Trial Outcomes & Findings for Begin With The Right Patients With Dual-Inhibition Action Therapy Through Vytorin for Newly Diagnosed Dyslipidemia Patients (0653A-172)(COMPLETED) (NCT NCT00654628)
NCT ID: NCT00654628
Last Updated: 2024-05-22
Results Overview
Goal attainment percentage of LDL-C after 6-week treatment. LDL-C goal attainment was based on National Cholesterol Education program (NCEP) Adult Treatment Panel (ATP) III guidelines (2004). Newly Diagnosed Dyslipidemia Patients Including: 1)Intermediate Risk (\>2 Risk Factors) with Total Cholesterol above 200 mg/dL or Low Density Lipoprotein C (LDL-C) level \>130 who failed a 3-month diet control period, or 2) high risk patients with a history of coronary artery disease or diabetes having a total cholesterol \>200 mg/dl or LDL-C level \>130 mg/dl.
COMPLETED
PHASE4
173 participants
Baseline and week 6
2024-05-22
Participant Flow
Patients were recruited between August 2007 and July 2009. In one site, 60 patients among the total 152 study population entered into the 6-week extension period after completing the base period for longer follow-up as per IRB requirement in that site.
Participant milestones
| Measure |
Ezetimibe/Simvastatin 10/20 mg
Ezetimibe/Simvastatin 10/20 mg tablet, once daily for the 6-week period
|
|---|---|
|
6-week Active Treatment Period
STARTED
|
173
|
|
6-week Active Treatment Period
COMPLETED
|
152
|
|
6-week Active Treatment Period
NOT COMPLETED
|
21
|
|
6 -Week Extension Period (Single Site)
STARTED
|
60
|
|
6 -Week Extension Period (Single Site)
COMPLETED
|
55
|
|
6 -Week Extension Period (Single Site)
NOT COMPLETED
|
5
|
Reasons for withdrawal
| Measure |
Ezetimibe/Simvastatin 10/20 mg
Ezetimibe/Simvastatin 10/20 mg tablet, once daily for the 6-week period
|
|---|---|
|
6-week Active Treatment Period
Adverse Event
|
9
|
|
6-week Active Treatment Period
Lost to Follow-up
|
10
|
|
6-week Active Treatment Period
Transferred to branch hospital
|
1
|
|
6-week Active Treatment Period
Out of window period
|
1
|
|
6 -Week Extension Period (Single Site)
Adverse Event
|
4
|
|
6 -Week Extension Period (Single Site)
Lost to Follow-up
|
1
|
Baseline Characteristics
Begin With The Right Patients With Dual-Inhibition Action Therapy Through Vytorin for Newly Diagnosed Dyslipidemia Patients (0653A-172)(COMPLETED)
Baseline characteristics by cohort
| Measure |
Ezetimibe/Simvastatin 10/20 mg
n=173 Participants
Ezetimibe/Simvastatin 10/20 mg tablet, once daily for the 6-week period
|
|---|---|
|
Age, Continuous
|
57.9 years
STANDARD_DEVIATION 10.4 • n=5 Participants
|
|
Sex: Female, Male
Female
|
100 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
73 Participants
n=5 Participants
|
|
Body Mass Index
|
25.5 kg/m2
STANDARD_DEVIATION 3.4 • n=5 Participants
|
|
Baseline value of Low Density Lipoprotein-C
|
156.8 mg/dL
STANDARD_DEVIATION 30.8 • n=5 Participants
|
|
Baseline value of Total Cholesterol
|
243.7 mg/dL
STANDARD_DEVIATION 43.9 • n=5 Participants
|
|
Baseline value of High Density Lipoprotein-C
|
47.1 mg/dL
STANDARD_DEVIATION 11.4 • n=5 Participants
|
|
Baseline value of Triglycerides
|
145 mg/dL
n=5 Participants
|
|
Sitting Diastolic Blood Pressure
|
78.5 mm Hg
STANDARD_DEVIATION 10.2 • n=5 Participants
|
|
Sitting Systolic Blood Pressure
|
133.3 mm Hg
STANDARD_DEVIATION 16.6 • n=5 Participants
|
PRIMARY outcome
Timeframe: Baseline and week 6Population: Intention-To-Treat (ITT) approach which included all participants who have baseline measurement, have taken at least one dose of the study drug, and have at least one post-baseline measurement.
Goal attainment percentage of LDL-C after 6-week treatment. LDL-C goal attainment was based on National Cholesterol Education program (NCEP) Adult Treatment Panel (ATP) III guidelines (2004). Newly Diagnosed Dyslipidemia Patients Including: 1)Intermediate Risk (\>2 Risk Factors) with Total Cholesterol above 200 mg/dL or Low Density Lipoprotein C (LDL-C) level \>130 who failed a 3-month diet control period, or 2) high risk patients with a history of coronary artery disease or diabetes having a total cholesterol \>200 mg/dl or LDL-C level \>130 mg/dl.
Outcome measures
| Measure |
Ezetimibe/Simvastatin 10/20 mg
n=115 Participants
Ezetimibe/Simvastatin 10/20 mg tablet, once daily for the 6-week period
|
|---|---|
|
The Percentage of Participants Achieving Low Density Lipoprotein-C (LDL-C) Treatment Goal After 6-week Treatment.
|
90.4 Percentage of participants
|
PRIMARY outcome
Timeframe: Baseline and week 12Population: Intention-To-Treat (ITT) approach which included all participants who have baseline measurement, have taken at least one dose of the study drug, and have at least one post-baseline measurement.
Goal attainment percentage of LDL-C after 12-week treatment. LDL-C goal attainment was based on National Cholesterol Education program (NCEP) Adult Treatment Panel (ATP) III guidelines (2004). Newly Diagnosed Dyslipidemia Patients Including: 1)Intermediate Risk (\>2 Risk Factors) with Total Cholesterol above 200 mg/dL or Low Density Lipoprotein C (LDL-C) level \>130 who failed a 3-month diet control period, or 2) high risk patients with a history of coronary artery disease or diabetes having a total cholesterol \>200 mg/dl or LDL-C level \>130 mg/dl.
Outcome measures
| Measure |
Ezetimibe/Simvastatin 10/20 mg
n=49 Participants
Ezetimibe/Simvastatin 10/20 mg tablet, once daily for the 6-week period
|
|---|---|
|
The Percentage of Participants Achieving Low Density Lipoprotein-C (LDL-C) Treatment Goal After 12-week Treatment.
|
87.8 Percentage of participants
|
SECONDARY outcome
Timeframe: Baseline and week 6Population: Intention-To-Treat(ITT) approach which included all participants who have baseline measurement, have taken at least one dose of the study drug, and have at least one post-baseline measurement
Outcome measures
| Measure |
Ezetimibe/Simvastatin 10/20 mg
n=152 Participants
Ezetimibe/Simvastatin 10/20 mg tablet, once daily for the 6-week period
|
|---|---|
|
Mean Percent Change From Baseline of Low Density Lipoprotein-Cholesterol (LDL-C) at Week 6
|
-51.4 Percent Change
Standard Deviation 15.6
|
SECONDARY outcome
Timeframe: Baseline and week 6Population: Intention-To-Treat(ITT) approach which included all participants who have baseline measurement, have taken at least one dose of the study drug, and have at least one post-baseline measurement
Outcome measures
| Measure |
Ezetimibe/Simvastatin 10/20 mg
n=152 Participants
Ezetimibe/Simvastatin 10/20 mg tablet, once daily for the 6-week period
|
|---|---|
|
Mean Percent Change From Baseline of Total-Cholesterol (TC) at Week 6
|
-38.1 Percent Change
Standard Deviation 11.3
|
SECONDARY outcome
Timeframe: Baseline and week 6Population: Intention-To-Treat(ITT) approach which included all participants who have baseline measurement, have taken at least one dose of the study drug, and have at least one post-baseline measurement
Outcome measures
| Measure |
Ezetimibe/Simvastatin 10/20 mg
n=152 Participants
Ezetimibe/Simvastatin 10/20 mg tablet, once daily for the 6-week period
|
|---|---|
|
Mean Percent Change From Baseline of High Density Lipoprotein-C (HDL-C) at Week 6
|
4.5 Percent Change
Standard Deviation 15.8
|
SECONDARY outcome
Timeframe: Baseline and week 6Population: Intention-To-Treat(ITT) approach which included all participants who have baseline measurement, have taken at least one dose of the study drug, and have at least one post-baseline measurement
Outcome measures
| Measure |
Ezetimibe/Simvastatin 10/20 mg
n=152 Participants
Ezetimibe/Simvastatin 10/20 mg tablet, once daily for the 6-week period
|
|---|---|
|
Mean Percent Change of Triglycerides From Baseline at Week 6
|
-22.2 Percent Change
Interval -43.6 to 0.0
|
SECONDARY outcome
Timeframe: Baseline and week 12Population: Intention-To-Treat(ITT) approach which included all participants who have baseline measurement, have taken at least one dose of the study drug, and have at least one post-baseline measurement
Outcome measures
| Measure |
Ezetimibe/Simvastatin 10/20 mg
n=55 Participants
Ezetimibe/Simvastatin 10/20 mg tablet, once daily for the 6-week period
|
|---|---|
|
Mean Percent Change From Baseline of Low Density Lipoprotein-Cholesterol (LDL-C) at Week 12
|
-53.8 Percent Change
Standard Deviation 16.7
|
SECONDARY outcome
Timeframe: Baseline and week 12Population: Intention-To-Treat(ITT) approach which included all participants who have baseline measurement, have taken at least one dose of the study drug, and have at least one post-baseline measurement
Outcome measures
| Measure |
Ezetimibe/Simvastatin 10/20 mg
n=55 Participants
Ezetimibe/Simvastatin 10/20 mg tablet, once daily for the 6-week period
|
|---|---|
|
Mean Percent Change From Baseline of Total-Cholesterol (TC) at Week 12
|
-39.5 Percent Change
Standard Deviation 12.2
|
SECONDARY outcome
Timeframe: Baseline and week 12Population: Intention-To-Treat(ITT) approach which included all participants who have baseline measurement, have taken at least one dose of the study drug, and have at least one post-baseline measurement
Outcome measures
| Measure |
Ezetimibe/Simvastatin 10/20 mg
n=55 Participants
Ezetimibe/Simvastatin 10/20 mg tablet, once daily for the 6-week period
|
|---|---|
|
Mean Percent Change From Baseline of High Density Lipoprotein-C (HDL-C) at Week 12
|
9.4 Percent Change
Standard Deviation 20.5
|
SECONDARY outcome
Timeframe: Baseline and week 12Population: Intention-To-Treat(ITT) approach which included all participants who have baseline measurement, have taken at least one dose of the study drug, and have at least one post-baseline measurement
Outcome measures
| Measure |
Ezetimibe/Simvastatin 10/20 mg
n=55 Participants
Ezetimibe/Simvastatin 10/20 mg tablet, once daily for the 6-week period
|
|---|---|
|
Mean Percent Change of Triglycerides From Baseline at Week 12
|
-24.7 Percent Change
Interval -42.9 to -3.6
|
OTHER_PRE_SPECIFIED outcome
Timeframe: Baseline and week 6Population: Intention-To-Treat(ITT) approach which included all participants who have baseline measurement, have taken at least one dose of the study drug, and have at least one post-baseline measurement
Outcome measures
| Measure |
Ezetimibe/Simvastatin 10/20 mg
n=152 Participants
Ezetimibe/Simvastatin 10/20 mg tablet, once daily for the 6-week period
|
|---|---|
|
Mean Change From Baseline of Low Density Lipoprotein-Cholesterol (LDL-C) at Week 6
|
-82.0 mg/dL
Standard Deviation 30.8
|
OTHER_PRE_SPECIFIED outcome
Timeframe: Baseline and week 12Population: Intention-To-Treat(ITT) approach which included all participants who have baseline measurement, have taken at least one dose of the study drug, and have at least one post-baseline measurement
Outcome measures
| Measure |
Ezetimibe/Simvastatin 10/20 mg
n=55 Participants
Ezetimibe/Simvastatin 10/20 mg tablet, once daily for the 6-week period
|
|---|---|
|
Mean Change From Baseline of Low Density Lipoprotein-Cholesterol (LDL-C) at Week 12
|
-85.6 mg/dL
Standard Deviation 31.7
|
Adverse Events
Ezetimibe/Simvastatin 10/20 mg
Serious adverse events
| Measure |
Ezetimibe/Simvastatin 10/20 mg
n=173 participants at risk
Ezetimibe/Simvastatin 10/20 mg tablet, once daily for the 6-week period
|
|---|---|
|
Gastrointestinal disorders
Peptic Ulcer
|
0.58%
1/173 • Number of events 1
|
Other adverse events
| Measure |
Ezetimibe/Simvastatin 10/20 mg
n=173 participants at risk
Ezetimibe/Simvastatin 10/20 mg tablet, once daily for the 6-week period
|
|---|---|
|
Musculoskeletal and connective tissue disorders
Myalgia
|
4.0%
7/173 • Number of events 7
|
|
Nervous system disorders
Dizziness
|
2.9%
5/173 • Number of events 5
|
|
Gastrointestinal disorders
Flatulence
|
1.2%
2/173 • Number of events 2
|
|
Infections and infestations
Upper Respiratory Infection
|
4.0%
7/173 • Number of events 7
|
|
Investigations
Increased Creatine Phosphokinase (CPK)
|
3.5%
6/173 • Number of events 6
|
|
Investigations
Increased Serum Glutamic Pyruvic Transaminase (SGPT)
|
2.9%
5/173 • Number of events 5
|
|
General disorders
Fatigue
|
1.7%
3/173 • Number of events 3
|
|
Gastrointestinal disorders
Diarrhea
|
1.2%
2/173 • Number of events 2
|
Additional Information
Senior Vice President, Global Clinical Development
Merck Sharp & Dohme Corp
Results disclosure agreements
- Principal investigator is a sponsor employee Merck agreements may vary with individual investigators, but will not prohibit any investigator from publishing. Merck supports the publication of results from all centers of a multi-center 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