- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01941836
Evaluation of ETC-1002, Ezetimibe, and the Combination in Hypercholesterolemic Patients
March 26, 2019 updated by: Esperion Therapeutics, Inc.
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
The purpose of this research study is to see how ETC-1002 is tolerated in the body, to measure the amount of ETC-1002 in the blood, and to determine how ETC-1002 affects the level of LDL-cholesterol (bad cholesterol) and other markers of health and disease in blood and urine in patients with elevated LDL-cholesterol with or without statin intolerance.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Hypercholesterolemic patients either with or without a history of statin intolerance (1:1 ratio) will be randomized to receive once daily by mouth capsules containing either ETC-1002, ezetimibe, or ETC-1002 + ezetimibe.
This study will explore the safety and efficacy of concomitant administration of ETC-1002 and ezetimibe, while also exploring the effect of ezetimibe on ETC-1002 systemic exposure.
Study Type
Interventional
Enrollment (Actual)
349
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
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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
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 80 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
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
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: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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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
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Patients receive ETC-1002
Patients receive ezetimibe
Other Names:
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Experimental: ETC-1002 180 mg/day + ezetimibe 10mg/day
Orally, once daily in morning
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Patients receive ETC-1002
Patients receive ezetimibe
Other Names:
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What is the study measuring?
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
Outcome Measure |
Time Frame |
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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
Outcome Measure |
Time Frame |
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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
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Study Director: Diane E MacDougall, MS, Esperion Therapeutics, Inc.
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
- 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
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, 2013
Primary Completion (Actual)
October 1, 2014
Study Completion (Actual)
November 1, 2014
Study Registration Dates
First Submitted
September 6, 2013
First Submitted That Met QC Criteria
September 10, 2013
First Posted (Estimate)
September 13, 2013
Study Record Updates
Last Update Posted (Actual)
March 29, 2019
Last Update Submitted That Met QC Criteria
March 26, 2019
Last Verified
March 1, 2019
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
- 1002-008
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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