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Ezetimibe Plus Simvastatin Versus Simvastatin in Untreated Subjects With High Cholesterol (P03435)

Primary Purpose

Hypercholesterolaemia, Atherosclerosis

Status
Completed
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
Ezetimibe + Simvastatin
Simvastatin
Sponsored by
Organon and Co
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypercholesterolaemia

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • >=18 years and <= 75 years of age
  • LDL-C concentration >= 3.3 mmol/L (130 mg/dL) to <= 4.9 mmol/L (190 mg/dL) at baseline.
  • Triglyceride concentration <3.99 mmol/L (350 mg/dL) at baseline.
  • Documented coronary heart disease (CHD), which will include one or more of the following features: documented stable angina (with evidence of ischemia on exercise testing); history of MI; history of PCI (primarily PTCA with or without stent replacement); symptomatic peripheral vascular disease; documented history of atherothrombotic cerebrovascular disease; and/or documented history of non-Q wave MI.
  • Stable weight history for at least 4 weeks prior to entry into study at baseline.
  • Female subjects of childbearing potential must be using an acceptable method of birth control or be surgically sterilized.

Exclusion Criteria:

  • Body mass index (BMI) >=35 kg/m^2 at baseline.
  • Subjects whose liver transaminases (ALT, AST) are >1.5 times the upper limit of normal and with active liver diseases at baseline.
  • Subjects with evidence of current myopathy (including subjects with CK>1.5 times above the upper limit of normal) at baseline.
  • Subjects with clinical laboratory tests (CBC, blood chemistries, urinalysis) outside the normal range that are clinically acceptable to the investigator at baseline.
  • Subjects with Type II diabetes mellitus who are poorly controlled (HbA1c>9%) or newly diagnosed (within 3 months) or who have had a change in anti-diabetic therapy within 3 months of baseline.
  • Subjects with Type I diabetes mellitus who have not been on a stable insulin regimen for 3 months prior to baseline, or who have a recent history of repeated hypoglycaemia or unstable glycaemic control.
  • Subjects who have known hypersensitivity to HMG-CoA reductase inhibitors.
  • Female subjects who consume >14 units and male subjects who consume >21 units of alcohol per week.
  • Female subjects who are pregnant or breast feeding.
  • Subjects who have not observed the designated washout periods for any of the prohibited medications.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Ezetimibe + Simvastatin

    Simvastatin

    Arm Description

    Outcomes

    Primary Outcome Measures

    Percent change in LDL-C from baseline to endpoint.

    Secondary Outcome Measures

    Percent of subjects who achieve LDL-C ESC goal (ie, <3 mmol/L [115 mg/dL]) at endpoint.
    Percent change from baseline to endpoint in total cholesterol, HDL-C and triglycerides.
    Safety: adverse events, laboratory test results, vital signs.

    Full Information

    First Posted
    April 1, 2008
    Last Updated
    February 7, 2022
    Sponsor
    Organon and Co
    Collaborators
    Merck Sharp & Dohme LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00653835
    Brief Title
    Ezetimibe Plus Simvastatin Versus Simvastatin in Untreated Subjects With High Cholesterol (P03435)
    Official Title
    SCH 58235: A Multicenter, Randomised, Parallel Groups, Placebo-Controlled Study Comparing The Efficacy, Safety, and Tolerability Of The Daily Co-Administration of Ezetimibe 10 mg With Simvastatin 20 mg vs Ezetimibe Placebo With Simvastatin 20 mg in Untreated Subjects With Primary Hypercholesterolaemia And Coronary Heart Disease (Protocol P03435)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2022
    Overall Recruitment Status
    Completed
    Study Start Date
    September 1, 2003 (Actual)
    Primary Completion Date
    August 1, 2004 (Actual)
    Study Completion Date
    August 1, 2004 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Organon and Co
    Collaborators
    Merck Sharp & Dohme LLC

    4. Oversight

    5. Study Description

    Brief Summary
    This study will assess whether co-administration of ezetimibe 10 mg with simvastatin 20 mg will be more effective than treatment with simvastatin 20 mg alone in reducing LDL-C concentrations when administered for 6 weeks.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Hypercholesterolaemia, Atherosclerosis

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 4
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    153 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Ezetimibe + Simvastatin
    Arm Type
    Experimental
    Arm Title
    Simvastatin
    Arm Type
    Active Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    Ezetimibe + Simvastatin
    Other Intervention Name(s)
    SCH 58235, Zetia, Zocor
    Intervention Description
    oral tablets: ezetimibe 10 mg + simvastatin 20 mg once daily for 6 weeks
    Intervention Type
    Drug
    Intervention Name(s)
    Simvastatin
    Other Intervention Name(s)
    Zocor
    Intervention Description
    oral tablets: simvastatin 20 mg + ezetimibe placebo once daily for 6 weeks
    Primary Outcome Measure Information:
    Title
    Percent change in LDL-C from baseline to endpoint.
    Time Frame
    6 weeks
    Secondary Outcome Measure Information:
    Title
    Percent of subjects who achieve LDL-C ESC goal (ie, <3 mmol/L [115 mg/dL]) at endpoint.
    Time Frame
    6 weeks
    Title
    Percent change from baseline to endpoint in total cholesterol, HDL-C and triglycerides.
    Time Frame
    6 weeks
    Title
    Safety: adverse events, laboratory test results, vital signs.
    Time Frame
    Throughout study

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    75 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: >=18 years and <= 75 years of age LDL-C concentration >= 3.3 mmol/L (130 mg/dL) to <= 4.9 mmol/L (190 mg/dL) at baseline. Triglyceride concentration <3.99 mmol/L (350 mg/dL) at baseline. Documented coronary heart disease (CHD), which will include one or more of the following features: documented stable angina (with evidence of ischemia on exercise testing); history of MI; history of PCI (primarily PTCA with or without stent replacement); symptomatic peripheral vascular disease; documented history of atherothrombotic cerebrovascular disease; and/or documented history of non-Q wave MI. Stable weight history for at least 4 weeks prior to entry into study at baseline. Female subjects of childbearing potential must be using an acceptable method of birth control or be surgically sterilized. Exclusion Criteria: Body mass index (BMI) >=35 kg/m^2 at baseline. Subjects whose liver transaminases (ALT, AST) are >1.5 times the upper limit of normal and with active liver diseases at baseline. Subjects with evidence of current myopathy (including subjects with CK>1.5 times above the upper limit of normal) at baseline. Subjects with clinical laboratory tests (CBC, blood chemistries, urinalysis) outside the normal range that are clinically acceptable to the investigator at baseline. Subjects with Type II diabetes mellitus who are poorly controlled (HbA1c>9%) or newly diagnosed (within 3 months) or who have had a change in anti-diabetic therapy within 3 months of baseline. Subjects with Type I diabetes mellitus who have not been on a stable insulin regimen for 3 months prior to baseline, or who have a recent history of repeated hypoglycaemia or unstable glycaemic control. Subjects who have known hypersensitivity to HMG-CoA reductase inhibitors. Female subjects who consume >14 units and male subjects who consume >21 units of alcohol per week. Female subjects who are pregnant or breast feeding. Subjects who have not observed the designated washout periods for any of the prohibited medications.

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    16893434
    Citation
    Patel JV, Hughes EA. Efficacy, safety and LDL-C goal attainment of ezetimibe 10 mg-simvastatin 20 mg vs. placebo-simvastatin 20 mg in UK-based adults with coronary heart disease and hypercholesterolaemia. Int J Clin Pract. 2006 Aug;60(8):914-21. doi: 10.1111/j.1742-1241.2006.01023.x.
    Results Reference
    result
    Available IPD and Supporting Information:
    Available IPD/Information Type
    CSR Synopsis
    Available IPD/Information URL
    http://www.merck.com/clinical-trials/policies-perspectives.html

    Learn more about this trial

    Ezetimibe Plus Simvastatin Versus Simvastatin in Untreated Subjects With High Cholesterol (P03435)

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