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.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

173 participants

Primary outcome timeframe

Baseline and week 6

Results posted on

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

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

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

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 6

Population: 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

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 12

Population: 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

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 6

Population: 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

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 6

Population: 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

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 6

Population: 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

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 6

Population: 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

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 12

Population: 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

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 12

Population: 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

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 12

Population: 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

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 12

Population: 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

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 6

Population: 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

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 12

Population: 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

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 events: 1 serious events
Other events: 34 other events
Deaths: 0 deaths

Serious adverse events

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

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

Phone: 1-800-672-6372

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