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Diazoxide Choline Controlled-Release Tablet (DCCR) for Very High Triglycerides

Primary Purpose

Hypertriglyceridemia

Status
Withdrawn
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
290 mg DCCR
435 mg DCCR
135 mg fenofibric acid
Placebo
atorvastatin
Sponsored by
Essentialis, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypertriglyceridemia focused on measuring hypertriglyceridemia

Eligibility Criteria

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

INCLUSION CRITERIA:

Fasting triglycerides

  • Difference between Visit 3 (7 days prior to Baseline Visit) and Visit 4 (3 days prior to Baseline Visit) ≤ 60% (compared to the higher value of Visit 3 or Visit 4)
  • Run-in Triglycerides* ≥ 500 mg/dL and < 1500 mg/dL *Run-in Triglyceride is defined as the average fasting triglycerides for Visit 3 (7 days prior to Baseline Visit) and Visit 4 (3 days prior to Baseline Visit).

Statin use

  • Either Statin-naive

    - Must not be on statin at Screening and remaining as such during the Run-in/Washout Period and throughout the study

  • Or Statin-treated

    • Must be receiving a stable and effective dose of statin for ≥ 3 months without significant side effects or intolerance prior to Screening
    • Must be willing to switch to 20 mg atorvastatin at the start of the Run-in/Washout Period and continue throughout the study

Medication washout

  • All subjects must be willing to undergo washout of all other lipid-lowering medications

Fasting LDL cholesterol

  • ≤ l60 mg/dL at both Screening Visit and Visit 4

Glycemic status

  • Fasting glucose < 126 mg/dL at Screening Visit
  • HbA1c < 6.5% at Screening Visit

EXCLUSION CRITERIA:

Medications: recent, current, anticipated

  • Administration of investigational drugs within 1 month prior to Screening Visit
  • Thyroid hormones or preparations within 1 month prior to Screening Visit (except in subjects on stable dose of replacement therapy for at least 1 month)
  • Thiazide diuretics within 2 weeks prior to Screening Visit
  • Discontinuation of beta-blockers within 1 month prior to Screening Visit or planned discontinuation of beta-blocker therapy
  • Anticipated requirement for use of prohibited concomitant medications

History of allergic reaction or significant intolerance to:

  • Diazoxide
  • Thiazides
  • Sulfonamides
  • Fenofibrate or fenofibric acid derivatives

Lifestyle changes

• Subjects intending to change exercise habits, quit smoking and/or quit alcohol use during the initial 12-week Placebo-Controlled Treatment Period of the study

Specific diagnoses, medical conditions and history

  • Known type I or III hyperlipidemia
  • Known type 1 DM
  • Known type 2 DM
  • Any other clinically significant endocrine, cardiovascular, pulmonary, neurological, psychiatric, hepatic, gastrointestinal, hematological, renal, or dermatological disease interfering with the assessments of the study medications, according to the Investigator

Specific laboratory test results

• Any relevant biochemical abnormality interfering with the assessments of the study medications

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Experimental

    Experimental

    Active Comparator

    Placebo Comparator

    Arm Label

    290 mg DCCR

    435 mg DCCR

    135 mg fenobric acid

    Placebo

    Arm Description

    Outcomes

    Primary Outcome Measures

    The effect of DCCR on triglycerides in subjects without diabetes mellitus who have very high triglycerides over a period of 84 days

    Secondary Outcome Measures

    The effects of DCCR on Apo B and non-HDL in subjects without diabetes mellitus who have very high triglycerides over a period of 84 days

    Full Information

    First Posted
    September 5, 2009
    Last Updated
    August 30, 2016
    Sponsor
    Essentialis, Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00973271
    Brief Title
    Diazoxide Choline Controlled-Release Tablet (DCCR) for Very High Triglycerides
    Official Title
    A Multi-Center, Randomized, Double-Blind, Placebo- and Active-Controlled Study Assessing the Efficacy, Safety and Tolerability of Diazoxide Choline Controlled-Release Tablet (DCCR) in Subjects Without Diabetes Mellitus Having Very High Fasting Triglyceride Levels, With Double-Blind Active-Controlled Extension Assessing Safety and Tolerability
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2016
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Did not continue with development of DCCR in Very High Triglycerides
    Study Start Date
    March 2011 (undefined)
    Primary Completion Date
    November 2011 (Actual)
    Study Completion Date
    December 2011 (Actual)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Essentialis, Inc.

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The hypothesis of this study is that DCCR is effective as both monotherapy and in combination with a statin in lowering triglycerides in subjects with very high triglycerides
    Detailed Description
    Very high triglyceride is a risk for pancreatitis. Studies have shown Diazoxide Choline has the potential to effectively lower triglycerides in patients with very high triglycerides.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Hypertriglyceridemia
    Keywords
    hypertriglyceridemia

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    290 mg DCCR
    Arm Type
    Experimental
    Arm Title
    435 mg DCCR
    Arm Type
    Experimental
    Arm Title
    135 mg fenobric acid
    Arm Type
    Active Comparator
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    290 mg DCCR
    Intervention Description
    290 mg diazoxide choline
    Intervention Type
    Drug
    Intervention Name(s)
    435 mg DCCR
    Intervention Description
    435 mg diazoxide choline
    Intervention Type
    Drug
    Intervention Name(s)
    135 mg fenofibric acid
    Other Intervention Name(s)
    135 mg fenobric acid
    Intervention Description
    135 mg fenofibric acid
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Other Intervention Name(s)
    Placebos matching DCCR and fenofibric acid
    Intervention Description
    Placebos matching each of 2 doses of DCCR and 135 mg fenofibric acid
    Intervention Type
    Drug
    Intervention Name(s)
    atorvastatin
    Other Intervention Name(s)
    20 mg atorvastatin
    Intervention Description
    20 mg atorvastatin
    Primary Outcome Measure Information:
    Title
    The effect of DCCR on triglycerides in subjects without diabetes mellitus who have very high triglycerides over a period of 84 days
    Time Frame
    84 days
    Secondary Outcome Measure Information:
    Title
    The effects of DCCR on Apo B and non-HDL in subjects without diabetes mellitus who have very high triglycerides over a period of 84 days
    Time Frame
    84 days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    INCLUSION CRITERIA: Fasting triglycerides Difference between Visit 3 (7 days prior to Baseline Visit) and Visit 4 (3 days prior to Baseline Visit) ≤ 60% (compared to the higher value of Visit 3 or Visit 4) Run-in Triglycerides* ≥ 500 mg/dL and < 1500 mg/dL *Run-in Triglyceride is defined as the average fasting triglycerides for Visit 3 (7 days prior to Baseline Visit) and Visit 4 (3 days prior to Baseline Visit). Statin use Either Statin-naive - Must not be on statin at Screening and remaining as such during the Run-in/Washout Period and throughout the study Or Statin-treated Must be receiving a stable and effective dose of statin for ≥ 3 months without significant side effects or intolerance prior to Screening Must be willing to switch to 20 mg atorvastatin at the start of the Run-in/Washout Period and continue throughout the study Medication washout All subjects must be willing to undergo washout of all other lipid-lowering medications Fasting LDL cholesterol ≤ l60 mg/dL at both Screening Visit and Visit 4 Glycemic status Fasting glucose < 126 mg/dL at Screening Visit HbA1c < 6.5% at Screening Visit EXCLUSION CRITERIA: Medications: recent, current, anticipated Administration of investigational drugs within 1 month prior to Screening Visit Thyroid hormones or preparations within 1 month prior to Screening Visit (except in subjects on stable dose of replacement therapy for at least 1 month) Thiazide diuretics within 2 weeks prior to Screening Visit Discontinuation of beta-blockers within 1 month prior to Screening Visit or planned discontinuation of beta-blocker therapy Anticipated requirement for use of prohibited concomitant medications History of allergic reaction or significant intolerance to: Diazoxide Thiazides Sulfonamides Fenofibrate or fenofibric acid derivatives Lifestyle changes • Subjects intending to change exercise habits, quit smoking and/or quit alcohol use during the initial 12-week Placebo-Controlled Treatment Period of the study Specific diagnoses, medical conditions and history Known type I or III hyperlipidemia Known type 1 DM Known type 2 DM Any other clinically significant endocrine, cardiovascular, pulmonary, neurological, psychiatric, hepatic, gastrointestinal, hematological, renal, or dermatological disease interfering with the assessments of the study medications, according to the Investigator Specific laboratory test results • Any relevant biochemical abnormality interfering with the assessments of the study medications

    12. IPD Sharing Statement

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    Diazoxide Choline Controlled-Release Tablet (DCCR) for Very High Triglycerides

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