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Evaluate the safety of the long-term (1 year) coadministration of ezetimibe and atorvastatin in participants with hypercholesterolemia who have not reached low density lipoprotein (LDL)-cholesterol target with 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase inhibitors.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ezetimibe + Atorvastatin | Experimental | Ezetimibe 10 mg + Atorvastatin 20 mg |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ezetimibe | Drug | Ezetimibe 10 mg once daily |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Adverse Events and Adverse Reactions | An adverse event is any unfavorable medical event occurring in a subject to whom an investigational product is administered, and a causal relationship between the administered investigational product and an adverse event is not always clarified. That is, an adverse event is any unfavorable or unintended sign (including an abnormal change in laboratory test values), symptom, or disease, and a causal relationship to the relevant investigational product is not considered. Any adverse event that was considered treatment-related was considered an adverse reaction. | Throughout 1 year of study |
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Inclusion Criteria:
Participants with hypercholesterolemia who satisfy the following criteria:
Exclusion Criteria:
Participants for whom any of the following is applicable:
Participants whose fasted triglyceride level measured at the start of the observation period or the treatment period exceeds 500 mg/dL
Participants with homozygous familial hypercholesterolemia
Participants with creatine phosphokinase (CPK) > 2x upper limit of normal (ULN) measured at the start of the observation period or the treatment period.
Participants with serious hepatic disorder, or participants with alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 2x ULN measured at the start of the observation period or the treatment period.
Participants with a history of hypersensitivity to any ingredient of ezetimibe tablets or atorvastatin tablets
Pregnant, nursing women, women who may be pregnant, or participants wishing to be pregnant during the study.
Participants who have discontinued use of serum lipid lowering agents for less than 4 weeks at the start of the treatment period (8 weeks in the case of probucol). (However, if the participant had taken a serum lipid lowering agent before the test conducted at the start of the observation period, a period of discontinuation of 27 days, or 55 days in the case of probucol, is allowed.)
Participants who are using cyclosporine from after the start of the observation period
Participants with a history of ezetimibe use
Participants with hyperlipidemia associated with the following diseases:
Participants with hyperlipidemia associated with concomitant use of drugs having adverse effect on serum lipids, etc
Participants who have received an investigational drug within 4 weeks of the start of the observation period
Other participants deemed not appropriate for study entry by the investigator
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Participants did not Complete the Study:
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| ID | Title | Description |
|---|---|---|
| FG000 | Ezetimibe + Atorvastatin | Ezetimibe 10 mg once daily + Atorvastatin 20 mg once daily |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Ezetimibe + Atorvastatin | Ezetimibe 10 mg once daily + Atorvastatin 20 mg once daily |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Customized | >=20 Years |
| 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 | Number of Participants With Adverse Events and Adverse Reactions | An adverse event is any unfavorable medical event occurring in a subject to whom an investigational product is administered, and a causal relationship between the administered investigational product and an adverse event is not always clarified. That is, an adverse event is any unfavorable or unintended sign (including an abnormal change in laboratory test values), symptom, or disease, and a causal relationship to the relevant investigational product is not considered. Any adverse event that was considered treatment-related was considered an adverse reaction. | Posted | Number | Participants | Throughout 1 year of study |
|
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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 | Ezetimibe+Atorvastatin |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| SICK SINUS SYNDROME | Cardiac disorders | MedDRA 12.0 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| CONSTIPATION | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Senior Vice President, Global Clinical Development | Merck Sharp & Dohme Corp. | ClinicalTrialsDisclosure@merck.com |
| ID | Term |
|---|---|
| D006937 | Hypercholesterolemia |
| ID | Term |
|---|---|
| D006949 | Hyperlipidemias |
| D050171 | Dyslipidemias |
| D052439 | Lipid Metabolism Disorders |
| D008659 | Metabolic Diseases |
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| ID | Term |
|---|---|
| D000069438 | Ezetimibe |
| D000069059 | Atorvastatin |
| ID | Term |
|---|---|
| D001384 | Azetidines |
| D001385 | Azetines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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| atorvastatin | Drug | atorvastatin 20 mg once daily |
|
| Adverse Event |
|
| Withdrawal by Subject |
|
| Elevated alanine aminotransferase (4) |
|
| Adverse reaction did not improve (5) |
|
| Did not meet inclusion criteria |
|
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Units | Counts |
|---|---|
| Participants |
|
|
| 11 |
| 146 |
| 132 |
| 146 |
| GLAUCOMA | Eye disorders | MedDRA 12.0 | Systematic Assessment |
|
| RETINAL ARTERY OCCLUSION | Eye disorders | MedDRA 12.0 | Systematic Assessment |
|
| GASTROENTERITIS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| HUMERUS FRACTURE | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
|
| IN-STENT CORONARY ARTERY RESTENOSIS | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
|
| RIB FRACTURE | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
|
| ULNA FRACTURE | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
|
| BREAST CANCER | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 12.0 | Systematic Assessment |
|
| LYMPHOMA | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 12.0 | Systematic Assessment |
|
| PANCREATIC NEOPLASM | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 12.0 | Systematic Assessment |
|
| PROSTATE CANCER | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 12.0 | Systematic Assessment |
|
| CEREBRAL HAEMORRHAGE | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
|
| BENIGN PROSTATIC HYPERPLASIA | Reproductive system and breast disorders | MedDRA 12.0 | Systematic Assessment |
|
| ERYTHEMA MULTIFORME | Skin and subcutaneous tissue disorders | MedDRA 12.0 | Systematic Assessment |
|
| GASTRITIS | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| MALAISE | General disorders | MedDRA 12.0 | Systematic Assessment |
|
| SEASONAL ALLERGY | Immune system disorders | MedDRA 12.0 | Systematic Assessment |
|
| BRONCHITIS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| GASTROENTERITIS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| NASOPHARYNGITIS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| PHARYNGITIS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| ALANINE AMINOTRANSFERASE INCREASED | Investigations | MedDRA 12.0 | Systematic Assessment |
|
| ASPARTATE AMINOTRANSFERASE INCREASED | Investigations | MedDRA 12.0 | Systematic Assessment |
|
| BILIRUBIN CONJUGATED INCREASED | Investigations | MedDRA 12.0 | Systematic Assessment |
|
| BLOOD BILIRUBIN INCREASED | Investigations | MedDRA 12.0 | Systematic Assessment |
|
| BLOOD CREATINE PHOSPHOKINASE INCREASED | Investigations | MedDRA 12.0 | Systematic Assessment |
|
| C-REACTIVE PROTEIN INCREASED | Investigations | MedDRA 12.0 | Systematic Assessment |
|
| GAMMA-GLUTAMYLTRANSFERASE INCREASED | Investigations | MedDRA 12.0 | Systematic Assessment |
|
| GLYCOSYLATED HAEMOGLOBIN INCREASED | Investigations | MedDRA 12.0 | Systematic Assessment |
|
| MYOGLOBIN BLOOD INCREASED | Investigations | MedDRA 12.0 | Systematic Assessment |
|
| MYOGLOBIN URINE PRESENT | Investigations | MedDRA 12.0 | Systematic Assessment |
|
| WEIGHT INCREASED | Investigations | MedDRA 12.0 | Systematic Assessment |
|
| WHITE BLOOD CELL COUNT INCREASED | Investigations | MedDRA 12.0 | Systematic Assessment |
|
| ARTHRALGIA | Musculoskeletal and connective tissue disorders | MedDRA 12.0 | Systematic Assessment |
|
| BACK PAIN | Musculoskeletal and connective tissue disorders | MedDRA 12.0 | Systematic Assessment |
|
| MUSCULOSKELETAL STIFFNESS | Musculoskeletal and connective tissue disorders | MedDRA 12.0 | Systematic Assessment |
|
| HEADACHE | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
|
| RHINITIS ALLERGIC | Respiratory, thoracic and mediastinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| UPPER RESPIRATORY TRACT INFLAMMATION | Respiratory, thoracic and mediastinal disorders | MedDRA 12.0 | Systematic Assessment |
|
Principal Investigator (PI) agrees, for a period of 5 years following the Effective Date, to retain the Disclosure made to it by or on behalf of Sponsor (SPKK), in confidence and not to disclose it to any third party.
PI further agrees that during such time period it will not, either directly or indirectly, use the Disclosure for any purpose(s) other than that indicated herein without the prior written consent of SPKK.
| D009750 |
| Nutritional and Metabolic Diseases |
| D011758 |
| Pyrroles |
| D001393 | Azoles |
| D006538 | Heptanoic Acids |
| D005227 | Fatty Acids |
| D008055 | Lipids |