Drugs / Alirocumab
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Alirocumab

Monoclonal antibody targets PCSK9 via inhibition

Developed for
hyperlipidemia · familial hypercholesterolemia · hyperlipoproteinemia · acute coronary syndrome · atherosclerosis · coronary artery disorder · atherosclerotic cardiovascular disease · carotid stenosis
+20 more · cerebral atherosclerosis · coronary atherosclerosis · ischemic stroke · non-small cell lung carcinoma · acute myocardial infarction · alcoholic liver disease · aortic valve stenosis · cardiovascular disorder · cerebral artery stenosis · combined low LDL and fibrinogen · homozygous familial hypercholesterolemia · infectious disease with sepsis · nephrotic syndrome · peripheral arterial disease · ST-elevation myocardial infarction · type 2 diabetes mellitus · vascular disorder · carotid artery disorder · intracranial arteriosclerosis · myocardial infarction
Investigated by
Regeneron Pharmaceuticals · Sanofi · Beijing Anzhen Hospital · Cambridge University Hospitals NHS Foundation Trust · Duke University · Kobe University
+36 more · Shanghai Tong Ren Hospital · University Medical Centre Ljubljana · University of Cambridge · Aventis Pharmaceuticals · Baylor Research Institute · Beijing Municipal Health Commission · China Cardiovascular Association · Food and Drug Administration (FDA) · Fundación Hipercolesterolemia Familiar · Gloria Vega · Insel Gruppe AG, University Hospital Bern · Institute for Clinical and Experimental Medicine · Jonathan Sevransky · Keqiang Zhao · Massachusetts General Hospital · Middle East North Africa Stroke and Interventional Neurotherapies Organization · Nanfang Hospital, Southern Medical University · Nantes University Hospital · National Heart, Lung, and Blood Institute (NHLBI) · National Institute on Alcohol Abuse and Alcoholism (NIAAA) · Northwestern University · Population Health Research Institute · Rigshospitalet, Denmark · Samara Regional Cardiology Dispensary · Samara State Medical University · Second Xiangya Hospital of Central South University · Spaulding Clinical Research LLC · Stanford University · Sun U. Kwon · The First Affiliated Hospital with Nanjing Medical University · University of California, San Francisco · University of Colorado, Denver · University of Virginia · University of Washington · West China Hospital · Westside Medical Associates of Los Angeles

Regulatory milestones approvals, filings & regulatory actions · 13 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed homozygous familial hypercholesterolemia 1 milestone
Filed US (FDA) Praluent homozygous familial hypercholesterolemia 2020-08-05

“Praluent® (alirocumab) The Company submitted a supplemental Biologics License Application (sBLA) for homozygous familial hypercholesterolemia (HoFH) in adults.” regeneron.com ↗

Filed hyperlipidemia 1 milestone
Filed US (FDA) Praluent hyperlipidemia 2018-11-06

“An sBLA and a Marketing Authorization Application (MAA) for Praluent for cardiovascular risk reduction have been recently submitted.” regeneron.com ↗

“The sBLA for use of Praluent with apheresis was filed with the FDA, with a target action date of August 24, 2018.” regeneron.com ↗

“The FDA also accepted for review an sBLA for Praluent for first-line treatment of hyperlipidemia” regeneron.com ↗

“An sBLA for first-line treatment of hyperlipidemia has also been recently submitted.” regeneron.com ↗

Approved Indication not stated 5 milestones
Label expansions (7) US (FDA) PRALUENT — 2017-04-24 – 2025-10-09 fda.gov ↗
Filed US (FDA) Praluent major adverse cardiovascular events 2018-09-12

“An sBLA for Praluent as a potential treatment to reduce major adverse cardiovascular events was accepted for review by the FDA” regeneron.com ↗

“FDA has accepted a supplemental Biologics License Application (sBLA) for Praluent® (alirocumab) Injection” regeneron.com ↗

Approved EU (EMA) Praluent — 2015-09-23 europa.eu ↗
Approved US (FDA) PRALUENT — 2015-07-24 fda.gov ↗
Filed EU (EMA) Praluent cardiovascular risk reduction —

“An sBLA and a Marketing Authorization Application (MAA) for Praluent for cardiovascular risk reduction have been recently submitted.” regeneron.com ↗

Trials 84 · started per year

today
US approved 2015
EU approved 2015
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PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 115 trials
Phase 1 NCT05469347 Jan 2023 → Feb 2025 infectious disease with sepsis Jonathan Sevransky Completed No outcome recorded
Phase 1 NCT04781322 Oct 2021 → Dec 2026 expected alcohol abuse, alcoholic liver disease National Institute on Alcohol Abuse and Alcoholism (NIAAA) Recruiting No outcome recorded
Phase 1 NCT04189484 Jan 2020 → Apr 2021 — Food and Drug Administration (FDA) Completed No outcome recorded
Phase 1 NCT02979015 Nov 2016 → Nov 2017 hyperlipidemia Sanofi Completed No outcome recorded
Phase 1 NCT01959971 Dec 2013 → May 2015 hyperlipidemia Sanofi Completed No outcome recorded
Phase 1 NCT01785329 Feb → Jul 2013 hyperlipidemia Sanofi Completed No outcome recorded
Phase 1 NCT01723735 Nov 2012 → Jul 2013 hyperlipoproteinemia Sanofi Completed No outcome recorded
Phase 1 NCT01670734 Sep 2012 → May 2013 hyperlipidemia Sanofi Completed No outcome recorded
Phase 1 NCT01443650 Jul → Nov 2011 hyperlipidemia Sanofi Completed No outcome recorded
Phase 1 NCT01448304 Jun → Sep 2011 hyperlipidemia Sanofi Completed No outcome recorded
Phase 213 trials · 6 met primary · 1 missed
Phase 2 NCT07477704 Jun → Dec 2026 expected hyperlipidemia Regeneron Pharmaceuticals Recruiting No outcome recorded
Phase 2 NCT06385262 Mar 2025 → Oct 2028 non-small cell lung carcinoma Duke University Suspended No outcome recorded
Phase 2 NCT05553834 May 2023 → Sep 2025 overdue non-small cell lung carcinoma Duke University Active not recruiting No outcome recorded
Phase 2 NCT03537742 May 2019 → Jul 2025 vascular disorder Stanford University Completed Missed primary
Phase 2 NCT03718286 Mar 2019 → Jun 2021 ST-elevation myocardial infarction, acute coronary syndrome, hyperlipidemia Population Health Research Institute Completed Met primary
Phase 2 NCT03004001 Jan 2017 → Dec 2019 nephrotic syndrome Gloria Vega Terminated No outcome recorded Stop: Enrollment
Phase 2 NCT02890992 Sep 2016 → Sep 2018 familial hypercholesterolemia Sanofi Completed No outcome recorded
Phase 2 NCT01812707 Mar 2013 → Jan 2014 hyperlipoproteinemia Sanofi Completed Met primary
Phase 2 NCT01576484 Feb 2012 → Dec 2016 familial hypercholesterolemia Regeneron Pharmaceuticals Completed No outcome recorded
Phase 2 NCT01604824 Feb 2012 → Jun 2014 familial hypercholesterolemia Regeneron Pharmaceuticals Completed Met primary
Phase 2/31 trial
Phase 2/3 NCT07174375 Sep 2025 → Dec 2027 expected ischemic stroke Nanfang Hospital, Southern Medical University Not yet recruiting No outcome recorded
Phase 331 trials · 20 met primary · 1 missed
Phase 3 NCT07586540 Jul 2027 → Mar 2030 expected carotid stenosis Middle East North Africa Stroke and Interventional Neurotherapies Organization Not yet recruiting No outcome recorded
Phase 3 NCT04968509 Mar 2024 → Dec 2027 expected aortic valve stenosis Beijing Anzhen Hospital Recruiting No outcome recorded
Phase 3 NCT06080256 Dec 2023 → Dec 2024 cerebral artery stenosis, cerebral atherosclerosis The First Affiliated Hospital with Nanjing Medical University Unknown No outcome recorded
Phase 3 NCT03344692 Feb 2019 → Apr 2022 type 2 diabetes mellitus Nantes University Hospital Completed No outcome recorded
Phase 3 NCT03510715 Aug 2018 → Feb 2020 hyperlipidemia Sanofi Completed No outcome recorded
Phase 3 NCT03510884 May 2018 → Jan 2021 hyperlipidemia Sanofi Completed Met primary
Phase 3 NCT03480568 May 2018 → Aug 2020 overdue atherosclerosis, hyperlipidemia Baylor Research Institute Recruiting No outcome recorded
Phase 3 NCT03207945 Apr 2018 → Aug 2025 HIV infectious disease, cardiovascular disorder, hyperlipidemia University of California, San Francisco Completed No outcome recorded
Phase 3 NCT03415178 Mar → Aug 2018 hyperlipidemia Sanofi Completed No outcome recorded
Phase 3 NCT03156621 Oct 2017 → Sep 2019 homozygous familial hypercholesterolemia Regeneron Pharmaceuticals Completed Met primary
Phase 417 trials · 1 met primary · 2 missed
Phase 4 NCT07819643 Jan 2027 → Jan 2029 expected carotid stenosis, cerebral atherosclerosis Keqiang Zhao Not yet recruiting No outcome recorded
Phase 4 NCT07581808 May 2026 → May 2027 expected atherosclerotic cardiovascular disease, hyperlipidemia University Medical Centre Ljubljana Recruiting No outcome recorded
Phase 4 NCT06083961 Oct 2023 → Oct 2026 expected ischemic stroke Sun U. Kwon Not yet recruiting No outcome recorded
Phase 4 NCT05292404 Oct 2022 → Jun 2026 overdue acute myocardial infarction Shanghai Tong Ren Hospital Recruiting No outcome recorded
Phase 4 NCT04731155 Apr 2021 → Oct 2025 overdue — Shanghai Tong Ren Hospital Recruiting No outcome recorded
Phase 4 NCT04193306 Nov 2019 → May 2025 — Institute for Clinical and Experimental Medicine Unknown No outcome recorded
Phase 4 NCT04851769 Mar 2019 → Jan 2021 — Beijing Anzhen Hospital Completed No outcome recorded
Phase 4 NCT03694197 Sep 2018 → Apr 2020 familial hypercholesterolemia Regeneron Pharmaceuticals Terminated No outcome recorded
Phase 4 NCT05465278 May 2018 → Mar 2022 familial hypercholesterolemia Fundación Hipercolesterolemia Familiar Completed No outcome recorded
Phase 4 NCT03529253 Apr 2018 → Sep 2020 coronary artery disorder Kobe University Unknown No outcome recorded
Phase not applicable7 trials
— NCT07704918 Dec 2026 → Dec 2027 expected melanoma University of Colorado, Denver Not yet recruiting No outcome recorded
— NCT06791031 Jan 2026 → Dec 2027 expected coronary atherosclerosis West China Hospital Not yet recruiting No outcome recorded
— NCT05624658 Sep 2022 → May 2024 hyperlipidemia Samara Regional Cardiology Dispensary Unknown No outcome recorded
— NCT05043740 Oct 2021 → Oct 2023 acute coronary syndrome Second Xiangya Hospital of Central South University Unknown No outcome recorded
— NCT04613167 Nov 2020 → Jun 2021 acute coronary syndrome, coronary artery disorder, hyperlipoproteinemia University Medical Centre Ljubljana Unknown No outcome recorded
— NCT03355027 Nov 2017 → Sep 2019 atherosclerosis Cambridge University Hospitals NHS Foundation Trust Unknown No outcome recorded
— NCT03273972 Sep 2017 → Oct 2018 atherosclerosis Cambridge University Hospitals NHS Foundation Trust Completed No outcome recorded
Comparator or background therapy14 trials
Phase 0 NCT03507374 Comparator Oct 2018 → Apr 2020 hemorrhage, intracerebral, susceptibility to, intracranial arteriosclerosis, ischemic stroke University of Utah Terminated No outcome recorded Stop: Business
Phase 1 NCT03014830 Comparator Jun 2017 → Jun 2018 atherosclerosis, coronary artery disorder Washington University School of Medicine Completed No outcome recorded
Phase 2 NCT05001984 Comparator Aug 2021 → Apr 2025 overdue intracranial arteriosclerosis, ischemic stroke Chang Gung Memorial Hospital Active not recruiting No outcome recorded
Phase 2/3 NCT03634293 Comparator Jan 2019 → Jan 2021 infectious disease with sepsis Wolfson Medical Center Unknown No outcome recorded
Phase 3 NCT04790513 Comparator Apr 2021 → Sep 2022 cardiovascular disorder, hyperlipidemia LIB Therapeutics LLC Completed No outcome recorded

News releases announcing trial results or a regulatory action · 10

DateIssuerRelease
2024-03-11 Regeneron Pharmaceuticals Regulatory Praluent® (alirocumab) Injection Receives FDA Approval to Treat Children with Genetic Form of High Cholesterol regeneron.com ↗
2020-03-30 Regeneron Pharmaceuticals Results Regeneron Announces American College of Cardiology Presentation of Positive Phase 3 Evinacumab Results in Patients with Severe Inherited Form of High Cholesterol regeneron.com ↗
Results from separate positive Phase 3 trial of Praluent® (alirocumab) in patients with HoFH also presented;
2019-04-26 Regeneron Pharmaceuticals Regulatory FDA Approves Praluent® (alirocumab) to Prevent Heart Attack, Stroke and Unstable Angina Requiring Hospitalization regeneron.com ↗
Regeneron Pharmaceuticals, Inc. (NASDAQ: REGN) and Sanofi today announced that the U.S. Food and Drug Administration (FDA) has approved Praluent® (alirocumab) to reduce the risk of heart attack, stroke and unstable angina requiring hospitalization in adults with established cardiovascular (CV) disease.
2019-03-15 Regeneron Pharmaceuticals Regulatory Praluent® (alirocumab) now approved in European Union to reduce the risk of cardiovascular events in patients with established cardiovascular disease regeneron.com ↗
2019-03-13 Regeneron Pharmaceuticals Results Regeneron and Sanofi to Present New Praluent® (alirocumab) Data at ACC.19 regeneron.com ↗
An oral presentation that shows Praluent treatment was associated with larger reductions in the risk of major adverse CV events (MACE) and death in patients with polyvascular disease, compared to those without.
2019-02-04 Regeneron Pharmaceuticals Regulatory CHMP Recommends Approval of Praluent® (alirocumab) Injection to Reduce Cardiovascular Risk in People with Established Atherosclerotic Cardiovascular Disease regeneron.com ↗
2018-11-11 Regeneron Pharmaceuticals Results ODYSSEY OUTCOMES Investigators Highlight at AHA that Praluent® (alirocumab) Injection Was Associated with Fewer Deaths from Any Cause regeneron.com ↗
Praluent® (alirocumab) Injection was associated with fewer deaths from any cause among patients who had previously experienced a heart attack or unstable angina (known as acute coronary syndrome, or ACS), and this was enhanced in patients who were followed for at least 3 years and those who had an LDL-C (low-density lipoprotein cholesterol) of 100 mg/dL or higher at baseline.
2018-11-07 Regeneron Pharmaceuticals Results New England Journal of Medicine Publishes Positive Detailed Results From Praluent® (alirocumab) Injection Cardiovascular Outcomes Trial regeneron.com ↗
The trial met its primary endpoint, showing that Praluent® (alirocumab) Injection significantly reduced the risk of major adverse cardiovascular events (MACE) in patients who had suffered an acute coronary syndrome (ACS), which included a heart attack or unstable angina.
2018-09-12 Regeneron Pharmaceuticals Regulatory FDA to Review Supplemental Biologics License Application for Praluent® (alirocumab) Injection as Potential Treatment to Reduce Major Adverse Cardiovascular Events regeneron.com ↗
Regeneron Pharmaceuticals, Inc. (NASDAQ: REGN) and Sanofi announced that the U.S. Food and Drug Administration (FDA) has accepted a supplemental Biologics License Application (sBLA) for Praluent® (alirocumab) Injection, a PCSK9 inhibitor.
2018-03-10 Regeneron Pharmaceuticals Results Praluent® (alirocumab) Injection Significantly Reduced Risk of Cardiovascular Events in High-Risk Patients, and was Associated with Lower Death Rate regeneron.com ↗
On the primary endpoint, Praluent reduced the overall risk of MACE by 15% (HR=0.85, CI: 0.78-0.93, p=0.0003).

All press releases naming this drug 21 releases

DateIssuerRelease

Evidence & citations 10 cited values

Every value below carries the sentence it was read from. 99 sources stand behind the page.

FieldValueCited text
Known as Alirocumab “Patients randomized to the "PCSK9i early" intensified therapy group will receive initial treatment with a PCSK9 inhibitor-either evolocumab 140 mg or alirocumab 75 mg, both...” NCT06791031 ↗
93

“Patients in the Standard therapy plus PCSK9 inhibitor group will receive a subcutaneous injection of either Evolocumab (420 mg) or Alirocumab (150 mg) within 48 hours after...” NCT07174375 ↗

“Group 1 - taking PCSK9 inhibitors (Alirocumab 150 mg by subcutaneous injection once every 2 weeks or Evolocumab 140 mg by subcutaneous injection once every 2 weeks - open-label...” NCT05624658 ↗

“The addition of alirocumab to statins can not only provide additional LDL cholesterol lowering effects but also have a potential role in promoting a more stable plaque phenotype.” PMID 34511134 ↗ Sep 2021

“Patients in experimental group are treated with PCSK9 inhibitors (140mg with Evolocumab or 75mg with Alirocumab or 150mg with Tafolecimab subcutaneously every two weeks)” NCT04968509 ↗

“Evolocumab (Repatha®) 140 mg or Alirocumab(Praluent) 75mg every two weeks, first subcutaneous injection at the time of randomization, followings during 12 months” NCT05043740 ↗

“In case of intolerance to all drugs from the statin group, the patient will be prescribed ezetimibe with a PCSK9 inhibitor (alirocumab / evolocumab).” NCT04656028 ↗

“PCSK9 inhibitors (Evolocumab 140 mg or Alirocumab 75 mg or Alirocumab 150 mg) plus Ezetimibe 10 mg plus Bempedoic acid (Treatment A)” NCT06381947 ↗

“monotherapy with a PCSK9 inhibitor (evolocumab 140 mg or alirocumab 150 mg once every 2 weeks subcutaneously)” NCT05537948 ↗

“Alirocumab was used before June 10, 2025; Tafolecimab has been used from June 10, 2025 onward.” NCT05457582 ↗

“Alirocumab Description: 75 mg subcutaneous injection every 2 weeks.” NCT07819643 ↗

Show 83 more sources

Known as Praluent “Evolocumab (Repatha®) 140 mg or Alirocumab(Praluent) 75mg every two weeks, first subcutaneous injection at the time of randomization, followings during 12 months” NCT05043740 ↗
7

“effect 18 months after initiation of alirocumab (Praluent®) on the volume, architecture, and composition of the coronary atheroma plaque” NCT05465278 ↗

“prefilled pen containing 75 mg of Praluent (Alirocumab) in 1 ml of solution” NCT03344692 ↗

“Alirocumab 75 MG/ML [Praluent]+ Rosuvastatin 10mg/daily” NCT03529253 ↗

“Alirocumab 150 MG/ML [Praluent]” NCT03480568 ↗

“Praluent, Study Drug” NCT03542110 ↗

NCT03694197 ↗

NCT02957682 ↗

Known as REGN727 “Alirocumab (SAR236553/REGN727) is a fully human monoclonal antibody that binds proprotein convertase subtilisin/kexin type 9 (PCSK9).” NCT01812707 ↗
13

“alirocumab SAR236553 (REGN727) is a fully human monoclonal antibody that binds PCSK9 (proprotein convertase subtilisin/kexin type 9)” NCT01670734 ↗

“We report three phase 1 studies of a monoclonal antibody to PCSK9 designated as REGN727/SAR236553 (REGN727).” PMID 22435370 ↗ Mar 2012

“Drug: alirocumab SAR236553 (REGN727)” NCT02890992 ↗

“Drug: Alirocumab SAR236553 (REGN727)” NCT03510884 ↗

“alirocumab SAR236553 (REGN727)” NCT01448239 ↗

“ALIROCUMAB SAR236553 (REGN727)” NCT02476006 ↗

“Alirocumab SAR236553 (REGN727)” NCT03510715 ↗

“alirocumab SAR236553 (REGN727)” NCT01448304 ↗

“alirocumab SAR236553 (REGN727)” NCT01443650 ↗

“alirocumab SAR236553 (REGN727)” NCT02979015 ↗

Show 3 more sources

Known as REGN727/SAR236553 “We report three phase 1 studies of a monoclonal antibody to PCSK9 designated as REGN727/SAR236553 (REGN727).” PMID 22435370 ↗ Mar 2012
1

NCT01161082 ↗

Known as SAR236553 “alirocumab SAR236553 (REGN727) is a fully human monoclonal antibody that binds PCSK9 (proprotein convertase subtilisin/kexin type 9)” NCT01670734 ↗
13

“We report three phase 1 studies of a monoclonal antibody to PCSK9 designated as REGN727/SAR236553 (REGN727).” PMID 22435370 ↗ Mar 2012

“Drug: Alirocumab SAR236553 (REGN727)” NCT03510884 ↗

“Drug: alirocumab SAR236553 (REGN727)” NCT02890992 ↗

“Alirocumab SAR236553 (REGN727)” NCT03510715 ↗

“alirocumab SAR236553 (REGN727)” NCT01448239 ↗

“alirocumab SAR236553 (REGN727)” NCT01448304 ↗

“ALIROCUMAB SAR236553 (REGN727)” NCT02476006 ↗

“alirocumab SAR236553 (REGN727)” NCT02979015 ↗

“alirocumab SAR236553 (REGN727)” NCT01443650 ↗

“alirocumab SAR236553 (REGN727)” NCT01785329 ↗

Show 3 more sources

Known as Sar236553/REG 727 “Alirocumab (Sar236553/REG 727) is a fully humanized monoclonal antibody against the proprotein convertase subtilisin kexin type 9 (PCSK9) enzyme responsible for the degradation...” NCT03207945 ↗
Action Inhibit “CONCLUSIONS: In three phase 1 trials, a monoclonal antibody to PCSK9 significantly reduced LDL cholesterol levels in healthy volunteers and in subjects with familial or...” PMID 22435370 ↗ Mar 2012
Modality Monoclonal antibody “We report three phase 1 studies of a monoclonal antibody to PCSK9 designated as REGN727/SAR236553 (REGN727).” PMID 22435370 ↗ Mar 2012
Route Intravenous “The study drug and placebo will be administered by intravenous (I.V) infusion at one clinic visit.” NCT01026597 ↗
Target PCSK9 “a monoclonal antibody to PCSK9 designated as REGN727/SAR236553 (REGN727)” PMID 22435370 ↗ Mar 2012