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HypertriglyceridemiaPhase 2NCT02008084

A Pilot Study to Evaluate the Lipid Effects of TRIA-662

A Phase 2 study testing TRIA-662 in people with Hypertriglyceridemia and Mixed Hyperlipidemia, run by Cortria Corporation at 17 sites in Canada.

Completed

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

Official record
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Trial summary

The purpose of this pilot study is to learn what study factors are important in designing a large, full-scale study of the effects of TRIA-662 on serum triglycerides (TG) and high-density lipoprotein cholesterol (HDL-C) levels. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Hypertriglyceridemia, Mixed Hyperlipidemia
What is being tested?
TRIA-662
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
71 participants
Where
17 sitesCanada
Study dates
Dec 2013to Oct 2015
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

  • Women of childbearing potential must have a negative serum pregnancy test at screening and Visit 4
  • Women are considered not of childbearing potential if they:
  • have had a hysterectomy or tubal ligation prior to Visit 1.
  • are postmenopausal (12 months no menses or menopausal follicle stimulating hormone level) Women of childbearing potential must agree to use an effective method of birth control throughout the study. Acceptable means of birth control include: implantable contraceptives, injectable contraceptives, oral contraceptives, transdermal contraceptives, intrauterine devices, male or female condoms with spermicide, abstinence, or a sterile sexual partner.
  • Patients who at Weeks -4 and -2 demonstrate mean LDL-C at the levels at which lipid-modifying drug therapy is not indicated according to investigator judgment under ATP III guidelines.
  • Patients who demonstrate mean serum triglycerides = or >200 mg/dL (2.26 mmol/L) but < or = 500 mg/dL (5.65 mmol/L) as measured at 2 sequential visits during the dietary controlled baseline period (Visits 2 and 3 or Visits 3 and 3a) and having lower level within 25% of upper level (higher value minus lower value)/higher value < 0.25).
  • Patients willing to maintain a stable diet and physical activity level throughout the study
  • Patients willing and able to sign the information and consent form and follow the protocol including availability for all visits/telephone follow-up for approximately 24 weeks.

Who cannot join

  • pregnant, planning to become pregnancy during the study, or nursing
  • clinically significant electrocardiographic abnormalities at Visit 1 or 4
  • body mass index > 45 kg/m2 at Visit 1
  • weight change of > 5% of initial body weight between Visit 1 and 4
  • poorly controlled diabetes defined as a hemoglobin A1c > 9.5% prior to Visit 4
  • evidence of hepatic disease (ALT or AST greater than 2.0 upper limit of normal (ULN), bilirubin > 1.5 ULN, or cirrhosis) at visit 1
Show all 45Show fewer
  • renal dysfunction defined as glomerular filtration rate (GFR) < 60 mL/min/1.73 m2 at Visit 1
  • hypothyroidism that is not treated or not stable for at least 6 months prior to study entry
  • poorly controlled hypertension defined as a mean systolic blood pressure > 160 mm Hg and/or diastolic blood pressure > 100 mmHg at Visit 1. In individuals with end-organ damage, mean systolic blood pressure > 140 mmHg and mean diastolic blood pressure > 90 mmHg at Visit 1
  • severe hypotension defined as systolic blood pressure =< 90 mm Hg or diastolic blood pressure =< 60 mm Hg AND symptomatic
  • active peptic ulcer
  • known intolerance or allergy to niacin (nicotinic acid), niacinamide (nicotinamide), or any of the tablet ingredients: 1-methylnicotinamide chloride, microcrystalline cellulose, povidone, silicified microcrystalline cellulose, crospovidone, anhydrous dibasic calcium phosphate, hydroxypropyl cellulose, magnesium stearate (vegetable origin), polyvinyl alcohol, titanium dioxide, talc, polyethylene glycol, methacrylic acid copolymer, and sodium bicarbonate.
  • any known history of coronary artery disease, cerebrovascular disease or peripheral arterial disease
  • Use after screening to the conclusion of the study of any of the following lipid modifying medications/supplements:
  • Niacin (nicotinic acid) or niacinamide (nicotinamide)
  • Fibrates/fibric acid derivatives like fenofibrate, gemfibrozil, clofibrate
  • Bile acid sequestrants like cholestyramine, colesevelam, colestipol
  • HMG-CoA reductase inhibitors (statins) including atorvastatin, cerivastatin, fluvastatin, lovastatin, pravastatin, simvastatin, rosuvastatin
  • Ezetimibe
  • Omega-3 fatty acids
  • Supplements containing flaxseed, tryptophan, fish oil, or algal oil.
  • Sterol/stanol products
  • Red yeast rice supplements or soy isoflavone supplements.
  • Dietary fiber supplements including > 2 teaspoonfuls of Metamucil® or psyllium containing supplements per day.
  • Other natural health products or prescription agents judged by the investigator to have the potential to alter serum lipid levels in an individual subject.
  • history of angina or myocardial infarction
  • hyperuricemia or with a history of gouty arthritis
  • known nephritic syndrome or >3 g protein/day in urine at Visit 1
  • known familial lipoprotein lipase deficiency, apo CII deficiency, or familial dysbetalipoproteinemia.
  • requirement for peritoneal dialysis or hemodialysis for renal insufficiency.
  • history of malignancy, except patients who have been disease-free for > 5 yrs, or resected basal or squamous cell skin carcinoma or cervical carcinoma in situ.
  • history of bariatric surgery.
  • history of pancreatitis, except secondary to cholelithiasis.
  • anticipation of major surgery during the study.
  • treatment with weight loss drugs or programs during the trial.
  • treatment with HIV-protease inhibitors, cyclophosphamide or isotretinoin.
  • treatment with tamoxifen, estrogens, or progestins that have not been stable for > 4 week prior to screening at Visit 1
  • routine or anticipated use of all systemic corticosteroids at Visit 1. Local, topical, inhaled, or nasal corticosteroids are permitted
  • blood donation of > pint (0.5 L) within 30 days prior to screening, or plasma donation within 7 days prior to screening at Visit 1
  • consumption of > 14 alcoholic drinks per week (1 drink = 12 oz beer, 5 oz wine, or 1.5 oz hard liquor) at Visit 1.
  • history of drug abuse at Visit 1
  • participation in another clinical trial within 30 days of signing the information and consent form.
  • non-compliant to single blind investigational product (< 80% investigational product) or diet as per local judgment between Visit 1 and 4.
  • Any condition or therapy that the investigator believes might pose a risk or make participation in the study not in the patient's best interest.
  • Poor mental function or any reason to expect difficulty complying with the requirements of the study

Trial locations and contacts

17 sites in 1 country.

17 sites in 1 country

Canada17 sites
  • Crowfoot Village Family Practice

    Calgary, Alberta, T3G0b4

  • Scisco Clinical Research

    Cornwall, Ontario, K6H 4M4

  • Rhodin Recherche

    Drummondville, Quebec, J2B 7T1

  • Dr. Senaratne Professional Corporation

    Edmonton, Alberta, T6K 4C1

  • Sameh Fikry Medicine Professional Corp

    Kitchener, Ontario, N2G 1H6

  • Aging, Rehabilitation & Geriatric Care, Lawson Health Research Institute-St Joseph's Health Care, Parkwood

    London, Ontario, N6C 5J1

  • Recherche Invascor, Inc.

    Longueuil, Quebec, J4N 1C2

  • GA Research Associates, Ltd

    Moncton, New Brunswick, E1G 1A7

  • Montreal Heart Institute

    Montreal, Quebec, H1T 1C8

  • Commonwealth Medical Clinic

    Mount Pearl, Newfoundland and Labrador, A1N 1W7

  • Clinique des Maladies Lipidiques de Quebec, Inc.

    Québec, Quebec, G1V 4M6

  • The Bailey Clinic

    Red Deer, Alberta, T4N 6V7

  • Diex Recherche Sherbrooke

    Sherbrooke, Quebec, J1H 1Z1

  • Prime Health Clinical Research

    Toronto, Ontario, M4S 1Y2

  • Manna Research Inc.

    Toronto, Ontario, M9W 4L6

  • Centre de santé et de services sociaux de Trois-Rivières

    Trois-Rivières, Quebec, G8Z 3R9

  • Manna Research Vancouver

    Vancouver, British Columbia, V6J 1S3

Other trials in Canada

About this study

Official title: A Randomized, Double-blind, Placebo-controlled, Forced Dose-escalation, Multi-center Pilot Study to Evaluate the Lipid Regulating Effects of TRIA-662 (1-methylnicotinamide Chloride)

The purpose of this pilot study is to learn what study factors are important in designing a large, full-scale study of the effects of TRIA-662 on serum triglycerides (TG) and high-density lipoprotein cholesterol (HDL-C) levels. In this study, patients will first enter a Single-blind, dietary-controlled baseline period and receive 1000 mg placebo or active drug three times daily with meals (i.e., breakfast, lunch, and dinner) for 6 - 8 weeks. If the qualify to continue, they will then receive up to 2000 mg of active or placebo drug for an additional 14 weeks. Active drug will be given to 48 patients and placebo drug will be given to 16 patients. However, neither the patients not the clinic staff will know which patients are on active or placebo drug until the end of the study.

Read the detailed description

The primary objective of this pilot study is to assess the feasibility of a large,full-scale study that would evaluate the regulating effects of TRIA-662 on serum triglycerides (TG) and high-density lipoprotein cholesterol (HDL-C) levels. In this study, patients will first enter a Single-blind, dietary-controlled baseline period and receive 1000 mg placebo or active drug three times daily with meals (i.e., breakfast, lunch, and dinner) for 6 - 8 weeks. Upon completion of the 6 to 8 -week dietary-controlled baseline period, subjects meeting all inclusion and no exclusion criteria will be randomized to the double-blind treatment period. In the double-blind treatment period patients will be randomized such that at least 48 subjects will be randomized to TRIA-662 and at least 16 patients will be randomized to placebo (3:1 ratio). The forced-dose titration will be achieved as follows: Weeks 1 - 2: Two 500 mg tablets three times daily with meals (total daily dose 3000 mg); Weeks 3 - 14: Two 1000 mg tablets three times daily with meals (total daily dose 6000 mg).

Investigational product will be administered three times daily with meals (i.e., breakfast, lunch, and dinner). Down titration to 3000 mg daily (two 500 mg tablets, three times daily) is allowed in the event that a patient cannot tolerate the 6000 mg daily treatment for the stipulated period. Under this scenario, the down-titrated patient will remain on the tolerated dose for the remainder of the study. Lipid and ancillary exploratory parameters will be evaluated during the baseline period, upon randomization and throughout the active treatment period. Throughout the study, patients must adhere to a heart-healthy diet, abstain from/minimize ethyl alcohol intake and control any other variables that may alter serum lipid levels (e.g., exercise, weight loss programs, drugs including over the counter agents preparations that may alter serum lipid levels. Safety and tolerability will be assessed throughout the trial through the evaluation of physical exams, electrocardiograms (ECGs), routine hematology and blood chemistry testing, vital signs and adverse events.

Being tested
TRIA-662, Placebo
Keywords
hypertriglyceridemia, mixed hyperlipidemia
Medical subject headings
Hypertriglyceridemia, Hyperlipoproteinemia Type II

What participants receive

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

  • TRIA-662Drug

    Following Baseline randomized to active TRIA-662 2 x 500 mg tablets, three times daily with meals for 2 weeks and then active TRIA-662 2 x 1000 mg tablets, three times daily with meals for 12 weeks.

  • PlaceboDrug

    Following Baseline randomized to placebo TRIA-662 2 x 500 mg tablets, three times daily with meals for 2 weeks and then placebo TRIA-662 2 x 1000 mg tablets, three times daily with meals for 12 weeks.

Study groups in NCT02008084
Study groupRoleWhat they receive
TRIA-662 single-blind baselineSham comparatorBaseline, 6 to 8-week, dietary lead-in period
Receives: Drug: TRIA-662; Drug: Placebo
TRIA-662ExperimentalFollowing successful completion of the Baseline randomized to active drug
Receives: Drug: TRIA-662
PlaceboPlacebo comparatorFollowing successful completion of the Baseline randomized to placebo drug
Receives: Drug: Placebo

What is being measured

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

  1. Recruitment Rate

    The number of patients randomized per site per month during the study

    Measured: 12 months

  2. Compliance to investigational product

    The proportion of randomized patients receiving the investigational product as per protocol.

    Measured: 14 weeks

  3. Completion rate

    The proportion of randomized patients completing the 14-week follow-up.

    Measured: 12 months

Secondary outcomes (14)
  1. Effect on serum high-density lipoprotein cholesterol (HDL-C)

    The difference between groups in change from baseline to end of study in serum HDL-C.

    Measured: 14 weeks

  2. Variability of serum triglycerides

    The standard deviation of the change from baseline to end of study in serum triglycerides.

    Measured: 14 weeks

  3. Effect on fasting glucose

    The difference between groups in change from baseline to end of study in fasting glucose.

    Measured: 14 weeks

  4. Effect on C-reactive protein

    The difference between groups in change from baseline to end of study in C-reactive protein.

    Measured: 14 weeks

  5. Effect on interleukin-6 (IL-6)

    The difference between groups in change from baseline to end of study in IL-6.

    Measured: 14 weeks

  6. Effect on total cholesterol (TC)

    The difference between groups in change from baseline to end of study in TC

    Measured: 14 weeks

  7. Effect on low-density lipoprotein cholesterol (LDL-C)

    The difference between groups in change from baseline to end of study in LDL-C

    Measured: 14 weeks

  8. Effect on very low-density lipoprotein cholesterol (VLDL-C)

    The difference between groups in change from baseline to end of study in (VLDL-C),

    Measured: 14 weeks

  9. Effect on total apolipoprotein B (apoB)

    The difference between groups in change from baseline to end of study in apoB

    Measured: 14 weeks

  10. Effect on total apolipoprotein A1 (apoA1)

    The difference between groups in change from baseline to end of study in apoA1

    Measured: 14 weeks

  11. Effect on lipoprotein (a) [Lp(a)]

    The difference between groups in change from baseline to end of study in Lp(a)

    Measured: 14 weeks

  12. Effect on non-high density lipoprotein cholesterol (non-HDL-C)

    The difference between groups in change from baseline to end of study in non-HDL-C

    Measured: 14 weeks

  13. Effect on TG/HDL-C ratio

    The difference between groups in change from baseline to end of study in TG/HDL-C ratio

    Measured: 14 weeks

  14. Effect on tumor necrosis factor - alpha (TNF-α)

    The difference between groups in change from baseline to end of study in TNF-α

    Measured: 14 weeks

Timeline

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

  1. First posted11 Dec 2013 (estimated)
  2. Study startDec 2013
  3. Primary completionOct 2015
  4. Study completionOct 2015

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
71 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02008084
Sponsor's protocol ID
PNAI-MNA-03
Status last verified
Jan 2016
First submitted
6 Dec 2013
Last updated
27 Jan 2016
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing TRIA-662 in people with Hypertriglyceridemia and Mixed Hyperlipidemia, run by Cortria Corporation at 17 sites in Canada.

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 8 inclusion and 45 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 27 Jan 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 sites in Canada. 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 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?

Recruitment Rate (time frame: 12 months). The study lists 3 primary outcomes in all. 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 27 Jan 2016.

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