Study of Alirocumab Given Every Two Weeks for 12 Weeks in Adults on Stable Hemodialysis or Peritoneal Dialysis
Led by Baylor Research Institute · Updated on 2020-02-12
20
Participants Needed
1
Research Sites
17 weeks
Total Duration
AI-Summary
What this Trial Is About
This research aims to evaluate the effects of alirocumab, given every two weeks for 12 weeks, on cholesterol levels in patients who are stably maintained on hemodialysis or peritoneal dialysis. The study focuses on patients with end-stage renal disease receiving dialysis and seeks to demonstrate the drugs impact on lowering LDL cholesterol and other biomarkers. The trial also monitors safety and drug levels in this specific patient population.
Participants receive alirocumab 150 mg administered by subcutaneous injection every two weeks for a total of 12 weeks. The study includes two groups of patients ten on hemodialysis and ten on peritoneal dialysis, all having been stable on their dialysis regimen for at least three months. The open-label design means all enrolled patients receive the drug without placebo comparison.
Throughout the study, cholesterol levels, including LDL, HDL, and apoprotein B, are measured at baseline and at weeks 4, 8, and 12. Additional biomarkers and routine lab tests are also collected to assess safety and drug effects. Safety is closely monitored by recording adverse events and clinical changes during the entire 12-week treatment period. This allows researchers to understand how alirocumab affects cholesterol and related markers in dialysis patients under stable treatment conditions.
CONDITIONS
Brief Title
Alirocumab in Patients on a Stable Dialysis Regimen
Research Team
C
Cara East, MD
M
Merielle Boatman
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This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
Factors
Alirocumab (Study Drug)
Statin ± Ezetimibe (Standard Care)
What it is
Alirocumab, a PCSK9 inhibitor, is an injectable cholesterol-lowering therapy studied as an add-on or alternative to existing regimens for adults undergoing maintenance hemodialysis or peritoneal dialysis.
Statin therapy, often combined with ezetimibe, is the current standard pharmacological approach for reducing LDL cholesterol in adults receiving dialysis.
Primary use
Used to reduce LDL cholesterol levels in adults on stable dialysis, targeting patients who may have persistently elevated LDL despite prior therapy.
Widely prescribed as first-line therapy to manage high LDL cholesterol and prevent cardiovascular events in adults with chronic kidney disease, including those on dialysis.
How it is given/performed
Administered by subcutaneous injection every two weeks while maintaining dialysis and pre-existing cholesterol-lowering therapy as stable.
Statins (with or without ezetimibe) are taken orally, typically once daily, as part of ongoing chronic cholesterol management.
Evidence status
Evidence for Alirocumab's LDL-lowering effect in dialysis patients is emerging. Initial studies show pronounced reductions in LDL cholesterol, with ongoing research to confirm clinical outcomes in this population.
Robust evidence from landmark trials supports statin ± ezetimibe for reducing LDL cholesterol and cardiovascular risk in CKD and dialysis patients, though the absolute clinical benefit varies by patient subgroup.
Important limitations
Alirocumab's clinical benefits and long-term safety for dialysis patients are not fully established. Risks may include injection-site reactions and uncertainty about cardiovascular event reduction in this population.
Statin- and ezetimibe-based therapy provide LDL lowering, but evidence for cardiovascular event reduction is weaker in dialysis patients compared to earlier CKD stages. Some patients may experience muscle-related side effects or require dose adjustments.
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
Who Can Participate
Age: 18Years - 80Years
All Genders
Eligibility Criteria
You may qualify if you...
Male or female patients, ages 18 to 80 years.
Written informed consent obtained before any study assessment.
Diagnosis of end-stage renal disease, maintained on dialysis without complications for at least 3 months.
Patients may have a history of atherosclerotic disease such as MI, PCI, CABG, TIA, CVA, or PAD.
Enrollment includes 10 patients on hemodialysis and 10 patients on peritoneal dialysis.
You will not qualify if you...
LDL-cholesterol level below 70 mg/dL.
Any contraindication to subcutaneous injections.
Ongoing statin and/or ezetimibe therapy must remain unchanged during the study.
History of allergy or intolerance to the study drug or similar drugs.
History of MI, PCI, CABG, TIA, CVA, or PAD within 3 months before enrollment.
History of malignant cancer within the past 3 years, excluding basal cell skin cancer or cervical cancer in situ.
Women of child-bearing potential not using effective contraception during and 2 weeks after dosing.
Pregnant or lactating women.
Medical conditions affecting drug absorption or metabolism as judged by the investigator.
History or evidence of drug or alcohol abuse within the last 12 months.
Psychiatric, behavioral, or cognitive disorders interfering with protocol compliance or follow-up.
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - 12 weeks
Participants receive alirocumab 150 mg by subcutaneous injection every 2 weeks for 12 weeks.
Biweekly visits for injections over 12 weeks
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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Published Research Related To This Trial
The effects of lowering LDL cholesterol with simvastatin plus ezetimibe in patients with chronic kidney disease (Study of Heart and Renal Protection): a randomised placebo-controlled trial.
Colin Baigent, Martin J Landray, Christina Reith...
Inverse association between lipid levels and mortality in men with chronic kidney disease who are not yet on dialysis: effects of case mix and the malnutrition-inflammation-cachexia syndrome.
Csaba P Kovesdy, John E Anderson, Kamyar Kalantar-Zadeh
Alirocumab and Lipid Levels, Inflammatory Biomarkers, Metabolomics, and Safety in Patients Receiving Maintenance Dialysis: The ALIrocumab in DIALysis Study (A Phase 3 Trial to Evaluate the Efficacy and Safety of Biweekly Alirocumab in Patients on a Stable Dialysis Regimen).