Clinical Trial Results:
Phase 3 Multi-Center, Double-Blind, Randomized, Placebo-Controlled, Parallel Group Evaluation of the Efficacy, Safety, and Tolerability of Bococizumab (PF-04950615), in Reducing the Occurrence of Major Cardiovascular Events in High Risk Subjects
Summary
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EudraCT number |
2013-002795-41 |
Trial protocol |
GB NL FI IT DE CZ HU SK ES BE DK SE IE |
Global end of trial date |
17 Feb 2017
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Results information
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Results version number |
v2(current) |
This version publication date |
02 Jun 2018
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First version publication date |
10 Nov 2017
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Other versions |
v1 |
Version creation reason |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
B1481038
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT01975389 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Pfizer, Inc.
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Sponsor organisation address |
235 E 42nd Street, New York, United States, NY 10017
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Public contact |
Pfizer ClinicalTrials.gov Call Center, Pfizer, Inc., 001 18007181021, ClinicalTrials.gov_Inquiries@pfizer.com
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Scientific contact |
Pfizer ClinicalTrials.gov Call Center, Pfizer, Inc., 001 18007181021, ClinicalTrials.gov_Inquiries@pfizer.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
14 Sep 2017
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Is this the analysis of the primary completion data? |
No
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Global end of trial reached? |
Yes
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Global end of trial date |
17 Feb 2017
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Was the trial ended prematurely? |
Yes
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General information about the trial
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Main objective of the trial |
To demonstrate the superior efficacy of bococizumab (PF-04950615) 150 milligram (mg) administered by the subcutaneous route every 2 weeks compared with placebo in reducing the risk of major cardiovascular (CV) events, a composite endpoint which includes adjudicated and confirmed CV death, non-fatal myocardial infarction (MI), non-fatal stroke, and hospitalization for unstable angina with urgent revascularization in subjects at high or very high risk of major CV events who are on background lipid lowering treatment and have an low-density lipoprotein cholesterol (LDL-C) greater or equal to (>=) 100 (non-high density lipoprotein cholesterol (mg/dL) (2.59 millimole per liter [mmol/L]) or non-high density lipoprotein cholesterol (non-HDL-C) >=130 mg/dL (3.36 mmol/L).
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Protection of trial subjects |
The study was in compliance with the ethical principles derived from the Declaration of Helsinki and in compliance with all International Council for Harmonization (ICH) Good Clinical Practice (GCP) Guidelines. All the local regulatory requirements pertinent to safety of trials subjects were followed.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
29 Oct 2013
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
Yes
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Argentina: 316
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Country: Number of subjects enrolled |
Australia: 133
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Country: Number of subjects enrolled |
Belgium: 154
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Country: Number of subjects enrolled |
Brazil: 323
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Country: Number of subjects enrolled |
Canada: 260
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Country: Number of subjects enrolled |
Chile: 60
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Country: Number of subjects enrolled |
Colombia: 103
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Country: Number of subjects enrolled |
Czech Republic: 189
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Country: Number of subjects enrolled |
Denmark: 134
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Country: Number of subjects enrolled |
Finland: 118
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Country: Number of subjects enrolled |
France: 127
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Country: Number of subjects enrolled |
Germany: 740
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Country: Number of subjects enrolled |
Hungary: 324
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Country: Number of subjects enrolled |
Ireland: 2
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Country: Number of subjects enrolled |
Israel: 199
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Country: Number of subjects enrolled |
Italy: 66
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Country: Number of subjects enrolled |
Korea, Republic of: 54
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Country: Number of subjects enrolled |
Mexico: 234
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Country: Number of subjects enrolled |
Netherlands: 890
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Country: Number of subjects enrolled |
New Zealand: 54
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Country: Number of subjects enrolled |
Poland: 878
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Country: Number of subjects enrolled |
Puerto Rico: 15
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Country: Number of subjects enrolled |
Romania: 187
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Country: Number of subjects enrolled |
Russian Federation: 376
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Country: Number of subjects enrolled |
Slovakia: 261
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Country: Number of subjects enrolled |
South Africa: 365
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Country: Number of subjects enrolled |
Spain: 316
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Country: Number of subjects enrolled |
Sweden: 81
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Country: Number of subjects enrolled |
Switzerland: 36
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Country: Number of subjects enrolled |
Taiwan: 37
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Country: Number of subjects enrolled |
Thailand: 23
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Country: Number of subjects enrolled |
Turkey: 64
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Country: Number of subjects enrolled |
United Kingdom: 238
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Country: Number of subjects enrolled |
United States: 3207
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Worldwide total number of subjects |
10564
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EEA total number of subjects |
4705
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
6004
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From 65 to 84 years |
4504
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85 years and over |
56
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Recruitment
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Recruitment details |
The trial was terminated prematurely on November 1, 2016, due to the emerging clinical profile and the evolving treatment and market landscape for lipid-lowering agents. | |||||||||||||||||||||||||||||||||
Pre-assignment
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Screening details |
This study was conducted at multiple sites from 29-Oct-2013 to 17-Feb-2017. However, subjects were screened from 13 December 2013 through 01 November 2016. | |||||||||||||||||||||||||||||||||
Period 1
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Period 1 title |
Overall Study (overall period)
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Is this the baseline period? |
Yes | |||||||||||||||||||||||||||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Double blind | |||||||||||||||||||||||||||||||||
Roles blinded |
Subject, Investigator, Carer | |||||||||||||||||||||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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Placebo | |||||||||||||||||||||||||||||||||
Arm description |
Subjects received single dose of placebo matched to PF-04950615 subcutaneous injection once in every 2 weeks over a period of 3 years. Subjects were followed up to 40 days after the last dose. | |||||||||||||||||||||||||||||||||
Arm type |
Placebo | |||||||||||||||||||||||||||||||||
Investigational medicinal product name |
Placebo
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Solution for injection
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Routes of administration |
Subcutaneous use
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Dosage and administration details |
Subjects received single dose of placebo matched to PF-04950615 subcutaneous injection once in every 2 weeks over a period of 3 years. Subjects were followed up to 40 days after the last dose.
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Arm title
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Bococizumab (PF-04950615) | |||||||||||||||||||||||||||||||||
Arm description |
Subjects received single dose of PF-04950615, 150 milligrams, subcutaneous injection once in every 2 weeks over a period of 3 years. Subjects were followed up to 40 days after the last dose. | |||||||||||||||||||||||||||||||||
Arm type |
Experimental | |||||||||||||||||||||||||||||||||
Investigational medicinal product name |
Bococizumab
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Solution for injection
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Routes of administration |
Subcutaneous use
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Dosage and administration details |
Subjects received single dose of PF-04950615, 150 milligrams, subcutaneous injection once in every 2 weeks over a period of 3 years. Subjects were followed up to 40 days after the last dose.
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Baseline characteristics reporting groups
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Reporting group title |
Placebo
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Reporting group description |
Subjects received single dose of placebo matched to PF-04950615 subcutaneous injection once in every 2 weeks over a period of 3 years. Subjects were followed up to 40 days after the last dose. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Bococizumab (PF-04950615)
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Reporting group description |
Subjects received single dose of PF-04950615, 150 milligrams, subcutaneous injection once in every 2 weeks over a period of 3 years. Subjects were followed up to 40 days after the last dose. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
Placebo
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Reporting group description |
Subjects received single dose of placebo matched to PF-04950615 subcutaneous injection once in every 2 weeks over a period of 3 years. Subjects were followed up to 40 days after the last dose. | ||
Reporting group title |
Bococizumab (PF-04950615)
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Reporting group description |
Subjects received single dose of PF-04950615, 150 milligrams, subcutaneous injection once in every 2 weeks over a period of 3 years. Subjects were followed up to 40 days after the last dose. |
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End point title |
Event Rate Per 100 Subject-years for First Occurrence of Major Cardiovascular (CV) Event | ||||||||||||
End point description |
Event rate per 100 subject-years for first occurrence of major CV event (adjudicated by Adjudication Committee) was reported. Major CV event was defined as any of the following: CV death [defined as sudden cardiac death, fatal MI, death due to heart failure, death due to stroke (fatal ischemic stroke or fatal stroke of undetermined etiology), or death due to other CV causes] non-fatal MI, non-fatal stroke, and hospitalization for unstable angina needing urgent revascularization. Event rate was calculated as the number of events per 100 subject-years at risk. Full analysis set (FAS) included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified.
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End point type |
Primary
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End point timeframe |
From baseline until the date of first adjudicated and confirmed occurrence of major CV event (maximum duration: up to 3.4 years)
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Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | ||||||||||||
Statistical analysis description |
Hazard ratio and 95% Confidence Interval (CI) were obtained from a Cox proportional hazards model stratified by geographic region and complete statin intolerance with treatment as a covariate.
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Comparison groups |
Placebo v Bococizumab (PF-04950615)
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Number of subjects included in analysis |
10564
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Analysis specification |
Pre-specified
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Analysis type |
superiority | ||||||||||||
P-value |
= 0.021469 | ||||||||||||
Method |
Logrank | ||||||||||||
Parameter type |
Hazard ratio (HR) | ||||||||||||
Point estimate |
0.79
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Confidence interval |
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level |
95% | ||||||||||||
sides |
2-sided
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lower limit |
0.65 | ||||||||||||
upper limit |
0.97 |
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End point title |
Event Rate Per 100 Subject-years for First Occurrence of Composite Endpoint of Cardiovascular (CV) Death, Non-Fatal Myocardial Infraction (MI) or Non-Fatal Stroke | ||||||||||||
End point description |
Event rate per 100 subject-years for first occurrence of composite endpoint of CV Death, non-fatal MI or non-fatal stroke (adjudicated by Adjudication Committee) was reported. CV death was defined as sudden cardiac death, fatal MI, death due to heart failure, death due to stroke (fatal ischemic stroke or fatal stroke of undetermined etiology), or death due to other CV causes. Event rate was calculated as the number of events per 100 subject-years at risk. FAS included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified.
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End point type |
Secondary
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End point timeframe |
From baseline until the date of first adjudicated and confirmed occurrence of CV death, non-fatal MI or non-fatal stroke (maximum duration: up to 3.4 years)
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Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | ||||||||||||
Statistical analysis description |
Hazard ratio and 95% CI were obtained from a Cox proportional hazards model stratified by geographic region and complete statin intolerance with treatment as a covariate.
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Comparison groups |
Placebo v Bococizumab (PF-04950615)
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Number of subjects included in analysis |
10564
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Analysis specification |
Pre-specified
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Analysis type |
superiority | ||||||||||||
P-value |
= 0.007597 | ||||||||||||
Method |
Logrank | ||||||||||||
Parameter type |
Hazard ratio (HR) | ||||||||||||
Point estimate |
0.75
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Confidence interval |
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level |
95% | ||||||||||||
sides |
2-sided
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lower limit |
0.6 | ||||||||||||
upper limit |
0.93 |
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End point title |
Event Rate Per 100 Subject-years for First Occurrence of Composite Endpoint of All-Cause Death, Non-Fatal Myocardial Infraction (MI), Non-Fatal Stroke or Hospitalization for Unstable Angina Needing Urgent Revascularization | ||||||||||||
End point description |
Event rate per 100 subject-years for first occurrence of composite endpoint of all-cause death, non-fatal MI, non-fatal stroke or hospitalization for unstable angina needing urgent revascularization (adjudicated by Adjudication Committee) was reported. All-cause death was defined as the death due to any cause during the course of study. Event rate was calculated as the number of events per 100 subject-years at risk. FAS included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified.
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End point type |
Secondary
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End point timeframe |
From baseline until the date of first adjudicated and confirmed occurrence of all-cause death, non-fatal MI, non-fatal stroke or hospitalization for unstable angina needing urgent revascularization (maximum duration: up to 3.4 years)
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Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | ||||||||||||
Statistical analysis description |
Hazard ratio and 95% CI were obtained from a Cox proportional hazards model stratified by geographic region and complete statin intolerance with treatment as a covariate.
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Comparison groups |
Placebo v Bococizumab (PF-04950615)
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Number of subjects included in analysis |
10564
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Analysis specification |
Pre-specified
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Analysis type |
superiority | ||||||||||||
P-value |
= 0.035958 | ||||||||||||
Method |
Logrank | ||||||||||||
Parameter type |
Hazard ratio (HR) | ||||||||||||
Point estimate |
0.82
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Confidence interval |
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level |
95% | ||||||||||||
sides |
2-sided
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lower limit |
0.68 | ||||||||||||
upper limit |
0.99 |
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End point title |
Event Rate Per 100 Subject-years for First Occurrence of Composite Endpoint of All-Cause Death, Non-Fatal Myocardial Infarction (MI) or Non-Fatal Stroke | ||||||||||||
End point description |
Event rate per 100 subject-years for first occurrence of composite endpoint of all-cause death, non-fatal MI or non-fatal stroke (adjudicated by Adjudication Committee) was reported. All-cause death was defined as the death due to any cause during the course of study. Event rate was calculated as the number of events per 100 subject-years at risk. FAS included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified.
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End point type |
Secondary
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End point timeframe |
From baseline until the date of first adjudicated and confirmed occurrence of all-cause death, non-fatal MI or non-fatal stroke (maximum duration: up to 3.4 years)
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Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | ||||||||||||
Statistical analysis description |
Hazard ratio and 95% CI were obtained from a Cox proportional hazards model stratified by geographic region and complete statin intolerance with treatment as a covariate.
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Comparison groups |
Placebo v Bococizumab (PF-04950615)
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Number of subjects included in analysis |
10564
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Analysis specification |
Pre-specified
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Analysis type |
superiority | ||||||||||||
P-value |
= 0.015694 | ||||||||||||
Method |
Logrank | ||||||||||||
Parameter type |
Hazard ratio (HR) | ||||||||||||
Point estimate |
0.78
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Confidence interval |
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level |
95% | ||||||||||||
sides |
2-sided
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lower limit |
0.64 | ||||||||||||
upper limit |
0.95 |
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End point title |
Event Rate Per 100 Subject-years for First Occurrence of Hospitalization for Unstable Angina Needing Urgent Revascularization | ||||||||||||
End point description |
Event rate per 100 subject-years for first occurrence of hospitalization for unstable angina needing urgent revascularization (adjudicated by Adjudication Committee) was reported. Event rate was calculated as the number of events per 100 subject-years at risk. FAS included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified.
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End point type |
Secondary
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End point timeframe |
From baseline until the date of first adjudicated and confirmed occurrence of hospitalization for unstable angina needing urgent revascularization (maximum duration: up to 3.4 years)
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Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | ||||||||||||
Statistical analysis description |
Hazard ratio and 95% CI were obtained from a Cox proportional hazards model stratified by geographic region and complete statin intolerance with treatment as a covariate.
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Comparison groups |
Placebo v Bococizumab (PF-04950615)
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Number of subjects included in analysis |
10564
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Analysis specification |
Pre-specified
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Analysis type |
superiority | ||||||||||||
P-value |
= 0.814224 | ||||||||||||
Method |
Logrank | ||||||||||||
Parameter type |
Hazard ratio (HR) | ||||||||||||
Point estimate |
0.95
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Confidence interval |
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level |
95% | ||||||||||||
sides |
2-sided
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lower limit |
0.62 | ||||||||||||
upper limit |
1.46 |
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End point title |
Event Rate Per 100 Subject-years for First Occurrence of Composite Endpoint of Cardiovascular (CV) Death, Non-Fatal Myocardial Infarction (MI), Non-Fatal Stroke or Hospitalization for Unstable Angina | ||||||||||||
End point description |
Event rate per 100 subject-years for first occurrence of composite endpoint of CV death, non-fatal MI, non-fatal stroke or hospitalization for unstable angina (adjudicated by Adjudication Committee) was reported. CV death was defined as sudden cardiac death, fatal MI, death due to heart failure, death due to stroke (fatal ischemic stroke or fatal stroke of undetermined etiology), or death due to other CV causes. Event rate was calculated as the number of events per 100 subject-years at risk. FAS included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified.
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End point type |
Secondary
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End point timeframe |
From baseline until the date of first adjudicated and confirmed occurrence of CV death, non-fatal MI, non-fatal stroke or hospitalization for unstable angina (maximum duration: up to 3.4 years)
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Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | ||||||||||||
Statistical analysis description |
Hazard ratio and 95% CI were obtained from a Cox proportional hazards model stratified by geographic region and complete statin intolerance with treatment as a covariate.
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Comparison groups |
Placebo v Bococizumab (PF-04950615)
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Number of subjects included in analysis |
10564
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Analysis specification |
Pre-specified
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Analysis type |
superiority | ||||||||||||
P-value |
= 0.018053 | ||||||||||||
Method |
Logrank | ||||||||||||
Parameter type |
Hazard ratio (HR) | ||||||||||||
Point estimate |
0.79
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Confidence interval |
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level |
95% | ||||||||||||
sides |
2-sided
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lower limit |
0.65 | ||||||||||||
upper limit |
0.96 |
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End point title |
Event Rate Per 100 Subject-years for Cardiovascular (CV) Death | ||||||||||||
End point description |
Event rate per 100 subject-years for occurrence of CV death (adjudicated by Adjudication Committee) was reported. CV was defined as sudden cardiac death, fatal MI, death due to heart failure, death due to stroke (fatal ischemic stroke or fatal stroke of undetermined etiology), or death due to other CV causes. Event rate was calculated as the number of events per 100 subject-years at risk. FAS included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified.
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End point type |
Secondary
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End point timeframe |
From baseline until the date of adjudicated and confirmed occurrence of CV death (maximum duration: up to 3.4 years)
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Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | ||||||||||||
Statistical analysis description |
Hazard ratio and 95% CI were obtained from a Cox proportional hazards model stratified by geographic region and complete statin intolerance with treatment as a covariate.
|
||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
||||||||||||
Number of subjects included in analysis |
10564
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
superiority | ||||||||||||
P-value |
= 0.446033 | ||||||||||||
Method |
Logrank | ||||||||||||
Parameter type |
Hazard ratio (HR) | ||||||||||||
Point estimate |
0.82
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
0.5 | ||||||||||||
upper limit |
1.36 |
|
|||||||||||||
End point title |
Event Rate Per 100 Subject-years for First Occurrence of any Myocardial Infarction (Fatal or Non-Fatal) | ||||||||||||
End point description |
Event rate per 100 subject-years for first occurrence of any MI (fatal or non-fatal) (adjudicated by Adjudication Committee) was reported. Event rate was calculated as the number of events per 100 subject-years at risk. FAS included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
From baseline until the date of first adjudicated and confirmed occurrence of any MI (fatal or non-fatal) (maximum duration: up to 3.4 years)
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | ||||||||||||
Statistical analysis description |
Hazard ratio and 95% CI were obtained from a Cox proportional hazards model stratified by geographic region and complete statin intolerance with treatment as a covariate.
|
||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
||||||||||||
Number of subjects included in analysis |
10564
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
superiority | ||||||||||||
P-value |
= 0.029977 | ||||||||||||
Method |
Logrank | ||||||||||||
Parameter type |
Hazard ratio (HR) | ||||||||||||
Point estimate |
0.75
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
0.57 | ||||||||||||
upper limit |
0.97 |
|
|||||||||||||
End point title |
Event Rate Per 100 Subject-years for Fatal Myocardial Infarction (MI) | ||||||||||||
End point description |
Event rate per 100 subject-years for occurrence of fatal MI (adjudicated by Adjudication Committee) was reported. Event rate was calculated as the number of events per 100 subject-years at risk. FAS included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
From baseline until the date of adjudicated and confirmed occurrence of fatal MI (maximum duration: up to 3.4 years)
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | ||||||||||||
Statistical analysis description |
Hazard ratio and 95% CI were obtained from a Cox proportional hazards model stratified by geographic region and complete statin intolerance with treatment as a covariate.
|
||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
||||||||||||
Number of subjects included in analysis |
10564
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
superiority | ||||||||||||
P-value |
= 0.162615 | ||||||||||||
Method |
Logrank | ||||||||||||
Parameter type |
Hazard ratio (HR) | ||||||||||||
Point estimate |
0.44
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
0.14 | ||||||||||||
upper limit |
1.44 |
|
|||||||||||||
End point title |
Event Rate Per 100 Subject-years for First Occurrence of Non-Fatal Myocardial Infarction (MI) | ||||||||||||
End point description |
Event rate per 100 subject-years for first occurrence of non-fatal MI (adjudicated by Adjudication Committee) was reported. Event rate was calculated as the number of events per 100 subject-years at risk. FAS included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
From baseline until the date of first adjudicated and confirmed occurrence of non-fatal MI (maximum duration: up to 3.4 years)
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | ||||||||||||
Statistical analysis description |
Hazard ratio and 95% CI were obtained from a Cox proportional hazards model stratified by geographic region and complete statin intolerance with treatment as a covariate.
|
||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
||||||||||||
Number of subjects included in analysis |
10564
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
superiority | ||||||||||||
P-value |
= 0.051534 | ||||||||||||
Method |
Logrank | ||||||||||||
Parameter type |
Hazard ratio (HR) | ||||||||||||
Point estimate |
0.77
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
0.59 | ||||||||||||
upper limit |
1 |
|
|||||||||||||
End point title |
Event Rate Per 100 Subject-years for First Occurrence of any Stroke (Fatal or Non-Fatal) | ||||||||||||
End point description |
Event rate per 100 subject-years for first occurrence of any stroke (fatal or non-fatal) (adjudicated by Adjudication Committee) was reported. Event rate was calculated as the number of events per 100 subject-years at risk. FAS included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
From baseline until the date of first adjudicated and confirmed occurrence of any stroke (fatal or non-fatal) (maximum duration: up to 3.4 years)
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | ||||||||||||
Statistical analysis description |
Hazard ratio and 95% CI were obtained from a Cox proportional hazards model stratified by geographic region and complete statin intolerance with treatment as a covariate.
|
||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
||||||||||||
Number of subjects included in analysis |
10564
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
superiority | ||||||||||||
P-value |
= 0.104998 | ||||||||||||
Method |
Logrank | ||||||||||||
Parameter type |
Hazard ratio (HR) | ||||||||||||
Point estimate |
0.67
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
0.41 | ||||||||||||
upper limit |
1.09 |
|
|||||||||||||
End point title |
Event Rate Per 100 Subject-years for First Occurrence of any Stroke (Fatal or Non-Fatal), of any Etiology | ||||||||||||
End point description |
Event rate per 100 subject-years for first occurrence of any stroke (fatal or non-fatal) of any etiology (adjudicated by Adjudication Committee) was reported. Event rate was calculated as the number of events per 100 subject-years at risk. FAS included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
From baseline until the date of first adjudicated and confirmed occurrence of any stroke (fatal or non-fatal) of any etiology (maximum duration: up to 3.4 years)
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | ||||||||||||
Statistical analysis description |
Hazard ratio and 95% CI were obtained from a Cox proportional hazards model stratified by geographic region and complete statin intolerance with treatment as a covariate.
|
||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
||||||||||||
Number of subjects included in analysis |
10564
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
superiority | ||||||||||||
P-value |
= 0.294331 | ||||||||||||
Method |
Logrank | ||||||||||||
Parameter type |
Hazard ratio (HR) | ||||||||||||
Point estimate |
0.78
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
0.5 | ||||||||||||
upper limit |
1.24 |
|
|||||||||||||
End point title |
Event Rate Per 100 Subject-years for Fatal Stroke | ||||||||||||
End point description |
Event rate per 100 subject-years for occurrence of fatal stroke (adjudicated by Adjudication Committee) was reported. Event rate was calculated as the number of events per 100 subject-years at risk. FAS included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
From baseline until the date of adjudicated and confirmed occurrence of fatal stroke (maximum duration: up to 3.4 years)
|
||||||||||||
|
|||||||||||||
No statistical analyses for this end point |
|
|||||||||||||
End point title |
Event Rate Per 100 Subject-years for First Occurrence of Non-Fatal Stroke | ||||||||||||
End point description |
Event rate per 100 subject-years for first occurrence of non-fatal stroke (adjudicated by Adjudication Committee) was reported. Event rate was calculated as the number of events per 100 subject-years at risk. FAS included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
From baseline until the date of first adjudicated and confirmed occurrence of non-fatal stroke (maximum duration: up to 3.4 years)
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | ||||||||||||
Statistical analysis description |
Hazard ratio and 95% CI were obtained from a Cox proportional hazards model stratified by geographic region and complete statin intolerance with treatment as a covariate.
|
||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
||||||||||||
Number of subjects included in analysis |
10564
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
superiority | ||||||||||||
P-value |
= 0.104998 | ||||||||||||
Method |
Logrank | ||||||||||||
Parameter type |
Hazard ratio (HR) | ||||||||||||
Point estimate |
0.67
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
0.41 | ||||||||||||
upper limit |
1.09 |
|
|||||||||||||
End point title |
Event Rate Per 100 Subject-years for First Occurrence of Hospitalization for Unstable Angina | ||||||||||||
End point description |
Event rate per 100 subject-years for first occurrence of hospitalization for unstable angina (adjudicated by Adjudication Committee) was reported. Event rate was calculated as the number of events per 100 subject-years at risk. FAS included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
From baseline until the date of first adjudicated and confirmed occurrence of hospitalization for unstable angina (maximum duration: up to 3.4 years)
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | ||||||||||||
Statistical analysis description |
Hazard ratio and 95% CI were obtained from a Cox proportional hazards model stratified by geographic region and complete statin intolerance with treatment as a covariate.
|
||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
||||||||||||
Number of subjects included in analysis |
10564
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
superiority | ||||||||||||
P-value |
= 0.6012 | ||||||||||||
Method |
Logrank | ||||||||||||
Parameter type |
Hazard ratio (HR) | ||||||||||||
Point estimate |
0.9
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
0.6 | ||||||||||||
upper limit |
1.34 |
|
|||||||||||||
End point title |
Event Rate Per 100 Subject-years for First Occurrence of Hospitalization for Congestive Heart Failure (CHF) | ||||||||||||
End point description |
Event rate per 100 subject-years for first occurrence of hospitalization for CHF (adjudicated by Adjudication Committee) was reported. Event rate was calculated as the number of events per 100 subject-years at risk. FAS included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
From baseline until the date of first adjudicated and confirmed occurrence of hospitalization for CHF (maximum duration: up to 3.4 years)
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | ||||||||||||
Statistical analysis description |
Hazard ratio and 95% CI were obtained from a Cox proportional hazards model stratified by geographic region and complete statin intolerance with treatment as a covariate.
|
||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
||||||||||||
Number of subjects included in analysis |
10564
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
superiority | ||||||||||||
P-value |
= 0.678061 | ||||||||||||
Method |
Logrank | ||||||||||||
Parameter type |
Hazard ratio (HR) | ||||||||||||
Point estimate |
1.09
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
0.72 | ||||||||||||
upper limit |
1.67 |
|
|||||||||||||
End point title |
Event Rate Per 100 Subject-years for First Occurrence of Coronary Revascularization | ||||||||||||
End point description |
Event rate per 100 subject-years for first occurrence of coronary revascularization (adjudicated by Adjudication Committee) was reported. Event rate was calculated as the number of events per 100 subject-years at risk. FAS included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
From baseline until the date of first adjudicated and confirmed occurrence of coronary revascularization (maximum duration: up to 3.4 years)
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | ||||||||||||
Statistical analysis description |
Hazard ratio and 95% CI were obtained from a Cox proportional hazards model stratified by geographic region and complete statin intolerance with treatment as a covariate.
|
||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
||||||||||||
Number of subjects included in analysis |
10564
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
superiority | ||||||||||||
P-value |
= 0.010457 | ||||||||||||
Method |
Logrank | ||||||||||||
Parameter type |
Hazard ratio (HR) | ||||||||||||
Point estimate |
0.77
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
0.63 | ||||||||||||
upper limit |
0.94 |
|
|||||||||||||
End point title |
Event Rate Per 100 Subject-years for First Occurrence of Coronary Artery Bypass Graft Surgery (CABG) | ||||||||||||
End point description |
Event rate per 100 subject-years for first occurrence of CABG (adjudicated by Adjudication Committee) was reported. Event rate was calculated as the number of events per 100 subject-years at risk. FAS included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
From baseline until the date of first adjudicated and confirmed occurrence of CABG (maximum duration: up to 3.4 years)
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | ||||||||||||
Statistical analysis description |
Hazard ratio and 95% CI were obtained from a Cox proportional hazards model stratified by geographic region and complete statin intolerance with treatment as a covariate.
|
||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
||||||||||||
Number of subjects included in analysis |
10564
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
superiority | ||||||||||||
P-value |
= 0.509847 | ||||||||||||
Method |
Logrank | ||||||||||||
Parameter type |
Hazard ratio (HR) | ||||||||||||
Point estimate |
1.19
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
0.71 | ||||||||||||
upper limit |
2.01 |
|
|||||||||||||
End point title |
Event Rate Per 100 Subject-years for First Occurrence of Percutaneous Coronary Intervention (PCI) | ||||||||||||
End point description |
Event rate per 100 subject-years for first occurrence of PCI (adjudicated by Adjudication Committee) was reported. Event rate was calculated as the number of events per 100 subject-years at risk. FAS included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
From baseline until the date of first adjudicated and confirmed occurrence of PCI (maximum duration: up to 3.4 years)
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | ||||||||||||
Statistical analysis description |
Hazard ratio and 95% CI were obtained from a Cox proportional hazards model stratified by geographic region and complete statin intolerance with treatment as a covariate.
|
||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
||||||||||||
Number of subjects included in analysis |
10564
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
superiority | ||||||||||||
P-value |
= 0.002981 | ||||||||||||
Method |
Logrank | ||||||||||||
Parameter type |
Hazard ratio (HR) | ||||||||||||
Point estimate |
0.72
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
0.58 | ||||||||||||
upper limit |
0.9 |
|
|||||||||||||
End point title |
Event Rate Per 100 Subject-years for First Occurrence of any Arterial Revascularizations | ||||||||||||
End point description |
Event rate per 100 subject-years for first occurrence of any arterial revascularizations (adjudicated by Adjudication Committee) was reported. Event rate was calculated as the number of events per 100 subject-years at risk. FAS included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
From baseline until the date of first adjudicated and confirmed occurrence of any arterial revascularizations (maximum duration: up to 3.4 years)
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | ||||||||||||
Statistical analysis description |
Hazard ratio and 95% CI were obtained from a Cox proportional hazards model stratified by geographic region and complete statin intolerance with treatment as a covariate.
|
||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
||||||||||||
Number of subjects included in analysis |
10564
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
superiority | ||||||||||||
P-value |
= 0.748975 | ||||||||||||
Method |
Logrank | ||||||||||||
Parameter type |
Hazard ratio (HR) | ||||||||||||
Point estimate |
0.95
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
0.7 | ||||||||||||
upper limit |
1.3 |
|
|||||||||||||
End point title |
Event Rate Per 100 Subject-years for All-cause Death | ||||||||||||
End point description |
Event rate per 100 subject-years for occurrence of all-cause death (adjudicated by Adjudication Committee) was reported. All-cause death was defined as the death due to any cause during the course of study. Event rate was calculated as the number of events per 100 subject-years at risk. FAS included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
From baseline until the date of adjudicated and confirmed occurrence of all-cause death (maximum duration: up to 3.4 years)
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | ||||||||||||
Statistical analysis description |
Hazard ratio and 95% CI were obtained from a Cox proportional hazards model stratified by geographic region and complete statin intolerance with treatment as a covariate.
|
||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
||||||||||||
Number of subjects included in analysis |
10564
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
superiority | ||||||||||||
P-value |
= 0.626157 | ||||||||||||
Method |
Logrank | ||||||||||||
Parameter type |
Hazard ratio (HR) | ||||||||||||
Point estimate |
0.91
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
0.63 | ||||||||||||
upper limit |
1.32 |
|
|||||||||||||
End point title |
Percent Change From Baseline in Low Density Lipoprotein Cholesterol (LDL-C) at Week 14 | ||||||||||||
End point description |
FAS included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified. Here, "Number of subjects analyzed" (N) signifies those subjects who were evaluable for this outcome measure.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
Baseline, Week 14
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | ||||||||||||
Statistical analysis description |
LS (Least square) mean differences, associated 95% CI, and p-values were from an mixed model repeated measures (MMRM) model including observations through Week 70 with fixed effects for treatment group, visit, treatment group*visit interaction, baseline value, baseline value*visit interaction, geographic region and complete statin intolerance.
|
||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
||||||||||||
Number of subjects included in analysis |
9366
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
superiority | ||||||||||||
P-value |
< 0.001 | ||||||||||||
Method |
MMRM | ||||||||||||
Parameter type |
LS mean difference | ||||||||||||
Point estimate |
-56.9
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-57.91 | ||||||||||||
upper limit |
-55.89 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
0.51
|
|
|||||||||||||
End point title |
Nominal Change From Baseline in Low Density Lipoprotein Cholesterol (LDL-C) at Week 14 | ||||||||||||
End point description |
FAS included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified. Here, "N” signifies those subjects who were evaluable for this outcome measure.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
Baseline, Week 14
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | ||||||||||||
Statistical analysis description |
LS mean differences, associated 95% CI, and p-values were from an MMRM model including observations through Week 70 with fixed effects for treatment group, visit, treatment group*visit interaction, baseline value, baseline value*visit interaction, geographic region and complete statin intolerance.
|
||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
||||||||||||
Number of subjects included in analysis |
9366
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
superiority | ||||||||||||
P-value |
< 0.001 | ||||||||||||
Method |
MMRM | ||||||||||||
Parameter type |
LS mean difference | ||||||||||||
Point estimate |
-73.8
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-75.11 | ||||||||||||
upper limit |
-72.5 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
0.67
|
|
|||||||||||||
End point title |
Percent Change From Baseline in Low Density Lipoprotein Cholesterol (LDL-C) at Last Post-baseline Measurement | ||||||||||||
End point description |
FAS included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified. Here, "N” signifies those subjects who were evaluable for this outcome measure.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
Baseline, last post-baseline measurement (any time up to Week 140)
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | ||||||||||||
Statistical analysis description |
LS-mean difference, associated 95% CI, and p-value were from an analysis of covariance (ANCOVA) model with fixed effects for treatment group, baseline value, geographic region and complete statin intolerance.
|
||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
||||||||||||
Number of subjects included in analysis |
10488
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
superiority | ||||||||||||
P-value |
< 0.001 | ||||||||||||
Method |
ANCOVA | ||||||||||||
Parameter type |
LS mean difference | ||||||||||||
Point estimate |
-39.31
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-40.55 | ||||||||||||
upper limit |
-38.06 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
0.64
|
|
||||||||||||||||||||||||||||||||||
End point title |
Percent Change From Baseline in Lipid Levels at Week 14 | |||||||||||||||||||||||||||||||||
End point description |
Lipids included non-high density lipoprotein cholesterol (non-HDL-C), very low density lipoprotein cholesterol (VLDL-C), remnant lipoprotein cholesterol (RLP-C), apolipoprotein B (Apo B), HDL-C, apolipoprotein A-I (Apo A-I) and total cholesterol. FAS included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified.Here, "n" signifies number of subjects who were evaluable for the specified categories, for each arm respectively.
|
|||||||||||||||||||||||||||||||||
End point type |
Secondary
|
|||||||||||||||||||||||||||||||||
End point timeframe |
Baseline, Week 14
|
|||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||
Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | |||||||||||||||||||||||||||||||||
Statistical analysis description |
Non-HDLC: LS-mean differences, associated 95% CI, and p-values were from an MMRM model including observations through Week 70 with fixed effects for treatment group, visit, treatment group*visit interaction, baseline value, baseline value*visit interaction, geographic region and complete statin intolerance.
|
|||||||||||||||||||||||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
|||||||||||||||||||||||||||||||||
Number of subjects included in analysis |
10564
|
|||||||||||||||||||||||||||||||||
Analysis specification |
Pre-specified
|
|||||||||||||||||||||||||||||||||
Analysis type |
superiority | |||||||||||||||||||||||||||||||||
P-value |
< 0.001 | |||||||||||||||||||||||||||||||||
Method |
MMRM | |||||||||||||||||||||||||||||||||
Parameter type |
LS mean difference | |||||||||||||||||||||||||||||||||
Point estimate |
-51.87
|
|||||||||||||||||||||||||||||||||
Confidence interval |
||||||||||||||||||||||||||||||||||
level |
95% | |||||||||||||||||||||||||||||||||
sides |
2-sided
|
|||||||||||||||||||||||||||||||||
lower limit |
-52.81 | |||||||||||||||||||||||||||||||||
upper limit |
-50.94 | |||||||||||||||||||||||||||||||||
Variability estimate |
Standard error of the mean
|
|||||||||||||||||||||||||||||||||
Dispersion value |
0.48
|
|||||||||||||||||||||||||||||||||
Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | |||||||||||||||||||||||||||||||||
Statistical analysis description |
VLDL-C: LS-mean differences, associated 95% CI, and p-values were from an MMRM model including observations through Week 70 with fixed effects for treatment group, visit, treatment group*visit interaction, baseline value, baseline value*visit interaction, geographic region and complete statin intolerance.
|
|||||||||||||||||||||||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
|||||||||||||||||||||||||||||||||
Number of subjects included in analysis |
10564
|
|||||||||||||||||||||||||||||||||
Analysis specification |
Pre-specified
|
|||||||||||||||||||||||||||||||||
Analysis type |
superiority | |||||||||||||||||||||||||||||||||
P-value |
< 0.001 | |||||||||||||||||||||||||||||||||
Method |
MMRM | |||||||||||||||||||||||||||||||||
Parameter type |
LS mean difference | |||||||||||||||||||||||||||||||||
Point estimate |
-18.41
|
|||||||||||||||||||||||||||||||||
Confidence interval |
||||||||||||||||||||||||||||||||||
level |
95% | |||||||||||||||||||||||||||||||||
sides |
2-sided
|
|||||||||||||||||||||||||||||||||
lower limit |
-19.96 | |||||||||||||||||||||||||||||||||
upper limit |
-16.86 | |||||||||||||||||||||||||||||||||
Variability estimate |
Standard error of the mean
|
|||||||||||||||||||||||||||||||||
Dispersion value |
0.79
|
|||||||||||||||||||||||||||||||||
Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | |||||||||||||||||||||||||||||||||
Statistical analysis description |
RLP-C: LS-mean differences, associated 95% CI, and p-values were from an MMRM model including observations through Week 70 with fixed effects for treatment group, visit, treatment group*visit interaction, baseline value, baseline value*visit interaction, geographic region and complete statin intolerance.
|
|||||||||||||||||||||||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
|||||||||||||||||||||||||||||||||
Number of subjects included in analysis |
10564
|
|||||||||||||||||||||||||||||||||
Analysis specification |
Pre-specified
|
|||||||||||||||||||||||||||||||||
Analysis type |
superiority | |||||||||||||||||||||||||||||||||
P-value |
< 0.001 | |||||||||||||||||||||||||||||||||
Method |
MMRM | |||||||||||||||||||||||||||||||||
Parameter type |
LS mean difference | |||||||||||||||||||||||||||||||||
Point estimate |
-29.2
|
|||||||||||||||||||||||||||||||||
Confidence interval |
||||||||||||||||||||||||||||||||||
level |
95% | |||||||||||||||||||||||||||||||||
sides |
2-sided
|
|||||||||||||||||||||||||||||||||
lower limit |
-31.44 | |||||||||||||||||||||||||||||||||
upper limit |
-26.96 | |||||||||||||||||||||||||||||||||
Variability estimate |
Standard error of the mean
|
|||||||||||||||||||||||||||||||||
Dispersion value |
1.14
|
|||||||||||||||||||||||||||||||||
Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | |||||||||||||||||||||||||||||||||
Statistical analysis description |
Apo B: LS-mean differences, associated 95% CI, and p-values were from an MMRM model including observations through Week 52 with fixed effects for treatment group, visit, treatment group*visit interaction, baseline value, baseline value*visit interaction, geographic region and complete statin intolerance.
|
|||||||||||||||||||||||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
|||||||||||||||||||||||||||||||||
Number of subjects included in analysis |
10564
|
|||||||||||||||||||||||||||||||||
Analysis specification |
Pre-specified
|
|||||||||||||||||||||||||||||||||
Analysis type |
superiority | |||||||||||||||||||||||||||||||||
P-value |
< 0.001 | |||||||||||||||||||||||||||||||||
Method |
MMRM | |||||||||||||||||||||||||||||||||
Parameter type |
LS mean difference | |||||||||||||||||||||||||||||||||
Point estimate |
-51.4
|
|||||||||||||||||||||||||||||||||
Confidence interval |
||||||||||||||||||||||||||||||||||
level |
95% | |||||||||||||||||||||||||||||||||
sides |
2-sided
|
|||||||||||||||||||||||||||||||||
lower limit |
-52.37 | |||||||||||||||||||||||||||||||||
upper limit |
-50.42 | |||||||||||||||||||||||||||||||||
Variability estimate |
Standard error of the mean
|
|||||||||||||||||||||||||||||||||
Dispersion value |
0.5
|
|||||||||||||||||||||||||||||||||
Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | |||||||||||||||||||||||||||||||||
Statistical analysis description |
HDL-C: LS-mean differences, associated 95% CI, and p-values were from an MMRM model including observations through Week 70 with fixed effects for treatment group, visit, treatment group*visit interaction, baseline value, baseline value*visit interaction, geographic region and complete statin intolerance.
|
|||||||||||||||||||||||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
|||||||||||||||||||||||||||||||||
Number of subjects included in analysis |
10564
|
|||||||||||||||||||||||||||||||||
Analysis specification |
Pre-specified
|
|||||||||||||||||||||||||||||||||
Analysis type |
superiority | |||||||||||||||||||||||||||||||||
P-value |
< 0.001 | |||||||||||||||||||||||||||||||||
Method |
MMRM | |||||||||||||||||||||||||||||||||
Parameter type |
LS mean difference | |||||||||||||||||||||||||||||||||
Point estimate |
6.91
|
|||||||||||||||||||||||||||||||||
Confidence interval |
||||||||||||||||||||||||||||||||||
level |
95% | |||||||||||||||||||||||||||||||||
sides |
2-sided
|
|||||||||||||||||||||||||||||||||
lower limit |
6.33 | |||||||||||||||||||||||||||||||||
upper limit |
7.5 | |||||||||||||||||||||||||||||||||
Variability estimate |
Standard error of the mean
|
|||||||||||||||||||||||||||||||||
Dispersion value |
0.3
|
|||||||||||||||||||||||||||||||||
Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | |||||||||||||||||||||||||||||||||
Statistical analysis description |
Apo A-I: LS-mean differences, associated 95% CI, and p-values were from an MMRM model including observations through Week 52 with fixed effects for treatment group, visit, treatment group*visit interaction, baseline value, baseline value*visit interaction, geographic region and complete statin intolerance.
|
|||||||||||||||||||||||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
|||||||||||||||||||||||||||||||||
Number of subjects included in analysis |
10564
|
|||||||||||||||||||||||||||||||||
Analysis specification |
Pre-specified
|
|||||||||||||||||||||||||||||||||
Analysis type |
superiority | |||||||||||||||||||||||||||||||||
P-value |
< 0.001 | |||||||||||||||||||||||||||||||||
Method |
MMRM | |||||||||||||||||||||||||||||||||
Parameter type |
LS mean difference | |||||||||||||||||||||||||||||||||
Point estimate |
4.4
|
|||||||||||||||||||||||||||||||||
Confidence interval |
||||||||||||||||||||||||||||||||||
level |
95% | |||||||||||||||||||||||||||||||||
sides |
2-sided
|
|||||||||||||||||||||||||||||||||
lower limit |
3.9 | |||||||||||||||||||||||||||||||||
upper limit |
4.9 | |||||||||||||||||||||||||||||||||
Variability estimate |
Standard error of the mean
|
|||||||||||||||||||||||||||||||||
Dispersion value |
0.25
|
|||||||||||||||||||||||||||||||||
Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | |||||||||||||||||||||||||||||||||
Statistical analysis description |
Total cholesterol: LS-mean differences, associated 95% CI, and p-values were from an MMRM model including observations through Week 70 with fixed effects for treatment group, visit, treatment group*visit interaction, baseline value, baseline value*visit interaction, geographic region and complete statin intolerance.
|
|||||||||||||||||||||||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
|||||||||||||||||||||||||||||||||
Number of subjects included in analysis |
10564
|
|||||||||||||||||||||||||||||||||
Analysis specification |
Pre-specified
|
|||||||||||||||||||||||||||||||||
Analysis type |
superiority | |||||||||||||||||||||||||||||||||
P-value |
< 0.001 | |||||||||||||||||||||||||||||||||
Method |
MMRM | |||||||||||||||||||||||||||||||||
Parameter type |
LS mean difference | |||||||||||||||||||||||||||||||||
Point estimate |
-37.99
|
|||||||||||||||||||||||||||||||||
Confidence interval |
||||||||||||||||||||||||||||||||||
level |
95% | |||||||||||||||||||||||||||||||||
sides |
2-sided
|
|||||||||||||||||||||||||||||||||
lower limit |
-38.75 | |||||||||||||||||||||||||||||||||
upper limit |
-37.22 | |||||||||||||||||||||||||||||||||
Variability estimate |
Standard error of the mean
|
|||||||||||||||||||||||||||||||||
Dispersion value |
0.39
|
|
|||||||||||||||||||
End point title |
Percent Change From Baseline in Log-Transformed Triglycerides and Lipoprotein (a) (Lp[a]) at Week 14 | ||||||||||||||||||
End point description |
FAS included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified. Here, "n" signifies number of subjects who were evaluable for the specified categories, for each arm respectively.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Baseline, Week 14
|
||||||||||||||||||
|
|||||||||||||||||||
Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | ||||||||||||||||||
Statistical analysis description |
Triglycerides: LS-mean differences, associated 95% CI and p-values were from an MMRM model including observations through Week 70 on the difference of log-transformed observations with fixed effects for treatment group, visit, treatment group*visit interaction, log-transformed baseline value, log-transformed baseline value*visit interaction, geographical region and complete statin intolerance. The 95% CI was derived by exponentiating the LS-mean difference confidence interval from the log scale.
|
||||||||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
||||||||||||||||||
Number of subjects included in analysis |
10564
|
||||||||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||||||||
Analysis type |
superiority | ||||||||||||||||||
P-value |
< 0.001 | ||||||||||||||||||
Method |
MMRM | ||||||||||||||||||
Parameter type |
LS mean difference | ||||||||||||||||||
Point estimate |
0.82
|
||||||||||||||||||
Confidence interval |
|||||||||||||||||||
level |
95% | ||||||||||||||||||
sides |
2-sided
|
||||||||||||||||||
lower limit |
0.81 | ||||||||||||||||||
upper limit |
0.83 | ||||||||||||||||||
Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | ||||||||||||||||||
Statistical analysis description |
Lp(a): LS-mean differences, associated 95% CI and p-values were from an MMRM model on the Difference of log-transformed observations with fixed effects for treatment group, visit, a treatment group*visit interaction, log-transformed baseline value, log-transformed baseline value*visit interaction, geographical region and complete statin intolerance. The 95% CI was derived by exponentiating the LS-mean difference confidence interval from the log scale.
|
||||||||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
||||||||||||||||||
Number of subjects included in analysis |
10564
|
||||||||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||||||||
Analysis type |
superiority | ||||||||||||||||||
P-value |
< 0.001 | ||||||||||||||||||
Method |
MMRM | ||||||||||||||||||
Parameter type |
LS mean difference | ||||||||||||||||||
Point estimate |
0.68
|
||||||||||||||||||
Confidence interval |
|||||||||||||||||||
level |
95% | ||||||||||||||||||
sides |
2-sided
|
||||||||||||||||||
lower limit |
0.67 | ||||||||||||||||||
upper limit |
0.69 |
|
|||||||||||||
End point title |
Percent Change From Baseline in Log-Transformed High Sensitivity C-Reactive Protein (hs-CRP) at Week 14 | ||||||||||||
End point description |
FAS included all subjects who were randomized, excluding who attempted to be randomized more than once into a bococizumab CV outcomes trial (B1481022\B1481038) or attempted to be randomized in more than 1 CV outcomes trial and all subjects enrolled at study Site 3027 where a quality-related event was identified. Here, "N” signifies those subjects who were evaluable for this outcome measure.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
Baseline, Week 14
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Placebo vs Bococizumab (PF-04950615) | ||||||||||||
Statistical analysis description |
LS-mean differences, associated 95% CI and p-values were from an MMRM model on the difference of log-transformed observations with fixed effects for treatment group, visit, treatment group*visit interaction, log-transformed baseline value, log-transformed baseline value*visit interaction, geographical region and complete statin intolerance.
|
||||||||||||
Comparison groups |
Placebo v Bococizumab (PF-04950615)
|
||||||||||||
Number of subjects included in analysis |
9275
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
superiority | ||||||||||||
P-value |
= 0.002 | ||||||||||||
Method |
MMRM | ||||||||||||
Parameter type |
LS mean difference | ||||||||||||
Point estimate |
1.06
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
1.02 | ||||||||||||
upper limit |
1.09 |
|
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Adverse events information
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Timeframe for reporting adverse events |
Baseline up to 3.4 years
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Adverse event reporting additional description |
Safety analysis set: all subjects who randomized, had atleast 1 dose of study drug, excluding those attempted to randomize more than once in a bococizumab CV outcomes trial (B1481022/B1481038) or attempted to randomize in more than 1 CV outcomes trial, and all subjects enrolled at study Site 3027 where a quality-related event was identified
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Assessment type |
Non-systematic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
19.1
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Reporting groups
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Reporting group title |
Bococizumab (PF-04950615)
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Reporting group description |
Subjects received single dose of PF-04950615, 150 milligrams, subcutaneous injection once in every 2 weeks over a period of 3 years. Subjects were followed up to 40 days after the last dose. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Placebo
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Reporting group description |
Subjects received single dose of placebo matched to PF-04950615 subcutaneous injection once in every 2 weeks over a period of 3 years. Subjects were followed up to 40 days after the last dose. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Notes [1] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal. Justification: The event is gender specific event, hence number of subjects at risk are not equal to the total number of subjects. [2] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal. Justification: The event is gender specific event, hence number of subjects at risk are not equal to the total number of subjects. [3] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal. Justification: The event is gender specific event, hence number of subjects at risk are not equal to the total number of subjects. [4] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal. Justification: The event is gender specific event, hence number of subjects at risk are not equal to the total number of subjects. [5] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal. Justification: The event is gender specific event, hence number of subjects at risk are not equal to the total number of subjects. [6] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal. Justification: The event is gender specific event, hence number of subjects at risk are not equal to the total number of subjects. [7] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal. Justification: The event is gender specific event, hence number of subjects at risk are not equal to the total number of subjects. [8] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal. Justification: The event is gender specific event, hence number of subjects at risk are not equal to the total number of subjects. [9] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal. Justification: The event is gender specific event, hence number of subjects at risk are not equal to the total number of subjects. [10] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal. Justification: The event is gender specific event, hence number of subjects at risk are not equal to the total number of subjects. [11] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal. Justification: The event is gender specific event, hence number of subjects at risk are not equal to the total number of subjects. [12] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal. Justification: The event is gender specific event, hence number of subjects at risk are not equal to the total number of subjects. [13] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal. Justification: The event is gender specific event, hence number of subjects at risk are not equal to the total number of subjects. [14] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal. Justification: The event is gender specific event, hence number of subjects at risk are not equal to the total number of subjects. [15] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal. Justification: The event is gender specific event, hence number of subjects at risk are not equal to the total number of subjects. [16] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal. Justification: The event is gender specific event, hence number of subjects at risk are not equal to the total number of subjects. [17] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal. Justification: The event is gender specific event, hence number of subjects at risk are not equal to the total number of subjects. [18] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal. Justification: The event is gender specific event, hence number of subjects at risk are not equal to the total number of subjects. [19] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal. Justification: The event is gender specific event, hence number of subjects at risk are not equal to the total number of subjects. [20] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal. Justification: The event is gender specific event, hence number of subjects at risk are not equal to the total number of subjects. [21] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal. Justification: The event is gender specific event, hence number of subjects at risk are not equal to the total number of subjects. [22] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal. Justification: The event is gender specific event, hence number of subjects at risk are not equal to the total number of subjects. |
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Frequency threshold for reporting non-serious adverse events: 2% | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? Yes | |||||||
Date |
Amendment |
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01 Oct 2014 |
1. An efficacy endpoint of any stroke (fatal and non-fatal), of any etiology which included hemorrhagic stroke, was added.
2. More frequent visits for assessment of direct LDL-C and AEs/serious AEs, for subjects who have had investigational product dose frequency modifications to quater 4 week so that the data monitoring committee can monitor more closely, lipid levels in subjects with a history of low levels of LDL-C during the trial was added.
3. Depression assessments was added so as to capture baseline risk for the disorder, given that depression was found fairly frequently in subjects at high risk of cardiovascular events and its presence might alter performance on the planned cognitive assessments.
4. Health care utilization assessments and endpoints was added to evaluate the potential impact of bococizumab on health care resource utilization.
5. Screening laboratory tests, hs-CRP and Lp(a) was added for subjects who had not had a prior cardiovascular event, since these were established risk factors for the occurrence of cardiovascular events.
6. Safety section was modified to clarify further, how serious adverse events were to be reported. |
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12 Feb 2016 |
1. Clinical secondary objectives and endpoints were updated to reflect an upgrading of the secondary endpoint of a composite endpoint of all-cause death, non-fatal MI and non-fatal stroke to a key secondary endpoint, in consideration of its clinical importance. The secondary endpoint of nominal change in hs-CRP was changed to percent change in hs-CRP.
2. The proposed indication was modified so that the
major cardiovascular events reflected components
of the primary endpoint.
3. The safety reporting section was revised to reflect
the fact that a Pfizer internal serious adverse event triage group will ensure the correct reporting of serious AEs to the Pfizer Drug Safety Unit.
4. The cerebral hemorrhage risk exclusion was modified to clarify that a prior lacunar infarct refers to a prior lacunar stroke, ie, a lacunar infarct which resulted in a stroke.
5. An exclusion criterion of gastric bypass surgery
was added, since its presence could complicate
the interpretation of metabolic efficacy and safety
data.
6. A requirement was added to the protocol that IP
should not be administered, if a subject was
prescribed a marketed proprotein convertase subtilisin/kexin type 9 inhibitor during
the conduct of the study. |
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Interruptions (globally) |
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Were there any global interruptions to the trial? Yes | |||||||
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Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||||||
As specified in statistical analysis plan, due to discontinuation of the bococizumab clinical development program, health care resource utilization endpoints were not evaluated. |