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Table 2 Primary and key secondary endpoints

From: Design and rationale of the ODYSSEY DM-DYSLIPIDEMIA trial: lipid-lowering efficacy and safety of alirocumab in individuals with type 2 diabetes and mixed dyslipidaemia at high cardiovascular risk

Primary endpoint

 Change (%) in non-HDL-C from baseline to week 24 in ITT population

Key secondary efficacy endpoints

 Change (%) from baseline in ITT population

  Measured LDL-C at week 24

  Non-HDL-C at week 12

  Measured LDL-C at week 12

  Apo B at week 24

  TC at week 24

  Lp(a) at week 24

  TGs at week 24

  HDL-C at week 24

  LDL-P number at week 24

Other efficacy endpoints

 Change (%) from baseline in ITT population

  Calculated LDL-C at weeks 12 and 24

  Apo B, TC, Lp(a), HDL-C, TG, and LDL particle number at week 12

  Apo A-1, Apo C-III, TRL, LDL-P size, VLDL, HDL and IDL particle number at weeks 12 and 24

  Measured LDL-C and TG according to baseline TG (<median or >median) at weeks 12 and 24

 Patients (%) reaching

  Measured LDL-C <50, 70 and 100 mg/dl at weeks 12 and 24

  Non-HDL-C <80, 100 and 130 mg/dl at weeks 12 and 24

  ≥50% reduction from baseline in measured LDL-C at weeks 12 and 24

  Apo B <80 mg/dl at weeks 12 and 24

 Absolute change from baseline in Apo B/Apo A-1, TC/HDL-C and LDL-C/HDL-C ratios at weeks 12 and 24

Diabetes-related endpoints

 Absolute change from baseline to weeks 12 and 24 in ITT population

  HbA1c

  FPG

  Number of glucose-lowering agents

Safety endpoints

 TEAEs

 AESIs

 Product complaints

 Laboratory data (including microalbuminuria)

 Vital signs (including change in body weight and BMI)

Questionnaire

 Treatment acceptance (I-TAQ) at weeks 8 and 24 (for alirocumab arm onlya)

Other endpoints

 Total and free PCSK9 levels at baseline, weeks 12 and 24

 Anti-alirocumab antibodies

  1. AESI adverse event of special interest, Apo apolipoprotein, BMI body mass index, FPG fasting plasma glucose, HbA 1c glycated haemoglobin, HDL-C high-density lipoprotein cholesterol, IDL intermediate-density lipoprotein, I-TAQ injection-treatment acceptance questionnaire, ITT intent-to-treat, LDL-C low-density lipoprotein cholesterol, LDL-P, low-density lipoprotein particle, Lp(a) lipoprotein (a), PCSK9 proprotein convertase subtilisin/kexin type 9, TC total cholesterol, TEAE treatment-emergent adverse event, TG triglyceride, TRL triglyceride-rich lipoprotein, VLDL very low-density lipoprotein
  2. aAll individuals randomised to alirocumab who self-injected and filled in the questionnaire at least once