any study drug and have at least 1 non-missing measurement of total ANGPTL3 concentration following the first dose of study drug. Here, "number analyzed" signifies to participants evaluable for this outcome at given timepoints. | Posted | Mean | Standard Deviation | mg/L | Up to 44 weeks |
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| Secondary | Number of Participants With Antidrug Antibodies (ADA) | ADA were classified as the following: 1) Negative any time (negative in ADA assay at all time points); 2) Pre-existing immunoreactivity (ADA positive response at baseline with all post treatment ADA results negative or ADA positive response at baseline with all post treatment responses less than 9-fold of baseline titer levels); 3) Treatment-boosted Response (ADA positive response in assay post first dose that is at least 9-fold over baseline titer levels, when baseline results were positive); 4) Treatment-emergent ADA response (ADA positive response post first dose, when baseline results were negative or missing). Number of participants with ADA by DBTP treatment group reported. | The ADA analysis set included all randomized participants who received any study drug and had at least 1 non-missing ADA result following the first dose of study treatment. Here, "Overall number of participants analyzed" signifies those participants who were evaluable for this outcome measure for specified arm/period. | Posted | Count of Participants | Participants | Up to 44 weeks |
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| Secondary | DBTP: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs | TEAEs are AEs that developed or worsened or became serious during the respective TEAE period. Number of participants who experienced a TEAE/serious TEAE during the DBTP reported. | The double-blind safety analysis set considered for safety analyses included the randomized population who received at least 1 dose or part of a dose of double-blind study drug. | Posted | Count of Participants | Participants | From first dose of DB treatment to day of last dose of DB treatment + 24 weeks (if not proceeding to SBTP) or up to day before first dose of SB treatment in SBTP |
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| Secondary | SBTP: Number of Participants With TEAEs and Serious TEAEs | TEAEs are AEs that developed or worsened or became serious during the respective TEAE period. Number of participants who experienced a TEAE/serious TEAE during the SBTP reported. | The single-blind safety analysis set considered for safety analyses included the randomized population who received at least 1 dose or part of a dose of single-blind study drug. | Posted | Count of Participants | Participants | From day of first SB study treatment to day of last SB treatment + 24 weeks |
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| Secondary | Number of Participants With Liver Function Laboratory Abnormalities in Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Alkaline Phosphatase (ALP), and Total Bilirubin | The number of participants with laboratory abnormalities in ALT, AST, ALP, and total bilirubin that fell into the pre-defined potentially clinically significant value (PCSV) categories reported: ALT: greater than (>)2 upper limit of normal (ULN) and baseline (BL) less than or equal to (<=) 2 ULN, less than (>) 3 ULN and baseline <= 3 ULN, >5 ULN and baseline <= 5 ULN, >10 ULN and baseline ≤ 10 ULN, >20 ULN and baseline <= 20 ULN; AST: >2 ULN and baseline ≤ 2 ULN, >3 ULN and baseline <= 3 ULN, >5 ULN and baseline <= 5 ULN, >10 ULN and baseline <= 10 ULN, >20 ULN and baseline <= 20 ULN; ALP: > 1.5 ULN and baseline <= 1.5 ULN; Total Bilirubin (TB): > 1.5 ULN and baseline <= 1.5 ULN, > 2 ULN and baseline <= 2 ULN. | The double-blind safety analysis set considered for safety analyses included the randomized population who received at least 1 dose or part of a dose of double-blind study drug. The single-blind safety analysis set considered for safety analyses included the randomized population who received at least 1 dose or part of a dose of single-blind study drug. | Posted | Count of Participants | Participants | Baseline up to 44 weeks |
|
From Day 1 up to Last Single-Blind (SB) dose + 168 days (24 weeks), up to approximately 44 weeks
Not provided
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Placebo IV Q4W (DBTP) | Participants received placebo matching evinacumab IV Q4W) on days 1, 29, and 57 during the 12-week DBTP. | 0 | 16 | 3 | 16 | 11 | 16 |
| EG001 | Evinacumab 15 mg/kg (DBTP) | Participants received IV infusion of evinacumab 15 mg/kg Q4W on days 1, 29, and 57 during the 12-week DBTP. | 0 | 35 | 4 | 35 | 20 | 35 |
| EG002 | Evinacumab 15 mg/kg (SBTP) | All participants who completed the DBTP received IV infusion of evinacumab 15 mg/kg Q4W on days 85, 113, and 141 during 12-week in the SBTP. | 0 | 15 | 4 | 15 | 13 | 15 |
| EG003 | SBTP DB/SB Evinacumab IV 15mg/kg Q4W | Participants received evinacumab 15 mg/kg IV Q4W on days 1, 29, and 57 during the 12-week DBTP. During the 12-week SBTP, participants continued to receive evinacumab 15 mg/kg IV Q4W on days 85, 113, and 141. | 0 | 32 | 11 | 32 | 22 | 32 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Pancreatitis acute | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Ileus | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Abdominal pain upper | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Acute respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Liver injury | Hepatobiliary disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Clostridium difficile infection | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Viral infection | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Hypertriglyceridaemia | Metabolism and nutrition disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Metabolic acidosis | Metabolism and nutrition disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Prostate cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 22.0 | Systematic Assessment |
| |
| Ischaemic stroke | Nervous system disorders | MedDRA 22.0 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nasopharyngitis | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Clostridium difficile infection | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Gastroenteritis viral | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Herpes zoster | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Laryngitis | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Oral candidiasis | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Sinusitis | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Abdominal distension | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Abdominal pain upper | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Diverticulum | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Dyspepsia | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Enteritis | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Eructation | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Flatulence | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Food poisoning | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Gastritis | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Gastrooesophageal reflux disease | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Oesophagitis | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Pancreatic failure | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Abdominal discomfort | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Pancreatitis acute | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Diabetes mellitus | Metabolism and nutrition disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Type 2 diabetes mellitus | Metabolism and nutrition disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Hypocalcaemia | Metabolism and nutrition disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Metabolic acidosis | Metabolism and nutrition disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Migraine | Nervous system disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Sciatica | Nervous system disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Influenza like illness | General disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Fatigue | General disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Vessel puncture site pain | General disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Atelectasis | Respiratory, thoracic and mediastinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Hiccups | Respiratory, thoracic and mediastinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Alanine aminotransferase increased | Investigations | MedDRA 22.0 | Systematic Assessment |
| |
| Aspartate aminotransferase increased | Investigations | MedDRA 22.0 | Systematic Assessment |
| |
| Blood lactate dehydrogenase increased | Investigations | MedDRA 22.0 | Systematic Assessment |
| |
| Blood magnesium decreased | Investigations | MedDRA 22.0 | Systematic Assessment |
| |
| Bursitis | Musculoskeletal and connective tissue disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Nodal osteoarthritis | Musculoskeletal and connective tissue disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Delirium | Psychiatric disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Insomnia | Psychiatric disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Acute kidney injury | Renal and urinary disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Azotaemia | Renal and urinary disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Renal cyst | Renal and urinary disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Renal impairment | Renal and urinary disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Dermatitis contact | Skin and subcutaneous tissue disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Anaemia | Blood and lymphatic system disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Angina pectoris | Cardiac disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Vision blurred | Eye disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Infusion related reaction | Injury, poisoning and procedural complications | MedDRA 22.0 | Systematic Assessment |
| |
| Contusion | Injury, poisoning and procedural complications | MedDRA 22.0 | Systematic Assessment |
| |
| Melanocytic naevus | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 22.0 | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA 22.0 | Systematic Assessment |
|
The investigator has the right to independently publish study results from the investigator's site after a multi-center publication, or a defined period after the completion of the study by all sites. The investigator must provide the sponsor a copy of any such publication derived from the study for review and comment in advance of any submission, and delay publication, if requested, to allow the Sponsor to preserve its proprietary rights.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical Trials Administrator | Regeneron Pharmaceuticals, Inc | 844-734-6643 | clinicaltrials@regeneron.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | May 20, 2019 | Dec 13, 2022 | SAP_001.pdf |
Not provided
| ID | Term |
|---|---|
| D015228 | Hypertriglyceridemia |
| ID | Term |
|---|---|
| D006949 | Hyperlipidemias |
| D050171 | Dyslipidemias |
| D052439 | Lipid Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| C000621590 | evinacumab |
Not provided
Not provided
Not provided
| Male |
|
| Not Hispanic or Latino |
|
| Unknown or Not Reported |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| Other |
|
| -75.5 |
| 2-Sided |
| 95 |
| -82.2 |
| 121.2 |
| Superiority |
|
|
| OG002 | Actual Cohort 3: DB Evinacumab/SB Evinacumab IV 15mg/kg Q4W | Participants without LOF mutations in genes in the LPL pathway as was determined based on genotype data received evinacumab 15 mg/kg Q4W on days 1, 29, and 57 in 12-week DBTP and were shifted to 12-week SBTP, to receive IV infusion of evinacumab 15 mg/kg Q4W on days 85, 113, and 141. |
|
|
| OG001 | Evinacumab IV 15mg/kg (DBTP) | Participants received IV infusion of evinacumab 15 mg/kg Q4W on days 1, 29, and 57 during the 12-week DBTP. |
| OG002 | Evinacumab IV 15mg/kg (SBTP) | All participants who completed the DBTP (placebo IV Q4W and evinacumab 15 mg/kg arms) received IV infusion of evinacumab 15 mg/kg Q4W on days 85, 113, and 141 during 12-week SBTP. |
|
|
| OG001 |
| Evinacumab IV 15mg/kg (DBTP) |
Participants received IV infusion of evinacumab 15 mg/kg Q4W on days 1, 29, and 57 during the 12-week DBTP. |
| OG002 | Evinacumab IV 15mg/kg (SBTP) | All participants who completed the DBTP (placebo IV Q4W and evinacumab 15 mg/kg arms) received IV infusion of evinacumab 15 mg/kg Q4W on days 85, 113, and 141 during 12-week SBTP. |
|
|
| OG001 | Evinacumab IV 15mg/kg Q4W (DBTP) | Participants received IV infusion of evinacumab 15 mg/kg Q4W on days 1, 29, and 57 during the 12-week DBTP. |
|
|
| ID |
|---|
| Title |
|---|
| Description |
|---|
| OG000 | Placebo IV Q4W (DBTP) | Participants received placebo matching evinacumab IV Q4W on days 1, 29, and 57 during the 12-week DBTP. |
| OG001 | Evinacumab IV 15mg/kg Q4W (DBTP) | Participants received IV infusion of evinacumab 15 mg/kg Q4W on days 1, 29, and 57 during the 12-week DBTP. |
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
|
|
|
|
|
|
|
|
Participants received IV infusion of evinacumab 15 mg/kg Q4W on days 1, 29, and 57 during the 12-week DBTP. |
| OG002 | Evinacumab 15 mg/kg (SBTP) | All participants who completed the DBTP (placebo IV Q4W and evinacumab 15 mg/kg arms) received IV infusion of evinacumab 15 mg/kg Q4W on days 85, 113, and 141 during 12-week SBTP. |
|
|