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An Investigational Drug on Clinical Outcomes in Patients With Aortic Stenosis (Narrowing of the Major Blood Vessel of the Heart)(MK-0653A-043 AM4)(COMPLETED)

Primary Purpose

Aortic Stenosis

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
ezetimibe (+) simvastatin
Comparator: Placebo
Sponsored by
Organon and Co
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Aortic Stenosis

Eligibility Criteria

45 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Patients aged 45 to 85 with mild abnormalities of the aortic valve as confirmed by an echocardiogram. Exclusion Criteria: Patients previously in a trial using the study drug, or currently taking any medications that are not allowed in this study.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    EZ/Simva 10/40 mg

    Placebo

    Arm Description

    Ezetimibe 10 mg + Simvastatin 40 mg

    Outcomes

    Primary Outcome Measures

    Number of Participants That Experienced One or More Components of the Composite Clinical Endpoint of MCE (Major Cardiovascular Events)
    Composite endpoint of MCE consists of cardiovascular death, AVR (aortic valve replacement) surgery, CHF(congestive heart failure) as a result of progression of aortic stenosis, nonfatal MI (myocardial infarction), CABG (coronary artery bypass) surgery, PCI (percutaneous coronary intervention), hospitalized unstable angina, and nonhemorrhagic stroke

    Secondary Outcome Measures

    Number of Participants That Experienced One or More Components of the Composite Clinical Endpoint of AVE (Aortic Valve Events)
    Composite endpoint of AVE (aortic valve events) consists of AVR surgery, CHF (as a result of progression of AS), or cardiovascular death
    Number of Participants That Experienced One or More Components of the Composite Clinical Endpoint of ICE (Ischemic Cardiovascular Events)
    Composite endpoint of ICE (ischemic cardiovascular events) consists of cardiovascular death, nonfatal MI, CABG, PCI, hospitalized unstable angina, and nonhemorrhagic stroke
    Change From Baseline in Peak Transaortic Jet Velocity
    Mean change from baseline in peak transaortic jet velocity

    Full Information

    First Posted
    September 23, 2004
    Last Updated
    February 3, 2022
    Sponsor
    Organon and Co
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00092677
    Brief Title
    An Investigational Drug on Clinical Outcomes in Patients With Aortic Stenosis (Narrowing of the Major Blood Vessel of the Heart)(MK-0653A-043 AM4)(COMPLETED)
    Official Title
    A Multicenter, Double-Blind, Randomized, Placebo-Controlled Study to Evaluate the Effects of Ezetimibe + Simvastatin on Clinical Outcomes in Patients With Aortic Stenosis
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2022
    Overall Recruitment Status
    Completed
    Study Start Date
    January 2001 (undefined)
    Primary Completion Date
    April 2008 (Actual)
    Study Completion Date
    April 2008 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Organon and Co

    4. Oversight

    5. Study Description

    Brief Summary
    The purpose of this study is to evaluate whether treatment with an investigational drug as compared to placebo will reduce the risk of major cardiovascular events in patients with aortic stenosis.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Aortic Stenosis

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    1873 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    EZ/Simva 10/40 mg
    Arm Type
    Experimental
    Arm Description
    Ezetimibe 10 mg + Simvastatin 40 mg
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    ezetimibe (+) simvastatin
    Other Intervention Name(s)
    MK0653A
    Intervention Description
    Duration of Treatment: 4 years
    Intervention Type
    Drug
    Intervention Name(s)
    Comparator: Placebo
    Intervention Description
    matching Placebo
    Primary Outcome Measure Information:
    Title
    Number of Participants That Experienced One or More Components of the Composite Clinical Endpoint of MCE (Major Cardiovascular Events)
    Description
    Composite endpoint of MCE consists of cardiovascular death, AVR (aortic valve replacement) surgery, CHF(congestive heart failure) as a result of progression of aortic stenosis, nonfatal MI (myocardial infarction), CABG (coronary artery bypass) surgery, PCI (percutaneous coronary intervention), hospitalized unstable angina, and nonhemorrhagic stroke
    Time Frame
    Entire follow-up (median = 4.35 years)
    Secondary Outcome Measure Information:
    Title
    Number of Participants That Experienced One or More Components of the Composite Clinical Endpoint of AVE (Aortic Valve Events)
    Description
    Composite endpoint of AVE (aortic valve events) consists of AVR surgery, CHF (as a result of progression of AS), or cardiovascular death
    Time Frame
    Entire follow-up (median = 4.35 years)
    Title
    Number of Participants That Experienced One or More Components of the Composite Clinical Endpoint of ICE (Ischemic Cardiovascular Events)
    Description
    Composite endpoint of ICE (ischemic cardiovascular events) consists of cardiovascular death, nonfatal MI, CABG, PCI, hospitalized unstable angina, and nonhemorrhagic stroke
    Time Frame
    Entire follow-up (median = 4.35 years)
    Title
    Change From Baseline in Peak Transaortic Jet Velocity
    Description
    Mean change from baseline in peak transaortic jet velocity
    Time Frame
    Baseline to End of follow-up (median = 4.35 years) or pre-aortic valve replacement
    Other Pre-specified Outcome Measures:
    Title
    Cardiovascular Death
    Description
    Number of participants that experienced cardiovascular death
    Time Frame
    Entire follow-up (median = 4.35 years)
    Title
    Aortic Valve Replacement (AVR)
    Description
    Number of participants that experienced aortic valve replacement (AVR)
    Time Frame
    Entire follow-up (median = 4.35 years)
    Title
    Congestive Heart Failure (CHF) Due to Progression of Aortic Stenosis (AS)
    Description
    Number of participants that experienced Congestive Heart Failure (CHF) due to progression of aortic stenosis (AS)
    Time Frame
    Entire follow-up (median = 4.35 years)
    Title
    Nonfatal Myocardial Infarction (MI)
    Description
    Number of participants that experienced nonfatal myocardial infarction (MI)
    Time Frame
    Entire follow-up (median = 4.35 years)
    Title
    Coronary Artery Bypass Grafting (CABG)
    Description
    Number of participants that experienced coronary artery bypass grafting (CABG)
    Time Frame
    Entire follow-up (median = 4.35 years)
    Title
    Percutaneous Coronary Intervention (PCI)
    Description
    Number of participants that experienced percutaneous coronary intervention (PCI)
    Time Frame
    Entire follow-up (median = 4.35 years)
    Title
    Hospitalization for Unstable Angina
    Description
    Number of participants that experienced hospitalization for unstable angina
    Time Frame
    Entire follow-up (median = 4.35 years)
    Title
    Nonhemorrhagic Stroke
    Description
    Number of participants that experienced nonhemorrhagic stroke
    Time Frame
    Entire follow-up (median = 4.35 years)
    Title
    Death (Any Cause)
    Description
    Number of participants that died (any cause)
    Time Frame
    Entire follow-up (median = 4.35 years)
    Title
    Percent Change in Time Weighted Average Total Cholesterol From Baseline to End of Follow-up
    Description
    Mean percent change (time-weighted average over follow-up) from baseline: Time-weighted average calculated using values at week 8, week 24, year 1 and every 6 months with time interval (days) between 2 successive values used as the weighting factor. For the first follow-up value, the weight was the number of days from randomization.
    Time Frame
    Baseline to End of follow-up (median = 4.35 years)
    Title
    Percent Change in Time Weighted Average Low-density Lipoprotein Cholesterol (LDL-C) From Baseline to End of Follow-up
    Description
    Mean percent change (time-weighted average over follow-up) from baseline: Time-weighted average calculated using values at week 8, week 24, year 1 and every 6 months with time interval (days) between 2 successive values used as the weighting factor. For the first follow-up value, the weight was the number of days from randomization.
    Time Frame
    Baseline to End of follow-up (median = 4.35 years)
    Title
    Percent Change in Time Weighted Average High-density Lipoprotein Cholesterol (HDL-C) From Baseline to End of Follow-up
    Description
    Mean percent change (time-weighted average over follow-up) from baseline: Time-weighted average calculated using values at week 8, week 24, year 1 and every 6 months with time interval (days) between 2 successive values used as the weighting factor. For the first follow-up value, the weight was the number of days from randomization.
    Time Frame
    Baseline to End of follow-up (median = 4.35 years)
    Title
    Percent Change in Time Weighted Average Triglycerides From Baseline to End of Follow-up
    Description
    Mean percent change (time-weighted average over follow-up) from baseline: Time-weighted average calculated using values at week 8, week 24, year 1 and every 6 months with time interval (days) between 2 successive values used as the weighting factor. For the first follow-up value, the weight was the number of days from randomization.
    Time Frame
    Baseline to End of follow-up (median = 4.35 years)

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    45 Years
    Maximum Age & Unit of Time
    85 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Patients aged 45 to 85 with mild abnormalities of the aortic valve as confirmed by an echocardiogram. Exclusion Criteria: Patients previously in a trial using the study drug, or currently taking any medications that are not allowed in this study.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Medical Monitor
    Organizational Affiliation
    Merck Sharp & Dohme LLC
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    http://www.merck.com/clinical-trials/pdf/Merck%20Procedure%20on%20Clinical%20Trial%20Data%20Access%20Final_Updated%20July_9_2014.pdf http://engagezone.msd.com/ds_documentation.php
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    Learn more about this trial

    An Investigational Drug on Clinical Outcomes in Patients With Aortic Stenosis (Narrowing of the Major Blood Vessel of the Heart)(MK-0653A-043 AM4)(COMPLETED)

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