To Evaluate Ezetimibe Plus Atorvastatin Versus Atorvastatin in Patients With High Cholesterol Not 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...

Date First Received: January 11, 2006

Last Updated: April 14, 2010

Verified by: Merck, April 2010

Clinical Trial Phase: Phase 3 | Start Date: February 2006

Overall Status: Completed

Estimated Enrollment: 579

Brief Summary

Official Title: “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”

Condition Keyword(s):

Additional Keyword(s) Provided by Sponsor:

    Condition MeSH Term(s), Assigned with an Experimental Algorithm:

    Intervention MeSH Term(s), Assigned with an Experimental Algorithm:

    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 Type: Interventional

    Study Design: Allocation: Randomized, Control: Active Control, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment

    Study Primary Completion Date: March 2008

    Intervention(s) in this Clinical Trial

    • Drug: atorvastatin
      • Atorvastatin 80 mg tablet by mouth, once a day for 6 weeks
    • Drug: atorvastatin
      • Atorvastatin 40 mg by mouth, once a day for 6 weeks
    • Drug: ezetimibe
      • Ezetimibe 10 mg tablets by mouth, once a day for 6 weeks.

    Arms, Groups and Cohorts in this Clinical Trial

    • Active Comparator: 1
      • Atorvastatin 80 mg
    • Experimental: 2
      • Atorvastatin 40 mg + ezetimibe 10 mg

    Outcome Measures for this Clinical Trial

    Primary Measures

    • Percent Change From Baseline to Week 6 in Low-Density Lipoprotein (LDL)-C
      • Time Frame: Baseline and 6 weeks
        Safety Issue?: No

    Secondary Measures

    • Percent Change From Baseline to Week 6 in High-Density Lipoprotein Cholesterol (HDL-C)
      • Time Frame: Baseline and 6 weeks
        Safety Issue?: No
    • Percent Change From Baseline to Week 6 in Non-High-Density Lipoprotein Cholesterol (Non-HDL-C)
      • Time Frame: Baseline and 6 Weeks
        Safety Issue?: No
    • Percent Change From Baseline to Week 6 in Total-Cholesterol
      • Time Frame: Baseline and 6 Weeks
        Safety Issue?: No
    • Percent Change From Baseline to Week 6 in Triglycerides (TG)
      • Time Frame: Baseline and 6 Weeks
        Safety Issue?: No
    • Percent Change From Baseline to Week 6 in Apolipoprotein B (Apo B)
      • Time Frame: Baseline and 6 Weeks
        Safety Issue?: No
    • Percent Change From Baseline to Week 6 in Apolipoprotein A-I (Apo A-I)
      • Time Frame: Baseline and 6 Weeks
        Safety Issue?: No
    • Percent Change From Baseline to Week 6 in Total-Cholesterol (TC):High-Density Lipoprotein Cholesterol (HDL-C) Ratio
      • Time Frame: Baseline and 6 Weeks
        Safety Issue?: No
    • 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
        Safety Issue?: No
    • 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
        Safety Issue?: No
    • 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
        Safety Issue?: No
    • Percent Change From Baseline to Week 6 in C Reactive Protein (CRP)
      • Time Frame: Baseline and 6 Weeks
        Safety Issue?: No
    • Number of Patients Who Attained Target Low-Density Lipoprotein Cholesterol (LDL-C) <70 mg/dL at Week 6
      • Time Frame: 6 Weeks
        Safety Issue?: No

    Criteria for Participation in this Clinical Trial

    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

    Gender Eligibility for this Clinical Trial: Both

    Minimum Age for this Clinical Trial: 18 Years

    Maximum Age for this Clinical Trial: 79 Years

    Are Healthy Volunteers Accepted for this Clinical Trial?: No

    Clinical Trial Sponsor Information

    Lead Sponsor: Merck

    Overall Clinical Trial Officials and Contacts

    Medical Monitor Study Director Merck  

    Related Publications

    References

    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. Epub 2008 Oct 23.

    Additional Information

    Information obtained from ClinicalTrials.gov on September 02, 2010

    Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00276484

    Study ID Number: 2005_105

    ClinicalTrials.gov Identifier: NCT00276484

    Health Authority: United States: Food and Drug Administration

    MedWatch - FDA maintained medical product safety Information

    PhRMA Clinical Study Results Database - web-based repository for clinical study results

    Merck: Patient & Caregiver U.S. Product Web Site

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