12-week Open-label, Phase IIIb Comparing Efficacy and Safety of Rosuvastatin (CRESTOR™) in Combination With Ezetimibe (GRAVITY)
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ClinicalTrials.gov Identifier: NCT00525824 |
Recruitment Status :
Completed
First Posted : September 6, 2007
Results First Posted : October 7, 2009
Last Update Posted : May 13, 2011
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Hypercholesterolemia Coronary Heart Disease Atherosclerosis | Drug: Rosuvastatin (Crestor) Drug: Ezetimibe Drug: Simvastatin | Phase 3 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 1743 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | A 12-week Open-label, Randomised, Parallel-group, Multicentre, Phase IIIb Study to Compare the Efficacy and Safety of Rosuvastatin (CRESTOR™) in Combination With Ezetimibe and Simvastatin in Patients With Hypercholesterolaemia and CHD |
Study Start Date : | August 2007 |
Actual Primary Completion Date : | September 2008 |
Actual Study Completion Date : | September 2008 |

- Drug: Rosuvastatin (Crestor)
10mg and 20 mg
- Drug: Ezetimibe
10 mg
- Drug: Simvastatin
40mg and 80 mg
- Percent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C) After 6 Weeks Combination Treatment [ Time Frame: Mean of Weeks 4 and 6 on combination therapy (Last observation carried forward) ]Percent change in LDL-C = (Combination treatment value - Baseline value)/Baseline value*100
- Percent Change in High-density Lipoprotein Cholesterol (HDL-C) After 6 Weeks Combination Treatment [ Time Frame: Mean of Weeks 4 and 6 on combination therapy (Last observation carried forward) ]Percent change in HDL-C = (Combination treatment value - Baseline value)/Baseline value*100
- Percent Change in Total Cholesterol (TC) After 6 Weeks Combination Treatment [ Time Frame: Mean of Weeks 4 and 6 on combination therapy (Last observation carried forward) ]Percent change in TC = (Combination treatment value - Baseline value)/Baseline value*100
- Percent Change in Triglycerides (TG) After 6 Weeks Combination Treatment [ Time Frame: Mean of Weeks 4 and 6 on combination therapy (Last observation carried forward) ]Percent change in TG = (Combination treatment value - Baseline value)/Baseline value*100
- Percent Change in Non-high-density Lipoprotein Cholesterol (nonHDL-C) After 6 Weeks Combination Treatment [ Time Frame: Mean of Weeks 4 and 6 on combination therapy (Last observation carried forward) ]Percent change in nonHDL-C = (Combination treatment value - Baseline value)/Baseline value*100
- Percent Change in Apolipoprotein B (ApoB) After 6 Weeks Combination Treatment [ Time Frame: Mean of Weeks 4 and 6 on combination therapy (Last observation carried forward) ]Percent change in ApoB = (Combination treatment value - Baseline value)/Baseline value*100
- Percent Change in Apolipoprotein A1 (ApoA-1) After 6 Weeks Combination Treatment [ Time Frame: Mean of Weeks 4 and 6 on combination therapy (Last observation carried forward) ]Percent change in ApoA-1 = (Combination treatment value - Baseline value)/Baseline value*100
- Percent Change in TC/HDL-C After 6 Weeks Combination Treatment [ Time Frame: Mean of Weeks 4 and 6 on combination therapy (Last observation carried forward) ]Percent change in TC/HDL-C = (Combination treatment value - Baseline value)/Baseline value*100
- Percent Change in LDL-C/HDL-C After 6 Weeks Combination Treatment [ Time Frame: Mean of Weeks 4 and 6 on combination therapy (Last observation carried forward) ]Percent change in LDL-C/HDL-C = (Combination treatment value - Baseline value)/Baseline value*100
- Percent Change in Non-HDL-C/HDL-C After 6 Weeks Combination Treatment [ Time Frame: Mean of Weeks 4 and 6 on combination therapy (Last observation carried forward) ]Percent change in non-HDL-C/HDL-C = (Combination treatment value - Baseline value)/Baseline value*100
- Percent Change in ApoB/ApoA-1 After 6 Weeks Combination Treatment [ Time Frame: Mean of Weeks 4 and 6 on combination therapy (Last observation carried forward) ]Percent change in ApoB/ApoA-1 = (Combination treatment value - Baseline value)/Baseline value*100
- Percent Change in High-sensitivity C-reactive Protein (Hs-CRP) After 6 Weeks Combination Treatment [ Time Frame: Mean of Weeks 4 and 6 on combination therapy (Last observation carried forward) ]Percent change in hs-CRP = (Combination treatment value - Baseline value)/Baseline value*100
- Percent Change in LDL-C After 6 Weeks Monotherapy [ Time Frame: Mean of Weeks 4 and 6 on monotherapy (Last observation carried forward) ]Percent change in LDL-C = (Monotherapy treatment value - Baseline value)/Baseline value*100

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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients with with hypercholesterolaemia and CHD or a CHD risk equivalent, clinical evidence of atherosclerosis or a Framingham 10-year CHD risk score of >20
- Patients will need to sign an informed consent before any visit procedures can be performed, including procedures for the optional genetic research and biomarker studies.
- Patients must be 18 years or older and will be asked to stop taking any current cholesterol-lowering medications. Dietary counselling will be provided which will include an overview of the Therapeutic Lifestyle Change (TLC) diet the patients will be asked to follow
Exclusion Criteria:
- Use of lipid lowering drugs and other prohibited concomitant medications. History of statin-induced myopathy, or serious hypersensitivity reaction to other HMG-CoA reductase inhibitors (statins), including rosuvastatin, simvastatin and/or a history of hypersensitivity to any components of ezetimibe.
- Patients considered to be unstable by their physician after the following events:
a myocardial infarction, recent episode of unstable angina, myocardial revascularisation [percutaneous transluminal coronary angioplasty (PTCA), coronary artery bypass graft (CABG) surgery or another revascularisation procedure] or a transient ischaemic attack (TIA) or stroke and patients awaiting a planned myocardial revascularisation

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00525824
United States, Tennessee | |
Research Site | |
Brentwood, Tennessee, United States | |
Argentina | |
Research Site | |
Buenos Aires, Argentina | |
Brazil | |
Research Site | |
Sao Paulo, SP, Brazil | |
Chile | |
Research Site | |
Santiago, Chile | |
Colombia | |
Research Site | |
Brentwood, Colombia | |
Lithuania | |
Research Site | |
Brentwood, Lithuania | |
Netherlands | |
Research Site | |
Zwinderen, Netherlands | |
Peru | |
Research Site | |
Lima, San Isidro Lima, Peru | |
Venezuela | |
Research Site | |
Brentwood, Venezuela |
Principal Investigator: | Christie M Ballantyne, MD FACP FACC | Centre for Cardiovascular Disease Prevention | |
Study Chair: | Margareta Grind, MD PhD FFPM | Medicine and Sciences AstraZeneca |
Responsible Party: | Michael Cressman - Medical Science Director, AstraZeneca |
ClinicalTrials.gov Identifier: | NCT00525824 |
Other Study ID Numbers: |
D356FC00003 |
First Posted: | September 6, 2007 Key Record Dates |
Results First Posted: | October 7, 2009 |
Last Update Posted: | May 13, 2011 |
Last Verified: | May 2011 |
Hypercholesterolaemia Coronary Heart Disease (CHD) Atherosclerosis |
Heart Diseases Atherosclerosis Coronary Disease Coronary Artery Disease Myocardial Ischemia Hypercholesterolemia Cardiovascular Diseases Arteriosclerosis Arterial Occlusive Diseases Vascular Diseases Hyperlipidemias Dyslipidemias |
Lipid Metabolism Disorders Metabolic Diseases Rosuvastatin Calcium Simvastatin Ezetimibe Anticholesteremic Agents Hypolipidemic Agents Antimetabolites Molecular Mechanisms of Pharmacological Action Lipid Regulating Agents Hydroxymethylglutaryl-CoA Reductase Inhibitors Enzyme Inhibitors |