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Ezetimibe

Phase 3

Hypercholesterolemia | Small molecule | Metabolic |Regeneron Pharmaceuticals, Inc.|Last Updated: Jun 23, 2020

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment314
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01709513Study of Alirocumab (REGN727/SAR236553) in Patients With Primary Hypercholesterolemia and Moderate, High, or Very High Cardiovascular (CV) Risk, Who Are Intolerant to Statins (ODYSSEY ALTERNATIVE)PHASE3 COMPLETED 314Sep 30, 2012May 31, 2017Jun 23, 202070 United States, Austria +6
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Study Endpoints
Primary Endpoints
Percent Change From Baseline in Calculated LDL-C at Week 24 - Intent--To-Treat (ITT) Analysis
From Baseline to Week 24

Calculated LDL-C values were obtained from Friedewald formula. Adjusted Least-squares (LS) means and standard errors at Week 24 were obtained from a mixed-effect model with repeated measures (MMRM) to account for missing data. All available post-baseline data from Week 4 to Week 24 regardless of status on- or off-treatment were used in the model (ITT analysis).

Secondary Endpoints
Percent Change From Baseline in Calculated LDL-C at Week 24 - On--Treatment Analysis
From Baseline to Week 24
Percent Change From Baseline in Calculated LDL--C at Week 12 -- ITT Analysis
From Baseline to Week 12
Percent Change From Baseline in Calculated LDL-C at Week 12 - On--Treatment Analysis
From Baseline to Week 12
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Atorvastatin (statin rechallenge arm)OTHERAtorvastatin 20 mg over-encapsulated tablets orally once daily (QD) for 24 weeks and placebo (for alirocumab) subcutaneous (SC) injection every two weeks (Q2W) for 24 weeks added to stable lipid-modifying therapy (LMT).
EzetimibeACTIVE_COMPARATOREzetimibe 10 mg over-encapsulated tablets orally QD for 24 weeks and placebo (for alirocumab) SC injection Q2W for 24 weeks added to stable LMT.
Alirocumab 75 mg/ up to 150 mgEXPERIMENTALAlirocumab 75 mg SC injection Q2W for 24 weeks and placebo (for atorvastatin/ezetimibe) over-encapsulated tablets orally QD for 24 weeks added to stable LMT. Alirocumab dose up-titrated to 150 mg Q2W from Week 12 when LDL-C levels ≥70 mg/dL (1.81 mmol/L) or ≥100 mg/dL (2.59 mmol/L) at Week 8, based on cardiovascular risk.
Interventions
NameTypeDescription
AtorvastatinDRUGAtorvastatin over-encapsulated tablets.
EzetimibeDRUGEzetimibe over-encapsulated tablet.
AlirocumabDRUGAlirocumab SC injection of 1 mL into the abdomen, thigh, or outer area of the upper arm.
PlaceboDRUGPlacebo for alirocumab, ezitimibe and atorvastatin.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites70

Inclusion: 1. Patients with primary hypercholesterolemia \[Heterozygous Familial Hypercholesterolemia (heFH) or non-FH\] with moderate, high or very high CV risk and a history of statin intolerance 2. Provide signed informed consent Exclusion: 1. Calculated serum LDL-C \<70 mg/dL (1.81 mmol/L) an...

Countries:United StatesAustriaCanadaFranceIsraelItalyNorwayUnited Kingdom
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