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A Safety and Efficacy Study of DRL-17822, a Cholesteryl Ester Transfer Protein (CETP) Inhibitor, in Patients With Abnormal Cholesterol Levels

Primary Purpose

Type II Hyperlipidemia

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
DRL-17822 or placebo
Sponsored by
Dr. Reddy's Laboratories Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type II Hyperlipidemia focused on measuring Randomized, Double-Blind, Placebo Controlled, Parallel Arm, Type II Hyperlipidemia, Cholesteryl Ester Transferase Protein Inhibitor, CETP Inhibitor

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients with Type II hyperlipidemia having lipid values of HDL-C: males ≤ 44 mg/dL (≤1.13 mmol/L), females ≤ 54 mg/dL (≤1.39 mmol/L); LDL-C: ≥ 130 mg/dL (≥3.33 mmol/L);
  • Male or female, 18 to 70 years of age, inclusive. Female patients must be postmenopausal or surgically sterile. Men, unless surgically sterile must practice birth control from screening until the end of the study;
  • Ability and willingness to give written informed consent;
  • No clinically significant abnormal findings on medical history, physical examination, vital signs, 12-lead electrocardiogram (ECG), and clinical laboratory profiles of both blood and urine.

Exclusion Criteria:

  • Patients with significant cardiac disease such as myocardial infarction, heart failure, coronary or peripheral artery angioplasty, bypass graft surgery, severe or unstable angina pectoris, cardiac arrhythmias, hypertension or any other disease which requires treatment;
  • Uncontrolled diabetes (HbA1c > 8.0%);
  • History of symptomatic cerebrovascular disease such as symptomatic carotid artery disease, cerebrovascular hemorrhage, transient ischemic attack or carotid endarterectomy or any disease which requires treatment;
  • History of clinically significant hematologic, renal, hepatic, neurologic, endocrine, oncologic, pulmonary, immunologic or psychiatric disorders;
  • Any current or recent (within 4 weeks of run-in) concomitant therapy (apart from paracetamol/acetaminophen and non-steroidal anti-inflammatory drugs [NSAIDs]). Patients on previous concomitant treatment may enter the study if the treatment has been discontinued, when appropriate and if ethically justified, at least four weeks prior to run-in;
  • Body mass index (BMI)> 35 kg/m(2);
  • Positive for hepatitis B, C or HIV or known history or concurrent tuberculosis;
  • Positive drug screen result (i.e., cocaine, opiates, amphetamine, cannabis, barbiturates, benzodiazepines and/or metadone);
  • Pregnant, breast feeding or women of child-bearing potential;
  • Regular use of non-drug therapies such as garlic supplements and St. John's Wort;
  • Presence or history of alcoholism or drug abuse;
  • Use of more than 21 units of alcohol per week for males or more than 14 units per week for females;
  • Smoking within 3 months prior to screening;
  • Relevant drug hypersensitivity or allergy or any serious adverse event reaction to lipid regulating agents;
  • Administration of study drug in another drug study within 90 days prior to enrollment or participation in another drug trial from screening to last follow-up of this study; Any surgical or medical condition which makes the patient unsuitable to participate in the opinion of the Investigator.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Placebo Comparator

Experimental

Experimental

Experimental

Arm Label

Placebo capsule

DRL-17822 50 mg

DRL-17822 150 mg

DRL-17822 300 mg

Arm Description

Outcomes

Primary Outcome Measures

Percent Change in HDL-C From Baseline
Percent change from baseline in HDL-C after 28 days of treatment in patients with Type II hyperlipidemia

Secondary Outcome Measures

Safety and Tolerability of DRL-17822
Incidence of treatment-related adverse events
Changes in Vital Signs Including Blood Pressure
Vital sign abnormalities reported as treatment-emergent AEs
To Evaluate Trough Levels of DRL-17822 in Plasma
Trough levels of DRL-17822 in plasma after 28 days of treatment
Changes in CETP Inhibition in Plasma
Percent change from baseline in CETP Inhibition
Changes in Other Lipids and Apolipoproteins
Change from baseline (LOCF, ITT population)

Full Information

First Posted
July 5, 2011
Last Updated
March 18, 2014
Sponsor
Dr. Reddy's Laboratories Limited
Collaborators
PharmaNet
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1. Study Identification

Unique Protocol Identification Number
NCT01388816
Brief Title
A Safety and Efficacy Study of DRL-17822, a Cholesteryl Ester Transfer Protein (CETP) Inhibitor, in Patients With Abnormal Cholesterol Levels
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Parallel Group Study to Evaluate Efficacy, Safety and Tolerability of DRL-17822 in Patients With Type II Hyperlipidemia
Study Type
Interventional

2. Study Status

Record Verification Date
March 2014
Overall Recruitment Status
Completed
Study Start Date
July 2011 (undefined)
Primary Completion Date
May 2012 (Actual)
Study Completion Date
June 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Dr. Reddy's Laboratories Limited
Collaborators
PharmaNet

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine if a new drug, DRL-17822, is safe and effective in elevating high density lipoprotein cholesterol (HDL-C) and reducing low density lipoprotein cholesterol (LDL-C) in people with abnormal cholesterol levels that may put them at risk for heart disease.
Detailed Description
Cardiovascular disease is a leading cause of death worldwide. Among cardiovascular disorders, coronary heart disease (CHD) caused by atherosclerosis is the most common cause of morbidity and mortality. Prevention, stabilization and regression of atherosclerotic plaques may have a major impact on reducing the risk of acute coronary events. LDL-C lowering agents, primarily the statins, are the current mainstay in the pharmacologic management of dyslipidemia. However even with stain use, residual CHD risk from dyslipidemia remains. Epidemiologic and observational studies have shown that HDL-C is also a strong independent predictor of CHD, suggesting that raising HDL-C levels might afford clinical benefit in the reduction of cardiovascular risk. Presently only niacin is approved by the FDA for HDL-C elevation and can raise HDL-C levels by 20-30%. However its use can be limited by a high incidence of flushing and, less commonly, by elevation of blood glucose and potential hepatic toxicity. Cholesteryl ester transfer protein (CETP) inhibitors are being explored for their ability to elevate HDL-C. A small molecule CETP inhibitor, torcetrapib, has been demonstrated to elevate HDL-C by 60-100%. However, a large clinical trial (ILLUMINATE) where it increased HDL-C by a mean of 72% compared to baseline was halted as it failed to show benefit. Post-hoc analysis of this study implicated an off-target increase in blood pressure as potentially counteracting any anti-atherosclerotic benefits. Post-hoc subgroup analysis showed that patients in the highest HDL-C quartile had a 57% reduction in the risk of cardiovascular events. Increased blood pressure appears to be specifically related to torcetrapib as two other small molecule CETP inhibitors, anacetrapib and dalcetrapib, have not shown this in clinical trials and have been well tolerated. DRL-17822 has also not shown elevation of blood pressure in either animals or in normal volunteers. This study will investigate the efficacy and tolerability of DRL-17822 as dyslipidemia monotherapy in patients with Type II hyperlipidemia.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type II Hyperlipidemia
Keywords
Randomized, Double-Blind, Placebo Controlled, Parallel Arm, Type II Hyperlipidemia, Cholesteryl Ester Transferase Protein Inhibitor, CETP Inhibitor

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Placebo capsule
Arm Type
Placebo Comparator
Arm Title
DRL-17822 50 mg
Arm Type
Experimental
Arm Title
DRL-17822 150 mg
Arm Type
Experimental
Arm Title
DRL-17822 300 mg
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
DRL-17822 or placebo
Intervention Description
DRL-17822 50, 150 or 300 mg or matching placebo once daily after breakfast
Primary Outcome Measure Information:
Title
Percent Change in HDL-C From Baseline
Description
Percent change from baseline in HDL-C after 28 days of treatment in patients with Type II hyperlipidemia
Time Frame
28 days
Secondary Outcome Measure Information:
Title
Safety and Tolerability of DRL-17822
Description
Incidence of treatment-related adverse events
Time Frame
28 days
Title
Changes in Vital Signs Including Blood Pressure
Description
Vital sign abnormalities reported as treatment-emergent AEs
Time Frame
28 days
Title
To Evaluate Trough Levels of DRL-17822 in Plasma
Description
Trough levels of DRL-17822 in plasma after 28 days of treatment
Time Frame
28 days
Title
Changes in CETP Inhibition in Plasma
Description
Percent change from baseline in CETP Inhibition
Time Frame
28 days
Title
Changes in Other Lipids and Apolipoproteins
Description
Change from baseline (LOCF, ITT population)
Time Frame
28 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with Type II hyperlipidemia having lipid values of HDL-C: males ≤ 44 mg/dL (≤1.13 mmol/L), females ≤ 54 mg/dL (≤1.39 mmol/L); LDL-C: ≥ 130 mg/dL (≥3.33 mmol/L); Male or female, 18 to 70 years of age, inclusive. Female patients must be postmenopausal or surgically sterile. Men, unless surgically sterile must practice birth control from screening until the end of the study; Ability and willingness to give written informed consent; No clinically significant abnormal findings on medical history, physical examination, vital signs, 12-lead electrocardiogram (ECG), and clinical laboratory profiles of both blood and urine. Exclusion Criteria: Patients with significant cardiac disease such as myocardial infarction, heart failure, coronary or peripheral artery angioplasty, bypass graft surgery, severe or unstable angina pectoris, cardiac arrhythmias, hypertension or any other disease which requires treatment; Uncontrolled diabetes (HbA1c > 8.0%); History of symptomatic cerebrovascular disease such as symptomatic carotid artery disease, cerebrovascular hemorrhage, transient ischemic attack or carotid endarterectomy or any disease which requires treatment; History of clinically significant hematologic, renal, hepatic, neurologic, endocrine, oncologic, pulmonary, immunologic or psychiatric disorders; Any current or recent (within 4 weeks of run-in) concomitant therapy (apart from paracetamol/acetaminophen and non-steroidal anti-inflammatory drugs [NSAIDs]). Patients on previous concomitant treatment may enter the study if the treatment has been discontinued, when appropriate and if ethically justified, at least four weeks prior to run-in; Body mass index (BMI)> 35 kg/m(2); Positive for hepatitis B, C or HIV or known history or concurrent tuberculosis; Positive drug screen result (i.e., cocaine, opiates, amphetamine, cannabis, barbiturates, benzodiazepines and/or metadone); Pregnant, breast feeding or women of child-bearing potential; Regular use of non-drug therapies such as garlic supplements and St. John's Wort; Presence or history of alcoholism or drug abuse; Use of more than 21 units of alcohol per week for males or more than 14 units per week for females; Smoking within 3 months prior to screening; Relevant drug hypersensitivity or allergy or any serious adverse event reaction to lipid regulating agents; Administration of study drug in another drug study within 90 days prior to enrollment or participation in another drug trial from screening to last follow-up of this study; Any surgical or medical condition which makes the patient unsuitable to participate in the opinion of the Investigator.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kent Allenby, MD
Organizational Affiliation
Dr. Reddy's Laboratories
Official's Role
Study Director
Facility Information:
City
Genova
Country
Italy
City
Milano
Country
Italy
City
Modena
Country
Italy
City
Palermo
Country
Italy
City
Perugia
Country
Italy
City
Gdynia
Country
Poland
City
Gniewkowo
Country
Poland
City
Katowice
Country
Poland
City
Wroclaw
Country
Poland
City
Chernivtsi
Country
Ukraine
City
Kharkov
Country
Ukraine
City
Kyiv
Country
Ukraine

12. IPD Sharing Statement

Learn more about this trial

A Safety and Efficacy Study of DRL-17822, a Cholesteryl Ester Transfer Protein (CETP) Inhibitor, in Patients With Abnormal Cholesterol Levels

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