Trial Outcomes & Findings for A Clinical Trial to Assess the Long Term Safety and Tolerability of MK-0653H in Japanese Participants With Hypercholesterolemia (MK-0653H-833) (NCT NCT02748057)

NCT ID: NCT02748057

Last Updated: 2024-05-16

Results Overview

An AE was any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with use of a medicinal product, regardless of whether or not it was considered related to the medicinal product. The percentage of participants who reported at least 1 AE was summarized.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

135 participants

Primary outcome timeframe

Up to 2 weeks post last dose of study drug (up to 54 weeks)

Results posted on

2024-05-16

Participant Flow

Participant milestones

Participant milestones
Measure
Ezetimibe 10 mg + Rosuvastatin 2.5 mg
1 Ezetimibe 10 mg tablet and 1 Rosuvastatin 2.5 mg capsule/tablet orally, once daily for 52 weeks. If participant does not achieve low-density lipoprotein-cholesterol (LDL-C) goal after Week 12, dosage of Rosuvastatin may have been increased to 5.0 mg
Ezetimibe 10 mg + Rosuvastatin 5.0 mg
1 Ezetimibe 10 mg tablet and 2 Rosuvastatin 2.5 mg capsules/tablets orally, once daily for 52 weeks.
Overall Study
STARTED
114
21
Overall Study
COMPLETED
109
19
Overall Study
NOT COMPLETED
5
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Ezetimibe 10 mg + Rosuvastatin 2.5 mg
1 Ezetimibe 10 mg tablet and 1 Rosuvastatin 2.5 mg capsule/tablet orally, once daily for 52 weeks. If participant does not achieve low-density lipoprotein-cholesterol (LDL-C) goal after Week 12, dosage of Rosuvastatin may have been increased to 5.0 mg
Ezetimibe 10 mg + Rosuvastatin 5.0 mg
1 Ezetimibe 10 mg tablet and 2 Rosuvastatin 2.5 mg capsules/tablets orally, once daily for 52 weeks.
Overall Study
Adverse Event
1
0
Overall Study
Physician Decision
0
1
Overall Study
Protocol Violation
2
1
Overall Study
Participant Moved
1
0
Overall Study
Withdrawal by Subject
1
0

Baseline Characteristics

A Clinical Trial to Assess the Long Term Safety and Tolerability of MK-0653H in Japanese Participants With Hypercholesterolemia (MK-0653H-833)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ezetimibe 10 mg + Rosuvastatin 2.5 mg
n=114 Participants
1 Ezetimibe 10 mg tablet and 1 Rosuvastatin 2.5 mg capsule/tablet orally, once daily for 52 weeks. If participant does not achieve low-density lipoprotein-cholesterol (LDL-C) goal after Week 12, dosage of Rosuvastatin may have been increased to 5.0 mg
Ezetimibe 10 mg + Rosuvastatin 5.0 mg
n=21 Participants
1 Ezetimibe 10 mg tablet and 2 Rosuvastatin 2.5 mg capsules/tablets orally, once daily for 52 weeks.
Total
n=135 Participants
Total of all reporting groups
Age, Continuous
58.2 Years
STANDARD_DEVIATION 10.8 • n=5 Participants
52.4 Years
STANDARD_DEVIATION 13.3 • n=7 Participants
57.3 Years
STANDARD_DEVIATION 11.4 • n=5 Participants
Sex: Female, Male
Female
61 Participants
n=5 Participants
9 Participants
n=7 Participants
70 Participants
n=5 Participants
Sex: Female, Male
Male
53 Participants
n=5 Participants
12 Participants
n=7 Participants
65 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
114 Participants
n=5 Participants
21 Participants
n=7 Participants
135 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 2 weeks post last dose of study drug (up to 54 weeks)

Population: All participants who received at least 1 dose of study drug during treatment period.

An AE was any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with use of a medicinal product, regardless of whether or not it was considered related to the medicinal product. The percentage of participants who reported at least 1 AE was summarized.

Outcome measures

Outcome measures
Measure
Ezetimibe 10 mg + Rosuvastatin 2.5 mg
n=114 Participants
1 Ezetimibe 10 mg tablet and 1 Rosuvastatin 2.5 mg capsule/tablet orally, once daily for 52 weeks. If participant does not achieve low-density lipoprotein-cholesterol (LDL-C) goal after Week 12, dosage of Rosuvastatin may have been increased to 5.0 mg
Ezetimibe 10 mg + Rosuvastatin 5.0 mg
n=21 Participants
1 Ezetimibe 10 mg tablet and 2 Rosuvastatin 2.5 mg capsules/tablets orally, once daily for 52 weeks.
Percentage of Participants Who Experience at Least 1 Adverse Event (AE)
72.8 Percentage of Participants
76.2 Percentage of Participants

PRIMARY outcome

Timeframe: up to 52 weeks

Population: All participants who received at least 1 dose of study drug during treatment period.

An AE was any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with use of a medicinal product, regardless of whether or not it was considered related to the medicinal product. The percentage of participants who had study drug discontinued due to an AE was summarized.

Outcome measures

Outcome measures
Measure
Ezetimibe 10 mg + Rosuvastatin 2.5 mg
n=114 Participants
1 Ezetimibe 10 mg tablet and 1 Rosuvastatin 2.5 mg capsule/tablet orally, once daily for 52 weeks. If participant does not achieve low-density lipoprotein-cholesterol (LDL-C) goal after Week 12, dosage of Rosuvastatin may have been increased to 5.0 mg
Ezetimibe 10 mg + Rosuvastatin 5.0 mg
n=21 Participants
1 Ezetimibe 10 mg tablet and 2 Rosuvastatin 2.5 mg capsules/tablets orally, once daily for 52 weeks.
Percentage of Participants Who Had Study Drug Discontinued Due to an AE
0.9 Percentage of Participants
0.0 Percentage of Participants

SECONDARY outcome

Timeframe: Baseline (predose) and Week 52

Population: All participants that received at least 1 dose of study drug, had baseline data for those analyses that required baseline data and had post-baseline data for endpoint.

Blood was collected at baseline (predose) and after 52 weeks of treatment to determine LDL-C levels. LDL-C was calculated using the Friedewald equation. If triglycerides (TG) exceeded 400 mg/dL (4.6 mmol/L), LDL-C was determined by beta quantification ultracentrifugation. The percentage change from baseline at Week 52 was summarized.

Outcome measures

Outcome measures
Measure
Ezetimibe 10 mg + Rosuvastatin 2.5 mg
n=108 Participants
1 Ezetimibe 10 mg tablet and 1 Rosuvastatin 2.5 mg capsule/tablet orally, once daily for 52 weeks. If participant does not achieve low-density lipoprotein-cholesterol (LDL-C) goal after Week 12, dosage of Rosuvastatin may have been increased to 5.0 mg
Ezetimibe 10 mg + Rosuvastatin 5.0 mg
n=17 Participants
1 Ezetimibe 10 mg tablet and 2 Rosuvastatin 2.5 mg capsules/tablets orally, once daily for 52 weeks.
Percentage Change From Baseline in Low-Density Lipoprotein-Cholesterol (LDL-C)
-33.8 Percentage change
Interval -36.9 to -30.8
-23.9 Percentage change
Interval -29.1 to -18.6

Adverse Events

Ezetimibe 10 mg + Rosuvastatin 2.5 mg

Serious events: 2 serious events
Other events: 53 other events
Deaths: 0 deaths

Ezetimibe 10 mg + Rosuvastatin 5.0 mg

Serious events: 1 serious events
Other events: 13 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Ezetimibe 10 mg + Rosuvastatin 2.5 mg
n=114 participants at risk
1 Ezetimibe 10 mg tablet and 1 Rosuvastatin 2.5 mg capsule/tablet orally, once daily for 52 weeks. If participant does not achieve low-density lipoprotein-cholesterol (LDL-C) goal after Week 12, dosage of Rosuvastatin may have been increased to 5.0 mg
Ezetimibe 10 mg + Rosuvastatin 5.0 mg
n=21 participants at risk
1 Ezetimibe 10 mg tablet and 2 Rosuvastatin 2.5 mg capsules/tablets orally, once daily for 52 weeks.
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
0.00%
0/114 • Up to 2 weeks post last dose of study drug (up to 54 weeks)
Population included all participants who received at least 1 dose of study drug during treatment period.
4.8%
1/21 • Number of events 1 • Up to 2 weeks post last dose of study drug (up to 54 weeks)
Population included all participants who received at least 1 dose of study drug during treatment period.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Intestinal adenocarcinoma
0.88%
1/114 • Number of events 1 • Up to 2 weeks post last dose of study drug (up to 54 weeks)
Population included all participants who received at least 1 dose of study drug during treatment period.
0.00%
0/21 • Up to 2 weeks post last dose of study drug (up to 54 weeks)
Population included all participants who received at least 1 dose of study drug during treatment period.
Psychiatric disorders
Anxiety disorder
0.88%
1/114 • Number of events 1 • Up to 2 weeks post last dose of study drug (up to 54 weeks)
Population included all participants who received at least 1 dose of study drug during treatment period.
0.00%
0/21 • Up to 2 weeks post last dose of study drug (up to 54 weeks)
Population included all participants who received at least 1 dose of study drug during treatment period.

Other adverse events

Other adverse events
Measure
Ezetimibe 10 mg + Rosuvastatin 2.5 mg
n=114 participants at risk
1 Ezetimibe 10 mg tablet and 1 Rosuvastatin 2.5 mg capsule/tablet orally, once daily for 52 weeks. If participant does not achieve low-density lipoprotein-cholesterol (LDL-C) goal after Week 12, dosage of Rosuvastatin may have been increased to 5.0 mg
Ezetimibe 10 mg + Rosuvastatin 5.0 mg
n=21 participants at risk
1 Ezetimibe 10 mg tablet and 2 Rosuvastatin 2.5 mg capsules/tablets orally, once daily for 52 weeks.
Infections and infestations
Gastroenteritis
7.0%
8/114 • Number of events 8 • Up to 2 weeks post last dose of study drug (up to 54 weeks)
Population included all participants who received at least 1 dose of study drug during treatment period.
4.8%
1/21 • Number of events 2 • Up to 2 weeks post last dose of study drug (up to 54 weeks)
Population included all participants who received at least 1 dose of study drug during treatment period.
Infections and infestations
Nasopharyngitis
36.0%
41/114 • Number of events 69 • Up to 2 weeks post last dose of study drug (up to 54 weeks)
Population included all participants who received at least 1 dose of study drug during treatment period.
38.1%
8/21 • Number of events 18 • Up to 2 weeks post last dose of study drug (up to 54 weeks)
Population included all participants who received at least 1 dose of study drug during treatment period.
Infections and infestations
Rhinitis
0.88%
1/114 • Number of events 1 • Up to 2 weeks post last dose of study drug (up to 54 weeks)
Population included all participants who received at least 1 dose of study drug during treatment period.
9.5%
2/21 • Number of events 2 • Up to 2 weeks post last dose of study drug (up to 54 weeks)
Population included all participants who received at least 1 dose of study drug during treatment period.
Injury, poisoning and procedural complications
Contusion
1.8%
2/114 • Number of events 2 • Up to 2 weeks post last dose of study drug (up to 54 weeks)
Population included all participants who received at least 1 dose of study drug during treatment period.
9.5%
2/21 • Number of events 3 • Up to 2 weeks post last dose of study drug (up to 54 weeks)
Population included all participants who received at least 1 dose of study drug during treatment period.
Investigations
Liver function test abnormal
2.6%
3/114 • Number of events 3 • Up to 2 weeks post last dose of study drug (up to 54 weeks)
Population included all participants who received at least 1 dose of study drug during treatment period.
9.5%
2/21 • Number of events 2 • Up to 2 weeks post last dose of study drug (up to 54 weeks)
Population included all participants who received at least 1 dose of study drug during treatment period.
Metabolism and nutrition disorders
Type 2 diabetes mellitus
2.6%
3/114 • Number of events 3 • Up to 2 weeks post last dose of study drug (up to 54 weeks)
Population included all participants who received at least 1 dose of study drug during treatment period.
9.5%
2/21 • Number of events 2 • Up to 2 weeks post last dose of study drug (up to 54 weeks)
Population included all participants who received at least 1 dose of study drug during treatment period.
Musculoskeletal and connective tissue disorders
Back pain
7.9%
9/114 • Number of events 11 • Up to 2 weeks post last dose of study drug (up to 54 weeks)
Population included all participants who received at least 1 dose of study drug during treatment period.
4.8%
1/21 • Number of events 1 • Up to 2 weeks post last dose of study drug (up to 54 weeks)
Population included all participants who received at least 1 dose of study drug during treatment period.

Additional Information

Senior Vice President, Global Clinical Development

Merck Sharp & Dohme Corp.

Phone: 1-800-672-6372

Results disclosure agreements

  • Principal investigator is a sponsor employee The Sponsor must have the opportunity to review all proposed abstracts, manuscripts or presentations regarding this trial 45 days prior to submission for publication/presentation. Any information identified by the Sponsor as confidential must be deleted prior to submission; this confidentiality does not include efficacy and safety results. Sponsor review can be expedited to meet publication timelines.
  • Publication restrictions are in place

Restriction type: OTHER