A Phase III Long Term Study of K-877 Extended Release Tablet

A Phase III Long Term Study of K-877 Extended Release Tablet-A Multicenter, Randomized, Open Label, Parallel Group Trial in Patients With Dyslipidemia With High TG-

To investigate the safety and efficacy of K-877 Extended Release (ER) once daily for 52 weeks in the morning or evening in dyslipidema.The starting dose of the ER tablet will be 0.2 mg/day. If the efficacy is insufficient, it will investigate the safety and efficacy of 0.4 mg/day.

Study Overview

• Status: Completed
• Conditions: Dyslipidemias
• Intervention / Treatment: Drug: K-877 ER 0.2 mg/day morning administration (once daily); Drug: K-877 ER 0.2 mg/day evening administration (once daily)

• Study Type: Interventional
• Enrollment (Actual): 121
• Phase: Phase 3

Contacts and Locations

Study Locations

• Japan
  • Fukuoka, Japan
    • Saiseikai Futsukaichi Hospital
  • Gunma, Japan
    • National Hospital Organization Takasaki General Medical Center
  • Hokkaido, Japan
    • Hasegawa Medicine Clinic
  • Hokkaido, Japan
    • Japan Community Health care Organization Hokkaido Hospital
  • Ibaraki, Japan
    • Minami Akatsuka Clinic
  • Kanagawa, Japan
    • Saiseikai Yokohamashi Nanbu Hospital
  • Osaka, Japan
    • Kinugawa Cardiology Clinic
  • Osaka, Japan
    • Kyosokai Amc Nishi-Umeda Clinic
  • Osaka, Japan
    • Medical corporation Tani clinic
  • Osaka, Japan
    • Shiraiwa Medical Clinic
  • Saitama, Japan
    • Cosmos medical corporation Aozora total clinic
  • Tokyo, Japan
    • Akasaka Chuou Clinic
  • Tokyo, Japan
    • Medical Corporation Chiseikai Tokyo Center Clinic
  • Tokyo, Japan
    • Shimokitazawa Tomo Clinic

Participation Criteria

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:

1. Patients with dyslipidemia had to be age 20 years or older at written informed consent
2. Patients who have received dietary or exercise guidance from 12 weeks or more prior to Screening
3. Patients with the fasting serum TG >= 150 mg/dL twice consecutively at Screening

Exclusion Criteria:

1. Patients with a fasting serum TG > 1000 mg/dL at Screening
2. Patients who require administration of prohibited drugs during the clinical trial period after written informed consent
3. Patients with uncontrolled thyroid disease
4. Patients with type 1 diabetes and uncontrolled diabetes [HbA1c(NGSP) >= 10.0 % at Screening]
5. Patients with uncontrolled hypertension (SBP >= 160 mmHg or DBP >= 100 mmHg)
6. Patients with an AST or ALT three times the upper limit at Screening
7. Patients with an CK five times the upper limit at Screening
8. Patients with cirrhosis or those with biliary obstruction
9. Patients with acute myocardial infarction within 3 months before obtaining informed consent
10. Patients with heart failure class III or higher according to NYHA cardiac function classification
11. Patients with malignant tumor or those who are judged to have a high risk of recurrence
12. Patients with a history of serious drug allergies (anaphylactic shock, etc.)
13. Pregnant women, lactating women, women planning to become pregnant or lactating during the study period, or pregnant women who do not use specific contraceptive methods
14. Patients who have collected 400 mL or more of whole blood within 16 weeks, or 200 mL or more of whole blood within 4 weeks, or blood samples (plasma and platelet components) within 2 weeks before Screening
15. Patients who have received K-877 (pemafibrate)
16. Patients who participate in other clinical trials at the time of written informed consent and who received medication or who have received clinical trials other than placebo for less than 16 weeks
17. Patients who have been determined inappropriate by the investigator, etc

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: morning administration; K-877 ER 0.2 mg/day morning administration (once daily)	Drug: K-877 ER 0.2 mg/day morning administration (once daily); K-877 ER 0.2 mg tablet; Other Names: Pemafibrate ER 0.2 mg/day morning administration (once daily)
Experimental: evening administration; K-877 ER 0.2 mg/day evening administration (once daily)	Drug: K-877 ER 0.2 mg/day evening administration (once daily); K-877 ER 0.2 mg tablet; Other Names: Pemafibrate ER 0.2 mg/day evening administration (once daily)

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Efficacy : Mean of percent change from baseline in fasting serum TG (mg/dL) at the time of final evaluation* and immediately before it * : Week 52 or at discontinuation	Final evaluation (Week 52 or at discontinuation) and immediately before it

Secondary Outcome Measures

Outcome Measure	Time Frame
Efficacy : Mean of percent change from baseline in fasting serum Total Cholesterol (mg/dL) at the time of final evaluation* and immediately before it * : Week 52 or at discontinuation	Final evaluation (Week 52 or at discontinuation) and immediately before it
Efficacy : Mean of percent change from baseline in fasting serum LDL-C (mg/dL) at the time of final evaluation* and immediately before it * : Week 52 or at discontinuation	Final evaluation (Week 52 or at discontinuation) and immediately before it
Efficacy : Mean of percent change from baseline in fasting serum HDL-C (mg/dL) at the time of final evaluation* and immediately before it * : Week 52 or at discontinuation	Final evaluation (Week 52 or at discontinuation) and immediately before it
Efficacy : Mean of percent change from baseline in fasting serum non-HDL-C (mg/dL) at the time of final evaluation* and immediately before it * : Week 52 or at discontinuation	Final evaluation (Week 52 or at discontinuation) and immediately before it

Collaborators and Investigators

• Sponsor: Kowa Company, Ltd.

Study record dates

Study Major Dates

• Study Start (Actual): February 1, 2021
• Primary Completion (Actual): June 13, 2022
• Study Completion (Actual): July 29, 2022

Study Registration Dates

• First Submitted: January 15, 2021
• First Submitted That Met QC Criteria: January 15, 2021
• First Posted (Actual): January 20, 2021

Study Record Updates

• Last Update Posted (Actual): August 9, 2022
• Last Update Submitted That Met QC Criteria: August 8, 2022
• Last Verified: August 1, 2022

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Metabolic Diseases; Lipid Metabolism Disorders; Dyslipidemias
• Other Study ID Numbers: K-877-ER-03

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No