RT Journal Article T1 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. A1 Müller-Wieland, Dirk A1 Leiter, Lawrence A A1 Cariou, Bertrand A1 Letierce, Alexia A1 Colhoun, Helen M A1 Del Prato, Stefano A1 Henry, Robert R A1 Tinahones, Francisco J A1 Aurand, Lisa A1 Maroni, Jaman A1 Ray, Kausik K A1 Bujas-Bobanovic, Maja K1 Alirocumab K1 Diabetes K1 Mixed dyslipidaemia K1 Non-HDL-C K1 ODYSSEY K1 PCSK9 AB Type 2 diabetes mellitus (T2DM) is often associated with mixed dyslipidaemia, where non-high-density lipoprotein cholesterol (non-HDL-C) levels may more closely align with cardiovascular risk than low-density lipoprotein cholesterol (LDL-C). We describe the design and rationale of the ODYSSEY DM-DYSLIPIDEMIA study that assesses the efficacy and safety of alirocumab, a proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitor, versus lipid-lowering usual care in individuals with T2DM and mixed dyslipidaemia at high cardiovascular risk with non-HDL-C inadequately controlled despite maximally tolerated statin therapy. For the first time, atherogenic cholesterol-lowering with a PCSK9 inhibitor will be assessed with non-HDL-C as the primary endpoint with usual care as the comparator. DM-DYSLIPIDEMIA is a Phase 3b/4, randomised, open-label, parallel group, multinational study that planned to enrol 420 individuals. Main inclusion criteria were T2DM and mixed dyslipidaemia (non-HDL-C ≥100 mg/dl [≥2.59 mmol/l], and triglycerides ≥150 and  Recruitment completed with 413 individuals randomised in 14 countries worldwide. Results of this trial are expected in the second quarter of 2017. ODYSSEY DM-DYSLIPIDEMIA will provide information on the efficacy and safety of alirocumab versus lipid-lowering usual care in individuals with T2DM and mixed dyslipidaemia at high cardiovascular risk using non-HDL-C as the primary efficacy endpoint. Trial registration NCT02642159 (registered December 24, 2015). YR 2017 FD 2017-05-25 LK http://hdl.handle.net/10668/11240 UL http://hdl.handle.net/10668/11240 LA en DS RISalud RD Apr 6, 2025