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临床试验/NCT02666664
NCT02666664已完成3 期

A Randomized, Double-blind, Placebo-controlled, Multicenter Long-term Safety and Tolerability Study of ETC-1002 in Patients With Hyperlipidemia at High Cardiovascular Risk Who Are Not Adequately Controlled by Their Lipid-Modifying Therapy

Esperion Therapeutics, Inc.0 个研究点目标入组 2,230 人开始时间: 2016年1月21日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
已完成
入组人数
2,230
主要终点
Percentage of Participants With Adjudicated Major Adverse Cardiovascular Event

研究概览

简要总结

The purpose of this study is to see if ETC-1002 (bempedoic acid) is safe and well-tolerated versus placebo in patients with high cardiovascular risk and elevated LDL cholesterol that is not adequately controlled by their current therapy.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Triple (Participant, Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Fasting LDL-C ≥ 70 mg/dL
  • High cardiovascular risk (diagnosis of HeFH or ASCVD)
  • Be on maximally tolerated lipid-modifying therapy

排除标准

  • Total fasting triglyceride ≥500 mg/dL
  • Renal dysfunction or nephrotic syndrome or history of nephritis
  • Body Mass Index (BMI) ≥50kg/m2
  • Significant cardiovascular disease or cardiovascular event in the past 3 months

研究组 & 干预措施

ETC-1002

Experimental

ETC-1002 180 mg/day

干预措施: ETC-1002 (Drug)

Placebo

Placebo Comparator

Placebo control

干预措施: Placebo (Drug)

结局指标

主要结局

Percentage of Participants With Adjudicated Major Adverse Cardiovascular Event

时间窗: Up to approximately 52 weeks

TEAEs, defined as AEs that began or worsened in severity after the first dose of double-blind study drug and up to 30 days after receiving the last dose of double-blind study drug, were collected and reported. Cardiovascular events were considered as adverse events of special interest. Treatment-emergent = TE.

Percentage of Participants With the Indicated Event of Special Interest: Creatine Kinase Elevations

时间窗: Up to approximately 52 weeks

TEAEs of special interest (AESIs) were predefined and monitored throughout the study. Creatine kinase elevations were assessed using the following preferred term: Blood creatine phosphokinase increased (system organ class: investigations).

Percentage of Participants With the Indicated Event of Special Interest: Hepatic Disorders

时间窗: Up to approximately 52 weeks

Treatment-emergent AESIs were predefined and monitored throughout the study. TEAEs potentially related to hepatic events were assessed using the following preferred terms and laboratory abnormalities: aspartate aminotransferase (AST) increased, Alanine aminotransferase (ALT) increased, Hepatic enzyme increased, Blood bilirubin increased, liver function test (LFT) abnormal, LFT increased, hepatic enzyme abnormal, transaminases increased, potential Hy's Law cases (PHLC) \[AST and (\&)/or ALT \>3 x upper limit of normal (ULN) with concurrent total bilirubin \>2 x ULN\], AST and/or ALT \>3 x ULN, and total bilirubin \>2 x ULN (system organ class: investigations). AST and ALT values were repeated and confirmed. "Repeated and confirmed" was defined as a participant having the last on-study LFT \> x ULN, the last on-treatment LFT \> x ULN, or LFT \> x ULN followed by another LFT \> x ULN.

Percentage of Participants With the Indicated Event of Special Interest: Hypoglycemia

时间窗: Up to approximately 52 weeks

Treatment-emergent AESIs were predefined and monitored throughout the study. Hypoglycemia was assessed using the following preferred terms: hypoglycaemia (system organ class: metabolism and nutrition disorders); blood glucose abnormal and blood glucose decreased (system organ class: investigations). The percentage of unique participants is reported in the "Overall hypoglycemia AESIs" category; a participant could have been represented in more than one of the individual hypoglycemia AESIs.

Percentage of Participants With the Indicated Event of Special Interest: Metabolic Acidosis

时间窗: Up to approximately 52 weeks

Treatment-emergent AESIs were predefined and monitored throughout the study. Metabolic acidosis was assessed using the preferred term metabolic acidosis (system organ class: metabolism and nutrition disorders).

Percentage of Participants With the Indicated Event of Special Interest: Muscular Disorder

时间窗: Up to approximately 52 weeks

Treatment-emergent AESIs were predefined and monitored throughout the study. Muscular safety was assessed using the following preferred terms and laboratory abnormalities: myalgia, muscle spasms, pain in extremity, muscular weakness (system organ class: musculoskeletal and connective tissue disorders), and creatine kinase \>5 ULN (repeated and confirmed). The percentage of unique participants is reported in the "Overall muscular disorder AESIs" category; a participant could have been represented in more than one of the individual muscular disorder AESIs.

Percentage of Participants With the Indicated Event of Special Interest: Neurocognitive Disorder

时间窗: Up to approximately 52 weeks

Treatment-emergent AESIs were predefined and monitored throughout the study. Neurocognitive disorder was assessed using the following preferred terms: memory impairment, amnesia, and cognitive disorder (system organ class: nervous system disorders); confusional state and disorientation (system organ class: psychiatric disorders). The percentage of unique participants is reported in the "Overall neurocognitive disorder AESIs" category; a participant could have been represented in more than one of the individual neurocognitive disorder AESIs.

Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)

时间窗: Up to approximately 52 weeks

TEAEs, defined as adverse events (AEs) that began or worsened in severity after the first dose of double-blind study drug and up to 30 days after receiving the last dose of double-blind study drug, were collected and reported.

Percentage of Participants With the Indicated Event of Special Interest: New Onset or Worsening Diabetes Mellitus

时间窗: Up to approximately 52 weeks

Treatment-emergent AESIs were predefined and monitored throughout the study. New onset or worsening diabetes was assessed using the following preferred terms: type 2 diabetes mellitus, diabetes mellitus, hyperglycaemia, glucose tolerance impaired, diabetes mellitus inadequate control, and impaired fasting glucose (system organ class: metabolism and nutrition disorders); blood glucose increased, glycosylated haemoglobin increased, blood glucose abnormal, and glucose urine present (system organ class: investigations); and glycosuria (system organ class: renal and urinary disorders). The percentage of unique participants is reported in the "Overall new onset/worsening diabetes mellitus AESIs" category; a participant could have been represented in more than one of the individual new onset/worsening diabetes mellitus AESIs.

Percentage of Participants With the Indicated Event of Special Interest: Renal Disorder

时间窗: Up to approximately 52 weeks

Treatment-emergent AESIs were predefined and monitored throughout the study. TEAEs potentially related to renal events were assessed using the following preferred terms: renal failure, renal impairment, acute kidney injury (system organ class: renal and urinary disorders); blood creatinine increased, glomerular filtration rate decreased, blood urea increased, estimated glomerular filtration rate (eGFR) \<30 milliliter per minute per 1.73 square meter (ml/min/1.73m\^2), and change from baseline in creatinine \>1 mg/dL (system organ class: investigations); and gout (system organ class: metabolism and nutrition disorders). The percentage of unique participants is reported in the "Overall renal disorder AESIs" category; a participant could have been represented in more than one of the individual renal disorder AESIs.

Change From Baseline to Week 52 in Uric Acid (Urate) Level

时间窗: Baseline and Week 52

Blood samples were drawn at defined time points during the course of the study to monitor uric acid (urate) levels.

Change From Baseline to Week 52 in Creatinine Level

时间窗: Baseline and Week 52

Blood samples were drawn at defined time points during the course of the study to monitor creatinine levels.

Change From Baseline to Week 52 in Hemoglobin Level

时间窗: Baseline and Week 52

Blood samples were drawn at defined time points during the course of the study to monitor hemoglobin levels.

次要结局

  • Percent Change From Baseline to Week 12 in Low-density Lipoprotein Cholesterol (LDL-C)(Baseline; Week 12)
  • Absolute Change From Baseline to Week 12 in LDL-C(Baseline; Week 12)

研究者

申办方类型
Industry
责任方
Sponsor

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