Study of the Safety and Tolerability Associated With PPD10558 Versus Atorvastatin in Patients Previously Intolerant to Statins Due to Statin-associated Myalgia (SAM)

NCT ID: NCT01279590

Last Updated: 2011-12-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

282 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-31

Study Completion Date

2011-11-30

Brief Summary

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The purpose of this study is to assess the incidence of statin-associated myalgia (SAM) with treatment with PPD10558 versus atorvastatin in patients previously intolerant to statins.

To assess the safety and tolerability of PPD10558 compared to atorvastatin in patients previously intolerant to statins.

Detailed Description

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Conditions

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Myalgia Hypercholesterolemia Hyperlipidemia

Keywords

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Hyperlipidemia Dyslipidemia Metabolic diseases Lipid metabolism disorders Hyperlipoproteinemia Type IIa Hyperlipoproteinemia Type IIb Hypercholesterolemia, Autosomal Dominant Hypercholesterolemia, Autosomal Dominant, Type B Frederickson Type IIa Frederickson Type IIb Hyperlipidemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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PPD10558

Dosing will be forced-titrated as follows: 40 mg orally twice daily for 4 weeks and 80 mg orally twice daily for 8 weeks

Group Type EXPERIMENTAL

PPD10558

Intervention Type DRUG

PPD10558 40 mg capsule and matching placebo capsule twice a day for 4 weeks, then

PPD10558 80 mg (two 40 mg capsules) twice a day for 8 weeks

Atorvastatin

Dosing will be forced titrated as 40 mg orally once daily for 4 weeks, and 80 mg orally once daily for 8 weeks

Group Type ACTIVE_COMPARATOR

Atorvastatin

Intervention Type DRUG

Atorvastatin 40 mg capsule and matching placebo capsule in the morning and 2 placebo capsules in the evening for 4 weeks, then

Atorvastatin 80 mg (two 40 mg capsules) in the morning and 2 placebo capsules in the evening for 8 weeks

Placebo

Dosing will be 2 placebo capsules twice daily for 12 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

2 placebo capsules twice daily for 12 weeks

Interventions

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PPD10558

PPD10558 40 mg capsule and matching placebo capsule twice a day for 4 weeks, then

PPD10558 80 mg (two 40 mg capsules) twice a day for 8 weeks

Intervention Type DRUG

Atorvastatin

Atorvastatin 40 mg capsule and matching placebo capsule in the morning and 2 placebo capsules in the evening for 4 weeks, then

Atorvastatin 80 mg (two 40 mg capsules) in the morning and 2 placebo capsules in the evening for 8 weeks

Intervention Type DRUG

Placebo

2 placebo capsules twice daily for 12 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* diagnosis of primary hypercholesterolemia (heterozygous familial and nonfamilial) Fredrickson types IIa or IIb.
* history of statin-associated myalgia, as defined by being unable to tolerate two previous statins due to muscle pain, aches, weakness, or cramping that begins or increases during statin therapy and stops when statin therapy is discontinued. History of statin-associated myalgia will be captured on the historical questionnaire on statin-associated myalgia.
* LDL-C \> 110 mg/dL and triglycerides \< 500 mg/dL at Prescreening.
* prescreening hemoglobin value of ≥10 g/dL for females and ≥12 g/dL.
* patient agrees to stop all other antihyperlipidemic agents (including but not limited to niacin, probucol, ezetimibe, fibrates and derivatives, bile acid-sequestering agents, other 3-hydroxy-3-methylglutaryl-coenzyme A(HMG-CoA) reductase inhibitors, fish oils, flaxseed oil, and red yeast rice).
* patient agrees to stop all Coenzyme Q10 supplements.
* if taking other nonexcluded medications, patients must be on a stable dose for 4 weeks before screening.

Exclusion Criteria

* history of chronic pain and currently experiences chronic pain unrelated to statins that requires chronic use of pain medications, has been diagnosed with fibromyalgia or has severe neuropathic pain.
* requires the chronic use of pain medications, including acetaminophen, non-steroidal anti-inflammatory medications, narcotics, and other analgesics.
* vitamin D insufficiency (current insufficiency is defined as Vitamin D3 \< 20 ng/mL \[50 nmol/L\] measured at Prescreening.
* hypothyroidism or abnormal thyroid function test as confirmed by thyroid-stimulating hormone ≥ 5 mcIU/mL and free thyroxine (T4) \< 0.7 ng/dL at Prescreening
* history of rhabdomyolysis (defined as evidence of organ damage with creatinine kinase(CK) \> 10,000 IU/L).
* history of liver disease
* history of significant renal dysfunction as defined by serum creatinine clearance \< 30 mL/min
* Nephrotic-range proteinuria.
* HbA1C \>9% at Prescreening.
* CK levels \>5 times the upper limit of normal at Prescreening.
* congestive heart failure, even with current therapy
* has had myocardial infarction, cardiac intervention, cerebrovascular accident/stroke or transient ischemic attack less than 6 months prior to prescreening.
* patient is pregnant (confirmed by laboratory testing) or breastfeeding.
* history of cancer (other than basal cell and/or squamous cell carcinoma of the skin and/or Stage I squamous cell carcinoma of the cervix) that has not been in full remission for at least 1 year before Screening.
* patient has positive test results for hepatitis B surface antigen (HBsAg), hepatitis C antibody, or human immunodeficiency virus types 1 or 2 at Prescreening.
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Furiex Pharmaceuticals, Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Furiex research site

Anniston, Alabama, United States

Site Status

Furiex research site

Phoenix, Arizona, United States

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Furiex research site

Phoenix, Arizona, United States

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Furiex research site

Huntington Park, California, United States

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Furiex research site

Long Beach, California, United States

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Furiex research site

Pismo Beach, California, United States

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Furiex research site

San Diego, California, United States

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Furiex research site

West Lake Village, California, United States

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Furiex research site

Colorado Springs, Colorado, United States

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Furiex research site

Golden, Colorado, United States

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Furiex research site

Hartford, Connecticut, United States

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Furiex research site

Boynton Beach, Florida, United States

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Furiex research site

Coral Gables, Florida, United States

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Furiex research site

Deerfield Beach, Florida, United States

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Furiex research site

Fort Lauderdale, Florida, United States

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Furiex research site

Gainesville, Florida, United States

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Furiex research site

Opa-locka, Florida, United States

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Furiex research site

Pembroke, Florida, United States

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Furiex research site

Pembroke, Florida, United States

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Furiex research site

Sanford, Florida, United States

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Furiex research site

West Palm Beach, Florida, United States

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Furiex research site

Honolulu, Hawaii, United States

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Furiex Research site

Boise, Idaho, United States

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Furiex research site

Nampa, Idaho, United States

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Furiex research site

Chicago, Illinois, United States

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Furiex research site

Mission, Kansas, United States

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Furiex research site

Madisonville, Kentucky, United States

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Furiex research site

Covington, Louisiana, United States

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Furiex research site

Auburn, Maine, United States

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Furiex research site

Oxon Hill, Maryland, United States

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Furiex research site

Bay City, Michigan, United States

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Furiex research site

St Louis, Missouri, United States

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Furiex research site

Billings, Montana, United States

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Furiex research site

Butte, Montana, United States

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Furiex research site

Missoula, Montana, United States

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Furiex research site

Omaha, Nebraska, United States

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Furiex research site

Great Neck, New York, United States

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Furiex research site

Asheville, North Carolina, United States

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Furiex research site

Cary, North Carolina, United States

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Furiex research site

Charlotte, North Carolina, United States

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Furiex research site

Harrisburg, North Carolina, United States

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Furiex research site

Hickory, North Carolina, United States

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Furiex research site

Hickory, North Carolina, United States

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Furiex research site

High Point, North Carolina, United States

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Furiex research site

Raleigh, North Carolina, United States

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Furiex research site

Raleigh, North Carolina, United States

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Furiex research site

Wilmington, North Carolina, United States

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Furiex research site

Carlisle, Ohio, United States

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Furiex research site

Cincinnati, Ohio, United States

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Furiex research site

Columbus, Ohio, United States

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Furiex research site

Kettering, Ohio, United States

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Furiex research site

Springfield, Ohio, United States

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Furiex research site

Altoona, Pennsylvania, United States

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Furiex research site

Johnstown, Pennsylvania, United States

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Furiex research site

Cumberland, Rhode Island, United States

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Furiex research site

East Providence, Rhode Island, United States

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Furiex research site

Anderson, South Carolina, United States

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Furiex research site

Greenville, South Carolina, United States

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Furiex research site

Greer, South Carolina, United States

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Furiex research site

Mt. Pleasant, South Carolina, United States

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Furiex research site

Pawleys Island, South Carolina, United States

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Furiex research site

Bristol, Tennessee, United States

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Furiex research site

Tomball, Texas, United States

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Furiex research site

Salt Lake City, Utah, United States

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Furiex research site

Norfolk, Virginia, United States

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Furiex research site

Richmond, Virginia, United States

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Furiex

Spokane, Washington, United States

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Countries

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United States

Other Identifiers

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PPD10558-010

Identifier Type: -

Identifier Source: org_study_id