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CompletedNCT01279590Updated Dec 22, 2011

Study of the Safety and Tolerability Associated With PPD10558 Versus Atorvastatin in Patients Previously Intolerant to Statins Due to Statin-associated Myalgia (SAM)

A Phase 2 interventional study of PPD10558 and Atorvastatin in Myalgia, Hypercholesterolemia and Hyperlipidemia, sponsored by Furiex Pharmaceuticals, Inc. Completed at 67 sites in United States. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2011-12-22.

Sponsored by Furiex Pharmaceuticals, Inc · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
282
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Study summary

The purpose of this study is to assess the incidence of statin-associated myalgia (SAM) with treatment with PPD10558 versus atorvastatin in patients previously intolerant to statins.

To assess the safety and tolerability of PPD10558 compared to atorvastatin in patients previously intolerant to statins.

02

Conditions studied

  • Myalgia
  • Hypercholesterolemia
  • Hyperlipidemia

Keywords

  • Hyperlipidemia
  • Dyslipidemia
  • Metabolic diseases
  • Lipid metabolism disorders
  • Hyperlipoproteinemia Type IIa
  • Hyperlipoproteinemia Type IIb
  • Hypercholesterolemia, Autosomal Dominant
  • Hypercholesterolemia, Autosomal Dominant, Type B
  • Frederickson Type IIa
  • Frederickson Type IIb Hyperlipidemia
03

In context

Myalgia

282 studies on the registry are indexed under Myalgia; 43 are open to participants now.

This study's enrollment of 282 is above the median of 44 across 241 interventional studies indexed under Myalgia.

Browse Myalgia studies →

Lead sponsor

Furiex Pharmaceuticals, Inc is the lead sponsor of 6 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • diagnosis of primary hypercholesterolemia (heterozygous familial and nonfamilial) Fredrickson types IIa or IIb.
  • history of statin-associated myalgia, as defined by being unable to tolerate two previous statins due to muscle pain, aches, weakness, or cramping that begins or increases during statin therapy and stops when statin therapy is discontinued. History of statin-associated myalgia will be captured on the historical questionnaire on statin-associated myalgia.
  • LDL-C > 110 mg/dL and triglycerides \< 500 mg/dL at Prescreening.
  • prescreening hemoglobin value of ≥10 g/dL for females and ≥12 g/dL.
  • patient agrees to stop all other antihyperlipidemic agents (including but not limited to niacin, probucol, ezetimibe, fibrates and derivatives, bile acid-sequestering agents, other 3-hydroxy-3-methylglutaryl-coenzyme A(HMG-CoA) reductase inhibitors, fish oils, flaxseed oil, and red yeast rice).
  • patient agrees to stop all Coenzyme Q10 supplements.
  • if taking other nonexcluded medications, patients must be on a stable dose for 4 weeks before screening.

Exclusion criteria

Exclusion Criteria:

  • history of chronic pain and currently experiences chronic pain unrelated to statins that requires chronic use of pain medications, has been diagnosed with fibromyalgia or has severe neuropathic pain.
  • requires the chronic use of pain medications, including acetaminophen, non-steroidal anti-inflammatory medications, narcotics, and other analgesics.
  • vitamin D insufficiency (current insufficiency is defined as Vitamin D3 \< 20 ng/mL [50 nmol/L] measured at Prescreening.
  • hypothyroidism or abnormal thyroid function test as confirmed by thyroid-stimulating hormone ≥ 5 mcIU/mL and free thyroxine (T4) \< 0.7 ng/dL at Prescreening
  • history of rhabdomyolysis (defined as evidence of organ damage with creatinine kinase(CK) > 10,000 IU/L).
  • history of liver disease
  • history of significant renal dysfunction as defined by serum creatinine clearance \< 30 mL/min
  • Nephrotic-range proteinuria.
  • HbA1C >9% at Prescreening.
  • CK levels >5 times the upper limit of normal at Prescreening.
  • congestive heart failure, even with current therapy
  • has had myocardial infarction, cardiac intervention, cerebrovascular accident/stroke or transient ischemic attack less than 6 months prior to prescreening.
  • patient is pregnant (confirmed by laboratory testing) or breastfeeding.
  • history of cancer (other than basal cell and/or squamous cell carcinoma of the skin and/or Stage I squamous cell carcinoma of the cervix) that has not been in full remission for at least 1 year before Screening.
  • patient has positive test results for hepatitis B surface antigen (HBsAg), hepatitis C antibody, or human immunodeficiency virus types 1 or 2 at Prescreening.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
282 participants (actual)

Study arms

  • Experimental
    PPD10558

    Dosing will be forced-titrated as follows: 40 mg orally twice daily for 4 weeks and 80 mg orally twice daily for 8 weeks

    Drug: PPD10558

  • Active comparator
    Atorvastatin

    Dosing will be forced titrated as 40 mg orally once daily for 4 weeks, and 80 mg orally once daily for 8 weeks

    Drug: Atorvastatin

  • Placebo comparator
    Placebo

    Dosing will be 2 placebo capsules twice daily for 12 weeks

    Drug: Placebo

Interventions

  • DrugPPD10558

    PPD10558 40 mg capsule and matching placebo capsule twice a day for 4 weeks, then PPD10558 80 mg (two 40 mg capsules) twice a day for 8 weeks

  • DrugAtorvastatin

    Atorvastatin 40 mg capsule and matching placebo capsule in the morning and 2 placebo capsules in the evening for 4 weeks, then Atorvastatin 80 mg (two 40 mg capsules) in the morning and 2 placebo capsules in the evening for 8 weeks

  • DrugPlacebo

    2 placebo capsules twice daily for 12 weeks

06

What researchers measure

Primary outcomes

  1. Incidence of stopping treatment with double-blinded study drug due to statin-associated myalgia.

    Patients who withdraw from participating in the study prior to Week 12 and who also stop study drug due to SAM, or patients who become lost to follow up will be considered to have stopped treatment with double-blinded study drug.

    Time frame: Up to week 12

Secondary outcomes

  1. Change from Baseline in fasting lipid profile components (low density lipoprotein-cholesterol(LDL-C), high density lipoprotein-cholesterol(HDL-C), triglyceride(TG), total cholesterol(TC), Apolipoprotein B(ApoB), HDL-TG, LDL/HDL ratio and TC/HDL ratio)

    Time frame: Up to week 12

  2. Change from baseline in muscle strength measurements (Sit-to-stand(STS) performance and hand grip strength by Jamar Hydraulic Hand Dynamometer)

    Time frame: Up to week 12

  3. Frequency of pain rescue medication

    Time frame: Up to week 12

  4. Change from Baseline in inflammatory markers (Tumor necrosis factor α (TNF-α), C-reactive protein (CRP), and lipoprotein-associated phospholipase A2 (Lp-PLA2))

    Time frame: Up to week 12

  5. Change in patients' functional health and well-being as measured by the Short Form-36v2 Health Survey (SF-36)

    Time frame: Up to week 12

  6. Time to onset of statin -associated myalgia (SAM)

    Time frame: Up to week 12

  7. Time to stopping treatment with study drug due to SAM

    Time frame: Up to week 12

07

Study locations

67 sites
  • Furiex research site
    Anniston, Alabama 36207, United States
  • Furiex research site
    Phoenix, Arizona 85018, United States
  • Furiex research site
    Phoenix, Arizona 85023, United States
  • Furiex research site
    Huntington Park, California 90255, United States
  • Furiex research site
    Long Beach, California 90806, United States
  • Furiex research site
    Pismo Beach, California 93449, United States
  • Furiex research site
    San Diego, California 92103, United States
  • Furiex research site
    West Lake Village, California 91361, United States
  • Furiex research site
    Colorado Springs, Colorado 80907, United States
  • Furiex research site
    Golden, Colorado 80401, United States
  • Furiex research site
    Hartford, Connecticut 06102, United States
  • Furiex research site
    Boynton Beach, Florida 33472, United States
  • Furiex research site
    Coral Gables, Florida 33134, United States
  • Furiex research site
    Deerfield Beach, Florida 33441, United States
  • Furiex research site
    Fort Lauderdale, Florida 33308, United States
  • Furiex research site
    Gainesville, Florida 32605, United States
  • Furiex research site
    Opa Locka, Florida 33054, United States
  • Furiex research site
    Pembroke, Florida 33024, United States
  • Furiex research site
    Pembroke, Florida 33028, United States
  • Furiex research site
    Sanford, Florida 32771, United States
  • Furiex research site
    West Palm Beach, Florida 33401, United States
  • Furiex research site
    Honolulu, Hawaii 96814, United States
  • Furiex Research site
    Boise, Idaho 83704, United States
  • Furiex research site
    Nampa, Idaho 83686, United States
  • Furiex research site
    Chicago, Illinois 60616, United States
  • Furiex research site
    Mission, Kansas 66202, United States
  • Furiex research site
    Madisonville, Kentucky 42431, United States
  • Furiex research site
    Covington, Louisiana 70433, United States
  • Furiex research site
    Auburn, Maine 04210, United States
  • Furiex research site
    Oxon Hill, Maryland 20745, United States
  • Furiex research site
    Bay City, Michigan 48706, United States
  • Furiex research site
    St. Louis, Missouri 63117, United States
  • Furiex research site
    Billings, Montana 59101, United States
  • Furiex research site
    Butte, Montana 59701, United States
  • Furiex research site
    Missoula, Montana 59808, United States
  • Furiex research site
    Omaha, Nebraska 68144, United States
  • Furiex research site
    Great Neck, New York 11023, United States
  • Furiex research site
    Asheville, North Carolina 28803, United States
  • Furiex research site
    Cary, North Carolina 27518, United States
  • Furiex research site
    Charlotte, North Carolina 28209, United States
  • Furiex research site
    Harrisburg, North Carolina 28075, United States
  • Furiex research site
    Hickory, North Carolina 28601, United States
  • Furiex research site
    Hickory, North Carolina 28602, United States
  • Furiex research site
    High Point, North Carolina 27262, United States
  • Furiex research site
    Raleigh, North Carolina 27609, United States
  • Furiex research site
    Raleigh, North Carolina 27612, United States
  • Furiex research site
    Wilmington, North Carolina 28401, United States
  • Furiex research site
    Carlisle, Ohio 45005, United States
  • Furiex research site
    Cincinnati, Ohio 45236, United States
  • Furiex research site
    Columbus, Ohio 43213, United States
  • Furiex research site
    Kettering, Ohio 45429, United States
  • Furiex research site
    Springfield, Ohio 45505, United States
  • Furiex research site
    Altoona, Pennsylvania 16602, United States
  • Furiex research site
    Johnstown, Pennsylvania 15905, United States
  • Furiex research site
    Cumberland, Rhode Island 02864, United States
  • Furiex research site
    East Providence, Rhode Island 02914, United States
  • Furiex research site
    Anderson, South Carolina 29621, United States
  • Furiex research site
    Greenville, South Carolina 29605, United States
  • Furiex research site
    Greer, South Carolina 29651, United States
  • Furiex research site
    Mt. Pleasant, South Carolina 29464, United States
  • Furiex research site
    Pawley's Island, South Carolina 29585, United States
  • Furiex research site
    Bristol, Tennessee 37620, United States
  • Furiex research site
    Tomball, Texas 77375, United States
  • Furiex research site
    Salt Lake City, Utah 84124, United States
  • Furiex research site
    Norfolk, Virginia 23502, United States
  • Furiex research site
    Richmond, Virginia 23294, United States
  • Furiex
    Spokane, Washington 99208, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 22, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01279590
Lead sponsor
Furiex Pharmaceuticals, Inc
Responsible party
Sponsor
First posted
Jan 19, 2011
Start date
Mar 2011
Primary completion
Nov 2011
Completion
Nov 2011
Last update
Dec 22, 2011

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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