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The Efficacy of EPA+DHA (SC401B) for Lowering Triglyceride Levels (≥ 500 mg/dL)

Primary Purpose

Severe Hypertriglyceridemia

Status
Withdrawn
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Placebo
SC401B 2 capsules
SC401B 4 capsules
SC401B 6 capsules
Sponsored by
Sancilio and Company, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Severe Hypertriglyceridemia focused on measuring Dyslipidemia, Hyperlipidemia, Omega-3 Fatty Acids, Metabolic Diseases, TG ≥500 mg/dL and ≤ 2,000 mg/dL

Eligibility Criteria

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

Inclusion Criteria:

  • Be male or female, age 18 years
  • Have a TG level ≥500 mg/dL and ≤2,000 mg
  • Have the ability to understand the requirements of the study and be willing to provide written informed consent (as evidenced by signature on an informed consent document approved by an Institutional Review Board [IRB]) and agree to abide by the study restrictions and return for the required assessments.
  • Be normally active and in good health on the basis of medical history.
  • Willing to maintain a stable diet and not alter their physical activity level throughout the study.
  • Women of childbearing potential must be willing to use accepted birth control methods throughout the study.

Exclusion Criteria:

  • Women who are pregnant, planning to become pregnant, or breastfeed during the study period
  • History of pancreatitis
  • Hemoglobin A1c > 9.5% (subjects with diabetes mellitus will be required to receive stable therapy)
  • History of stroke, myocardial infarction, life-threatening arrhythmia, or coronary vascularization within 6 months before screening
  • Thyroid-stimulating hormone > 1.5 x upper limit of normal; clinical evidence of hypothyroidism or thyroid hormonal therapy that has not been stable for

    • 6 weeks before screening
  • Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 2 x upper limit of normal
  • An unexplained creatine kinase concentration > 3 x upper limit of normal or creatine kinase elevation due to known muscle disease (e.g., polymyositis, mitochondrial dysfunction)
  • Blood donation of ≥1 pint within 30 days before screening or plasma donation within 7 days before screening
  • The consumption of >2 alcoholic beverages per day after screening; a history of illicit drug use within 1 year before screening
  • A history of symptomatic gallstone disease unless treated with cholecystectomy
  • Known nephrotic syndrome or >3 g/day proteinuria
  • Allergy or intolerance to omega-3 fatty acids, ethyl esters, or fish; known lipoprotein lipase impairment or deficiency or apoC-II deficiency or familial dysbetalipoproteinemia
  • History of cancer (other than basal cell carcinoma of the skin) in the past 2 years; and a history or evidence of major and clinically significant disease that could adversely affect the conduct of the study or patient safety.
  • Use acetylcholinesterase inhibitors or memantine, in the prior 2 months to screening
  • Use of a lipase inhibitor such as Xenical (orlistat)

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Placebo Comparator

    Experimental

    Experimental

    Experimental

    Arm Label

    Placebo

    SC401B 2 capsules

    SC401B 4 capsules

    SC401B 6 capsules

    Arm Description

    Placebo 6 capsules (1.24 g each) daily for 12 weeks

    SC401B 2 capsules (1.24 g each) + 4 placebo capsules daily for 12 weeks

    SC401B 4 capsules (1.24 g each) + 2 placebo capsules daily for 12 weeks

    SC401B 6 capsules (1.24 g each) daily for 12 weeks

    Outcomes

    Primary Outcome Measures

    Fasting Serum Triglycerides
    The primary endpoints are the differences in mean percent changes from baseline to end-of-treatment (12 weeks) in triglyceride levels between placebo and 2, 4, and 6 capsules per day of SC401B.

    Secondary Outcome Measures

    Full Information

    First Posted
    November 22, 2013
    Last Updated
    November 22, 2016
    Sponsor
    Sancilio and Company, Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01997268
    Brief Title
    The Efficacy of EPA+DHA (SC401B) for Lowering Triglyceride Levels (≥ 500 mg/dL)
    Official Title
    A Randomized, Double-Blind, Placebo-Controlled 12-Week Study to Determine the Efficacy of EPA+DHA (SC401B) on Hypertriglyceridemia (TG ≥ 500 mg/dL and ≤ 2000 mg/dL)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2016
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Study never initiated. IND placed on Hold
    Study Start Date
    undefined (undefined)
    Primary Completion Date
    December 2014 (Actual)
    Study Completion Date
    undefined (undefined)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Sancilio and Company, Inc.

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose of this study is to investigate the effects of SC401B (ethyl esters of eicosapentaenoic acid [EPA] and docosahexaenoic acid [DHA] 2 (~1260 mg EPA+DHA), 4 (~2520 mg EPA+DHA) or 6 (~3780 mg EPA+DHA) capsules per day in subjects with hypertriglyceridemia (triglyceride [TG] ≥500 mg/dL and ≤ 2,000 mg/dL). SC401B capsules also contain certain surfactants that may aid in the absorption of EPA and DHA. Based on the results of pharmacokinetic studies of healthy human subjects, unlike Lovaza®, EPA and DHA in SC401B are bioavailable in both the fasted and fed states. The protocol specified primary endpoint is the difference from the placebo group in the percent change in TG concentration from baseline to week 12 for groups receiving 2, 4, or 6 capsules of SC401B per day. The protocol specified secondary endpoints include percent changes from baseline to week 12 for total cholesterol (TC), LDL-cholesterol (LDL-C), HDL-cholesterol (HDL-C), and non-HDL-cholesterol (non-HDL-C). Additional exploratory variables include VLDL-cholesterol (VLDL-C), LDL-cholesterol particle size, apolipoprotein (Apo) A1, Apo B, Apo C-III, and lipoprotein-associated phospholipase A2 (Lp-PLA2). An additional objective is to determine the tolerability and safety of SC401B 2, 4 and 6 capsules per day for 12 weeks. Adverse events for SC401B and placebo including burping, fishy taste, upset stomach, loose stools, stools with fishy smell or any other self-reported observations will be evaluated. Additional safety measures will include changes in liver enzymes (AST/ALT) occurring from baseline to week 12 for groups receiving 2, 4, and 6 capsules of SC401B and placebo.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Severe Hypertriglyceridemia
    Keywords
    Dyslipidemia, Hyperlipidemia, Omega-3 Fatty Acids, Metabolic Diseases, TG ≥500 mg/dL and ≤ 2,000 mg/dL

    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
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    Placebo 6 capsules (1.24 g each) daily for 12 weeks
    Arm Title
    SC401B 2 capsules
    Arm Type
    Experimental
    Arm Description
    SC401B 2 capsules (1.24 g each) + 4 placebo capsules daily for 12 weeks
    Arm Title
    SC401B 4 capsules
    Arm Type
    Experimental
    Arm Description
    SC401B 4 capsules (1.24 g each) + 2 placebo capsules daily for 12 weeks
    Arm Title
    SC401B 6 capsules
    Arm Type
    Experimental
    Arm Description
    SC401B 6 capsules (1.24 g each) daily for 12 weeks
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    Corn Oil
    Intervention Type
    Drug
    Intervention Name(s)
    SC401B 2 capsules
    Intervention Type
    Drug
    Intervention Name(s)
    SC401B 4 capsules
    Intervention Type
    Drug
    Intervention Name(s)
    SC401B 6 capsules
    Primary Outcome Measure Information:
    Title
    Fasting Serum Triglycerides
    Description
    The primary endpoints are the differences in mean percent changes from baseline to end-of-treatment (12 weeks) in triglyceride levels between placebo and 2, 4, and 6 capsules per day of SC401B.
    Time Frame
    12 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Be male or female, age 18 years Have a TG level ≥500 mg/dL and ≤2,000 mg Have the ability to understand the requirements of the study and be willing to provide written informed consent (as evidenced by signature on an informed consent document approved by an Institutional Review Board [IRB]) and agree to abide by the study restrictions and return for the required assessments. Be normally active and in good health on the basis of medical history. Willing to maintain a stable diet and not alter their physical activity level throughout the study. Women of childbearing potential must be willing to use accepted birth control methods throughout the study. Exclusion Criteria: Women who are pregnant, planning to become pregnant, or breastfeed during the study period History of pancreatitis Hemoglobin A1c > 9.5% (subjects with diabetes mellitus will be required to receive stable therapy) History of stroke, myocardial infarction, life-threatening arrhythmia, or coronary vascularization within 6 months before screening Thyroid-stimulating hormone > 1.5 x upper limit of normal; clinical evidence of hypothyroidism or thyroid hormonal therapy that has not been stable for 6 weeks before screening Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 2 x upper limit of normal An unexplained creatine kinase concentration > 3 x upper limit of normal or creatine kinase elevation due to known muscle disease (e.g., polymyositis, mitochondrial dysfunction) Blood donation of ≥1 pint within 30 days before screening or plasma donation within 7 days before screening The consumption of >2 alcoholic beverages per day after screening; a history of illicit drug use within 1 year before screening A history of symptomatic gallstone disease unless treated with cholecystectomy Known nephrotic syndrome or >3 g/day proteinuria Allergy or intolerance to omega-3 fatty acids, ethyl esters, or fish; known lipoprotein lipase impairment or deficiency or apoC-II deficiency or familial dysbetalipoproteinemia History of cancer (other than basal cell carcinoma of the skin) in the past 2 years; and a history or evidence of major and clinically significant disease that could adversely affect the conduct of the study or patient safety. Use acetylcholinesterase inhibitors or memantine, in the prior 2 months to screening Use of a lipase inhibitor such as Xenical (orlistat)
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Kevin C Maki, PhD
    Organizational Affiliation
    Biofortis Clinical Research, Inc.
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    The Efficacy of EPA+DHA (SC401B) for Lowering Triglyceride Levels (≥ 500 mg/dL)

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