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.
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.
- Conditions
- Hypercholesterolemia
- 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 group | Role | What they receive |
|---|---|---|
| Part 1 - Arm 1 | Active comparator | ezetimibe/simvastatin combination tablet + niacin (ER) Receives: Drug: Comparator: ezetimibe/simvastatin + niacin (ER) |
| Part 1 -Arm 2 | Active comparator | ezetimibe/simvastatin Receives: Drug: Comparator: ezetimibe (+) simvastatin; Drug: Comparator: Placebo to Niacin (ER) |
| Part 1 - Arm 3 | Active comparator | Niacin (ER) Receives: Drug: Comparator: Placebo to ezetimibe/simvastatin; Drug: Comparator: niacin (ER) tablet |
| Part 2 - Arm 1 | Active comparator | ezetimibe/simvastatin combination tablet + niacin (ER) Receives: Drug: Comparator: ezetimibe/simvastatin and niacin (ER) |
| Part 2 - Arm 2 | Placebo comparator | ezetimibe/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.
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
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)
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
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
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
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
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
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
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
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.
- First posted4 Jan 2006 (estimated)
- Study startDec 2005
- Primary completionFeb 2008
- Study completionFeb 2008
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for HypercholesterolemiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Organon and Co
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Monitor, Study director, Merck Sharp & Dohme LLC
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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 18420099Le 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 23926117Guyton 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
Study at a glance
From the registry record, last updated by the sponsor on 16 May 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT00271817
- Acronym / sponsor ID
- 0653A-091
- Conditions
- Hypercholesterolemia
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,220 participants (actual)
- Lead sponsor
- Organon and CoIndustry (pharma, biotech, devices)
- Study start
- Dec 2005
- Primary completion
- Feb 2008 (actual)
- Study completion
- Feb 2008 (actual)
- First posted
- 4 Jan 2006 (estimated)
- Results
- Posted 3 Aug 2009
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To evaluate the efficacy and safety of ezetimibe/simvastatin and niacin in patients with high cholesterol.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| Part 1 - Arm 1 | Active comparator | Drug: Comparator: ezetimibe/simvastatin + niacin (ER)ezetimibe/simvastatin combination tablet + niacin (ER) |
| Part 1 -Arm 2 | Active comparator | Drug: Comparator: ezetimibe (+) simvastatin, Drug: Comparator: Placebo to Niacin (ER)ezetimibe/simvastatin |
| Part 1 - Arm 3 | Active comparator | Drug: Comparator: Placebo to ezetimibe/simvastatin, Drug: Comparator: niacin (ER) tabletNiacin (ER) |
| Part 2 - Arm 1 | Active comparator | Drug: Comparator: ezetimibe/simvastatin and niacin (ER)ezetimibe/simvastatin combination tablet + niacin (ER) |
| Part 2 - Arm 2 | Placebo comparator | Drug: Comparator: ezetimibe and simvastatin, Drug: Comparator: Placebo to niacin (ER)ezetimibe/simvastatin combination tablet + niacin (Pbo) |
Who may qualify
- Ages
- 18 to 79 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- 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
Key exclusion criteria (4 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Comparator: ezetimibe/simvastatin + niacin (ER)ezetimibe/simvastatin 10/20mg tablet + niacin (ER) tablet, titrating to 2g, po qd. Treatment time will be ~24 weeks | Drug | Part 1 - Arm 1 |
| Comparator: Placebo to ezetimibe/simvastatinezetimibe/simvastatin (Pbo) tablet. Treatment time will be ~24 weeks. | Drug | Part 1 - Arm 3 |
| Comparator: niacin (ER) tabletniacin (ER) tablet, titrating to 2g, po qd. Treatment time will be ~24 weeks | Drug | Part 1 - Arm 3 |
| Comparator: ezetimibe (+) simvastatinezetimibe/simvastatin 10/20mg tablet. Treatment time will be ~24 weeks. | Drug | Part 1 -Arm 2 |
| Comparator: Placebo to Niacin (ER)Niacin (ER) (Pbo) tablet. Treatment time will be ~24 weeks. | Drug | Part 1 -Arm 2 |
| Comparator: ezetimibe/simvastatin and niacin (ER)ezetimibe/simvastatin 10/20mg tablet + niacin (ER) tablet 2g, po qd. Treatment time will be ~40 additional weeks for a total of 64 weeks | Drug | Part 2 - Arm 1 |
| Comparator: ezetimibe and simvastatinezetimibe/simvastatin 10/20mg tablet. Treatment time will be ~40 additional weeks for a total of 64 weeks | Drug | Part 2 - Arm 2 |
| Comparator: Placebo to niacin (ER)Niacin (ER) (Pbo) tablet. Treatment time will be ~40 additional weeks for a total of 64 weeks | Drug | Part 2 - Arm 2 |
Primary outcome
Percent Change From Baseline in Low-Density Lipoprotein-Cholesterol (LDL-C)
Time frame: Baseline and 24 Weeks
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
Percent Change From Baseline in Low-Density Lipoprotein-Cholesterol (LDL-C)
Time frame: Baseline and 24 weeks
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
8 secondary outcomes
Percent Change From Baseline in Non-High-Density Lipoprotein-Cholesterol (Non-HDL-C)
Time frame: Baseline and 24 weeks
Percent Change From Baseline in High-Density Lipoprotein-Cholesterol (HDL-C)
Time frame: Baseline and 24 weeks
Percent Change From Baseline in Triglycerides (TG)
Time frame: baseline and 24 Weeks
Percent Change From Baseline in High-Density Lipoprotein-Cholesterol (HDL-C)
Time frame: Baseline and 64 weeks
Percent Change From Baseline in Triglycerides (TG)
Time frame: Baseline and 64 weeks
Percent Change From Baseline in Non-High-Density Lipoprotein-Cholesterol (Non-HDL-C)
Time frame: Baseline and 64 weeks
Percent Change From Baseline in Low-Density Lipoprotein-Cholesterol (LDL-C)
Time frame: Baseline and 64 weeks
Percent Change From Baseline in Non-High-Density Lipoprotein-Cholesterol (Non-HDL-C)
Time frame: Baseline and 24 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 May 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 18420099Guyton 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.
- Derived from this study: PubMed 23926117Le 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.
- Derived from this study: PubMed 22338103Guyton 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.
- Individual participant dataSharing planned: No
Related trials for Hypercholesterolemia
Active, not recruitingObservational study
Study Evaluating LDL-C Change and Adherence to Inclisiran Lipid-lowering Therapy in ASCVD
Primary Hypercholesterolemia, Mixed Dyslipidemia
Active, not recruitingPhase 3
A Study of Inclisiran to Prevent Cardiovascular Events in High-risk Primary Prevention Patients.
Primary Prevention of Atherosclerotic Cardiovascular Disease
RecruitingObservational study
Causes and Natural History of Dyslipidemias
Hypercholesterolemia, Atherosclerosis
Active, not recruitingObservational study
Early Detection of Familial Hypercholesterolaemia in Pre-school Children ( CzeCH-IT)
Familial Hypercholesterolaemia
Not yet recruiting
Penn Family Screening for Familial Hypercholesterolemia (NHLBI R33) Trial 3
Familial Hypercholesterolemia
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Monitor study director
Merck Sharp & Dohme LLC
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.