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Ezetimibe (SCH 58235) Taken With Either Atorvastatin or Simvastatin in Participants With Familial Hypercholesterolemia (MK-0653-018)

Primary Purpose

Familial Hypercholesterolemia

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Atorvastatin
Simvastatin
Ezetimibe
Placebo for Ezetimibe
Sponsored by
Organon and Co
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Familial Hypercholesterolemia

Eligibility Criteria

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

Inclusion Criteria:

  • With a diagnosis of homozygous familial hypercholesterolemia
  • All females must have a negative pregnancy test prior to study entry. Women of child bearing potential must agree to practice an effective barrier method of birth control for the duration of the study, until one month after treatment.
  • Postmenopausal women who are receiving postmenopausal hormonal therapy or raloxifene must be maintained on a stable estrogen (ERT), estrogen/progestin (HRT) or raloxifene regimen during the study period. ERT, HRT or raloxifene cannot be changed during study period.
  • Must follow prescribed or stricter diet, and demonstrate completion of Diet Diaries

Exclusion Criteria:

  • A history of mental instability, drug or alcohol abuse; or have been treated or are being treated for severe psychiatric illness which, in the opinion of the Investigator, may interfere with optimal participation in the study.
  • With underlying disease likely to limit life span to less than 1 year.
  • Have previously been randomized in any studies examining ezetimibe
  • Pregnant or lactating women.
  • With known hypersensitivity or any contraindication to statin therapy.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm 6

    Arm Type

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Arm Label

    Atorvastatin 80 mg

    Ezetimibe + Atorvastatin 40 mg

    Ezetimibe + Atorvastatin 80 mg

    Simvastatin 80 mg

    Ezetimibe + Simvastatin 40 mg

    Ezetimibe + Simvastatin 80 mg

    Arm Description

    80 mg atorvastatin taken orally, once daily for 12 weeks

    10 mg ezetimibe and 40 mg atorvastatin taken orally, once daily for 12 weeks

    10 mg ezetimibe and 80 mg atorvastatin taken orally, once daily for 12 weeks

    80 mg simvastatin taken orally, once daily for 12 weeks

    10 mg ezetimibe and 40 mg simvastatin taken orally, once daily for 12 weeks

    10 mg ezetimibe and 80 mg simvastatin taken orally, once daily for 12 weeks

    Outcomes

    Primary Outcome Measures

    Percent change from baseline in Low Density Lipoprotein Cholesterol (LDL-C) measured directly
    Percentage of participants with an Adverse Event (AE)

    Secondary Outcome Measures

    Percent change from baseline in calculated LDL-C
    Percent change from baseline in Total Cholesterol (TC)
    Percent change from baseline in Triglycerides (TG)
    Percent change from baseline in High-density-lipoprotein cholesterol (HDL-C)
    Percent change from baseline in High-density-lipoprotein 2 cholesterol (HDL2-C)
    Percent change from baseline in High-density-lipoprotein 3 cholesterol (HDL3-C)
    Percent change from baseline in Apolipoprotein A-I (Apo A-I)
    Percent change from baseline in Apolipoprotein B (Apo B)
    Percent change from baseline in Lipoprotein(a) [Lp(a)]

    Full Information

    First Posted
    March 6, 2019
    Last Updated
    February 7, 2022
    Sponsor
    Organon and Co
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03884452
    Brief Title
    Ezetimibe (SCH 58235) Taken With Either Atorvastatin or Simvastatin in Participants With Familial Hypercholesterolemia (MK-0653-018)
    Official Title
    A Phase III Efficacy And Safety Study of Ezetimibe (SCH58235) 10 mg in Addition to Atorvastatin or Simvastatin in the Therapy of Homozygous Familial Hypercholesterolemia
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2022
    Overall Recruitment Status
    Completed
    Study Start Date
    May 3, 2000 (Actual)
    Primary Completion Date
    May 24, 2001 (Actual)
    Study Completion Date
    May 24, 2001 (Actual)

    3. Sponsor/Collaborators

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

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The primary objective of this study is to evaluate the efficacy and the safety of ezetimibe (SCH 58235) co-administered with either atorvastatin or simvastatin in participants with homozygous familial hypercholesterolemia (FH).

    6. Conditions and Keywords

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

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    Atorvastatin 80 mg
    Arm Type
    Experimental
    Arm Description
    80 mg atorvastatin taken orally, once daily for 12 weeks
    Arm Title
    Ezetimibe + Atorvastatin 40 mg
    Arm Type
    Experimental
    Arm Description
    10 mg ezetimibe and 40 mg atorvastatin taken orally, once daily for 12 weeks
    Arm Title
    Ezetimibe + Atorvastatin 80 mg
    Arm Type
    Experimental
    Arm Description
    10 mg ezetimibe and 80 mg atorvastatin taken orally, once daily for 12 weeks
    Arm Title
    Simvastatin 80 mg
    Arm Type
    Experimental
    Arm Description
    80 mg simvastatin taken orally, once daily for 12 weeks
    Arm Title
    Ezetimibe + Simvastatin 40 mg
    Arm Type
    Experimental
    Arm Description
    10 mg ezetimibe and 40 mg simvastatin taken orally, once daily for 12 weeks
    Arm Title
    Ezetimibe + Simvastatin 80 mg
    Arm Type
    Experimental
    Arm Description
    10 mg ezetimibe and 80 mg simvastatin taken orally, once daily for 12 weeks
    Intervention Type
    Drug
    Intervention Name(s)
    Atorvastatin
    Intervention Description
    Tablets taken orally once daily in the morning
    Intervention Type
    Drug
    Intervention Name(s)
    Simvastatin
    Intervention Description
    Tablets taken orally once daily in the morning or evening
    Intervention Type
    Drug
    Intervention Name(s)
    Ezetimibe
    Intervention Description
    Tablet taken orally once daily in the morning or evening
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo for Ezetimibe
    Intervention Description
    Tablets taken orally once daily in the morning or evening
    Primary Outcome Measure Information:
    Title
    Percent change from baseline in Low Density Lipoprotein Cholesterol (LDL-C) measured directly
    Time Frame
    Baseline and Up to Week 12
    Title
    Percentage of participants with an Adverse Event (AE)
    Time Frame
    Up to Week 12
    Secondary Outcome Measure Information:
    Title
    Percent change from baseline in calculated LDL-C
    Time Frame
    Baseline and Up to Week 12
    Title
    Percent change from baseline in Total Cholesterol (TC)
    Time Frame
    Baseline and Up to Week 12
    Title
    Percent change from baseline in Triglycerides (TG)
    Time Frame
    Baseline and Up to Week 12
    Title
    Percent change from baseline in High-density-lipoprotein cholesterol (HDL-C)
    Time Frame
    Baseline and Up to Week 12
    Title
    Percent change from baseline in High-density-lipoprotein 2 cholesterol (HDL2-C)
    Time Frame
    Baseline and Up to Week 12
    Title
    Percent change from baseline in High-density-lipoprotein 3 cholesterol (HDL3-C)
    Time Frame
    Baseline and Up to Week 12
    Title
    Percent change from baseline in Apolipoprotein A-I (Apo A-I)
    Time Frame
    Baseline and Up to Week 12
    Title
    Percent change from baseline in Apolipoprotein B (Apo B)
    Time Frame
    Baseline and Up to Week 12
    Title
    Percent change from baseline in Lipoprotein(a) [Lp(a)]
    Time Frame
    Baseline and Up to Week 12

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    12 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: With a diagnosis of homozygous familial hypercholesterolemia All females must have a negative pregnancy test prior to study entry. Women of child bearing potential must agree to practice an effective barrier method of birth control for the duration of the study, until one month after treatment. Postmenopausal women who are receiving postmenopausal hormonal therapy or raloxifene must be maintained on a stable estrogen (ERT), estrogen/progestin (HRT) or raloxifene regimen during the study period. ERT, HRT or raloxifene cannot be changed during study period. Must follow prescribed or stricter diet, and demonstrate completion of Diet Diaries Exclusion Criteria: A history of mental instability, drug or alcohol abuse; or have been treated or are being treated for severe psychiatric illness which, in the opinion of the Investigator, may interfere with optimal participation in the study. With underlying disease likely to limit life span to less than 1 year. Have previously been randomized in any studies examining ezetimibe Pregnant or lactating women. With known hypersensitivity or any contraindication to statin therapy.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Medical Director
    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://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf
    IPD Sharing URL
    http://engagezone.msd.com/ds_documentation.php
    Citations:
    PubMed Identifier
    12034651
    Citation
    Gagne C, Gaudet D, Bruckert E; Ezetimibe Study Group. Efficacy and safety of ezetimibe coadministered with atorvastatin or simvastatin in patients with homozygous familial hypercholesterolemia. Circulation. 2002 May 28;105(21):2469-75. doi: 10.1161/01.cir.0000018744.58460.62.
    Results Reference
    result

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    Ezetimibe (SCH 58235) Taken With Either Atorvastatin or Simvastatin in Participants With Familial Hypercholesterolemia (MK-0653-018)

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