Randomized Study of Obicetrapib in Combination With Ezetimibe (OCEAN)
Primary Purpose
Dyslipidemias, High Cholesterol, Hypercholesterolemia
Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Obicetrapib 5mg
Ezetimibe 10mg
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Dyslipidemias focused on measuring obicetrapib, statin, LDL-C, cholesterol, atherosclerosis
Eligibility Criteria
Inclusion Criteria:
- Understanding of the study procedures, willingness to adhere to the study schedules and diet, and agreement to participate in the study by giving written informed consent prior to Screening procedures
- Men or women 18 to 70 years of age, inclusive
- Women may be enrolled if all 3 of the following criteria are met:
- They are not pregnant;
- They are not breastfeeding; and
- They do not plan on becoming pregnant during the study
- Women of childbearing potential must have a negative urine pregnancy test at the Screening Visit.
- Women of childbearing potential must agree to use an effective method of avoiding pregnancy from the Screening Visit to 90 days after the last visit. Men whose partners are of childbearing potential must agree to use an effective method of avoiding pregnancy from the Screening Visit to 90 days after the last visit.
- Fasting LDL-C levels >2.5 mmol/L (>100 mg/dL) and <4.5 mmol/L (<175 mg/dL) and TG levels <4.5 mmol/L (<400 mg/dL) (Visit 1) and
- Willingness to maintain a stable diet and physical activity level throughout the study
Exclusion Criteria:
- Body mass index >= 40 kg/m2
- Participation in another clinical study involving an investigational or marketed drug within 30 days prior to the Screening Visit
- Currently taking any lipid-altering therapy
- Any clinical manifestation of atherosclerotic CVD or any evidence of ischemic coronary disease present on the 12-lead ECG at the Screening Visit
- Diagnosis of type 1 or type 2 diabetes mellitus; or HbA1c >= 6.5% at the Screening visit if no prior diagnosis of diabetes mellitus
- Uncontrolled hypertension ie, sitting systolic blood pressure >160 mmHg and/or sitting diastolic blood pressure >90 mmHg taken as the average of triplicate measurements.
One retest will be allowed, at which point if the retest result is no longer exclusionary, the participant may be randomized
- Active muscle disease or persistent creatine kinase concentration >3 x the upper limit of normal (ULN). One retest will be allowed after 1 week to verify the result, at which point if the retest result is no longer exclusionary, the participant may be randomized
- History of torsades de pointes
- Estimated glomerular filtration rate <60 mL/min calculated using the Chronic Kidney Disease Epidemiology Collaboration equation
- Hepatic dysfunction as evidenced by any laboratory abnormality as follows: gamma- glutamyl transferase, alanine aminotransferase, or aspartate aminotransferase >2 x ULN, or total bilirubin >1.5 x ULN
- Anemia, defined as hemoglobin concentration <11 g/dL for males and hemoglobin concentration <9 g/dL for females
- History of malignancy within the past 5 years, with the exception of non-melanoma skin cancers
- Evidence of any other clinically significant non-cardiac disease or condition that, in the opinion of the Investigator, would preclude participation in the study
- Known ezetimibe or CETP inhibitor allergy or intolerance
Sites / Locations
- Clinical Trials Research
- Evanston Premier Healthcare Research LLC
- Juno Research, LLC - Medical Center Office
- Medisch Centrum Thomsonplein
- Huisartsen Praktijk Rambharose
- Huisartsen Praktijk A.M.N. Zijtregto
- Huisartsen Praktijk van Soerland
- Huisartsen Praktijk Broekman
- Dokters van Nederhoven
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Placebo Comparator
Experimental
Experimental
Experimental
Arm Label
Placebo
Combination therapy
Obicetrapib monotherapy
Ezetimibe monotherapy
Arm Description
placebo obicetrapib + placebo ezetimibe; once daily
5 mg obicetrapib + 10 mg ezetimibe; once daily
5 mg obicetrapib + placebo ezetimibe; once daily
placebo obicetrapib + 10 mg ezetimibe; once daily
Outcomes
Primary Outcome Measures
obicetrapib in combination with ezetimibe compared to placebo on LDL-C
Percent change from baseline in LDL-C
Secondary Outcome Measures
obicetrapib monotherapy compared to placebo on LDL-C
Percent change from baseline in LDL-C
obicetrapib in combination with ezetimibe compared to placebo on ApoB
Percent change from baseline in ApoB
obicetrapib monotherapy compared to placebo on Apo-B
Percent change from baseline in Apo-B
obicetrapib in combination with ezetimibe compared to ezetimibe monotherapy on LDL-C
Percent change from baseline in LDL-C
obicetrapib monotherapy compared to ezetimibe monotherapy on LDL-C
Percent change from baseline in LDL-C
ezetimibe monotherapy compared to placebo on LDL-C
Percent change from baseline in LDL-C
obicetrapib in combination with ezetimibe compared to ezetimibe monotherapy on ApoB
Percent change from baseline in ApoB
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04770389
Brief Title
Randomized Study of Obicetrapib in Combination With Ezetimibe
Acronym
OCEAN
Official Title
A Placebo-Controlled, Double-Blind, Randomized Phase 2 Study to Evaluate the Effect of Obicetrapib in Combination With Ezetimibe in Participants With Mild Dyslipidemia
Study Type
Interventional
2. Study Status
Record Verification Date
July 2021
Overall Recruitment Status
Completed
Study Start Date
February 23, 2021 (Actual)
Primary Completion Date
May 7, 2021 (Actual)
Study Completion Date
June 30, 2021 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
NewAmsterdam Pharma
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
This study will be a placebo-controlled, double-blind, randomized, phase 2 study in participants with mild dyslipidemia to evaluate the efficacy, safety, and tolerability of obicetrapib and ezetimibe combination therapy.
Detailed Description
This study will be a placebo-controlled, double-blind, randomized, phase 2 study in participants with mild dyslipidemia to evaluate the efficacy, safety, and tolerability of obicetrapib and ezetimibe combination therapy. The screening period for this study will take up to 2 weeks. Following the screening period, eligible patients will be randomized to placebo, 5 mg obicetrapib + 10 mg ezetimibe; 5 mg obicetrapib + placebo ezetimibe; or placebo obicetrapib + 10 mg ezetimibe for an 8 week treatment period. After the treatment period, patients will continue for a 4 week safety follow-up and a 8 week PK follow-up.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dyslipidemias, High Cholesterol, Hypercholesterolemia
Keywords
obicetrapib, statin, LDL-C, cholesterol, atherosclerosis
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Model Description
Placebo-Controlled, Double-Blind, Randomized
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
placebo tablet made to resemble active
Allocation
Randomized
Enrollment
112 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
placebo obicetrapib + placebo ezetimibe; once daily
Arm Title
Combination therapy
Arm Type
Experimental
Arm Description
5 mg obicetrapib + 10 mg ezetimibe; once daily
Arm Title
Obicetrapib monotherapy
Arm Type
Experimental
Arm Description
5 mg obicetrapib + placebo ezetimibe; once daily
Arm Title
Ezetimibe monotherapy
Arm Type
Experimental
Arm Description
placebo obicetrapib + 10 mg ezetimibe; once daily
Intervention Type
Drug
Intervention Name(s)
Obicetrapib 5mg
Other Intervention Name(s)
CETP inhibitor
Intervention Description
tablet
Intervention Type
Drug
Intervention Name(s)
Ezetimibe 10mg
Other Intervention Name(s)
Antihyperlipidemic
Intervention Description
tablet
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
tablet
Primary Outcome Measure Information:
Title
obicetrapib in combination with ezetimibe compared to placebo on LDL-C
Description
Percent change from baseline in LDL-C
Time Frame
8 weeks
Secondary Outcome Measure Information:
Title
obicetrapib monotherapy compared to placebo on LDL-C
Description
Percent change from baseline in LDL-C
Time Frame
8 weeks
Title
obicetrapib in combination with ezetimibe compared to placebo on ApoB
Description
Percent change from baseline in ApoB
Time Frame
8 weeks
Title
obicetrapib monotherapy compared to placebo on Apo-B
Description
Percent change from baseline in Apo-B
Time Frame
8 weeks
Title
obicetrapib in combination with ezetimibe compared to ezetimibe monotherapy on LDL-C
Description
Percent change from baseline in LDL-C
Time Frame
8 weeks
Title
obicetrapib monotherapy compared to ezetimibe monotherapy on LDL-C
Description
Percent change from baseline in LDL-C
Time Frame
8 weeks
Title
ezetimibe monotherapy compared to placebo on LDL-C
Description
Percent change from baseline in LDL-C
Time Frame
8 weeks
Title
obicetrapib in combination with ezetimibe compared to ezetimibe monotherapy on ApoB
Description
Percent change from baseline in ApoB
Time Frame
8 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:
Understanding of the study procedures, willingness to adhere to the study schedules and diet, and agreement to participate in the study by giving written informed consent prior to Screening procedures
Men or women 18 to 70 years of age, inclusive
Women may be enrolled if all 3 of the following criteria are met:
They are not pregnant;
They are not breastfeeding; and
They do not plan on becoming pregnant during the study
Women of childbearing potential must have a negative urine pregnancy test at the Screening Visit.
Women of childbearing potential must agree to use an effective method of avoiding pregnancy from the Screening Visit to 90 days after the last visit. Men whose partners are of childbearing potential must agree to use an effective method of avoiding pregnancy from the Screening Visit to 90 days after the last visit.
Fasting LDL-C levels >2.5 mmol/L (>100 mg/dL) and <4.5 mmol/L (<175 mg/dL) and TG levels <4.5 mmol/L (<400 mg/dL) (Visit 1) and
Willingness to maintain a stable diet and physical activity level throughout the study
Exclusion Criteria:
Body mass index >= 40 kg/m2
Participation in another clinical study involving an investigational or marketed drug within 30 days prior to the Screening Visit
Currently taking any lipid-altering therapy
Any clinical manifestation of atherosclerotic CVD or any evidence of ischemic coronary disease present on the 12-lead ECG at the Screening Visit
Diagnosis of type 1 or type 2 diabetes mellitus; or HbA1c >= 6.5% at the Screening visit if no prior diagnosis of diabetes mellitus
Uncontrolled hypertension ie, sitting systolic blood pressure >160 mmHg and/or sitting diastolic blood pressure >90 mmHg taken as the average of triplicate measurements.
One retest will be allowed, at which point if the retest result is no longer exclusionary, the participant may be randomized
Active muscle disease or persistent creatine kinase concentration >3 x the upper limit of normal (ULN). One retest will be allowed after 1 week to verify the result, at which point if the retest result is no longer exclusionary, the participant may be randomized
History of torsades de pointes
Estimated glomerular filtration rate <60 mL/min calculated using the Chronic Kidney Disease Epidemiology Collaboration equation
Hepatic dysfunction as evidenced by any laboratory abnormality as follows: gamma- glutamyl transferase, alanine aminotransferase, or aspartate aminotransferase >2 x ULN, or total bilirubin >1.5 x ULN
Anemia, defined as hemoglobin concentration <11 g/dL for males and hemoglobin concentration <9 g/dL for females
History of malignancy within the past 5 years, with the exception of non-melanoma skin cancers
Evidence of any other clinically significant non-cardiac disease or condition that, in the opinion of the Investigator, would preclude participation in the study
Known ezetimibe or CETP inhibitor allergy or intolerance
Facility Information:
Facility Name
Clinical Trials Research
City
Lincoln
State/Province
California
ZIP/Postal Code
95648
Country
United States
Facility Name
Evanston Premier Healthcare Research LLC
City
Evanston
State/Province
Illinois
ZIP/Postal Code
60201
Country
United States
Facility Name
Juno Research, LLC - Medical Center Office
City
Houston
State/Province
Texas
ZIP/Postal Code
77054
Country
United States
Facility Name
Medisch Centrum Thomsonplein
City
Den Haag
ZIP/Postal Code
2565 KN
Country
Netherlands
Facility Name
Huisartsen Praktijk Rambharose
City
Den Haag
ZIP/Postal Code
2572 GM
Country
Netherlands
Facility Name
Huisartsen Praktijk A.M.N. Zijtregto
City
Rotterdam
ZIP/Postal Code
3037 AN
Country
Netherlands
Facility Name
Huisartsen Praktijk van Soerland
City
Rotterdam
ZIP/Postal Code
3067 GJ
Country
Netherlands
Facility Name
Huisartsen Praktijk Broekman
City
Zwijndrecht
ZIP/Postal Code
3333 GZ
Country
Netherlands
Facility Name
Dokters van Nederhoven
City
Zwijndrecht
ZIP/Postal Code
3334 SB
Country
Netherlands
12. IPD Sharing Statement
Plan to Share IPD
No
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Randomized Study of Obicetrapib in Combination With Ezetimibe
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