AzTrials
AzTrials

HypertriglyceridemiaPhase 3MARINENCT01047683

Efficacy and Safety of AMR101 (Ethyl Icosapentate) in Patients With Fasting Triglyceride (Tg) Levels ≥ 500 and ≤ 2000 mg/dL

A Phase 3 study testing AMR101 (ethyl icosapentate) - 4 g/day and AMR101 (ethyl icosapentate) - 2 g/day in people with Hypertriglyceridemia, run by Amarin Pharma Inc. at 60 sites in 11 countries.

Completed

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

Official record
Search all trials

Trial summary

The primary objective is to determine the efficacy of AMR101 (ethyl icosapentate) compared to placebo in lowering fasting triglyceride levels in patients with very high fasting triglyceride levels ≥ 500 and ≤ 2000 mg/dL. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Hypertriglyceridemia
What is being tested?
AMR101 (ethyl icosapentate) - 4 g/day and AMR101 (ethyl icosapentate) - 2 g/day
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
229 participants
Where
60 sitesin 11 countries
Study dates
Dec 2009to Jul 2011
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men and women, ages >18
  • Fasting triglyceride ≥500 mg/dL and ≤2000 mg/dL
  • Provide written informed consent and authorization for protected health information disclosure

Who cannot join

  • Women who are pregnant or lactating, or planning to become pregnant
  • Use of non-statin lipid-altering drugs which cannot be stopped including fibrates, niacin, fish oil and other products containing omega-3 fatty acids or other dietary supplements with potential lipid-altering effects
  • History of pancreatitis
  • History of bariatric surgery or currently on weight loss drugs
  • Uncontrolled hypertension (BP > 160/100)
  • HIV infection or on treatment with HIV-protease inhibitors, cyclophosphamide,or isotretinoin
Show all 10Show fewer
  • Consumption of more than 2 alcoholic beverages per day
  • History of cancers (except if been disease free for >5 years OR history was basal or squamous cell skin cancer)
  • Participation in another clinical trial involving an investigational agent in the last 30 days
  • Other parameters will be assessed at the study center to ensure eligibility for this study.

Trial locations and contacts

60 sites in 11 countries.

60 sites in 11 countries

United States18 sites
  • Amarin Investigational Site

    Addison, Illinois, 27106

  • Amarin Investigational Site

    Butte, Montana, 59701

  • Amarin Investigational Site

    Chicago, Illinois, 60611

  • Amarin Investigational Site

    Cincinnati, Ohio, 45212

  • Amarin Investigational Site

    Cincinnati, Ohio, 45219

  • Amarin Investigational Site

    Corpus Christi, Texas, 78404

  • Amarin Investigational Site

    Golden, Colorado, 80401

  • Amarin Investigational Site

    Houston, Texas, 77030

  • Amarin Investigational Site

    Louisville, Kentucky, 40213

  • Amarin Investigational Site

    Lyndhurst, Ohio, 44124

  • Amarin Investigational Site

    Miami, Florida, 33169

  • Amarin Investigational Site

    Miami, Florida, 33183

  • Amarin Investigational Site

    Ocala, Florida, 34471

  • Amarin Investigational Site

    Raleigh, North Carolina, 27527

  • Amarin Investigational Site

    Richmond, Virginia, 23294

  • Amarin Investigational Site

    Sacramento, California, 95823

  • Amarin Investigational Site

    Tulsa, Oklahoma, 74136

  • Amarin Investigational Site

    Winston-Salem, North Carolina, 27103

Other trials in United States

India7 sites
  • Amarin Investigational Site

    Ahmedabad, 380 015

  • Amarin Investigational Site

    Bangalore, 560003

  • Amarin Investigational Site

    Bangalore, 560010

  • Amarin Investigational Site

    Bangalore, 560054

  • Amarin Investigational Site

    Gopālapuram, 600086

  • Amarin Investigational Site

    Indore, 452010

  • Amarin Investigational Site

    Mysore, 570 020

Other trials in India

Germany6 sites
  • Amarin Investigational Site

    Dresden, 1307

  • Amarin Investigational Site

    Giessen, 35392

  • Amarin Investigational Site

    Magdeburg, 39120

  • Amarin Investigational Site

    München, 80336

  • Amarin Investigational Site

    München, 81377

  • Amarin Investigational Site

    Nuremberg, 90402

Other trials in Germany

South Africa6 sites
  • Amarin Investigational Site

    Bloemfontein, 9301

  • Amarin Investigational Site

    Cape Town, 7500

  • Amarin Investigational Site

    Johannesburg, 2113

  • Amarin Investigational Site

    Parktown, 2193

  • Amarin Investigational Site

    Pretoria, 157

  • Amarin Investigational Site

    Somerset West, 7129

Other trials in South Africa

Netherlands5 sites
  • Amarin Investigational Site

    Amsterdam, 1105 AZ

  • Amarin Investigational Site

    Groningen, 9711 SG

  • Amarin Investigational Site

    Rotterdam, 3021 HC

  • Amarin Investigational Site

    Rotterdam, 3045 PM

  • Amarin Investigational Site

    Utrecht, 3584 CX

Other trials in Netherlands

Russia5 sites
  • Amarin Investigational Site

    Moscow, 121552

  • Amarin Investigational Site

    Moscow, 129090

  • Amarin Investigational Site

    Saint Petersburg, 194291

  • Amarin Investigational Site

    Saint Petersburg, 197341

  • Amarin Investigational Site

    Saint Petersburg, 198205

Other trials in Russia

Mexico4 sites
  • Amarin Investigational Site

    Guadalajara, Jalisco, 44600

  • Amarin Investigational Site

    Mexico City, 11650

  • Amarin Investigational Site

    Mexico City, 6700

  • Amarin Investigational Site

    Monterrey Nuevo Leon, 64460

Other trials in Mexico

Ukraine4 sites
  • Amarin Investigational Site

    Ivano-Frankivsk, 76018

  • Amarin Investigational Site

    Kiev, 3680

  • Amarin Investigational Site

    Kyiv, 4114

  • Amarin Investigational Site

    Odesa, 65059

Other trials in Ukraine

Denmark2 sites
  • Amarin Investigational Site

    Aalborg, 9000

  • Amarin Investigational Site

    Herlev, 2730

Other trials in Denmark

Italy2 sites
  • Amarin Investigational Site

    Genova, I-16132

  • Amarin Investigational Site

    Palermo, 90127

Other trials in Italy

Finland1 site
  • Amarin Investigational Site

    Oulu, FI-90014

Other trials in Finland

About this study

Official title: Evaluation of the Efficacy and Safety of AMR101 (Ethyl Icosapentate) in Patients With Fasting Triglyceride Levels ≥ 500 mg/dL and ≤ 2000 mg/dL

The primary objective is to determine the efficacy of AMR101 (ethyl icosapentate) compared to placebo in lowering fasting triglyceride levels in patients with very high fasting triglyceride levels ≥ 500 and ≤ 2000 mg/dL.

Being tested
AMR101 (ethyl icosapentate) - 4 g/day, AMR101 (ethyl icosapentate) - 2 g/day, Placebo
Keywords
hypertriglyceridemia, omega-3 fatty acids, statin, triglycerides, lipids, EPA, docosahexaenoic acid, fish, fatty acids, fibrates, niacin, lipid, atorvastatin, Lovaza, simvastatin, lovastatin, pravastatin, fluvastatin, rosuvastatin, Trilipix
Medical subject headings
Hypertriglyceridemia, Dyslipidemias

What participants receive

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

  • AMR101 (ethyl icosapentate) - 4 g/dayDrug

    Also called VASCEPA® (icosapent ethyl)

    AMR101 (ethyl icosapentate) 4 capsules/day for 12 weeks (Weeks 1-12)

  • AMR101 (ethyl icosapentate) - 2 g/dayDrug

    Also called VASCEPA® (icosapent ethyl)

    AMR101 (ethyl icosapentate) 2 capsules/day with placebo 2 capsules/day for 12 weeks (Weeks 1-12)

  • PlaceboDrug

    Placebo 4 capsules/day for 12 weeks (Weeks 1-12)

Study groups in NCT01047683
Study groupRoleWhat they receive
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo
AMR101 (ethyl icosapentate) - 2 g/dayExperimentalNot described
Receives: Drug: AMR101 (ethyl icosapentate) - 2 g/day
AMR101 (ethyl icosapentate) - 4 g/dayExperimentalNot described
Receives: Drug: AMR101 (ethyl icosapentate) - 4 g/day

What is being measured

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

  1. Difference Between AMR101 (Ethyl Icosapentate) and Placebo Treatment Groups in Triglyceride Lowering Effect

    Median percent change from baseline to Week 12 in fasting serum triglyceride levels following treatment with AMR101 (ethyl icosapentate) 2 g/day or 4 g/day

    Measured: baseline and 12 weeks

Secondary outcomes (3)
  1. Difference Between AMR101 (Ethyl Icosapentate) and Placebo Treatment Groups in Very Low-density Lipoprotein Cholesterol Levels

    Median percent change from baseline to Week 12 in serum very low-density lipoprotein cholesterol levels following treatment with AMR101 (ethyl icosapentate) 2 g/day or 4 g/day

    Measured: baseline and 12 weeks

  2. Difference Between AMR101 (Ethyl Icosapentate) and Placebo Treatment Groups in Lipoprotein-associated Phospholipase A2 Levels

    Median percent change from baseline to Week 12 in serum Lipoprotein-associated Phospholipase A2 levels following treatment with AMR101 (ethyl icosapentate) 2 g/day or 4 g/day

    Measured: baseline and 12 weeks

  3. Difference Between AMR101 (Ethyl Icosapentate) and Placebo Treatment Group in Apolipoprotein B Levels

    Median in percent change from baseline to Week 12 in serum Apolipoprotein B levels following treatment with AMR101 (ethyl icosapentate) 2 g/day or 4 g/day

    Measured: baseline and 12 weeks

Timeline

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

  1. First posted13 Jan 2010 (estimated)
  2. Study startDec 2009
  3. Primary completionOct 2010
  4. Study completionJul 2011

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
229 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01047683
Sponsor's protocol ID
AMR-01-01-0016
Other IDs
The MARINE Study
Acronym
MARINE
Status last verified
Mar 2022
First submitted
11 Jan 2010
Last updated
25 Apr 2022
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Bays HE, Ballantyne CM, Kastelein JJ, Isaacsohn JL, Braeckman RA, Soni PN. Eicosapentaenoic acid ethyl ester (AMR101) therapy in patients with very high triglyceride levels (from the Multi-center, plAcebo-controlled, Randomized, double-blINd, 12-week study with an open-label Extension [MARINE] trial). Am J Cardiol. 2011 Sep 1;108(5):682-90. doi: 10.1016/j.amjcard.2011.04.015. Epub 2011 Jun 16.

    PubMed 21683321
  • Bays HE, Braeckman RA, Ballantyne CM, Kastelein JJ, Otvos JD, Stirtan WG, Soni PN. Icosapent ethyl, a pure EPA omega-3 fatty acid: effects on lipoprotein particle concentration and size in patients with very high triglyceride levels (the MARINE study). J Clin Lipidol. 2012 Nov-Dec;6(6):565-72. doi: 10.1016/j.jacl.2012.07.001. Epub 2012 Jul 24.

    PubMed 23312052
  • Bays HE, Ballantyne CM, Braeckman RA, Stirtan WG, Soni PN. Icosapent ethyl, a pure ethyl ester of eicosapentaenoic acid: effects on circulating markers of inflammation from the MARINE and ANCHOR studies. Am J Cardiovasc Drugs. 2013 Feb;13(1):37-46. doi: 10.1007/s40256-012-0002-3.

    PubMed 23325450
  • Braeckman RA, Manku MS, Bays HE, Stirtan WG, Soni PN. Icosapent ethyl, a pure EPA omega-3 fatty acid: effects on plasma and red blood cell fatty acids in patients with very high triglyceride levels (results from the MARINE study). Prostaglandins Leukot Essent Fatty Acids. 2013 Sep;89(4):195-201. doi: 10.1016/j.plefa.2013.07.005. Epub 2013 Aug 1.

    PubMed 23992935
  • Bays HE, Ballantyne CM, Braeckman RA, Stirtan WG, Doyle RT Jr, Philip S, Soni PN, Juliano RA. Icosapent Ethyl (Eicosapentaenoic Acid Ethyl Ester): Effects Upon High-Sensitivity C-Reactive Protein and Lipid Parameters in Patients With Metabolic Syndrome. Metab Syndr Relat Disord. 2015 Aug;13(6):239-47. doi: 10.1089/met.2014.0137. Epub 2015 Apr 20.

    PubMed 25893544
  • Ballantyne CM, Bays HE, Braeckman RA, Philip S, Stirtan WG, Doyle RT Jr, Soni PN, Juliano RA. Icosapent ethyl (eicosapentaenoic acid ethyl ester): Effects on plasma apolipoprotein C-III levels in patients from the MARINE and ANCHOR studies. J Clin Lipidol. 2016 May-Jun;10(3):635-645.e1. doi: 10.1016/j.jacl.2016.02.008. Epub 2016 Feb 23.

    PubMed 27206952
  • Ballantyne CM, Bays HE, Philip S, Doyle RT Jr, Braeckman RA, Stirtan WG, Soni PN, Juliano RA. Icosapent ethyl (eicosapentaenoic acid ethyl ester): Effects on remnant-like particle cholesterol from the MARINE and ANCHOR studies. Atherosclerosis. 2016 Oct;253:81-87. doi: 10.1016/j.atherosclerosis.2016.08.005. Epub 2016 Aug 20.

    PubMed 27596132
  • Bays HE, Ballantyne CM, Doyle RT Jr, Juliano RA, Philip S. Icosapent ethyl: Eicosapentaenoic acid concentration and triglyceride-lowering effects across clinical studies. Prostaglandins Other Lipid Mediat. 2016 Sep;125:57-64. doi: 10.1016/j.prostaglandins.2016.07.007. Epub 2016 Jul 11.

    PubMed 27418543
  • Mosca L, Ballantyne CM, Bays HE, Guyton JR, Philip S, Doyle RT Jr, Juliano RA. Usefulness of Icosapent Ethyl (Eicosapentaenoic Acid Ethyl Ester) in Women to Lower Triglyceride Levels (Results from the MARINE and ANCHOR Trials). Am J Cardiol. 2017 Feb 1;119(3):397-403. doi: 10.1016/j.amjcard.2016.10.027. Epub 2016 Nov 1.

    PubMed 27939227

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing AMR101 (ethyl icosapentate) - 4 g/day and AMR101 (ethyl icosapentate) - 2 g/day in people with Hypertriglyceridemia, run by Amarin Pharma Inc. at 60 sites in 11 countries.

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 3 inclusion and 10 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 25 Apr 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 60 sites in United States, India, Germany, South Africa, Netherlands and 6 more countries. 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. 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 25 Apr 2022). 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?

Difference Between AMR101 (Ethyl Icosapentate) and Placebo Treatment Groups in Triglyceride Lowering Effect (time frame: baseline and 12 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 NCT01047683, which also lists 9 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 25 Apr 2022.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in