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Efficacy and Safety Study of Lipid-Lowering Effects of XueZhiKang (XZK) in Patients With Hyperlipidemia

Primary Purpose

Hyperlipidemia

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
XueZhiKang (XZK), a botanic product with multiple components
Placebo
Sponsored by
Beijing Peking University WBL Biotech Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hyperlipidemia focused on measuring Hyperlipidemia, Cholesterol, Lipids, Lipoproteins, XueZhiKang, Botanical

Eligibility Criteria

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

Inclusion Criteria:

  1. Patients who have been diagnosed with hyperlipidemia as defined by fasting levels of TC ≥ 240 mg/dl and LDL-C ≥ 160 mg/dl but < 190 mg/dl and TG < 400 mg/dl.
  2. Patients with a 10-year coronary heart disease risk Framingham Point Score of < 10%.
  3. Male or female patients, of any race, at least 18 years of age.
  4. Female patients must be postmenopausal as defined by no menstruation for at least 12 months, or surgically sterilized for at least three months prior to beginning the study, or have a negative pregnancy test and agree to avoid pregnancy during the study and one month after the end of the study by using two reliable methods of contraception.
  5. Patients must have been informed of all aspects of the study and signed an informed consent form before any study-related activities.
  6. Patients must be willing to follow the TLC diet.
  7. BMI < 36 kg/m2.
  8. Patients must be willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.

Exclusion Criteria:

  1. Patients with myocardial infarction, stroke, transient ischemic attack, cardiovascular surgery or major operations within 6 months prior to screening visit.
  2. Patients with percutaneous coronary intervention within 3 months.
  3. Patients who have been taken lipid-lowering medications including statins or XZK during the 4 weeks prior to screening visit.
  4. Patients with uncontrolled hypertension at the screening visit. Patients on stable antihypertensive medication may be enrolled provided that the medications and dosage remain stable throughout the study.
  5. Patients who are taking anticoagulants except aspirin at < 325 mg/day.
  6. Patients with liver dysfunction as indicated by a serum alanine aminotransferase (ALT) or serum aspartate aminotransferase (AST) level of > 1.5-times of upper limit of normal (ULN) range, or clinical symptoms.
  7. Patients with elevated creatine phosphokinase level (above Upper Limit of Normal range).
  8. Patients with renal dysfunction as indicated by a serum creatinine level above ULN range, or clinical symptoms.
  9. Patients with gastric or peptic ulcer within 3 months prior to screening visit.
  10. Patients with uncontrolled diabetes mellitus as defined by a HbA1c level of > 7.0%.
  11. Patients with medical history of hypothyroidism, pancreatitis, cholestasis, nephrotic syndrome, gall bladder disease, or primary biliary cirrhosis. Patients on thyroid replacement therapy at stable doses may be enrolled if clinically euthyroid.
  12. Patients with clinically relevant illness within 4 weeks prior to the screening visit that may interfere with the conduct of this study.
  13. Patients with a history of alcohol or narcotic substance abuse within two years prior to screening visit.
  14. Patients with hypersensitivity to lipid-lowering agents.
  15. Patients who have taken another investigational drug within 4 weeks prior to screening visit.
  16. Patients with uncontrolled metabolic or endocrine disease knowing to influence lipid values.
  17. Patients who are known to be HIV positive.
  18. Patients who have a history or presence of active malignancy (other than non-melanoma skin cancer) or clinically significant psychiatric, neurological, respiratory, hematological, or other conditions that in the opinion of investigators might interfere with or contraindicate participation of the patients in this study.

Sites / Locations

  • Robert Karns, MD A Medical Corporation
  • Jellinger and Lerman, MD
  • Department of Internal Medicine, University of Kansas Medical Center
  • Harold E Bays, MD
  • Eli M Roth, MD
  • Cardiovascular Medical Associates
  • Osvaldo Brusco, MD
  • Clinical Trial Network
  • Chinese PLA General Hospital
  • Wuhan Union Hospital
  • Second Xiangya Hospital of Central-South Univ
  • Shanghai Ruijin Hospital
  • Shanghai First People's Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Placebo Comparator

Experimental

Experimental

Arm Label

Placebo group

1,200 mg/day of XZK group

2,400 mg/day of XZK group

Arm Description

Outcomes

Primary Outcome Measures

Mean percentage change from baseline at week 12 (or the last assessment) on serum low-density lipoprotein cholesterol (LDL-C) level.

Secondary Outcome Measures

Mean percentage change from baseline at week 12 (or the last assessment on serum total cholesterol (TC) level.
Mean percentage change from baseline at week 12 (or the last assessment) on serum high-density lipoprotein cholesterol (HDL-C) level
Mean percentage change from baseline at week 12 (or the last assessment) on serum triglyceride (TG) level.
Mean percentage change from baseline at week 12 (or the last assessment) on serum non-HDL cholesterol level.
Mean percentage change from baseline at week 12 (or the last assessment) on serum apolipoprotein A-I (Apo A-I) and serum apolipoprotein-B (Apo-B) and the Apo-B/Apo A-I ratio.
Mean percentage change from baseline at week 12 (or the last assessment) on the serum TC/HDL-C ratio.
Percentage of patients who show a LDL-C level of <130 mg/dl or <100 mg/dl at end of the study.
Safety will be assessed by the incidence of adverse events (AEs), discontinuation due to the AEs, clinically relevant changes on laboratory test results, vital signs, physical examinations, and 12-lead electrocardiograms (ECG).

Full Information

First Posted
March 30, 2011
Last Updated
July 22, 2014
Sponsor
Beijing Peking University WBL Biotech Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT01327014
Brief Title
Efficacy and Safety Study of Lipid-Lowering Effects of XueZhiKang (XZK) in Patients With Hyperlipidemia
Official Title
A Multi-center, Double-blind, Randomized, Placebo-controlled, Parallel Group Study of Lipid-Lowering Effects of XueZhiKang (XZK) in Patients With Hyperlipidemia
Study Type
Interventional

2. Study Status

Record Verification Date
July 2014
Overall Recruitment Status
Completed
Study Start Date
April 2011 (undefined)
Primary Completion Date
December 2012 (Actual)
Study Completion Date
December 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Beijing Peking University WBL Biotech Co., Ltd.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to demonstrate the efficacy of XueZhiKang to improve plasma lipid profile, as compared to placebo, in outpatients with hyperlipidemia.
Detailed Description
This is a multi-center, double-blind, randomized, placebo-controlled, parallel group study to be conducted in approximately 120 patients with hyperlipidemia in approximately 10 sites in US and China. Patients who satisfy the entry criteria at screening visit will have a 4-week Therapeutic Lifestyle Changes (TLC) diet control period during which all lipid-lowering medications will be discontinued. After the 4-week diet control period, eligible patients will be randomized to one of three treatment groups. The treatment period will last for 12-weeks. Patients will have blood samples collected at 5 time points (screening, baseline, Week 4, Week 8, and Week 12).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hyperlipidemia
Keywords
Hyperlipidemia, Cholesterol, Lipids, Lipoproteins, XueZhiKang, Botanical

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
116 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo group
Arm Type
Placebo Comparator
Arm Title
1,200 mg/day of XZK group
Arm Type
Experimental
Arm Title
2,400 mg/day of XZK group
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
XueZhiKang (XZK), a botanic product with multiple components
Intervention Description
4 capsules of study drug twice a day for 12 weeks.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
4 capsules twice a day for 12 weeks.
Primary Outcome Measure Information:
Title
Mean percentage change from baseline at week 12 (or the last assessment) on serum low-density lipoprotein cholesterol (LDL-C) level.
Time Frame
Screening, Baseline, Week 4, Week 6, and Week 12
Secondary Outcome Measure Information:
Title
Mean percentage change from baseline at week 12 (or the last assessment on serum total cholesterol (TC) level.
Time Frame
Screening, Baseline, Week 4, Week 6, and Week 12
Title
Mean percentage change from baseline at week 12 (or the last assessment) on serum high-density lipoprotein cholesterol (HDL-C) level
Time Frame
Screening, Baseline, Week 4, Week 6, and Week 12
Title
Mean percentage change from baseline at week 12 (or the last assessment) on serum triglyceride (TG) level.
Time Frame
Screening, Baseline, Week 4, Week 6, and Week 12
Title
Mean percentage change from baseline at week 12 (or the last assessment) on serum non-HDL cholesterol level.
Time Frame
Screening, Baseline, Week 4, Week 6, and Week 12
Title
Mean percentage change from baseline at week 12 (or the last assessment) on serum apolipoprotein A-I (Apo A-I) and serum apolipoprotein-B (Apo-B) and the Apo-B/Apo A-I ratio.
Time Frame
Screening, Baseline, Week 4, Week 6, and Week 12
Title
Mean percentage change from baseline at week 12 (or the last assessment) on the serum TC/HDL-C ratio.
Time Frame
Screening, Baseline, Week 4, Week 6, and Week 12
Title
Percentage of patients who show a LDL-C level of <130 mg/dl or <100 mg/dl at end of the study.
Time Frame
Screening, Baseline, Week 4, Week 6, and Week 12
Title
Safety will be assessed by the incidence of adverse events (AEs), discontinuation due to the AEs, clinically relevant changes on laboratory test results, vital signs, physical examinations, and 12-lead electrocardiograms (ECG).
Time Frame
Screening, Baseline, Week 4, Week 6, and Week 12; ECG and Physical exam only at Screening and Week 12.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients who have been diagnosed with hyperlipidemia as defined by fasting levels of TC ≥ 240 mg/dl and LDL-C ≥ 160 mg/dl but < 190 mg/dl and TG < 400 mg/dl. Patients with a 10-year coronary heart disease risk Framingham Point Score of < 10%. Male or female patients, of any race, at least 18 years of age. Female patients must be postmenopausal as defined by no menstruation for at least 12 months, or surgically sterilized for at least three months prior to beginning the study, or have a negative pregnancy test and agree to avoid pregnancy during the study and one month after the end of the study by using two reliable methods of contraception. Patients must have been informed of all aspects of the study and signed an informed consent form before any study-related activities. Patients must be willing to follow the TLC diet. BMI < 36 kg/m2. Patients must be willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures. Exclusion Criteria: Patients with myocardial infarction, stroke, transient ischemic attack, cardiovascular surgery or major operations within 6 months prior to screening visit. Patients with percutaneous coronary intervention within 3 months. Patients who have been taken lipid-lowering medications including statins or XZK during the 4 weeks prior to screening visit. Patients with uncontrolled hypertension at the screening visit. Patients on stable antihypertensive medication may be enrolled provided that the medications and dosage remain stable throughout the study. Patients who are taking anticoagulants except aspirin at < 325 mg/day. Patients with liver dysfunction as indicated by a serum alanine aminotransferase (ALT) or serum aspartate aminotransferase (AST) level of > 1.5-times of upper limit of normal (ULN) range, or clinical symptoms. Patients with elevated creatine phosphokinase level (above Upper Limit of Normal range). Patients with renal dysfunction as indicated by a serum creatinine level above ULN range, or clinical symptoms. Patients with gastric or peptic ulcer within 3 months prior to screening visit. Patients with uncontrolled diabetes mellitus as defined by a HbA1c level of > 7.0%. Patients with medical history of hypothyroidism, pancreatitis, cholestasis, nephrotic syndrome, gall bladder disease, or primary biliary cirrhosis. Patients on thyroid replacement therapy at stable doses may be enrolled if clinically euthyroid. Patients with clinically relevant illness within 4 weeks prior to the screening visit that may interfere with the conduct of this study. Patients with a history of alcohol or narcotic substance abuse within two years prior to screening visit. Patients with hypersensitivity to lipid-lowering agents. Patients who have taken another investigational drug within 4 weeks prior to screening visit. Patients with uncontrolled metabolic or endocrine disease knowing to influence lipid values. Patients who are known to be HIV positive. Patients who have a history or presence of active malignancy (other than non-melanoma skin cancer) or clinically significant psychiatric, neurological, respiratory, hematological, or other conditions that in the opinion of investigators might interfere with or contraindicate participation of the patients in this study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David Capuzzi
Organizational Affiliation
Cardiovascular Medical Associates
Official's Role
Principal Investigator
Facility Information:
Facility Name
Robert Karns, MD A Medical Corporation
City
Beverly Hills
State/Province
California
ZIP/Postal Code
90211
Country
United States
Facility Name
Jellinger and Lerman, MD
City
Hollywood
State/Province
Florida
ZIP/Postal Code
33021
Country
United States
Facility Name
Department of Internal Medicine, University of Kansas Medical Center
City
Kansas City
State/Province
Kansas
ZIP/Postal Code
66160
Country
United States
Facility Name
Harold E Bays, MD
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40213
Country
United States
Facility Name
Eli M Roth, MD
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45219
Country
United States
Facility Name
Cardiovascular Medical Associates
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19107
Country
United States
Facility Name
Osvaldo Brusco, MD
City
Corpus Christi
State/Province
Texas
ZIP/Postal Code
78404
Country
United States
Facility Name
Clinical Trial Network
City
Houston
State/Province
Texas
ZIP/Postal Code
77074
Country
United States
Facility Name
Chinese PLA General Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100853
Country
China
Facility Name
Wuhan Union Hospital
City
Wuhan
State/Province
Hubei
ZIP/Postal Code
430022
Country
China
Facility Name
Second Xiangya Hospital of Central-South Univ
City
Changsha
State/Province
Hunan
ZIP/Postal Code
410011
Country
China
Facility Name
Shanghai Ruijin Hospital
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200025
Country
China
Facility Name
Shanghai First People's Hospital
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200080
Country
China

12. IPD Sharing Statement

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Efficacy and Safety Study of Lipid-Lowering Effects of XueZhiKang (XZK) in Patients With Hyperlipidemia

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