Evaluation of ETC-1002, Ezetimibe, and the Combination in Hypercholesterolemic Patients
A Randomized, Double-Blind, Parallel Group, Multicenter Study to Evaluate the Efficacy and Safety of ETC-1002, Ezetimibe, and the Combination in Hypercholesterolemic Patients With or Without Statin Intolerance
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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Alabama
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Birmingham, Alabama, United States, 35209
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Muscle Shoals, Alabama, United States, 35662
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Arizona
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Chandler, Arizona, United States, 85224
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California
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Beverly Hills, California, United States, 90211
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Chino, California, United States, 91710
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Lincoln, California, United States, 95821
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Long Beach, California, United States, 90806
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Los Angeles, California, United States, 90059
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Newport Beach, California, United States, 92663
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Thousand Oaks, California, United States, 91360
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Vista, California, United States, 92083
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Colorado
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Denver, Colorado, United States, 80220
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Connecticut
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Hartford, Connecticut, United States, 06102
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Florida
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Atlantis, Florida, United States, 33462
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Brandon, Florida, United States, 33511
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Hialeah, Florida, United States, 33012
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Jacksonville, Florida, United States, 32223
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Oviedo, Florida, United States, 32765
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Ponte Vedra, Florida, United States, 32081
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Port Orange, Florida, United States, 32127
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Saint Petersburg, Florida, United States, 33756
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West Palm Beach, Florida, United States, 33409
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Georgia
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Decatur, Georgia, United States, 30033
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Marietta, Georgia, United States, 30066
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Idaho
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Meridian, Idaho, United States, 83646
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Indiana
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Evansville, Indiana, United States, 47714
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Kansas
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Kansas City, Kansas, United States, 66214
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Maine
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Auburn, Maine, United States, 04210
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Nebraska
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Lincoln, Nebraska, United States, 68510
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New Jersey
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Clifton, New Jersey, United States, 07012
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New Mexico
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Albuquerque, New Mexico, United States, 87106
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New York
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New Windsor, New York, United States, 12553
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Rochester, New York, United States, 14609
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Williamsville, New York, United States, 14221
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North Carolina
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Greensboro, North Carolina, United States, 27408
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Raleigh, North Carolina, United States, 27609
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Salisbury, North Carolina, United States, 28144
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Wilmington, North Carolina, United States, 28401
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Ohio
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Beachwood, Ohio, United States, 26900
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Cincinnati, Ohio, United States, 45219
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Cincinnati, Ohio, United States, 45227
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Cleveland, Ohio, United States, 44195
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Columbus, Ohio, United States, 43213
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Franklin, Ohio, United States, 45005
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Lyndhurst, Ohio, United States, 44124
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Marion, Ohio, United States, 43302
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Willoughby Hills, Ohio, United States, 44094
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73103
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Tulsa, Oklahoma, United States, 74136
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Oregon
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Eugene, Oregon, United States, 97404
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South Carolina
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Mount Pleasant, South Carolina, United States, 29464
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Tennessee
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Kingsport, Tennessee, United States, 37660
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Texas
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Austin, Texas, United States, 78731
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Dallas, Texas, United States, 75216
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Dallas, Texas, United States, 75230
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Fort Worth, Texas, United States, 76104
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Houston, Texas, United States, 77030
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Houston, Texas, United States, 77074
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Houston, Texas, United States, 77072
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Round Rock, Texas, United States, 78681
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Utah
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Orem, Utah, United States, 84058
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Salt Lake City, Utah, United States, 84124
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Virginia
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Norfolk, Virginia, United States, 23502
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Richmond, Virginia, United States, 23294
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Washington
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Olympia, Washington, United States, 98502
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Renton, Washington, United States, 98057
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Seattle, Washington, United States, 98104
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Spokane, Washington, United States, 99204
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Key Inclusion Criteria:
- Statin intolerant and statin tolerant
- Fasting LDL-C between 130 mg/dL and 220 mg/dL
- Fasting triglyceride less than or equal to 400 mg/dL
- Body mass index (BMI) between 18 and 45 kg/m2
Key Exclusion Criteria:
- History or current clinically significant cardiovascular disease
- History or current type 1 diabetes or uncontrolled type 2 diabetes
- Use of metformin or thiazolidinediones (TZD) within 3 months of screening
- History of joint symptoms difficult to differentiate from myalgia
- Uncontrolled hypothyroidism
- Liver disease or dysfunction
- Renal dysfunction or nephritic syndrome
- Gastrointestinal (GI) conditions or prior GI procedures
- HIV or AIDS
- History or malignancy
- History or drug or alcohol abuse within last 2 years
- Use of experimental or investigational drugs within 30 days of screening
- Use of ETC-1002 in a previous clinical study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: ETC-1002 120 mg/day
Orally, once daily in morning as capsules
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Patients receive ETC-1002
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Experimental: ETC-1002 180 mg/day
Orally, once daily in morning as capsules
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Patients receive ETC-1002
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Active Comparator: ezetimibe 10mg/day
Orally, once daily in morning as capsules
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Patients receive ezetimibe
Other Names:
|
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Experimental: ETC-1002 120 mg/day + ezetimibe 10mg/day
Orally, once daily in morning
|
Patients receive ETC-1002
Patients receive ezetimibe
Other Names:
|
|
Experimental: ETC-1002 180 mg/day + ezetimibe 10mg/day
Orally, once daily in morning
|
Patients receive ETC-1002
Patients receive ezetimibe
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Percent change in calculated low density lipoprotein-cholesterol (LDL-C)
Time Frame: Baseline and 12 weeks
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Baseline and 12 weeks
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Percent change in other lipid measures non high density lipoprotein cholesterol (nonHDL-C)
Time Frame: Baseline and 12 weeks
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Baseline and 12 weeks
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Safety using adverse event reports; vital signs
Time Frame: up to 21 weeks including screening
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up to 21 weeks including screening
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Percent change in Apolipoprotein B (ApoB)
Time Frame: Baseline and 12 weeks
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Baseline and 12 weeks
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Percent change in high sensitivity C-reactive protein (hsCRP)
Time Frame: Baseline and 12 weeks
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Baseline and 12 weeks
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Safety using adverse event reports; clinical laboratory results
Time Frame: up to 21 weeks including screening
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up to 21 weeks including screening
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Safety using adverse event reports; rates of muscle-related adverse
Time Frame: up to 21 weeks including screening
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up to 21 weeks including screening
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Pharmacokinetic plasma trough concentrations of ETC-1002 and its metabolite ESP15228
Time Frame: Week 2, Week 4, Week 8 and Week 12
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Week 2, Week 4, Week 8 and Week 12
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Diane E MacDougall, MS, Esperion Therapeutics, Inc.
Publications and helpful links
General Publications
- Gutierrez MJ, Rosenberg NL, Macdougall DE, Hanselman JC, Margulies JR, Strange P, Milad MA, McBride SJ, Newton RS. Efficacy and safety of ETC-1002, a novel investigational low-density lipoprotein-cholesterol-lowering therapy for the treatment of patients with hypercholesterolemia and type 2 diabetes mellitus. Arterioscler Thromb Vasc Biol. 2014 Mar;34(3):676-83. doi: 10.1161/ATVBAHA.113.302677. Epub 2014 Jan 2.
- Ballantyne CM, Davidson MH, Macdougall DE, Bays HE, Dicarlo LA, Rosenberg NL, Margulies J, Newton RS. Efficacy and safety of a novel dual modulator of adenosine triphosphate-citrate lyase and adenosine monophosphate-activated protein kinase in patients with hypercholesterolemia: results of a multicenter, randomized, double-blind, placebo-controlled, parallel-group trial. J Am Coll Cardiol. 2013 Sep 24;62(13):1154-62. doi: 10.1016/j.jacc.2013.05.050. Epub 2013 Jun 13.
- Filippov S, Pinkosky SL, Lister RJ, Pawloski C, Hanselman JC, Cramer CT, Srivastava RAK, Hurley TR, Bradshaw CD, Spahr MA, Newton RS. ETC-1002 regulates immune response, leukocyte homing, and adipose tissue inflammation via LKB1-dependent activation of macrophage AMPK. J Lipid Res. 2013 Aug;54(8):2095-2108. doi: 10.1194/jlr.M035212. Epub 2013 May 24.
- Pinkosky SL, Filippov S, Srivastava RA, Hanselman JC, Bradshaw CD, Hurley TR, Cramer CT, Spahr MA, Brant AF, Houghton JL, Baker C, Naples M, Adeli K, Newton RS. AMP-activated protein kinase and ATP-citrate lyase are two distinct molecular targets for ETC-1002, a novel small molecule regulator of lipid and carbohydrate metabolism. J Lipid Res. 2013 Jan;54(1):134-51. doi: 10.1194/jlr.M030528. Epub 2012 Nov 1.
- Thompson PD, MacDougall DE, Newton RS, Margulies JR, Hanselman JC, Orloff DG, McKenney JM, Ballantyne CM. Treatment with ETC-1002 alone and in combination with ezetimibe lowers LDL cholesterol in hypercholesterolemic patients with or without statin intolerance. J Clin Lipidol. 2016 May-Jun;10(3):556-67. doi: 10.1016/j.jacl.2015.12.025. Epub 2016 Jan 6.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Metabolic Diseases
- Lipid Metabolism Disorders
- Hyperlipidemias
- Dyslipidemias
- Hypercholesterolemia
- Hypoglycemic Agents
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antimetabolites
- Anticholesteremic Agents
- Hypolipidemic Agents
- Lipid Regulating Agents
- Ezetimibe
- 8-hydroxy-2,2,14,14-tetramethylpentadecanedioic acid
Other Study ID Numbers
Other Study ID Numbers
- 1002-008
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