Trial Outcomes & Findings for Fenofibrate and Omega-3 Fatty Acid Modulation of Endotoxemia (NCT NCT01048502)

NCT ID: NCT01048502

Last Updated: 2016-02-19

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

100 participants

Primary outcome timeframe

randomization and 8 weeks post

Results posted on

2016-02-19

Participant Flow

100 subjects were enrolled; 80 completed the study.

Participant milestones

Participant milestones
Measure
Fenofibrate (Tricor) (145 mg/Day)
Participants will be given 1 fenofibrate (Tricor) 145mg and 4 fish oil placebos - supplies of study drug will be provided to last 8 weeks. Fenofibrate (Tricor) tablets: One 145 mg tablet taken once daily, in the evening, with food, for 6 to 8 weeks
Placebo
Participants will be given 5 placebo pills (4 fish oil placebo and 1 Fenofibrate placebo) - supplies of study drug will be provided to last 8 weeks. Placebo: Two placebo capsules taken twice daily, morning and evening, with food and one placebo gel capsule taken once daily, in the evening, with food, for 6 to 8 weeks
Lovaza (900 mg/Day)
Participants will be given 1 Lovaza capsule, 3 Fish oil placebo capsules, and 1 Fenofibrate placebo - supplies of study drug will be provided to last 8 weeks. Lovaza: 900 mg/day: One 900 mg capsule taken once daily, morning or evening; or 3,600 mg/day: Two 900 mg capsules taken twice daily, morning and evening; All capsules to be taken with food, for 6 to 8 weeks.
Lovaza (3,600 mg/Day)
Participants will be given 4 Lovaza capsules and 1 Fenofibrate placebo - supplies of study drug will be provided to last 8 weeks. Lovaza: 900 mg/day: One 900 mg capsule taken once daily, morning or evening; or 3,600 mg/day: Two 900 mg capsules taken twice daily, morning and evening; All capsules to be taken with food, for 6 to 8 weeks.
Overall Study
STARTED
24
23
28
25
Overall Study
COMPLETED
20
16
23
21
Overall Study
NOT COMPLETED
4
7
5
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Fenofibrate (Tricor) (145 mg/Day)
Participants will be given 1 fenofibrate (Tricor) 145mg and 4 fish oil placebos - supplies of study drug will be provided to last 8 weeks. Fenofibrate (Tricor) tablets: One 145 mg tablet taken once daily, in the evening, with food, for 6 to 8 weeks
Placebo
Participants will be given 5 placebo pills (4 fish oil placebo and 1 Fenofibrate placebo) - supplies of study drug will be provided to last 8 weeks. Placebo: Two placebo capsules taken twice daily, morning and evening, with food and one placebo gel capsule taken once daily, in the evening, with food, for 6 to 8 weeks
Lovaza (900 mg/Day)
Participants will be given 1 Lovaza capsule, 3 Fish oil placebo capsules, and 1 Fenofibrate placebo - supplies of study drug will be provided to last 8 weeks. Lovaza: 900 mg/day: One 900 mg capsule taken once daily, morning or evening; or 3,600 mg/day: Two 900 mg capsules taken twice daily, morning and evening; All capsules to be taken with food, for 6 to 8 weeks.
Lovaza (3,600 mg/Day)
Participants will be given 4 Lovaza capsules and 1 Fenofibrate placebo - supplies of study drug will be provided to last 8 weeks. Lovaza: 900 mg/day: One 900 mg capsule taken once daily, morning or evening; or 3,600 mg/day: Two 900 mg capsules taken twice daily, morning and evening; All capsules to be taken with food, for 6 to 8 weeks.
Overall Study
Lost to Follow-up
2
0
0
0
Overall Study
Adverse Event
1
0
0
0
Overall Study
Withdrawal by Subject
1
4
5
3
Overall Study
Physician Decision
0
3
0
1

Baseline Characteristics

Fenofibrate and Omega-3 Fatty Acid Modulation of Endotoxemia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Fenofibrate (Tricor) (145 mg/Day)
n=24 Participants
Participants will be given 1 fenofibrate (Tricor) 145mg and 4 fish oil placebos - supplies of study drug will be provided to last 8 weeks. Fenofibrate (Tricor)tablets: One 145 mg tablet taken once daily, in the evening, with food, for 6 to 8 weeks
Placebo
n=23 Participants
Participants will be given 5 placebo pills (4 fish oil placebo and 1 Fenofibrate placebo) - supplies of study drug will be provided to last 8 weeks. Placebo: Two placebo capsules taken twice daily, morning and evening, with food and one placebo gel capsule taken once daily, in the evening, with food, for 6 to 8 weeks
Lovaza (900 mg/Day)
n=28 Participants
Participants will be given 1 Lovaza capsule, 3 Fish oil placebo capsules, and 1 Fenofibrate placebo - supplies of study drug will be provided to last 8 weeks. Lovaza: 900 mg/day: One 900 mg capsule taken once daily, morning or evening; or 3,600 mg/day: Two 900 mg capsules taken twice daily, morning and evening; All capsules to be taken with food, for 6 to 8 weeks.
Lovaza (3,600 mg/Day)
n=25 Participants
Participants will be given 4 Lovaza capsules and 1 Fenofibrate placebo - supplies of study drug will be provided to last 8 weeks. Lovaza: 900 mg/day: One 900 mg capsule taken once daily, morning or evening; or 3,600 mg/day: Two 900 mg capsules taken twice daily, morning and evening; All capsules to be taken with food, for 6 to 8 weeks.
Total
n=100 Participants
Total of all reporting groups
Age, Continuous
25.58 years
n=5 Participants
25.96 years
n=7 Participants
26.68 years
n=5 Participants
24.68 years
n=4 Participants
25.75 years
n=21 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
12 Participants
n=7 Participants
12 Participants
n=5 Participants
12 Participants
n=4 Participants
47 Participants
n=21 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
11 Participants
n=7 Participants
16 Participants
n=5 Participants
13 Participants
n=4 Participants
53 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
3 Participants
n=5 Participants
5 Participants
n=7 Participants
3 Participants
n=5 Participants
4 Participants
n=4 Participants
15 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
5 Participants
n=4 Participants
22 Participants
n=21 Participants
Race (NIH/OMB)
White
16 Participants
n=5 Participants
14 Participants
n=7 Participants
17 Participants
n=5 Participants
16 Participants
n=4 Participants
63 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants

PRIMARY outcome

Timeframe: randomization and 8 weeks post

Outcome measures

Outcome measures
Measure
Placebo
n=16 Participants
Participants will be given 5 placebo pills (4 fish oil placebo and 1 Fenofibrate placebo) - supplies of study drug will be provided to last 8 weeks. Placebo: Two placebo capsules taken twice daily, morning and evening, with food and one placebo gel capsule taken once daily, in the evening, with food, for 6 to 8 weeks
Lovaza (900 mg/Day)
n=23 Participants
Participants will be given 1 Lovaza capsule, 3 Fish oil placebo capsules, and 1 Fenofibrate placebo - supplies of study drug will be provided to last 8 weeks. Lovaza: 900 mg/day: One 900 mg capsule taken once daily, morning or evening; or 3,600 mg/day: Two 900 mg capsules taken twice daily, morning and evening; All capsules to be taken with food, for 6 to 8 weeks.
Lovaza (3,600 mg/Day)
n=21 Participants
Participants will be given 4 Lovaza capsules and 1 Fenofibrate placebo - supplies of study drug will be provided to last 8 weeks. Lovaza: 900 mg/day: One 900 mg capsule taken once daily, morning or evening; or 3,600 mg/day: Two 900 mg capsules taken twice daily, morning and evening; All capsules to be taken with food, for 6 to 8 weeks.
The Effect of Omega-3 Fatty Acid Supplementation on Cytokine Production (Plasma Levels of TNFα) During an in Vivo Inflammatory Challenge (LPS).
TNF-α at randomization
0.95 pg/mL
Interval 0.8 to 1.68
1.26 pg/mL
Interval 0.72 to 1.76
1.14 pg/mL
Interval 0.76 to 1.81
The Effect of Omega-3 Fatty Acid Supplementation on Cytokine Production (Plasma Levels of TNFα) During an in Vivo Inflammatory Challenge (LPS).
TNF-α 8 weeks post randomization
1.12 pg/mL
Interval 0.64 to 1.84
1.25 pg/mL
Interval 0.78 to 1.76
0.99 pg/mL
Interval 0.64 to 1.34

SECONDARY outcome

Timeframe: baseline and 6-8 weeks

Outcome measures

Outcome measures
Measure
Placebo
n=20 Participants
Participants will be given 5 placebo pills (4 fish oil placebo and 1 Fenofibrate placebo) - supplies of study drug will be provided to last 8 weeks. Placebo: Two placebo capsules taken twice daily, morning and evening, with food and one placebo gel capsule taken once daily, in the evening, with food, for 6 to 8 weeks
Lovaza (900 mg/Day)
n=16 Participants
Participants will be given 1 Lovaza capsule, 3 Fish oil placebo capsules, and 1 Fenofibrate placebo - supplies of study drug will be provided to last 8 weeks. Lovaza: 900 mg/day: One 900 mg capsule taken once daily, morning or evening; or 3,600 mg/day: Two 900 mg capsules taken twice daily, morning and evening; All capsules to be taken with food, for 6 to 8 weeks.
Lovaza (3,600 mg/Day)
Participants will be given 4 Lovaza capsules and 1 Fenofibrate placebo - supplies of study drug will be provided to last 8 weeks. Lovaza: 900 mg/day: One 900 mg capsule taken once daily, morning or evening; or 3,600 mg/day: Two 900 mg capsules taken twice daily, morning and evening; All capsules to be taken with food, for 6 to 8 weeks.
Changes in Inflammatory Parameter (Plasma TNF-α Levels) After Treatment With Fenofibrate or Placebo.
TNF-α at randomization
1.2 pg/mL
Standard Deviation 0.5
1.5 pg/mL
Standard Deviation 1.2
Changes in Inflammatory Parameter (Plasma TNF-α Levels) After Treatment With Fenofibrate or Placebo.
TNF-α 6-8 weeks post randomization
1.1 pg/mL
Standard Deviation 0.4
0.2 pg/mL
Standard Deviation 1.1

Adverse Events

Tricor (145 mg/Day)

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

Placebo

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Lovaza (900 mg/Day)

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Lovaza (3,600 mg/Day)

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Tricor (145 mg/Day)
n=24 participants at risk
Participants will be given 1 Tricor 145mg and 4 fish oil placebos - supplies of study drug will be provided to last 8 weeks. Fenofibrate tablets: One 145 mg tablet taken once daily, in the evening, with food, for 6 to 8 weeks
Placebo
n=23 participants at risk
Participants will be given 5 placebo pills (4 fish oil placebo and 1 Fenofibrate placebo) - supplies of study drug will be provided to last 8 weeks. Placebo: Two placebo capsules taken twice daily, morning and evening, with food and one placebo gel capsule taken once daily, in the evening, with food, for 6 to 8 weeks
Lovaza (900 mg/Day)
n=28 participants at risk
Participants will be given 1 Lovaza capsule, 3 Fish oil placebo capsules, and 1 Fenofibrate placebo - supplies of study drug will be provided to last 8 weeks. Lovaza: 900 mg/day: One 900 mg capsule taken once daily, morning or evening; or 3,600 mg/day: Two 900 mg capsules taken twice daily, morning and evening; All capsules to be taken with food, for 6 to 8 weeks.
Lovaza (3,600 mg/Day)
n=25 participants at risk
Participants will be given 4 Lovaza capsules and 1 Fenofibrate placebo - supplies of study drug will be provided to last 8 weeks. Lovaza: 900 mg/day: One 900 mg capsule taken once daily, morning or evening; or 3,600 mg/day: Two 900 mg capsules taken twice daily, morning and evening; All capsules to be taken with food, for 6 to 8 weeks.
Blood and lymphatic system disorders
> 2g drop in Hgb from baseline
4.2%
1/24 • Number of events 1
4.3%
1/23 • Number of events 1
14.3%
4/28 • Number of events 4
4.0%
1/25 • Number of events 1
General disorders
cold/allergy symptoms
12.5%
3/24 • Number of events 3
8.7%
2/23 • Number of events 2
14.3%
4/28 • Number of events 4
28.0%
7/25 • Number of events 7

Additional Information

Muredach Reilly

UPenn

Phone: 215-573-1214

Results disclosure agreements

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