Evolocumab treatment in patients with HIV and hypercholesterolemia/mixed dyslipidemia: BEIJERINCK study design and baseline characteristics

dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorBOCCARA, Franck
dc.contributor.authorKUMAR, Princy
dc.contributor.authorCARAMELLI, Bruno
dc.contributor.authorCALMY, Alexandra
dc.contributor.authorLOPEZ, J. Antonio G.
dc.contributor.authorBRAY, Sarah
dc.contributor.authorCYRILLE, Marcoli
dc.contributor.authorROSENSON, Robert S.
dc.date.accessioned2020-03-24T14:46:15Z
dc.date.available2020-03-24T14:46:15Z
dc.date.issued2020
dc.description.abstractBackground People living with human immunodeficiency virus (PLHIV) are at higher risk of atherosclerotic cardiovascular disease (ASCVD) due to traditional and HIV- or antiretroviral treatment (ART)-related risk factors. The use of high-intensity statin therapy is often limited by comorbidities and drug-drug interactions with ART. Herein, we present the design and baseline characteristics of the BEIJERINCK study, which will assess the safety and efficacy of evolocumab in PLHIV and hypercholesterolemia/mixed dyslipidemia. Methods Randomized, double-blind, placebo-controlled, multinational trial that investigates monthly subcutaneous evolocumab 420 mg versus placebo in PLHIV with hypercholesterolemia/mixed dyslipidemia who are treated with maximally-tolerated statin therapy. The primary outcome is the baseline to week 24 percent change in low density lipoprotein cholesterol (LDL-C). Secondary outcomes include achievement of LDL-C < 70 mg/dL and percent change in other plasma lipid and lipoprotein levels. Safety will also be examined. Results This study enrolled and dosed 464 patients who had a mean age of 56.4 years and were mostly male (82.5%). Mean duration with HIV was 17.4 years, and, by design, HIV viral load at screening was <= 50 copies/mL. ASCVD was documented in 35.6% of patients. Mean LDL-C of enrolled patients at baseline was 133.3 mg/dl. Statin use was prevalent (79.3% overall) with 74.6% receiving moderate or high-intensity statins. In total, 20.7% of patients did not receive statins due to intolerance/contraindications. Conclusions The BEUERINCK study is the first clinical trial to examine the lipid-lowering efficacy and safety of a fully human PCSK9 monoclonal antibody inhibitor in a moderate/high cardiovascular risk population of PLHIV.eng
dc.description.indexMEDLINEeng
dc.description.sponsorshipAmgen Inc.Amgen
dc.identifier.citationAMERICAN HEART JOURNAL, v.220, p.203-212, 2020
dc.identifier.doi10.1016/j.ahj.2019.11.004
dc.identifier.eissn1097-5330
dc.identifier.issn0002-8703
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/35424
dc.language.isoeng
dc.publisherMOSBY-ELSEVIEReng
dc.relation.ispartofAmerican Heart Journal
dc.rightsopenAccesseng
dc.rights.holderCopyright MOSBY-ELSEVIEReng
dc.subject.othercardiovascular-diseaseeng
dc.subject.otherstatin therapyeng
dc.subject.otherpcsk9eng
dc.subject.otherriskeng
dc.subject.otherindividualseng
dc.subject.othermanagementeng
dc.subject.otherlipoprotein(a)eng
dc.subject.otherinhibitorseng
dc.subject.otherinfectioneng
dc.subject.othertimeeng
dc.subject.wosCardiac & Cardiovascular Systemseng
dc.titleEvolocumab treatment in patients with HIV and hypercholesterolemia/mixed dyslipidemia: BEIJERINCK study design and baseline characteristicseng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countrySuíça
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryFrança
hcfmusp.affiliation.countryisofr
hcfmusp.affiliation.countryisous
hcfmusp.affiliation.countryisoch
hcfmusp.author.externalBOCCARA, Franck:Sorbonne Univ, Hop St Antoine, AP HP,Dept Cardiol, INSERM UMR S 938,Ctr Rech St Antoine,Hop Est Pari, Paris, France
hcfmusp.author.externalKUMAR, Princy:Georgetown Univ, Sch Med, Div Infect Dis & Travel Med, Washington, DC USA
hcfmusp.author.externalCALMY, Alexandra:Geneva Univ Hosp, Div Infect Dis, HIV AIDS Unit, Geneva, Switzerland
hcfmusp.author.externalLOPEZ, J. Antonio G.:Amgen Inc, Global Dev, Thousand Oaks, CA 91320 USA
hcfmusp.author.externalBRAY, Sarah:Amgen Inc, Global Dev, Thousand Oaks, CA 91320 USA
hcfmusp.author.externalCYRILLE, Marcoli:Amgen Inc, Global Dev, Thousand Oaks, CA 91320 USA
hcfmusp.author.externalROSENSON, Robert S.:Icahn Sch Med Mt Sinai, Cardiometabol Unit, Mt Sinai Heart, New York, NY 10029 USA
hcfmusp.citation.scopus6
hcfmusp.contributor.author-fmusphcBRUNO CARAMELLI
hcfmusp.description.beginpage203
hcfmusp.description.endpage212
hcfmusp.description.volume220
hcfmusp.origemWOS
hcfmusp.origem.pubmed31841795
hcfmusp.origem.scopus2-s2.0-85076244824
hcfmusp.origem.wosWOS:000510852400022
hcfmusp.publisher.cityNEW YORKeng
hcfmusp.publisher.countryUSAeng
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