An Investigational Drug on Clinical Outcomes in Patients With Aortic Stenosis (Narrowing of the Major Blood Vessel of the Heart)(MK-0653A-043 AM4)(COMPLETED)
Primary Purpose
Aortic Stenosis
Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
ezetimibe (+) simvastatin
Comparator: Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Aortic Stenosis
Eligibility Criteria
Inclusion Criteria: Patients aged 45 to 85 with mild abnormalities of the aortic valve as confirmed by an echocardiogram. Exclusion Criteria: Patients previously in a trial using the study drug, or currently taking any medications that are not allowed in this study.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
EZ/Simva 10/40 mg
Placebo
Arm Description
Ezetimibe 10 mg + Simvastatin 40 mg
Outcomes
Primary Outcome Measures
Number of Participants That Experienced One or More Components of the Composite Clinical Endpoint of MCE (Major Cardiovascular Events)
Composite endpoint of MCE consists of cardiovascular death, AVR (aortic valve replacement) surgery, CHF(congestive heart failure) as a result of progression of aortic stenosis, nonfatal MI (myocardial infarction), CABG (coronary artery bypass) surgery, PCI (percutaneous coronary intervention), hospitalized unstable angina, and nonhemorrhagic stroke
Secondary Outcome Measures
Number of Participants That Experienced One or More Components of the Composite Clinical Endpoint of AVE (Aortic Valve Events)
Composite endpoint of AVE (aortic valve events) consists of AVR surgery, CHF (as a result of progression of AS), or cardiovascular death
Number of Participants That Experienced One or More Components of the Composite Clinical Endpoint of ICE (Ischemic Cardiovascular Events)
Composite endpoint of ICE (ischemic cardiovascular events) consists of cardiovascular death, nonfatal MI, CABG, PCI, hospitalized unstable angina, and nonhemorrhagic stroke
Change From Baseline in Peak Transaortic Jet Velocity
Mean change from baseline in peak transaortic jet velocity
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00092677
Brief Title
An Investigational Drug on Clinical Outcomes in Patients With Aortic Stenosis (Narrowing of the Major Blood Vessel of the Heart)(MK-0653A-043 AM4)(COMPLETED)
Official Title
A Multicenter, Double-Blind, Randomized, Placebo-Controlled Study to Evaluate the Effects of Ezetimibe + Simvastatin on Clinical Outcomes in Patients With Aortic Stenosis
Study Type
Interventional
2. Study Status
Record Verification Date
February 2022
Overall Recruitment Status
Completed
Study Start Date
January 2001 (undefined)
Primary Completion Date
April 2008 (Actual)
Study Completion Date
April 2008 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Organon and Co
4. Oversight
5. Study Description
Brief Summary
The purpose of this study is to evaluate whether treatment with an investigational drug as compared to placebo will reduce the risk of major cardiovascular events in patients with aortic stenosis.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Aortic Stenosis
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
1873 (Actual)
8. Arms, Groups, and Interventions
Arm Title
EZ/Simva 10/40 mg
Arm Type
Experimental
Arm Description
Ezetimibe 10 mg + Simvastatin 40 mg
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
ezetimibe (+) simvastatin
Other Intervention Name(s)
MK0653A
Intervention Description
Duration of Treatment: 4 years
Intervention Type
Drug
Intervention Name(s)
Comparator: Placebo
Intervention Description
matching Placebo
Primary Outcome Measure Information:
Title
Number of Participants That Experienced One or More Components of the Composite Clinical Endpoint of MCE (Major Cardiovascular Events)
Description
Composite endpoint of MCE consists of cardiovascular death, AVR (aortic valve replacement) surgery, CHF(congestive heart failure) as a result of progression of aortic stenosis, nonfatal MI (myocardial infarction), CABG (coronary artery bypass) surgery, PCI (percutaneous coronary intervention), hospitalized unstable angina, and nonhemorrhagic stroke
Time Frame
Entire follow-up (median = 4.35 years)
Secondary Outcome Measure Information:
Title
Number of Participants That Experienced One or More Components of the Composite Clinical Endpoint of AVE (Aortic Valve Events)
Description
Composite endpoint of AVE (aortic valve events) consists of AVR surgery, CHF (as a result of progression of AS), or cardiovascular death
Time Frame
Entire follow-up (median = 4.35 years)
Title
Number of Participants That Experienced One or More Components of the Composite Clinical Endpoint of ICE (Ischemic Cardiovascular Events)
Description
Composite endpoint of ICE (ischemic cardiovascular events) consists of cardiovascular death, nonfatal MI, CABG, PCI, hospitalized unstable angina, and nonhemorrhagic stroke
Time Frame
Entire follow-up (median = 4.35 years)
Title
Change From Baseline in Peak Transaortic Jet Velocity
Description
Mean change from baseline in peak transaortic jet velocity
Time Frame
Baseline to End of follow-up (median = 4.35 years) or pre-aortic valve replacement
Other Pre-specified Outcome Measures:
Title
Cardiovascular Death
Description
Number of participants that experienced cardiovascular death
Time Frame
Entire follow-up (median = 4.35 years)
Title
Aortic Valve Replacement (AVR)
Description
Number of participants that experienced aortic valve replacement (AVR)
Time Frame
Entire follow-up (median = 4.35 years)
Title
Congestive Heart Failure (CHF) Due to Progression of Aortic Stenosis (AS)
Description
Number of participants that experienced Congestive Heart Failure (CHF) due to progression of aortic stenosis (AS)
Time Frame
Entire follow-up (median = 4.35 years)
Title
Nonfatal Myocardial Infarction (MI)
Description
Number of participants that experienced nonfatal myocardial infarction (MI)
Time Frame
Entire follow-up (median = 4.35 years)
Title
Coronary Artery Bypass Grafting (CABG)
Description
Number of participants that experienced coronary artery bypass grafting (CABG)
Time Frame
Entire follow-up (median = 4.35 years)
Title
Percutaneous Coronary Intervention (PCI)
Description
Number of participants that experienced percutaneous coronary intervention (PCI)
Time Frame
Entire follow-up (median = 4.35 years)
Title
Hospitalization for Unstable Angina
Description
Number of participants that experienced hospitalization for unstable angina
Time Frame
Entire follow-up (median = 4.35 years)
Title
Nonhemorrhagic Stroke
Description
Number of participants that experienced nonhemorrhagic stroke
Time Frame
Entire follow-up (median = 4.35 years)
Title
Death (Any Cause)
Description
Number of participants that died (any cause)
Time Frame
Entire follow-up (median = 4.35 years)
Title
Percent Change in Time Weighted Average Total Cholesterol From Baseline to End of Follow-up
Description
Mean percent change (time-weighted average over follow-up) from baseline: Time-weighted average calculated using values at week 8, week 24, year 1 and every 6 months with time interval (days) between 2 successive values used as the weighting factor. For the first follow-up value, the weight was the number of days from randomization.
Time Frame
Baseline to End of follow-up (median = 4.35 years)
Title
Percent Change in Time Weighted Average Low-density Lipoprotein Cholesterol (LDL-C) From Baseline to End of Follow-up
Description
Mean percent change (time-weighted average over follow-up) from baseline: Time-weighted average calculated using values at week 8, week 24, year 1 and every 6 months with time interval (days) between 2 successive values used as the weighting factor. For the first follow-up value, the weight was the number of days from randomization.
Time Frame
Baseline to End of follow-up (median = 4.35 years)
Title
Percent Change in Time Weighted Average High-density Lipoprotein Cholesterol (HDL-C) From Baseline to End of Follow-up
Description
Mean percent change (time-weighted average over follow-up) from baseline: Time-weighted average calculated using values at week 8, week 24, year 1 and every 6 months with time interval (days) between 2 successive values used as the weighting factor. For the first follow-up value, the weight was the number of days from randomization.
Time Frame
Baseline to End of follow-up (median = 4.35 years)
Title
Percent Change in Time Weighted Average Triglycerides From Baseline to End of Follow-up
Description
Mean percent change (time-weighted average over follow-up) from baseline: Time-weighted average calculated using values at week 8, week 24, year 1 and every 6 months with time interval (days) between 2 successive values used as the weighting factor. For the first follow-up value, the weight was the number of days from randomization.
Time Frame
Baseline to End of follow-up (median = 4.35 years)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
45 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patients aged 45 to 85 with mild abnormalities of the aortic valve as confirmed by an echocardiogram.
Exclusion Criteria:
Patients previously in a trial using the study drug, or currently taking any medications that are not allowed in this study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Monitor
Organizational Affiliation
Merck Sharp & Dohme LLC
Official's Role
Study Director
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
http://www.merck.com/clinical-trials/pdf/Merck%20Procedure%20on%20Clinical%20Trial%20Data%20Access%20Final_Updated%20July_9_2014.pdf
http://engagezone.msd.com/ds_documentation.php
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Learn more about this trial
An Investigational Drug on Clinical Outcomes in Patients With Aortic Stenosis (Narrowing of the Major Blood Vessel of the Heart)(MK-0653A-043 AM4)(COMPLETED)
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