</status_block>
<start_date>
<date>
2005-10
</date>
</start_date>
<last_follow_up_date
type="Anticipated"
>
<date>
2012-06
</date>
</last_follow_up_date>
<primary_compl_date
type="Anticipated"
>
<date>
2012-06
</date>
</primary_compl_date>
<phase_block>
<phase>
Phase 3
</phase>
</phase_block>
<study_type>
Interventional
</study_type>
<design>
Treatment
</design>
<design>
Randomized
</design>
<design>
Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
</design>
<design>
Active Control
</design>
<design>
Parallel Assignment
</design>
<design>
Safety/Efficacy Study
</design>
<number_of_arms>
2
</number_of_arms>
<primary_outcome>
<measure>
To measure the effect of treatment with ezetimibe/simvastatin compared with simvastatin monotherapy on death due to any cardiovascular events, non-fatal coronary events (such as heart attack), and non-fatal strokes
</measure>
<time_frame>
Trial will continue until a minimum of 5,250 subjects have a primary endpoint event and each subject is followed for a minimum of 2.5 years. Thus, the anticipated completion dates below may be adjusted on the basis of actual event occurrance.
</time_frame>
<safety_issue>
No
</safety_issue>
</primary_outcome>
<secondary_outcome>
<measure>
To measure the effect of treatment with ezetimibe/simvastatin compared with simvastatin monotherapy on death due to any cause, non-fatal coronary events (such as heart attack), and non-fatal stroke
</measure>
<time_frame>
Trial will continue until a minimum of 5,250 subjects have a primary endpoint event and each subject is followed for a minimum of 2.5 years
</time_frame>
<safety_issue>
No
</safety_issue>
</secondary_outcome>
<secondary_outcome>
<measure>
To measure the effect of treatment with ezetimibe/simvastatin compared with simvastatin monotherapy on coronary heart disease-related death, non-fatal heart attack, and by-pass surgery
</measure>
<time_frame>
Trial will continue until a minimum of 5,250 subjects have a primary endpoint event and each subject is followed for a minimum of 2.5 years
</time_frame>
<safety_issue>
No
</safety_issue>
</secondary_outcome>
<secondary_outcome>
<measure>
To measure the effect of treatment with ezetimibe/simvastatin compared with simvastatin monotherapy on death due to any cardiovascular events, non-fatal heart attack, angina leading to hospitalization, by-pass surgery, and non-fatal stroke
</measure>
<time_frame>
Trial will continue until a minimum of 5,250 subjects have a primary endpoint event and each subject is followed for a minimum of 2.5 years
</time_frame>
<safety_issue>
No
</safety_issue>
</secondary_outcome>
<enrollment
type="Anticipated"
>
18000
</enrollment>
<condition>
Hypercholesterolemia
</condition>
<condition>
Myocardial Infarction
</condition>
<arm_group>
<arm_group_label>
ezetimibe/simvastatin
</arm_group_label>
<arm_type>
Experimental
</arm_type>
<description>
<textblock>
</textblock>
</description>
</arm_group>
<arm_group>
<arm_group_label>
simvastatin
</arm_group_label>
<arm_type>
Active Comparator
</arm_type>
<description>
<textblock>
</textblock>
</description>
</arm_group>
<intervention>
<intervent_type>
Drug
</intervent_type>
<primary_name>
ezetimibe/simvastatin
</primary_name>
<description>
<textblock>
ezetimibe/simvastatin 10/40 mg per day from randomization through the end of participation (if LDL-C response is inadequate, the dose of simvastatin may be increased to 80 mg)
</textblock>
</description>
<arm_group_label>
ezetimibe/simvastatin
</arm_group_label>
<other_name>
Vytorin
</other_name>
<other_name>
Inegy
</other_name>
</intervention>
<intervention>
<intervent_type>
Drug
</intervent_type>
<primary_name>
simvastatin
</primary_name>
<description>
<textblock>
simvastatin 40 mg per day from randomization through the end of participation (if LDL-C response is inadequate, the dose of simvastatin may be increased to 80 mg)
</textblock>
</description>
<arm_group_label>
simvastatin
</arm_group_label>
<other_name>
Zocor
</other_name>
</intervention>
<eligibility>
<criteria>
<textblock>
Inclusion Criteria:
- Clinically stable subjects may be eligible to enroll within 10 days following hospital admission with high-risk acute coronary syndrome (either STEMI or Non-STEMI or unstable angina)
- Subjects not taking a statin must have an LDL-C of 125 mg/dl or less. Subjects taking a statin must have an LDL-C of 100 mg/dl or less.
Exclusion Criteria:
- Pregnant or lactating woman, or intending to become pregnant
- Subject with active liver disease or persistent unexplained serum transaminase elevation
- History of alcohol or drug abuse
- History of sensitivity to statin or ezetimibe
- A subject for whom discontinuation of existing lipid lowering regimen poses an unacceptable risk.
</textblock>
</criteria>
<healthy_volunteers>
No
</healthy_volunteers>
<gender>
Both
</gender>
<minimum_age>
18 Years
</minimum_age>
<maximum_age>
</maximum_age>
</eligibility>
<location>
<facility>
<name>
TIMI Study Group
</name>
<address>
<city>
Boston
</city>
<state>
Massachusetts
</state>
<zip>
02115
</zip>
<country>
United States
</country>
</address>
</facility>
<status>
Recruiting
</status>
<contact>
<name>
Amy McCagg
</name>
<phone>
800-385-4444
</phone>
<phone_ext>
</phone_ext>
<email>
amccagg@partners.org
</email>
</contact>
</location>
<keyword>
hypercholesterolemia
</keyword>
<keyword>
myocardial infarction
</keyword>
<keyword>
cholesterol
</keyword>
<keyword>
randomized controlled trials
</keyword>
<keyword>
acute coronary syndrome
</keyword>
<keyword>
angina
</keyword>
<initial_release_date>
2005-09-13
</initial_release_date>