Evidence map›Paper›PMID 36325897›Full record

Trial reportArteriosclerosis, thrombosis, and vascular biology2022

Efficacy and Safety of Alirocumab in Children and Adolescents With Homozygous Familial Hypercholesterolemia: Phase 3, Multinational Open-Label Study.

Eric Bruckert, Sonia Caprio, Albert Wiegman, Min-Ji Charng, Cézar A Zárate-Morales, Marie T Baccara-Dinet, Garen Manvelian, Anne Ourliac, Michel Scemama, Stephen R Daniels

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Arteriosclerosis, thrombosis, and vascular biology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03510715 (An Open-Label Study to Evaluate the Efficacy and Safety of Alirocumab in Children and Adolescents With Homozygous Familial Hypercholesterolemia), which is not on this map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
7.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

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

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

2 · The registry

The trial behind it

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

NCT03510715 phase3completednot on this map

An Open-Label Study to Evaluate the Efficacy and Safety of Alirocumab in Children and Adolescents With Homozygous Familial Hypercholesterolemia

TypeinterventionalSponsorSanofiRan2018 to 2020Enrolled18ConditionsHypercholesterolemiaArmsAlirocumab SAR236553 (REGN727), Atorvastatin, Simvastatin, Fluvastatin, Pravastatin
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. AlirocumabCurrent cardiology reviews · 2026
    Pooled it
  3. Pooled it
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Dysregulation of Cholesterol Homeostasis in Ovarian Cancer.Current oncology (Toronto, Ont.) · 2023
    Review
  14. Article
  15. Article
  16. Review
  17. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 9 institutions in 5 countries.

Eric BruckertHôpital Pitié Salpêtrière, Sorbonne University Paris, France (E.B.).ORCID 0000-0002-4527-9629
Sonia CaprioYale Pediatric Endocrinology, New Haven, CT (S.C.).
Albert WiegmanDepartment of Metabolic Disorders, Amsterdam UMC, Location AMC, Emma Children's Hospital, the Netherlands (A.W.).
Min-Ji CharngDivision of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taiwan, R.O.C. (M.-J.C.).ORCID 0000-0002-0949-9026
Cézar A Zárate-MoralesHospital "Presidente Juárez" del Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Oaxaca, Oax, México (C.A.Z.-M.).
Marie T Baccara-DinetSanofi, Montpellier, France (M.T.B.-D.).
Garen ManvelianRegeneron Pharmaceuticals Inc, Tarrytown, NY (G.M.).
Anne OurliacAixial, Boulogne-Billancourt, France (A.O.).
Michel ScemamaSanofi, Chilly-Mazarin, France (M.S.).
Stephen R DanielsUniversity of Colorado School of Medicine, Aurora (S.R.D.).
Sanofi (France) · FREmma Kinderziekenhuis · NLInstitute for Social Security and Services for State Workers · MXLaboratoire Vision Action Cognition · FRNational Yang Ming Chiao Tung University · TWRegeneron (United States) · USSorbonne Université · FRUniversity of Colorado Denver · USYale New Haven Hospital · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Diabetes Research CenterP30DK045735 · NIDDK · YALE UNIVERSITY · PI Kevan C Herold, GERALD I SHULMAN · 1993 to 2026
$44.0M
PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Edward L Melanson · 1995 to 2026
$32.6M
NCATS NIH HHS UL1 TR001863NIDDK NIH HHS P30 DK045735NIDDK NIH HHS P30 DK048520
6 · The paper itself

Abstract

backgroundDespite progress in treating homozygous familial hypercholesterolemia, most patients do not achieve low-density lipoprotein cholesterol (LDL-C) targets. This study examined efficacy and safety of the PCSK9 (proprotein convertase subtilisin/kexin type 9) inhibitor, alirocumab, in pediatric patients (aged 8-17 years) with inadequately controlled homozygous familial hypercholesterolemia.

methodsIn this open-label, single-arm, multinational, Phase 3 study, patients (n=18) received alirocumab 75 mg or 150 mg (bodyweight <50 kg/≥50 kg) every 2 weeks as an adjunct to background treatment. The primary endpoint was percent change in LDL-C from baseline to Week 12. Secondary endpoints included changes in LDL-C and other lipid parameters up to 48 weeks, safety/tolerability, and alirocumab pharmacokinetics.

resultsThe mean age of patients was 12.4 years; 16/18 (89%) had mutations in the low-density lipoprotein receptor gene

conclusionsThe study supports the efficacy and safety of alirocumab as a potential adjunct to treatment for some pediatric patients with homozygous familial hypercholesterolemia. REGISTRATION: URL: https://www. CLINICALTRIALS: gov; NCT03510715.

Indexed as

Homozygous Familial HypercholesterolemiaProprotein Convertase 9AdolescentAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedChildCholesterol, LDLDouble-Blind MethodHumansalirocumabAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedCholesterol, LDLPCSK9 protein, humanProprotein Convertase 9

Identifiers

PMID36325897
PMCPMC9750107
OpenAlexW4308058759

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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