- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00276484
To Evaluate Ezetimibe Plus Atorvastatin Versus Atorvastatin in Patients With High Cholesterol Not Controlled on Atorvastatin 40 mg (0653-090)
May 8, 2024 updated by: Organon and Co
A Multicenter, Rand., Double-Blind, Titration Study to Evaluate & Compare the Efficacy & Safety of Ezetimibe Plus Atorvastatin Vs Atorvastatin in Hypercholesterolemic Pts. at High Risk for CHD Not Adequately Controlled on Atorvastatin 40 Mg
To Evaluate and Compare the Efficacy and Safety of Ezetimibe Plus Atorvastatin Versus Atorvastatin in Hypercholesterolemic Patients at High Risk for Coronary Heart Disease Not Adequately Controlled on Atorvastatin 40 mg.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
579
Phase
- Phase 3
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 79 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Patient with LDL-C >70 mg/dL & on a stable dose of atorvastatin 40 mg
Exclusion Criteria:
- Pregnant or lactating women or intending to become pregnant
- Patient with sensitivity or intolerance to ezetimibe or atorvastatin
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Active Comparator: 1
Atorvastatin 80 mg
|
Atorvastatin 80 mg tablet by mouth, once a day for 6 weeks
Atorvastatin 40 mg by mouth, once a day for 6 weeks
|
|
Experimental: 2
Atorvastatin 40 mg + ezetimibe 10 mg
|
Atorvastatin 80 mg tablet by mouth, once a day for 6 weeks
Atorvastatin 40 mg by mouth, once a day for 6 weeks
Ezetimibe 10 mg tablets by mouth, once a day for 6 weeks.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percent Change From Baseline to Week 6 in Low-Density Lipoprotein (LDL)-C
Time Frame: Baseline and 6 weeks
|
Percent Change in LDL-C = [(week 6 value - baseline value)/baseline value]*100%
|
Baseline and 6 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percent Change From Baseline to Week 6 in High-Density Lipoprotein Cholesterol (HDL-C)
Time Frame: Baseline and 6 weeks
|
Percent Change in HDL-C = [(week 6 value - baseline value)/baseline value]*100%
|
Baseline and 6 weeks
|
|
Percent Change From Baseline to Week 6 in Non-High-Density Lipoprotein Cholesterol (Non-HDL-C)
Time Frame: Baseline and 6 Weeks
|
Percent Change in Non-HDL-C = [(week 6 value - baseline value)/baseline value]*100%
|
Baseline and 6 Weeks
|
|
Percent Change From Baseline to Week 6 in Total-Cholesterol
Time Frame: Baseline and 6 Weeks
|
Percent Change in Total-C = [(week 6 value - baseline value)/baseline value]*100%
|
Baseline and 6 Weeks
|
|
Percent Change From Baseline to Week 6 in Triglycerides (TG)
Time Frame: Baseline and 6 Weeks
|
Percent Change in TG = [(week 6 value - baseline value)/baseline value]*100%
|
Baseline and 6 Weeks
|
|
Percent Change From Baseline to Week 6 in Apolipoprotein B (Apo B)
Time Frame: Baseline and 6 Weeks
|
Percent Change in Apo B = [(week 6 value - baseline value)/baseline value]*100%
|
Baseline and 6 Weeks
|
|
Percent Change From Baseline to Week 6 in Apolipoprotein A-I (Apo A-I)
Time Frame: Baseline and 6 Weeks
|
Percent Change in Apo A-I = [(week 6 value - baseline value)/baseline value]*100%
|
Baseline and 6 Weeks
|
|
Percent Change From Baseline to Week 6 in Total-Cholesterol (TC):High-Density Lipoprotein Cholesterol (HDL-C) Ratio
Time Frame: Baseline and 6 Weeks
|
Percent Change in TC:HDL-C Ratio = [(week 6 ratio - baseline ratio)/baseline ratio]*100%
|
Baseline and 6 Weeks
|
|
Percent Change From Baseline to Week 6 in Low-Density Lipoprotein-Cholesterol:High-Density Lipoprotein-Cholesterol (LDL-C:HDL-C) Ratio
Time Frame: Baseline and 6 Weeks
|
Percent Change in LDL-C:HDL-C Ratio = [(week 6 ratio - baseline ratio)/baseline ratio]*100%
|
Baseline and 6 Weeks
|
|
Percent Change From Baseline to Week 6 in Apolipoprotein B:Apolipoprotein A-I (Apo B:Apo A-I) Ratio
Time Frame: Baseline and 6 Weeks
|
Percent Change in Apo B:Apo A-I Ratio = [(week 6 ratio - baseline ratio)/baseline ratio]*100%
|
Baseline and 6 Weeks
|
|
Percent Change From Baseline to Week 6 in Non-High-Density Lipoprotein-Cholesterol:High-Density Lipoprotein-Cholesterol (Non-HDL-C:HDL-C) Ratio
Time Frame: Baseline and 6 Weeks
|
Percent Change in non-HDL-C:HDL-C Ratio = [(week 6 ratio - baseline ratio)/baseline ratio]*100%
|
Baseline and 6 Weeks
|
|
Percent Change From Baseline to Week 6 in C Reactive Protein (CRP)
Time Frame: Baseline and 6 Weeks
|
Percent Change in CRP = [(week 6 value - baseline value)/baseline value]*100%
|
Baseline and 6 Weeks
|
|
Number of Patients Who Attained Target Low-Density Lipoprotein Cholesterol (LDL-C) <70 mg/dL at Week 6
Time Frame: 6 Weeks
|
6 Weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: Medical Monitor, Merck Sharp & Dohme LLC
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Leiter LA, Bays H, Conard S, Bird S, Rubino J, Hanson ME, Tomassini JE, Tershakovec AM. Efficacy and safety of ezetimibe added on to atorvastatin (40 mg) compared with uptitration of atorvastatin (to 80 mg) in hypercholesterolemic patients at high risk of coronary heart disease. Am J Cardiol. 2008 Dec 1;102(11):1495-501. doi: 10.1016/j.amjcard.2008.09.076. Epub 2008 Oct 23.
- Bays H, Conard S, Leiter LA, Bird S, Jensen E, Hanson ME, Shah A, Tershakovec AM. Are post-treatment low-density lipoprotein subclass pattern analyses potentially misleading? Lipids Health Dis. 2010 Nov 30;9:136. doi: 10.1186/1476-511X-9-136.
- Conard S, Bays H, Leiter LA, Bird S, Lin J, Hanson ME, Shah A, Tershakovec AM. Ezetimibe added to atorvastatin compared with doubling the atorvastatin dose in patients at high risk for coronary heart disease with diabetes mellitus, metabolic syndrome or neither. Diabetes Obes Metab. 2010 Mar;12(3):210-8. doi: 10.1111/j.1463-1326.2009.01152.x.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
February 1, 2006
Primary Completion (Actual)
February 1, 2008
Study Completion (Actual)
March 1, 2008
Study Registration Dates
First Submitted
January 11, 2006
First Submitted That Met QC Criteria
January 11, 2006
First Posted (Estimated)
January 13, 2006
Study Record Updates
Last Update Posted (Actual)
May 14, 2024
Last Update Submitted That Met QC Criteria
May 8, 2024
Last Verified
February 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Metabolic Diseases
- Lipid Metabolism Disorders
- Hyperlipidemias
- Dyslipidemias
- Hypercholesterolemia
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antimetabolites
- Anticholesteremic Agents
- Hypolipidemic Agents
- Lipid Regulating Agents
- Hydroxymethylglutaryl-CoA Reductase Inhibitors
- Atorvastatin
- Ezetimibe
Other Study ID Numbers
- 0653-090
- 2005_105
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
IPD Plan Description
http://www.merck.com/clinical-trials/pdf/Merck%20Procedure%20on%20Clinical%20Trial%20Data%20Access%20Final_Updated%20July_9_2014.pdf
http://engagezone.msd.com/ds_documentation.php
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.