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Efficacy of TAK-085 in Participants With Hypertriglyceridemia

Primary Purpose

Hypertriglyceridemia

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Omega-3-acid ethyl esters 90 (TAK-085)
Eicosapentaenoic acid-ethyl (EPA-E)
Sponsored by
Takeda
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypertriglyceridemia focused on measuring Drug Therapy

Eligibility Criteria

20 Years - 74 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Participants with values of fasting triglyceride level at Visit 2 (Week -4) and Visit 3 (Week -2) are 150 mg/dL or higher and less than 750 mg/dL, and the difference between these 2 values is within 30% of the higher one.
  2. Participants with differences between 2 values of fasting Low density lipoprotein - cholesterol level measured at Visit 2 (Week -4) and Visit 3 (Week -2) are within 25% of the higher one.

Exclusion Criteria:

  1. Participants who have coronary artery diseases (eg, confirmed myocardial infarction and angina pectoris) within 6 months prior to Visit 1 (Week -8) or participants with a history of revascularization.
  2. Participants who received aortic aneurysmectomy or is complicated with aortic aneurysm within 6 months prior to Visit 1 (Week -8).
  3. Participants who have a history or complication of a clinically significant hemorrhagic disease (eg, hemophilia, capillary fragility illness, digestive tract ulcer, urinary tract hemorrhage, hemoptysis, vitreous haemorrhage and so forth) within 6 months prior to Visit 1 (Week -8).
  4. Participants who have been diagnosed with pancreatitis.
  5. Participants who have been diagnosed with lipoprotein lipase (LPL) deficiency, apolipoprotein C-II deficiency or type III familial hyperlipidemia.
  6. Participants with complication of Cushing's syndrome, uremia, systemic lupus erythematosus (SLE) or serum dysproteinemia.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Experimental

    Arm Label

    TAK-085 2 g

    TAK-085 4 g

    EPA-E 1.8 g

    Arm Description

    TAK-085 2 g, orally, once daily for up to 12 weeks.

    TAK-085 2 g, orally, twice daily for up to 12 weeks.

    Eicosapentaenoic acid-ethyl (EPA-E) capsule 0.6 g, orally, three-times daily for up to 12 weeks.

    Outcomes

    Primary Outcome Measures

    Percent Change From Baseline in Triglyceride Level at the Final Visit
    The percentage change between triglycerides collected at the end of study drug administration (the end of treatment period or discontinuation) relative to Baseline. Analysis of Covariance (ANCOVA) model was employed, using the Baseline triglyceride level as covariate and the treatment group as an independent variable.

    Secondary Outcome Measures

    Percent Change From Baseline in Triglyceride Level Over Time
    The percentage change between triglycerides collected at each study visit relative to Baseline.
    Percent Change From Baseline in Low-Density Lipoprotein - Cholesterol (LDL-C) Level Over Time
    The percentage change between low-density lipoprotein cholesterol collected at each study visit relative to Baseline. Low-density lipoprotein cholesterol particles measured directly by nuclear magnetic resonance.
    Percent Change From Baseline in Total Cholesterol Over Time
    The percentage change between total cholesterol measured at each study visit relative to Baseline.
    Percent Change From Baseline in High-Density Lipoprotein - Cholesterol (HDL-C) Level Over Time
    The percentage change between high-density lipoprotein cholesterol collected at each study visit relative to Baseline.
    Percent Change From Baseline in Non-High-Density Lipoprotein - Cholesterol Level Over Time
    The percentage change between non-high-density lipoprotein cholesterol collected at each study visit relative to Baseline. Non-high-density lipoprotein cholesterol calculated by subtracting high-density lipoprotein cholesterol from total cholesterol.
    Number of Participants With Treatment Emergent Adverse Events (TEAEs)
    Number of Participants With TEAEs Associated With Abnormal Changes in Vital Signs
    Number of Participants With TEAEs Categorized Into Investigations System Organ Class (SOC) Related to Chemistry, Hematology or Urinalysis
    Number of Participants With Clinically Significant Electrocardiogram (ECG) Findings After Study Drug Administration

    Full Information

    First Posted
    May 9, 2011
    Last Updated
    July 28, 2016
    Sponsor
    Takeda
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01350973
    Brief Title
    Efficacy of TAK-085 in Participants With Hypertriglyceridemia
    Official Title
    A Phase 3, Multicenter, Double-blind, Parallel-group Study to Evaluate the Efficacy and Safety of TAK-085 in Subjects With Hypertriglyceridemia.
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2016
    Overall Recruitment Status
    Completed
    Study Start Date
    November 2009 (undefined)
    Primary Completion Date
    December 2010 (Actual)
    Study Completion Date
    December 2010 (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 this study was to determine the efficacy and safety of TAK-085, once daily (QD) or twice daily (BID), compared to ethyl eicosapentaenoate (EPA-E), three times daily (TID) in participants with hypertriglyceridemia undergoing lifestyle modification.
    Detailed Description
    TAK-085 is an oral capsule medicine licensed to Takeda Pharmaceutical Company Ltd. TAK-085 contains omega-3 fatty acid ethyl (mainly, ethyl eicosapentaenoate (EPA-E) and ethyl docosahexaenoic acid (DHA-E)). This is a phase 3, double-blind, randomized study to evaluate the efficacy and safety of TAK-085 compared to EPA-E in participants with hypertriglyceridemia who are undergoing lifestyle modification. The study period is a total of 20 weeks, comprised of an 8- week screening period and 12 weeks of treatment.

    6. Conditions and Keywords

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

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    TAK-085 2 g
    Arm Type
    Experimental
    Arm Description
    TAK-085 2 g, orally, once daily for up to 12 weeks.
    Arm Title
    TAK-085 4 g
    Arm Type
    Experimental
    Arm Description
    TAK-085 2 g, orally, twice daily for up to 12 weeks.
    Arm Title
    EPA-E 1.8 g
    Arm Type
    Experimental
    Arm Description
    Eicosapentaenoic acid-ethyl (EPA-E) capsule 0.6 g, orally, three-times daily for up to 12 weeks.
    Intervention Type
    Drug
    Intervention Name(s)
    Omega-3-acid ethyl esters 90 (TAK-085)
    Other Intervention Name(s)
    LOVAZA, Omacor
    Intervention Description
    Omega-3-acid ethyl esters 90 (TAK-085) capsules. Each one gram of fatty acid in TAK-085 contains approximately 465 mg of EPA plus 375 mg of docosahexaenoic acid-ethyl as ethyl esters.
    Intervention Type
    Drug
    Intervention Name(s)
    Eicosapentaenoic acid-ethyl (EPA-E)
    Other Intervention Name(s)
    Atheropan®
    Intervention Description
    EPA-E, 0.6 g, orally, three-times daily for up to 12 weeks.
    Primary Outcome Measure Information:
    Title
    Percent Change From Baseline in Triglyceride Level at the Final Visit
    Description
    The percentage change between triglycerides collected at the end of study drug administration (the end of treatment period or discontinuation) relative to Baseline. Analysis of Covariance (ANCOVA) model was employed, using the Baseline triglyceride level as covariate and the treatment group as an independent variable.
    Time Frame
    Baseline and 12 weeks
    Secondary Outcome Measure Information:
    Title
    Percent Change From Baseline in Triglyceride Level Over Time
    Description
    The percentage change between triglycerides collected at each study visit relative to Baseline.
    Time Frame
    Baseline and Weeks 4, 8, 10 and 12
    Title
    Percent Change From Baseline in Low-Density Lipoprotein - Cholesterol (LDL-C) Level Over Time
    Description
    The percentage change between low-density lipoprotein cholesterol collected at each study visit relative to Baseline. Low-density lipoprotein cholesterol particles measured directly by nuclear magnetic resonance.
    Time Frame
    Baseline and Weeks 4, 8, 10 and 12
    Title
    Percent Change From Baseline in Total Cholesterol Over Time
    Description
    The percentage change between total cholesterol measured at each study visit relative to Baseline.
    Time Frame
    Baseline and Weeks 4, 8, 10 and 12
    Title
    Percent Change From Baseline in High-Density Lipoprotein - Cholesterol (HDL-C) Level Over Time
    Description
    The percentage change between high-density lipoprotein cholesterol collected at each study visit relative to Baseline.
    Time Frame
    Baseline and Weeks 4, 8, 10 and 12
    Title
    Percent Change From Baseline in Non-High-Density Lipoprotein - Cholesterol Level Over Time
    Description
    The percentage change between non-high-density lipoprotein cholesterol collected at each study visit relative to Baseline. Non-high-density lipoprotein cholesterol calculated by subtracting high-density lipoprotein cholesterol from total cholesterol.
    Time Frame
    Baseline and Weeks 4, 8, 10 and 12
    Title
    Number of Participants With Treatment Emergent Adverse Events (TEAEs)
    Time Frame
    12 Weeks
    Title
    Number of Participants With TEAEs Associated With Abnormal Changes in Vital Signs
    Time Frame
    12 Weeks
    Title
    Number of Participants With TEAEs Categorized Into Investigations System Organ Class (SOC) Related to Chemistry, Hematology or Urinalysis
    Time Frame
    12 Weeks
    Title
    Number of Participants With Clinically Significant Electrocardiogram (ECG) Findings After Study Drug Administration
    Time Frame
    12 Weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    20 Years
    Maximum Age & Unit of Time
    74 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Participants with values of fasting triglyceride level at Visit 2 (Week -4) and Visit 3 (Week -2) are 150 mg/dL or higher and less than 750 mg/dL, and the difference between these 2 values is within 30% of the higher one. Participants with differences between 2 values of fasting Low density lipoprotein - cholesterol level measured at Visit 2 (Week -4) and Visit 3 (Week -2) are within 25% of the higher one. Exclusion Criteria: Participants who have coronary artery diseases (eg, confirmed myocardial infarction and angina pectoris) within 6 months prior to Visit 1 (Week -8) or participants with a history of revascularization. Participants who received aortic aneurysmectomy or is complicated with aortic aneurysm within 6 months prior to Visit 1 (Week -8). Participants who have a history or complication of a clinically significant hemorrhagic disease (eg, hemophilia, capillary fragility illness, digestive tract ulcer, urinary tract hemorrhage, hemoptysis, vitreous haemorrhage and so forth) within 6 months prior to Visit 1 (Week -8). Participants who have been diagnosed with pancreatitis. Participants who have been diagnosed with lipoprotein lipase (LPL) deficiency, apolipoprotein C-II deficiency or type III familial hyperlipidemia. Participants with complication of Cushing's syndrome, uremia, systemic lupus erythematosus (SLE) or serum dysproteinemia.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Associate Professor, Clinical Cell Biology and Medicine
    Organizational Affiliation
    Graduate School of Medicine, Chiba University
    Official's Role
    Study Director

    12. IPD Sharing Statement

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    Efficacy of TAK-085 in Participants With Hypertriglyceridemia

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