Evidence mapPaperPMID 30120772Full record

Trial reportClinical cardiology2018

Consistent LDL-C response with evolocumab among patient subgroups in PROFICIO: A pooled analysis of 3146 patients from phase 3 studies.

Erik Stroes, Jennifer G Robinson, Frederick J Raal, Robert Dufour, David Sullivan, Helina Kassahun, Yuhui Ma, Scott M Wasserman, Michael J Koren

4 registry-linked trialsOpen access · hybridAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Clinical cardiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT01763827. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01763827 phase3completed

A Double-blind, Randomized, Placebo and Ezetimibe-controlled, Multicenter Study to Evaluate Safety and Efficacy of Lipid Lowering Monotherapy With AMG 145 in Subjects With a 10-Year Framingham Risk Score of 10% or Less

Ran2013Enrolled615Registered outcomes22Posted comparisons88ConditionsHyperlipidemiaArmsEvolocumab, Ezetimibe, Placebo to Evolocumab, Placebo to Ezetimibe
Open the trial in the graph
NCT01763866 phase3completed

A Double-blind, Randomized, Placebo and Ezetimibe Controlled, Multicenter Study to Evaluate Safety, Tolerability and Efficacy of AMG 145 on LDL-C in Combination With Statin Therapy in Subjects With Primary Hypercholesterolemia and Mixed Dyslipidemia

Ran2013Enrolled2,067Registered outcomes22Posted comparisons308ConditionsHyperlipidemiaArmsAtorvastatin, Evolocumab, Ezetimibe, Placebo to Evolocumab, Placebo to Ezetimibe
Open the trial in the graph
NCT01763905 phase3completed

A Double-blind, Randomized, Multicenter Study to Evaluate Safety and Efficacy of AMG 145, Compared With Ezetimibe, in Hypercholesterolemic Subjects Unable to Tolerate an Effective Dose of a HMG-CoA Reductase Inhibitor

Ran2013Enrolled307Registered outcomes22Posted comparisons44ConditionsHyperlipidemiaArmsEvolocumab, Ezetimibe, Placebo to Evolocumab, Placebo to Ezetimibe
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NCT01763918 phase3completed

A Double-blind, Randomized, Placebo-controlled, Multicenter Study to Evaluate Safety, Tolerability and Efficacy of AMG 145 on LDL-C in Subjects With Heterozygous Familial Hypercholesterolemia

Ran2013Enrolled331Registered outcomes22Posted comparisons44ConditionsHyperlipidemiaArmsEvolocumab, Placebo
Open the trial in the graph
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  17. PCSK9 Monoclonal Antibodies: An Overview.Heart views : the official journal of the Gulf Heart Association
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 5 countries.

Erik StroesDepartment of Vascular Medicine, Academic Medical Center of Amsterdam, Amsterdam, Netherlands.ORCID http://orcid.org/0000-0001-9555-6260
Jennifer G RobinsonDepartments of Epidemiology and Medicine, University of Iowa, Iowa City, Iowa.
Frederick J RaalDepartment of Medicine, University of the Witwatersrand, Faculty of Health Sciences, Johannesburg, South Africa.
Robert DufourInstitut de recherches cliniques de Montréal, Université de Montréal, Montreal, Canada.
David SullivanDepartment of Clinical Biochemistry, Prince Alfred Hospital, Camperdown, Australia.
Helina KassahunAmgen Inc., Thousand Oaks, California.
Yuhui MaAmgen Inc., Thousand Oaks, California.
Scott M WassermanAmgen Inc., Thousand Oaks, California.
Michael J KorenJacksonville Center for Clinical Research, Jacksonville, Florida.
Amgen (United States) · USAmsterdam UMC Location University of Amsterdam · NLJacksonville University · USMontreal Clinical Research Institute · CARoyal Prince Alfred Hospital · AUUniversity of Iowa · USUniversity of the Witwatersrand · ZA

Funding

Amgen Inc.
6 · The paper itself

Abstract

backgroundEvolocumab significantly lowers low-density lipoprotein cholesterol (LDL-C) when dosed 140 mg every 2 weeks (Q2W) or 420 mg monthly (QM) subcutaneously. HYPOTHESIS: LDL-C changes are comparable among different patient subgroups in a pooled analysis of data from phase 3 trials.

methodsA total of 3146 patients received ≥1 dose of evolocumab or control in four 12-week phase 3 studies. Percent change from baseline in LDL-C for evolocumab 140 mg Q2W or 420 mg QM vs control was reported as the average of week 10 and 12 values. Quantitative and qualitative interactions between treatment group and subgroup by dose regimen were tested.

resultsIn the pooled analysis, treatment differences vs placebo or ezetimibe were similar for both 140 mg Q2W and 420 mg QM doses across ages (<65 years, ≥65 years); gender; race (Asian, black, white, other); ethnicity (Hispanic, non-Hispanic); region (Europe, North America, Asia Pacific); glucose tolerance status (type 2 diabetes mellitus, metabolic syndrome, neither); National Cholesterol Education Program risk categories (high, moderately high, moderate, low); and European Society of Cardiology/European Atherosclerosis Society risk categories (very high, high, moderate, or low). Certain low-magnitude variations in LDL-C lowering among subgroups led to significant quantitative interaction P values that, when tested by qualitative interaction, were not significant. The incidences of adverse events were similar across groups treated with each evolocumab dosing regimen or control.

conclusionsConsistent reductions in LDL-C were observed in the evolocumab group regardless of demographic and disease characteristics.

Indexed as

AgedAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAnticholesteremic AgentsAsiaCholesterol, LDLDose-Response Relationship, DrugDouble-Blind MethodEuropeFemaleFollow-Up StudiesHumansHypercholesterolemiaIncidenceInjections, SubcutaneousMaleAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAnticholesteremic AgentsCholesterol, LDLevolocumabagecardiovascular diseasediabetesdosegenderrace

Identifiers

PMID30120772
PMCPMC6489970
OpenAlexW2887473262

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.