Trial Outcomes & Findings for Evaluation of Efficacy and Safety of Omacor, Co-Administered With Atorvastatin, in Subjects With Hypertriglyceridemia (NCT NCT00435045)

NCT ID: NCT00435045

Last Updated: 2017-02-02

Results Overview

Non-high density lipoprotein cholesterol is the Total Cholesterol minus the HDL(high density lipoproteins or the sum of the LDL, VLDL and IDL. That is, Low Density Lipoproteins, Very Low Density Lipoproteins and Intermediate Density Lipoproteins.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

245 participants

Primary outcome timeframe

Baseline and Week 8

Results posted on

2017-02-02

Participant Flow

Participant milestones

Participant milestones
Measure
Lovaza(Omacor) + Atorvastatin
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Weeks 1-8 / 10 mg Dose Level
STARTED
123
122
Weeks 1-8 / 10 mg Dose Level
COMPLETED
118
118
Weeks 1-8 / 10 mg Dose Level
NOT COMPLETED
5
4
Weeks 9-12 / 20mg Dose Level
STARTED
118
118
Weeks 9-12 / 20mg Dose Level
COMPLETED
113
113
Weeks 9-12 / 20mg Dose Level
NOT COMPLETED
5
5
Weeks 13-16 / 40mg Dose Level
STARTED
113
113
Weeks 13-16 / 40mg Dose Level
COMPLETED
108
111
Weeks 13-16 / 40mg Dose Level
NOT COMPLETED
5
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Lovaza(Omacor) + Atorvastatin
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Weeks 1-8 / 10 mg Dose Level
Adverse Event
1
1
Weeks 1-8 / 10 mg Dose Level
Lost to Follow-up
1
1
Weeks 1-8 / 10 mg Dose Level
Withdrawal by Subject
2
1
Weeks 1-8 / 10 mg Dose Level
Family Crisis - could not participate
1
0
Weeks 1-8 / 10 mg Dose Level
Requirement for Excluded Medications
0
1
Weeks 9-12 / 20mg Dose Level
Adverse Event
4
3
Weeks 9-12 / 20mg Dose Level
Lost to Follow-up
1
1
Weeks 9-12 / 20mg Dose Level
Withdrawal by Subject
0
1
Weeks 13-16 / 40mg Dose Level
Adverse Event
3
2
Weeks 13-16 / 40mg Dose Level
Withdrawal by Subject
1
0
Weeks 13-16 / 40mg Dose Level
Per Sponsors Request
1
0

Baseline Characteristics

Evaluation of Efficacy and Safety of Omacor, Co-Administered With Atorvastatin, in Subjects With Hypertriglyceridemia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lovaza(Omacor) + Atorvastatin
n=123 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=122 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Total
n=245 Participants
Total of all reporting groups
Age, Continuous
56.3 years
STANDARD_DEVIATION 9.64 • n=5 Participants
56.0 years
STANDARD_DEVIATION 10.84 • n=7 Participants
56.1 years
STANDARD_DEVIATION 10.23 • n=5 Participants
Gender
Female
52 Participants
n=5 Participants
51 Participants
n=7 Participants
103 Participants
n=5 Participants
Gender
Male
71 Participants
n=5 Participants
71 Participants
n=7 Participants
142 Participants
n=5 Participants
Race/Ethnicity, Customized
White
108 participants
n=5 Participants
110 participants
n=7 Participants
218 participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
6 participants
n=5 Participants
4 participants
n=7 Participants
10 participants
n=5 Participants
Race/Ethnicity, Customized
Asian
8 participants
n=5 Participants
4 participants
n=7 Participants
12 participants
n=5 Participants
Race/Ethnicity, Customized
American Indian or Alaskan Native
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
Race/Ethnicity, Customized
Native Hawaiian or Pacific Islander
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
Race/Ethnicity, Customized
Non-white
1 participants
n=5 Participants
2 participants
n=7 Participants
3 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline and Week 8

Population: Modified Intent To Treat (MITT) Population - all randomized subjects who took at least 1 dose of study medication and provided at least 1 post-randomization efficacy data point. Only subjects with non-missing baseline and endpoint values are included.

Non-high density lipoprotein cholesterol is the Total Cholesterol minus the HDL(high density lipoproteins or the sum of the LDL, VLDL and IDL. That is, Low Density Lipoproteins, Very Low Density Lipoproteins and Intermediate Density Lipoproteins.

Outcome measures

Outcome measures
Measure
Lovaza(Omacor) + Atorvastatin
n=122 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=121 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Percent Change in Non-High Density Lipoprotein Cholesterol (Non-HDL-C) From Baseline to Week 8 During 10 mg Atorvastatin Treatment Period
-40.2 percent change
Interval -45.3 to -32.5
-33.7 percent change
Interval -39.6 to -28.3

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Modified Intent To Treat Population - all randomized subjects who took at least 1 dose of study medication and provided at least 1 post-randomization efficacy data point. Only subjects with non-missing baseline and endpoint values are included.

Total Cholesterol is the sum of the High Density Lipoproteins (HDL), Low Density Lipoproteins (LDL), Very Low Density Lipoproteins (VLDL), and Intermediate Density Lipoproteins (IDL).

Outcome measures

Outcome measures
Measure
Lovaza(Omacor) + Atorvastatin
n=122 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=121 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Percent Change in Total Cholesterol (TC) From Baseline to Week 8 During 10 mg Atorvastatin Treatment Period
-31.5 percent change
Interval -36.0 to -25.3
-27.4 percent change
Interval -31.7 to -22.2

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Modified Intent To Treat Population - all randomized subjects who took at least 1 dose of study medication and provided at least 1 post-randomization efficacy data point. Only subjects with non-missing baseline and endpoint values are included.

HDL - A complex of lipids and proteins in approximately equal amounts that functions as a transporter of cholesterol in the blood. High levels are associated with a decreased risk of atherosclerosis and coronary heart disease. High density lipoprotein cholesterol is the Total Cholesterol minus the sum of the LDL, VLDL and IDL.

Outcome measures

Outcome measures
Measure
Lovaza(Omacor) + Atorvastatin
n=122 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=121 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Percent Change in High Density Lipoprotein (HDL)Cholesterol From Baseline to Week 8 During 10 mg Atorvastatin Treatment Period
12.4 percent change
Interval 3.6 to 22.9
10.0 percent change
Interval -1.2 to 16.3

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Modified Intent To Treat Population - all randomized subjects who took at least 1 dose of study medication and provided at least 1 post-randomization efficacy data point. Please note: processing errors, inadequate sample volume, sample and shipment storage issues etc., resulted in some MITT subjects without data.

LDL - A complex of lipids and proteins, with greater amounts of lipid than protein, that transports cholesterol in the blood. High levels are associated with an increased risk of atherosclerosis and coronary heart disease.

Outcome measures

Outcome measures
Measure
Lovaza(Omacor) + Atorvastatin
n=122 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=120 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Percent Change in Low Density Lipoprotein (LDL) Cholesterol (Beta-quantification) From Baseline to Week 8 During 10 mg Atorvastatin Treatment Period
-29.3 percent change
Interval -41.1 to -18.4
-31.5 percent change
Interval -41.4 to -23.4

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Modified Intent To Treat Population - all randomized subjects who took at least 1 dose of study medication and provided at least 1 post-randomization efficacy data point. Only subjects with non-missing baseline and endpoint values are included.

Triglycerides - A naturally occurring ester of three fatty acids and glycerol that is the chief constituent of fats and oils.

Outcome measures

Outcome measures
Measure
Lovaza(Omacor) + Atorvastatin
n=122 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=121 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Percent Change in Triglycerides From Baseline to Week 8 During 10 mg Atorvastatin Treatment Period
-45.4 percent change
Interval -55.3 to -34.9
-26.9 percent change
Interval -38.7 to -14.4

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Modified Intent To Treat Population - all randomized subjects who took at least 1 dose of study medication and provided at least 1 post-randomization efficacy data point. Please note: processing errors, inadequate sample volume, sample and shipment storage issues etc., resulted in some MITT subjects without data.

VLDL - very-low-density lipoprotein: a plasma lipoprotein with a high lipid content, associated with atherosclerosis.

Outcome measures

Outcome measures
Measure
Lovaza(Omacor) + Atorvastatin
n=122 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=120 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Percent Change in Very Low Density Lipoproteins (VLDL) Cholesterol From Baseline to Week 8 During 10 mg Atorvastatin Treatment Period
-54.3 percent change
Interval -66.7 to -36.7
-37.0 percent change
Interval -50.9 to -17.8

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Modified Intent To Treat Population - all randomized subjects who took at least 1 dose of study medication and provided at least 1 post-randomization efficacy data point. Only subjects with non-missing baseline and endpoint values are included.

Apolipoprotein A1 - major protein component of high density lipoprotein (HDL) in plasma. The protein promotes cholesterol efflux from tissues to the liver for excretion.

Outcome measures

Outcome measures
Measure
Lovaza(Omacor) + Atorvastatin
n=122 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=121 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Percent Change in Apolipoprotein-A-1 From Baseline to Week 8 During 10 mg Atorvastatin Treatment Period
-0.3 percent change
Interval -7.0 to 9.0
1.5 percent change
Interval -4.5 to 10.4

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Modified Intent To Treat Population - all randomized subjects who took at least 1 dose of study medication and provided at least 1 post-randomization efficacy data point. Please note: processing errors, inadequate sample volume, sample and shipment storage issues etc., resulted in some MITT subjects without data.

Apolipoprotein C-III (APOC3) is a very low density lipoprotein (VLDL) protein. APOC3 inhibits lipoprotein lipase and hepatic lipase; it is thought to delay catabolism of triglyceride-rich particles.

Outcome measures

Outcome measures
Measure
Lovaza(Omacor) + Atorvastatin
n=119 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=119 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Percent Change in Apolipoprotein C-III From Baseline to Week 8 During 10 mg Atorvastatin Treatment Period
-29.4 percent change
Interval -36.8 to -17.4
-16.0 percent change
Interval -27.3 to 0.0

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Modified Intent To Treat Population - all randomized subjects who took at least 1 dose of study medication and provided at least 1 post-randomization efficacy data point. Only subjects with non-missing baseline and endpoint values are included.

Total cholesterol/High density lipoprotein cholesterol

Outcome measures

Outcome measures
Measure
Lovaza(Omacor) + Atorvastatin
n=122 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=121 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Percent Change in Total Cholesterol/High Density Lipoprotein Cholesterol Ratio From Baseline to Week 8 During 10 mg Atorvastatin Treatment Period
-38.3 percent change
Interval -44.9 to -31.9
-34.5 percent change
Interval -40.3 to -25.0

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Modified Intent To Treat Population - all randomized subjects who took at least 1 dose of study medication and provided at least 1 post-randomization efficacy data point. Only subjects with non-missing baseline and endpoint values are included.

Outcome measures

Outcome measures
Measure
Lovaza(Omacor) + Atorvastatin
n=122 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=121 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Percent Change in Triglycerides/High Density Lipoprotein Cholesterol Ratio From Baseline to Week 8 During 10 mg Atorvastatin Treatment Period
-51.9 percent change
Interval -62.4 to -39.8
-34.0 percent change
Interval -47.3 to -14.9

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Modified Intent To Treat Population - all randomized subjects who took at least 1 dose of study medication and provided at least 1 post-randomization efficacy data point. Please note: processing errors, inadequate sample volume, sample and shipment storage issues etc., resulted in some MITT subjects without data.

Docosahexaenoic Acid is an omega-3 essential fatty acid.

Outcome measures

Outcome measures
Measure
Lovaza(Omacor) + Atorvastatin
n=101 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=103 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Percent Change in Docosahexaenoic Acid (DHA) From Baseline to Week 8 During 10 mg Atorvastatin Treatment Period
85.5 percent change
Interval 49.4 to 125.6
4.2 percent change
Interval -5.7 to 13.4

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Modified Intent To Treat Population - all randomized subjects who took at least 1 dose of study medication and provided at least 1 post-randomization efficacy data point. Please note: processing errors, inadequate sample volume, sample and shipment storage issues etc., resulted in some MITT subjects without data.

Eicosapentaenoic acid (EPA) is one of several omega-3 fatty acids used by the body. It is found in cold water fatty fish and in fish oil supplements, along with docosahexaenoic acid (DHA). Omega-3 fatty acids are part of a healthy diet that helps lower risk of heart disease.

Outcome measures

Outcome measures
Measure
Lovaza(Omacor) + Atorvastatin
n=101 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=103 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Percent Change in Eicosapentaenoic Acid (EPA) From Baseline to Week 8 During 10 mg Atorvastatin Treatment Period
402.2 percent change
Interval 276.8 to 570.8
-5.6 percent change
Interval -20.0 to 14.9

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Modified Intent To Treat Population - all randomized subjects who took at least 1 dose of study medication and provided at least 1 post-randomization efficacy data point. Please note: processing errors, inadequate sample volume, sample and shipment storage issues etc., resulted in some MITT subjects without data.

Low-density lipoproteins - A complex of lipids and proteins, with greater amounts of lipid than protein, that transports cholesterol in the blood. High levels are associated with an increased risk of atherosclerosis and coronary heart disease.

Outcome measures

Outcome measures
Measure
Lovaza(Omacor) + Atorvastatin
n=119 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=118 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Percent Change in Low Density Lipoprotein Particle Concentration Total From Baseline to Week 8 During 10 mg Atorvastatin Treatment Period
-34.6 percent change
Interval -42.9 to -24.0
-32.2 percent change
Interval -41.2 to -23.5

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Modified Intent To Treat Population - all randomized subjects who took at least 1 dose of study medication and provided at least 1 post-randomization efficacy data point. Please note: processing errors, inadequate sample volume, sample and shipment storage issues etc., resulted in some MITT subjects without data.

Low-density lipoproteins - A complex of lipids and proteins, with greater amounts of lipid than protein, that transports cholesterol in the blood. High levels are associated with an increased risk of atherosclerosis and coronary heart disease. Researchers have linked LDL particle size to the subsequent development of heart disease.

Outcome measures

Outcome measures
Measure
Lovaza(Omacor) + Atorvastatin
n=119 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=118 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Percent Change in Low Density Lipoprotein Particle Size From Baseline to Week 8 During 10 mg Atorvastatin Treatment Period
1.5 percent change
Interval -0.5 to 4.1
0.5 percent change
Interval -1.0 to 2.0

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Modified Intent To Treat Population - all randomized subjects who took at least 1 dose of study medication and provided at least 1 post-randomization efficacy data point. Please note: processing errors, inadequate sample volume, sample and shipment storage issues etc., resulted in some MITT subjects without data.

Lipoprotein Phosphoslipase A2 - modified form of LDL.

Outcome measures

Outcome measures
Measure
Lovaza(Omacor) + Atorvastatin
n=119 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=118 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Percent Change in Lipoprotein-Phosphoslipase A2 From Baseline to Week 8 During 10 mg Atorvastatin Treatment Period
-20.7 percent change
Interval -27.5 to -10.0
-9.7 percent change
Interval -17.6 to -0.6

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Modified Intent To Treat Population - all randomized subjects who took at least 1 dose of study medication and provided at least 1 post-randomization efficacy data point. Only subjects with non-missing baseline and endpoint values are included.

High Density Lipoprotein partical size suggests the bigger the better. HDL is a complex of lipids and proteins in approximately equal amounts that functions as a transporter of cholesterol in the blood. High levels are associated with a decreased risk of atherosclerosis and coronary heart disease.

Outcome measures

Outcome measures
Measure
Lovaza(Omacor) + Atorvastatin
n=119 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=118 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Percent Change in High Density Lipoprotein (HDL) Particle Concentration Total From Baseline to Week 8 During 10 mg Atorvastatin Treatment Period
1.0 percent change
Interval -8.9 to 8.4
5.1 percent change
Interval -1.3 to 11.9

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Modified Intent To Treat Population - all randomized subjects who took at least 1 dose of study medication and provided at least 1 post-randomization efficacy data point. Please note: processing errors, inadequate sample volume, sample and shipment storage issues etc., resulted in some MITT subjects without data.

Partical size suggests the bigger the better. HDL is a complex of lipids and proteins in approximately equal amounts that functions as a transporter of cholesterol in the blood. High levels are associated with a decreased risk of atherosclerosis and coronary heart disease.

Outcome measures

Outcome measures
Measure
Lovaza(Omacor) + Atorvastatin
n=119 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=118 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Percent Change in High Density Lipoprotein (HDL) Particle Size From Baseline to Week 8 During 10 mg Atorvastatin Treatment Period
0.0 percent change
Interval -1.2 to 2.4
1.2 percent change
Interval 0.0 to 2.4

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Modified Intent To Treat Population - all randomized subjects who took at least 1 dose of study medication and provided at least 1 post-randomization efficacy data point. Please note: processing errors, inadequate sample volume, sample and shipment storage issues etc., resulted in some MITT subjects without data.

Very low density lipoproteins are plasma lipoproteins with a high lipid content, associated with atherosclerosis. Chylomicrons are One of the microscopic particles of emulsified fat found in the blood and lymph and formed during the digestion of fats.

Outcome measures

Outcome measures
Measure
Lovaza(Omacor) + Atorvastatin
n=119 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=118 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Percent Change in Very Low Density Lipoproteins and Chylomicron Particle Concentration Total From Baseline to Week 8 During 10 mg Atorvastatin Treatment Period
-32.4 percent change
Interval -50.5 to -14.6
-25.9 percent change
Interval -39.0 to -4.0

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Modified Intent To Treat Population - all randomized subjects who took at least 1 dose of study medication and provided at least 1 post-randomization efficacy data point. Please note: processing errors, inadequate sample volume, sample and shipment storage issues etc., resulted in some MITT subjects without data.

Very low density lipoproteins are plasma lipoproteins with a high lipid content, associated with atherosclerosis.

Outcome measures

Outcome measures
Measure
Lovaza(Omacor) + Atorvastatin
n=119 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=118 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Percent Change in Very Low Density Lipoproteins Size From Baseline to Week 8 During 10 mg Atorvastatin Treatment Period
-17.5 percent change
Interval -26.0 to -9.5
-3.3 percent change
Interval -11.5 to 10.1

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Modified Intent To Treat Population - all randomized subjects who took at least 1 dose of study medication and provided at least 1 post-randomization efficacy data point. Please note: processing errors, inadequate sample volume, sample and shipment storage issues etc., resulted in some MITT subjects without data.

Intermediate Density Lipoprotein, or IDLs, transport cholesterol and triglycerides through the body. IDLs are a type of cholesterol that are a product of VLDL degradation and result in LDL cholesterol when broken down.

Outcome measures

Outcome measures
Measure
Lovaza(Omacor) + Atorvastatin
n=114 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=112 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Percent Change in Intermediate Density Lipoprotein Particle Concentration From Baseline to Week 8 During 10 mg Atorvastatin Treatment Period
-60.4 percent change
Interval -87.9 to -18.6
-50.3 percent change
Interval -77.2 to -20.5

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Modified Intent To Treat Population - all randomized subjects who took at least 1 dose of study medication and provided at least 1 post-randomization efficacy data point. Please note: processing errors, inadequate sample volume, sample and shipment storage issues etc., resulted in some MITT subjects without data.

Remnant-like particle cholesterol within the plasma has been identified as a cardiovascular risk factor.

Outcome measures

Outcome measures
Measure
Lovaza(Omacor) + Atorvastatin
n=118 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=119 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Percent Change in Remnant-like Particle Cholesterol From Baseline to Week 8 During 10 mg Atorvastatin Treatment Period
-50.0 percent change
Interval -61.1 to -38.5
-38.9 percent change
Interval -53.1 to -18.5

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Modified Intent To Treat Population - all randomized subjects who took at least 1 dose of study medication and provided at least 1 post-randomization efficacy data point. Please note: processing errors, inadequate sample volume, sample and shipment storage issues etc., resulted in some MITT subjects without data.

Adiponectin is a protein hormone that modulates a number of metabolic processes, including glucose regulation and fatty acid catabolism.

Outcome measures

Outcome measures
Measure
Lovaza(Omacor) + Atorvastatin
n=119 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=118 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Percent Change in Total Adiponectin From Baseline to Week 8 During 10 mg Atorvastatin Treatment Period
-5.1 percent change
Interval -15.2 to 8.2
-1.6 percent change
Interval -12.6 to 7.7

SECONDARY outcome

Timeframe: Baseline and Week 12

Population: Modified Intent To Treat Population - all randomized subjects who took at least 1 dose of study medication and provided at least 1 post-randomization efficacy data point. Please note: processing errors, inadequate sample volume, sample and shipment storage issues etc., resulted in some MITT subjects without data.

Non-high density lipoprotein cholesterol is the Total Cholesterol minus the HDL(high density lipoproteins or the sum of the LDL, VLDL and IDL. That is, Low Density Lipoproteins, Very Low Density Lipoproteins and Intermediate Density Lipoproteins.

Outcome measures

Outcome measures
Measure
Lovaza(Omacor) + Atorvastatin
n=117 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=118 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Percent Change in Non-High Density Lipoprotein Cholesterol From Baseline to Week 12 During 20 mg Atorvastatin Treatment Period
-46.9 percent change
Interval -52.2 to -40.1
-39.0 percent change
Interval -45.3 to -33.5

SECONDARY outcome

Timeframe: Baseline and Week 16

Population: Modified Intent To Treat Population - all randomized subjects who took at least 1 dose of study medication and provided at least 1 post-randomization efficacy data point. Please note: processing errors, inadequate sample volume, sample and shipment storage issues etc., resulted in some MITT subjects without data.

Non-high density lipoprotein cholesterol is the Total Cholesterol minus the HDL(high density lipoproteins or the sum of the LDL, VLDL and IDL. That is, Low Density Lipoproteins, Very Low Density Lipoproteins and Intermediate Density Lipoproteins.

Outcome measures

Outcome measures
Measure
Lovaza(Omacor) + Atorvastatin
n=113 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=112 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Percent Change in Non-High Density Lipoprotein Cholesterol From Baseline to Week 16 During 40 mg Atorvastatin Treatment Period
-50.4 percent change
Interval -57.6 to -43.3
-46.3 percent change
Interval -51.7 to -40.3

POST_HOC outcome

Timeframe: Baseline and Week 8

Population: Modified Intent To Treat Population - all randomized subjects who took at least 1 dose of study medication and provided at least 1 post-randomization efficacy data point. Only subjects with non-missing baseline and endpoint values are included.

Apolipoprotein B is the primary apolipoprotein of low density lipoproteins (LDL or "bad cholesterol"), which is responsible for carrying cholesterol to tissues.

Outcome measures

Outcome measures
Measure
Lovaza(Omacor) + Atorvastatin
n=122 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=121 Participants
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Percent Change in Apolipoprotein-B From Baseline to Week 8 During 10 mg Atorvastatin Treatment Period
-32.1 percent change
Interval -40.1 to -24.2
-30.7 percent change
Interval -36.0 to -23.0

Adverse Events

Lovaza(Omacor) + Atorvastatin

Serious events: 4 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo + Atorvastatin

Serious events: 2 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Lovaza(Omacor) + Atorvastatin
n=123 participants at risk
Subjects who met all study requirements after screening visit and who were randomized to receive 4 gms Lovaza (Omega-3-acid ethyl esters) + Atorvastatin 10 mgs for 8 weeks, then 4 gms Lovaza + Atorvastatin 20 mgs for 4 weeks, then 4 gms Lovaza + Atorvastatin 40 mgs for 4 additional weeks.
Placebo + Atorvastatin
n=122 participants at risk
Subjects who met all study requirements after screening visit and who were randomized to receive Placebo + Atorvastatin 10 mgs for 8 weeks, then Placebo + Atorvastatin 20 mgs for 4 weeks, then Placebo + Atorvastatin 40 mgs for 4 additional weeks.
Hepatobiliary disorders
Cholecystitis Acute
0.00%
0/122
0.82%
1/122
Nervous system disorders
Syncope
0.00%
0/122
0.82%
1/122
Vascular disorders
Peripheral Ischemia
0.82%
1/122
0.00%
0/122
Infections and infestations
Lobar Pneumonia
0.82%
1/122
0.00%
0/122
Respiratory, thoracic and mediastinal disorders
Chest Pain/ Dyspnea
0.82%
1/122
0.00%
0/122
Infections and infestations
Labyrinthitis
0.82%
1/122
0.00%
0/122

Other adverse events

Adverse event data not reported

Additional Information

GSK Response Center

GlaxoSmithKline

Phone: 866-435-7343

Results disclosure agreements

  • Principal investigator is a sponsor employee GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centres of a multi-centre trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER