Status:

COMPLETED

Trial to Evaluate Efficacy and Safety of LIB003, Evolocumab and Alirocumab in High-risk CVD Patients

Lead Sponsor:

LIB Therapeutics LLC

Conditions:

Hypercholesterolemia

Cardiovascular Diseases

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

Comparison of LDL-C reductions at Week 12 of monthly (Q4W\[≤ 31 days\]) dosing of LIB003 300 mg administered subcutaneously (SC) to Q4W dosing of evolocumab (Repatha) 420 mg and alirocumab (Praluent) ...

Detailed Description

This is a randomized, open-label Phase 3 study of 12 weeks duration comparing Q4W SC doses of LIB003 300 mg, evolocumab (Repatha) 420 mg and alirocumab (Praluent) 300 mg. Approximately 220 males and f...

Eligibility Criteria

Inclusion

  • signed informed consent
  • diagnosed with CVD or a high risk of CVD based on 2019 ESC/EAS guidelines
  • Weight of ≥40 kg (88 lb) and body mass index (BMI) ≥17 and ≤42 kg/m2
  • LDL-C ≥90 mg/dL and TG ≤400 mg/dL while on stable diet \& lipid-lowering oral drug therapy (ie, high intensity statin with or without ezetimibe) and no PCSK9 mAb for 4 weeks if previously on Q2W dosing or 8 weeks if on Q4W dosing.
  • Females of childbearing potential must be using a highly effective form of birth control if sexually active and have a negative urine pregnancy test at the last Screening Visit

Exclusion

  • at screening visit: not on high intensity statin; mipomersen or lomitapide within 6 months; gemfibrozil within 6 weeks; bempedoic acid within 4 weeks; inclisiran within 12 months; apheresis within 8 weeks
  • HoFH defined clinically and/or genetically
  • History of prior or active clinical condition or acute and/or unstable systemic disease compromising patient inclusion, at the discretion of the Investigator
  • estimated glomerular filtration rate \<30 mL/min/1.73m2 at screening
  • Active liver disease or hepatic dysfunction, history of liver transplant, and/or AST or ALT \>2.5 × the ULN
  • Uncontrolled Type 1 or Type 2 diabetes mellitus, defined as fasting glucose ≥200 mg/dL or glycated hemoglobin (HbA1c) of ≥9%
  • NY Heart Association class III-IV heart failure; or patients with last documented left ventricular ejection fraction \<30%; planned PCI, CABG or cardiac surgery
  • Uncontrolled hypertension defined as evidenced by a reproducible (repeated 5 minutes apart) sitting blood pressure ≥160 mmHg systolic or ≥100 mmHg diastolic;
  • Enrolled in another investigational device or drug study, or less than 30 days or 5 half-lives since ending another investigational device or drug study(ies), or receiving PCSK9 or Lp(a) siRNA or locked nucleic acid-reducing agents within 12 months of the Screening Visit;
  • Have any other finding which, in the opinion of the Investigator, would compromise the patient's safety or participation in the study;

Key Trial Info

Start Date :

April 22 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 31 2022

Estimated Enrollment :

204 Patients enrolled

Trial Details

Trial ID

NCT04790513

Start Date

April 22 2021

End Date

December 31 2022

Last Update

March 29 2023

Active Locations (3)

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Page 1 of 1 (3 locations)

1

Sterling Research Group

Cincinnati, Ohio, United States, 45219

2

The Lindner Research Center

Cincinnati, Ohio, United States, 45219

3

Metabolic & Atherosclerosis Research Center (MARC)

Cincinnati, Ohio, United States, 45227