Effect of an Investigational Compound on Tolerability of Extended Release Niacin (0524A-023)(COMPLETED)
Phase 3
Completed
- Conditions
- HypercholesteremiaHyperlipidemia
- Interventions
- Registration Number
- NCT00376584
- Lead Sponsor
- Merck Sharp & Dohme LLC
- Brief Summary
This is a 12-week clinical trial in lipid clinic patients for whom niacin therapy is appropriate to evaluate the efficacy of MK0524 to improve the tolerability of extended-release niacin. There will be 6 scheduled clinic visits and 3 treatment arms.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 825
Inclusion Criteria
- Patient is appropriate candidate for niacin therapy
- Patients with evidence of ischemic cardiovascular disease must be on a statin and have LDL-C <130 mg/dL at V1
- Patients with diabetes mellitus and no evidence of ischemic cardiovascular disease must have LDL-C <130 mg/dL at V1
- Non-diabetic patients with 2 or more risk factors for coronary heart disease and no ischemic cardiovascular disease must have LDL-C <160 mg/dL at V1
- Patient has TG <500 mg/dL (5.65 mmol/L) at V1
- A patients historic serum or plasma lipid values measured within 6 months from Visit 1 may be used to meet lipid inclusion criteria
- ALL OTHER PATIENTS DO NOT REQUIRE SPECIFIC LIPID ENTRY CRITERIA
Exclusion Criteria
- Patients with unstable doses of medications
- Pregnant or lactating women, or women intending to become pregnant are excluded
- Patients with diabetes mellitus that is poorly controlled, unstable or newly diagnosed
- Patients with: chronic heart failure, uncontrolled/unstable cardiac arrhythmias, unstable hypertension, active or chronic hepatobiliary disorder or hepatic disease, HIV positive, gout (within 1 year)
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description MK-0524A 2g MK-0524A Following an 8-week active run-in (MK-0524A 1g (4 Weeks) then MK-0524A 2g (4 weeks) participants will be administered MK-0524A 2g for the remainder of the study (approximately 2 weeks). Placebo → MK-0524A 2g MK-0524A Following an 8-week active run-in (MK-0524A 1g (4 Weeks) then MK-0524A 2g (4 weeks) participants will be administered MK-0524A Placebo for 5 days (drug holiday) followed by MK-0524A 2 g for the remainder of the study (7 days). Placebo → MK-0524A 2g Placebo Following an 8-week active run-in (MK-0524A 1g (4 Weeks) then MK-0524A 2g (4 weeks) participants will be administered MK-0524A Placebo for 5 days (drug holiday) followed by MK-0524A 2 g for the remainder of the study (7 days). Placebo → Extended Release (ER)-Niacin 2g Placebo Following an 8-week active run-in (MK-0524A 1g (4 Weeks) then MK-0524A 2g (4 weeks) participants will be administered MK-0524A Placebo for 5 days (drug holiday) followed by ER-Niacin 2g for the remainder of the study (7 days) Placebo → Extended Release (ER)-Niacin 2g ER Niacin Following an 8-week active run-in (MK-0524A 1g (4 Weeks) then MK-0524A 2g (4 weeks) participants will be administered MK-0524A Placebo for 5 days (drug holiday) followed by ER-Niacin 2g for the remainder of the study (7 days)
- Primary Outcome Measures
Name Time Method Global Flushing Severity Score (GFSS) during 7 days of treatment during 7 days of treatment
- Secondary Outcome Measures
Name Time Method Percentage of Participants Who Experience at Least 1 Adverse Event up to 10 weeks Percentage of Participants Who Were Discontinued from the Study Due to an Adverse Event up to 10 weeks
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms does MK-0524 utilize to enhance extended-release niacin tolerability in hyperlipidemia?
How does MK-0524 compare to other lipid-lowering agents in managing niacin-induced flushing and adverse effects?
Are there specific biomarkers that correlate with improved tolerability of extended-release niacin when combined with MK-0524?
What are the potential long-term adverse events associated with MK-0524 in combination with extended-release niacin therapy?
How does MK-0524's efficacy in improving niacin tolerability compare to competitor drugs like laropiprant or other PPAR antagonists?