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The current study is designed to test the efficacy, safety and tolerability of LCP-AtorFen, a combination of atorvastatin and fenofibrate.
This is a multicenter, randomized, double-blind, 12 week study with a 52-week open-label follow-up to evaluate the safety and efficacy of LCP-AtorFen (the combination of atorvastatin and fenofibrate) in the treatment of hyperlipidemia.
After a wash-out phase, eligible patients will be randomized on a 1:1:1 ratio to either LCP-AtorFen, atorvastatin or fenofibrate for 12 weeks. After the completion of the 12-week phase, all eligible patients will be offered to receive open-label LCP-AtorFen for another 52 weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LCP-AtorFen | Experimental | LCP-AtorFen 40/100mg fixed-dose combination tablet of 40mg atorvastatin and 145mg fenofibrate for treatment of mixed dyslipidemia |
|
| atorvastatin | Active Comparator | atorvastatin 40mg tablet (Lipitor), as an adjunct to diet and exercise for treatment of mixed dyslipidemia |
|
| fenofibrate | Active Comparator | fenofibrate 145mg tablet (Tricor), as an adjunct to diet and exercise for treatment of mixed dyslipidemia |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LCP-AtorFen | Drug | 40mg atorvastatin combined with 100mg fenofibrate in a tablet for once daily treatment of dyslipidemia and mixed dyslipidemia |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percent Changes From Baseline to End-of-treatment in Non-HDL Cholesterol, HDL Cholesterol, and Triglycerides by LCP-AtorFen Versus Atorvastatin Monotherapy | Mean percent change from baseline to end-of-treatment (12 weeks) for non-HDL cholesterol and triglycerides and the mean percent change from baseline to end-of-treatment for HDL cholesterol for AtorFen 40/100mg fixed-dose combination tablet versus atorvastatin 40mg tablet. | baseline(randomization) to 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Percent Changes From Baseline to End-of-treatment in Non-HDL, HDL and LDL Cholesterol by LCP-AtorFen Versus Fenofibrate Monotherapy | Mean percent changes from baseline (Visit 3, Week 0) to end-of-treatment (Visit 6; Week 12) in non-HDL, HDL and LDL cholesterol by LCP-AtorFen versus fenofibrate monotherapy | baseline (week 0) to 12 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jeff Geohas, MD | Radiant Research | Principal Investigator |
| Dennis McCluskey, MD | Radiant Research | Study Director |
| Harry Geisberg, MD | Radiant Research | Study Director |
| Chivers Woodruff, Jr, MD | Radiant Research | Study Director |
| Michael Noss, MD | Radiant Research | Study Director |
| Michele Reynolds, MD | Radiant Research | Study Director |
| James Zavoral, MD | Radiant Research | Study Director |
| Randall Severance, MD | Radiant Research | Study Director |
| Stephen Halpern, MD | Radiant Research | Study Director |
| Linda Murray, MD | Radiant Research |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Radiant Research, 515 N State Street, Suite 2700 | Chicago | Illinois | 60610 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20110022 | Derived | Davidson MH, Rooney MW, Drucker J, Eugene Griffin H, Oosman S, Beckert M; LCP-AtorFen Investigators. Efficacy and tolerability of atorvastatin/fenofibrate fixed-dose combination tablet compared with atorvastatin and fenofibrate monotherapies in patients with dyslipidemia: a 12-week, multicenter, double-blind, randomized, parallel-group study. Clin Ther. 2009 Dec;31(12):2824-38. doi: 10.1016/j.clinthera.2009.12.007. |
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The washout period for subjects on lipid-lowering therapy will be 4 to 8 weeks, depending on their regimen.
Subjects will be recruited from a combination of sources: advertising, clinical databases, clinical referrals, and the general subject population.
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| ID | Title | Description |
|---|---|---|
| FG000 | LCP-AtorFen 40/100mg | study drug arm Atorvastatin 40mg and fenofibrate 100mg |
| FG001 | Atorvastatin 40mg | active control arm atorvastatin 40mg |
| FG002 | Fenofibrate 145mg | active control arm fenofibrate 145mg |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | LCP-AtorFen 40/100mg | study drug arm Atorvastatin 40mg and fenofibrate 100mg |
| BG001 | Atorvastatin 40mg | active control arm atorvastatin 40mg |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Percent Changes From Baseline to End-of-treatment in Non-HDL Cholesterol, HDL Cholesterol, and Triglycerides by LCP-AtorFen Versus Atorvastatin Monotherapy | Mean percent change from baseline to end-of-treatment (12 weeks) for non-HDL cholesterol and triglycerides and the mean percent change from baseline to end-of-treatment for HDL cholesterol for AtorFen 40/100mg fixed-dose combination tablet versus atorvastatin 40mg tablet. | Modified intent-to-treat population consisted of all subjects randomized who had at least one dose of study drug and one post-baseline (randomization) assessment | Posted | Mean | Standard Deviation | percent change from baseline | baseline(randomization) to 12 weeks |
|
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For certain "Other (Not Including Serious) Adverse Events" some adverse events were monitored/assessed without regard to a specific adverse event term, and were therefore listed only by organ class.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | LCP-AtorFen 40/100mg | study drug arm Atorvastatin 40mg and fenofibrate 100mg |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Alanine aminotransferase increased | Investigations | Non-systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Endocrine Disorders (any) | Endocrine disorders | Non-systematic Assessment | specific adverse event unknown |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| H. Eugene Griffin, MS, DVM | Life Cycle Pharma | 646-200-8505 | ggr@lcpharma.com |
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| ID | Term |
|---|---|
| D050171 | Dyslipidemias |
| ID | Term |
|---|---|
| D052439 | Lipid Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D000069059 | Atorvastatin |
| D011345 | Fenofibrate |
| ID | Term |
|---|---|
| D011758 | Pyrroles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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| atorvastatin | Drug | dyslipidemia and mixed dyslipidemia |
|
|
| fenofibrate | Drug | dyslipidemia and mixed dyslipidemia |
|
|
| Wayne Larson, MD | Radiant Research | Study Director |
| Timothy Howards, MD | Medical Affiliated Research Center, Inc. | Study Director |
| Cynthia Strout, MD | Coastal Carolina Research Center | Study Director |
| Mark Kipnes, MD | Diabetes and Glandular Research Center, Inc. | Study Director |
| BG002 | Fenofibrate 145mg | active control arm fenofibrate 145mg |
| BG003 | Total | Total of all reporting groups |
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Atorvastatin 40mg |
active control arm atorvastatin 40mg |
|
|
| Secondary | Percent Changes From Baseline to End-of-treatment in Non-HDL, HDL and LDL Cholesterol by LCP-AtorFen Versus Fenofibrate Monotherapy | Mean percent changes from baseline (Visit 3, Week 0) to end-of-treatment (Visit 6; Week 12) in non-HDL, HDL and LDL cholesterol by LCP-AtorFen versus fenofibrate monotherapy | Modified intent-to-treat population consisted of all subjects randomized who had at least one dose of study drug and one post-baseline (randomization) assessment | Posted | Mean | Standard Deviation | percent change from baseline | baseline (week 0) to 12 weeks |
|
|
|
| 1 |
| 73 |
| 43 |
| 73 |
| EG001 | Atorvastatin 40mg | active control arm atorvastatin 40mg | 0 | 74 | 49 | 74 |
| EG002 | Fenofibrate 145mg | active control arm fenofibrate 145mg | 2 | 73 | 48 | 73 |
| Renal cell carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
|
| Hepatic enzyme increased | Investigations | Non-systematic Assessment |
|
|
| Gastrointestinal Disorders (any) | Gastrointestinal disorders | Non-systematic Assessment |
|
| Abdominal distension | Gastrointestinal disorders | Non-systematic Assessment |
|
| Constipation | Gastrointestinal disorders | Non-systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | Non-systematic Assessment |
|
| Dyspepsia | Gastrointestinal disorders | Non-systematic Assessment |
|
| Flatulence | Gastrointestinal disorders | Non-systematic Assessment |
|
| Gastro esophageal reflux diseases | Gastrointestinal disorders | Non-systematic Assessment |
|
| Nausea | Gastrointestinal disorders | Non-systematic Assessment |
|
| General Disorders and Administration Site Conditions | General disorders | Non-systematic Assessment |
|
| Fatigue | General disorders | Non-systematic Assessment |
|
| Infections and Infestations (any) | Infections and infestations | Non-systematic Assessment |
|
| Bacteriuria | Infections and infestations | Non-systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | Non-systematic Assessment |
|
| Sinusitis | Infections and infestations | Non-systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | Non-systematic Assessment |
|
| Injury, Poisoning and Procedural Complications (any) | Injury, poisoning and procedural complications | Non-systematic Assessment |
|
| Foot fracture | Injury, poisoning and procedural complications | Non-systematic Assessment |
|
| Investigations (any) | Investigations | Non-systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | Non-systematic Assessment |
|
| Aspartate aminotransferase increased | Investigations | Non-systematic Assessment |
|
| Blood creatine phosphokinase increased | Investigations | Non-systematic Assessment |
|
| Blood glucose increased | Investigations | Non-systematic Assessment |
|
| Creatinine renal clearance decreased | Investigations | Non-systematic Assessment |
|
| Gamma- glutamyltransferase increased | Investigations | Non-systematic Assessment |
|
| Liver function test abnormal | Investigations | Non-systematic Assessment |
|
| Metabolism and Nutrition (any) | Metabolism and nutrition disorders | Non-systematic Assessment |
|
| Musculoskeletal and Connective Tissue Disorders (any) | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
|
| Musculoskeletal stiffness | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
|
| Myalgia | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
|
| Tendonitis | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
|
| Neoplasms Benign, Malignant and Unspecified (any) | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment | specific adverse event unknown |
|
| Nervous System Disorders (any) | Nervous system disorders | Non-systematic Assessment |
|
| Headache | Nervous system disorders | Non-systematic Assessment |
|
| Psychiatric Disorders (any) | Psychiatric disorders | Non-systematic Assessment | specific adverse event unknown |
|
| Renal and Urinary Disorders (any) | Renal and urinary disorders | Non-systematic Assessment | specific adverse event unknown |
|
| Reproductive System and Breast Disorders (any) | Reproductive system and breast disorders | Non-systematic Assessment | specific adverse event unknown |
|
| Respiratory, Thoracic and Mediastinal Disorders (any) | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
|
| Nasal congestion | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
|
| Pharyngolaryngeal pain | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
|
| Pulmonary congestion | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
|
| Skin and Subcutaneous Tissue Disorders (any) | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
|
| Rash macular | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
|
| Vascular Disorders (any) | Vascular disorders | Non-systematic Assessment |
|
| Hypertension | Vascular disorders | Non-systematic Assessment |
|
Individual investigators may publish data arising from their own subjects. The Principal Investigator will provide the Sponsor with copies of written publications (including abstracts and posters) at least 60 days in advance of submission.
| D006538 |
| Heptanoic Acids |
| D005227 | Fatty Acids |
| D008055 | Lipids |
| D058607 | Fibric Acids |
| D058610 | Isobutyrates |
| D002087 | Butyrates |
| D000144 | Acids, Acyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
| D010647 | Phenyl Ethers |
| D004987 | Ethers |
| D001577 | Benzophenones |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D010636 | Phenols |
| D007659 | Ketones |
| LDL |
|
|
| HDL |
|
|