A Study of SCH 58235 (Ezetimibe) When Added to Ongoing Therapy With a Statin in Participants With Primary Hypercholesterolemia, Known Coronary Heart Disease, or Multiple Cardiovascular Risk Factors (P02173)

NCT ID: NCT03882905

Last Updated: 2024-05-10

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE3
• Total Enrollment: 769 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2001-01-31
• Study Completion Date: 2001-07-27

Brief Summary

This is a study to evaluate the lipid-altering efficacy, safety, and tolerability of ezetimibe when added to ongoing therapy with an 3-hydroxy-3-methyl-glutaryl-coenzyme A (HMG-CoA) reductase inhibitor (statin) in participants with primary hypercholesterolemia, multiple cardiovascular risk factors, or known coronary heart disease (CHD) or CHD-equivalent disease. The statin and dose in use by the participant at screening will be maintained at the same dose for the 8-week treatment phase of the study. Following the treatment, there will be a 6-week cholesterol reversibility phase to determine the rebound effect on cholesterol after ezetimibe is discontinued, but the participant is still on their statin therapy. The primary hypothesis is that the addition of ezetimibe 10 mg/day to ongoing statin monotherapy will result in a further reduction in low-density lipoprotein-cholesterol (LDL-C) compared with placebo.

The protocol was amended to include an extension for participants who complete the base study. The extension will evaluate the safety and tolerability of concomitant treatment of simvastatin with ezetimibe10 mg/day over a 1-year period. All participants in the extension will be converted from current statin to an equivalent dose of simvastatin for 6 weeks. Participants then will be randomly assigned to receive simvastatin coadministered with either with Ezetimibe 10 mg daily or matching placebo for the reminder of study.

Conditions

Primary Hypercholesterolemia

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Ezetimibe: Base Study

10-mg tablet, oral taken once daily concomitantly with the participant' s current statin therapy for 8 weeks.

Group Type: EXPERIMENTAL

Ezetimibe

Intervention Type: DRUG

10 mg tablet, oral, once daily

Statin

Intervention Type: DRUG

Statin administered orally once daily at dose determined by treatment prior to enrollment by personal physician

Placebo: Base Study

Placebo for ezetimibe 10-mg tablet, oral taken once daily concomitantly with the participant' s current statin therapy for 8 weeks.

Group Type: PLACEBO_COMPARATOR

Placebo

Intervention Type: DRUG

one tablet, oral, once daily

Statin

Intervention Type: DRUG

Statin administered orally once daily at dose determined by treatment prior to enrollment by personal physician

Ezetimibe: Extension

10-mg tablet, oral taken once daily concomitantly with simvastatin for 48 weeks.

Group Type: EXPERIMENTAL

Ezetimibe

Intervention Type: DRUG

10 mg tablet, oral, once daily

Simivastatin

Intervention Type: DRUG

Once daily administration at dose to be determined

Placebo: Extension

Placebo for ezetimibe tablet, oral taken once daily concomitantly with simvastatin for 48 weeks.

Group Type: PLACEBO_COMPARATOR

Placebo

Intervention Type: DRUG

one tablet, oral, once daily

Simivastatin

Intervention Type: DRUG

Once daily administration at dose to be determined

Interventions

Ezetimibe

10 mg tablet, oral, once daily

Intervention Type: DRUG

Placebo

one tablet, oral, once daily

Intervention Type: DRUG

Simivastatin

Once daily administration at dose to be determined

Intervention Type: DRUG

Statin

Statin administered orally once daily at dose determined by treatment prior to enrollment by personal physician

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

• Currently taking an approved and stable (for at least 6 weeks prior to screening) daily dose of a statin and by history had taken >80% of daily doses for the preceding 6 weeks
• Have a negative pregnancy test
• Agree to practice an effective barrier method of birth control during the study if of childbearing potential
• Females receiving hormonal therapy, including hormone replacement, any estrogen antagonist/agonist, or oral contraceptives, maintain a stable dose and regimen for at least 8 weeks and be willing to continue the same regimen for the duration of the study
• Must verify previous instruction on an National Cholesterol Education Program (NCEP) Step 1 diet or similar diet and must maintain a stable diet regimen for the duration of the study

Exclusion Criteria

• History of mental instability, drug/alcohol abuse within the past 5 years, or major psychiatric illness not adequately controlled and stable on pharmacotherapy
• Previously enrolled to any study evaluating ezetimibe
• Pregnant or lactating
• Consumes greater than 14 alcoholic drinks/week
• Taking a lipid-altering agent (other than statins) in previous 6 weeks
• Taking Oral corticosteroids, unless the corticosteroids were for replacement therapy to treat pituitary/adrenal disease and were treated with a stable regimen for at least the previous 6 weeks
• Treatment with psyllium, other fiber-based laxatives, and other over-the-counter (OTC) therapies that affect serum lipids, unless treated with a stable regimen for at least 6 weeks
• Taking orlistat
• Taking cyclosporine
• Use of any investigational drugs within 30 days
• Treatment with agents with known interactions with statins including antifungal azoles (itraconazole and ketoconazole), macrolide antibiotics (erythromycin and clarithromycin) and nefazodone or with other potent agents that could significantly interfere with cytochrome P-450 system
• Congestive heart failure New York Heart Association (NYHA) Class III or IV
• Uncontrolled cardiac arrhythmias
• Myocardial infarction, coronary artery bypass surgery or angioplasty within 3 months
• Unstable or severe peripheral artery disease within 3 months
• Unstable angina pectoris
• Disorders of the hematologic, digestive or central nervous systems including cerebrovascular disease and degenerative disease that would limit study evaluation or participation
• Poorly controlled or newly diagnosed (within 3 months) diabetes mellitus, or change in antidiabetic pharmacotherapy (i.e., change in dosage [with the exception of ± 10 units of insulin] or addition of new medication) within 3 months
• Uncontrolled endocrine or metabolic disease known to influence serum lipids or lipoproteins (i.e., secondary causes of hyperlipidemia). Clinically euthyroid participants on replacement doses of thyroid hormone are eligible for enrollment if thyroid stimulating hormone (TSH) is within the normal range
• Impaired renal function, nephrotic syndrome, or other renal disease
• Active or chronic hepatobiliary or hepatic disease
• Positive for human immunodeficiency virus (HIV)
• Cancer within the past 5 years (except for basal cell carcinoma)

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Organon and Co

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Medical Director

Role: STUDY_DIRECTOR

Merck Sharp & Dohme LLC

References

Masana L, Mata P, Gagne C, Sirah W, Cho M, Johnson-Levonas AO, Meehan A, Troxell JK, Gumbiner B; Ezetimibe Study Group. Long-term safety and, tolerability profiles and lipid-modifying efficacy of ezetimibe coadministered with ongoing simvastatin treatment: a multicenter, randomized, double-blind, placebo-controlled, 48-week extension study. Clin Ther. 2005 Feb;27(2):174-84. doi: 10.1016/j.clinthera.2005.02.011.

Reference Type: RESULT

PMID: 15811480 (View on PubMed)

Gagne C, Bays HE, Weiss SR, Mata P, Quinto K, Melino M, Cho M, Musliner TA, Gumbiner B; Ezetimibe Study Group. Efficacy and safety of ezetimibe added to ongoing statin therapy for treatment of patients with primary hypercholesterolemia. Am J Cardiol. 2002 Nov 15;90(10):1084-91. doi: 10.1016/s0002-9149(02)02774-1.

Reference Type: RESULT

PMID: 12423708 (View on PubMed)

Other Identifiers

MK-0653-001

Identifier Type: OTHER

Identifier Source: secondary_id

SCH 58235 P02173

Identifier Type: OTHER

Identifier Source: secondary_id

P02173

Identifier Type: -

Identifier Source: org_study_id