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A Clinical Trial to Evaluate the Safety and Efficacy of ZYH7 Compared to Fenofibrate in Patients With Dyslipidemia

Primary Purpose

Hypertriglyceridemia, Dyslipidemia

Status
Completed
Phase
Phase 2
Locations
India
Study Type
Interventional
Intervention
ZYH7
ZYH7
ZYH7
Fenofibrate
Sponsored by
Zydus Lifesciences Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypertriglyceridemia focused on measuring Hypertriglyceridemia, Dyslipidemia

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Age 18-65 years
  2. Subjects of either gender, males or females
  3. Triglycerides between 200 to 500 mg/dl on screening visit.
  4. Body mass index (BMI) > 23 kg/m2
  5. If subject is diabetic, he should be controlled on a maximum of two oral anti diabetic agents except Thiazolidinedione.
  6. Subject has given informed consent for participation in this trial.

Exclusion Criteria:

  1. Pregnancy and lactation.
  2. History of 5% weight loss in past 6 months.
  3. Subjects on treatment with insulin and PPAR alpha or gamma agonist in the past 3 month.
  4. Subjects having unstable angina, acute myocardial infarction in past 3 months or heart failure of New York Heart Association (NYHA) class (III-IV).
  5. Uncontrolled hypertension (150/100 mm of Hg).(If Subject using Thiazides, ACE inhibitors, beta blockers they should be on minimum 3 month stable therapy and treatment not expected to change during trial participation)
  6. History of clinically significant edema.
  7. History of pancreatitis or gall stone diseases.
  8. Subject having thyroid-stimulating hormone (TSH) levels outside normal reference range, Subjects who are clinically euthyroid and on stable thyroid replacement therapy for 2 months prior to screening and who are anticipated to remain on this dose throughout the trial period will be allowed.
  9. Uncontrolled diabetes (HbA1c ≥ 9 gm %).
  10. History of active liver disease or hepatic dysfunction demonstrated by aspartate aminotransferase (AST) and Alanine Aminotransferase(ALT) ≥ 2.5 times of upper normal limit (UNL) or bilirubin ≥ 2 times UNL in the past 3 months.
  11. Renal dysfunction demonstrated by abnormal Glomerular Filtration Rate (GFR) (60 ml/min) or presence of ketonuria.
  12. History of myopathies or evidence of active muscle diseases demonstrated by Creatinine Phosphokinase(CPK) ≥ 10 times UNL.
  13. History of any other concurrent serious illness (e.g. tuberculosis, Human Immunodeficiency Virus(HIV) infection, malignancy, etc).
  14. History of alcohol and/or drug abuse.
  15. History of known allergy, sensitivity or intolerance to the study drugs and their formulation ingredients.
  16. Subjects on any other lipid lowering medications. (Appendix I).
  17. If on contraceptive or hormone replacement therapy (HRT), therapy started or changed in last 3 months.
  18. Prolonged use of steroids (15 days) in last 3 months (topical preparations, nasal and intra-articular administration are permitted).
  19. History of long term use of non-steroidal anti-inflammatory drugs. (1 month)
  20. Participation in any other clinical trial in the past 3 months
  21. Unable to give informed consent and follow protocol requirements.

Sites / Locations

  • Vijayratna Diabetes Diagnosis & Treatment Centre, Upper Ground Floor, Sumeru Centre, Nr Parimal Underbridge, Paldi
  • Devi Hospital,Ground floor, Naranpura
  • Private clinic, 4, Stadium House, Ground Floor, Navrangpura
  • Dia Care Reseach, 1&2- Gandhi Park Society, Nr. Nehrunagar Cross Roads, Ambawadi
  • Govt. Medical College, Bhavnagar
  • Gastrocare Clinic,Ground floor, Karansinhji Main Road,
  • Balaji Hospital,First floor,clinical research department, Opp. Vidya Vikas School, Subhanpura,
  • Pace Clinical Research (A. Unit of Pranav Diabetes Centre), No. 53, Nanda Complex, Ramamurthy Nagar Main Road, Banasawadi
  • Srinivasa clinic and Diabetic Care centre, 197, 2nd floor, Near Avalahalli BDA park, BSK 3rd stage
  • Mallige Healthcare Centre, # 402, 8th main, 8th cross, Near Dr. M. C. Modi Compound. P.J.EXTN,
  • Deogiri Diabetes Centre, 46 Samata Nagar, Near Kranti Chowk Police Station
  • Bhatia Hospital, Tardeo Road,Room no 19, Basement floor,Research room,
  • Pai Clinic & Diagnostic Centre - Abhinav Apartments, 778/B-4, First floor, Shivajinagar, Next to Congress House
  • Shree Nidan Hospital, Clinical trial department, First floor, 27-28 Vidhyut nagar-A, Ajmer road
  • Mother's Care Diabetes Centre, Room no 9, Phase 1, Sathuvachari
  • Aruna Diabetes Centre, 56,Thiruvengatapuram, Near Nungambakkam Railway Station, Choolamedu
  • Department of Endocrinology, Room No.9, 4 th Floor, Ronald Ross Building, Institute of Post Graduate Medical Education & Research, 244 AJC Bose Road.
  • Room no 3027,Research block B,Department of Endocrinology PGIMER

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Active Comparator

Arm Label

ZYH7 4mg

ZYH7 8mg

ZYH7 16mg

Fenofibrate 160mg

Arm Description

ZYH7 4mg

ZYH7 8mg

ZYH7 16mg

Fenofibrate 160mg

Outcomes

Primary Outcome Measures

Percentage change in mean triglyceride level from baseline
Percentage change in mean triglyceride levels from baseline within and across each treatment of ZYH7 The changes will be compared with fenofibrate 160mg.

Secondary Outcome Measures

Percentage change from baseline in lipid parameters
Percentage change from baseline in the following lipid parameters: Low Density Lipoprotein Cholesterol(LDL) Very Low Density Lipoprotein Cholesterol (VLDL) High Density Lipoprotein (HDL) Total cholesterol Non HDL Cholesterol (Measured value) Apo A Apo B High sensitive C-Reactive Protein (hs-CRP)

Full Information

First Posted
February 22, 2012
Last Updated
October 25, 2013
Sponsor
Zydus Lifesciences Limited
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1. Study Identification

Unique Protocol Identification Number
NCT01539616
Brief Title
A Clinical Trial to Evaluate the Safety and Efficacy of ZYH7 Compared to Fenofibrate in Patients With Dyslipidemia
Official Title
A Multicentric Prospective Randomized Double Blind Parallel Group Active Controlled Study to Evaluate the Safety and Efficacy of ZYH7 Compared to Fenofibrate in Patients With Dyslipidemia
Study Type
Interventional

2. Study Status

Record Verification Date
October 2013
Overall Recruitment Status
Completed
Study Start Date
November 2011 (undefined)
Primary Completion Date
June 2012 (Actual)
Study Completion Date
August 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Zydus Lifesciences Limited

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
ZYH7, a novel peroxisome proliferator-activated receptor (PPAR) alpha agonist, is expected to decrease triglyceride level and also correct dyslipidemia.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
109 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ZYH7 4mg
Arm Type
Experimental
Arm Description
ZYH7 4mg
Arm Title
ZYH7 8mg
Arm Type
Experimental
Arm Description
ZYH7 8mg
Arm Title
ZYH7 16mg
Arm Type
Experimental
Arm Description
ZYH7 16mg
Arm Title
Fenofibrate 160mg
Arm Type
Active Comparator
Arm Description
Fenofibrate 160mg
Intervention Type
Drug
Intervention Name(s)
ZYH7
Intervention Description
ZYH7 4mg given once orally in the morning before breakfast, for 8 weeks.
Intervention Type
Drug
Intervention Name(s)
ZYH7
Intervention Description
ZYH7 8 mg given once orally in the morning before breakfast, for 8 weeks.
Intervention Type
Drug
Intervention Name(s)
ZYH7
Intervention Description
ZYH7 16 mg given once orally in the morning before breakfast, for 8 weeks.
Intervention Type
Drug
Intervention Name(s)
Fenofibrate
Intervention Description
Fenofibrate 160 mg given once orally in the morning before breakfast, for 8 weeks.
Primary Outcome Measure Information:
Title
Percentage change in mean triglyceride level from baseline
Description
Percentage change in mean triglyceride levels from baseline within and across each treatment of ZYH7 The changes will be compared with fenofibrate 160mg.
Time Frame
4 and 8 weeks
Secondary Outcome Measure Information:
Title
Percentage change from baseline in lipid parameters
Description
Percentage change from baseline in the following lipid parameters: Low Density Lipoprotein Cholesterol(LDL) Very Low Density Lipoprotein Cholesterol (VLDL) High Density Lipoprotein (HDL) Total cholesterol Non HDL Cholesterol (Measured value) Apo A Apo B High sensitive C-Reactive Protein (hs-CRP)
Time Frame
4 and 8 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age 18-65 years Subjects of either gender, males or females Triglycerides between 200 to 500 mg/dl on screening visit. Body mass index (BMI) > 23 kg/m2 If subject is diabetic, he should be controlled on a maximum of two oral anti diabetic agents except Thiazolidinedione. Subject has given informed consent for participation in this trial. Exclusion Criteria: Pregnancy and lactation. History of 5% weight loss in past 6 months. Subjects on treatment with insulin and PPAR alpha or gamma agonist in the past 3 month. Subjects having unstable angina, acute myocardial infarction in past 3 months or heart failure of New York Heart Association (NYHA) class (III-IV). Uncontrolled hypertension (150/100 mm of Hg).(If Subject using Thiazides, ACE inhibitors, beta blockers they should be on minimum 3 month stable therapy and treatment not expected to change during trial participation) History of clinically significant edema. History of pancreatitis or gall stone diseases. Subject having thyroid-stimulating hormone (TSH) levels outside normal reference range, Subjects who are clinically euthyroid and on stable thyroid replacement therapy for 2 months prior to screening and who are anticipated to remain on this dose throughout the trial period will be allowed. Uncontrolled diabetes (HbA1c ≥ 9 gm %). History of active liver disease or hepatic dysfunction demonstrated by aspartate aminotransferase (AST) and Alanine Aminotransferase(ALT) ≥ 2.5 times of upper normal limit (UNL) or bilirubin ≥ 2 times UNL in the past 3 months. Renal dysfunction demonstrated by abnormal Glomerular Filtration Rate (GFR) (60 ml/min) or presence of ketonuria. History of myopathies or evidence of active muscle diseases demonstrated by Creatinine Phosphokinase(CPK) ≥ 10 times UNL. History of any other concurrent serious illness (e.g. tuberculosis, Human Immunodeficiency Virus(HIV) infection, malignancy, etc). History of alcohol and/or drug abuse. History of known allergy, sensitivity or intolerance to the study drugs and their formulation ingredients. Subjects on any other lipid lowering medications. (Appendix I). If on contraceptive or hormone replacement therapy (HRT), therapy started or changed in last 3 months. Prolonged use of steroids (15 days) in last 3 months (topical preparations, nasal and intra-articular administration are permitted). History of long term use of non-steroidal anti-inflammatory drugs. (1 month) Participation in any other clinical trial in the past 3 months Unable to give informed consent and follow protocol requirements.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Rajendra H Jani, Ph.D (Medical)
Organizational Affiliation
Head & Senior Vice President, Clinical R&D, Cadila Healthcare Limited
Official's Role
Study Director
Facility Information:
Facility Name
Vijayratna Diabetes Diagnosis & Treatment Centre, Upper Ground Floor, Sumeru Centre, Nr Parimal Underbridge, Paldi
City
Ahmedabad
State/Province
Gujarat
ZIP/Postal Code
380007
Country
India
Facility Name
Devi Hospital,Ground floor, Naranpura
City
Ahmedabad
State/Province
Gujarat
ZIP/Postal Code
380008
Country
India
Facility Name
Private clinic, 4, Stadium House, Ground Floor, Navrangpura
City
Ahmedabad
State/Province
Gujarat
ZIP/Postal Code
380009
Country
India
Facility Name
Dia Care Reseach, 1&2- Gandhi Park Society, Nr. Nehrunagar Cross Roads, Ambawadi
City
Ahmedabad
State/Province
Gujarat
ZIP/Postal Code
380015
Country
India
Facility Name
Govt. Medical College, Bhavnagar
City
Bhavnagar
State/Province
Gujarat
ZIP/Postal Code
364001
Country
India
Facility Name
Gastrocare Clinic,Ground floor, Karansinhji Main Road,
City
Rajkot
State/Province
Gujarat
ZIP/Postal Code
360001
Country
India
Facility Name
Balaji Hospital,First floor,clinical research department, Opp. Vidya Vikas School, Subhanpura,
City
Vadodara
State/Province
Gujarat
ZIP/Postal Code
390 023
Country
India
Facility Name
Pace Clinical Research (A. Unit of Pranav Diabetes Centre), No. 53, Nanda Complex, Ramamurthy Nagar Main Road, Banasawadi
City
Bangalore
State/Province
Karnataka
ZIP/Postal Code
560 043
Country
India
Facility Name
Srinivasa clinic and Diabetic Care centre, 197, 2nd floor, Near Avalahalli BDA park, BSK 3rd stage
City
Bangalore
State/Province
Karnataka
ZIP/Postal Code
560085
Country
India
Facility Name
Mallige Healthcare Centre, # 402, 8th main, 8th cross, Near Dr. M. C. Modi Compound. P.J.EXTN,
City
Davangere
State/Province
Karnataka
ZIP/Postal Code
577002
Country
India
Facility Name
Deogiri Diabetes Centre, 46 Samata Nagar, Near Kranti Chowk Police Station
City
Aurangabad
State/Province
Maharashtra
ZIP/Postal Code
431001
Country
India
Facility Name
Bhatia Hospital, Tardeo Road,Room no 19, Basement floor,Research room,
City
Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400007
Country
India
Facility Name
Pai Clinic & Diagnostic Centre - Abhinav Apartments, 778/B-4, First floor, Shivajinagar, Next to Congress House
City
Pune
State/Province
Maharashtra
ZIP/Postal Code
411005
Country
India
Facility Name
Shree Nidan Hospital, Clinical trial department, First floor, 27-28 Vidhyut nagar-A, Ajmer road
City
Jaipur
State/Province
Rajasthan
ZIP/Postal Code
302024
Country
India
Facility Name
Mother's Care Diabetes Centre, Room no 9, Phase 1, Sathuvachari
City
Vellore
State/Province
Tamil Nadu
ZIP/Postal Code
632009
Country
India
Facility Name
Aruna Diabetes Centre, 56,Thiruvengatapuram, Near Nungambakkam Railway Station, Choolamedu
City
Chennai
State/Province
Tamilnadu
ZIP/Postal Code
600094
Country
India
Facility Name
Department of Endocrinology, Room No.9, 4 th Floor, Ronald Ross Building, Institute of Post Graduate Medical Education & Research, 244 AJC Bose Road.
City
Kolkata
State/Province
West Bengal
ZIP/Postal Code
700020
Country
India
Facility Name
Room no 3027,Research block B,Department of Endocrinology PGIMER
City
Chandigarh
ZIP/Postal Code
160012
Country
India

12. IPD Sharing Statement

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A Clinical Trial to Evaluate the Safety and Efficacy of ZYH7 Compared to Fenofibrate in Patients With Dyslipidemia

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