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A Study to Evaluate Daily Pravastatin, Fenofibrate or Pravafen in the Treatment of Combined Hyperlipidemia
This study has been completed.
First Received: April 9, 2007   Last Updated: July 2, 2009   History of Changes
Sponsor: Sciele Pharma
Collaborator: Integrium
Information provided by: Sciele Pharma
ClinicalTrials.gov Identifier: NCT00459745
  Purpose

This is a multi-center, double blind, prospective, longitudinal, randomized, 12-week study with a 52-week open-label follow-up to evaluate the safety and efficacy of daily administration of Pravastatin 40 mg or Fenofibrate 160 mg or Pravafen (the combination of both Pravastatin and Fenofibrate 40/160 mg) in the treatment of combined hyperlipidemia. There will be an open-label, 8-week, Selection Phase prior to randomization in which all patients will be stabilized on Pravastatin 40 mg/day. Following the Selection Phase, and if the patients meet all inclusion/exclusion criteria, they will be randomized to a three arm, double blind, 12-week Efficacy Phase during which they would receive either Pravastatin 40 mg or Fenofibrate 160 mg or Pravafen (the combination of Pravastatin and Fenofibrate 40/160 mg). The 12-week Efficacy Phase will be followed by an open-label, 52-week, Safety Phase in which all patients will receive Pravafen.

After the 8-week Selection Phase, patients that still meet the inclusion/exclusion criteria will be randomized on a 1:1:2 ratio to Pravastatin 40 mg or Fenofibrate 160 mg or Pravafen (the combination of both Pravastatin and Fenofibrate 40/160 mg) for 12 weeks. After the completion of the 12-week double-blind phase of the study, all patients that haven't had changes in their well being, will be allowed to roll-over into the 52-week, open-label, follow-up portion of the study. During the 52 week, open label, Safety Phase of the study, all patients will receive Pravafen (the combination of Pravastatin and Fenofibrate 40/160 mg).

Patients will be evaluated at baseline and every three weeks thereafter throughout the initial 12-week Efficacy Phase of the study. Patients that roll-over into the 52-week, open-label, follow-up Safety Phase will be evaluated at 12, 24, 36 and 52 weeks.

Participation in the study can be up to 72 weeks.


Condition Intervention Phase
Combined Hyperlipidemia
Drug: Pravafen (combination of Pravastatin and Fenofibrate)
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title: A Multi-Center, Prospective, Longitudinal, Randomized, Double-Blind, Phase III Study to Evaluate the Efficacy and Safety of Daily Administration of Pravastatin 40 mg or Fenofibrate 160 mg or Pravafen (the Combination of Pravastatin and Fenofibrate 40/160 mg) for 12 Weeks Followed by a 52-Week Open-Label Safety Phase of the Pravafen Alone in the Treatment of Combined Hyperlipidemia.

Resource links provided by NLM:


Further study details as provided by Sciele Pharma:

Primary Outcome Measures:
  • Primary endpoints will assess differences in change from baseline in non-HDL-C, for the patients receiving Pravafen versus the patients receiving Pravastatin or Fenofibrate at the end of the 12-week portion of the study.

Secondary Outcome Measures:
  • Secondary endpoints will assess differences in change from baseline in TC, TG, LDL-C, HDL-C and TC/HDL-C for the pts receiving the combo therapy vs the pts receiving Pravastatin or Fenofibrate
  • Differences in change from baseline in ALT, AST and CK as well as overall safety for the pts receiving the combo therapy vs the pts receiving Pravastatin or Fenofibrate at the end of the 12-week of the study

Enrollment: 481
Study Start Date: April 2007
Study Completion Date: July 2009
Primary Completion Date: April 2008 (Final data collection date for primary outcome measure)
  Eligibility

Ages Eligible for Study:   18 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

Patients meeting all the criteria listed below may be selected to enroll into the Selection Phase of the study:

  1. Male or female patients from 18-75 years of age, inclusive at the time of dosing with a history of a combined hyperlipidemia.
  2. High LDL cholesterol and TG levels as per the table hereunder:

    Prior treatment LDL Cholesterol TG Naïve to treatment* > 130 mg/dL and ≥ 150 mg/dL and ≤ 400 mg/dL Lipid Lowering Monotherapy > 130 mg/dL and ≥ 150 mg/dL and ≤ 400 mg/dL Lipid Lowering Combination Therapy > 110 mg/dL and ≥ 150 mg/dL and ≤ 400 mg/dL

    * A patient that has received NO lipid lowering therapy within 6 weeks prior to the Selection Visit, will be considered Naïve to treatment.

  3. If the patient is female and of childbearing potential and sexually active, an acceptable birth control method must be used (abstinence, IUD, oral, transdermal, injectable or implantable contraceptives, at least 2 years post-menopausal, one year post hysterectomy, double barrier device and/or partner at least one year post vasectomy), a negative serum pregnancy test must be obtained at the Selection Visit (Visit 1) and a negative urine pregnancy test must be obtained prior to study drug administration at Baseline Visit (Visit 3).
  4. Able to comply with all study procedures.
  5. Patients that provide a written informed consent to participate in the study indicated by a personal signature and date on the patient consent form.

At the end of the Selection Phase, patients meeting all of the criteria listed below may be selected and randomized into the Efficacy Phase of the study:

  1. Selected patients with LDL Cholesterol ≥ 100 mg/dl and/or TG ≥ 150 mg/dl and ≤ 400 mg/dl at Week-1 / Visit 2 after taking Pravastatin 40 mg/day from Visit 1.
  2. Patients still meeting the selection criteria a, c, d and e as listed under section 4.1.
  3. Patients with a compliance ≥ 80% during the 8-week Pravastatin phase of the study.

Exclusion Criteria:

Patients will be excluded from the study if any one or more of the following apply:

  1. Female of childbearing potential who is pregnant and/or lactating and/or sexually active but not using an acceptable method of contraception
  2. History of allergy or contraindications to:

    • fenofibrate or similar compounds
    • HMG-CoA reductase inhibitors
  3. History of uncontrolled or unstable;

    • diabetes ((i.e., diabetic nephropathy etc.),
    • hepatic impairment/insufficiency,
    • renal impairment/insufficiency (i.e., nephritis, polycystic kidney disease, acute or chronic renal failure, end-stage renal disease, GFR < 60 ml/min, etc.),
    • neurological,
    • gastrointestinal (ulcerative colitis, Barrett's, etc.),
    • gallbladder disease (patients with prior cholecystectomy can be allowed to participate),
    • psychiatric disease,
    • sleep apnea
    • any other clinically significant medical or surgical history that could affect the safety of the patient or hinder the evaluation of drug effect based on Investigator or Medical Monitor discretion
  4. Acute liver disease or persistent elevations in liver function tests (2 times the upper normal limit or greater)
  5. Levels of creatine phosphokinase (CK) 3 times the upper normal limit or greater
  6. Change in diuretic or β-blocker treatment for hypertension within 30 days of enrollment into the selection phase (Visit 1)
  7. Positive personal history of abuse of any of the following:

    • Alcohol (as per the DSM-IV criteria) and/or
    • Recreational drugs (as per the DSM-IV criteria)
  8. Usage of any of the following medications (patients must have discontinued these medications for 5 or more half-lives or for 30 days, whichever is greater prior to study drug administration on Visit 3 / Day 0) :

    • Corticosteroids
    • Immunosuppressants
    • Macrolide antibiotics
    • Azole antifungal agents, or
  9. Recent use of any investigational drug. These drugs must have been discontinued for either 5 or more half-lives or for 30 days whichever is greater prior to Visit 1
  10. Hyperlipidemia type I-IIa-IV-V
  11. LDL < 100 mg/dL
  12. TG < 150 mg/dL or > 400 mg/dL
  13. Uncontrolled primary hypothyroidism
  14. History of an acute myocardial infarction, stroke within the last 6 month prior to Visit 1; unstable angina or clinically significant heart failure
  15. Uncontrolled hypertension, as defined by SBP >160 mmHg or DBP >100 mmHg while on anti-hypertensive medication
  16. Type 1 diabetes or type 2 diabetes mellitus requiring insulin, and diabetic patients with poor control (HbA1c level > 8.5%), abnormal renal function (GFR < 60 ml/mn) or any renal disease likely to lead to renal dysfunctions)
  17. Use of any of the prohibited medications as detailed in the concomitant medication section
  18. Non adherence to the American Heart Association Step II diet introduced at Visit 1
  19. Presence of any other condition or illness, which, in the opinion of the Principal Investigator, would interfere with the patient's participation in the study

    -

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00459745

  Hide Study Locations
Locations
United States, Arizona
Cochise Clinical Research
Sierra Vista, Arizona, United States, 85635
Anasazi Internal Medicine
Phoenix, Arizona, United States, 85032
United States, California
Memorial Research Medical Clinic
Long Beach, California, United States, 90806
Orange County Research Center
Tustin, California, United States, 92780
Clinical Trials Research
Roseville, California, United States, 95661
United States, Florida
Mima Century Research Associates
Melbourne, Florida, United States, 32901
Cardiology Research Associates
Ormand Beach, Florida, United States, 32174
Jacksonville Center for Clinical Research
Jacksonville, Florida, United States, 32216
Jacksonville Center for Clinical Research
Jacksonville, Florida, United States, 32205
Drug Study Institute
Jupiter, Florida, United States, 33458
United States, Georgia
Atlanta Vascular Research Foundation
30084, Georgia, United States, 30084
United States, Hawaii
East-West Medical Research Institute
Honolulu, Hawaii, United States, 96814
United States, Indiana
Research Institute of Middle America
Jeffersonville, Indiana, United States, 47130
MediSphere Medical Research Center LLC
Evansville, Indiana, United States, 47714
Welborn Clinic Research Center
Evansville, Indiana, United States, 47713
Welborn Clinic Gateway
Newburgh, Indiana, United States, 47630
United States, Kentucky
Lemarc Research Center
Lousville, Kentucky, United States, 40213
Bluegrass Clinical Research, Inc.
Louisville, Kentucky, United States, 40291
United States, Maine
Androscoggin Cardiology Associates
Auburn, Maine, United States, 04210
United States, Maryland
Health Trends Research, LLC
Baltimore, Maryland, United States, 21208
MD Medical Research
Oxon Hill, Maryland, United States, 20745
MODEL Clinical Research
Baltimore, Maryland, United States, 21204
United States, Massachusetts
Clinical Research Center of Cape Cod, Inc
West Yarmouth, Massachusetts, United States, 02673
United States, Missouri
Mercy Medical Group
Manchester, Missouri, United States, 63021
Clinical Study Site
Florissant, Missouri, United States, 63031
United States, New Jersey
Comprehensive Clinical Research
Berlin, New Jersey, United States, 08009
United States, New York
Capital Cardiology Associates
Troy, New York, United States, 12180
Bronx Nephrology Hypertension, P.C.
Bronx, New York, United States, 10467
United States, North Carolina
Piedmont Medical Research Associates
Winston-Salem, North Carolina, United States, 27103
Metrolina Medical Research
Charlotte, North Carolina, United States, 28209
Wake Research Associates
Raleigh, North Carolina, United States, 27612
Sensenbrenner Primary Care LLC
Charlotte, North Carolina, United States, 28277
Crescent Medical Research Associates
Salisbury, North Carolina, United States, 28144
Triangle Medical Research Associates
Raleigh, North Carolina, United States, 27609
United States, Ohio
Wells Institute for Health Awareness
Kettering, Ohio, United States, 45429
Sterling Research Group
Cincinnati, Ohio, United States, 45219
Ohio Clinical Research, LLC
Lyndhurst, Ohio, United States, 44124
The Lindner Clinical Trial Center
Cincinnati, Ohio, United States, 45219
Ohio Clinical Research
Hudson, Ohio, United States, 44236
United States, Oklahoma
Lynn Institute of Norman
Norman, Oklahoma, United States, 73071
Bluestem Cardiology
Bartlesville, Oklahoma, United States, 74006
United States, Oregon
Willamette Valley Clinical Studies
Eugene, Oregon, United States, 97404
United States, Pennsylvania
Fleetwood Clinical Research
Fleetwood, Pennsylvania, United States, 19522
Tipton Medical Center
Tipton, Pennsylvania, United States, 16684
Philadelphia Clinical Research, LLC
Philadelphia, Pennsylvania, United States, 09114
Southern Berks Family Medicine
Reading, Pennsylvania, United States, 19606
United States, South Carolina
Upstate Pharmaceutical Research
Simpsonville, South Carolina, United States, 29681
Palmetto Medical Research Associates
Mt. Pleasant, South Carolina, United States, 29464
United States, Tennessee
Holston Medical Group
Kingsport, Tennessee, United States, 37660
TriCities Medical Research Associates
Bristol, Tennessee, United States, 37620
United States, Texas
Texas Medical Research LLC
San Antonio, Texas, United States, 78238
Clinical Trials Research
Austin, Texas, United States, 78705
United States, Virginia
Hampton Roads Center for Clinical Research
Norfolk, Virginia, United States, 23502
Clinical Research Associates of Tidewater
Norfolk, Virginia, United States, 23507
National Clinical Research
Richmond, Virginia, United States, 23294
United States, Washington
Cedar Research LLC
Tacoma, Washington, United States, 98405
Rainier Clinical Research Center Inc.
Renton, Washington, United States, 98057
Sponsors and Collaborators
Sciele Pharma
Integrium
  More Information

No publications provided

Responsible Party: Sciele Pharma, Inc. ( Sang Le, Director Clinical Operations )
Study ID Numbers: Sc-PRAVA-06-02
Study First Received: April 9, 2007
Last Updated: July 2, 2009
ClinicalTrials.gov Identifier: NCT00459745     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by Sciele Pharma:
Cardiovascular Disease
Fenofibrate
LDL cholesterol
HDL cholesterol
Hyperlipidemia
Pravastatin
Triglycerides

Additional relevant MeSH terms:
Antimetabolites
Hyperlipidemias
Metabolic Diseases
Molecular Mechanisms of Pharmacological Action
Antilipemic Agents
Enzyme Inhibitors
Anticholesteremic Agents
Hydroxymethylglutaryl-CoA Reductase Inhibitors
Procetofen
Pharmacologic Actions
Pravastatin
Therapeutic Uses
Dyslipidemias
Lipid Metabolism Disorders

ClinicalTrials.gov processed this record on November 25, 2009