A Study Of Pharmacokinetics, Pharmacodynamics And Safety Of Adding ETC-1002 To Atorvastatin 80 mg
A Study to Assess the Pharmacokinetics, Pharmacodynamics and Safety of Adding ETC-1002 180 mg to Atorvastatin 80 mg Background Therapy in Statin-Treated Patients
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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California
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Anaheim, California, United States, 92801
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Los Angeles, California, United States, 90057
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Northridge, California, United States, 91324
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Florida
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Clearwater, Florida, United States, 33765
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Jacksonville, Florida, United States, 32216
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Miami, Florida, United States, 33126
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Port Orange, Florida, United States, 32127
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Idaho
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Boise, Idaho, United States, 83642
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Illinois
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Chicago, Illinois, United States, 60607
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Springfield, Illinois, United States, 62711
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Kentucky
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Louisville, Kentucky, United States, 40213
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New Jersey
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Berlin, New Jersey, United States, 08009
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South Dakota
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Rapid City, South Dakota, United States, 57701
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Texas
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Carrollton, Texas, United States, 75006
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Utah
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West Jordan, Utah, United States, 84088
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Virginia
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Arlington, Virginia, United States, 22203
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Lynchburg, Virginia, United States, 24501
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Richmond, Virginia, United States, 23294
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Washington
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Renton, Washington, United States, 98057
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Taking daily stable statin doses for at least 4 weeks prior to screening visit.
- LDL-C between 100-220 mg/dL for patients taking daily high-intensity statin (for 4 weeks prior to switching to sponsor -provided atorvastatin 80 mg/day and stopping all other lipid-regulating drugs and supplements) at the screening visit; or,
- LDL-C between 115-220 mg/dL for patients taking moderate- or low-intensity statin (for 4 weeks prior to switching to sponsor -provided atorvastatin 80 mg/day and stopping all other lipid-regulating drugs and supplements) at the screening visit.
- Must be willing to discontinue other lipid-regulating therapies during the study
Exclusion Criteria:
- History of acute significant cardiovascular disease.
- Current clinically significant cardiovascular disease.
- History of inability to tolerate any statin at any dose due to muscle-related pain or weakness.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: QUADRUPLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: ETC-1002 + Atorvastatin
ETC-1002 180 mg treatment, oral once daily added-on to Atorvastatin 80 mg once daily
|
Blinded ETC-1002 180 mg tablet once daily for 4 weeks (Weeks 1 to 4)
Other Names:
Atorvastatin 80 mg tablet once daily for 8 weeks (Weeks -4 to 4)
|
|
PLACEBO_COMPARATOR: Placebo + Atorvastatin
Placebo treatment, oral once daily added-on to Atorvastatin 80 mg once daily
|
Atorvastatin 80 mg tablet once daily for 8 weeks (Weeks -4 to 4)
Blinded ETC-1002-matched placebo tablet once daily for 4 weeks (Weeks 1 to 4)
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Peak plasma concentration (Cmax) pharmacokinetics of atorvastatin and its active metabolites
Time Frame: 2 weeks
|
Fold change in Cmax from prior-to to following 2 week treatment with ETC-1002
|
2 weeks
|
|
24-hour area under the curve (AUC) pharmacokinetics of atorvastatin and its active metabolites
Time Frame: 2 weeks
|
Fold change in AUC from prior-to to following 2 week treatment with ETC-1002
|
2 weeks
|
|
Percent change in LDL-cholesterol
Time Frame: 4 weeks
|
Percent Change from baseline to 4 week treatment, incremental lowering of LDL-C
|
4 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percent change in hsCRP
Time Frame: 4 weeks
|
Percent change from baseline to following 4 week treatment with ETC-1002
|
4 weeks
|
|
Percent change in total cholesterol
Time Frame: 4 weeks
|
Percent change from baseline to following 4 week treatment with ETC-1002
|
4 weeks
|
|
Percent change in non-HDL-cholesterol
Time Frame: 4 weeks
|
Percent change from baseline to following 4 week treatment with ETC-1002
|
4 weeks
|
|
Percent change in apolipoprotein B
Time Frame: 4 weeks
|
Percent change from baseline to following 4 week treatment with ETC-1002
|
4 weeks
|
|
24-hour post dose plasma concentration pharmacokinetics of ETC-1002 and its active metabolite
Time Frame: 2 weeks
|
Fold change in trough exposure from prior-to to following 2 week treatment with ETC-1002
|
2 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Mary McGowan, MD, Esperion Therapeutics, Inc.
Publications and helpful links
General Publications
- 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.
- 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.
- Thompson PD, Rubino J, Janik MJ, MacDougall DE, McBride SJ, Margulies JR, Newton RS. Use of ETC-1002 to treat hypercholesterolemia in patients with statin intolerance. J Clin Lipidol. 2015 May-Jun;9(3):295-304. doi: 10.1016/j.jacl.2015.03.003. Epub 2015 Mar 19.
- Nikolic D, Mikhailidis DP, Davidson MH, Rizzo M, Banach M. ETC-1002: a future option for lipid disorders? Atherosclerosis. 2014 Dec;237(2):705-10. doi: 10.1016/j.atherosclerosis.2014.10.099. Epub 2014 Oct 31.
- Filippov S, Pinkosky SL, Newton RS. LDL-cholesterol reduction in patients with hypercholesterolemia by modulation of adenosine triphosphate-citrate lyase and adenosine monophosphate-activated protein kinase. Curr Opin Lipidol. 2014 Aug;25(4):309-15. doi: 10.1097/MOL.0000000000000091.
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
- Dyslipidemias
- Hyperlipidemias
- Hypoglycemic Agents
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antimetabolites
- Anticholesteremic Agents
- Hypolipidemic Agents
- Lipid Regulating Agents
- Hydroxymethylglutaryl-CoA Reductase Inhibitors
- Atorvastatin
- 8-hydroxy-2,2,14,14-tetramethylpentadecanedioic acid
Other Study ID Numbers
Other Study ID Numbers
- 1002-035
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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