Trial Outcomes & Findings for Vytorin Reexamination Study (0653A-174) (NCT NCT01070966)

NCT ID: NCT01070966

Last Updated: 2022-02-09

Results Overview

Participants who recieved VYTORIN and experienced any adverse event related or unrelated to VYTORIN®, within 14 days after treatment.

Recruitment status

COMPLETED

Target enrollment

2089 participants

Primary outcome timeframe

Up to 14 days after the treatment discontinuation

Results posted on

2022-02-09

Participant Flow

Participant milestones

Participant milestones
Measure
VYTORIN® 10/10 mg/Day to 10/80 mg/Day
Participants with Hypercholesterolemia and Homozygous Familial Hypercholesterolemia (HoFH)treated with VYTORIN® dosages ranging from 10/10(ezetimibe 10 mg/simvastatin 10 mg tablets)a day to 10/80(ezetimibe 10 mg/simvastatin 80 mg tablets)a day.
Participants for Safety Evaluation
STARTED
2089
Participants for Safety Evaluation
COMPLETED
2011
Participants for Safety Evaluation
NOT COMPLETED
78
Participants for Efficacy Evaluation
STARTED
2011
Participants for Efficacy Evaluation
COMPLETED
1929
Participants for Efficacy Evaluation
NOT COMPLETED
82

Reasons for withdrawal

Reasons for withdrawal
Measure
VYTORIN® 10/10 mg/Day to 10/80 mg/Day
Participants with Hypercholesterolemia and Homozygous Familial Hypercholesterolemia (HoFH)treated with VYTORIN® dosages ranging from 10/10(ezetimibe 10 mg/simvastatin 10 mg tablets)a day to 10/80(ezetimibe 10 mg/simvastatin 80 mg tablets)a day.
Participants for Safety Evaluation
Violation of inclusion criteria
59
Participants for Safety Evaluation
Off-label use
9
Participants for Safety Evaluation
Duplicate Participants
4
Participants for Safety Evaluation
Violation inclusion criteria/off label
3
Participants for Safety Evaluation
TMT given before date of contract
3
Participants for Efficacy Evaluation
Lack of tmt period (<28 days)
61
Participants for Efficacy Evaluation
No efficacy evaluation
19
Participants for Efficacy Evaluation
Efficacy evaluation window violation
2

Baseline Characteristics

Vytorin Reexamination Study (0653A-174)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
VYTORIN® 10/10 mg/Day to 10/80 mg/Day
n=2011 Participants
Participants with Hypercholesterolemia and Homozygous Familial Hypercholesterolemia (HoFH) treated with VYTORIN® ranging from 10/10 mg/day through 10/80 mg/day for Years 1 to 6.
Age, Customized
10 ≤age <20
5 Participants
n=5 Participants
Age, Customized
20 ≤age <30
22 Participants
n=5 Participants
Age, Customized
30 ≤age <40
111 Participants
n=5 Participants
Age, Customized
40 ≤age <50
391 Participants
n=5 Participants
Age, Customized
50 ≤age <60
598 Participants
n=5 Participants
Age, Customized
60 ≤age <70
600 Participants
n=5 Participants
Age, Customized
70 ≤age <80
256 Participants
n=5 Participants
Age, Customized
80 ≤age <90
28 Participants
n=5 Participants
Sex/Gender, Customized
Male
930 participants
n=5 Participants
Sex/Gender, Customized
Female
1081 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 14 days after the treatment discontinuation

Participants who recieved VYTORIN and experienced any adverse event related or unrelated to VYTORIN®, within 14 days after treatment.

Outcome measures

Outcome measures
Measure
Participants Treated With VYTORIN
n=2011 Participants
Participants with atherosclerosis treated with Vytorin ranging from 10/10 mg/day through 10/80 mg/day for Years 1 to 6.
Participants Treatment Lipid Parameters
Participants treatment lipid parameters for Total Cholesterol, HDL cholesterol, LDL cholesterol and Triglyceride.
Participants Percent Change
Percentage of Participants With Any Clinical and/or Laboratory Adverse Experiences While Taking VYTORIN® Within 14 Days After Treatment Discontinuation
5.72 Percentage of Participants

PRIMARY outcome

Timeframe: Baseline and up to 5 years

The mean percent change from baseline to treatment in lipid parameters (total cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol, triglycerides\[TG\]) and overall efficacy was evaluated by the investigator to show if there was any(improved, unchanged, worsened) lipid parameters over a period of approximately 5 years.

Outcome measures

Outcome measures
Measure
Participants Treated With VYTORIN
n=2011 Participants
Participants with atherosclerosis treated with Vytorin ranging from 10/10 mg/day through 10/80 mg/day for Years 1 to 6.
Participants Treatment Lipid Parameters
n=2011 Participants
Participants treatment lipid parameters for Total Cholesterol, HDL cholesterol, LDL cholesterol and Triglyceride.
Participants Percent Change
n=2011 Participants
Mean Percent Change From Baseline to Treatment in Lipid Parameters
TC (n = 1965, 1993, 1956)
231.31 percentage change
Standard Deviation 46.33
173.00 percentage change
Standard Deviation 40.78
-23.90 percentage change
Standard Deviation 17.45
Mean Percent Change From Baseline to Treatment in Lipid Parameters
HDL (n = 1805, 1782, 1705)
49.64 percentage change
Standard Deviation 13.42
49.85 percentage change
Standard Deviation 13.17
2.06 percentage change
Standard Deviation 15.27
Mean Percent Change From Baseline to Treatment in Lipid Parameters
LDL (n = 1096, 1128, 1012)
151.32 percentage change
Standard Deviation 39.09
104.34 percentage change
Standard Deviation 37.09
-28.93 percentage change
Standard Deviation 23.52
Mean Percent Change From Baseline to Treatment in Lipid Parameters
TG (n = 1843, 1824, 1766)
200.07 percentage change
Standard Deviation 128.76
168.33 percentage change
Standard Deviation 102.82
-7.37 percentage change
Standard Deviation 41.99

Adverse Events

VYTORIN YEAR 1

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

VYTORIN YEAR 2

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

VYTORIN YEAR 4

Serious events: 6 serious events
Other events: 0 other events
Deaths: 0 deaths

VYTORIN YEAR 5

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

VYTORIN YEAR 6

Serious events: 5 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
VYTORIN YEAR 1
n=9 participants at risk
Participants with atherosclerosis treated with Vytorin ranging from 10/10 mg/day through 10/80 mg/day for Year 1
VYTORIN YEAR 2
n=933 participants at risk
Participants with atherosclerosis treated with Vytorin ranging from 10/10 mg/day through 10/80 mg/day for Year 2
VYTORIN YEAR 4
n=531 participants at risk
Participants with atherosclerosis treated with Vytorin ranging from 10/10 mg/day through 10/80 mg/day for Year 4
VYTORIN YEAR 5
n=380 participants at risk
Participants with atherosclerosis treated with Vytorin ranging from 10/10 mg/day through 10/80 mg/day for Year 5
VYTORIN YEAR 6
n=158 participants at risk
Participants with atherosclerosis treated with Vytorin ranging from 10/10 mg/day through 10/80 mg/day for Year 6
Gastrointestinal disorders
RETROPERITONEAL HAEMATOMA
0.00%
0/9 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/933 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.19%
1/531 • Number of events 1 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/380 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/158 • Year 1 through Year 6. There were no SAE's reported in Year three.
Hepatobiliary disorders
CHOLECYSTITIS ACUTE
0.00%
0/9 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/933 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.19%
1/531 • Number of events 1 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/380 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/158 • Year 1 through Year 6. There were no SAE's reported in Year three.
Infections and infestations
HERPES ZOSTER
0.00%
0/9 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.11%
1/933 • Number of events 1 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.19%
1/531 • Number of events 1 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/380 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/158 • Year 1 through Year 6. There were no SAE's reported in Year three.
Infections and infestations
PYELONEPHRITIS ACUTE
0.00%
0/9 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/933 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/531 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/380 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.63%
1/158 • Number of events 1 • Year 1 through Year 6. There were no SAE's reported in Year three.
Metabolism and nutrition disorders
DIABETIC FOOT
0.00%
0/9 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.11%
1/933 • Number of events 1 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/531 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/380 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/158 • Year 1 through Year 6. There were no SAE's reported in Year three.
Cardiac disorders
CARDIAC ARREST
0.00%
0/9 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/933 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.19%
1/531 • Number of events 1 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/380 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/158 • Year 1 through Year 6. There were no SAE's reported in Year three.
Cardiac disorders
CORONARY ARTERY DISEASE
0.00%
0/9 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/933 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.19%
1/531 • Number of events 1 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/380 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/158 • Year 1 through Year 6. There were no SAE's reported in Year three.
Ear and labyrinth disorders
VERTIGO POSITIONAL
0.00%
0/9 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.11%
1/933 • Number of events 1 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/531 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/380 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/158 • Year 1 through Year 6. There were no SAE's reported in Year three.
Eye disorders
DIABETIC RETINOPATHY
0.00%
0/9 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/933 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/531 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/380 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.63%
1/158 • Number of events 1 • Year 1 through Year 6. There were no SAE's reported in Year three.
Gastrointestinal disorders
GASTRIC ULCER
0.00%
0/9 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.11%
1/933 • Number of events 1 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/531 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/380 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/158 • Year 1 through Year 6. There were no SAE's reported in Year three.
Gastrointestinal disorders
GASTROINTESTINAL HAEMORRHAGE
0.00%
0/9 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/933 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.19%
1/531 • Number of events 1 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/380 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/158 • Year 1 through Year 6. There were no SAE's reported in Year three.
Musculoskeletal and connective tissue disorders
BACK PAIN
0.00%
0/9 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/933 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/531 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/380 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.63%
1/158 • Number of events 1 • Year 1 through Year 6. There were no SAE's reported in Year three.
Musculoskeletal and connective tissue disorders
GOUTY ARTHRITIS
0.00%
0/9 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/933 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/531 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/380 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.63%
1/158 • Number of events 1 • Year 1 through Year 6. There were no SAE's reported in Year three.
Musculoskeletal and connective tissue disorders
SPINAL COLUMN STENOSIS
0.00%
0/9 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/933 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/531 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/380 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.63%
1/158 • Number of events 1 • Year 1 through Year 6. There were no SAE's reported in Year three.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
CERVIX CARCINOMA RECURRENT
0.00%
0/9 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/933 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.19%
1/531 • Number of events 1 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/380 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/158 • Year 1 through Year 6. There were no SAE's reported in Year three.
Nervous system disorders
SYNCOPE
0.00%
0/9 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/933 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.19%
1/531 • Number of events 1 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/380 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/158 • Year 1 through Year 6. There were no SAE's reported in Year three.
Respiratory, thoracic and mediastinal disorders
DYSPNOEA
0.00%
0/9 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/933 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.19%
1/531 • Number of events 1 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/380 • Year 1 through Year 6. There were no SAE's reported in Year three.
0.00%
0/158 • Year 1 through Year 6. There were no SAE's reported in Year three.

Other adverse events

Adverse event data not reported

Additional Information

Vice President, Late Stage Development Group Leader

Merck Sharp & Dohme Corp

Phone: 1-800-672-6372

Results disclosure agreements

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