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Evaluation of ETC-1002 vs Placebo in Patients Receiving Ongoing Statin Therapy

Primary Purpose

Hypercholesterolemia

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
ETC-1002
Placebo
Statin Therapy
Sponsored by
Esperion Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypercholesterolemia focused on measuring Statin, LDL, Cholesterol

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Fasting, calculated mean LDL-C ≥130 mg/dL and ≤220 mg/dL
  • Fasting mean TG level ≤400 mg/dL
  • Stable statin therapy for at least 3 months prior to screening: atorvastatin (10 or 20 mg daily), simvastatin (5, 10 or 20 mg daily), rosuvastatin (5 or 10 mg daily), or pravastatin (10, 20 or 40 mg daily)

Exclusion Criteria:

  • Clinically significant cardiovascular disease within 12 months of screening
  • Current muscle-related symptoms that may be due to ongoing statin therapy or a history of certain lab abnormalities that occurred during statin therapy and resolved when statin therapy was discontinued
  • Type 1 diabetes or uncontrolled type 2 diabetes
  • Use of metformin or thiazolidinediones (TZD) within 4 weeks of screening
  • History of chronic musculoskeletal symptoms such as fibromyalgia
  • Uncontrolled hypothyroidism
  • Liver disease or dysfunction
  • Renal dysfunction or nephritic syndrome
  • Gastrointestinal conditions or procedures or surgeries
  • Hematologic or coagulation disorders or low hemoglobin levels
  • HIV or AIDS
  • History of malignancy
  • History of drug or alcohol abuse within 2 years
  • Use of experimental or investigational drugs within 30 days of screening
  • Use of ETC-1002 in a previous clinical study

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

ETC-1002 120 mg/day

ETC-1002 180 mg/day

Placebo

Arm Description

Orally, once daily in morning as capsules

Orally, once daily in morning as capsules

Orally, once daily in morning

Outcomes

Primary Outcome Measures

Percent change from baseline in calculated low density lipoprotein-cholesterol (LDL-C)

Secondary Outcome Measures

Percent change in non-high-density lipoprotein cholesterol (non-HDL-C)
Percent change in apolipoprotein B (ApoB)
Percent change in total cholesterol (TC)
Percent change in high-sensitivity C-reactive protein (hsCRP)
Percent change in triglycerides (TG)
Percent change in lipoprotein particle number
Safety using adverse event reports; clinical laboratory results
Safety using adverse event reports; vital signs
Pharmacokinetic plasma trough concentrations of ETC-1002 and metabolite 15228

Full Information

First Posted
February 24, 2014
Last Updated
March 26, 2019
Sponsor
Esperion Therapeutics, Inc.
Collaborators
Medpace, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02072161
Brief Title
Evaluation of ETC-1002 vs Placebo in Patients Receiving Ongoing Statin Therapy
Official Title
A Randomized, Double-Blind, Parallel-Group Study to Evaluate the Efficacy and Safety of ETC-1002 Versus Placebo in Patients With Hypercholesterolemia Receiving Ongoing Statin Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
March 2019
Overall Recruitment Status
Completed
Study Start Date
March 2014 (undefined)
Primary Completion Date
January 2015 (Actual)
Study Completion Date
January 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Esperion Therapeutics, Inc.
Collaborators
Medpace, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this research study is to see how ETC-1002 is tolerated in the body and how ETC-1002 affects the levels of LDL-C (bad cholesterol) in patients receiving ongoing statin therapy.
Detailed Description
Approximately 132 hypercholesterolemic patients already taking statin therapy to treat elevated LDL-C will be randomized in a ratio of 1:1:1 to receive either ETC-1002 (120 mg or 180 mg dose), or placebo for 12 weeks in addition to ongoing statin therapy. This study will explore the safety and efficacy of ETC-1002 when given to patients receiving statin therapy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypercholesterolemia
Keywords
Statin, LDL, Cholesterol

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
ETC-1002 120 mg/day
Arm Type
Experimental
Arm Description
Orally, once daily in morning as capsules
Arm Title
ETC-1002 180 mg/day
Arm Type
Experimental
Arm Description
Orally, once daily in morning as capsules
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Orally, once daily in morning
Intervention Type
Drug
Intervention Name(s)
ETC-1002
Intervention Description
ETC-1002 capsules, taken once daily oral
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo capsules, taken once daily oral
Intervention Type
Drug
Intervention Name(s)
Statin Therapy
Intervention Description
Patients remained on ongoing statin therapy (not study provided) of either Atorvastatin 10mg or 20mg; Simvastatin 5mg, 10mg or 20mg; Rosuvastatin 5mg or 10mg; or Pravastatin 10mg, 20mg or 40mg.
Primary Outcome Measure Information:
Title
Percent change from baseline in calculated low density lipoprotein-cholesterol (LDL-C)
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
Percent change in non-high-density lipoprotein cholesterol (non-HDL-C)
Time Frame
12 weeks
Title
Percent change in apolipoprotein B (ApoB)
Time Frame
12 weeks
Title
Percent change in total cholesterol (TC)
Time Frame
12 weeks
Title
Percent change in high-sensitivity C-reactive protein (hsCRP)
Time Frame
12 weeks
Title
Percent change in triglycerides (TG)
Time Frame
12 weeks
Title
Percent change in lipoprotein particle number
Time Frame
12 weeks
Title
Safety using adverse event reports; clinical laboratory results
Time Frame
12 weeks
Title
Safety using adverse event reports; vital signs
Time Frame
12 weeks
Title
Pharmacokinetic plasma trough concentrations of ETC-1002 and metabolite 15228
Time Frame
12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Fasting, calculated mean LDL-C ≥130 mg/dL and ≤220 mg/dL Fasting mean TG level ≤400 mg/dL Stable statin therapy for at least 3 months prior to screening: atorvastatin (10 or 20 mg daily), simvastatin (5, 10 or 20 mg daily), rosuvastatin (5 or 10 mg daily), or pravastatin (10, 20 or 40 mg daily) Exclusion Criteria: Clinically significant cardiovascular disease within 12 months of screening Current muscle-related symptoms that may be due to ongoing statin therapy or a history of certain lab abnormalities that occurred during statin therapy and resolved when statin therapy was discontinued Type 1 diabetes or uncontrolled type 2 diabetes Use of metformin or thiazolidinediones (TZD) within 4 weeks of screening History of chronic musculoskeletal symptoms such as fibromyalgia Uncontrolled hypothyroidism Liver disease or dysfunction Renal dysfunction or nephritic syndrome Gastrointestinal conditions or procedures or surgeries Hematologic or coagulation disorders or low hemoglobin levels HIV or AIDS History of malignancy History of drug or alcohol abuse within 2 years Use of experimental or investigational drugs within 30 days of screening Use of ETC-1002 in a previous clinical study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Diane E MacDougall
Organizational Affiliation
Esperion Therapeutics, Inc.
Official's Role
Study Director
Facility Information:
City
Muscle Shoals
State/Province
Alabama
ZIP/Postal Code
35662
Country
United States
City
Chandler
State/Province
Arizona
ZIP/Postal Code
85224
Country
United States
City
Chino
State/Province
California
ZIP/Postal Code
91710
Country
United States
City
Los Angeles
State/Province
California
ZIP/Postal Code
90057
Country
United States
City
Sacramento
State/Province
California
ZIP/Postal Code
95821
Country
United States
City
Walnut Creek
State/Province
California
ZIP/Postal Code
94595
Country
United States
City
Denver
State/Province
Colorado
ZIP/Postal Code
80220
Country
United States
City
Hartford
State/Province
Connecticut
ZIP/Postal Code
06102
Country
United States
City
Brandon
State/Province
Florida
ZIP/Postal Code
33511
Country
United States
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32216
Country
United States
City
Oviedo
State/Province
Florida
ZIP/Postal Code
32765
Country
United States
City
Ponte Vedra
State/Province
Florida
ZIP/Postal Code
32081
Country
United States
City
Tampa
State/Province
Florida
ZIP/Postal Code
33606
Country
United States
City
West Palm Beach
State/Province
Florida
ZIP/Postal Code
33409
Country
United States
City
Marietta
State/Province
Georgia
ZIP/Postal Code
30066
Country
United States
City
Boise
State/Province
Idaho
ZIP/Postal Code
83704
Country
United States
City
Meridian
State/Province
Idaho
ZIP/Postal Code
83646
Country
United States
City
Evansville
State/Province
Indiana
ZIP/Postal Code
47714
Country
United States
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46260
Country
United States
City
Wichita
State/Province
Kansas
ZIP/Postal Code
67205
Country
United States
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40213
Country
United States
City
Port Gibson
State/Province
Mississippi
ZIP/Postal Code
39150
Country
United States
City
Rochester
State/Province
New York
ZIP/Postal Code
14609
Country
United States
City
Salisbury
State/Province
North Carolina
ZIP/Postal Code
28144
Country
United States
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45219
Country
United States
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45245
Country
United States
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43213
Country
United States
City
Franklin
State/Province
Ohio
ZIP/Postal Code
45005
Country
United States
City
Lyndhurst
State/Province
Ohio
ZIP/Postal Code
44124
Country
United States
City
Marion
State/Province
Ohio
ZIP/Postal Code
43302
Country
United States
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74136
Country
United States
City
Greer
State/Province
South Carolina
ZIP/Postal Code
29651
Country
United States
City
Mount Pleasant
State/Province
South Carolina
ZIP/Postal Code
29464
Country
United States
City
Summerville
State/Province
South Carolina
ZIP/Postal Code
29485
Country
United States
City
Kingsport
State/Province
Tennessee
ZIP/Postal Code
37660
Country
United States
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
City
Bountiful
State/Province
Utah
ZIP/Postal Code
84010
Country
United States
City
Orem
State/Province
Utah
ZIP/Postal Code
84058
Country
United States
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23502
Country
United States
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23294
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
24385236
Citation
Gutierrez MJ, Rosenberg NL, Macdougall DE, Hanselman JC, Margulies JR, Strange P, Milad MA, McBride SJ, Newton RS. Efficacy and safety of ETC-1002, a novel investigational low-density lipoprotein-cholesterol-lowering therapy for the treatment of patients with hypercholesterolemia and type 2 diabetes mellitus. Arterioscler Thromb Vasc Biol. 2014 Mar;34(3):676-83. doi: 10.1161/ATVBAHA.113.302677. Epub 2014 Jan 2.
Results Reference
background
PubMed Identifier
23770179
Citation
Ballantyne CM, Davidson MH, Macdougall DE, Bays HE, Dicarlo LA, Rosenberg NL, Margulies J, Newton RS. Efficacy and safety of a novel dual modulator of adenosine triphosphate-citrate lyase and adenosine monophosphate-activated protein kinase in patients with hypercholesterolemia: results of a multicenter, randomized, double-blind, placebo-controlled, parallel-group trial. J Am Coll Cardiol. 2013 Sep 24;62(13):1154-62. doi: 10.1016/j.jacc.2013.05.050. Epub 2013 Jun 13.
Results Reference
background
PubMed Identifier
23709692
Citation
Filippov S, Pinkosky SL, Lister RJ, Pawloski C, Hanselman JC, Cramer CT, Srivastava RAK, Hurley TR, Bradshaw CD, Spahr MA, Newton RS. ETC-1002 regulates immune response, leukocyte homing, and adipose tissue inflammation via LKB1-dependent activation of macrophage AMPK. J Lipid Res. 2013 Aug;54(8):2095-2108. doi: 10.1194/jlr.M035212. Epub 2013 May 24.
Results Reference
background
PubMed Identifier
23118444
Citation
Pinkosky SL, Filippov S, Srivastava RA, Hanselman JC, Bradshaw CD, Hurley TR, Cramer CT, Spahr MA, Brant AF, Houghton JL, Baker C, Naples M, Adeli K, Newton RS. AMP-activated protein kinase and ATP-citrate lyase are two distinct molecular targets for ETC-1002, a novel small molecule regulator of lipid and carbohydrate metabolism. J Lipid Res. 2013 Jan;54(1):134-51. doi: 10.1194/jlr.M030528. Epub 2012 Nov 1.
Results Reference
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Evaluation of ETC-1002 vs Placebo in Patients Receiving Ongoing Statin Therapy

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