A Multicenter, Double-blind, Randomized, Placebo-controlled Parallel Groups Study Comparing the Efficacy and Safety of Vytorin Versus Placebo in Subjects With Primary Hypercholesterolemia
Overview
- Phase
- Phase 3
- Intervention
- Ezetimibe with Simvastatin
- Conditions
- Hypercholesterolemia
- Sponsor
- Organon and Co
- Enrollment
- 392
- Primary Endpoint
- Percent Change in Low-density Lipoprotein Cholesterol (LDL-C) From Baseline to Endpoint After 8 Weeks of Treatment
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
This is a multicenter, randomized, double-blind, placebo-controlled, parallel-group Phase 3 study of Vytorin 10/10 (ezetimibe 10 mg with simvastatin 10 mg), Vytorin 10/20 (ezetimibe 10 mg with simvastatin 20 mg), and Vytorin 10/40 (ezetimibe 10 mg with simvastatin 40 mg) compared to placebo administered daily for 8 consecutive weeks in subjects with primary hypercholesterolemia (LDL-C >3.64 mmol/L [140 mg/dL]). The efficacy of daily Vytorin versus placebo in reducing the concentration of LDL-C will be evaluated, and the efficacy of daily Vytorin versus placebo with respect to change in the concentrations of total cholesterol, triglycerides, and HDL-C will be compared. The safety of Vytorin versus placebo will also be assessed.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Subjects must be \>=18 years and \<=75 years of age, male or female.
- •Primary hypercholesterolemic subject with a plasma LDL cholesterol concentration \>3.64 mmol/L (140 mg/dL) to \<=6.3 mmol/L (250 mg/dL) using the Friedewald calculation; total cholesterol (TC) \>5.2 mmol/L (200 mg/dL) to \<12.7 mmol/L (500 mg/dL) and triglyceride concentrations of \<=3.99 mmol/L (350 mg/dL) should be met at the same time. At the time of recruitment (Visit 1), these values may be lower if the subject is on lipid-lowering therapy. (ie, prior to the start of lipid lowering drug washout) or may be higher at the start of dietary therapy.
- •Liver transaminases (ALT, AST) \<=50% above the upper limit of normal, with no active liver disease and CK \<=50% above the upper limit of normal.
- •Clinical laboratory tests (complete blood count \[CBC\], blood chemistries, urinalysis) must be within normal limits, or clinically acceptable to the investigator/sponsor.
- •Women of childbearing potential (includes women who are less than 1 year postmenopausal and women who become sexually active) must be using an acceptable method of birth control.
- •Subjects must be free of any clinically significant diseases other than hyperlipidemia that would interfere with study evaluations.
- •Subjects must understand and be able to adhere to the dosing and visit schedules.
- •Subject must agree to remain on a cholesterol-lowering diet for the duration of the study (according to China Adult Treatment Panel of High Blood Cholesterol).
Exclusion Criteria
- •Subjects whose body mass index (BMI=weight \[kg\]/height2 \[m\]) is \>=30 kg/m2 at Visit 3 (Baseline Visit).
- •Subjects who have known hypersensitivity to HMG CoA reductase inhibitors.
- •Subjects who consume \>14 alcoholic drinks per week. (A drink is: a can of beer, glass of wine, or single measure of spirits).
- •Any condition or situation, which in the opinion of the investigator, might pose a risk to the subject or interfere with participation in the study.
- •Women who are pregnant or nursing.
- •Subjects who have not observed the designated washout periods for any of the prohibited medications.
- •Congestive heart failure defined by NYHA as Class III or IV.
- •Uncontrolled cardiac arrhythmia.
- •Myocardial infarction, coronary bypass surgery, or angioplasty within 6 months of study entry.
- •Unstable or severe peripheral artery disease within 3 months of study entry.
Arms & Interventions
Vytorin 10/10
Ezetimibe 10 mg with Simvastatin 10 mg
Intervention: Ezetimibe with Simvastatin
Vytorin 10/20
Ezetimibe 10 mg with Simvastatin 20 mg
Intervention: Ezetimibe with Simvastatin
Vytorin 10/40
Ezetimibe 10 mg with Simvastatin 40 mg
Intervention: Ezetimibe with Simvastatin
Placebo
Intervention: Placebo
Outcomes
Primary Outcomes
Percent Change in Low-density Lipoprotein Cholesterol (LDL-C) From Baseline to Endpoint After 8 Weeks of Treatment
Time Frame: Baseline, 8 weeks