PMID- 28539539 OWN - NLM STAT- MEDLINE DCOM- 20180613 LR - 20221207 IS - 1347-4820 (Electronic) IS - 1346-9843 (Linking) VI - 81 IP - 10 DP - 2017 Sep 25 TI - Efficacy and Safety of Bococizumab (RN316/PF-04950615), a Monoclonal Antibody Against Proprotein Convertase Subtilisin/Kexin Type 9, in Hypercholesterolemic Japanese Subjects Receiving a Stable Dose of Atorvastatin or Treatment-Naive - Results From a Randomized, Placebo-Controlled, Dose-Ranging Study. PG - 1496-1505 LID - 10.1253/circj.CJ-16-1310 [doi] AB - BACKGROUND: A Phase 2, dose-ranging study of bococizumab, a monoclonal anti-proprotein convertase subtilisin/kexin type 9 antibody, was conducted in Japanese subjects to assess its efficacy, safety, and tolerability in this population.Methods and Results:Two different hypercholesterolemic study populations were enrolled concurrently: Japanese subjects with uncontrolled low-density lipoprotein cholesterol (LDL-C) despite atorvastatin treatment (LDL-C >/=100 mg/dL; n=121), and Japanese subjects naive to lipid-lowering agents and with LDL-C >/=130 mg/dL (n=97). Subjects within each study population were randomized to bococizumab 50, 100, or 150 mg, or placebo, q14D for 16 weeks; an open-label ezetimibe 10 mg daily arm was also included for the atorvastatin-treated population. Significant, dose-dependent reductions in fasting LDL-C levels were observed in all bococizumab arms of both study populations at Weeks 12 and 16 (adjusted mean percent changes from baseline: 54.1-76.7% for atorvastatin-treated subjects and 47.7-66.8% for treatment-naive subjects; P<0.001 vs. placebo for all). Bococizumab also caused dose-dependent changes in other lipid parameters in both study populations at Weeks 12 and 16. No serious adverse events (AEs) related to bococizumab treatment occurred and all treatment-emergent AEs were mild or moderate in severity. No dose-dependent relationship between bococizumab treatment and development of anti-drug antibodies was observed. CONCLUSIONS: Bococizumab was well tolerated and significantly reduced fasting LDL-C in atorvastatin-treated and treatment-naive hypercholesterolemic Japanese subjects. (Clinicaltrials.gov identifier: NCT02055976.). FAU - Yokote, Koutaro AU - Yokote K AD - Department of Clinical Cell Biology and Medicine, Chiba University Graduate School of Medicine. FAU - Kanada, Shigeto AU - Kanada S AD - Heishinkai Medical Group Incorporated. FAU - Matsuoka, Osamu AU - Matsuoka O AD - ToCROM Clinic, Heishinkai Medical Group Incorporated. FAU - Sekino, Hisakuni AU - Sekino H AD - Sekino Hospital. FAU - Imai, Keiji AU - Imai K AD - Development Japan, Pfizer Japan Inc. FAU - Tabira, Junichi AU - Tabira J AD - Development Japan, Pfizer Japan Inc. FAU - Matsuoka, Nobushige AU - Matsuoka N AD - Development Japan, Pfizer Japan Inc. FAU - Chaudhuri, Sandip AU - Chaudhuri S AD - Worldwide Research and Development, Pfizer Ltd. FAU - Teramoto, Tamio AU - Teramoto T AD - Teikyo Academic Research Center, Teikyo University. LA - eng SI - ClinicalTrials.gov/NCT02055976 PT - Journal Article PT - Randomized Controlled Trial DEP - 20170523 PL - Japan TA - Circ J JT - Circulation journal : official journal of the Japanese Circulation Society JID - 101137683 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Anticholesteremic Agents) RN - 0 (Cholesterol, LDL) RN - 45M75JVK38 (bococizumab) RN - A0JWA85V8F (Atorvastatin) RN - EC 3.4.21.- (PCSK9 protein, human) RN - EC 3.4.21.- (Proprotein Convertase 9) SB - IM CIN - Circ J. 2017 Sep 25;81(10 ):1386-1387. PMID: 28579602 MH - Aged MH - Antibodies, Monoclonal/administration & dosage MH - Antibodies, Monoclonal, Humanized/*administration & dosage/adverse effects/pharmacology MH - Anticholesteremic Agents/therapeutic use MH - Asian People MH - Atorvastatin/therapeutic use MH - Cholesterol, LDL/blood/drug effects MH - Dose-Response Relationship, Drug MH - Female MH - Humans MH - Hypercholesterolemia/*drug therapy MH - Male MH - Middle Aged MH - Proprotein Convertase 9/immunology MH - Treatment Outcome OTO - NOTNLM OT - Bococizumab OT - Hypercholesterolemia OT - Japan OT - PCSK9 inhibitor OT - Phase 2 study EDAT- 2017/05/26 06:00 MHDA- 2018/06/14 06:00 CRDT- 2017/05/26 06:00 PHST- 2017/05/26 06:00 [pubmed] PHST- 2018/06/14 06:00 [medline] PHST- 2017/05/26 06:00 [entrez] AID - 10.1253/circj.CJ-16-1310 [doi] PST - ppublish SO - Circ J. 2017 Sep 25;81(10):1496-1505. doi: 10.1253/circj.CJ-16-1310. Epub 2017 May 23.