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| Name | Class |
|---|---|
| Ceapro Inc. | INDUSTRY |
| The Montreal Health Innovations Coordinating Center (MHICC) | OTHER |
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The objective of this study is to evaluate the effects of adding beta-glucan (1.5 g, 3 g or 6 g daily) administered three times a day (TID) in divided doses, to atorvastatin (10 mg - 20 mg) once a day or an equivalent dose of another statin on heart disease lipid risk factors.
Male and female subjects ≥ 18 years of age with an elevated LDL-C > 3.37 mmol/L (130 mg/dL) treated with a stable dose of statin for at least 6 weeks (atorvastatin (10-20mg daily) or equivalent dose of another statin), including subject with previous cardiovascular (CV) events, with partial statin intolerance defined as an inability to tolerate statin therapy in the form and dosages required to achieve treatment goals.
Following signature of informed consent, approximately 264 subjects (66 subjects per beta-glucan treatment group and 22 subjects per matching placebo group) meeting all inclusion criteria and no exclusion criteria will be randomized to receive one of the three doses of beta-glucan (1.5 g, 3 g or 6 g daily) administered TID in divided doses or a matching placebo as an add-on therapy to atorvastatin (10- 20 mg administered once daily) or an equivalent dose of another statin.
The subjects will be assigned to the 3 different doses of beta-glucan or placebo in a tiered fashion as follows:
During the treatment period, subjects will return to the study site at Visit 3 (Week 6) and at the End of Treatment Visit (Week 12) for laboratory tests and clinical assessments, including Adverse Events (AEs), dietary guidance and study product compliance. At the Safety Follow-up Visit (Week 14), subjects will be contacted via telephone for an assessment of AEs.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator | matching placebo for 12 weeks. |
|
| Oat beta-glucan 1.5g | Active Comparator | CP105F (Oat beta-glucan) 1.5g (1 tablet of 0.5g TID) for 12 weeks. |
|
| Oat beta-glucan 3g. | Active Comparator | CP105F (Oat beta-glucan) 3g (2 tablets of 0.5g TID) for 12 weeks. |
|
| Oat beta-glucan 6g. | Active Comparator | CP105F (Oat beta-glucan) 6g (4 tablets of 0.5g TID) for 12 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CP105F | Drug | Natural Health Product |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Direct-measured LDL-C | mg/dL | week 0 to week 12 |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in Total Cholesterol, | mmol/L or mg/dL | week 0 to week 12 |
| Changes in Non-High-density Lipoprotein Cholesterol, | mmol/L or mg/dL |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in HDL-C | mmol/L | week 0 to week 12 |
| Changes in Triglycerides, | mmol/L | week 0 to week 12 |
Inclusion Criteria:
Subjects must meet ALL of the following inclusion criteria in order to be eligible for this study:
Male or female ≥18 years of age
Subjects with hyperlipidemia treated with stable dose of statin for at least 6 weeks; either atorvastatin (10 mg to 20 mg daily) or equivalent dose of another statin at the time of informed consent and with LDL-C level >3.37 mmol/L (130 mg/dL) in fasting conditions at screening
Subjects willing to maintain stable standard cholesterol lowering diet (Appendix 2) and physical activity level throughout the study
Female of childbearing potential must have a negative urine pregnancy test at screening and randomization baseline Visit 2
Women are considered not of childbearing potential if they:
Women of childbearing potential must agree to use an effective method of birth control throughout the study. Acceptable means of birth control include: implantable contraceptives, injectable contraceptives, oral contraceptives, transdermal contraceptives, intrauterine devices, male or female condoms with spermicide, abstinence, or a sterile sexual partner
Ability and willingness to give written informed consent and to comply with the requirements of the study
Exclusion Criteria:
A subject who meets any of the following criteria will NOT be eligible to the study:
Use of any other lipid modifying drugs including but not limited to:
Use of any other lipid modifying supplements within the last 30 days, including but not limited to (a 30-day wash out period is permitted):
Use of nonsteroidal anti-inflammatory drugs (NSAIDs) with the exception of acetylsalicylic acid (ASA) at a concentration of up to 325 mg twice a day
BMI ≥ 40 kg/m2
Female who is pregnant, planning to become pregnant during the study, or breast feeding
Subject who is not willing to keep stable the exercise level during the study
History of poorly controlled diabetes within the last 3 months (HbA1C >10%)
Subjects with poorly controlled blood pressure defined as a sustained mean systolic blood pressure 160 or <100 mmHg and/or diastolic blood pressure 100 or <60 mmHg at screening
History of unstable angina, myocardial infarction, coronary artery bypass graft surgery (CABG), percutaneous coronary intervention (PCI), carotid surgery or stenting, cerebrovascular accident, or transient ischemic attack (TIA) within 6 months prior to screening
History of heart failure NYHA III-IV within 12 months prior to screening.
Subjects with clinically significant electrocardiographic abnormalities
Subjects with history of clinically significant endocrine disease known to influence serum lipids
Subjects with evidence of hepatic disease (ALT and/or AST greater than 2X ULN, total bilirubin greater than 1.5X ULN, or cirrhosis) at screening
Renal dysfunction defined as glomerular filtration rate (GFR) ≤45 mL/min/1.73 m2 at screening
Subjects who suffer from inflammatory bowel disease or irritable bowel syndrome
Known allergies or intolerance to oats
History of malignancy, except subjects who have been disease-free for > 3 yrs or resected basal or squamous cell skin carcinoma or cervical carcinoma in situ
Consumption of > 14 alcoholic drinks per week (1 drink = 12 oz beer, 5 oz wine, or 1.5 oz hard liquor at screening). Counseling should be given to encourage the subject to maintain consumption at or below this level throughout the study
History of drug abuse
Participation in another clinical trial within 30 days of signing the Information and Consent Form (ICF)
Any condition or therapy that the investigator believes might pose a risk to the subject or makes participation in the study not in the subject's best interest
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| Name | Affiliation | Role |
|---|---|---|
| Jean-Claude Tardif, MD | Montreal Heart Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Montreal Heart Institute | Montreal | Quebec | H1T1C8 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37054888 | Derived | Rioux-Labrecque V, Cossette M, Rufiange M, Bilodeau D, Guertin MC, Tardif JC. Supplementation with a beta-glucan tablet has no effect on hyperlipidemia: a randomized, placebo-controlled clinical trial. Am J Clin Nutr. 2023 Jun;117(6):1232-1239. doi: 10.1016/j.ajcnut.2023.04.012. Epub 2023 Apr 11. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | matching placebo for 12 weeks. Placebo: tablet manufactured to mimic the CP105F beta-glucan |
| FG001 | Oat Beta-glucan 1.5g | CP105F (Oat beta-glucan) 1.5g (1 tablet of 0.5g TID) for 12 weeks. CP105F: Natural Health Product |
| FG002 | Oat Beta-glucan 3g | CP105F (Oat beta-glucan) 3g (2 tablets of 0.5g TID) for 12 weeks. CP105F: Natural Health Product |
| FG003 | Oat Beta-glucan 6g | CP105F (Oat beta-glucan) 6g (4 tablets of 0.5g TID) for 12 weeks. CP105F: Natural Health Product |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | matching placebo for 12 weeks. Placebo: tablet manufactured to mimic the CP105F beta-glucan |
| BG001 | Oat Beta-glucan 1.5g | CP105F (Oat beta-glucan) 1.5g (1 tablet of 0.5g TID) for 12 weeks. CP105F: Natural Health Product |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| 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 | Change in Direct-measured LDL-C | mg/dL | Posted | Least Squares Mean | 95% Confidence Interval | mg/dL | week 0 to week 12 |
|
The time period covered was from the first dose of IP to safety follow-up visit (week 14).
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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 | Placebo | matching placebo for 12 weeks. Placebo: tablet manufactured to mimic the CP105F beta-glucan |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Myocardial Infarction | Cardiac disorders | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Flatulence | Gastrointestinal disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr Jean-Claude Tardif | Montreal Heart Institute | 514-376-3330 | 3612 | jean-claude.tardif@icm-mhi.org |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jan 23, 2020 | Apr 12, 2023 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Oct 14, 2021 | Apr 13, 2023 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D006949 | Hyperlipidemias |
| ID | Term |
|---|---|
| D050171 | Dyslipidemias |
| D052439 | Lipid Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D047071 | beta-Glucans |
| ID | Term |
|---|---|
| D005936 | Glucans |
| D011134 | Polysaccharides |
| D002241 | Carbohydrates |
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| Placebo | Drug | tablet manufactured to mimic the CP105F beta-glucan |
|
| week 0 to week 12 |
| Changes in Small Low-density Lipoprotein Subclass Particle Concentration, | nmol/l | week 0 to week 12 |
| Changes in High Sensitivity C-reactive Protein, | mg/L | week 0 to week 12 |
| Changes in Very Low-density Lipoprotein Cholesterol, | mmol/L or mg/dL | week 0 to week 12 |
| Changes in Apo B. | mmol/L | week 0 to week 12 |
| Changes in Lipoprotein (a) (Lp(a)) | mmol/L | week 0 to week 12 |
| Changes in Glycated Hemoglobin (HbA1c) | percentage | week 0 to week 12 |
| BG002 | Oat Beta-glucan 3g | CP105F (Oat beta-glucan) 3g (2 tablets of 0.5g TID) for 12 weeks. CP105F: Natural Health Product |
| BG003 | Oat Beta-glucan 6g | CP105F (Oat beta-glucan) 6g (4 tablets of 0.5g TID) for 12 weeks. CP105F: Natural Health Product |
| BG004 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| OG003 | Oat Beta-glucan 6g. | CP105F (Oat beta-glucan) 6g (4 tablets of 0.5g TID) for 12 weeks. CP105F: Natural Health Product |
|
|
|
| Secondary | Changes in Total Cholesterol, | mmol/L or mg/dL | Not Posted | week 0 to week 12 | Participants |
| Secondary | Changes in Non-High-density Lipoprotein Cholesterol, | mmol/L or mg/dL | Not Posted | week 0 to week 12 | Participants |
| Secondary | Changes in Small Low-density Lipoprotein Subclass Particle Concentration, | nmol/l | Not Posted | week 0 to week 12 | Participants |
| Secondary | Changes in High Sensitivity C-reactive Protein, | mg/L | Not Posted | week 0 to week 12 | Participants |
| Secondary | Changes in Very Low-density Lipoprotein Cholesterol, | mmol/L or mg/dL | Not Posted | week 0 to week 12 | Participants |
| Secondary | Changes in Apo B. | mmol/L | Not Posted | week 0 to week 12 | Participants |
| Other Pre-specified | Changes in HDL-C | mmol/L | Not Posted | week 0 to week 12 | Participants |
| Other Pre-specified | Changes in Triglycerides, | mmol/L | Not Posted | week 0 to week 12 | Participants |
| Other Pre-specified | Changes in Lipoprotein (a) (Lp(a)) | mmol/L | Not Posted | week 0 to week 12 | Participants |
| Other Pre-specified | Changes in Glycated Hemoglobin (HbA1c) | percentage | Not Posted | week 0 to week 12 | Participants |
| 0 |
| 65 |
| 1 |
| 65 |
| 36 |
| 65 |
| EG001 | Oat Beta-glucan 1.5g | CP105F (Oat beta-glucan) 1.5g (1 tablet of 0.5g TID) for 12 weeks. CP105F: Natural Health Product | 0 | 64 | 0 | 64 | 30 | 64 |
| EG002 | Oat Beta-glucan 3g. | CP105F (Oat beta-glucan) 3g (2 tablets of 0.5g TID) for 12 weeks. CP105F: Natural Health Product | 0 | 66 | 0 | 66 | 36 | 66 |
| EG003 | Oat Beta-glucan 6g. | CP105F (Oat beta-glucan) 6g (4 tablets of 0.5g TID) for 12 weeks. CP105F: Natural Health Product | 0 | 66 | 2 | 66 | 48 | 66 |
| Osteoarthritis | Musculoskeletal and connective tissue disorders | Systematic Assessment |
|
| Transient Ischemic Attack | Nervous system disorders | Systematic Assessment |
|
| Pulmonary Embolism | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
|
| Abdominal Distension | Gastrointestinal disorders | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | Systematic Assessment |
|
| Abdominal Pain | Gastrointestinal disorders | Systematic Assessment |
|
| Abdominal Discomfort | Gastrointestinal disorders | Systematic Assessment |
|
| Constipation | Gastrointestinal disorders | Systematic Assessment |
|
| Faeces soft | Gastrointestinal disorders | Systematic Assessment |
|
| Frequent bowel movements | Gastrointestinal disorders | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | Systematic Assessment |
|
| Back Pain | Musculoskeletal and connective tissue disorders | Systematic Assessment |
|
| Headache | Nervous system disorders | Systematic Assessment |
|
| Dizziness | Nervous system disorders | Systematic Assessment |
|
| Herpes Zoster | Infections and infestations | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | Systematic Assessment |
|
| Dyspepsia | Gastrointestinal disorders | Systematic Assessment |
|
| Abdominal Pain Upper | Gastrointestinal disorders | Systematic Assessment |
|
| Fatigue | General disorders | Systematic Assessment |
|
| Musculoskeletal Pain | Musculoskeletal and connective tissue disorders | Systematic Assessment |
|
| Hypoaesthesia | Nervous system disorders | Systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
|
| Diabetes Mellitus | Metabolism and nutrition disorders | Systematic Assessment |
|
| Diabetes Mellitus Inadequate Control | Metabolism and nutrition disorders | Systematic Assessment |
|
| Gastrooesophageal reflux disease | Gastrointestinal disorders | Systematic Assessment |
|
| Infrequent bowel movements | Gastrointestinal disorders | Systematic Assessment |
|
| Rectal tenesmus | Gastrointestinal disorders | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | Systematic Assessment |
|
| Alopecia | Skin and subcutaneous tissue disorders | Systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | Systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | Systematic Assessment |
|
The disclosure restriction on the PI is that the sponsor can review material for publication or presentation before public release and can embargo the release for a period that is more than 60 days but less than or equal to 180 days from the time submitted to the sponsor for review. The sponsor can request removal of sponsor's confidential information and the sponsor can request removal of information for which sponsor wishes to obtain intellectual protection.