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Efficacy of Lapaquistat Acetate on Blood Cholesterol Levels in Treating Subjects With Hypercholesterolemia

Primary Purpose

Hypercholesterolemia

Status
Terminated
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Lapaquistat acetate
Placebo
Sponsored by
Takeda
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypercholesterolemia focused on measuring Hyperlipidemia, Drug Therapy

Eligibility Criteria

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

Inclusion Criteria:

  • Females of childbearing potential who are sexually active must agree to use adequate contraception from screening throughout the duration of the study and for 30 days following the last dose.
  • Prior to Randomization, the participant has a mean low density lipoprotein cholesterol level greater than or equal to 130 mg/dL and less than or equal to 190 mg/dL for 2 consecutive samples.
  • Prior to Randomization, the subject has mean triglyceride level greater than or equal to 400 mg/dL for 2 consecutive samples.
  • Is willing and able to comply with the recommended, standardized diet.

Exclusion Criteria:

  • Has an nine aminotransferase or aspartate aminotransferase level greater than 1.5 times the upper limit of normal, identified during screening.
  • Has a serum creatinine greater than 133 mmol/L, identified during screening.
  • Has a creatine kinase greater than 3 times the upper limit of normal, identified during screening.
  • Has active liver disease or jaundice.
  • Has taken any fibrates within 42 days of Visit 1 or any lipid-lowering therapy for at least 30 days prior to Screening.
  • Has a previous history of cancer that has been in remission for less than 5 years prior to the first dose of study medication.
  • Has an endocrine disorder, such as Cushing's syndrome, hyperthyroidism, or inappropriately treated hypothyroidism affecting lipid metabolism.
  • Has a history of myocardial infarction, angina pectoris, unstable angina, transient ischemic attacks, cerebrovascular accident, peripheral vascular disease, abdominal aortic aneurysm, coronary angioplasty, coronary or peripheral arterial surgery, or multiple risk factors that confer a 10-year risk for cardiovascular heart disease greater than 20% based on Framingham risk scoring.
  • Has a positive hepatitis B surface antigen or hepatitis C virus antibody test, as determined by medical history.
  • Has a positive human immunodeficiency virus status or is taking antiretroviral medications, as determined by medical history and/or subject's verbal report.
  • Has received any investigational medication 30 days prior to screening, (for drugs with a long half-life, within a period of less than 5 times the drug's half-life) or is participating in an investigational study.
  • Has received lapaquistat acetate in a previous clinical study or as a therapeutic agent.
  • Has a history or presence of clinically significant food allergy that would prevent adherence to the specialized diet.
  • Has a known heterozygous or homozygous familial hypercholesterolemia or known type III hyperlipoproteinemia (familial dysbetalipoproteinemia).
  • Has fibromyalgia, myopathy, rhabdomyolysis, or unexplained muscle pain.
  • Has uncontrolled hypertension
  • Has had inflammatory bowel disease or any other malabsorption syndrome, or has had gastric bypass or any other surgical procedure for weight loss.
  • Has a history of drug abuse or a history of high alcohol intake within the previous 2 years.
  • Has type 1 or 2 diabetes mellitus.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Lapaquistat Acetate 50 mg QD

Placebo QD

Arm Description

Outcomes

Primary Outcome Measures

Change from Baseline in fasting plasma Low Density Lipoprotein cholesterol

Secondary Outcome Measures

Change from Baseline in Total Cholesterol
Change from Baseline in High Density Lipoprotein cholesterol
Change from Baseline in Very Low Density Lipoprotein cholesterol
Change from Baseline in apolipoprotein A1 Timeframe: Week 12 or Final Visit
Change from Baseline in apolipoprotein B
Change from Baseline in non- High Density Lipoprotein cholesterol
Change from Baseline in the ratio of Low Density Lipoprotein cholesterol/High Density Lipoprotein cholesterol
Change from Baseline in the ratio of Total Cholesterol/High Density Lipoprotein cholesterol
Change from Baseline in the ratio of apolipoprotein A1/apolipoprotein B
Change from Baseline in Triglycerides

Full Information

First Posted
September 18, 2007
Last Updated
May 23, 2012
Sponsor
Takeda
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1. Study Identification

Unique Protocol Identification Number
NCT00532558
Brief Title
Efficacy of Lapaquistat Acetate on Blood Cholesterol Levels in Treating Subjects With Hypercholesterolemia
Official Title
A Double-Blind, Randomized Study to Evaluate the Efficacy and Safety of Lapaquistat Acetate 50 mg vs Placebo in Subjects With Hypercholesterolemia, With an Optional Open-Label Extension
Study Type
Interventional

2. Study Status

Record Verification Date
May 2012
Overall Recruitment Status
Terminated
Why Stopped
Overall profile of the compound does not offer significant clinical advantage to patients over currently available lipid lowering agents
Study Start Date
October 2007 (undefined)
Primary Completion Date
May 2008 (Actual)
Study Completion Date
May 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Takeda

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of the study is to determine the reduction of LDL-cholesterol level after treatment with 50 mg per day of lapaquistat acetate once daily (QD).
Detailed Description
This study is being conducted to determine the potential of lapaquistat acetate 50 mg per day to lower LDL-C levels compared with placebo. This study is also being conducted to further evaluate the safety and tolerability of lapaquistat acetate 50 mg over a period of 12 weeks. An optional, 48-week, open-label extension will follow the 12 week, double-blind treatment period to evaluate the long-term safety and tolerability of lapaquistat acetate 50 mg/day.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypercholesterolemia
Keywords
Hyperlipidemia, Drug Therapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
657 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Lapaquistat Acetate 50 mg QD
Arm Type
Experimental
Arm Title
Placebo QD
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Lapaquistat acetate
Other Intervention Name(s)
TAK-475
Intervention Description
Lapaquistat acetate 50 mg, tablets, orally, once daily for up to 12 weeks.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Lapaquistat acetate placebo-matching tablets, orally, once daily for up to 12 weeks.
Primary Outcome Measure Information:
Title
Change from Baseline in fasting plasma Low Density Lipoprotein cholesterol
Time Frame
Week 12 or Final Visit
Secondary Outcome Measure Information:
Title
Change from Baseline in Total Cholesterol
Time Frame
Week 12 or Final Visit
Title
Change from Baseline in High Density Lipoprotein cholesterol
Time Frame
Week 12 or Final Visit
Title
Change from Baseline in Very Low Density Lipoprotein cholesterol
Time Frame
Week 12 or Final Visit
Title
Change from Baseline in apolipoprotein A1 Timeframe: Week 12 or Final Visit
Time Frame
Week 12 or Final Visit
Title
Change from Baseline in apolipoprotein B
Time Frame
Week 12 or Final Visit
Title
Change from Baseline in non- High Density Lipoprotein cholesterol
Time Frame
Week 12 or Final Visit
Title
Change from Baseline in the ratio of Low Density Lipoprotein cholesterol/High Density Lipoprotein cholesterol
Time Frame
Week 12 or Final Visit
Title
Change from Baseline in the ratio of Total Cholesterol/High Density Lipoprotein cholesterol
Time Frame
Week 12 or Final Visit
Title
Change from Baseline in the ratio of apolipoprotein A1/apolipoprotein B
Time Frame
Week 12 or Final Visit
Title
Change from Baseline in Triglycerides
Time Frame
Week 12 or Final Visit

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Females of childbearing potential who are sexually active must agree to use adequate contraception from screening throughout the duration of the study and for 30 days following the last dose. Prior to Randomization, the participant has a mean low density lipoprotein cholesterol level greater than or equal to 130 mg/dL and less than or equal to 190 mg/dL for 2 consecutive samples. Prior to Randomization, the subject has mean triglyceride level greater than or equal to 400 mg/dL for 2 consecutive samples. Is willing and able to comply with the recommended, standardized diet. Exclusion Criteria: Has an nine aminotransferase or aspartate aminotransferase level greater than 1.5 times the upper limit of normal, identified during screening. Has a serum creatinine greater than 133 mmol/L, identified during screening. Has a creatine kinase greater than 3 times the upper limit of normal, identified during screening. Has active liver disease or jaundice. Has taken any fibrates within 42 days of Visit 1 or any lipid-lowering therapy for at least 30 days prior to Screening. Has a previous history of cancer that has been in remission for less than 5 years prior to the first dose of study medication. Has an endocrine disorder, such as Cushing's syndrome, hyperthyroidism, or inappropriately treated hypothyroidism affecting lipid metabolism. Has a history of myocardial infarction, angina pectoris, unstable angina, transient ischemic attacks, cerebrovascular accident, peripheral vascular disease, abdominal aortic aneurysm, coronary angioplasty, coronary or peripheral arterial surgery, or multiple risk factors that confer a 10-year risk for cardiovascular heart disease greater than 20% based on Framingham risk scoring. Has a positive hepatitis B surface antigen or hepatitis C virus antibody test, as determined by medical history. Has a positive human immunodeficiency virus status or is taking antiretroviral medications, as determined by medical history and/or subject's verbal report. Has received any investigational medication 30 days prior to screening, (for drugs with a long half-life, within a period of less than 5 times the drug's half-life) or is participating in an investigational study. Has received lapaquistat acetate in a previous clinical study or as a therapeutic agent. Has a history or presence of clinically significant food allergy that would prevent adherence to the specialized diet. Has a known heterozygous or homozygous familial hypercholesterolemia or known type III hyperlipoproteinemia (familial dysbetalipoproteinemia). Has fibromyalgia, myopathy, rhabdomyolysis, or unexplained muscle pain. Has uncontrolled hypertension Has had inflammatory bowel disease or any other malabsorption syndrome, or has had gastric bypass or any other surgical procedure for weight loss. Has a history of drug abuse or a history of high alcohol intake within the previous 2 years. Has type 1 or 2 diabetes mellitus.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Takeda
Official's Role
Study Director
Facility Information:
City
Tallinn
Country
Estonia
City
Tartu
Country
Estonia
City
Balatonfured
Country
Hungary
City
Budapest
Country
Hungary
City
Debrecen
Country
Hungary
City
Pecs
Country
Hungary
City
Szekszárd
Country
Hungary
City
Érd
Country
Hungary
City
Beer Sheva
Country
Israel
City
Hadera
Country
Israel
City
Haifa
Country
Israel
City
Jerusalem
Country
Israel
City
Kfar-Saba
Country
Israel
City
Nahariya
Country
Israel
City
Safed
Country
Israel
City
Tel Aviv
Country
Israel
City
Daugavpils
Country
Latvia
City
Kuldiga
Country
Latvia
City
Riga
Country
Latvia
City
Amsterdam
Country
Netherlands
City
Breda
Country
Netherlands
City
GA Nijmegen
Country
Netherlands
City
Groningen
Country
Netherlands
City
Hoorn
Country
Netherlands
City
Rotterdam
Country
Netherlands
City
Utrecht
Country
Netherlands
City
Zoetermeer
Country
Netherlands
City
Elverum
Country
Norway
City
Hamar
Country
Norway
City
Kongsberg
Country
Norway
City
Oslo
Country
Norway
City
Ålesund
Country
Norway
City
Moscow
Country
Russian Federation
City
Saratov
Country
Russian Federation
City
St. Petersburg
Country
Russian Federation
City
Tyumen
Country
Russian Federation
City
Volgograd
Country
Russian Federation
City
Bratislava
Country
Slovakia
City
Dolný Kubín
Country
Slovakia
City
Kosice
Country
Slovakia
City
Nitra
Country
Slovakia
City
Nové Mesto Nad Váhom
Country
Slovakia
City
Trebišov
Country
Slovakia
City
Cordoba
Country
Spain
City
Madrid
Country
Spain
City
Pontevedra
Country
Spain
City
REUS (Tarragona)
Country
Spain
City
Valencia
Country
Spain
City
Dnepropetrovsk
Country
Ukraine
City
Kharkiv
Country
Ukraine
City
Kharkov
Country
Ukraine
City
Kiev
Country
Ukraine
City
Kyiv
Country
Ukraine
City
Lutsk
Country
Ukraine
City
Lviv
Country
Ukraine
City
Belfast
Country
United Kingdom
City
Bolton
Country
United Kingdom
City
Glasgow, Scotland
Country
United Kingdom
City
Oldham
Country
United Kingdom
City
Paignton, Devon
Country
United Kingdom
City
Sheffield
Country
United Kingdom

12. IPD Sharing Statement

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Efficacy of Lapaquistat Acetate on Blood Cholesterol Levels in Treating Subjects With Hypercholesterolemia

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