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CompletedNCT03288038Updated Sep 19, 2017

The Efficacy and Safety of Combination Therapy of Rosuvastatin and Ezetimibe and Rosuvastatin Monotherapy in Patients With Primary Hypercholesterolemia

A Phase 3 interventional study of Rosuvastatin and Ezetimibe in Hypercholesterolemia, sponsored by Shin Poong Pharmaceutical Co. Ltd.. Completed at 20 sites in Korea, Republic of. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2017-09-19.

Sponsored by Shin Poong Pharmaceutical Co. Ltd. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
382
Allocation
Randomized
Ages
19 Years and older
Sex
All
01

Study summary

A Multi-center, Randomized, Double-blind, Phase III Clinical Trial to Evaluate the Efficacy and Safety of Combination Therapy of Rosuvastatin and Ezetimibe and Rosuvastatin Monotherapy in Patients with Primary Hypercholesterolemia

02

Conditions studied

  • Hypercholesterolemia
03

Who can participate

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

Inclusion criteria

  1. Adults aged 19 years or older
  2. Patients with primary hypercholesterolemia
  3. Patients who were informed about the purpose, method, effects, risks of this clinical study and have provided a written consent form signed by him/herself or by a representative
  4. those who show an LDL-C level of 250 mg/dL or below and a TG level of less than 350 mg/dL at the run-in period (Week -1), and fall under the criterion of requiring the administration of antidyslipidemic drug of NCEP ATP III

Exclusion criteria

Exclusion Criteria:

  1. Patients with hypersensitivity to the investigational product or its ingredients
  2. Those with an uncontrolled hypertension (SBP ≧ 180 mmHg or DBP ≧ 100 mmHg)
  3. Those with a history of unstable angina, myocardial infarction, transient ischemic attack, cerebral vascular disease, coronary artery bypass or coronary intervention within 3 months of screening date
  4. Those with a history of malignant tumor within 5 years
  5. Those with a history of myopathy or rhabdomyolysis
  6. Those who show clinically significant confirmed laboratory test results (1) Patients showing AST or ALT level of greater than 2 times the institutional upper limit of normal or those with active liver disease or chronic hepatitis (2) A serum creatinine level greater than 2 times the institutional upper limit of normal (3) HbA1c > 9% (4) Those with TSH level of greater than 1.5 times the institutional upper limit of normal (5) Those with CK level greater than 2 times the institutional upper limit of normal (However, except for an increase caused by a recent trauma, intramuscular injection or strenuous exercise)
  7. Those who were given, within 4 weeks prior to the baseline (8 weeks in case of fibrate) or are expected to be given during the study period, a drug that can have an effect on the efficacy assessment of the clinical study (eg: antidyslipidemic drug (statins, ezetimibe, fibrates, BAS, nicotinic acid and derivative, etc.), systemic glucocorticosteroids, steatolytic enzyme inhibitor, cyclosporine, HIV proteinase inhibitor, macrolide class antibiotics, etc.)
  8. Patients who were given estrogen within 3 months from the screening or those who are expected to be given an administration during the study period. (However, a patient who is under a hormone replacement therapy (HRT) will be allowed if no dose change is expected in the course of the clinical study.)
  9. Those with a history of alcohol or drug abuse
  10. Patients with a hereditary disorder of galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption
  11. Pregnant or breast-feeding women
  12. Women of childbearing potential or men who do not intend to use an adequate contraceptive measure during the study period and for 4 weeks after the end of the study(Adequate contraception: Administration and transplantation of a progestin-only contraceptive pill, intrauterine device, condom, spermicidal agent, etc.)
  13. Patients who participated in another clinical study within 3 months from the screening date or have not had a washout period of at least 5 times the half-life of the active ingredient of the previously administered investigational product, whichever is longer
  14. Those with drug malabsorption
  15. Patients who has been judged by the investigator to be ineligible to participate in the clinical study
04

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Factorial assignment
Masking
Double (Participant, Investigator)
Enrollment
382 participants (actual)

Study arms

  • Experimental
    RSV5mg + EZE 10mg

    Rosuvastatin 5mg/Ezetimibe 10mg

    Drug: Rosuvastatin · Drug: Ezetimibe

  • Active comparator
    RSV5mg

    Rosuvastatin 5mg

    Drug: Rosuvastatin

  • Experimental
    RSV10mg + EZE10mg

    Rosuvastatin 10mg/ Ezetimibe 10mg

    Drug: Rosuvastatin · Drug: Ezetimibe

  • Active comparator
    RSV10mg

    Rosuvastatin 10mg

    Drug: Rosuvastatin

  • Experimental
    RSV20mg + EZE10mg

    Rosuvastatin 20mg/Ezetimibe 10mg

    Drug: Rosuvastatin · Drug: Ezetimibe

  • Active comparator
    RSV20mg

    Rosuvastatin 20mg

    Drug: Rosuvastatin

Interventions

  • DrugRosuvastatin
  • DrugEzetimibe
05

What researchers measure

Primary outcomes

  1. Percent change from baseline to 8 week in LDL-Cholesterol

    Time frame: baseline and 8 week

Secondary outcomes

  1. Percent change from baseline to 4 week in LDL-Cholesterol

    Time frame: baseline and 4 week

  2. The change in the LDL-C level from the baseline to Week 4 and Week 8

    Time frame: baseline to 4 and 8 week

  3. The change and percent change in the levels of TC, TG, HDL-C, non-HDL-C, apolipoprotein B, and hs-CRP from the baseline to Week 4 and Week 8

    Time frame: baseline to 4 and 8 week

  4. The change and percent change in the ratios of LDL-C/HDL-C, TC/HDL-C, non-HDL-C/HDL-C, and Apo B/Apo A-I from the baseline to Week 4 and Week 8

    Time frame: baseline to 4 and 8 week

  5. The ratio of the subjects who have reached the target LDL-C level according to the NCEP ATP(National Cholesterol Education Program Adult Treatment Panel) III Guideline at Week 4 and Week 8

    Time frame: baseline to 4 and 8 week

06

Study locations

20 sites
  • Chungbuk National University Hospital
    Cheongju-si, Korea, Republic of
  • Yeungnam University Medical Center
    Daegu, Korea, Republic of
  • Chungnam National University Hospital
    Daejeon, Korea, Republic of
  • Dongguk University Ilsan Hospital
    Goyang-si, Korea, Republic of
  • Hallym University Dongtan Sacred Heart Hospital
    Hwaseong-si, Korea, Republic of
  • Gachon University Gil Medical Center
    Incheon, Korea, Republic of
  • Inha University Hospital
    Incheon, Korea, Republic of
  • Seoul National University Bundang Hospital
    Seongnam-si, Korea, Republic of
  • Boramae Hospital
    Seoul, Korea, Republic of
  • Chung-Ang University Hospital
    Seoul, Korea, Republic of
  • Gangnam Severance Hospital
    Seoul, Korea, Republic of
  • Hanyang University Hospital
    Seoul, Korea, Republic of
  • Kangbuk Samsung Hospital
    Seoul, Korea, Republic of
  • Korea University Anam Hospital
    Seoul, Korea, Republic of
  • Korea University Guro Hospital
    Seoul, Korea, Republic of
  • KyungHee University Hospital
    Seoul, Korea, Republic of
  • Seoul National University Hospital
    Seoul, Korea, Republic of
  • Soon Chun Hyang University Hospital Seoul
    Seoul, Korea, Republic of
  • Ajou University Hospital
    Suwon-si, Korea, Republic of
  • Wonju Severance Christian Hospital
    Wŏnju, Korea, Republic of
07

References and documents

Publications

  • Kim W, Yoon YE, Shin SH, Bae JW, Hong BK, Hong SJ, Sung KC, Han SH, Kim W, Rhee MY, Kim SH, Lee SE, Hyon MS, Hwang GS, Son JW, Kim JY, Kim MK, Kim SW, Park JH, Shin JH, Park CG. Efficacy and Safety of Ezetimibe and Rosuvastatin Combination Therapy Versus Those of Rosuvastatin Monotherapy in Patients With Primary Hypercholesterolemia. Clin Ther. 2018 Jun;40(6):993-1013. doi: 10.1016/j.clinthera.2018.04.015. Epub 2018 May 30. PubMed 29857919 ↗

Individual participant data

Plan to share: No

08

Registry details

Key details

Study ID
NCT03288038
Lead sponsor
Shin Poong Pharmaceutical Co. Ltd.
Responsible party
Sponsor
First posted
Sep 19, 2017
Start date
Oct 13, 2014
Primary completion
Nov 19, 2015
Completion
Nov 19, 2015
Last update
Sep 19, 2017

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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