Trial Outcomes & Findings for A Multicenter, Randomized, Open Label Study to Evaluate the Lipid Lowering Efficacy and Safety of Vytorin® 10/20 vs. Atorvastatin 10mg in Hypercholesterolemia Patients With Metabolic Syndrome in Korea (0653A-129)(COMPLETED) (NCT NCT00496730)

NCT ID: NCT00496730

Last Updated: 2024-05-16

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

256 participants

Primary outcome timeframe

Baseline and 8 Weeks

Results posted on

2024-05-16

Participant Flow

Patients were recruited between June 2007 and May 2008.

Patients who have Metabolic syndrome and Hypercholesterolemia had 4 weeks wash-out period were enrolled in this study. The eligible patients was allocated to one of Vytorin 10/20 mg or Atorvastatin 10 mg group.

Participant milestones

Participant milestones
Measure
Vytorin
simvastatin (+) ezetimibe 10/20 mg (Vytorin®) ; tablet, once daily, 8 Weeks
Atorvastatin
atorvastatin 10 mg; tablet, once daily, 8 Weeks
Overall Study
STARTED
130
126
Overall Study
COMPLETED
124
121
Overall Study
NOT COMPLETED
6
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Vytorin
simvastatin (+) ezetimibe 10/20 mg (Vytorin®) ; tablet, once daily, 8 Weeks
Atorvastatin
atorvastatin 10 mg; tablet, once daily, 8 Weeks
Overall Study
Lost to Follow-up
4
3
Overall Study
Withdrawal by Subject
2
2

Baseline Characteristics

A Multicenter, Randomized, Open Label Study to Evaluate the Lipid Lowering Efficacy and Safety of Vytorin® 10/20 vs. Atorvastatin 10mg in Hypercholesterolemia Patients With Metabolic Syndrome in Korea (0653A-129)(COMPLETED)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Vytorin
n=130 Participants
simvastatin (+) ezetimibe 10/20 mg (Vytorin®) ; tablet, once daily, 8 Weeks
Atorvastatin
n=126 Participants
atorvastatin 10 mg; tablet, once daily, 8 Weeks
Total
n=256 Participants
Total of all reporting groups
Age, Continuous
58.96 years
STANDARD_DEVIATION 9.42 • n=93 Participants
60.26 years
STANDARD_DEVIATION 9.44 • n=4 Participants
59.61 years
STANDARD_DEVIATION 9.44 • n=27 Participants
Sex: Female, Male
Female
36 Participants
n=93 Participants
43 Participants
n=4 Participants
79 Participants
n=27 Participants
Sex: Female, Male
Male
94 Participants
n=93 Participants
83 Participants
n=4 Participants
177 Participants
n=27 Participants
Body Mass Index (BMI)
26.75 kg/m^2
STANDARD_DEVIATION 3.59 • n=93 Participants
26.45 kg/m^2
STANDARD_DEVIATION 3.34 • n=4 Participants
26.61 kg/m^2
STANDARD_DEVIATION 3.46 • n=27 Participants
Diastolic Blood Pressure
81.01 mm Hg
STANDARD_DEVIATION 8.47 • n=93 Participants
82.11 mm Hg
STANDARD_DEVIATION 8.49 • n=4 Participants
81.55 mm Hg
STANDARD_DEVIATION 8.48 • n=27 Participants
LDL-C (low-Density-Lipoprotein-Cholesterol)
159.95 mg/dL
STANDARD_DEVIATION 30.33 • n=93 Participants
159.95 mg/dL
STANDARD_DEVIATION 27.34 • n=4 Participants
159.95 mg/dL
STANDARD_DEVIATION 28.84 • n=27 Participants
Systolic Blood Pressure
130.81 mm Hg
STANDARD_DEVIATION 13.91 • n=93 Participants
129.85 mm Hg
STANDARD_DEVIATION 14.51 • n=4 Participants
130.34 mm Hg
STANDARD_DEVIATION 14.19 • n=27 Participants

PRIMARY outcome

Timeframe: Baseline and 8 Weeks

Population: All patient treated(APT) approach which included all patients who had baseline measured right before randomization, have taken the study drug more than once after randomization and have one measurement after the initiation of the treatment.

Outcome measures

Outcome measures
Measure
Vytorin
n=124 Participants
simvastatin (+) ezetimibe 10/20 mg (Vytorin®) ; tablet, once daily, 8 Weeks
Atorvastatin
n=121 Participants
atorvastatin 10 mg; tablet, once daily, 8 Weeks
Mean Percent Change of Low Density Lipoprotein-Cholesterol (LDL-C) From Baseline After 8 Weeks.
-49.29 Percent of Baseline Value
Standard Deviation 15.22
-38.05 Percent of Baseline Value
Standard Deviation 12.28

SECONDARY outcome

Timeframe: Baseline and 8 weeks

Population: All patient treated(APT) approach which included all patients who had baseline measured right before randomization, have taken the study drug more than once after randomization and have one measurement after the initiation of the treatment.

Number of Patients Attaining LDL-C Goal After 8 Weeks Treatment. LDL-C goal is based on National Cholesterol Education Program (NCEP) III guideline (LDL-C goals and cutpoints for therapeutic life changes and drug Therapy in different risk).

Outcome measures

Outcome measures
Measure
Vytorin
n=124 Participants
simvastatin (+) ezetimibe 10/20 mg (Vytorin®) ; tablet, once daily, 8 Weeks
Atorvastatin
n=121 Participants
atorvastatin 10 mg; tablet, once daily, 8 Weeks
Number of Patients Attaining LDL-C Goal After 8 Weeks Treatment.
105 Participants attaining LDL-C goal
93 Participants attaining LDL-C goal

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and Week 8

Population: All patient treated(APT) approach which included all patients who had baseline measured right before randomization, have taken the study drug more than once after randomization and have one measurement after the initiation of the treatment.

Outcome measures

Outcome measures
Measure
Vytorin
n=124 Participants
simvastatin (+) ezetimibe 10/20 mg (Vytorin®) ; tablet, once daily, 8 Weeks
Atorvastatin
n=121 Participants
atorvastatin 10 mg; tablet, once daily, 8 Weeks
Change in Lower Density Lipoprotein Cholesterol From Baseline After 8 Weeks.
83.52 mg/dL
Standard Deviation 33.84
98.27 mg/dL
Standard Deviation 21.82

Adverse Events

Vytorin

Serious events: 1 serious events
Other events: 25 other events
Deaths: 0 deaths

Atorvastatin

Serious events: 1 serious events
Other events: 29 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Vytorin
simvastatin (+) ezetimibe 10/20 mg (Vytorin®) ; tablet, once daily, 8 Weeks
Atorvastatin
atorvastatin 10 mg; tablet, once daily, 8 Weeks
Investigations
Hepatic enzyme increased
0.00%
0/124
0.83%
1/121 • Number of events 2
General disorders
Death
0.81%
1/124 • Number of events 1
0.00%
0/121
General disorders
Pyrexia
0.00%
0/124
0.83%
1/121 • Number of events 1

Other adverse events

Other adverse events
Measure
Vytorin
simvastatin (+) ezetimibe 10/20 mg (Vytorin®) ; tablet, once daily, 8 Weeks
Atorvastatin
atorvastatin 10 mg; tablet, once daily, 8 Weeks
Investigations
Hepatic enzyme increased
1.6%
2/124 • Number of events 3
2.5%
3/121 • Number of events 4
Investigations
High Density lipoprotein decreased
1.6%
2/124 • Number of events 2
4.1%
5/121 • Number of events 5
Investigations
Blood Insulin Increased
1.6%
2/124 • Number of events 2
0.00%
0/121
Investigations
Blood creatine phosphokinase increased
0.81%
1/124 • Number of events 1
0.00%
0/121
Investigations
Blood Alkaline Phosphatase Increased
0.00%
0/124
0.83%
1/121 • Number of events 1
Investigations
Bood Urea Increased
0.00%
0/124
0.83%
1/121 • Number of events 1
Metabolism and nutrition disorders
Hypercholesterolaemia
4.8%
6/124 • Number of events 6
5.0%
6/121 • Number of events 7
Metabolism and nutrition disorders
Hypertriglyceridaemia
3.2%
4/124 • Number of events 4
2.5%
3/121 • Number of events 3
Metabolism and nutrition disorders
Diabetes mellitus
0.00%
0/124
0.83%
1/121 • Number of events 1
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
1.6%
2/124 • Number of events 2
0.83%
1/121 • Number of events 1
Musculoskeletal and connective tissue disorders
Myalgia
1.6%
2/124 • Number of events 2
0.83%
1/121 • Number of events 1
Musculoskeletal and connective tissue disorders
Back pain
0.81%
1/124 • Number of events 1
0.00%
0/121
Musculoskeletal and connective tissue disorders
Neck mass
0.81%
1/124 • Number of events 1
0.00%
0/121
Gastrointestinal disorders
Abdominal pain upper
1.6%
2/124 • Number of events 2
2.5%
3/121 • Number of events 3
Gastrointestinal disorders
Abdominal pain lower
0.81%
1/124 • Number of events 1
0.00%
0/121
Gastrointestinal disorders
Ascites
0.81%
1/124 • Number of events 1
0.00%
0/121
Gastrointestinal disorders
Nausea
0.81%
1/124 • Number of events 1
0.00%
0/121
Gastrointestinal disorders
Diarrhoea
0.00%
0/124
1.7%
2/121 • Number of events 3
Gastrointestinal disorders
Toothache
0.81%
1/124 • Number of events 1
0.00%
0/121
Gastrointestinal disorders
Vomiting
0.00%
0/124
0.83%
1/121 • Number of events 1
Nervous system disorders
Headache
1.6%
2/124 • Number of events 2
2.5%
3/121 • Number of events 3
Nervous system disorders
Hypoaesthesia
0.81%
1/124 • Number of events 1
0.00%
0/121
Nervous system disorders
Neurological symptom
0.81%
1/124 • Number of events 1
0.00%
0/121
Nervous system disorders
Dizziness
0.00%
0/124
2.5%
3/121 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.81%
1/124 • Number of events 1
0.00%
0/121
Respiratory, thoracic and mediastinal disorders
Productive cough
0.81%
1/124 • Number of events 1
0.00%
0/121
General disorders
Death
0.81%
1/124 • Number of events 1
0.00%
0/121
Respiratory, thoracic and mediastinal disorders
Chest discomfort
0.00%
0/124
0.83%
1/121 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pyrexia
0.00%
0/124
0.83%
1/121 • Number of events 1
Infections and infestations
Upper respiratory tract infection
0.81%
1/124 • Number of events 1
2.5%
3/121 • Number of events 3
Infections and infestations
Pneumonia
0.00%
0/124
0.83%
1/121 • Number of events 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Benign neoplasm of skin
0.81%
1/124 • Number of events 1
0.00%
0/121
Renal and urinary disorders
Dysuria
0.81%
1/124 • Number of events 1
0.00%
0/121
Renal and urinary disorders
Tinnitus
0.00%
0/124
0.83%
1/121 • Number of events 1
Eye disorders
Eye pain
0.00%
0/124
0.83%
1/121 • Number of events 1
Eye disorders
Myodesopsia
0.00%
0/124
0.83%
1/121 • Number of events 1
Injury, poisoning and procedural complications
Upper limb fracture
0.00%
0/124
0.83%
1/121 • Number of events 1
Skin and subcutaneous tissue disorders
Dermal cyst
0.00%
0/124
0.83%
1/121 • Number of events 1
Skin and subcutaneous tissue disorders
Urticaria
0.00%
0/124
0.83%
1/121 • Number of events 1
Vascular disorders
Peripheral coldness
0.00%
0/124
0.83%
1/121 • Number of events 1
Vascular disorders
Hypertension
0.00%
0/124
0.83%
1/121 • Number of events 1

Additional Information

Executive Vice President, Clinical and Quantitative Sciences

Merck Sharp & Dohme Corp

Phone: 1-800-672-6372

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place