HypercholesterolemiaPhase 2NCT01941836
Evaluation of ETC-1002, Ezetimibe, and the Combination in Hypercholesterolemic Patients
A Phase 2 study testing ETC-1002 and Ezetimibe in people with Hypercholesterolemia, run by Esperion Therapeutics, Inc. at 68 sites in United States.
Trial summary
The purpose of this research study is to see how ETC-1002 is tolerated in the body, to measure the amount of ETC-1002 in the blood, and to determine how ETC-1002 affects the level of LDL-cholesterol (bad cholesterol) and other markers of health and disease in blood and urine in patients with elevated LDL-cholesterol… Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Hypercholesterolemia
- What is being tested?
- ETC-1002 and Ezetimibe
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 349 participants
- Where
- 68 sitesUnited States
- Study dates
- Sep 2013to Nov 2014
- Phase
- Phase 2
- Are there results?
- None posted in the registry
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 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Statin intolerant and statin tolerant
- Fasting LDL-C between 130 mg/dL and 220 mg/dL
- Fasting triglyceride less than or equal to 400 mg/dL
- Body mass index (BMI) between 18 and 45 kg/m2
Who cannot join
- History or current clinically significant cardiovascular disease
- History or current type 1 diabetes or uncontrolled type 2 diabetes
- Use of metformin or thiazolidinediones (TZD) within 3 months of screening
- History of joint symptoms difficult to differentiate from myalgia
- Uncontrolled hypothyroidism
- Liver disease or dysfunction
Show all 13Show fewer
- Renal dysfunction or nephritic syndrome
- Gastrointestinal (GI) conditions or prior GI procedures
- HIV or AIDS
- History or malignancy
- History or drug or alcohol abuse within last 2 years
- Use of experimental or investigational drugs within 30 days of screening
- Use of ETC-1002 in a previous clinical study
Trial locations and contacts
68 sites in 1 country.
68 sites in 1 country
United States68 sites
Study site
Albuquerque, New Mexico, 87106
Study site
Atlantis, Florida, 33462
Study site
Auburn, Maine, 04210
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Austin, Texas, 78731
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Beachwood, Ohio, 26900
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Beverly Hills, California, 90211
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Birmingham, Alabama, 35209
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Brandon, Florida, 33511
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Chandler, Arizona, 85224
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Chino, California, 91710
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Cincinnati, Ohio, 45219
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Cincinnati, Ohio, 45227
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Cleveland, Ohio, 44195
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Clifton, New Jersey, 07012
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Columbus, Ohio, 43213
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Dallas, Texas, 75216
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Dallas, Texas, 75230
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Decatur, Georgia, 30033
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Denver, Colorado, 80220
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Eugene, Oregon, 97404
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Evansville, Indiana, 47714
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Fort Worth, Texas, 76104
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Franklin, Ohio, 45005
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Greensboro, North Carolina, 27408
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Hartford, Connecticut, 06102
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Hialeah, Florida, 33012
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Houston, Texas, 77030
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Houston, Texas, 77072
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Houston, Texas, 77074
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Jacksonville, Florida, 32223
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Kansas City, Kansas, 66214
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Kingsport, Tennessee, 37660
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Lincoln, California, 95821
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Lincoln, Nebraska, 68510
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Long Beach, California, 90806
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Los Angeles, California, 90059
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Lyndhurst, Ohio, 44124
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Marietta, Georgia, 30066
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Marion, Ohio, 43302
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Meridian, Idaho, 83646
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Mt. Pleasant, South Carolina, 29464
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Muscle Shoals, Alabama, 35662
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New Windsor, New York, 12553
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Newport Beach, California, 92663
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Norfolk, Virginia, 23502
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Oklahoma City, Oklahoma, 73103
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Olympia, Washington, 98502
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Orem, Utah, 84058
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Oviedo, Florida, 32765
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Ponte Vedra, Florida, 32081
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Port Orange, Florida, 32127
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Raleigh, North Carolina, 27609
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Renton, Washington, 98057
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Richmond, Virginia, 23294
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Rochester, New York, 14609
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Round Rock, Texas, 78681
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Salisbury, North Carolina, 28144
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Salt Lake City, Utah, 84124
Study site
Seattle, Washington, 98104
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Spokane, Washington, 99204
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St. Petersburg, Florida, 33756
Study site
Thousand Oaks, California, 91360
Study site
Tulsa, Oklahoma, 74136
Study site
Vista, California, 92083
Study site
West Palm Beach, Florida, 33409
Study site
Williamsville, New York, 14221
Study site
Willoughby Hills, Ohio, 44094
Study site
Wilmington, North Carolina, 28401
About this study
Official title: A Randomized, Double-Blind, Parallel Group, Multicenter Study to Evaluate the Efficacy and Safety of ETC-1002, Ezetimibe, and the Combination in Hypercholesterolemic Patients With or Without Statin Intolerance
The purpose of this research study is to see how ETC-1002 is tolerated in the body, to measure the amount of ETC-1002 in the blood, and to determine how ETC-1002 affects the level of LDL-cholesterol (bad cholesterol) and other markers of health and disease in blood and urine in patients with elevated LDL-cholesterol with or without statin intolerance.
Read the detailed description
Hypercholesterolemic patients either with or without a history of statin intolerance (1:1 ratio) will be randomized to receive once daily by mouth capsules containing either ETC-1002, ezetimibe, or ETC-1002 + ezetimibe. This study will explore the safety and efficacy of concomitant administration of ETC-1002 and ezetimibe, while also exploring the effect of ezetimibe on ETC-1002 systemic exposure.
- Conditions
- Hypercholesterolemia
- Being tested
- ETC-1002, Ezetimibe
- Keywords
- Statin intolerant, Statin tolerant, LDL, Cholesterol
- Medical subject headings
- Hypercholesterolemia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ETC-1002Drug
Patients receive ETC-1002
EzetimibeDrug
Also called Zetia
Patients receive ezetimibe
| Study group | Role | What they receive |
|---|---|---|
| ETC-1002 120 mg/day | Experimental | Orally, once daily in morning as capsules Receives: Drug: ETC-1002 |
| ETC-1002 180 mg/day | Experimental | Orally, once daily in morning as capsules Receives: Drug: ETC-1002 |
| ezetimibe 10mg/day | Active comparator | Orally, once daily in morning as capsules Receives: Drug: Ezetimibe |
| ETC-1002 120 mg/day + ezetimibe 10mg/day | Experimental | Orally, once daily in morning Receives: Drug: ETC-1002; Drug: Ezetimibe |
| ETC-1002 180 mg/day + ezetimibe 10mg/day | Experimental | Orally, once daily in morning Receives: Drug: ETC-1002; Drug: Ezetimibe |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percent change in calculated low density lipoprotein-cholesterol (LDL-C)
Measured: Baseline and 12 weeks
Secondary outcomes (6)
Percent change in other lipid measures non high density lipoprotein cholesterol (nonHDL-C)
Measured: Baseline and 12 weeks
Safety using adverse event reports; vital signs
Measured: up to 21 weeks including screening
Percent change in Apolipoprotein B (ApoB)
Measured: Baseline and 12 weeks
Percent change in high sensitivity C-reactive protein (hsCRP)
Measured: Baseline and 12 weeks
Safety using adverse event reports; clinical laboratory results
Measured: up to 21 weeks including screening
Safety using adverse event reports; rates of muscle-related adverse
Measured: up to 21 weeks including screening
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Sep 2013 (estimated)
- Study startSep 2013
- Primary completionOct 2014
- Study completionNov 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 349 participants (actual)
Sponsor and investigators
- Lead sponsor
- Esperion Therapeutics, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Medpace, Inc.
- Responsible party
- Sponsor
- Investigators
- Diane E MacDougall, MS, Study director, Esperion Therapeutics, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01941836
- Sponsor's protocol ID
- 1002-008
- Status last verified
- Mar 2019
- First submitted
- 6 Sep 2013
- Last updated
- 29 Mar 2019
- Results posted
- No
- Data monitoring committee
- No
Publications
Ballantyne CM, Davidson MH, Macdougall DE, Bays HE, Dicarlo LA, Rosenberg NL, Margulies J, Newton RS. Efficacy and safety of a novel dual modulator of adenosine triphosphate-citrate lyase and adenosine monophosphate-activated protein kinase in patients with hypercholesterolemia: results of a multicenter, randomized, double-blind, placebo-controlled, parallel-group trial. J Am Coll Cardiol. 2013 Sep 24;62(13):1154-62. doi: 10.1016/j.jacc.2013.05.050. Epub 2013 Jun 13.
PubMed 23770179Filippov S, Pinkosky SL, Lister RJ, Pawloski C, Hanselman JC, Cramer CT, Srivastava RAK, Hurley TR, Bradshaw CD, Spahr MA, Newton RS. ETC-1002 regulates immune response, leukocyte homing, and adipose tissue inflammation via LKB1-dependent activation of macrophage AMPK. J Lipid Res. 2013 Aug;54(8):2095-2108. doi: 10.1194/jlr.M035212. Epub 2013 May 24.
PubMed 23709692Pinkosky SL, Filippov S, Srivastava RA, Hanselman JC, Bradshaw CD, Hurley TR, Cramer CT, Spahr MA, Brant AF, Houghton JL, Baker C, Naples M, Adeli K, Newton RS. AMP-activated protein kinase and ATP-citrate lyase are two distinct molecular targets for ETC-1002, a novel small molecule regulator of lipid and carbohydrate metabolism. J Lipid Res. 2013 Jan;54(1):134-51. doi: 10.1194/jlr.M030528. Epub 2012 Nov 1.
PubMed 23118444Gutierrez MJ, Rosenberg NL, Macdougall DE, Hanselman JC, Margulies JR, Strange P, Milad MA, McBride SJ, Newton RS. Efficacy and safety of ETC-1002, a novel investigational low-density lipoprotein-cholesterol-lowering therapy for the treatment of patients with hypercholesterolemia and type 2 diabetes mellitus. Arterioscler Thromb Vasc Biol. 2014 Mar;34(3):676-83. doi: 10.1161/ATVBAHA.113.302677. Epub 2014 Jan 2.
PubMed 24385236Thompson PD, MacDougall DE, Newton RS, Margulies JR, Hanselman JC, Orloff DG, McKenney JM, Ballantyne CM. Treatment with ETC-1002 alone and in combination with ezetimibe lowers LDL cholesterol in hypercholesterolemic patients with or without statin intolerance. J Clin Lipidol. 2016 May-Jun;10(3):556-67. doi: 10.1016/j.jacl.2015.12.025. Epub 2016 Jan 6.
PubMed 27206943
Study at a glance
From the registry record, last updated by the sponsor on 29 Mar 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Parallel Group, Multicenter Study to Evaluate the Efficacy and Safety of ETC-1002, Ezetimibe, and the Combination in Hypercholesterolemic Patients With or Without Statin Intolerance
- ClinicalTrials.gov ID
- NCT01941836
- Acronym / sponsor ID
- 1002-008
- Conditions
- Hypercholesterolemia
- Keywords
- Statin intolerant, Statin tolerant, LDL, Cholesterol
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 349 participants (actual)
- Lead sponsor
- Esperion Therapeutics, Inc.Industry (pharma, biotech, devices)
- Collaborators
- Medpace, Inc.
- Study start
- Sep 2013
- Primary completion
- Oct 2014 (actual)
- Study completion
- Nov 2014 (actual)
- First posted
- 13 Sep 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this research study is to see how ETC-1002 is tolerated in the body, to measure the amount of ETC-1002 in the blood, and to determine how ETC-1002 affects the level of LDL-cholesterol (bad cholesterol) and other markers of health and disease in blood and urine in patients with elevated LDL-cholesterol with or without statin intolerance.
Detailed description
Hypercholesterolemic patients either with or without a history of statin intolerance (1:1 ratio) will be randomized to receive once daily by mouth capsules containing either ETC-1002, ezetimibe, or ETC-1002 + ezetimibe. This study will explore the safety and efficacy of concomitant administration of ETC-1002 and ezetimibe, while also exploring the effect of ezetimibe on ETC-1002 systemic exposure.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| ETC-1002 120 mg/day | Experimental | Drug: ETC-1002Orally, once daily in morning as capsules |
| ETC-1002 180 mg/day | Experimental | Drug: ETC-1002Orally, once daily in morning as capsules |
| ezetimibe 10mg/day | Active comparator | Drug: EzetimibeOrally, once daily in morning as capsules |
| ETC-1002 120 mg/day + ezetimibe 10mg/day | Experimental | Drug: ETC-1002, Drug: EzetimibeOrally, once daily in morning |
| ETC-1002 180 mg/day + ezetimibe 10mg/day | Experimental | Drug: ETC-1002, Drug: EzetimibeOrally, once daily in morning |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Statin intolerant and statin tolerant
- Fasting LDL-C between 130 mg/dL and 220 mg/dL
- Fasting triglyceride less than or equal to 400 mg/dL
- Body mass index (BMI) between 18 and 45 kg/m2
Key exclusion criteria (13 listed)
- History or current clinically significant cardiovascular disease
- History or current type 1 diabetes or uncontrolled type 2 diabetes
- Use of metformin or thiazolidinediones (TZD) within 3 months of screening
- History of joint symptoms difficult to differentiate from myalgia
- Uncontrolled hypothyroidism
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 |
|---|---|---|
| ETC-1002Patients receive ETC-1002 | Drug | ETC-1002 120 mg/day, ETC-1002 120 mg/day + ezetimibe 10mg/day, ETC-1002 180 mg/day, ETC-1002 180 mg/day + ezetimibe 10mg/day |
| EzetimibeAlso: ZetiaPatients receive ezetimibe | Drug | ETC-1002 120 mg/day + ezetimibe 10mg/day, ETC-1002 180 mg/day + ezetimibe 10mg/day, ezetimibe 10mg/day |
Primary outcome
Percent change in calculated low density lipoprotein-cholesterol (LDL-C)
Time frame: Baseline and 12 weeks
6 secondary outcomes
Percent change in other lipid measures non high density lipoprotein cholesterol (nonHDL-C)
Time frame: Baseline and 12 weeks
Safety using adverse event reports; vital signs
Time frame: up to 21 weeks including screening
Percent change in Apolipoprotein B (ApoB)
Time frame: Baseline and 12 weeks
Percent change in high sensitivity C-reactive protein (hsCRP)
Time frame: Baseline and 12 weeks
Safety using adverse event reports; clinical laboratory results
Time frame: up to 21 weeks including screening
Safety using adverse event reports; rates of muscle-related adverse
Time frame: up to 21 weeks including screening
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Mar 2019.
- Background: PubMed 23770179Ballantyne CM, Davidson MH, Macdougall DE, Bays HE, Dicarlo LA, Rosenberg NL, Margulies J, Newton RS. Efficacy and safety of a novel dual modulator of adenosine triphosphate-citrate lyase and adenosine monophosphate-activated protein kinase in patients with hypercholesterolemia: results of a multicenter, randomized, double-blind, placebo-controlled, parallel-group trial. J Am Coll Cardiol. 2013 Sep 24;62(13):1154-62. doi: 10.1016/j.jacc.2013.05.050. Epub 2013 Jun 13.
- Background: PubMed 23709692Filippov S, Pinkosky SL, Lister RJ, Pawloski C, Hanselman JC, Cramer CT, Srivastava RAK, Hurley TR, Bradshaw CD, Spahr MA, Newton RS. ETC-1002 regulates immune response, leukocyte homing, and adipose tissue inflammation via LKB1-dependent activation of macrophage AMPK. J Lipid Res. 2013 Aug;54(8):2095-2108. doi: 10.1194/jlr.M035212. Epub 2013 May 24.
- Background: PubMed 23118444Pinkosky SL, Filippov S, Srivastava RA, Hanselman JC, Bradshaw CD, Hurley TR, Cramer CT, Spahr MA, Brant AF, Houghton JL, Baker C, Naples M, Adeli K, Newton RS. AMP-activated protein kinase and ATP-citrate lyase are two distinct molecular targets for ETC-1002, a novel small molecule regulator of lipid and carbohydrate metabolism. J Lipid Res. 2013 Jan;54(1):134-51. doi: 10.1194/jlr.M030528. Epub 2012 Nov 1.
- Background: PubMed 24385236Gutierrez MJ, Rosenberg NL, Macdougall DE, Hanselman JC, Margulies JR, Strange P, Milad MA, McBride SJ, Newton RS. Efficacy and safety of ETC-1002, a novel investigational low-density lipoprotein-cholesterol-lowering therapy for the treatment of patients with hypercholesterolemia and type 2 diabetes mellitus. Arterioscler Thromb Vasc Biol. 2014 Mar;34(3):676-83. doi: 10.1161/ATVBAHA.113.302677. Epub 2014 Jan 2.
- Derived from this study: PubMed 27206943Thompson PD, MacDougall DE, Newton RS, Margulies JR, Hanselman JC, Orloff DG, McKenney JM, Ballantyne CM. Treatment with ETC-1002 alone and in combination with ezetimibe lowers LDL cholesterol in hypercholesterolemic patients with or without statin intolerance. J Clin Lipidol. 2016 May-Jun;10(3):556-67. doi: 10.1016/j.jacl.2015.12.025. Epub 2016 Jan 6.
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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.
Diane E MacDougall, MS study director
Esperion Therapeutics, Inc.
68 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing ETC-1002 and Ezetimibe in people with Hypercholesterolemia, run by Esperion Therapeutics, Inc. at 68 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 4 inclusion and 13 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 29 Mar 2019. 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. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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 calculated low density lipoprotein-cholesterol (LDL-C) (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 NCT01941836, which also lists 5 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 29 Mar 2019.