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AzTrials

HypercholesterolemiaPhase 3NCT00271817

To Evaluate Ezetimibe/Simvastatin and Niacin (Extended Release Tablet) in Patients With Type IIa or Type IIb Hyperlipidemia (0653A-091)(COMPLETED)

A Phase 3 study testing Comparator: ezetimibe/simvastatin + niacin (ER), Comparator: niacin (ER) tablet and Comparator: ezetimibe (+) simvastatin in people with Hypercholesterolemia, run by Organon and Co.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

To evaluate the efficacy and safety of ezetimibe/simvastatin and niacin in patients with high cholesterol. Read more about this study

Who is it for?
Ages 18 to 79 years
Conditions the study is for
Hypercholesterolemia
What is being tested?
Comparator: ezetimibe/simvastatin + niacin (ER), Comparator: niacin (ER) tablet and Comparator: ezetimibe (+) simvastatin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,220 participants
Where
No sites listed yet
Study dates
Dec 2005to Feb 2008
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 79 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient with LDL-C of 130 through 190 mg/dL and Triglycerides less than or equal to 500 mg/dL
  • Patient willing to be on a low-cholesterol diet

Who cannot join

  • Pregnant or lactating women or intending to become pregnant
  • Patient with sensitivity or intolerance to ezetimibe, simvastatin, or ezetimibe/simvastatin combination tablet
  • Patient with sensitivity or intolerance ro niacin, any component or niacin extended release or aspirin
  • Patient for whom discontinuation of existing lipid-lowering therapy treatment poses an unacceptable risk

About this study

Official title: Multicenter, Randomized, Double-Blind Study to Evaluate the Efficacy and Safety of Ezetimibe/Simvastatin and Niacin (Extended Release Tablet) Co-Administered in Patients With Type IIa or Type IIb Hyperlipidemia

To evaluate the efficacy and safety of ezetimibe/simvastatin and niacin in patients with high cholesterol.

Being tested
Comparator: ezetimibe/simvastatin + niacin (ER), Comparator: Placebo to ezetimibe/simvastatin, Comparator: niacin (ER) tablet, Comparator: ezetimibe (+) simvastatin, Comparator: Placebo to Niacin (ER)
Medical subject headings
Hypercholesterolemia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Comparator: ezetimibe/simvastatin + niacin (ER)Drug

    ezetimibe/simvastatin 10/20mg tablet + niacin (ER) tablet, titrating to 2g, po qd. Treatment time will be ~24 weeks

  • Comparator: Placebo to ezetimibe/simvastatinDrug

    ezetimibe/simvastatin (Pbo) tablet. Treatment time will be ~24 weeks.

  • Comparator: niacin (ER) tabletDrug

    niacin (ER) tablet, titrating to 2g, po qd. Treatment time will be ~24 weeks

  • Comparator: ezetimibe (+) simvastatinDrug

    ezetimibe/simvastatin 10/20mg tablet. Treatment time will be ~24 weeks.

  • Comparator: Placebo to Niacin (ER)Drug

    Niacin (ER) (Pbo) tablet. Treatment time will be ~24 weeks.

  • Comparator: ezetimibe/simvastatin and niacin (ER)Drug

    ezetimibe/simvastatin 10/20mg tablet + niacin (ER) tablet 2g, po qd. Treatment time will be ~40 additional weeks for a total of 64 weeks

  • Comparator: ezetimibe and simvastatinDrug

    ezetimibe/simvastatin 10/20mg tablet. Treatment time will be ~40 additional weeks for a total of 64 weeks

  • Comparator: Placebo to niacin (ER)Drug

    Niacin (ER) (Pbo) tablet. Treatment time will be ~40 additional weeks for a total of 64 weeks

Study groups in NCT00271817
Study groupRoleWhat they receive
Part 1 - Arm 1Active comparatorezetimibe/simvastatin combination tablet + niacin (ER)
Receives: Drug: Comparator: ezetimibe/simvastatin + niacin (ER)
Part 1 -Arm 2Active comparatorezetimibe/simvastatin
Receives: Drug: Comparator: ezetimibe (+) simvastatin; Drug: Comparator: Placebo to Niacin (ER)
Part 1 - Arm 3Active comparatorNiacin (ER)
Receives: Drug: Comparator: Placebo to ezetimibe/simvastatin; Drug: Comparator: niacin (ER) tablet
Part 2 - Arm 1Active comparatorezetimibe/simvastatin combination tablet + niacin (ER)
Receives: Drug: Comparator: ezetimibe/simvastatin and niacin (ER)
Part 2 - Arm 2Placebo comparatorezetimibe/simvastatin combination tablet + niacin (Pbo)
Receives: Drug: Comparator: ezetimibe and simvastatin; Drug: Comparator: Placebo to niacin (ER)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percent Change From Baseline in Low-Density Lipoprotein-Cholesterol (LDL-C)

    Ezetimibe/simvastatin co-administered with niacin extended release compared to niacin extended release monotherapy on the percent change, from baseline in LDL-C after 24 weeks - 24 Week Measure Minus Baseline

    Measured: Baseline and 24 Weeks

  2. Percent Change From Baseline in Low-Density Lipoprotein-Cholesterol (LDL-C)

    Ezetimibe/simvastatin co-administered with niacin extended release compared to ezetimibe/simvastatin monotherapy on the percent change from baseline in LDL-C after 24 weeks - 24 week measure minus baseline

    Measured: Baseline and 24 weeks

Secondary outcomes (8)
  1. Percent Change From Baseline in Non-High-Density Lipoprotein-Cholesterol (Non-HDL-C)

    Ezetimibe/simvastatin co-administered with niacin extended release compared to niacin extended release monotherapy on the percent change from baseline in non-HDL-C after 24 weeks - 24 week measure minus baseline

    Measured: Baseline and 24 weeks

  2. Percent Change From Baseline in High-Density Lipoprotein-Cholesterol (HDL-C)

    Ezetimibe/simvastatin co-administered with niacin extended release compared to ezetimibe/simvastatin monotherapy on the percent change from baseline in HDL-C after 24 weeks - 24 week measure minus baseline

    Measured: Baseline and 24 weeks

  3. Percent Change From Baseline in Triglycerides (TG)

    Ezetimibe/simvastatin co-administered with niacin extended release compared to ezetimibe/simvastatin monotherapy on the percent change from baseline in Triglycerides after 24 weeks - 24 week measure minus baseline

    Measured: baseline and 24 Weeks

  4. Percent Change From Baseline in High-Density Lipoprotein-Cholesterol (HDL-C)

    Ezetimibe/simvastatin co-administered with niacin extended release compared to ezetimibe/simvastatin monotherapy on the percent change from baseline in HDL-C after 64 weeks - 64 week measure minus baseline

    Measured: Baseline and 64 weeks

  5. Percent Change From Baseline in Triglycerides (TG)

    Ezetimibe/simvastatin co-administered with niacin extended release compared to ezetimibe/simvastatin monotherapy on the percent change from baseline in Triglycerides after 64 weeks - 64 week measure minus baseline

    Measured: Baseline and 64 weeks

  6. Percent Change From Baseline in Non-High-Density Lipoprotein-Cholesterol (Non-HDL-C)

    Ezetimibe/simvastatin co-administered with niacin extended release compared to ezetimibe/simvastatin monotherapy on the percent change from baseline in non-HDL-C after 64 weeks - 64 week measure minus baseline

    Measured: Baseline and 64 weeks

  7. Percent Change From Baseline in Low-Density Lipoprotein-Cholesterol (LDL-C)

    Ezetimibe/simvastatin co-administered with niacin extended release compared to ezetimibe/simvastatin monotherapy on the percent change from baseline in LDL-C after 64 weeks - 64 week measure minus baseline

    Measured: Baseline and 64 weeks

  8. Percent Change From Baseline in Non-High-Density Lipoprotein-Cholesterol (Non-HDL-C)

    Ezetimibe/simvastatin co-administered with niacin extended release compared to ezetimibe/simvastatin monotherapy on the percent change from baseline in non-HDL-C after 24 weeks - 24 week measure minus baseline

    Measured: Baseline and 24 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Jan 2006 (estimated)
  2. Study startDec 2005
  3. Primary completionFeb 2008
  4. Study completionFeb 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
1,220 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00271817
Sponsor's protocol ID
0653A-091
Other IDs
2005_091
Status last verified
Feb 2022
First submitted
3 Jan 2006
Last updated
16 May 2024
Individual data sharing
No

Publications

  • Guyton JR, Brown BG, Fazio S, Polis A, Tomassini JE, Tershakovec AM. Lipid-altering efficacy and safety of ezetimibe/simvastatin coadministered with extended-release niacin in patients with type IIa or type IIb hyperlipidemia. J Am Coll Cardiol. 2008 Apr 22;51(16):1564-72. doi: 10.1016/j.jacc.2008.03.003.

    PubMed 18420099
  • Le NA, Jin R, Tomassini JE, Tershakovec AM, Neff DR, Wilson PW. Changes in lipoprotein particle number with ezetimibe/simvastatin coadministered with extended-release niacin in hyperlipidemic patients. J Am Heart Assoc. 2013 Aug 7;2(4):e000037. doi: 10.1161/JAHA.113.000037.

    PubMed 23926117
  • Guyton JR, Fazio S, Adewale AJ, Jensen E, Tomassini JE, Shah A, Tershakovec AM. Effect of extended-release niacin on new-onset diabetes among hyperlipidemic patients treated with ezetimibe/simvastatin in a randomized controlled trial. Diabetes Care. 2012 Apr;35(4):857-60. doi: 10.2337/dc11-1369. Epub 2012 Feb 14.

    PubMed 22338103

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Comparator: ezetimibe/simvastatin + niacin (ER), Comparator: niacin (ER) tablet and Comparator: ezetimibe (+) simvastatin in people with Hypercholesterolemia, run by Organon and Co.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 16 May 2024. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 3 Aug 2009). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percent Change From Baseline in Low-Density Lipoprotein-Cholesterol (LDL-C) (time frame: Baseline and 24 Weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00271817, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 May 2024.

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