Severe HypertriglyceridemiaPhase 2/3EVOLVENCT01242527
Epanova® for Lowering Very High Triglycerides
A Phase 2/3 study testing omefas in people with Severe Hypertriglyceridemia, run by AstraZeneca at 68 sites in 7 countries.
Trial summary
The primary objective of the study is to determine the efficacy of Epanova (omefas) compared to placebo in lowering serum triglycerides in subjects with severe hypertriglyceridemia. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Severe Hypertriglyceridemia
- What is being tested?
- omefas
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 399 participants
- Where
- 68 sitesin 7 countries
- Study dates
- Jan 2011to Apr 2012
- Phase
- Phase 2/3
- 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 or women, >=18 years of age.
- Very high serum TG values in the range >=500 mg/dL and <2000 mg/dL (>=5.65 mmol/L and <22.60 mmol/L)
Who cannot join
- Allergy or intolerance to omega-3 fatty acids, omega-3-acid ethyl esters, or fish.
- Known lipoprotein lipase impairment or deficiency or apolipoprotein C-II deficiency or familial dysbetalipoproteinemia.
- Unable to discontinue use of omega-3 drugs/supplements.
- Unable to discontinue use of bile acid sequestrants, fibrates or niacin (other than niacin-containing vitamins <200 mg), or any supplement used to alter lipid metabolism.
- Women who are pregnant, lactating, or planning to become pregnant. Women of childbearing potential who are not using acceptable contraceptive methods.
- Use of tamoxifen, estrogens or progestins that has not been stable for >4 weeks prior to Visit 1.
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- Use of oral or injected corticosteroids or anabolic steroids.
- History of pancreatitis.
- History of symptomatic gallstone disease, unless treated with cholecystectomy.
- Uncontrolled diabetes.
- Uncontrolled hypothyroidism or thyroid stimulating hormone (TSH).
- History of cancer (other than basal cell carcinoma) in the past 2 years.
- Cardiovascular event (i.e., myocardial infarction, acute coronary syndrome, new onset angina, stroke, transient ischemic attack, unstable congestive heart failure requiring a change in treatment) or revascularization procedure within six months prior to Visit 1.
- Use of anticoagulants (e.g. warfarin [Coumadin®], coumarin, heparin, enoxaparin, clopidogrel).
- Presence of an aortic aneurysm or resection of an aortic aneurysm within six months prior to Visit 1.
- Recent history (within six months prior to Visit 1) or current significant nephrotic syndrome, pulmonary, hepatic, biliary, gastrointestinal or immunologic disease.
- Poorly controlled hypertension.
- Any of the following laboratory criteria: serum alanine aminotransferase (ALT) or aspartate aminotransferase (AST), glucose, glomerular filtration rate (GFR), platelet count,or hemoglobin outside of study range.
- Recent history (past 12 months) of drug abuse or alcohol abuse.
- Exposure to any investigational product, within 4 weeks prior to Visit 1.
- Presence of any other condition the Investigator believes would interfere with the subject's ability to provide informed consent, comply with study instructions, or which might confound the interpretation of the study results or put the subject at undue risk
Trial locations and contacts
68 sites in 7 countries.
68 sites in 7 countries
United States30 sites
Study site
Addison, Illinois, 60101
Study site
Atlanta, Georgia, 30328
Study site
Auburn, Maine, 04210
Study site
Bristol, Tennessee, 37620
Study site
Chicago, Illinois, 60654
Study site
Cincinnati, Ohio, 45212
Study site
Cincinnati, Ohio, 45246
Study site
Columbus, Ohio, 43213
Study site
Coral Gables, Florida, 33134
Study site
Hialeah, Florida, 33012
Study site
High Point, North Carolina, 27262
Study site
Johnson City, Tennessee, 37604
Study site
Kingsport, Tennessee, 37660
Study site
Louisville, Kentucky, 40213
Study site
Manchester, Connecticut, 06040
Study site
Miami, Florida, 33169
Study site
National City, California, 91950
Study site
Norfolk, Virginia, 23502
Study site
Ocala, Florida, 34471
Study site
Oklahoma City, Oklahoma, 73103
Study site
Olive Branch, Mississippi, 38654
Study site
Olympia, Washington, 98502
Study site
Philadelphia, Pennsylvania, 19104
Study site
Philadelphia, Pennsylvania, 19446
Study site
Richmond, Virginia, 23294
Study site
Sacramento, California, 95823
Study site
Salisbury, North Carolina, 28144
Study site
San Antonio, Texas, 78215
Study site
St. Petersburg, Florida, 33709
Study site
Summerfield, Florida, 34461
India10 sites
Study site
Bangalore, Karnataka, 560003
Study site
Bangalore, Karnataka, 560054
Study site
Bangalore, Karnataka
Study site
Banswada, Karnataka, 560043
Study site
Chennai, Tamil Nadu, 600010
Study site
Indore, Madhya Pradesh, 452014
Study site
Jaipur, Rajasthan, 302015
Study site
Karnāl, Haryana, 132001
Study site
Pune, Maharashtra, 411005
Study site
Surat, 395007
Hungary9 sites
Study site
Baja, 6500
Study site
Budapest, 1062
Study site
Budapest, 1115
Study site
Budapest, 1125
Study site
Debrecen, 4032
Study site
Debrecen, 4043
Study site
Sátoraljaújhely, 3980
Study site
Székesfehérvár, 8000
Study site
Szikszó, 3800
Ukraine6 sites
Study site
Kharkiv, 61037
Study site
Kharkiv, 61039
Study site
Kharkiv, 61176
Study site
Kiev, 03115
Study site
Kiev, 03680
Study site
Zaporizhzhya, 69118
Netherlands5 sites
Study site
Amsterdam, 1105AZ
Study site
Groningen, 9711SG
Study site
Rotterdam, 3004BA
Study site
Rotterdam, 3021HC
Study site
Utrecht, 3584CX
Denmark4 sites
Study site
Copenhagen, 2100
Study site
Gentofte Municipality, 2820
Study site
Herlev, 2730
Study site
Viborg, 8800
Russia4 sites
Study site
Moscow, 129090
Study site
Novosibirsk, 630068
Study site
Saint Petersburg, 192288
Study site
Saint Petersburg, 196084
About this study
Official title: Efficacy and Safety of Epanova® (Omefas) in Severe Hypertriglyceridemia
The primary objective of the study is to determine the efficacy of Epanova (omefas) compared to placebo in lowering serum triglycerides in subjects with severe hypertriglyceridemia.
- Conditions
- Severe Hypertriglyceridemia
- Being tested
- placebo, omefas
- Keywords
- dyslipidemia, hyperlipidemia, omega-3 carboxylic acid
- Medical subject headings
- Hypertriglyceridemia, Dyslipidemias, Hyperlipidemias
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
placeboDrug
4 capsules (1g) daily for 12 weeks
omefasDrug
2 capsules (1g) + 2 placebo daily for 12 weeks
omefasDrug
3 capsules (1g) + 1 placebo daily for 12 weeks
omefasDrug
4 capsules (1g)daily for 12 weeks
| Study group | Role | What they receive |
|---|---|---|
| placebo | Placebo comparator | Not described Receives: Drug: placebo |
| Epanova 2 g | Experimental | Not described Receives: Drug: omefas |
| Epanova 3 g | Experimental | Not described Receives: Drug: omefas |
| Epanova 4 g | Experimental | Not described Receives: Drug: omefas |
What is being measured
The primary outcome is the main question the study is designed to answer.
Fasting Serum Triglycerides
The primary endpoints are the differences in mean percent changes from baseline to end-of-treatment in triglycerides between placebo and the 2g/day, 3g/day and 4g/day Epanova groups
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 posted17 Nov 2010 (estimated)
- Study startJan 2011
- Primary completionMar 2012
- Study completionApr 2012
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 (1)Papers the sponsor has linked to this study.
- Other trials for Severe HypertriglyceridemiaStudies of the same condition, open and under way.
- More trials run by AstraZenecaThe sponsor's other registered studies.
- 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 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 399 participants (actual)
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Michael H Davidson, MD, FACC, Study director, Omthera Pharmaceuticals, Inc
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01242527
- Sponsor's protocol ID
- OM-EPA-003
- Acronym
- EVOLVE
- Status last verified
- Jun 2016
- First submitted
- 15 Nov 2010
- Last updated
- 4 Aug 2016
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Kastelein JJ, Maki KC, Susekov A, Ezhov M, Nordestgaard BG, Machielse BN, Kling D, Davidson MH. Omega-3 free fatty acids for the treatment of severe hypertriglyceridemia: the EpanoVa fOr Lowering Very high triglyceridEs (EVOLVE) trial. J Clin Lipidol. 2014 Jan-Feb;8(1):94-106. doi: 10.1016/j.jacl.2013.10.003. Epub 2013 Oct 14.
PubMed 24528690
Study at a glance
From the registry record, last updated by the sponsor on 4 Aug 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy and Safety of Epanova® (Omefas) in Severe Hypertriglyceridemia
- ClinicalTrials.gov ID
- NCT01242527
- Acronym / sponsor ID
- EVOLVE / OM-EPA-003
- Conditions
- Severe Hypertriglyceridemia
- Keywords
- dyslipidemia, hyperlipidemia, omega-3 carboxylic acid
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 399 participants (actual)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Study start
- Jan 2011
- Primary completion
- Mar 2012 (actual)
- Study completion
- Apr 2012 (actual)
- First posted
- 17 Nov 2010 (estimated)
- Results
- Posted 6 Sep 2013
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective of the study is to determine the efficacy of Epanova (omefas) compared to placebo in lowering serum triglycerides in subjects with severe hypertriglyceridemia.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| placebo | Placebo comparator | Drug: placebo |
| Epanova 2 g | Experimental | Drug: omefas |
| Epanova 3 g | Experimental | Drug: omefas |
| Epanova 4 g | Experimental | Drug: omefas |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Men or women, >=18 years of age.
- Very high serum TG values in the range >=500 mg/dL and <2000 mg/dL (>=5.65 mmol/L and <22.60 mmol/L)
Key exclusion criteria (21 listed)
- Allergy or intolerance to omega-3 fatty acids, omega-3-acid ethyl esters, or fish.
- Known lipoprotein lipase impairment or deficiency or apolipoprotein C-II deficiency or familial dysbetalipoproteinemia.
- Unable to discontinue use of omega-3 drugs/supplements.
- Unable to discontinue use of bile acid sequestrants, fibrates or niacin (other than niacin-containing vitamins <200 mg), or any supplement used to alter lipid metabolism.
- Women who are pregnant, lactating, or planning to become pregnant. Women of childbearing potential who are not using acceptable contraceptive methods.
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 |
|---|---|---|
| placebo4 capsules (1g) daily for 12 weeks | Drug | placebo |
| omefas2 capsules (1g) + 2 placebo daily for 12 weeks | Drug | Epanova 2 g |
| omefas3 capsules (1g) + 1 placebo daily for 12 weeks | Drug | Epanova 3 g |
| omefas4 capsules (1g)daily for 12 weeks | Drug | Epanova 4 g |
Primary outcome
Fasting Serum Triglycerides
Time frame: 12 weeks
The primary endpoints are the differences in mean percent changes from baseline to end-of-treatment in triglycerides between placebo and the 2g/day, 3g/day and 4g/day Epanova groups
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Aug 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 24528690Kastelein JJ, Maki KC, Susekov A, Ezhov M, Nordestgaard BG, Machielse BN, Kling D, Davidson MH. Omega-3 free fatty acids for the treatment of severe hypertriglyceridemia: the EpanoVa fOr Lowering Very high triglyceridEs (EVOLVE) trial. J Clin Lipidol. 2014 Jan-Feb;8(1):94-106. doi: 10.1016/j.jacl.2013.10.003. Epub 2013 Oct 14.
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RecruitingPhase 2
A Study to Assess the Safety, Tolerability and Efficacy of ION775
Hypertriglyceridemia, Severe Hypertriglyceridemia
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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.
Michael H Davidson, MD, FACC study director
Omthera Pharmaceuticals, Inc
68 sites in 7 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing omefas in people with Severe Hypertriglyceridemia, run by AstraZeneca at 68 sites in 7 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 2 inclusion and 21 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 4 Aug 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 68 sites in United States, India, Hungary, Ukraine, Netherlands and 2 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 combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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 6 Sep 2013). 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?
Fasting Serum Triglycerides (time frame: 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 NCT01242527, which also lists 1 linked publication.
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 4 Aug 2016.