Evolocumab Pharmacokinetics in Healthy Subjects
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to study how two versions of the drug evolocumab move through the body in healthy individuals. Researchers are testing evolocumab to better understand its effects. Participants will receive a single injection of one of the two evolocumab products. Individuals with an LDL cholesterol level between 70 and 190 mg/dL and no history of heart issues might be suitable for this trial. As a Phase 1 trial, the research focuses on understanding how the treatment works in people, offering participants a chance to contribute to early-stage medical research.
Will I have to stop taking my current medications?
Yes, you will need to stop taking any over-the-counter or prescription medications, herbal medicines, vitamins, and supplements at least 30 days before the trial starts.
Is there any evidence suggesting that this trial's treatments are likely to be safe?
Research has shown that evolocumab is generally safe for people. In earlier studies, many patients reported mild side effects such as colds and sore throats, which were often similar to those experienced by people taking a placebo, a harmless pill with no real effect.
In another study, 69.2% of patients taking evolocumab experienced some side effects, but these were mostly mild and similar to those in people not taking the drug. Serious side effects were rare.
Overall, past studies have indicated that evolocumab is well-tolerated. This information provides some reassurance about its safety, but participants should always discuss any concerns with the trial team.12345Why are researchers excited about this trial's treatments?
Researchers are excited about evolocumab because it represents a promising advance in cholesterol management. Unlike traditional statins that work by blocking an enzyme in the liver, evolocumab is a monoclonal antibody that targets and inhibits a protein called PCSK9. This unique mechanism helps the liver remove more LDL cholesterol from the blood. Additionally, evolocumab is administered through a simple subcutaneous injection, which could offer a convenient alternative for patients who struggle with daily oral medications.
What evidence suggests that this trial's treatments could be effective?
Research has shown that evolocumab effectively lowers LDL cholesterol, often referred to as "bad cholesterol." Studies have found that it can reduce LDL levels by 53% to 75%. In one study, a 140 mg dose of evolocumab reduced LDL cholesterol by 66% over 10 to 12 weeks. Another study found that doses of 140 mg and 420 mg reduced LDL cholesterol by up to 71%. This trial will evaluate the pharmacokinetics of two different formulations of evolocumab, labeled as Drug Substance A and Drug Substance B, in healthy subjects. This treatment has shown promising results in managing cholesterol levels, making it an important option for those at risk of heart disease.678910
Who Is on the Research Team?
MD
Principal Investigator
Amgen
Are You a Good Fit for This Trial?
This trial is for healthy men and women aged 18 to 60 with a BMI between 18.0 and 32.0, and LDL cholesterol levels between 70 and 190 mg/dL. Women cannot be pregnant or breastfeeding.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive a single subcutaneous dose of either evolocumab drug substance A or B
Follow-up
Participants are monitored for pharmacokinetics and safety after receiving the dose
What Are the Treatments Tested in This Trial?
Interventions
- Evolocumab
Trial Overview
The study compares how two different versions of the drug evolocumab are absorbed in the body after a single injection under the skin. Participants are randomly assigned to receive one version.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Participants will receive a single SC dose of evolocumab drug substance B.
Participants will receive a single subcutaneous (SC) dose of evolocumab drug substance A.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Amgen
Lead Sponsor
Robert A. Bradway
Amgen
Chief Executive Officer since 2012
MBA from Harvard Business School
Paul Burton
Amgen
Chief Medical Officer since 2023
MD from University of London, PhD in Molecular and Cellular Biology from Imperial College London
Citations
Clinical Pharmacokinetics and Pharmacodynamics of ... - PMC
In randomized active-control studies, these doses of evolocumab for 12–24 weeks reduced LDL-C by approximately 35–45% compared with ezetimibe in ...
125522Orig1s000 - accessdata.fda.gov
Single-dose pharmacokinetics of Evolocumab in healthy subjects are available from 2 studies. A dose range of 7 mg to 420 mg administered ...
Impact of Target‐Mediated Elimination on the Dose and ...
The estimated linear clearance and volume of evolocumab were 0.256 L/day and 2.66 L, respectively, consistent with other monoclonal antibodies.
Population pharmacokinetics and exposure–response ... - PMC
The exposure–response model predicted a maximal 66% reduction in LDL-C from baseline to the mean of weeks 10 and 12 for doses of evolocumab 140 mg ...
A Phase 1, Randomized, Double-Blind, Single-Dose, ...
Single 140 mg and 420 mg doses of evolocumab exhibited nonlinear kinetics and more than dose-proportional increases in exposure, were associated with up to 71% ...
A Phase 1, Randomized, Double-Blind, Single-Dose, ...
Conclusion: In this population of healthy Chinese subjects, single 140 mg and 420 mg doses of evolocumab exhibited nonlinear kinetics and more ...
Adverse Reactions to Evolocumab: Analysis of Real-World ...
The purpose of this study is to update knowledge of the safety of evolocumab through an analysis of post-marketing real-world data on suspected adverse ...
Office of Clinical Pharmacology Review
In Study 20120124, for de novo pediatric HoFH patients, pharmacokinetic analysis showed mean (SD) trough serum evolocumab concentrations after ...
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sciencedirect.com
sciencedirect.com/topics/pharmacology-toxicology-and-pharmaceutical-science/evolocumabEvolocumab - an overview
Adverse events were reported in 74.8% of patients with evolocumab and 74.2% with placebo. The most common adverse effects were nasopharyngitis ( ...
Efficacy and Safety of Evolocumab in Reducing Lipids and ...
Safety and Side-Effect Profile. Adverse events occurred in 2060 of 2976 patients (69.2%) in the evolocumab group and in 965 of 1489 patients ...
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