Dyslipidemia Clinical Trial
— FOURIEROfficial title:
A Double-blind, Randomized, Placebo-controlled, Multicenter Study Assessing the Impact of Additional LDL-Cholesterol Reduction on Major Cardiovascular Events When Evolocumab (AMG 145) is Used in Combination With Statin Therapy In Patients With Clinically Evident Cardiovascular Disease
Verified date | May 2024 |
Source | Amgen |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The primary objective was to evaluate the effect of treatment with evolocumab, compared with placebo, on the risk for cardiovascular death, myocardial infarction, stroke, hospitalization for unstable angina, or coronary revascularization, whichever occurs first, in patients with clinically evident cardiovascular disease.
Status | Completed |
Enrollment | 27564 |
Est. completion date | November 11, 2016 |
Est. primary completion date | November 11, 2016 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 40 Years to 85 Years |
Eligibility | Inclusion Criteria: - Male or female = 40 to = 85 years of age - History of clinically evident cardiovascular disease at high risk for a recurrent event - Fasting low-density lipoprotein cholesterol (LDL-C) = 70 mg/dL (= 1.8 mmol/L) ) or non-high-density lipoprotein cholesterol (non-HDL-C) = 100 mg/dL (> 2.6 mmol/L) - Fasting triglycerides = 400 mg/dL (4.5 mmol/L) Exclusion Criteria: - New York Heart Association (NYHA) class III or IV, or last known left ventricular ejection fraction < 30% - Uncontrolled hypertension - Uncontrolled or recurrent ventricular tachycardia - Untreated hyperthyroidism or hypothyroidism - Homozygous familial hypercholesterolemia - LDL or plasma apheresis |
Country | Name | City | State |
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Argentina | Research Site | Bahia Blanca | Buenos Aires |
Argentina | Research Site | Ciudad Autonoma de Buenos Aires | Buenos Aires |
Argentina | Research Site | Ciudad Autonoma de Buenos Aires | Buenos Aires |
Argentina | Research Site | Ciudad Autonoma de Buenos Aires | Buenos Aires |
Argentina | Research Site | Ciudad Autonoma de Buenos Aires | Buenos Aires |
Argentina | Research Site | Ciudad Autonoma de Buenos Aires | Buenos Aires |
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Lithuania | Research Site | Kaunas | |
Lithuania | Research Site | Kaunas | |
Lithuania | Research Site | Klaipeda | |
Lithuania | Research Site | Vilnius | |
Lithuania | Research Site | Vilnius | |
Malaysia | Research Site | Georgetown | |
Malaysia | Research Site | Johor Bahru | Johor |
Malaysia | Research Site | Kota Kinabalu | Sabah |
Malaysia | Research Site | Kuala Lumpur | Wilayah Persekutuan |
Malaysia | Research Site | Kuala Lumpur | Wilayah Persekutuan |
Malaysia | Research Site | Kuala Lumpur | |
Malaysia | Research Site | Melaka | |
Malaysia | Research Site | Penang | |
Malaysia | Research Site | Taiping | Perak |
Mexico | Research Site | Aguascalientes | |
Mexico | Research Site | Chihuahua | |
Mexico | Research Site | Culiacan | Sinaloa |
Mexico | Research Site | Guadalajara | Jalisco |
Mexico | Research Site | Guadalajara | Jalisco |
Mexico | Research Site | Guadalajara | Jalisco |
Mexico | Research Site | Guadalajara | Jalisco |
Mexico | Research Site | Guadalajara | Jalisco |
Mexico | Research Site | Leon | Guanajuato |
Mexico | Research Site | Mexico | Distrito Federal |
Mexico | Research Site | Mexico | Distrito Federal |
Mexico | Research Site | Monterrey | Nuevo León |
Mexico | Research Site | Queretaro | Querétaro |
Mexico | Research Site | San Luis Potosi | San Luis Potosí |
Mexico | Research Site | Tampico | Tamaulipas |
Mexico | Research Site | Torreon | Coahuila |
Mexico | Research Site | Xalapa | Veracruz |
Netherlands | Research Site | Alkmaar | |
Netherlands | Research Site | Almelo | |
Netherlands | Research Site | Amstelveen | |
Netherlands | Research Site | Amsterdam | |
Netherlands | Research Site | Amsterdam | |
Netherlands | Research Site | Arnhem | |
Netherlands | Research Site | Beverwijk | |
Netherlands | Research Site | Den Helder | |
Netherlands | Research Site | Deventer | |
Netherlands | Research Site | Doetinchem | |
Netherlands | Research Site | Ede | |
Netherlands | Research Site | Eindhoven | |
Netherlands | Research Site | Eindhoven | |
Netherlands | Research Site | Goes | |
Netherlands | Research Site | Gorinchem | |
Netherlands | Research Site | Gouda | |
Netherlands | Research Site | Harderwijk | |
Netherlands | Research Site | Helmond | |
Netherlands | Research Site | Hoogeveen | |
Netherlands | Research Site | Hoorn | |
Netherlands | Research Site | Leiden | |
Netherlands | Research Site | Leiden | |
Netherlands | Research Site | Nieuwegein | |
Netherlands | Research Site | Nijmegen | |
Netherlands | Research Site | Purmerend | |
Netherlands | Research Site | Rotterdam | |
Netherlands | Research Site | Rotterdam | |
Netherlands | Research Site | Sneek | |
Netherlands | Research Site | Tiel | |
Netherlands | Research Site | Tilburg | |
Netherlands | Research Site | Uden | |
Netherlands | Research Site | Veldhoven | |
Netherlands | Research Site | Venlo | |
New Zealand | Research Site | Christchurch | |
New Zealand | Research Site | Papatoetoe, Auckland | |
New Zealand | Research Site | Tauranga | |
Norway | Research Site | Ålesund | |
Norway | Research Site | Bekkestua | |
Norway | Research Site | Bodø | |
Norway | Research Site | Hamar | |
Norway | Research Site | Lierskogen | |
Norway | Research Site | Oslo | |
Norway | Research Site | Skedsmokorset | |
Norway | Research Site | Skien | |
Norway | Research Site | Stavanger | |
Philippines | Research Site | Angeles | |
Philippines | Research Site | Baguio City | |
Philippines | Research Site | Dasmariñas Cavite | |
Philippines | Research Site | Davao City | Davao |
Philippines | Research Site | Iloilo | |
Philippines | Research Site | Makati City | |
Philippines | Research Site | Manila | |
Philippines | Research Site | Marikiina | |
Philippines | Research Site | Quezon City | |
Philippines | Research Site | Quezon City | |
Poland | Research Site | Bielsko-Biala | |
Poland | Research Site | Bydgoszcz | |
Poland | Research Site | Gdansk | |
Poland | Research Site | Gdansk | |
Poland | Research Site | Gdynia | |
Poland | Research Site | Gdynia | |
Poland | Research Site | Gdynia | |
Poland | Research Site | Gizycko | |
Poland | Research Site | Jelenia Gora | |
Poland | Research Site | Katowice | |
Poland | Research Site | Katowice | |
Poland | Research Site | Katowice | |
Poland | Research Site | Kielce | |
Poland | Research Site | Krakow | |
Poland | Research Site | Krakow | |
Poland | Research Site | Krakow | |
Poland | Research Site | Krakow | |
Poland | Research Site | Krakow | |
Poland | Research Site | Krakow | |
Poland | Research Site | Lodz | |
Poland | Research Site | Lodz | |
Poland | Research Site | Lodz | |
Poland | Research Site | Lodz | |
Poland | Research Site | Lublin | |
Poland | Research Site | Lublin | |
Poland | Research Site | Lublin | |
Poland | Research Site | Nowa Sol | |
Poland | Research Site | Nysa | |
Poland | Research Site | Olsztyn | |
Poland | Research Site | Plock | |
Poland | Research Site | Poznan | |
Poland | Research Site | Poznan | |
Poland | Research Site | Poznan | |
Poland | Research Site | Pszczyna | |
Poland | Research Site | Pulawy | |
Poland | Research Site | Ruda Slaska | |
Poland | Research Site | Skierniewice | |
Poland | Research Site | Starogard Gdanski | |
Poland | Research Site | Staszow | |
Poland | Research Site | Swidnik | |
Poland | Research Site | Tarnow | |
Poland | Research Site | Torun | |
Poland | Research Site | Warszawa | |
Poland | Research Site | Warszawa | |
Poland | Research Site | Warszawa | |
Poland | Research Site | Warszawa | |
Poland | Research Site | Warszawa | |
Poland | Research Site | Warszawa | |
Poland | Research Site | Warszawa | |
Poland | Research Site | Wloclawek | |
Poland | Research Site | Wroclaw | |
Poland | Research Site | Wroclaw | |
Poland | Research Site | Wroclaw | |
Poland | Research Site | Zamosc | |
Portugal | Research Site | Almada | |
Portugal | Research Site | Amadora | |
Portugal | Research Site | Carnaxide | |
Portugal | Research Site | Coimbra | |
Portugal | Research Site | Covilha | |
Portugal | Research Site | Lisboa | |
Portugal | Research Site | Lisboa | |
Portugal | Research Site | Lisboa | |
Portugal | Research Site | Porto | |
Portugal | Research Site | Setubal | |
Romania | Research Site | Bucharest | |
Romania | Research Site | Bucharest | |
Romania | Research Site | Bucharest | |
Romania | Research Site | Bucuresti | |
Romania | Research Site | Bucuresti | |
Romania | Research Site | Bucuresti | |
Romania | Research Site | Bucuresti | |
Romania | Research Site | Cluj-Napoca | |
Romania | Research Site | Craiova | |
Romania | Research Site | Iasi | |
Romania | Research Site | Iasi | |
Romania | Research Site | Iasi | |
Romania | Research Site | Oradea | |
Romania | Research Site | Timisoara | |
Romania | Research Site | Timisoara | |
Romania | Research Site | Timisoara | |
Russian Federation | Research Site | Barnaul | |
Russian Federation | Research Site | Barnaul | |
Russian Federation | Research Site | Ekaterinburg | |
Russian Federation | Research Site | Ekaterinburg | |
Russian Federation | Research Site | Ivanovo | |
Russian Federation | Research Site | Izhevsk | |
Russian Federation | Research Site | Kemerovo | |
Russian Federation | Research Site | Kemerovo | |
Russian Federation | Research Site | Kirov | |
Russian Federation | Research Site | Moscow | |
Russian Federation | Research Site | Moscow | |
Russian Federation | Research Site | Moscow | |
Russian Federation | Research Site | Moscow | |
Russian Federation | Research Site | Moscow | |
Russian Federation | Research Site | Moscow | |
Russian Federation | Research Site | Moscow | |
Russian Federation | Research Site | Moscow | |
Russian Federation | Research Site | Nizhniy Novgorod | |
Russian Federation | Research Site | Novosibirsk | |
Russian Federation | Research Site | Novosibirsk | |
Russian Federation | Research Site | Omsk | |
Russian Federation | Research Site | Pushkin | |
Russian Federation | Research Site | Saint Petersburg | |
Russian Federation | Research Site | Saint Petersburg | |
Russian Federation | Research Site | Saint Petersburg | |
Russian Federation | Research Site | Saint Petersburg | |
Russian Federation | Research Site | Saint Petersburg | |
Russian Federation | Research Site | Saint-Petersburg | |
Russian Federation | Research Site | Saint-Petersburg | |
Russian Federation | Research Site | Saint-Petersburg | |
Russian Federation | Research Site | Saratov | |
Russian Federation | Research Site | St. Petersburg | |
Russian Federation | Research Site | Tomsk | |
Russian Federation | Research Site | Tyumen | |
Singapore | Research Site | Singapore | |
Singapore | Research Site | Singapore | |
Singapore | Research Site | Singapore | |
Slovakia | Research Site | Banovce nad Bebravou | |
Slovakia | Research Site | Bardejov | |
Slovakia | Research Site | Bratislava | |
Slovakia | Research Site | Bratislava | |
Slovakia | Research Site | Bratislava | |
Slovakia | Research Site | Brezno | |
Slovakia | Research Site | Dolny Kubin | |
Slovakia | Research Site | Kosice | |
Slovakia | Research Site | Kosice | |
Slovakia | Research Site | Lucenec | |
Slovakia | Research Site | Martin | |
Slovakia | Research Site | Moldava nad Bodvou | |
Slovakia | Research Site | Nitra | |
Slovakia | Research Site | Nove Zamky | |
Slovakia | Research Site | Presov | |
Slovakia | Research Site | Rimavska Sobota | |
Slovakia | Research Site | Roznava | |
Slovakia | Research Site | Snina | |
Slovakia | Research Site | Svidnik | |
Slovakia | Research Site | Trencin | |
Slovakia | Research Site | Trnava | |
South Africa | Research Site | Alberton | Gauteng |
South Africa | Research Site | Alberton | Gauteng |
South Africa | Research Site | Amanzimtoti | KwaZulu-Natal |
South Africa | Research Site | Bloemfontein | Free State |
South Africa | Research Site | Boksburg | Gauteng |
South Africa | Research Site | Cape Town | |
South Africa | Research Site | Cape Town | |
South Africa | Research Site | Centurion | Gauteng |
South Africa | Research Site | Durban | KwaZulu-Natal |
South Africa | Research Site | Durban | KwaZulu-Natal |
South Africa | Research Site | Johannesburg | Gauteng |
South Africa | Research Site | Johannesburg | Gauteng |
South Africa | Research Site | Kempton Park | |
South Africa | Research Site | Kuils River | Western Cape |
South Africa | Research Site | Midrand | Gauteng |
South Africa | Research Site | Paarl | Western Cape |
South Africa | Research Site | Parow | Western Cape |
South Africa | Research Site | Port Elizabeth | Eastern Cape |
South Africa | Research Site | Pretoria | Gauteng |
South Africa | Research Site | Pretoria | Gauteng |
South Africa | Research Site | Pretoria | Gauteng |
South Africa | Research Site | Pretoria | Gauteng |
South Africa | Research Site | Pretoria west | Gauteng |
South Africa | Research Site | Somerset West | Western Cape |
South Africa | Research Site | Soweto | Gauteng |
South Africa | Research Site | Sunninghill | Gauteng |
South Africa | Research Site | Tongaat | KwaZulu-Natal |
South Africa | Research Site | Worcester | Western Cape |
Spain | Research Site | Almeria | Andalucía |
Spain | Research Site | Cordoba | Andalucía |
Spain | Research Site | El Palmar | Murcia |
Spain | Research Site | Galdakao | País Vasco |
Spain | Research Site | L'Hospitalet de Llobregat | Cataluña |
Spain | Research Site | Madrid | |
Spain | Research Site | Madrid | |
Spain | Research Site | San Juan de Alicante | Comunidad Valenciana |
Spain | Research Site | Santiago de Compostela | Galicia |
Spain | Research Site | Valencia | Comunidad Valenciana |
Spain | Research Site | Vigo | Galicia |
Spain | Research Site | Zaragoza | Aragón |
Sweden | Research Site | Bollnäs | |
Sweden | Research Site | Eksjö | |
Sweden | Research Site | Eskilstuna | |
Sweden | Research Site | Falun | |
Sweden | Research Site | Helsingborg | |
Sweden | Research Site | Jönköping | |
Sweden | Research Site | Linköping | |
Sweden | Research Site | Luleå | |
Sweden | Research Site | Lund | |
Sweden | Research Site | Lund | |
Sweden | Research Site | Örebro | |
Sweden | Research Site | Östersund | |
Sweden | Research Site | Stockholm | |
Sweden | Research Site | Stockholm | |
Sweden | Research Site | Stockholm | |
Sweden | Research Site | Stockholm | |
Sweden | Research Site | Uddevalla | |
Sweden | Research Site | Umeå | |
Sweden | Research Site | Västerås | |
Switzerland | Research Site | Baden | |
Switzerland | Research Site | Basel | |
Switzerland | Research Site | Bern | |
Switzerland | Research Site | Geneva 14 | |
Switzerland | Research Site | Lausanne | |
Switzerland | Research Site | Lugano | |
Switzerland | Research Site | Sion | |
Switzerland | Research Site | Winterthur | |
Switzerland | Research Site | Zurich | |
Taiwan | Research Site | Changhua | |
Taiwan | Research Site | Kaohsiung | |
Taiwan | Research Site | Kaohsiung | |
Taiwan | Research Site | New Taipei City | Taipei |
Taiwan | Research Site | Taichung City | |
Taiwan | Research Site | Tainan | |
Taiwan | Research Site | Taipei | |
Taiwan | Research Site | Taipei | |
Taiwan | Research Site | Taipei | |
Taiwan | Research Site | Taoyuan | |
Turkey | Research Site | Adana | |
Turkey | Research Site | Ankara | |
Turkey | Research Site | Ankara | |
Turkey | Research Site | Istanbul | |
Turkey | Research Site | Istanbul | |
Turkey | Research Site | Izmir | |
Turkey | Research Site | Izmir | |
Turkey | Research Site | Kocaeli | |
Turkey | Research Site | Konya | |
Turkey | Research Site | Sivas | |
Ukraine | Research Site | Cherkasy | |
Ukraine | Research Site | Ivano-Frankivsk | |
Ukraine | Research Site | Kharkiv | |
Ukraine | Research Site | Kharkiv | |
Ukraine | Research Site | Kharkiv | |
Ukraine | Research Site | Kharkiv | |
Ukraine | Research Site | Kharkiv | |
Ukraine | Research Site | Kyiv | |
Ukraine | Research Site | Kyiv | |
Ukraine | Research Site | Kyiv | |
Ukraine | Research Site | Kyiv | |
Ukraine | Research Site | Kyiv | |
Ukraine | Research Site | Kyiv | |
Ukraine | Research Site | Kyiv | |
Ukraine | Research Site | Kyiv | |
Ukraine | Research Site | Lugansk | |
Ukraine | Research Site | Uzhgorod | |
Ukraine | Research Site | Vinnytsia | |
Ukraine | Research Site | Vinnytsia | |
Ukraine | Research Site | Zaporizhzhia | |
Ukraine | Research Site | Zaporizhzhia | |
Ukraine | Research Site | Zaporizhzhya | |
United Kingdom | Research Site | Aberdeen | |
United Kingdom | Research Site | Addlestone | |
United Kingdom | Research Site | Arnsley | |
United Kingdom | Research Site | Basildon | |
United Kingdom | Research Site | Belfast | |
United Kingdom | Research Site | Belfast | |
United Kingdom | Research Site | Belfast | |
United Kingdom | Research Site | Belfast | |
United Kingdom | Research Site | Birmingham | |
United Kingdom | Research Site | Birmingham | |
United Kingdom | Research Site | Blackpool | |
United Kingdom | Research Site | Bournemouth | |
United Kingdom | Research Site | Bury St Edmunds | |
United Kingdom | Research Site | Canterbury | |
United Kingdom | Research Site | Cardiff | |
United Kingdom | Research Site | Cardiff | |
United Kingdom | Research Site | Chesterfield | |
United Kingdom | Research Site | Chippenham | |
United Kingdom | Research Site | Chorley | |
United Kingdom | Research Site | Colchester | |
United Kingdom | Research Site | Cottingham | |
United Kingdom | Research Site | Coventry | |
United Kingdom | Research Site | Dundee | |
United Kingdom | Research Site | Edinburgh | |
United Kingdom | Research Site | Glasgow | |
United Kingdom | Research Site | Glasgow | |
United Kingdom | Research Site | Glasgow | |
United Kingdom | Research Site | Harrow | |
United Kingdom | Research Site | Haxey, Doncaster | |
United Kingdom | Research Site | Hayle | |
United Kingdom | Research Site | Hexham | |
United Kingdom | Research Site | Hitchin | |
United Kingdom | Research Site | Inverness | |
United Kingdom | Research Site | Leamington Spa | |
United Kingdom | Research Site | Leeds | |
United Kingdom | Research Site | Leicester | |
United Kingdom | Research Site | Liverpool | |
United Kingdom | Research Site | Liverpool | |
United Kingdom | Research Site | Liverpool | |
United Kingdom | Research Site | London | |
United Kingdom | Research Site | London | |
United Kingdom | Research Site | London | |
United Kingdom | Research Site | Luton | |
United Kingdom | Research Site | Manchester | |
United Kingdom | Research Site | Manchester | |
United Kingdom | Research Site | Middlesbrough | |
United Kingdom | Research Site | Newport | |
United Kingdom | Research Site | Northampton | |
United Kingdom | Research Site | Nottingham | |
United Kingdom | Research Site | Nuneaton | |
United Kingdom | Research Site | Penzance | |
United Kingdom | Research Site | Penzance | |
United Kingdom | Research Site | Penzance | |
United Kingdom | Research Site | Plymouth | |
United Kingdom | Research Site | Portsmouth | |
United Kingdom | Research Site | Reading | |
United Kingdom | Research Site | Rotherham | |
United Kingdom | Research Site | Rugby | |
United Kingdom | Research Site | Sandbach | |
United Kingdom | Research Site | Sheffield | |
United Kingdom | Research Site | St Austell | |
United Kingdom | Research Site | St. Leonards-on-Sea | |
United Kingdom | Research Site | Stevenage | |
United Kingdom | Research Site | Stoke-on-Trent | |
United Kingdom | Research Site | Swansea | |
United Kingdom | Research Site | Telford | |
United Kingdom | Research Site | Torquay | |
United Kingdom | Research Site | Welwyn Garden City | |
United Kingdom | Research Site | West Bromwich | |
United Kingdom | Research Site | Whitby | |
United Kingdom | Research Site | Wiltshire | |
United Kingdom | Research Site | Wirral | |
United Kingdom | Research Site | Wolverhampton | |
United Kingdom | Research Site | Worcester | |
United Kingdom | Research Site | Wrexham | |
United Kingdom | Research Site | York | |
United States | Research Site | Abington | Pennsylvania |
United States | Research Site | Addison | Illinois |
United States | Research Site | Albany | New York |
United States | Research Site | Alhambra | California |
United States | Research Site | Altoona | Pennsylvania |
United States | Research Site | Ames | Iowa |
United States | Research Site | Anchorage | Alaska |
United States | Research Site | Anderson | South Carolina |
United States | Research Site | Ann Arbor | Michigan |
United States | Research Site | Annapolis | Maryland |
United States | Research Site | Arlington | Texas |
United States | Research Site | Asheville | North Carolina |
United States | Research Site | Asheville | North Carolina |
United States | Research Site | Athens | Georgia |
United States | Research Site | Atlanta | Georgia |
United States | Research Site | Atlantis | Florida |
United States | Research Site | Auburn | Maine |
United States | Research Site | Augusta | Georgia |
United States | Research Site | Aurora | Colorado |
United States | Research Site | Austin | Texas |
United States | Research Site | Aventura | Florida |
United States | Research Site | Ayer | Massachusetts |
United States | Research Site | Baltimore | Maryland |
United States | Research Site | Baltimore | Maryland |
United States | Research Site | Baltimore | Maryland |
United States | Research Site | Baltimore | Maryland |
United States | Research Site | Bangor | Maine |
United States | Research Site | Banning | California |
United States | Research Site | Baton Rouge | Louisiana |
United States | Research Site | Bay Pines | Florida |
United States | Research Site | Belleville | Illinois |
United States | Research Site | Bend | Oregon |
United States | Research Site | Beverly Hills | California |
United States | Research Site | Biddeford | Maine |
United States | Research Site | Billerica | Massachusetts |
United States | Research Site | Billings | Montana |
United States | Research Site | Billings | Montana |
United States | Research Site | Birmingham | Alabama |
United States | Research Site | Birmingham | Alabama |
* Note: There are 1287 locations in all - only the first 1000 are shown. |
Lead Sponsor | Collaborator |
---|---|
Amgen |
United States, Argentina, Australia, Austria, Belgium, Brazil, Bulgaria, Canada, Chile, China, Colombia, Czechia, Denmark, Estonia, Finland, France, Germany, Greece, Hong Kong, Hungary, Iceland, India, Ireland, Israel, Italy, Japan, Korea, Republic of, Latvia, Lithuania, Malaysia, Mexico, Netherlands, New Zealand, Norway, Philippines, Poland, Portugal, Romania, Russian Federation, Singapore, Slovakia, South Africa, Spain, Sweden, Switzerland, Taiwan, Turkey, Ukraine, United Kingdom,
Berg DD, Moura FA, Bellavia A, Scirica BM, Wiviott SD, Bhatt DL, Raz I, Bohula EA, Giugliano RP, Park JG, Feinberg MW, Braunwald E, Morrow DA, Sabatine MS. Assessment of Atherothrombotic Risk in Patients With Type 2 Diabetes Mellitus. J Am Coll Cardiol. 2023 Jun 27;81(25):2391-2402. doi: 10.1016/j.jacc.2023.04.031. — View Citation
Clinical Benefit of Evolocumab Treatment Among Patients With Atherosclerotic Cardiovascular Disease: Exploration Based on the Chinese Subgroup of FOURIER Study, ZHANG Lihua1 , LI Weimin2 , YAO Zhuhua3 , CHEN Jiyan4 , DONG Jun5 , LI Jing1 (Chinese Circulation Journal, 2023, 38: 704.)
Fonarow GC, Keech AC, Pedersen TR, Giugliano RP, Sever PS, Lindgren P, van Hout B, Villa G, Qian Y, Somaratne R, Sabatine MS. Cost-effectiveness of Evolocumab Therapy for Reducing Cardiovascular Events in Patients With Atherosclerotic Cardiovascular Disease. JAMA Cardiol. 2017 Oct 1;2(10):1069-1078. doi: 10.1001/jamacardio.2017.2762. Erratum In: JAMA Cardiol. 2017 Oct 1;2(10):1170. — View Citation
Fonarow GC, van Hout B, Villa G, Arellano J, Lindgren P. Updated Cost-effectiveness Analysis of Evolocumab in Patients With Very High-risk Atherosclerotic Cardiovascular Disease. JAMA Cardiol. 2019 Jul 1;4(7):691-695. doi: 10.1001/jamacardio.2019.1647. — View Citation
Sabatine MS, Giugliano RP, Keech AC, Honarpour N, Wiviott SD, Murphy SA, Kuder JF, Wang H, Liu T, Wasserman SM, Sever PS, Pedersen TR; FOURIER Steering Committee and Investigators. Evolocumab and Clinical Outcomes in Patients with Cardiovascular Disease. N Engl J Med. 2017 May 4;376(18):1713-1722. doi: 10.1056/NEJMoa1615664. Epub 2017 Mar 17. — View Citation
Schludi B, Giugliano RP, Sabatine MS, Raal FJ, Teramoto T, Koren MJ, Stein EA, Wang H, Monsalvo ML. Time-averaged low-density lipoprotein cholesterol lowering with evolocumab: Pooled analysis of phase 2 trials. J Clin Lipidol. 2022 Jul-Aug;16(4):538-543. doi: 10.1016/j.jacl.2022.05.069. Epub 2022 Jun 6. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Time to Cardiovascular Death, Myocardial Infarction, Hospitalization for Unstable Angina, Stroke, or Coronary Revascularization | All deaths and potential endpoint events were adjudicated by an independent external Clinical Events Committee (CEC) led by the Thrombolysis in Myocardial Infarction (TIMI) Study Group, using standardized definitions based on the "Standardized Definitions for Cardiovascular and Stroke End Point Events in Clinical Trials and the Third Universal Definition of Myocardial Infarction".
Time to cardiovascular death, myocardial infarction, stroke, hospitalization for unstable angina, or coronary revascularization was defined as the time from randomization to the first occurrence of any component of the composite endpoint and was analyzed using Kaplan-Meier (KM) survival analysis. KM estimates of the percentage of participants with an event are reported. Participants with no event were censored based on last non-fatal potential endpoint collection date. |
Events that occurred from randomization to the last confirmed survival status date; the median duration of follow-up was 26 months. KM estimates at 6, 12, 18, 24, 30 and 36 months are reported. | |
Secondary | Time to Cardiovascular Death, Myocardial Infarction, or Stroke | All deaths and potential endpoint events were adjudicated by an independent external CEC led by the TIMI Study Group, using standardized definitions based on the "Standardized Definitions for Cardiovascular and Stroke End Point Events in Clinical Trials and the Third Universal Definition of Myocardial Infarction". Time to cardiovascular death, myocardial infarction, or stroke was defined as the time from randomization to the first occurrence of any component of the composite endpoint and was analyzed using Kaplan-Meier (KM) survival analysis. KM estimates of the percentage of participants with an event are reported. Participants with no event were censored based on last non-fatal potential endpoint collection date. | Events that occurred from randomization to the last confirmed survival status date; the median duration of follow-up was 26 months. KM estimates at 6, 12, 18, 24, 30 and 36 months are reported. | |
Secondary | Time to Cardiovascular Death | All deaths and potential endpoint events were adjudicated by an independent external CEC led by the TIMI Study Group, using standardized definitions based on the "Standardized Definitions for Cardiovascular and Stroke End Point Events in Clinical Trials and the Third Universal Definition of Myocardial Infarction".
Cardiovascular death includes death resulting from an acute myocardial infarction (MI), sudden cardiac death, death due to heart failure (HF), death due to stroke, death due to cardiovascular (CV) procedures, death due to CV hemorrhage, and death due to other CV causes. Time to cardiovascular death was defined as the time from randomization to the date of cardiovascular death and was analyzed using Kaplan-Meier (KM) survival analysis. KM estimates of the percentage of participants with an event are reported. Participants with no event were censored based on the last confirmed survival status date. |
Events that occurred from randomization to the last confirmed survival status date; the median duration of follow-up was 26 months. KM estimates at 6, 12, 18, 24, 30 and 36 months are reported. | |
Secondary | Time to All Cause Death | Time to all-cause death was defined as the time from randomization to the date of death and was analyzed using Kaplan-Meier (KM) survival analysis. KM estimates of the percentage of participants with an event are reported. Participants with no event were censored based on the last confirmed survival status date. | Events that occurred from randomization to the last confirmed survival status date; the median duration of follow-up was 26 months. KM estimates at 6, 12, 18, 24, 30 and 36 months are reported. | |
Secondary | Time to First Myocardial Infarction | All deaths and potential endpoint events were adjudicated by an independent external CEC led by the TIMI Study Group, using standardized definitions based on the "Standardized Definitions for Cardiovascular and Stroke End Point Events in Clinical Trials and the Third Universal Definition of Myocardial Infarction".
The diagnosis of myocardial infarction required the combination of: Evidence of myocardial necrosis (either changes in cardiac biomarkers or post-mortem pathological findings); and Supporting information derived from the clinical presentation, electrocardiographic changes, or the results of myocardial or coronary artery Imaging. Time to first myocardial infarction was defined as the time from randomization to the date of the first MI and was analyzed using Kaplan-Meier survival analysis. KM estimates of the percentage of participants with an event are reported. Participants with no event were censored based on last non-fatal potential endpoint collection date. |
Events that occurred from randomization to the last confirmed survival status date; the median duration of follow-up was 26 months. KM estimates at 6, 12, 18, 24, 30 and 36 months are reported. | |
Secondary | Time to First Stroke | All deaths and potential endpoint events were adjudicated by an independent external CEC led by the TIMI Study Group, using standardized definitions based on the "Standardized Definitions for Cardiovascular and Stroke End Point Events in Clinical Trials and the Third Universal Definition of Myocardial Infarction".
Stroke was defined as an acute episode of focal or global neurological dysfunction caused by brain, spinal cord, or retinal vascular injury as a result of hemorrhage or infarction. Time to first stroke was defined as the time from randomization to the date of the stroke and was analyzed using Kaplan-Meier (KM) survival analysis. KM estimates of the percentage of participants with an event are reported. Participants with no event were censored based on last non-fatal potential endpoint collection date. |
Events that occurred from randomization to the last confirmed survival status date; the median duration of follow-up was 26 months. KM estimates at 6, 12, 18, 24, 30 and 36 months are reported. | |
Secondary | Time to First Coronary Revascularization | All deaths and potential endpoint events were adjudicated by an independent external CEC led by the TIMI Study Group, using standardized definitions based on the "Standardized Definitions for Cardiovascular and Stroke End Point Events in Clinical Trials and the Third Universal Definition of Myocardial Infarction".
Time to first coronary revascularization was defined as the time from randomization to the date of the coronary revascularization and was analyzed using Kaplan-Meier (KM) survival analysis. KM estimates of the percentage of participants with an event are reported. Participants with no event were censored based on last non-fatal potential endpoint collection date. |
Events that occurred from randomization to the last confirmed survival status date; the median duration of follow-up was 26 months. KM estimates at 6, 12, 18, 24, 30 and 36 months are reported. | |
Secondary | Time to Cardiovascular Death or First Hospitalization for Worsening Heart Failure | All events were adjudicated by an independent external CEC led by the TIMI Study Group, using standardized definitions.
HF hospitalization was defined as an event that met all of the following criteria: Admitted to hospital with a primary diagnosis of HF In hospital for at least 24 hours Documented new or worsening symptoms due to HF, including at least 1 of the following: Dyspnea Decreased exercise tolerance Fatigue Other symptoms of worsened end-organ perfusion or volume overload Evidence of new or worsening HF consisting of at least 2 physical exam findings or 1 physical exam finding and at least 1 laboratory criterion Received new or increased treatment for HF. Time to CV death or first hospitalization for worsening HF was defined as the time from randomization to the first occurrence of any component of the endpoint analyzed using KM survival analysis. Participants with no event were censored based on last non-fatal potential endpoint collection date. |
Events that occurred from randomization to the last confirmed survival status date; the median duration of follow-up was 26 months. KM estimates at 6, 12, 18, 24, 30 and 36 months are reported. | |
Secondary | Time to First Ischemic Fatal or Non-Fatal Stroke or Transient Ischemic Attack | All deaths and potential endpoint events were adjudicated by an independent external CEC led by the TIMI Study Group, using standardized definitions.
Ischemic stroke was defined as an acute episode of focal cerebral, spinal, or retinal dysfunction caused by infarction of central nervous system tissue. Transient ischemic attack (TIA) was defined as a transient episode of focal neurological dysfunction caused by brain, spinal cord, or retinal ischemia, without acute infarction. Time to first ischemic fatal or non-fatal stroke or TIA was defined as the time from randomization to the first occurrence of any component of the composite endpoint and was analyzed using KM analysis. KM estimates of the percentage of participants with an event are reported. Participants with no event were censored based on last non-fatal potential endpoint collection date. |
Events that occurred from randomization to the last confirmed survival status date; the median duration of follow-up was 26 months. KM estimates at 6, 12, 18, 24, 30 and 36 months are reported. |
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