- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03067441
Assessment of the Long-Term Safety and Efficacy of Bempedoic Acid (CLEAR Harmony OLE)
February 3, 2021 updated by: Esperion Therapeutics, Inc.
A Multicenter Open-Label Extension (OLE) Study To Assess The Long-Term Safety and Efficacy of Bempedoic Acid (ETC-1002) 180 MG
The purpose of this study is to see if bempedoic acid (ETC-1002) is safe and well-tolerated in patients with high cardiovascular risk and elevated LDL cholesterol that is not adequately controlled by their current therapy.
Study Overview
Status
Completed
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
1462
Phase
- Phase 3
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
-
-
Florida
-
Tampa, Florida, United States, 33607
- Jedidiah Clinical Research
-
-
Kentucky
-
Louisville, Kentucky, United States, 40213
- L-MARC Research Center
-
-
Ohio
-
Cincinnati, Ohio, United States, 45236
- Sentral Clinical Research Services
-
-
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:
- Successfully completed CLEAR Harmony (1002-040) parent study
Exclusion Criteria:
- Experienced a treatment-related SAE that led to study drug discontinuation in the CLEAR Harmony (1002-040) parent study.
- Medical condition requires lipid measurement and/or adjustment of background lipid-regulating therapy.
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: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Open-Label bempedoic acid
bempedoic acid 180 mg tablet
|
bempedoic acid 180 mg tablets taken orally, once per day.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
Time Frame: Up to Week 82
|
TEAEs are defined as adverse events that began or worsened in severity after the first dose of investigational medicinal product (IMP) until 30 days after the last dose in the Open-Label Extension (OLE) Study.
|
Up to Week 82
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Percent Change From Parent Study Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Weeks 52 and 78
Time Frame: Baseline; Week 52 and Week 78
|
Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals.
Percent change from Baseline was calculated as: LDL-C value at Week 52/Week 78 minus Parent Study Baseline value divided by Parent Study Baseline value multiplied by 100.
Baseline was defined as the mean of the values at screening and predose Day 1/Week 0 (Visit T1) in the Parent Study.
|
Baseline; Week 52 and Week 78
|
Mean Change From Parent Study Baseline in LDL-C at Weeks 52 and 78
Time Frame: Baseline; Week 52 and Week 78
|
Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals.
Mean change from Baseline was calculated as: Mean LDL-C value at Week 52/Week 78 minus Mean Parent Study Baseline value.
Baseline was defined as the mean of the values at screening and predose Day 1/Week 0 (Visit T1) in the Parent Study.
|
Baseline; Week 52 and Week 78
|
Percent Change From Parent Study Baseline in Non-High-Density Lipoprotein Cholesterol (Non-HDL-C) at Weeks 52 and 78
Time Frame: Baseline; Week 52 and Week 72
|
Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals.
Percent change from Baseline was calculated as: non-HDL-C value at Week 52/Week 78 minus Parent Study Baseline value divided by Parent Study Baseline value multiplied by 100.
Baseline was defined as the mean of the values at screening and predose Day 1/Week 0 (Visit T1) in the Parent Study.
|
Baseline; Week 52 and Week 72
|
Percent Change From Parent Study Baseline in Total Cholesterol at Weeks 52 and 78
Time Frame: Baseline; Week 52 and Week 78
|
Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals.
Percent change from Baseline was calculated as: Total cholesterol value at Week 52/Week 78 minus Parent Study Baseline value divided by Parent Study Baseline value multiplied by 100.
Baseline was defined as the mean of the values at screening and predose Day 1/Week 0 (Visit T1) in the Parent Study.
|
Baseline; Week 52 and Week 78
|
Percent Change From Parent Study Baseline in Apolipoprotein B (ApoB) at Weeks 52 and 78
Time Frame: Baseline; Week 52 and Week 78
|
Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals.
Percent change from Baseline was calculated as: ApoB value at Week 52/Week 78 minus Parent Study Baseline value divided by Parent Study Baseline value multiplied by 100.
Baseline was defined as the mean of the values at screening and predose Day 1/Week 0 (Visit T1) in the Parent Study.
|
Baseline; Week 52 and Week 78
|
Percent Change From Parent Study Baseline in High-Sensitivity C-Reactive Protein (Hs-CRP) at Weeks 52 and 78
Time Frame: Baseline; Week 52 and Week 78
|
Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals.
Percent change from Baseline was calculated as: hs-CRP value at Week 52/Week 78 minus Parent Study Baseline value divided by Parent Study Baseline value multiplied by 100.
Baseline was defined as the mean of the values at screening and predose Day 1/Week 0 (Visit T1) in the Parent Study.
|
Baseline; Week 52 and Week 78
|
Percent Change From Parent Study Baseline in Triglycerides at Weeks 52 and 78
Time Frame: Baseline; Week 52 and Week 78
|
Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals.
Percent change from Baseline was calculated as: Triglycerides value at Week 52/Week 78 minus Parent Study Baseline value divided by Parent Study Baseline value multiplied by 100.
Baseline was defined as the mean of the values at screening and predose Day 1/Week 0 (Visit T1) in the Parent Study.
|
Baseline; Week 52 and Week 78
|
Percent Change From Parent Study Baseline in High-Density Lipoprotein Cholesterol (HDL-C) at Weeks 52 and 78
Time Frame: Baseline; Week 52 and Week 78
|
Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals.
Percent change from Baseline was calculated as: HDL-C value at Week 52/Week 78 minus Parent Study Baseline value divided by Parent Study Baseline value multiplied by 100.
Baseline was defined as the mean of the values at screening and predose Day 1/Week 0 (Visit T1) in the Parent Study.
|
Baseline; Week 52 and Week 78
|
Percent Change From Open-Label Extension (OLE) Study Baseline in LDL-C at Weeks 52 and 78
Time Frame: Baseline; Week 52 and Week 78
|
Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals.
Percent change from Baseline was calculated as: LDL-C value at Week 52/Week 78 minus OLE Study Baseline value divided by Parent Study Baseline value multiplied by 100.
Baseline was defined as the last non-missing record prior to treatment start in the OLE Study.
|
Baseline; Week 52 and Week 78
|
Mean Change From OLE Baseline in LDL-C at Weeks 52 and 78
Time Frame: Baseline; Week 52 and Week 72
|
Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals.
Mean change from Baseline was calculated as: Mean LDL-C value at Week 52/Week 78 minus Mean OLE Study Baseline value.
Baseline was defined as the last non-missing record prior to treatment start in the OLE Study.
|
Baseline; Week 52 and Week 72
|
Percent Change From OLE Baseline in Non-HDL-C at Weeks 52 and 78
Time Frame: Baseline; Week 52 and Week 78
|
Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals.
Percent change from Baseline was calculated as: non-HDL-C value at Week 52/Week 78 minus OLE Study Baseline value divided by OLE Study Baseline value multiplied by 100.
Baseline was defined as the last non-missing record prior to treatment start in the OLE Study.
|
Baseline; Week 52 and Week 78
|
Percent Change From OLE Baseline in Total Cholesterol at Weeks 52 and 78
Time Frame: Baseline; Week 52 and Week 78
|
Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals.
Percent change from Baseline was calculated as: Total Cholesterol value at Week 52/Week 78 minus OLE Study Baseline value divided by OLE Study Baseline value multiplied by 100.
Baseline was defined as the last non-missing record prior to treatment start in the OLE Study.
|
Baseline; Week 52 and Week 78
|
Percent Change From OLE Baseline ApoB at Weeks 52 and 78
Time Frame: Baseline; Week 52 and Week 78
|
Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals.
Percent change from Baseline was calculated as: ApoB value at Week 52/Week 78 minus OLE Study Baseline value divided by OLE Study Baseline value multiplied by 100.
Baseline was defined as the last non-missing record prior to treatment start in the OLE Study.
|
Baseline; Week 52 and Week 78
|
Percent Change From OLE Baseline in Hs-CRP at Weeks 52 and 78
Time Frame: Baseline; Week 52 and Week 78
|
Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals.
Percent change from Baseline was calculated as: hs-CRP value at Week 52/Week 78 minus OLE Study Baseline value divided by OLE Study Baseline value multiplied by 100.
Baseline was defined as the last non-missing record prior to treatment start in the OLE Study.
|
Baseline; Week 52 and Week 78
|
Percent Change From OLE Baseline in Triglycerides at Weeks 52 and 78
Time Frame: Baseline; Week 52 and Week 78
|
Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals.
Percent change from Baseline was calculated as: Triglycerides value at Week 52/Week 78 minus OLE Study Baseline value divided by OLE Study Baseline value multiplied by 100.
Baseline was defined as the last non-missing record prior to treatment start in the OLE Study.
|
Baseline; Week 52 and Week 78
|
Percent Change From OLE Baseline in HDL-C at Weeks 52 and 78
Time Frame: Baseline; Week 52 and Week 78
|
Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals.
Percent change from Baseline was calculated as: HDL-C value at Week 52/Week 78 minus OLE Study Baseline value divided by OLE Study Baseline value multiplied by 100.
Baseline was defined as the last non-missing record prior to treatment start in the OLE Study.
|
Baseline; Week 52 and Week 78
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: Medical Director, 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
- Pinkosky SL, Newton RS, Day EA, Ford RJ, Lhotak S, Austin RC, Birch CM, Smith BK, Filippov S, Groot PHE, Steinberg GR, Lalwani ND. Liver-specific ATP-citrate lyase inhibition by bempedoic acid decreases LDL-C and attenuates atherosclerosis. Nat Commun. 2016 Nov 28;7:13457. doi: 10.1038/ncomms13457.
- Stone NJ, Robinson JG, Lichtenstein AH, Bairey Merz CN, Blum CB, Eckel RH, Goldberg AC, Gordon D, Levy D, Lloyd-Jones DM, McBride P, Schwartz JS, Shero ST, Smith SC Jr, Watson K, Wilson PW, Eddleman KM, Jarrett NM, LaBresh K, Nevo L, Wnek J, Anderson JL, Halperin JL, Albert NM, Bozkurt B, Brindis RG, Curtis LH, DeMets D, Hochman JS, Kovacs RJ, Ohman EM, Pressler SJ, Sellke FW, Shen WK, Smith SC Jr, Tomaselli GF; American College of Cardiology/American Heart Association Task Force on Practice Guidelines. 2013 ACC/AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014 Jun 24;129(25 Suppl 2):S1-45. doi: 10.1161/01.cir.0000437738.63853.7a. Epub 2013 Nov 12. No abstract available. Erratum In: Circulation. 2014 Jun 24;129(25 Suppl 2):S46-8. Circulation. 2015 Dec 22;132(25):e396.
- Goldberg AC, Hopkins PN, Toth PP, Ballantyne CM, Rader DJ, Robinson JG, Daniels SR, Gidding SS, de Ferranti SD, Ito MK, McGowan MP, Moriarty PM, Cromwell WC, Ross JL, Ziajka PE; National Lipid Association Expert Panel on Familial Hypercholesterolemia. Familial hypercholesterolemia: screening, diagnosis and management of pediatric and adult patients: clinical guidance from the National Lipid Association Expert Panel on Familial Hypercholesterolemia. J Clin Lipidol. 2011 Jun;5(3 Suppl):S1-8. doi: 10.1016/j.jacl.2011.04.003. Epub 2011 Apr 12.
- Pollex RL, Joy TR, Hegele RA. Emerging antidyslipidemic drugs. Expert Opin Emerg Drugs. 2008 Jun;13(2):363-81. doi: 10.1517/14728214.13.2.363.
- Sharrett AR, Ballantyne CM, Coady SA, Heiss G, Sorlie PD, Catellier D, Patsch W; Atherosclerosis Risk in Communities Study Group. Coronary heart disease prediction from lipoprotein cholesterol levels, triglycerides, lipoprotein(a), apolipoproteins A-I and B, and HDL density subfractions: The Atherosclerosis Risk in Communities (ARIC) Study. Circulation. 2001 Sep 4;104(10):1108-13. doi: 10.1161/hc3501.095214.
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 (Actual)
February 3, 2017
Primary Completion (Actual)
November 5, 2019
Study Completion (Actual)
November 5, 2019
Study Registration Dates
First Submitted
February 24, 2017
First Submitted That Met QC Criteria
February 24, 2017
First Posted (Actual)
March 1, 2017
Study Record Updates
Last Update Posted (Actual)
March 1, 2021
Last Update Submitted That Met QC Criteria
February 3, 2021
Last Verified
February 1, 2021
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Vascular Diseases
- Metabolic Diseases
- Arteriosclerosis
- Arterial Occlusive Diseases
- Lipid Metabolism Disorders
- Hyperlipidemias
- Dyslipidemias
- Cardiovascular Diseases
- Hypercholesterolemia
- Atherosclerosis
- Hypoglycemic Agents
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antimetabolites
- Hypolipidemic Agents
- Lipid Regulating Agents
- 8-hydroxy-2,2,14,14-tetramethylpentadecanedioic acid
Other Study ID Numbers
- 1002-050
- 2016-004115-12 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
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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