A Clinical Trial to Compare the Efficacy and Safety of a Combination Therapy of Ezetimibe and Rosuvastatin Versus Monotherapy of Rosuvastatin in Hypercholesterolemia Patients (I-ROSETTE Study)
- Registration Number
- NCT02749994
- Lead Sponsor
- IlDong Pharmaceutical Co Ltd
- Brief Summary
A phase Ⅲ, multi-center, randomized, double-blinded, active comparator, factorial design clinical trial to compare the efficacy and safety of a combination therapy of ezetimibe and rosuvastatin versus monotherapy of rosuvastatin in hypercholesterolemia patients.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 396
Inclusion Criteria
- 19 ~ 79 years old
- Patients who confirmed hypercholesterolemia.
- Patients who requiring drug therapy according to NCEP ATP(National Cholesterol Education Program Adult Treatment Panel) III Guideline at Visit2.
- Patients with Triglyceride< 400 at Visit 2.
- Patients who have a wash-out period over 4 weeks for other drugs that can affect lipid profile.(Patients who have lipid regulators should have washout period over six weeks)
- Patients who agreed to participate in the trial
Exclusion Criteria
- Patients who have a history of myopathy or rhabdomyolysis by statin treatment or hypersensitivity to statin HMG CoA(3-hydroxy-3-methylglutaryl-coenzyme) reductase inhibitors) or ezetimibe.
- A heavy alcohol consumer. (alcohol > 25 units/week)
- Patients with severe renal disease. (creatinine ≥ 2.0 mg/dL)
- Patients with active liver disease and AST(aspartate transaminase) or ALT(alanine transaminase) > 2 times of upper limit of normal range.
- Patients with CPK(creatine phosphokinase) > 2 x upper limit of normal range.
- Patients who have a endocrine or metabolic diseases known to affect the serum phospholipid or lipoprotein.
- Patients with HIV(human immunodeficiency virus positive.
- Patients who have a acute arteriopathy.
- Patients with uncontrolled hypertension.
- Patients who have hereditary problems such as galactose intolerance, Lapp lactase deficiency, or glucose-galactose malabsorption.
- Patients who have a drugs absorption disorder by gastrointestinal surgery or gastrointestinal disorder.
- Patients with tumor.
- Patients who have hormonal therapy.
- Pregnancy or breastfeeding patients who don't agree to use adequate contraception.
- Patients who are judged unsuitable to participate in this study by investigator.
- Patients taking other clinical trial drugs within 30 days from the time of visit for screening.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- FACTORIAL
- Arm && Interventions
Group Intervention Description R20 Rosuvastatin Rosuvastatin 20mg R20/E10 Rosuvastatin Rosuvastatin 20mg/Ezetimibe 10mg R5/E10 Ezetimibe Rosuvastatin 5mg/Ezetimibe 10mg R5/E10 Rosuvastatin Rosuvastatin 5mg/Ezetimibe 10mg R5 Rosuvastatin Rosuvastatin 5mg R10 Rosuvastatin Rosuvastatin 10mg R10/E10 Rosuvastatin Rosuvastatin 10mg/Ezetimibe 10mg R20/E10 Ezetimibe Rosuvastatin 20mg/Ezetimibe 10mg R10/E10 Ezetimibe Rosuvastatin 10mg/Ezetimibe 10mg
- Primary Outcome Measures
Name Time Method Percent change from baseline to 8 week in LDL-Cholesterol baseline and 8 week
- Secondary Outcome Measures
Name Time Method Percent change from baseline to 4 and 8 week in Total Cholesterol baseline to 4 and 8 week Percent change from baseline to 4 and 8 week in Triglyceride baseline to 4 and 8 week Percent change from baseline to 4 and 8 week in HDL-Cholesterol baseline to 4 and 8 week Percent change from baseline to 4 and 8 week in non-HDL-Cholesterol baseline to 4 and 8 week Percent change from baseline to 4 and 8 week in Apolipoprotein B baseline to 4 and 8 week Percent change from baseline to 4 and 8 week in Apolipoprotein A1 baseline to 4 and 8 week Percent change from baseline to 4 week in LDL-Cholesterol baseline to 4 week Percent change from baseline to 4 and 8 week in hs-CRP(high-sensitivity C-reactive protein) baseline to 4 and 8 The change of LDL-Cholesterol/HDL-Cholesterol ratio baseline to 4 and 8 week The change of Total Cholesterol/HDL-Cholesterol ratio baseline to 4 and 8 week The change of non-HDL-Cholesterol/HDL-Cholesterol ratio baseline to 4 and 8 week The change of Apolipoprotein B/Apolipoprotein A1 ratio baseline to 4 and 8 week The ratio of subjects who reach the goal of LDL-Cholesterol according to NCEP(National Cholesterol Education Program Adult Treatment Panel) III Guideline baseline to 4 and 8 week
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 are the molecular mechanisms by which ezetimibe and rosuvastatin synergistically lower LDL-C in hypercholesterolemia?
How does the efficacy of ezetimibe-rosuvastatin combination compare to standard statin monotherapies in phase 3 trials?
Which lipid-related biomarkers predict response to ezetimibe-rosuvastatin combination therapy in hyperlipidemia?
What are the potential drug-drug interactions and adverse event profiles of ezetimibe with high-intensity statins?
How does the I-ROSETTE study's combination approach compare to other lipid-lowering strategies like PCSK9 inhibitors?
Trial Locations
- Locations (1)
Seoul National University Hospital
🇰🇷Seoul, Korea, Republic of
Seoul National University Hospital🇰🇷Seoul, Korea, Republic of