- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01004705
A Pharmacodynamic Study to Evaluate the Effect of a Fixed Dose Combination Pill on Low Density Lipoprotein (LDL) Cholesterol
July 31, 2012 updated by: Ferrer Internacional S.A.
Cardiovascular Fixed Dose Combination Pill: A Pharmacodynamic Study of a Fixed Dose Combination of Acetylsalicylic Acid, Simvastatin, and Ramipril in Subjects With Elevated LDL Cholesterol
This study evaluates the effect on LDL cholesterol of the 3 drugs given together in the cardiovascular fixed dose combination pill (acetylsalicylic acid, simvastatin, and ramipril) as compared to the effect on LDL cholesterol of simvastatin given alone.
Approximately 76 subjects will be screened, 60 randomized in order about 52 subjects to finish the study.
Study Overview
Status
Terminated
Conditions
Study Type
Interventional
Enrollment (Actual)
36
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
New York
-
New York, New York, United States, NY 10029-6574
- Mount Sinai Medical Center
-
-
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 and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Male or female subjects ≥18 years of age
- Previously untreated LDL cholesterol ≥100 mg/dL and ≤180 mg/dL.
- Provide written informed consent.
Exclusion Criteria:
- Subjects with a medical condition requiring chronic pharmacological treatment
- On direct questioning and physical examination have evidence of any clinically significant chronic disease, including known or suspected human immunodeficiency virus (HIV), hepatitis B virus (HBV) and hepatitis C virus (HCV) infection.
- On direct questioning and physical examination have a medical history or evidence of abuse of drugs.
- Medical history of gastrointestinal bleeding or gastric or duodenal ulcer.
- Systolic pressure ≥140 mmHg or diastolic pressure >89 mmHg requiring hypotensive medication.
- Presence of secondary dyslipidemia.
- Previous use of cholesterol lowering medication.
- Previous coronary artery bypass graft (CABG).
- Previous percutaneous transluminal coronary angioplasty (PTCA) with a drug-eluting stent.
- Presence of severe congestive heart failure (New York Heart Classification [NYHC] III IV).
- Presence of untreated or uncontrolled thyroid disease.
- Past or current medical history of asthma or aspirin induced asthma
- Previous hypersensitivity to ACE inhibitors (eg angioedema or cough).
- Previous hypersensitivity to ARBs.
- History of unstable angina.
- Serum creatinine >2 mg/dL.
- Creatine phosphokinase (CPK) ≥5 x the upper limit of normal (ULN).
- Hemoglobin ≤12 g/dL (120 g/L) for male subjects or ≤10 g/dL (100 g/L) for female subjects.
- Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ≥2 x ULN.
- Total bilirubin ≥1.5 x ULN.
- Serum triglyceride concentration ≥400 mg/dL.
- Subjects not using effective contraception methods (intra uterine device [IUD] and condom or diaphragm with spermicide and condom) during the study and for at least one month thereafter.
- Pregnant, lactating, breastfeeding, or intends to become pregnant during the course of the study (females only). All women must have a negative urine pregnancy test at the Screening Visit, be surgically sterile (bilateral tubal ligation, bilateral oophorectomy, or hysterectomy) or have a postmenopausal status (no menses) for at least one year.
- Contraindications to or known or suspected hypersensitivity to aspirin, simvastatin or ramipril or their excipients.
- Presence of mental illness limiting the capacity for self-care.
- Presence of major systemic illnesses: renal disease, liver disease, neurological or psychiatric disease.
- Participation, in the 30 days preceding enrolment into the study, in any other clinical study in which investigational or marketed drugs were employed.
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: Prevention
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Fixed Dose Combination Pill
Once daily oral dose of combination of acetylsalicylic acid, simvastatin, and ramipril (containing 100 mg acetylsalicylic acid, 40 mg simvastatin, and 5 or 10 mg ramipril)
|
A once daily oral dose of the cardiovascular fixed dose combination pill ( acetylsalicylic acid, simvastatin, ramipril) for 12 weeks.
|
Active Comparator: Simvastatin
Once daily oral dose of Simvastatin 40 mg
|
A once daily oral dose of simvastatin for 12 weeks.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The Difference in LDL Cholesterol Levels Between the Basal and the Final Visit of Each Treatment Period.
Time Frame: Day 1 and Day 84 of the Period 1 and Day 126 and Day 210 of Period 2
|
Change from baseline in LDL cholesterol level following each Treatment Period was defined as the difference between the measurements from the baseline visit (Visit 4, Day 1) and Visit 9 (Day 84) for Treatment Period 1, and between the Visit 11 (Day 126) and Visit 16 (Day 210) for Treatment Period 2.
|
Day 1 and Day 84 of the Period 1 and Day 126 and Day 210 of Period 2
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The Difference in Mean Total Cholesterol Between the Basal and the Final Visit of Each Treatment Period.
Time Frame: Day 1 and Day 84 of the Period 1 and Day 126 and Day 210 of Period 2
|
Change from baseline in mean total cholesterol level following each Treatment Period was defined as the difference between the measurements from the baseline visit (Visit 4, Day 1) and Visit 9 (Day 84) for Treatment Period 1, and between the Visit 11 (Day 126) and Visit 16 (Day 210) for Treatment Period 2.
|
Day 1 and Day 84 of the Period 1 and Day 126 and Day 210 of Period 2
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
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
September 1, 2009
Primary Completion (Actual)
March 1, 2011
Study Completion (Actual)
March 1, 2011
Study Registration Dates
First Submitted
October 23, 2009
First Submitted That Met QC Criteria
October 29, 2009
First Posted (Estimate)
October 30, 2009
Study Record Updates
Last Update Posted (Estimate)
August 31, 2012
Last Update Submitted That Met QC Criteria
July 31, 2012
Last Verified
July 1, 2012
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Antihypertensive Agents
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Analgesics
- Sensory System Agents
- Anti-Inflammatory Agents, Non-Steroidal
- Analgesics, Non-Narcotic
- Anti-Inflammatory Agents
- Antirheumatic Agents
- Fibrinolytic Agents
- Fibrin Modulating Agents
- Platelet Aggregation Inhibitors
- Cyclooxygenase Inhibitors
- Antipyretics
- Antimetabolites
- Protease Inhibitors
- Anticholesteremic Agents
- Hypolipidemic Agents
- Lipid Regulating Agents
- Hydroxymethylglutaryl-CoA Reductase Inhibitors
- Angiotensin-Converting Enzyme Inhibitors
- Aspirin
- Simvastatin
- Ramipril
Other Study ID Numbers
- P-080647-01
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.
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