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To Evaluate Ezetimibe Plus Atorvastatin Versus Atorvastatin in Patients With High Cholesterol Not Controlled on Atorvastatin 40 mg
This study has been completed.
Study NCT00276484   Information provided by Merck
First Received: January 11, 2006   Last Updated: October 23, 2009   History of Changes
Study Type: Interventional
Study Design: Randomized, Double Blind (Subject, Investigator), Active Control, Parallel Assignment
Condition: Hypercholesterolemia
Interventions: Drug: atorvastatin
Drug: ezetimibe

  Participant Flow
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Recruitment Details
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: 4/6/2006; Last Patient Last Visit 2/26/2008 96 centers worldwide (US, Canada) Eligible patients include those on a stable dose of atorvastatin 40 mg; or patients with adjusted LDLC pre-screen ranges who were treated with other lipid modifying therapy, or were statin and/or ezetimibe naïve.

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment

Patients received and were blinded to atorvastatin 40 mg for a 4/5- week run-in period.

Patients needed an LDL-C ≥ 70 mg/dL and ≤ 160 mg/dL at Visit 2 (week -1). Eligible patients were randomized at Visit 3 (Week 0) to either atorvastatin 80 mg or addition of ezetimibe 10 mg to their 40 mg dose of atorvastatin for a 6-week treatment period.


Reporting Groups
  Description
Atorvastatin + Ezetemibe Atorvastatin 40 mg + Ezetemibe 10 mg every day for 6 weeks
Atorvastatin Atorvastatin 80 mg every day for 6 weeks

Participant Flow:   Overall Study
  Atorvastatin + Ezetemibe Atorvastatin
STARTED   288     291  
COMPLETED   279     278  
NOT COMPLETED   9     13  
      Adverse Event               4                 7  
      Lost to Follow-up               1                 1  
      Protocol Violation               0                 1  
      Withdrawal by Subject               4                 3  
      Could not take time off work               0                 1  



  Baseline Characteristics
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  Outcome Measures
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1.  Primary:   Percent Change From Baseline to Week 6 in Low-Density Lipoprotein (LDL)-C   [ Baseline and 6 weeks ]

2.  Secondary:   Percent Change From Baseline to Week 6 in High-Density Lipoprotein Cholesterol (HDL-C)   [ Baseline and 6 weeks ]

3.  Secondary:   Percent Change From Baseline to Week 6 in Non-High-Density Lipoprotein Cholesterol (Non-HDL-C)   [ Baseline and 6 Weeks ]

4.  Secondary:   Percent Change From Baseline to Week 6 in Total-Cholesterol   [ Baseline and 6 Weeks ]

5.  Secondary:   Percent Change From Baseline to Week 6 in Triglycerides (TG)   [ Baseline and 6 Weeks ]

6.  Secondary:   Percent Change From Baseline to Week 6 in Apolipoprotein B (Apo B)   [ Baseline and 6 Weeks ]

7.  Secondary:   Percent Change From Baseline to Week 6 in Apolipoprotein A-I (Apo A-I)   [ Baseline and 6 Weeks ]

8.  Secondary:   Percent Change From Baseline to Week 6 in Total-Cholesterol (TC):High-Density Lipoprotein Cholesterol (HDL-C) Ratio   [ Baseline and 6 Weeks ]

9.  Secondary:   Percent Change From Baseline to Week 6 in Low-Density Lipoprotein-Cholesterol:High-Density Lipoprotein-Cholesterol (LDL-C:HDL-C) Ratio   [ Baseline and 6 Weeks ]

10.  Secondary:   Percent Change From Baseline to Week 6 in Apolipoprotein B:Apolipoprotein A-I (Apo B:Apo A-I) Ratio   [ Baseline and 6 Weeks ]

11.  Secondary:   Percent Change From Baseline to Week 6 in Non-High-Density Lipoprotein-Cholesterol:High-Density Lipoprotein-Cholesterol (Non-HDL-C:HDL-C) Ratio   [ Baseline and 6 Weeks ]

12.  Secondary:   Percent Change From Baseline to Week 6 in C Reactive Protein (CRP)   [ Baseline and 6 Weeks ]

13.  Secondary:   Number of Patients Who Attained Target Low-Density Lipoprotein Cholesterol (LDL-C) <70 mg/dL at Week 6   [ 6 Weeks ]


  Serious Adverse Events
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  Other Adverse Events
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  More Information
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Certain Agreements:  
All Principal Investigators ARE employed by the organization sponsoring the study.


Limitations and Caveats
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
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Results Point of Contact:  
Name/Title: Senior Vice President, Clinical and Quantitative Sciences
Organization: Merck & Co., Inc.
phone: 1-800-672-6372


Publications:

Responsible Party: Merck & Co., Inc. ( Executive Vice President, Clinical and Quantitative Sciences )
Study ID Numbers: 2005_105, MK0653-090
Study First Received: January 11, 2006
Results First Received: February 6, 2009
Last Updated: October 23, 2009
ClinicalTrials.gov Identifier: NCT00276484     History of Changes
Health Authority: United States: Food and Drug Administration