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TRIal For Efficacy of Capre on hyperTriglyceridemiA (TRIFECTA)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01455844
Recruitment Status : Completed
First Posted : October 20, 2011
Last Update Posted : August 22, 2014
JSS Medical Research Inc.
Information provided by (Responsible Party):
Acasti Pharma Inc.

Brief Summary:
The purpose of this study is to determine whether CaPre(TM), given at doses 1.0g or 2.0g for 12 weeks, has an effect on fasting plasma triglycerides in patients with mild to high hypertriglyceridemia as compared to a placebo.

Condition or disease Intervention/treatment Phase
Hypertriglyceridemia Drug: CaPre (TM) Other: Placebo Phase 2

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 387 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Official Title: A Randomized, Placebo-controlled, Double-blind, Dose-ranging, Multi-centered Trial to Evaluate the Safety and Efficacy of NKPL66 (CaPre™) in the Treatment of Mild-to-high Hypertriglyceridemia
Study Start Date : September 2011
Actual Primary Completion Date : June 2014
Actual Study Completion Date : August 2014

Arm Intervention/treatment
Experimental: CaPre 1.0g Drug: CaPre (TM)
CaPre™ 1.0g + Placebo 1.0g daily for 12 weeks.

Experimental: CaPre 2.0g Drug: CaPre (TM)
CaPre™ 2.0g daily for 12 weeks

Placebo Comparator: Placebo Other: Placebo
2.0g Placebo (Microcrystalline cellulose) daily for 12 weeks

Primary Outcome Measures :
  1. Percent (%) change in triglycerides between the baseline and the 12-week assessment visit. [ Time Frame: 12 weeks ]

Secondary Outcome Measures :
  1. Absolute change in triglycerides between the baseline and the 12-week assessment visit. [ Time Frame: 12 weeks ]

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   18 Years to 75 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Male and female adults aged 18 to 75 years.
  • Fasting plasma levels of TG ≥ 2.28 and <10 mmol/L (200 and 877 mg/dL) on two occasions within 2 weeks (screening and pre-randomization visits).
  • Patients who are currently not on pharmacotherapy for hyperlipidemia and according to the judgement of the physician and Canadian Guidelines for the Diagnosis and Treatment of Dyslipidemia initiation of drug therapy is not indicated for the duration of the study.
  • Patients currently treated with statins and according to the judgement of the physician and the Canadian Guidelines for the Diagnosis and Treatment of Dyslipidemia a change in their current drug regimen is not indicated for the duration of the study.
  • Patients treated with statin must be on stable dose for at least 6 weeks prior to screening.
  • Patients are willing follow the NCEP Step 1 Diet (see Appendix 4) for the duration of the study.
  • Female participants of childbearing potential (i.e. not surgically sterilized or post-menopausal greater than one year) must have negative serum pregnancy test and must be using an effective birth control method, defined as:

    1. continuous use of oral or long acting injected contraceptive for at least 2 months prior to study entry, or;
    2. use of an intra-uterine device or implantable contraceptive, or;
    3. use of double barrier methods of birth control
  • Patients are at least 80% compliant with the study medication during the placebo lead in phase.

Exclusion Criteria:

  • Any concomitant medication which in the opinion of the investigator would preclude the patient from successfully participating in the study.
  • Women who are pregnant or that are breast feeding.
  • Participation in another clinical trial within 30 days from initiation of the study.
  • Participants with a high risk for cardiovascular disease; (The definition of high-risk individuals will follow that of the 2009 Canadian Guidelines and include a) FRS >= 20% 10-year risk; b) All patients with uncontrolled diabetes (DCA guidelines) and c) Evidence of atherosclerosis -when this evidence was ascertained when clinically indicated);
  • Systolic blood pressure >140 mmHg and/or diastolic blood pressure >90 mmHg. In diabetic patients, systolic blood pressure > 130 mmHg and/or diastolic blood pressure > 90 mmHg.
  • History of stroke, intermittent claudication or transient ischemic attack.
  • Known unstable (uncontrolled) cardiac disease , within the last 6 months.
  • Patient with a clinically significant abnormal ECG at screening.
  • Patients with uncontrolled diabetes mellitus, with HbA1c > 7.0%.
  • Known diagnosis of hypoglycemia.
  • Evidence of active renal disease indicated by a fasting estimated glomerular filtration rate (eGFR) of < 60 ml/min per 1.73 m2.
  • Increased plasma levels (>ULN) of amylase (as per respective lab upper limits) and / or lipase (>160 IU/L) or any indication of pancreatitis pancreatitis (increased alcohol consumption, gallstones).
  • History of pancreatitis.
  • Use of any lipid lowering medication other than statins or ezetimibe(e.g niacin, fibrates) and/or lipid lowering NHP within 6 weeks prior to the screening visit.
  • Intake of > 2 servings per week of fish or regimented use of fish oil/omega-3 supplements within 6 weeks prior to the screening visit.
  • Known HIV or Hepatitis B or C positive.
  • Patients with uncontrolled asthma as defined by the 2010 Consensus Summary of the Canadian Thoracic Society.
  • Known seafood allergy or allergy to any of the medicinal or non-medicinal ingredients of the study medication and placebo, including:

    1. Omega-3 fatty acids (including EPA and DHA)
    2. Phospholipids (mainly phosphatidylcholine)
    3. Astaxanthin
    4. Microcrystalline cellulose
  • Coagulopathy or on anticoagulants. Platelet aggregation inhibitors (such as aspirin or clopidogrel but not heparin) are permitted in the study; patients taking both aspirin and clopidogrel are not permitted in the study.
  • Unable or unwilling to comply with the protocol.
  • Patient reported weight was not stable for the past 6 months (within 3kg variation).
  • Consumption of more than 14 standard alcoholic drinks a week.

Information from the National Library of Medicine

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 identifier (NCT number): NCT01455844

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Sponsors and Collaborators
Acasti Pharma Inc.
JSS Medical Research Inc.
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Principal Investigator: Jacques Genest, MD, FRCP(C) Cardiology Division, MUHC
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Responsible Party: Acasti Pharma Inc. Identifier: NCT01455844    
Other Study ID Numbers: PRT-API-NKPL66-CT-PII
First Posted: October 20, 2011    Key Record Dates
Last Update Posted: August 22, 2014
Last Verified: August 2014
Keywords provided by Acasti Pharma Inc.:
Additional relevant MeSH terms:
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Lipid Metabolism Disorders
Metabolic Diseases