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| Study Type: | Interventional |
|---|---|
| Study Design: | Randomized, Double Blind (Subject, Investigator), Active Control, Parallel Assignment |
| Condition: |
Hypercholesterolemia |
| Interventions: |
Drug: Comparator: atorvastatin Drug: Comparator: Placebo Drug: Comparator: ezetimibe Drug: Comparator: Placebo. |
Participant Flow
| Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations |
|---|
| Phase III First Patient In: 4/5/2006; Last Patient Last Visit 1/17/2008 72 centers worldwide (US, Canada, Austria, Costa Rica) Eligible patients include those on a stable dose of atorvastatin 20 mg; or patients with adjusted LDL-C pre-screen ranges who were treated with other lipid modifying therapy, or were statin and/or ezetimibe naïve. |
| Significant events and approaches for the overall study following participant enrollment, but prior to group assignment |
|---|
|
Patients received and were blinded to atorvastatin 20 mg for a 4/5- week run-in period. Patients needed an LDL-C ≥ 100 mg/dL and ≤ 160 mg/dL at Visit 2 (week -1). Eligible patients were randomized at Visit 3 (Week 0) to either atorvastatin 40 mg or addition of ezetimibe 10 mg to their 20 mg dose of atorvastatin for a 6-week treatment period. |
| Description | |
|---|---|
| Atorvastatin + Ezetimibe | Atorvastatin 20 mg + Ezetemibe 10 mg daily for 6 weeks |
| Atorvastatin | Atorvastatin 40 mg Daily for 6 weeks |
| Atorvastatin + Ezetimibe | Atorvastatin | |
|---|---|---|
| STARTED | 98 | 98 |
| COMPLETED | 92 | 91 |
| NOT COMPLETED | 6 | 7 |
| Adverse Event | 0 | 2 |
| Lost to Follow-up | 2 | 2 |
| Protocol Violation | 4 | 3 |
Outcome Measures
| 1. Primary: | Percent Change From Baseline in Low Density Lipoprotein-Cholesterol (LDL-C) at Week 6 [ 6 weeks ] |
| 2. Secondary: | Percent Change in High Density Lipoprotein -Cholesterol (HDL-C)at Week 6 [ 6 weeks ] |
| 3. Secondary: | Percent Change in Non-High Density Lipoprotein Cholesterol (Non-HDL-C) at Week 6 [ 6 Weeks ] |
| 4. Secondary: | Percent Change From Baseline in Total-Cholesterol at Week 6 [ 6 Weeks ] |
| 5. Secondary: | Percent Change From Baseline in Triglycerides (TG) at Week 6 [ 6 weeks ] |
| 6. Secondary: | Percent Change From Baseline in Apolipoprotein B at Week 6 [ 6 Weeks ] |
| 7. Secondary: | Percent Change From Baseline in Total-Cholesterol:High Density Lipoprotein Cholesterol (HDL-C) Ratio at Week 6 [ 6 Weeks ] |
| 8. Secondary: | Percent Change From Baseline in Low Density Lipoprotein Cholesterol (LDL-C):High Density Lipoprotein Cholesterol (HDL-C) Ratio at Week 6 [ 6 Weeks ] |
| 9. Secondary: | Percent Change From Baseline in Apolipoprotein B: Apolipoprotein A-I Ratio at Week 6 [ 6 Weeks ] |
| 10. Secondary: | Percent Change From Baseline in Non-High Density Lipoprotein Cholesterol (HDL-C):High Density Lipoprotein Cholesterol (HDL-C) Ratio at Week 6 [ 6 Weeks ] |
| 11. Secondary: | Percent Change From Baseline in C-Reactive Protein (CRP) at Week 6 [ 6 Weeks ] |
| 12. Secondary: | Number of Participants Who Attained Target LDL-C <100 mg/dL at Week 6 [ 6 weeks ] |
| 13. Post-Hoc: | Percent Change in Apolipoprotein A-I at Week 6 [ 6 Weeks ] |
| 14. Post-Hoc: | Percent Change in C-Reactive Protein (CRP) at Week 6 [ 6 weeks ] |
More Information
| All Principal Investigators ARE employed by the organization sponsoring the study. |
| Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data |
|---|
| 194 out of 196 randomized patients took at least one dose of blinded study therapy and were included in the safety analysis |
| Responsible Party: | Merck & Co., Inc. ( Executive Vice President, Clinical and Quantitative Sciences ) |
| Study ID Numbers: | 2005_104, MK0653-079 |
| Study First Received: | January 10, 2006 |
| Results First Received: | December 18, 2008 |
| Last Updated: | May 14, 2009 |
| ClinicalTrials.gov Identifier: | NCT00276458 History of Changes |
| Health Authority: | United States: Food and Drug Administration |