Trial Outcomes & Findings for Epanova® for Lowering Very High Triglycerides (NCT NCT01242527)

NCT ID: NCT01242527

Last Updated: 2016-08-04

Results Overview

The primary endpoints are the differences in mean percent changes from baseline to end-of-treatment in triglycerides between placebo and the 2g/day, 3g/day and 4g/day Epanova groups

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

399 participants

Primary outcome timeframe

12 weeks

Results posted on

2016-08-04

Participant Flow

The enrollment period started April 2011 and the last subject visit was February 2012. All subjects were qualified at the clinical site and eligibility was determined by each PI (74 US and International clinical sites).

Subjects who needed to washout omega-3 drugs/supplements or adjust or add a permitted statin, CAI or combination had an 8-week screening. All other subjects, including those on a stable statin, CAI or statin-CAI, or who needed to washout of bile acid sequestrants, fibrates, niacin and other lipid altering supplements had a 4-week screening period.

Participant milestones

Participant milestones
Measure
Olive Oil (Placebo Control)
placebo : 4 capsules (1g) daily for 12 weeks
Epanova 2 g
omefas : 2 capsules (1g) + 2 placebo daily for 12 weeks
Epanova 3 g
omefas : 3 capsules (1g) + 1 placebo daily for 12 weeks
Epanova 4 g
omefas : 4 capsules (1g)daily for 12 weeks
Overall Study
STARTED
99
100
101
99
Overall Study
COMPLETED
94
93
87
90
Overall Study
NOT COMPLETED
5
7
14
9

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Epanova® for Lowering Very High Triglycerides

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Olive Oil (Placebo)
n=99 Participants
placebo : 4 capsules (1g) daily for 12 weeks
Epanova 2 g
n=100 Participants
omefas : 2 capsules (1g) + 2 placebo daily for 12 weeks
Epanova 3 g
n=101 Participants
omefas : 3 capsules (1g) + 1 placebo daily for 12 weeks
Epanova 4 g
n=99 Participants
omefas : 4 capsules (1g)daily for 12 weeks
Total
n=399 Participants
Total of all reporting groups
Age, Continuous
50.8 Years
STANDARD_DEVIATION 10.59 • n=5 Participants
51.1 Years
STANDARD_DEVIATION 9.79 • n=7 Participants
51.2 Years
STANDARD_DEVIATION 8.75 • n=5 Participants
52.9 Years
STANDARD_DEVIATION 10.92 • n=4 Participants
51.5 Years
STANDARD_DEVIATION 10.04 • n=21 Participants
Sex: Female, Male
Female
22 Participants
n=5 Participants
20 Participants
n=7 Participants
22 Participants
n=5 Participants
28 Participants
n=4 Participants
92 Participants
n=21 Participants
Sex: Female, Male
Male
77 Participants
n=5 Participants
80 Participants
n=7 Participants
79 Participants
n=5 Participants
71 Participants
n=4 Participants
307 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
6 Participants
n=5 Participants
8 Participants
n=7 Participants
4 Participants
n=5 Participants
7 Participants
n=4 Participants
25 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
93 Participants
n=5 Participants
92 Participants
n=7 Participants
97 Participants
n=5 Participants
92 Participants
n=4 Participants
374 Participants
n=21 Participants
Ethnicity (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: 12 weeks

Population: The Intent-to-Treat (ITT) Population was comprised of all subjects who were randomized. In the event that randomized subjects terminated before treatment or had no post-treatment efficacy assessments, a modified ITT Population was implemented.

The primary endpoints are the differences in mean percent changes from baseline to end-of-treatment in triglycerides between placebo and the 2g/day, 3g/day and 4g/day Epanova groups

Outcome measures

Outcome measures
Measure
Olive Oil (Placebo)
n=98 Participants
placebo : 4 capsules (1g) daily for 12 weeks
Epanova 2 g
n=99 Participants
omefas : 2 capsules (1g) + 2 placebo daily for 12 weeks
Epanova 3 g
n=97 Participants
omefas : 3 capsules (1g) + 1 placebo daily for 12 weeks
Epanova 4 g
n=99 Participants
omefas : 4 capsules (1g)daily for 12 weeks
Fasting Serum Triglycerides
-4.26 Percent change from baseline
Interval -13.07 to 5.44
-25.94 Percent change from baseline
Interval -32.84 to -18.33
-25.46 Percent change from baseline
Interval -32.44 to -17.75
-30.86 Percent change from baseline
Interval -37.32 to -23.74

Adverse Events

Olive Oil (Placebo)

Serious events: 2 serious events
Other events: 5 other events
Deaths: 0 deaths

Epanova 2 g

Serious events: 1 serious events
Other events: 23 other events
Deaths: 0 deaths

Epanova 3 g

Serious events: 4 serious events
Other events: 18 other events
Deaths: 0 deaths

Epanova 4 g

Serious events: 0 serious events
Other events: 16 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Olive Oil (Placebo)
n=99 participants at risk
placebo : 4 capsules (1g) daily for 12 weeks
Epanova 2 g
n=100 participants at risk
omefas : 2 capsules (1g) + 2 placebo daily for 12 weeks
Epanova 3 g
n=101 participants at risk
omefas : 3 capsules (1g) + 1 placebo daily for 12 weeks
Epanova 4 g
n=99 participants at risk
omefas : 4 capsules (1g)daily for 12 weeks
Cardiac disorders
Myocarditis
1.0%
1/99 • Number of events 1
0.00%
0/100
0.00%
0/101
0.00%
0/99
Gastrointestinal disorders
Abdominal pain
1.0%
1/99 • Number of events 1
0.00%
0/100
0.00%
0/101
0.00%
0/99
Cardiac disorders
Angina pectoris
0.00%
0/99
1.0%
1/100 • Number of events 1
0.99%
1/101 • Number of events 1
0.00%
0/99
Cardiac disorders
Coronary artery disease
0.00%
0/99
0.00%
0/100
0.99%
1/101 • Number of events 1
0.00%
0/99
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.00%
0/99
0.00%
0/100
0.99%
1/101 • Number of events 1
0.00%
0/99
Cardiac disorders
Implantable defibrillator insertion
0.00%
0/99
0.00%
0/100
0.99%
1/101 • Number of events 1
0.00%
0/99

Other adverse events

Other adverse events
Measure
Olive Oil (Placebo)
n=99 participants at risk
placebo : 4 capsules (1g) daily for 12 weeks
Epanova 2 g
n=100 participants at risk
omefas : 2 capsules (1g) + 2 placebo daily for 12 weeks
Epanova 3 g
n=101 participants at risk
omefas : 3 capsules (1g) + 1 placebo daily for 12 weeks
Epanova 4 g
n=99 participants at risk
omefas : 4 capsules (1g)daily for 12 weeks
Gastrointestinal disorders
Diarrhoea
2.0%
2/99 • Number of events 3
10.0%
10/100 • Number of events 12
5.9%
6/101 • Number of events 7
10.1%
10/99 • Number of events 11
Gastrointestinal disorders
Nausea
1.0%
1/99 • Number of events 1
6.0%
6/100 • Number of events 9
8.9%
9/101 • Number of events 11
5.1%
5/99 • Number of events 5
Infections and infestations
Nasopharyngitis
2.0%
2/99 • Number of events 3
7.0%
7/100 • Number of events 7
3.0%
3/101 • Number of events 3
1.0%
1/99 • Number of events 1

Additional Information

Torbjörn Lundström, Medical Science Director

AstraZeneca Pharmaceuticals

Results disclosure agreements

  • Principal investigator is a sponsor employee Individual investigators may publish data arising from their own subjects. The PI will provide the Sponsor with copies of written publications (including abstracts and posters)at least 60 days in advance of submission. Data will be reviewed by all participating investigators prior to publication. The Sponsor will have 60 days to review all definitive publications, such as manuscripts and book chapters, and a minimum of 30 days to review all abstracts.
  • Publication restrictions are in place

Restriction type: OTHER