Study to Assess the Tolerability and Efficacy of Anacetrapib in Patients With Coronary Heart Disease (CHD) or CHD Risk-Equivalent Disease (MK-0859-019) (DEFINE)

This study is ongoing, but not recruiting participants.
Sponsor:
Information provided by (Responsible Party):
Merck Sharp & Dohme Corp.
ClinicalTrials.gov Identifier:
NCT00685776
First received: May 23, 2008
Last updated: February 21, 2014
Last verified: February 2014

May 23, 2008
February 21, 2014
March 2008
July 2009   (final data collection date for primary outcome measure)
  • Change from baseline in Low Density Lipoprotein Cholesterol [ Time Frame: Baseline and 24 weeks ] [ Designated as safety issue: No ]
  • Number of participants with hepatitis-related adverse experiences [ Time Frame: Through 88 weeks ] [ Designated as safety issue: Yes ]
  • Number of participants with Alanine Transaminase consecutive elevations greater than or equal to 3xULN (Upper Limit of Normal) [ Time Frame: Through 88 weeks ] [ Designated as safety issue: Yes ]
  • Number of participants with Aspartate Aminotransferase consecutive elevations greater than or equal to 3xULN [ Time Frame: Through 88 weeks ] [ Designated as safety issue: Yes ]
  • Number of participants with Creatine Phosphokinase elevations greater than or equal to 10xULN [ Time Frame: Through 88 weeks ] [ Designated as safety issue: Yes ]
  • Number of participants with Creatine Phosphokinase elevations greater than or equal 10xULN with muscle symptoms [ Time Frame: Through 88 weeks ] [ Designated as safety issue: Yes ]
  • Number of participants with sodium, chloride, or bicarbonate elevations greater than ULN [ Time Frame: Through 88 weeks ] [ Designated as safety issue: Yes ]
  • Number of participants with reduction in potassium levels less than LLN (Lower Limit of Normal) [ Time Frame: Through 88 weeks ] [ Designated as safety issue: Yes ]
  • Number of participants with myalgia [ Time Frame: Through 88 weeks ] [ Designated as safety issue: Yes ]
  • Number of participants with rhabdomyolysis [ Time Frame: Through 88 weeks ] [ Designated as safety issue: Yes ]
  • Number of participants with pre-specified adjudicated cardiovascular serious adverse events [ Time Frame: Through 88 weeks ] [ Designated as safety issue: Yes ]
  • Number of participants with death from any cause [ Time Frame: Through 88 weeks ] [ Designated as safety issue: Yes ]
  • Number of participants with significant increase in Blood Pressure [ Time Frame: Through 88 weeks ] [ Designated as safety issue: Yes ]
Reduction in LDL-C compared to placebo [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
Complete list of historical versions of study NCT00685776 on ClinicalTrials.gov Archive Site
  • Change from baseline in High Density Lipoprotein Cholesterol [ Time Frame: Baseline, 24 weeks, and 76 weeks ] [ Designated as safety issue: No ]
  • Change from baseline in non-High Density Lipoprotein Cholesterol [ Time Frame: Baseline, 24 weeks, and 76 weeks ] [ Designated as safety issue: No ]
  • Change from baseline in Apolipoprotein B [ Time Frame: Baseline, 24 weeks, and 76 weeks ] [ Designated as safety issue: No ]
  • Change from baseline in Apolipoprotein A-1 [ Time Frame: Baseline, 24 weeks, and 76 weeks ] [ Designated as safety issue: No ]
  • Change from baseline in Low Density Lipoprotein Cholesterol [ Time Frame: Baseline, 24 weeks, and 76 weeks ] [ Designated as safety issue: No ]
Increase in HDL-C, safety (adverse events, vital signs, ECG, physical exam, and laboratory tests) [ Time Frame: 76 weeks ] [ Designated as safety issue: No ]
Not Provided
Not Provided
 
Study to Assess the Tolerability and Efficacy of Anacetrapib in Patients With Coronary Heart Disease (CHD) or CHD Risk-Equivalent Disease (MK-0859-019)
A 76-Week, Worldwide, Multicenter, Double-Blind, Randomized, Placebo-Controlled Study to Assess the Tolerability and Efficacy of Anacetrapib When Added to Ongoing Therapy With a Statin in Patients With Coronary Heart Disease (CHD) or CHD Risk-Equivalent Disease

This study will evaluate the efficacy of anacetrapib (100 mg) for 24 weeks relative to placebo, on plasma concentrations of Low Density Lipoprotein Cholesterol and assess the safety and tolerability of anacetrapib (100 mg) in participants with CHD/CHD risk-equivalent disease on stable dose regimen of statin with or without other lipid-modifying therapy. The two year extension to this study will further evaluate the long-term safety profile and efficacy of anacetrapib in CHD/CHD-risk equivalent patients who are on ongoing therapy with a statin with or without other lipid-modifying therapy.

The 76 week treatment period is followed by a 12 week reversibility phase which can be extended by up to another 12 weeks in order to allow participants who have completed their week 88 visit to continue in the study until the Extension study is ready to be implemented.

In the optional extension, participants will be assigned to the same treatment arm to which they were assigned in the base study. The total duration of the extension study will be up to 116 weeks; which will include a 2 year treatment period, followed by a 12 week reversal phase. A post-extension study follow-up phone call will be completed 12 weeks after discontinuation or completion of study treatment. Participants previously treated with anacetrapib or placebo will be invited in a 4:1 ratio in an optional extended reversal phase. The total duration of the extended reversal phase will be 1 year.

Participants previously treated with anacetrapib in the DEFINE study will be followed periodically for up to 4 years to determine plasma levels of anacetrapib. Participants will also be invited to participate in a sub-study consisting of one clinic visit to measure anacetrapib levels in the plasma and the subcutaneous adipose tissue.

ACRONYM: DEFINE= Determining the EFficacy and Tolerability of Cholesteryl ester transfer protein (CETP) INhibition with AnacEtrapib

Interventional
Phase 3
Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Investigator)
Primary Purpose: Treatment
  • Coronary Heart Disease (CHD)
  • CHD Risk-Equivalent Disease
  • Drug: anacetrapib
    Participants will receive one tablet of anacetrapib 100 mg once daily for 76 weeks.
    Other Names:
    • anacetrapib
    • MK0859
  • Drug: Comparator: placebo
    Participants will receive one placebo tablet once daily for 76 weeks.
  • Experimental: Anacetrapib
    Participants randomly assigned to anacetrapib in base study will continue same treatment if enrolled in study extension.
    Intervention: Drug: anacetrapib
  • Placebo Comparator: Placebo
    Participants randomly assigned to placebo in base study will continue same treatment if enrolled in study extension.
    Intervention: Drug: Comparator: placebo

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Active, not recruiting
1500
November 2016
July 2009   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Base Study:

    • Patient has Coronary Heart Disease (CHD) or CHD Risk-Equivalent Disease and is treated with a statin, with well controlled LDL-C
  • Extension Study:

    • Patient has completed the base study including the reversibility period (i.e. 12 or to up to 24 weeks).
    • Patient is on statin therapy ± lipid-modifying therapy since the end of the base study and planning to continue taking a statin throughout the study

Exclusion Criteria:

  • History of heart failure, arrhythmias, heart attack, unstable angina, or stroke within 3 months prior to screening, uncontrolled blood pressure, uncontrolled high cholesterol or liver disease.
  • History of mental instability, drug/alcohol abuse within the past 5 years
  • Pregnant or breast-feeding
  • History of cancer within the last 5 years
  • HIV positive
  • Donated blood products within 8 weeks
  • Currently participating or have participated in a study with an investigational compound within the last 30 days
Both
18 Years to 80 Years
No
Contact information is only displayed when the study is recruiting subjects
Not Provided
 
NCT00685776
0859-019, 2007_648
Yes
Merck Sharp & Dohme Corp.
Merck Sharp & Dohme Corp.
Not Provided
Study Director: Medical Monitor Merck Sharp & Dohme Corp.
Merck Sharp & Dohme Corp.
February 2014

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP