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Withdrawn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
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
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
NCT ID
NCT01997268
First Posted
November 22, 2013
Last Updated
November 22, 2016
Sponsor
Sancilio and Company, Inc.
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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