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The Safety & Efficacy of Combination BMS-201038 (AEGR-733) & Ezetimibe vs. Monotherapy in Moderate Hypercholesterolemia

Primary Purpose

Hypercholesterolemia

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
BMS-201038 (AEGR-733)
Ezetimibe
Sponsored by
Aegerion Pharmaceuticals, Inc.
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypercholesterolemia focused on measuring Cholesterol

Eligibility Criteria

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

Inclusion Criteria:

  1. Men and women between the ages of 18 and 70 years .
  2. For subjects with 0 to 1 risk factor (cigarette smoking, hypertension (BP > 140/90 or on antihypertensive medication), low HDL (<40mg/dl), family history of premature CHD (CHD in male first degree relative <55 years; CHD in female first degree relative <65 years), age (men> 45 years; women > 55 years): Baseline mean LDL-C must be >160 and <250 mg/dl as determined by the arithmetic mean of measures taken at visit 1 and 2. Fasting mean TGs should be <400 mg/dl.
  3. For subjects with 2 or more risk factors (cigarette smoking, hypertension (BP > 140/90 or on antihypertensive medication), low HDL (<40mg/dl), family history of premature CHD (CHD in male first degree relative <55 years; CHD in female first degree relative <65 years), age (men> 45 years; women > 55 years) or prior stable CHD: Baseline mean LDL-C must be >130 and <250 mg/dl as determined by the arithmetic mean of measures taken at visit 1 and 2. Fasting mean TGs should be <400 mg/dl.
  4. Able to understand and willing to comply with all study requirements, particularly the study drug regimen.
  5. Able to understand and willing to sign the Informed Consent Form.

Exclusion Criteria:

  1. Women who are pregnant or lactating or who are planning to become pregnant or women of child bearing potential who have not successfully been using acceptable contraceptive methods over the previous 3 months (e.g. intrauterine device and barrier method plus spermicide).
  2. Uncontrolled hypertension defined as: systolic blood pressure > 180 mmHg, diastolic blood pressure > 95 mmHg
  3. History of chronic renal insufficiency (serum creatinine >2.5 mg/dL)
  4. History of liver disease or transaminases above 1.5 X ULN at screening
  5. Any major surgical procedure occurring less than 3 months prior to the screening visit
  6. Cardiac insufficiency defined by the NYHA classification as functional Class II-Class IV
  7. History of a malignancy (other than basal cell or squamous cell carcinoma of the skin that has been removed) within the previous 5 years
  8. Participation in an investigational drug study within 6 weeks prior to the screening visit.
  9. Serious or unstable medical or psychological conditions that, in the opinion of the investigator, would compromise the subject's safety or successful participation in the study.
  10. Regular alcohol use > 1 drink per day
  11. Regular consumers of grapefruit juice, or currently taking medications known to be metabolized by CYP 3A4 (cyclosporine, itraconazole, ketoconazole, erythromycin, clarithromycin, telithromycin, HIV protease inhibitors, and nefazodone)
  12. Other lipid-lowering medications (washouts will be permitted)
  13. Acute CVD (CVD event within the previous 6 months)
  14. Diabetes Mellitus

Sites / Locations

  • Pharmanet, Inc

Outcomes

Primary Outcome Measures

Percent Change in LDL-C at 12 Weeks Therapy Compared to Baseline Between Treatments

Secondary Outcome Measures

Percent of Change at 12 Weeks Therapy Compared to Baseline Between Treatments for the Following Parameters: Total Cholesterol (TC)
Percent Change in Non-high-density Lipoprotein Cholesterol (Non-HDL-C) at 12 Weeks as Compared to Baseline.
Percent Change in Tryglycerides (TGs) at 12 Weeks Compared to Baseline
Percent Change in HDL-C at 12 Weeks Compared to Baseline
Percent Change in Lipoprotein(a)[Lp(a)]at 12 Weeks as Compared to Baseline
Percent Change in Apolipoprotein A1 (Apo A1) at 12 Weeks as Compared to Baseline
Percent Change in Apolipoprotein B (Apo B) at 12 Weeks as Compared to Baseline
Percent Change in High-sensitivity C-reactive Protein (Hs-CRP) at 12 Weeks as Compared to Baseline
Percent Change in Body Weight at 12 Weeks as Compared to Baseline

Full Information

First Posted
November 28, 2006
Last Updated
January 15, 2014
Sponsor
Aegerion Pharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00405067
Brief Title
The Safety & Efficacy of Combination BMS-201038 (AEGR-733) & Ezetimibe vs. Monotherapy in Moderate Hypercholesterolemia
Official Title
A Randomized, Double-Blind, Active Controlled, Parallel-Group Study to Evaluate the Safety and Efficacy of the Combination BMS-201038 (AEGR-733) and Ezetimibe vs. Monotherapy in Subjects With Moderate Hypercholesterolemia
Study Type
Interventional

2. Study Status

Record Verification Date
January 2014
Overall Recruitment Status
Completed
Study Start Date
May 2006 (undefined)
Primary Completion Date
January 2007 (Actual)
Study Completion Date
January 2007 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Aegerion Pharmaceuticals, Inc.

4. Oversight

5. Study Description

Brief Summary
The main objectives of this study are to evaluate the efficacy and safety of combination therapy BMS-201038 (AEGR-733) plus ezetimibe vs. each agent given alone on LDL cholesterol and other lipoproteins over 12 weeks of therapy.
Detailed Description
Subjects will participate in this study for approximately 14-17 weeks. This study has 2 periods: 1) a 1-2-week screening period with 2 visits where baseline cholesterol and other characteristics will be evaluated to determine study eligibility. This period also includes a 4-week washout for patients on prior lipid-lowering therapies; and 2) a 12-week treatment period with interim visits at weeks 4 and 8. 85 subjects were randomized into one of 3 treatment arms with equal probability. In treatment arm 1, subjects will receive BMS-201038 (AEGR-733) 5 mg plus ezetimibe placebo. In treatment arm 2, subjects will receive BMS-201038 (AEGR-733) placebo plus 10 mg of ezetimibe. In treatment arm 3, subjects will receive BMS-201038 (AEGR-733) 5 mg plus ezetimibe 10 mg. After 4 weeks of treatment, subjects in arms 1 and 3 will be force-titrated to BMS-201038 (AEGR-733) 7.5 mg. After another 4 weeks of treatment, subjects in arms 1 and 3 will then be force-titrated to BMS-201038 (AEGR-733) 10 mg for 4 more additional weeks of treatment. Subjects in arm 2 will continue to receive BMS-201038 (AEGR-733) matching placebo for the entire 12 weeks of treatment. Subjects randomized to ezetimibe 10 mg in arms 2 and 3 and ezetimibe placebo in arm 1 will remain on these doses for the entire 12-week treatment period.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
60 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
BMS-201038 (AEGR-733)
Intervention Type
Drug
Intervention Name(s)
Ezetimibe
Primary Outcome Measure Information:
Title
Percent Change in LDL-C at 12 Weeks Therapy Compared to Baseline Between Treatments
Time Frame
Baseline and 12 weeks of treatment
Secondary Outcome Measure Information:
Title
Percent of Change at 12 Weeks Therapy Compared to Baseline Between Treatments for the Following Parameters: Total Cholesterol (TC)
Time Frame
Baseline and 12 weeks of treatment
Title
Percent Change in Non-high-density Lipoprotein Cholesterol (Non-HDL-C) at 12 Weeks as Compared to Baseline.
Time Frame
Baseline and 12 weeks of treatment
Title
Percent Change in Tryglycerides (TGs) at 12 Weeks Compared to Baseline
Time Frame
Baseline and 12 weeks of treatment
Title
Percent Change in HDL-C at 12 Weeks Compared to Baseline
Time Frame
Baseline and 12 weeks of treatment
Title
Percent Change in Lipoprotein(a)[Lp(a)]at 12 Weeks as Compared to Baseline
Time Frame
Baseline and 12 weeks of treatment
Title
Percent Change in Apolipoprotein A1 (Apo A1) at 12 Weeks as Compared to Baseline
Time Frame
baseline and 12 weeks of treatment
Title
Percent Change in Apolipoprotein B (Apo B) at 12 Weeks as Compared to Baseline
Time Frame
Baseline and 12 weeks of treatment
Title
Percent Change in High-sensitivity C-reactive Protein (Hs-CRP) at 12 Weeks as Compared to Baseline
Time Frame
Baseline and 12 weeks of treatment
Title
Percent Change in Body Weight at 12 Weeks as Compared to Baseline
Time Frame
Baseline and 12 weeks of treatment

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: Men and women between the ages of 18 and 70 years . For subjects with 0 to 1 risk factor (cigarette smoking, hypertension (BP > 140/90 or on antihypertensive medication), low HDL (<40mg/dl), family history of premature CHD (CHD in male first degree relative <55 years; CHD in female first degree relative <65 years), age (men> 45 years; women > 55 years): Baseline mean LDL-C must be >160 and <250 mg/dl as determined by the arithmetic mean of measures taken at visit 1 and 2. Fasting mean TGs should be <400 mg/dl. For subjects with 2 or more risk factors (cigarette smoking, hypertension (BP > 140/90 or on antihypertensive medication), low HDL (<40mg/dl), family history of premature CHD (CHD in male first degree relative <55 years; CHD in female first degree relative <65 years), age (men> 45 years; women > 55 years) or prior stable CHD: Baseline mean LDL-C must be >130 and <250 mg/dl as determined by the arithmetic mean of measures taken at visit 1 and 2. Fasting mean TGs should be <400 mg/dl. Able to understand and willing to comply with all study requirements, particularly the study drug regimen. Able to understand and willing to sign the Informed Consent Form. Exclusion Criteria: Women who are pregnant or lactating or who are planning to become pregnant or women of child bearing potential who have not successfully been using acceptable contraceptive methods over the previous 3 months (e.g. intrauterine device and barrier method plus spermicide). Uncontrolled hypertension defined as: systolic blood pressure > 180 mmHg, diastolic blood pressure > 95 mmHg History of chronic renal insufficiency (serum creatinine >2.5 mg/dL) History of liver disease or transaminases above 1.5 X ULN at screening Any major surgical procedure occurring less than 3 months prior to the screening visit Cardiac insufficiency defined by the NYHA classification as functional Class II-Class IV History of a malignancy (other than basal cell or squamous cell carcinoma of the skin that has been removed) within the previous 5 years Participation in an investigational drug study within 6 weeks prior to the screening visit. Serious or unstable medical or psychological conditions that, in the opinion of the investigator, would compromise the subject's safety or successful participation in the study. Regular alcohol use > 1 drink per day Regular consumers of grapefruit juice, or currently taking medications known to be metabolized by CYP 3A4 (cyclosporine, itraconazole, ketoconazole, erythromycin, clarithromycin, telithromycin, HIV protease inhibitors, and nefazodone) Other lipid-lowering medications (washouts will be permitted) Acute CVD (CVD event within the previous 6 months) Diabetes Mellitus
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michael Davidson, MD
Organizational Affiliation
Radiant Research
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Jackson Downey, MD
Organizational Affiliation
Jacksonville Center For Clinical Research
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Paul Grena, MD
Organizational Affiliation
Cardiology Consultants of Philadelphia
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Barry Lubin, MD
Organizational Affiliation
Hampton Roads Center for Clinical Research
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
James McKenney, Pharm D
Organizational Affiliation
National Clinical Research
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Eli Roth, MD
Organizational Affiliation
Sterling Research Group, LTD
Official's Role
Principal Investigator
Facility Information:
Facility Name
Pharmanet, Inc
City
Princeton
State/Province
New Jersey
ZIP/Postal Code
08540-6242
Country
United States

12. IPD Sharing Statement

Learn more about this trial

The Safety & Efficacy of Combination BMS-201038 (AEGR-733) & Ezetimibe vs. Monotherapy in Moderate Hypercholesterolemia

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