[E]PANOVA Combined With a [S]TATIN in [P]ATIENTS With HYPERT[R]IGLYCER[I]DEMIA to Reduce Non-HDL CHOLES[T]EROL

NCT ID: NCT01408303

Last Updated: 2014-12-05

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

646 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-08-31

Study Completion Date

2012-06-30

Brief Summary

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The primary objective is to evaluate the efficacy of adding Epanova (2 g or 4 g daily) to an optimal statin monotherapy for lowering non-high-density lipoprotein (non-HDL) cholesterol in subjects with persistent hypertriglyceridemia and high risk for cardiovascular disease.

Detailed Description

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The primary efficacy variable is serum non-HDL cholesterol. The primary endpoints are the differences in mean percent changes from baseline to end-of-treatment in non-HDL cholesterol between placebo and the 2g/day and 4g/day Epanova groups. Baseline is defined as the average of Visits 2, 3 and 4 (Weeks -2, -1 and 0) and end-of-treatment is the average of Visits 5 and 6 (Weeks 5 and 6).

Conditions

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Hypertriglyceridemia Cardiovascular Disease

Keywords

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dyslipidemia hyperlipidemia cardiovascular risk

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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Olive Oil

olive oil: 4 g/day + prescription statin

Group Type PLACEBO_COMPARATOR

Olive oil, 4g

Intervention Type DRUG

Olive oil: 4 x 1 g capsule daily for 6 weeks + prescription statin

Epanova, 2 g

omega-3-carboxylic acids, 2g/day + prescription statin

Group Type EXPERIMENTAL

omega-3-carboxylic acids, 2g

Intervention Type DRUG

Epanova: 2 x 1 g capsule + olive oil 2 x 1 g capsule daily for 6 weeks + prescription statin

Epanova, 4 g

omega-3-carboxylic acids, 4g/day + prescription statin

Group Type EXPERIMENTAL

omega-3-carboxylic acids, 4g

Intervention Type DRUG

Epanova: 4 x 1 g capsule daily for 6 weeks + prescription statin

Interventions

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Olive oil, 4g

Olive oil: 4 x 1 g capsule daily for 6 weeks + prescription statin

Intervention Type DRUG

omega-3-carboxylic acids, 2g

Epanova: 2 x 1 g capsule + olive oil 2 x 1 g capsule daily for 6 weeks + prescription statin

Intervention Type DRUG

omega-3-carboxylic acids, 4g

Epanova: 4 x 1 g capsule daily for 6 weeks + prescription statin

Intervention Type DRUG

Other Intervention Names

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Placebo comparator omega-3-carboxylic acids omega-3-carboxylic acids

Eligibility Criteria

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Inclusion Criteria

1. Men or women, ≥18 years of age.
2. Fasting triglyceride (TG) level ≥200 mg/dL and \<500 mg/dL.
3. The subject is a high risk for a future cardiovascular event.
4. The subject is treated with a statin and at or near LDL-C goal.

Exclusion Criteria

1. Allergy or intolerance to omega-3 fatty acids and omega-3-acid ethyl esters.
2. Use of fibrates, bile acid sequestrants, or niacin or its analogues (greater than 200 mg/d) during screening.
3. Use of simvastatin 80 mg or Vytorin10/80 mg during screening.
4. Use of any eicosapentaenoic acid (EPA) or docosahexaenoic acid (DHA) products.
5. Use of any supplement for the purpose of lowering plasma cholesterol during screening.
6. Use of weight loss drugs or programs during screening.
7. Use of erythromycin, telithromycin, clarithromycin, cyclosporine, itraconazole, ketoconazole, protease inhibitors, or nefazodone during screening.
8. Use of anticoagulants during screening.
9. Use of oral or injected corticosteroids during screening.
10. Use of tamoxifen, estrogens, progestins, or testosterone, that has not been stable for \>4 weeks at Visit 1, or is unstable during screening.
11. Use of \>750 mL/d grapefruit juice during screening.
12. Known lipoprotein lipase impairment or deficiency, or apolipoprotein C-II deficiency or familial dysbetalipoproteinemia.
13. History of pancreatitis.
14. Type I diabetes mellitus, use of insulin, or HbA1c \>10% at Visit 1.
15. Poorly controlled hypertension
16. Uncontrolled hypothyroidism, or thyroid stimulating hormone (TSH) \>1.5xULN at Visit 2.
17. Recent history or current significant nephrotic syndrome, pulmonary, hepatic, biliary, gastrointestinal or immunologic disease.
18. History of cancer (except non-melanoma skin cancer, or carcinoma in situ of cervix) within the previous two years.
19. Females who are pregnant, planning to be pregnant during the study period, lactating, or women of childbearing potential who are not using an acceptable method of contraception.
20. Creatine kinase \>5.0 times upper limit of normal (ULN); aspartate aminotransferase (AST) or alanine aminotransferase (ALT) \>2.5 times ULN at Visit 2.
21. Current or recent history (past 12 months) of drug or alcohol abuse.
22. Exposure to any investigational agent within 4 weeks prior to Visit 1.
23. Any other condition the investigator believes would interfere with the subject's ability to provide informed consent, comply with study instructions, or which might confound the interpretation of the study results or put the subject at undue risk.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Omthera Pharmaceuticals, Inc

INDUSTRY

Sponsor Role collaborator

Medpace, Inc.

INDUSTRY

Sponsor Role collaborator

AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michael H Davidson, MD, FACC

Role: STUDY_DIRECTOR

Omthera Pharmaceuticals, Inc

Locations

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Muscle Shoals, Alabama, United States

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Chandler, Arizona, United States

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Phoenix, Arizona, United States

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Little Rock, Arkansas, United States

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Encinitas, California, United States

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Lomita, California, United States

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Los Angeles, California, United States

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Sacramento, California, United States

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San Diego, California, United States

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Spring Valley, California, United States

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Westlake Village, California, United States

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Colorado Springs, Colorado, United States

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Denver, Colorado, United States

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Brandon, Florida, United States

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Clearwater, Florida, United States

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Coral Gables, Florida, United States

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Hialeah, Florida, United States

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Jacksonville, Florida, United States

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Jacksonville, Florida, United States

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Jupiter, Florida, United States

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Melbourne, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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New Port Richey, Florida, United States

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Ocala, Florida, United States

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Orlando, Florida, United States

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Oviedo, Florida, United States

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Ponte Vedra, Florida, United States

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St. Petersburg, Florida, United States

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Addison, Illinois, United States

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Chicago, Illinois, United States

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Oakbrook Terrace, Illinois, United States

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Indianapolis, Indiana, United States

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Newton, Kansas, United States

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Wichita, Kansas, United States

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Wichita, Kansas, United States

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Louisville, Kentucky, United States

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Madisonville, Kentucky, United States

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Auburn, Maine, United States

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Oxon Hill, Maryland, United States

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Troy, Michigan, United States

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Edina, Minnesota, United States

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Chesterfield, Missouri, United States

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Kansas City, Missouri, United States

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St Louis, Missouri, United States

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Butte, Montana, United States

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Las Vegas, Nevada, United States

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Berlin, New Jersey, United States

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Endwell, New York, United States

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New Windsor, New York, United States

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Rochester, New York, United States

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Cary, North Carolina, United States

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Charlotte, North Carolina, United States

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Hickory, North Carolina, United States

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High Point, North Carolina, United States

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Raleigh, North Carolina, United States

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Raleigh, North Carolina, United States

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Salisbury, North Carolina, United States

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Statesville, North Carolina, United States

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Winston-Salem, North Carolina, United States

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Cincinnati, Ohio, United States

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Cincinnati, Ohio, United States

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Cincinnati, Ohio, United States

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Cincinnati, Ohio, United States

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Columbus, Ohio, United States

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Lyndhurst, Ohio, United States

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Marion, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Tulsa, Oklahoma, United States

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Eugene, Oregon, United States

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Harleysville, Pennsylvania, United States

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Jersey Shore, Pennsylvania, United States

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Lansdale, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Mt. Pleasant, South Carolina, United States

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Rapid City, South Dakota, United States

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Bristol, Tennessee, United States

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Gray, Tennessee, United States

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Kingsport, Tennessee, United States

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Corpus Christi, Texas, United States

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Houston, Texas, United States

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Katy, Texas, United States

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San Antonio, Texas, United States

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Murray, Utah, United States

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Salt Lake City, Utah, United States

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Norfolk, Virginia, United States

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Richmond, Virginia, United States

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Olympia, Washington, United States

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Countries

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United States

References

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Dunbar RL, Nicholls SJ, Maki KC, Roth EM, Orloff DG, Curcio D, Johnson J, Kling D, Davidson MH. Effects of omega-3 carboxylic acids on lipoprotein particles and other cardiovascular risk markers in high-risk statin-treated patients with residual hypertriglyceridemia: a randomized, controlled, double-blind trial. Lipids Health Dis. 2015 Sep 2;14:98. doi: 10.1186/s12944-015-0100-8.

Reference Type DERIVED
PMID: 26328624 (View on PubMed)

Maki KC, Orloff DG, Nicholls SJ, Dunbar RL, Roth EM, Curcio D, Johnson J, Kling D, Davidson MH. A highly bioavailable omega-3 free fatty acid formulation improves the cardiovascular risk profile in high-risk, statin-treated patients with residual hypertriglyceridemia (the ESPRIT trial). Clin Ther. 2013 Sep;35(9):1400-11.e1-3. doi: 10.1016/j.clinthera.2013.07.420. Epub 2013 Aug 30.

Reference Type DERIVED
PMID: 23998969 (View on PubMed)

Other Identifiers

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OM-EPA-004

Identifier Type: OTHER

Identifier Source: secondary_id

NCT01408303

Identifier Type: OTHER

Identifier Source: secondary_id

OM-EPA-004

Identifier Type: -

Identifier Source: org_study_id