HypercholesterolemiaPhase 3NCT00276484
To Evaluate Ezetimibe Plus Atorvastatin Versus Atorvastatin in Patients With High Cholesterol Not Controlled on Atorvastatin 40 mg (0653-090)
A Phase 3 study testing atorvastatin and ezetimibe in people with Hypercholesterolemia, run by Organon and Co.
Trial summary
To Evaluate and Compare the Efficacy and Safety of Ezetimibe Plus Atorvastatin Versus Atorvastatin in Hypercholesterolemic Patients at High Risk for Coronary Heart Disease Not Adequately Controlled on Atorvastatin 40 mg. Read more about this study
- Who is it for?
- Ages 18 to 79 years
- Conditions the study is for
- Hypercholesterolemia
- What is being tested?
- atorvastatin and ezetimibe
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 579 participants
- Where
- No sites listed yet
- Study dates
- Feb 2006to Mar 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 >70 mg/dL \& on a stable dose of atorvastatin 40 mg
Who cannot join
- Pregnant or lactating women or intending to become pregnant
- Patient with sensitivity or intolerance to ezetimibe or atorvastatin
About this study
Official title: A Multicenter, Rand., Double-Blind, Titration Study to Evaluate & Compare the Efficacy & Safety of Ezetimibe Plus Atorvastatin Vs Atorvastatin in Hypercholesterolemic Pts. at High Risk for CHD Not Adequately Controlled on Atorvastatin 40 Mg
To Evaluate and Compare the Efficacy and Safety of Ezetimibe Plus Atorvastatin Versus Atorvastatin in Hypercholesterolemic Patients at High Risk for Coronary Heart Disease Not Adequately Controlled on Atorvastatin 40 mg.
- Conditions
- Hypercholesterolemia
- Being tested
- atorvastatin, ezetimibe
- Medical subject headings
- Hypercholesterolemia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
atorvastatinDrug
Atorvastatin 80 mg tablet by mouth, once a day for 6 weeks
atorvastatinDrug
Atorvastatin 40 mg by mouth, once a day for 6 weeks
ezetimibeDrug
Ezetimibe 10 mg tablets by mouth, once a day for 6 weeks.
| Study group | Role | What they receive |
|---|---|---|
| 1 | Active comparator | Atorvastatin 80 mg Receives: Drug: atorvastatin |
| 2 | Experimental | Atorvastatin 40 mg + ezetimibe 10 mg Receives: Drug: atorvastatin; Drug: ezetimibe |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percent Change From Baseline to Week 6 in Low-Density Lipoprotein (LDL)-C
Percent Change in LDL-C = [(week 6 value - baseline value)/baseline value]*100%
Measured: Baseline and 6 weeks
Secondary outcomes (12)
Percent Change From Baseline to Week 6 in High-Density Lipoprotein Cholesterol (HDL-C)
Percent Change in HDL-C = [(week 6 value - baseline value)/baseline value]*100%
Measured: Baseline and 6 weeks
Percent Change From Baseline to Week 6 in Non-High-Density Lipoprotein Cholesterol (Non-HDL-C)
Percent Change in Non-HDL-C = [(week 6 value - baseline value)/baseline value]*100%
Measured: Baseline and 6 Weeks
Percent Change From Baseline to Week 6 in Total-Cholesterol
Percent Change in Total-C = [(week 6 value - baseline value)/baseline value]*100%
Measured: Baseline and 6 Weeks
Percent Change From Baseline to Week 6 in Triglycerides (TG)
Percent Change in TG = [(week 6 value - baseline value)/baseline value]*100%
Measured: Baseline and 6 Weeks
Percent Change From Baseline to Week 6 in Apolipoprotein B (Apo B)
Percent Change in Apo B = [(week 6 value - baseline value)/baseline value]*100%
Measured: Baseline and 6 Weeks
Percent Change From Baseline to Week 6 in Apolipoprotein A-I (Apo A-I)
Percent Change in Apo A-I = [(week 6 value - baseline value)/baseline value]*100%
Measured: Baseline and 6 Weeks
Percent Change From Baseline to Week 6 in Total-Cholesterol (TC):High-Density Lipoprotein Cholesterol (HDL-C) Ratio
Percent Change in TC:HDL-C Ratio = [(week 6 ratio - baseline ratio)/baseline ratio]*100%
Measured: Baseline and 6 Weeks
Percent Change From Baseline to Week 6 in Low-Density Lipoprotein-Cholesterol:High-Density Lipoprotein-Cholesterol (LDL-C:HDL-C) Ratio
Percent Change in LDL-C:HDL-C Ratio = [(week 6 ratio - baseline ratio)/baseline ratio]*100%
Measured: Baseline and 6 Weeks
Percent Change From Baseline to Week 6 in Apolipoprotein B:Apolipoprotein A-I (Apo B:Apo A-I) Ratio
Percent Change in Apo B:Apo A-I Ratio = [(week 6 ratio - baseline ratio)/baseline ratio]*100%
Measured: Baseline and 6 Weeks
Percent Change From Baseline to Week 6 in Non-High-Density Lipoprotein-Cholesterol:High-Density Lipoprotein-Cholesterol (Non-HDL-C:HDL-C) Ratio
Percent Change in non-HDL-C:HDL-C Ratio = [(week 6 ratio - baseline ratio)/baseline ratio]*100%
Measured: Baseline and 6 Weeks
Percent Change From Baseline to Week 6 in C Reactive Protein (CRP)
Percent Change in CRP = [(week 6 value - baseline value)/baseline value]*100%
Measured: Baseline and 6 Weeks
Number of Patients Who Attained Target Low-Density Lipoprotein Cholesterol (LDL-C) <70 mg/dL at Week 6
Measured: 6 Weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Jan 2006 (estimated)
- Study startFeb 2006
- Primary completionFeb 2008
- Study completionMar 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
- 579 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
- NCT00276484
- Sponsor's protocol ID
- 0653-090
- Other IDs
- 2005_105
- Status last verified
- Feb 2022
- First submitted
- 11 Jan 2006
- Last updated
- 14 May 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Individual data sharing
- No
Publications
Leiter LA, Bays H, Conard S, Bird S, Rubino J, Hanson ME, Tomassini JE, Tershakovec AM. Efficacy and safety of ezetimibe added on to atorvastatin (40 mg) compared with uptitration of atorvastatin (to 80 mg) in hypercholesterolemic patients at high risk of coronary heart disease. Am J Cardiol. 2008 Dec 1;102(11):1495-501. doi: 10.1016/j.amjcard.2008.09.076. Epub 2008 Oct 23.
PubMed 19026303Bays H, Conard S, Leiter LA, Bird S, Jensen E, Hanson ME, Shah A, Tershakovec AM. Are post-treatment low-density lipoprotein subclass pattern analyses potentially misleading? Lipids Health Dis. 2010 Nov 30;9:136. doi: 10.1186/1476-511X-9-136.
PubMed 21118495Conard S, Bays H, Leiter LA, Bird S, Lin J, Hanson ME, Shah A, Tershakovec AM. Ezetimibe added to atorvastatin compared with doubling the atorvastatin dose in patients at high risk for coronary heart disease with diabetes mellitus, metabolic syndrome or neither. Diabetes Obes Metab. 2010 Mar;12(3):210-8. doi: 10.1111/j.1463-1326.2009.01152.x.
PubMed 20151997
Study at a glance
From the registry record, last updated by the sponsor on 14 May 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Rand., Double-Blind, Titration Study to Evaluate & Compare the Efficacy & Safety of Ezetimibe Plus Atorvastatin Vs Atorvastatin in Hypercholesterolemic Pts. at High Risk for CHD Not Adequately Controlled on Atorvastatin 40 Mg
- ClinicalTrials.gov ID
- NCT00276484
- Acronym / sponsor ID
- 0653-090
- Conditions
- Hypercholesterolemia
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 579 participants (actual)
- Lead sponsor
- Organon and CoIndustry (pharma, biotech, devices)
- Study start
- Feb 2006
- Primary completion
- Feb 2008 (actual)
- Study completion
- Mar 2008 (actual)
- First posted
- 13 Jan 2006 (estimated)
- Results
- Posted 13 Apr 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 and Compare the Efficacy and Safety of Ezetimibe Plus Atorvastatin Versus Atorvastatin in Hypercholesterolemic Patients at High Risk for Coronary Heart Disease Not Adequately Controlled on Atorvastatin 40 mg.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 1 | Active comparator | Drug: atorvastatinAtorvastatin 80 mg |
| 2 | Experimental | Drug: atorvastatin, Drug: ezetimibeAtorvastatin 40 mg + ezetimibe 10 mg |
Who may qualify
- Ages
- 18 to 79 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Patient with LDL-C >70 mg/dL \& on a stable dose of atorvastatin 40 mg
Key exclusion criteria (2 listed)
- Pregnant or lactating women or intending to become pregnant
- Patient with sensitivity or intolerance to ezetimibe or atorvastatin
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 |
|---|---|---|
| atorvastatinAtorvastatin 80 mg tablet by mouth, once a day for 6 weeks | Drug | 1 |
| atorvastatinAtorvastatin 40 mg by mouth, once a day for 6 weeks | Drug | 2 |
| ezetimibeEzetimibe 10 mg tablets by mouth, once a day for 6 weeks. | Drug | 2 |
Primary outcome
Percent Change From Baseline to Week 6 in Low-Density Lipoprotein (LDL)-C
Time frame: Baseline and 6 weeks
Percent Change in LDL-C = [(week 6 value - baseline value)/baseline value]*100%
12 secondary outcomes
Percent Change From Baseline to Week 6 in High-Density Lipoprotein Cholesterol (HDL-C)
Time frame: Baseline and 6 weeks
Percent Change From Baseline to Week 6 in Non-High-Density Lipoprotein Cholesterol (Non-HDL-C)
Time frame: Baseline and 6 Weeks
Percent Change From Baseline to Week 6 in Total-Cholesterol
Time frame: Baseline and 6 Weeks
Percent Change From Baseline to Week 6 in Triglycerides (TG)
Time frame: Baseline and 6 Weeks
Percent Change From Baseline to Week 6 in Apolipoprotein B (Apo B)
Time frame: Baseline and 6 Weeks
Percent Change From Baseline to Week 6 in Apolipoprotein A-I (Apo A-I)
Time frame: Baseline and 6 Weeks
Percent Change From Baseline to Week 6 in Total-Cholesterol (TC):High-Density Lipoprotein Cholesterol (HDL-C) Ratio
Time frame: Baseline and 6 Weeks
Percent Change From Baseline to Week 6 in Low-Density Lipoprotein-Cholesterol:High-Density Lipoprotein-Cholesterol (LDL-C:HDL-C) Ratio
Time frame: Baseline and 6 Weeks
Percent Change From Baseline to Week 6 in Apolipoprotein B:Apolipoprotein A-I (Apo B:Apo A-I) Ratio
Time frame: Baseline and 6 Weeks
Percent Change From Baseline to Week 6 in Non-High-Density Lipoprotein-Cholesterol:High-Density Lipoprotein-Cholesterol (Non-HDL-C:HDL-C) Ratio
Time frame: Baseline and 6 Weeks
Percent Change From Baseline to Week 6 in C Reactive Protein (CRP)
Time frame: Baseline and 6 Weeks
Number of Patients Who Attained Target Low-Density Lipoprotein Cholesterol (LDL-C) <70 mg/dL at Week 6
Time frame: 6 Weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 May 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 19026303Leiter LA, Bays H, Conard S, Bird S, Rubino J, Hanson ME, Tomassini JE, Tershakovec AM. Efficacy and safety of ezetimibe added on to atorvastatin (40 mg) compared with uptitration of atorvastatin (to 80 mg) in hypercholesterolemic patients at high risk of coronary heart disease. Am J Cardiol. 2008 Dec 1;102(11):1495-501. doi: 10.1016/j.amjcard.2008.09.076. Epub 2008 Oct 23.
- Derived from this study: PubMed 21118495Bays H, Conard S, Leiter LA, Bird S, Jensen E, Hanson ME, Shah A, Tershakovec AM. Are post-treatment low-density lipoprotein subclass pattern analyses potentially misleading? Lipids Health Dis. 2010 Nov 30;9:136. doi: 10.1186/1476-511X-9-136.
- Derived from this study: PubMed 20151997Conard S, Bays H, Leiter LA, Bird S, Lin J, Hanson ME, Shah A, Tershakovec AM. Ezetimibe added to atorvastatin compared with doubling the atorvastatin dose in patients at high risk for coronary heart disease with diabetes mellitus, metabolic syndrome or neither. Diabetes Obes Metab. 2010 Mar;12(3):210-8. doi: 10.1111/j.1463-1326.2009.01152.x.
- Individual participant dataSharing planned: No
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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 atorvastatin and ezetimibe 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 1 inclusion and 2 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 14 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. 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 13 Apr 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 to Week 6 in Low-Density Lipoprotein (LDL)-C (time frame: Baseline and 6 weeks). 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 NCT00276484, 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 14 May 2024.