Evidence map›Paper›PMID 31512717›Full record

Trial reportCardiovascular journal of Africa

Long-term safety and efficacy of alirocumab in South African patients with heterozygous familial hypercholesterolaemia: the ODYSSEY Open-Label Extension study.

Dirk J Blom, Johannes Breedt, Lesley J Burgess, Iftikhar O Ebrahim, Graham Ellis, Prashilla Soma, Eugene van der Walt, Poobalan Naidoo, Alet van Tonder, Frederick J Raal

Abstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Cardiovascular journal of Africa. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

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

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

2 · The registry

The trial behind it

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

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Dirk J BlomDepartment of Medicine, Division of Lipidology and Hatter Institute for Cardiovascular Research in Africa, University of Cape Town, Cape Town, South Africa. Email: dirk.blom@uct.ac.za.
Johannes BreedtEmmed Research, Pretoria West, South Africa.
Lesley J BurgessTread Research, Department of Cardiology, Faculty of Medicine and Health Science, University of Stellenbosch, Stellenbosch, South Africa.
Iftikhar O EbrahimNetcare Unitas Hospital, Centurion, South Africa.
Graham EllisSynexus Helderberg Clinical Trial Centre, Somerset West, South Africa.
Prashilla SomaClinical Research Unit, Department of Clinical Research, University of Pretoria, Pretoria, South Africa.
Eugene van der WaltRoodepoort Medicross Clinical Research Centre, Synexus Affiliated Site, Roodepoort, South Africa.
Poobalan NaidooSanofi, Johannesburg, South Africa.
Alet van TonderSanofi, Johannesburg, South Africa.
Frederick J RaalCarbohydrate and Lipid Metabolism Research Unit, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlirocumab reduces low-density lipoprotein cholesterol (LDL-C) levels by up to 61%. The ODYSSEY Open-Label Extension study investigated the effect of alirocumab in patients with heterozygous familial hypercholesterolaemia (HeFH) over 144 weeks.

methodsEligible patients with HeFH had completed an earlier double-blind, randomised, placebo-controlled parent study. Patients were initiated on 75 mg alirocumab Q2W subcutaneous (SC) unless baseline LDL-C was > 8.9 mmol/l, in which case they received 150 mg alirocumab Q2W. Dose titration to 150 mg Q2W was at the investigator's discretion.

resultsThe study enrolled 167 patients and the parent study mean (± SD) baseline LDL-C level was 3.65 ± 1.9 mmol/l. Mean LDL-C level was reduced by 48.7% at week 144; mean on-treatment LDL-C was 2.30 ± 1.24 mmol/l. Eight patients reported injection-site reactions, with one treatment discontinuation. Treatment emergent anti-drug antibodies were identified in five patients but these did not affect the efficacy.

conclusionsAlirocumab effectively and safely reduced LDL-C in these patients.

Indexed as

AdultAgedAntibodies, Monoclonal, HumanizedAnticholesteremic AgentsBiomarkersCholesterol, LDLDouble-Blind MethodDown-RegulationFemaleGenetic Predisposition to DiseaseHeterozygoteHumansHyperlipoproteinemia Type IIMaleMiddle AgedPCSK9 InhibitorsalirocumabAntibodies, Monoclonal, HumanizedAnticholesteremic AgentsBiomarkersCholesterol, LDLPCSK9 InhibitorsPCSK9 protein, humanProprotein Convertase 9Serine Proteinase Inhibitorsalirocumabcardiovascular riskfamilial hypercholesterolaemiaLDL‐C goallipid‐lowering therapyPCSK9 inhibitorsstatin

Identifiers

PMID31512717
PMCPMC8802375

What OpenQuestion holds

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Registered trials

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