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Efficacy and Safety of HS-25 or in Combination With Atorvastatin in Chinese Adults With Primary Hypercholesterolemia (HS-25-C-01)

Primary Purpose

Primary Hypercholesterolemia

Status
Unknown status
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
HS-25 10mg
HS-25 10mg combination with Atorvastatin
HS-25 20mg combination with Atorvastatin
Atorvastatin 10mg
HS-25 20mg
Placebe of HS-25 and Atorvastatin
Sponsored by
Zhejiang Hisun Pharmaceutical Co. Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Primary Hypercholesterolemia

Eligibility Criteria

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

Inclusion Criteria:

  • Subjects who are 18 to 70 years of age, male or female using a highly effective birth control method or not of child-bearing potential, at Visit 1 (screening visit);
  • LDL-C 3.36mmol/L (130 mg/dL) to 4.88 mmol/L (189 mg/dL) (inclusive) on a cholesterol lowering diet but no lipid modifying drug treatment (statins) for at least 6 weeks before signed written informed consent;
  • A qualifying LDL-C value must be obtained at the beginning and end of the placebo run-in (Visit 2 and Visit 3) and the Visit 3 value must be within 12% of the value at Visit 2, higher or lower; the average of both qualifying values must be in the range of 3.36mmol/L (130 mg/dL) to 4.88 mmol/L (189 mg/dL) (inclusive) for inclusion in the study.

Exclusion Criteria:

  • Liver transaminases > 1.5 x upper limit of normal.
  • Homozygous Familial Hypercholesterolemia.
  • Subject who was diagnosed as diabetes with aged greater than 40 years old.
  • Subject who was diagnosed as diabetes with one of the following of cardiovascular risk factorss: Hypertention Bp ≥ 140/90mmHg,or smoking, or low HDL-C (1.04mmol/L), or BMI≥28kg/m2.
  • Women who are pregnant or breast feeding.
  • Atherosclerotic cardiovascular disease including Arteriosclerotic heart disease, Acute coronary syndrome,Coronary artery bypass graft,Coronary angioplastyPeripheral arteriosclerosis,Cerebrovascular accident - history of Severe Endiocrine disease (for example Thyroid function abnormal) - History of a positive test for human immunodeficiency virus, hepatitis B or hepatitis C.
  • History of advanced cancer - Arrhythmias need to be treated by medications
  • Had severe injured or surgery in 6 months before study start.
  • Hypersensitive to HS-25 or place.
  • History of intolerance to ezetimibe.
  • Participation other studies in three months.
  • Treatment with a fibric acid derivative (eg, fenofibrate, gemfibrozil), probucol, warfarin, systemic corticosteroid, cyclosporine or other immunosuppressant agent within the prior 12 weeks.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm 6

    Arm Type

    Experimental

    Experimental

    Experimental

    Experimental

    Active Comparator

    Placebo Comparator

    Arm Label

    HS-25 10mg

    HS-25 20mg

    HS-25 10mg combination with Atorvastatin

    HS-25 20mg combination with Atorvastatin

    Aorvastatin 10mg

    Placebo of HS-25 and Aorvastatin

    Arm Description

    HS-25 10mg, Placebo of HS-25 1 tablet, Placebo of Aorvastatin 1 tablet, oral once daily, 12weeks

    HS-25 10mg 2 tablets, Placebo of Aorvastatin 1 tablet, oral once daily, 12weeks

    HS-25 10mg, Aorvastatin 10mg, Placebo of HS-25 1 tablet, oral once daily, 12 weeks

    HS-25 20mg, Aorvastatin 10mg, oral once daily, 12 weeks

    Aorvastatin 10mg, Placebo of HS-25 2 tablets, oral once daily, 12 weeks

    Placebo of HS-25 2 tablets, Placebo of Aorvastatin 1 tablet, oral once daily, 12 weeks

    Outcomes

    Primary Outcome Measures

    Percent change of LDL-C
    Percent change in LDL-C from baseline to week 12 for each group

    Secondary Outcome Measures

    Percent change of LDL-C
    Percent change in LDL-C from baseline to week 2, 4, 8, 18, 24, 38, 52 for each group
    Percent change of Non-HDL-C
    Percent change in Non-HDL-C from baseline to week 2, 4, 8, 12, 18, 24, 38, 52 for each group
    Percent change of HDL-C
    Percent change in HDL-C from baseline to week 2, 4, 8, 12, 18, 24, 38, 52 for each group
    Percent change of TC, TG, Apo B, Apo Al
    Percent change in TC, TG, Apo B, Apo Al from baseline to week 2, 4, 8, 12, 18, 24, 38, 52 for each group

    Full Information

    First Posted
    February 7, 2018
    Last Updated
    October 17, 2018
    Sponsor
    Zhejiang Hisun Pharmaceutical Co. Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03464682
    Brief Title
    Efficacy and Safety of HS-25 or in Combination With Atorvastatin in Chinese Adults With Primary Hypercholesterolemia
    Acronym
    HS-25-C-01
    Official Title
    Multi-center,Randomized,Double Blind, Double Dummy,Placebo Controlled, Efficacy and Safety Study of HS-25 in Combination With Atovastatin in Adults With Primary Hypercholesterolemia
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2018
    Overall Recruitment Status
    Unknown status
    Study Start Date
    February 28, 2015 (Actual)
    Primary Completion Date
    December 28, 2018 (Anticipated)
    Study Completion Date
    May 28, 2019 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Zhejiang Hisun Pharmaceutical Co. Ltd.

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    To determine the efficacy of the HS-25 (10mg or 20mg) or in combination with Atorvastatin (10mg)in reducing low density lipoprotein-cholesterol (LDL-C) levels after a 12-week period of treatment in adults with primary hypercholesterolemia; To determine the safety of HS-25 (10mg or 20mg) or in combination with Atorvastatin (10mg)in subjects with LDL-C after a 40-week period of treament.
    Detailed Description
    This is a 12-week, randomized, double-blind, double dummy, placebo-controlled study designed to assess the effects of the cholesterol absorption inhibitor HS-25 (10mg or 20mg) or in combination with Atorvastatin (10mg) on LDL-C levels in adults who have untreated LDL-C levels ranging from 3.36-4.88mmol/L(130-189 mg/dL)and fasting triglyceride levels < 350 mg/dL. Eligibility is restricted to 18-70 years old men or women who are using a highly effective birth control method or are not of childbearing potential;subjects with not treated by statins in six months before signature of the informed consent.Subjects with diabetes, a history of myocardial infarction or other clinical evidence of atherosclerotic vascular disease or treated are not eligible for participation in the study.

    6. Conditions and Keywords

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

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    HS-25 10mg
    Arm Type
    Experimental
    Arm Description
    HS-25 10mg, Placebo of HS-25 1 tablet, Placebo of Aorvastatin 1 tablet, oral once daily, 12weeks
    Arm Title
    HS-25 20mg
    Arm Type
    Experimental
    Arm Description
    HS-25 10mg 2 tablets, Placebo of Aorvastatin 1 tablet, oral once daily, 12weeks
    Arm Title
    HS-25 10mg combination with Atorvastatin
    Arm Type
    Experimental
    Arm Description
    HS-25 10mg, Aorvastatin 10mg, Placebo of HS-25 1 tablet, oral once daily, 12 weeks
    Arm Title
    HS-25 20mg combination with Atorvastatin
    Arm Type
    Experimental
    Arm Description
    HS-25 20mg, Aorvastatin 10mg, oral once daily, 12 weeks
    Arm Title
    Aorvastatin 10mg
    Arm Type
    Active Comparator
    Arm Description
    Aorvastatin 10mg, Placebo of HS-25 2 tablets, oral once daily, 12 weeks
    Arm Title
    Placebo of HS-25 and Aorvastatin
    Arm Type
    Placebo Comparator
    Arm Description
    Placebo of HS-25 2 tablets, Placebo of Aorvastatin 1 tablet, oral once daily, 12 weeks
    Intervention Type
    Drug
    Intervention Name(s)
    HS-25 10mg
    Intervention Description
    HS-25 10mg 1tablet add placebo of HS-25 1 tablet, placebo of Atorvastatin 1 tablet
    Intervention Type
    Drug
    Intervention Name(s)
    HS-25 10mg combination with Atorvastatin
    Intervention Description
    HS-25 10mg 1 tablet , Atorvastatin 10mg 1 tablet, Placebo of HS-25 1 tablet
    Intervention Type
    Drug
    Intervention Name(s)
    HS-25 20mg combination with Atorvastatin
    Intervention Description
    HS-25 10mg 2 tablets, Atorvastatin 10mg 1 tablet
    Intervention Type
    Drug
    Intervention Name(s)
    Atorvastatin 10mg
    Intervention Description
    Atorvastatin 10mg 1 tablet, placebo of HS-25 2 tablets
    Intervention Type
    Drug
    Intervention Name(s)
    HS-25 20mg
    Intervention Description
    HS-25 10mg 2 tablets, placebo of Atorvastatin 1 tablet
    Intervention Type
    Drug
    Intervention Name(s)
    Placebe of HS-25 and Atorvastatin
    Intervention Description
    Placebe of HS-25 2 tablets, Placebo of Atorvastatin 1 tablets
    Primary Outcome Measure Information:
    Title
    Percent change of LDL-C
    Description
    Percent change in LDL-C from baseline to week 12 for each group
    Time Frame
    12 weeks
    Secondary Outcome Measure Information:
    Title
    Percent change of LDL-C
    Description
    Percent change in LDL-C from baseline to week 2, 4, 8, 18, 24, 38, 52 for each group
    Time Frame
    52 weeks ( including 2, 4, 8, 18, 24, 38, 52 weeks)
    Title
    Percent change of Non-HDL-C
    Description
    Percent change in Non-HDL-C from baseline to week 2, 4, 8, 12, 18, 24, 38, 52 for each group
    Time Frame
    52 weeks ( including 2, 4, 8, 12, 18, 24, 38, 52 weeks)
    Title
    Percent change of HDL-C
    Description
    Percent change in HDL-C from baseline to week 2, 4, 8, 12, 18, 24, 38, 52 for each group
    Time Frame
    52 weeks ( including 2, 4, 8, 12, 18, 24, 38, 52 weeks)
    Title
    Percent change of TC, TG, Apo B, Apo Al
    Description
    Percent change in TC, TG, Apo B, Apo Al from baseline to week 2, 4, 8, 12, 18, 24, 38, 52 for each group
    Time Frame
    52 weeks ( including 2, 4, 8, 12, 18, 24, 38, 52 weeks)

    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: Subjects who are 18 to 70 years of age, male or female using a highly effective birth control method or not of child-bearing potential, at Visit 1 (screening visit); LDL-C 3.36mmol/L (130 mg/dL) to 4.88 mmol/L (189 mg/dL) (inclusive) on a cholesterol lowering diet but no lipid modifying drug treatment (statins) for at least 6 weeks before signed written informed consent; A qualifying LDL-C value must be obtained at the beginning and end of the placebo run-in (Visit 2 and Visit 3) and the Visit 3 value must be within 12% of the value at Visit 2, higher or lower; the average of both qualifying values must be in the range of 3.36mmol/L (130 mg/dL) to 4.88 mmol/L (189 mg/dL) (inclusive) for inclusion in the study. Exclusion Criteria: Liver transaminases > 1.5 x upper limit of normal. Homozygous Familial Hypercholesterolemia. Subject who was diagnosed as diabetes with aged greater than 40 years old. Subject who was diagnosed as diabetes with one of the following of cardiovascular risk factorss: Hypertention Bp ≥ 140/90mmHg,or smoking, or low HDL-C (1.04mmol/L), or BMI≥28kg/m2. Women who are pregnant or breast feeding. Atherosclerotic cardiovascular disease including Arteriosclerotic heart disease, Acute coronary syndrome,Coronary artery bypass graft,Coronary angioplastyPeripheral arteriosclerosis,Cerebrovascular accident - history of Severe Endiocrine disease (for example Thyroid function abnormal) - History of a positive test for human immunodeficiency virus, hepatitis B or hepatitis C. History of advanced cancer - Arrhythmias need to be treated by medications Had severe injured or surgery in 6 months before study start. Hypersensitive to HS-25 or place. History of intolerance to ezetimibe. Participation other studies in three months. Treatment with a fibric acid derivative (eg, fenofibrate, gemfibrozil), probucol, warfarin, systemic corticosteroid, cyclosporine or other immunosuppressant agent within the prior 12 weeks.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Jianan Wang
    Organizational Affiliation
    Second Affiliated Hospital, School of Medicine, Zhejiang University
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    Efficacy and Safety of HS-25 or in Combination With Atorvastatin in Chinese Adults With Primary Hypercholesterolemia

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