HyperlipidemiaPhase 3SUPREMENCT00465088
An Open-Label Study to Compare the Lipid Effects of Niacin ER and Simvastatin (NS) to Atorvastatin in Subjects With Hyperlipidemia or Mixed Dyslipidemia (SUPREME)
A Phase 3 study testing Niacin ER/Simvastatin Tablets and atorvastatin in people with Hyperlipidemia and Mixed Dyslipidemia, run by Abbott at 46 sites in United States.
Trial summary
To demonstrate that niacin ER and simvastatin (NS) tablets, when compared to atorvastatin (Lipitor®; Pfizer, Inc.), has superior high-density lipoprotein cholesterol (HDL-C) elevating effects at Week 12 in subjects with type II hyperlipidemia or mixed dyslipidemia who are currently off lipid-modifying therapy. Read more about this study
- Who is it for?
- Ages 21 years and older
- Conditions the study is for
- Hyperlipidemia, Mixed Dyslipidemia
- What is being tested?
- Niacin ER/Simvastatin Tablets and atorvastatin
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 199 participants
- Where
- 46 sitesUnited States
- Study dates
- Apr 2007to 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 21 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects must meet all of the following laboratory criteria:
- HDL-C <40 mg/dL for men and <50 mg/dL for women.
- LDL-C ≥130 mg/dL but <250 mg/dL.
- TG <350 mg/dL.
- Creatine phosphokinase (CPK) < 3 x upper limit of normal (ULN).
- Alanine aminotransferase (ALT); serum glutamic pyruvic transaminase [SGPT] and aspartate aminotransferase (AST); serum glutamic oxaloacetic transaminase [SGOT] < 1.3 x ULN.
- Subjects must also be reasonably compliant with the Therapeutic Lifestyle Changes (TLC) diet during the 4 to 5 week Screening Period prior to randomization (and be willing to comply for the duration of the study).
Who cannot join
- Subjects who have a history of any important medical conditions or abnormalities (as specified in the protocol) that would preclude study inclusion
Trial locations and contacts
46 sites in 1 country.
46 sites in 1 country
United States46 sites
Study site
Anaheim, California, 92801
Study site
Arkansas City, Kansas, 67005
Study site
Auburn, Maine, 04210
Study site
Austin, Texas, 78752
Study site
Baltimore, Maryland, 21204
Study site
Boise, Idaho, 83704
Study site
Brooksville, Florida, 34613
Study site
Calhoun, Georgia, 30701
Study site
Canfield, Ohio, 44406
Study site
Carrollton, Texas, 75006
Study site
Charlotte, North Carolina, 28204
Study site
Chicago, Illinois, 60607
Study site
Chicora, Pennsylvania, 16025
Study site
Cincinnati, Ohio, 45242
Study site
Dallas, Texas, 75251
Study site
Dayton, Ohio, 45458
Study site
Daytona Beach, Florida, 32117
Study site
Decatur, Georgia, 30034
Study site
Duncansville, Pennsylvania, 16635
Study site
Dunwoody, Georgia, 30338
Study site
Gainesville, Florida, 32605
Study site
Gig Harbor, Washington, 98335
Study site
Harleysville, Pennsylvania, 19438
Study site
High Point, North Carolina, 27262
Study site
Houston, Texas, 77074
Study site
Huntington Park, California, 90255
Study site
Largo, Florida, 33770
Study site
Long Beach, California, 90822
Study site
Magna, Utah, 84044
Study site
Menomonee Falls, Wisconsin, 53051
Study site
Merritt Island, Florida, 32953
Study site
Miami, Florida, 33126
Study site
Milwaukee, Wisconsin, 53209
Study site
Missoula, Montana, 59808
Study site
Newton, Kansas, 67114
Study site
Pembroke Pines, Florida, 33026
Study site
Pittsburgh, Pennsylvania, 15206
Study site
Protland, Oregon, 97239
Study site
Richmond, Virginia, 23249
Study site
Sacramento, California, 95825
Study site
Salt Lake City, Utah, 84107
Study site
San Antonio, Texas, 78224
Study site
Shawnee Mission, Kansas, 66216
Study site
Topeka, Kansas, 55508
Study site
Walnut Creek, California, 94598
Study site
Wichita, Kansas, 67203
About this study
Official title: SUPREME: A 12-Week, Open-Label, Multicenter Study to Compare the Lipid Effects of Niacin ER and Simvastatin (NS) to Atorvastatin in Subjects With Hyperlipidemia or Mixed Dyslipidemia
To demonstrate that niacin ER and simvastatin (NS) tablets, when compared to atorvastatin (Lipitor®; Pfizer, Inc.), has superior high-density lipoprotein cholesterol (HDL-C) elevating effects at Week 12 in subjects with type II hyperlipidemia or mixed dyslipidemia who are currently off lipid-modifying therapy. This was a prospective, randomized, open-label, blinded endpoint (PROBE) study.
- Conditions
- Hyperlipidemia, Mixed Dyslipidemia
- Being tested
- Niacin ER/Simvastatin Tablets, atorvastatin
- Medical subject headings
- Hyperlipidemias
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Niacin ER/Simvastatin TabletsDrug
Also called ABT-919/483, Niacin ER/Simvastatin, Simcor
Up to 2000 mg/40 mg at bedtime
atorvastatinDrug
40 mg at bedtime
| Study group | Role | What they receive |
|---|---|---|
| 1 | Experimental | Not described Receives: Drug: Niacin ER/Simvastatin Tablets |
| 2 | Experimental | Not described Receives: Drug: atorvastatin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percent Change in High-density Lipoprotein Cholesterol (HDL-C) From Baseline to Week 12
(Week 12 HDL-C minus baseline HDL-C) x 100/baseline HDL-C
Measured: From baseline to Week 12
Secondary outcomes (13)
Percent Change in HDL-C From Baseline to Week 8
(Week 8 HDL-C minus baseline HDL-C) x 100/baseline HDL-C
Measured: From baseline to Week 8
Percent Change in Non-HDL-C From Baseline to Week 8
(Week 8 non-HDL-C minus baseline non-HDL-C) x 100/baseline non-HDL-C
Measured: From baseline to Week 8
Percent Change in Non-HDL-C From Baseline to Week 12
(Week 12 non-HDL-C minus baseline non-HDL-C) x 100/baseline non-HDL-C
Measured: From baseline to Week 12
Percent Change in Low-density Lipoprotein Cholesterol (LDL-C) From Baseline to Week 12
(Week 12 LDL-C minus baseline LDL-C) x 100/baseline LDL-C
Measured: From baseline to Week 12
Percent Change in Triglycerides From Baseline to Week 12
(Week 12 triglycerides minus baseline triglycerides) x 100/baseline triglycerides
Measured: From baseline to Week 12
Percent Change in LDL-C:HDL-C Ratio
(Week 12 LDL-C:HDL-C ratio minus baseline LDL-C:HDL-C ratio) x 100/baseline LDL-C:HDL-C ratio
Measured: From baseline to Week 12
Percent Change in Total Cholesterol From Baseline to Week 12
(Week 12 total cholesterol minus baseline total cholesterol) x 100/baseline total cholesterol
Measured: From baseline to Week 12
Percent Change in Total Cholesterol:HDL-C Ratio
(Week 12 total cholesterol:HDL-C ratio minus baseline total cholesterol:HDL-C ratio) x 100/baseline total cholesterol:HDL-C ratio
Measured: From baseline to Week 12
Percent Change in Lipoprotein A From Baseline to Week 12
(Week 12 lipoprotein A minus baseline lipoprotein A) x 100/baseline lipoprotein A
Measured: From baseline to Week 12
Percentage of Subjects Meeting With HDL-C >/= 40 mg/dL at Week 12
Measured: 12 weeks
Percentage of Subjects Meeting National Cholesterol Education Program Adult Treatment Panel (NCEP ATP) III Goal for LDL-C at Week 12
For high-risk patients (coronary heart disease or equivalent), LDL-C < 100 mg/dL and non-HDL-C < 130 mg/dL; for moderate risk patients (having 2 risk factors), LDL-C < 130 mg/dL and non-HDL-C < 160 mg/dL; for low-risk patients (having 0 or 1 risk factor): LDL-C < 160 mg/dL and non-HDL-C < 190 mg/dL.
Measured: 12 weeks
Percentage of Subjects With Triglycerides < 150 mg/dL at Week 12
Measured: 12 weeks
Percentage of Subjects With HDL-C >/= 40 mg/dL, LDL-C Meeting NCEP ATP III Goal, and Triglycerides < 150 mg/dL at Week 12
NCEP ATP III goals for LDL-C are as follows: For high-risk patients, LDL-C < 100 mg/dL; for moderate risk patients, LDL-C < 130 mg/dL; for low-risk patients: LDL-C < 160 mg/dL. High-risk means coronary heart disease or risk equivalents; moderate risk means having at least 2 risk factors; low-risk means having no or 1 risk factor.
Measured: 12 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Apr 2007 (estimated)
- Study startApr 2007
- Primary 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.
- Other trials for HyperlipidemiaStudies 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
- None (open label)
- Enrolment
- 199 participants (actual)
Sponsor and investigators
- Lead sponsor
- Abbott
- Sponsor type
- Industry (pharma, biotech, devices)
- Investigators
- Roopal Thakkar, MD, Study director, Abbott
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00465088
- Sponsor's protocol ID
- 019-05-06-CR
- Other IDs
- M10-013
- Acronym
- SUPREME
- Status last verified
- Jun 2011
- First submitted
- 23 Apr 2007
- Last updated
- 13 Jun 2011
- Results posted
- Yes, on ClinicalTrials.gov
Study at a glance
From the registry record, last updated by the sponsor on 13 Jun 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- SUPREME: A 12-Week, Open-Label, Multicenter Study to Compare the Lipid Effects of Niacin ER and Simvastatin (NS) to Atorvastatin in Subjects With Hyperlipidemia or Mixed Dyslipidemia
- ClinicalTrials.gov ID
- NCT00465088
- Acronym / sponsor ID
- SUPREME / 019-05-06-CR
- Conditions
- Hyperlipidemia, Mixed Dyslipidemia
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 199 participants (actual)
- Lead sponsor
- AbbottIndustry (pharma, biotech, devices)
- Study start
- Apr 2007
- Primary completion
- Feb 2008 (actual)
- First posted
- 24 Apr 2007 (estimated)
- Results
- Posted 13 May 2009
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To demonstrate that niacin ER and simvastatin (NS) tablets, when compared to atorvastatin (Lipitor®; Pfizer, Inc.), has superior high-density lipoprotein cholesterol (HDL-C) elevating effects at Week 12 in subjects with type II hyperlipidemia or mixed dyslipidemia who are currently off lipid-modifying therapy. This was a prospective, randomized, open-label, blinded endpoint (PROBE) study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 1 | Experimental | Drug: Niacin ER/Simvastatin Tablets |
| 2 | Experimental | Drug: atorvastatin |
Who may qualify
- Ages
- 21 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Subjects must meet all of the following laboratory criteria:
- Subjects must also be reasonably compliant with the Therapeutic Lifestyle Changes (TLC) diet during the 4 to 5 week Screening Period prior to randomization (and be willing to comply for the duration of the study).
Key exclusion criteria (1 listed)
- Subjects who have a history of any important medical conditions or abnormalities (as specified in the protocol) that would preclude study inclusion
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 |
|---|---|---|
| Niacin ER/Simvastatin TabletsAlso: ABT-919/483, Niacin ER/Simvastatin, SimcorUp to 2000 mg/40 mg at bedtime | Drug | 1 |
| atorvastatin40 mg at bedtime | Drug | 2 |
Primary outcome
Percent Change in High-density Lipoprotein Cholesterol (HDL-C) From Baseline to Week 12
Time frame: From baseline to Week 12
(Week 12 HDL-C minus baseline HDL-C) x 100/baseline HDL-C
13 secondary outcomes
Percent Change in HDL-C From Baseline to Week 8
Time frame: From baseline to Week 8
Percent Change in Non-HDL-C From Baseline to Week 8
Time frame: From baseline to Week 8
Percent Change in Non-HDL-C From Baseline to Week 12
Time frame: From baseline to Week 12
Percent Change in Low-density Lipoprotein Cholesterol (LDL-C) From Baseline to Week 12
Time frame: From baseline to Week 12
Percent Change in Triglycerides From Baseline to Week 12
Time frame: From baseline to Week 12
Percent Change in LDL-C:HDL-C Ratio
Time frame: From baseline to Week 12
Percent Change in Total Cholesterol From Baseline to Week 12
Time frame: From baseline to Week 12
Percent Change in Total Cholesterol:HDL-C Ratio
Time frame: From baseline to Week 12
Percent Change in Lipoprotein A From Baseline to Week 12
Time frame: From baseline to Week 12
Percentage of Subjects Meeting With HDL-C >/= 40 mg/dL at Week 12
Time frame: 12 weeks
Percentage of Subjects Meeting National Cholesterol Education Program Adult Treatment Panel (NCEP ATP) III Goal for LDL-C at Week 12
Time frame: 12 weeks
Percentage of Subjects With Triglycerides < 150 mg/dL at Week 12
Time frame: 12 weeks
Percentage of Subjects With HDL-C >/= 40 mg/dL, LDL-C Meeting NCEP ATP III Goal, and Triglycerides < 150 mg/dL at Week 12
Time frame: 12 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Jun 2011.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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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.
Roopal Thakkar, MD study director
Abbott
46 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Niacin ER/Simvastatin Tablets and atorvastatin in people with Hyperlipidemia and Mixed Dyslipidemia, run by Abbott at 46 sites in United States.
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 7 inclusion and 1 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 13 Jun 2011. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 46 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
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 May 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 in High-density Lipoprotein Cholesterol (HDL-C) From Baseline to Week 12 (time frame: From baseline to Week 12). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 13 Jun 2011.