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Efficacy and Safety of Colesevelam in Pediatric Patients With Genetic High Cholesterol

Randomized, Double-blind, Placebo-controlled Efficacy and Safety Study of Colesevelam HCl Administered to Pediatric Patients With Heterozygous Familial Hypercholesterolemia on a Stable Dose of Statins or Treatment Naive to Lipid-lowering Therapy

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00145574
Enrollment
194
Registered
2005-09-05
Start date
2005-11-30
Completion date
2007-12-31
Last updated
2010-04-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hypercholesterolemia

Keywords

Pediatric, hypercholesterolemia, colesevelam

Brief summary

This study will evaluate the lipid-lowering effect and safety of colesevelam therapy administered to heterozygous familial pediatric patients 10 through 17 years of age who are on a stable dose of a pediatric-approved statin monotherapy (atorvastatin, lovastatin, simvastatin or pravastatin), or who are treatment naive to lipid-lowering therapy.

Interventions

Tablets

DRUGplacebo

Matching Tablets

Sponsors

Daiichi Sankyo
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
10 Years to 17 Years
Healthy volunteers
No

Inclusion criteria

* Male or female patients * Ages 10 to 17 years inclusive * Diagnosis of heterozygous familial hypercholesterolemia * On a stable dose of statin monotherapy or are treatment naive to lipid- lowering agents * On a low-cholesterol diet

Exclusion criteria

* Patients should not have serious concomitant conditions that could interfere with the analysis of the results or that could interfere with the well-being of the patients

Design outcomes

Primary

MeasureTime frameDescription
Percent Change in Plasma Low Density Lipoprotein-cholesterol (LDL-C) From Day 1 (Study Baseline) to Week 8.8 weeks (week 8 - day 1)Percent change in LDL-C (mg/dL) and standard deviation (SD) from Day 1 (Study Baseline)to Week 8 (last observation carried forward - LOCF)- Intent-to-Treat ITT population.

Secondary

MeasureTime frameDescription
Percent Change in Plasma Triglycerides (TG) From Day 1 (Study Baseline) to Week 8.8 weeks (week 8 - day 1)Percent change in triglycerides (mg/dL) and standard deviation (SD) from Day 1 (Study Baseline) to Week 8 (last observation carried forward - LOCF)- Intent-to-Treat ITT population.
Percent Change in Plasma High-density Lipoprotein-cholesterol (HDL-C) From Day 1 (Study Baseline) to Week 8.8 weeks (week 8 - day 1)Percent change in HDL-C (mg/dL) and standard deviation (SD) from Day 1 (Study Baseline) to Week 8 (last observation carried forward - LOCF)- Intent-to-Treat ITT population.
Percent Change in Plasma Non-high Density Lipoprotein-cholesterol (Non-HDL-C) From Day 1 (Study Baseline) to Week 8.8 weeks (week 8 - day 1)Percent change in non-HDL-C (mg/dL) and standard deviation (SD) from Day 1 (Study Baseline) to Week 8 (last observation carried forward - LOCF)- Intent-to-Treat ITT population.
Percent Change in Plasma Apolipoprotien A-I (Apo A-1) From Day 1 (Study Baseline) to Week 8.8 weeks (week 8 - day 1)Percent change in Apolipoprotien A-I (Apo A-1) (mg/dL) and standard deviation (SD) from Day 1 (Study Baseline) to Week 8 (last observation carried forward - LOCF)- Intent-to-Treat ITT population.
Percent Change in Plasma Apolipoprotein B (Apo B) From Day 1 (Study Baseline) to Week 8.8 weeks (week 8 - day 1)Percent change in Apo B (mg/dL) and standard deviation (SD) from Day 1 (Study Baseline) to Week 8 (last observation carried forward - LOCF)- Intent-to-Treat ITT population.
Percent Change in Low-density Lipoprotein Cholesterol (LDL-C) From Study Baseline (Day 1) to Week 26.26 weeks (week 26 - day 1)Percent change in low-density lipoprotein cholesterol from baseline to Week 26 was calculated for subpopulations representing each assigned treatment group during the Double blind Period, and for the overall population in the Open Label Extension Period.
Percent Change in Plasma Total Cholesterol (TC) From Day 1 (Study Baseline) to Week 8.8 weeks (week 8 - day 1)Percent change in total cholesterol (mg/dL) and standard deviation (SD) from Day 1 (Study Baseline) to Week 8 (last observation carried forward - LOCF)- Intent-to-Treat ITT population.
Percent Change in Triglycerides From Study Baseline (Day 1) to Week 26.26 weeks (week 26 - day 1)Percent change in triglycerides from baseline to Week 26 was calculated for subpopulations representing each assigned treatment group during the Double blind Period, and for the overall population in the Open Label Extension Period.
Percent Change in High-density Lipoprotein Cholesterol (HDL-C) From Study Baseline (Day 1) to Week 26.26 weeks (week 26 - day 1)Percent change in high-density lipoprotein cholesterol from baseline to Week 26 was calculated for subpopulations representing each assigned treatment group during the Double blind Period, and for the overall population in the Open Label Extension Period.
Percent Change in Non-high-density Lipoprotein Cholesterol From Study Baseline (Day 1) to Week 26.26 weeks (week 26 - day 1)Percent change in non-high-density lipoprotein cholesterol from baseline to Week 26 was calculated for subpopulations representing each assigned treatment group during the Double blind Period, and for the overall population in the Open Label Extension Period.
Percent Change in Apolipoprotein A-I From Study Baseline (Day 1) to Week 26.26 weeks (week 26 - day 1)Percent change in apolipoprotein A-I from baseline to Week 26 was calculated for subpopulations representing each assigned treatment group during the Double blind Period, and for the overall population in the Open Label Extension Period.
Percent Change in Apolipoprotein B From Study Baseline (Day 1) to Week 26.26 weeks (week 26 - day 1)Percent change in apolipoprotein B from baseline to Week 26 was calculated for subpopulations representing each assigned treatment group during the Double blind Period, and for the overall population in the Open Label Extension Period.
Percent Change in Total Cholesterol From Study Baseline (Day 1) to Week 26.26 weeks (week 26 - day 1)Percent change in total cholesterol (TC) from baseline to Week 26 was calculated for subpopulations representing each assigned treatment group during the Double blind Period, and for the overall population in the Open Label Extension Period.

Countries

Australia, Austria, Canada, Israel, Netherlands, Norway, South Africa, United States

Participant flow

Recruitment details

Study was conducted at 41 clinical sites; Australia (1 site), Austria (1 site), Canada (5 sites), Hungary (1 site), Israel (5 sites), New Zealand (1 site), Norway (2 sites), Slovakia (3 sites), South Africa (4 sites), Czech Republic (3 sites), Netherlands (2 sites), and USA (13 sites). Study initiated November 5, 2005 completed December 18, 2007.

Pre-assignment details

Period I Run-In (4 weeks): Period I was a single-blind stabilization period prior to randomization. All subjects received 6 placebo tablets daily. Objective was to evaluate dosing compliance and tolerability to the tablets prior to randomization. Subjects could be on stable pediatric approved statin regimen and low cholesterol diet for 6 weeks.

Participants by arm

ArmCount
Placebo
Placebo similar to active
65
Low Dose Colesevelam
Low dose colesevelam 1.9 grams per day
65
High Dose Colesevelam
High dose colesevelam 3.8 grams per day
64
Total194

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Double BlindAdverse Event031
Double Blindrequired restricted medicine010
Double BlindWithdrawal by Subject111
Open Label Long-term ExtensionAdverse Event005
Open Label Long-term ExtensionLost to Follow-up001
Open Label Long-term Extensionrequired restricted medicine001
Open Label Long-term ExtensionWithdrawal by Subject004

Baseline characteristics

CharacteristicLow Dose ColesevelamTotalPlaceboHigh Dose Colesevelam
Age, Categorical
<=18 years
65 Participants194 Participants65 Participants64 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
0 Participants0 Participants0 Participants0 Participants
Age Continuous14.1 years
STANDARD_DEVIATION 2.19
14.1 years
STANDARD_DEVIATION 1.98
14.3 years
STANDARD_DEVIATION 1.74
13.9 years
STANDARD_DEVIATION 2
Body Mass Index23.4 kg/m2
STANDARD_DEVIATION 6.14
22.5 kg/m2
STANDARD_DEVIATION 5.14
21.9 kg/m2
STANDARD_DEVIATION 4.3
22.2 kg/m2
STANDARD_DEVIATION 4.75
height160.7 cm
STANDARD_DEVIATION 10.9
162.5 cm
STANDARD_DEVIATION 11.16
164.8 cm
STANDARD_DEVIATION 10.35
162.1 cm
STANDARD_DEVIATION 11.94
Region of Enrollment
Austria
1 participants1 participants0 participants0 participants
Region of Enrollment
Canada
9 participants23 participants7 participants7 participants
Region of Enrollment
Czech Republic
5 participants10 participants2 participants3 participants
Region of Enrollment
Hungary
7 participants19 participants6 participants6 participants
Region of Enrollment
Israel
6 participants16 participants6 participants4 participants
Region of Enrollment
Netherlands
3 participants10 participants3 participants4 participants
Region of Enrollment
New Zealand
1 participants5 participants2 participants2 participants
Region of Enrollment
Norway
3 participants10 participants3 participants4 participants
Region of Enrollment
Slovakia
0 participants4 participants2 participants2 participants
Region of Enrollment
South Africa
16 participants51 participants18 participants17 participants
Region of Enrollment
United States
14 participants45 participants16 participants15 participants
Sex: Female, Male
Female
26 Participants71 Participants21 Participants24 Participants
Sex: Female, Male
Male
39 Participants123 Participants44 Participants40 Participants
Statin Status
naive
15 participants47 participants17 participants15 participants
Statin Status
non-naive
50 participants147 participants48 participants49 participants
Tanner Stage
I
0 participants0 participants0 participants0 participants
Tanner Stage
II
15 participants39 participants9 participants15 participants
Tanner Stage
III
16 participants52 participants20 participants16 participants
Tanner Stage
IV
19 participants62 participants23 participants20 participants
Tanner Stage
V
15 participants41 participants13 participants13 participants
weight61.5 kg
STANDARD_DEVIATION 20.77
60.3 kg
STANDARD_DEVIATION 17.72
60.3 kg
STANDARD_DEVIATION 15.32
59.0 kg
STANDARD_DEVIATION 16.81

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —
other
Total, other adverse events
20 / 6525 / 6514 / 6471 / 184
serious
Total, serious adverse events
3 / 653 / 650 / 640 / 184

Outcome results

Primary

Percent Change in Plasma Low Density Lipoprotein-cholesterol (LDL-C) From Day 1 (Study Baseline) to Week 8.

Percent change in LDL-C (mg/dL) and standard deviation (SD) from Day 1 (Study Baseline)to Week 8 (last observation carried forward - LOCF)- Intent-to-Treat ITT population.

Time frame: 8 weeks (week 8 - day 1)

Population: Intent-to-Treat Population for Double blind Period. Last Observation Carried Forward.

ArmMeasureValue (MEAN)Dispersion
PlaceboPercent Change in Plasma Low Density Lipoprotein-cholesterol (LDL-C) From Day 1 (Study Baseline) to Week 8.2.9 percent change from baselineStandard Deviation 16.46
Low Dose ColesevelamPercent Change in Plasma Low Density Lipoprotein-cholesterol (LDL-C) From Day 1 (Study Baseline) to Week 8.-3.7 percent change from baselineStandard Deviation 18.36
High Dose ColesevelamPercent Change in Plasma Low Density Lipoprotein-cholesterol (LDL-C) From Day 1 (Study Baseline) to Week 8.-10.6 percent change from baselineStandard Deviation 19.36
Comparison: The primary null hypotheses were tested sequentially in the following order: 1) no difference between the high-dose colesevelam HCl and placebo for percent change in LDL-C from study baseline to Week 8 endpoint with the last observation carried forward (LOCF) and 2) no difference between the low-dose colesevelam HCl and placebo for percent change in LDL-C from study baseline to Week 8 endpoint with LOCF. The hypotheses were tested at a 2-sided significance level of 5%.p-value: 0.1122ANCOVA
p-value: <0.0001ANCOVA
Secondary

Percent Change in Apolipoprotein A-I From Study Baseline (Day 1) to Week 26.

Percent change in apolipoprotein A-I from baseline to Week 26 was calculated for subpopulations representing each assigned treatment group during the Double blind Period, and for the overall population in the Open Label Extension Period.

Time frame: 26 weeks (week 26 - day 1)

Population: Intent to treat population. Last Observation Carried Forward.

ArmMeasureValue (MEAN)Dispersion
PlaceboPercent Change in Apolipoprotein A-I From Study Baseline (Day 1) to Week 26.4.7 percent change from baselineStandard Deviation 12.95
Low Dose ColesevelamPercent Change in Apolipoprotein A-I From Study Baseline (Day 1) to Week 26.4.9 percent change from baselineStandard Deviation 14.86
High Dose ColesevelamPercent Change in Apolipoprotein A-I From Study Baseline (Day 1) to Week 26.7.2 percent change from baselineStandard Deviation 15.34
All High Dose Colesevelam in Open Label ExtensionPercent Change in Apolipoprotein A-I From Study Baseline (Day 1) to Week 26.5.6 percent change from baselineStandard Deviation 14.4
Secondary

Percent Change in Apolipoprotein B From Study Baseline (Day 1) to Week 26.

Percent change in apolipoprotein B from baseline to Week 26 was calculated for subpopulations representing each assigned treatment group during the Double blind Period, and for the overall population in the Open Label Extension Period.

Time frame: 26 weeks (week 26 - day 1)

Population: Intent to treat population. Last Observation Carried Forward.

ArmMeasureValue (MEAN)Dispersion
PlaceboPercent Change in Apolipoprotein B From Study Baseline (Day 1) to Week 26.-11.4 percent change from baselineStandard Deviation 16.86
Low Dose ColesevelamPercent Change in Apolipoprotein B From Study Baseline (Day 1) to Week 26.-11.3 percent change from baselineStandard Deviation 18.71
High Dose ColesevelamPercent Change in Apolipoprotein B From Study Baseline (Day 1) to Week 26.-11.2 percent change from baselineStandard Deviation 17.86
All High Dose Colesevelam in Open Label ExtensionPercent Change in Apolipoprotein B From Study Baseline (Day 1) to Week 26.-11.3 percent change from baselineStandard Deviation 17.72
Secondary

Percent Change in High-density Lipoprotein Cholesterol (HDL-C) From Study Baseline (Day 1) to Week 26.

Percent change in high-density lipoprotein cholesterol from baseline to Week 26 was calculated for subpopulations representing each assigned treatment group during the Double blind Period, and for the overall population in the Open Label Extension Period.

Time frame: 26 weeks (week 26 - day 1)

Population: Intent to treat population. Last Observation Carried Forward.

ArmMeasureValue (MEAN)Dispersion
PlaceboPercent Change in High-density Lipoprotein Cholesterol (HDL-C) From Study Baseline (Day 1) to Week 26.6.6 percent change from baselineStandard Deviation 13.64
Low Dose ColesevelamPercent Change in High-density Lipoprotein Cholesterol (HDL-C) From Study Baseline (Day 1) to Week 26.8.5 percent change from baselineStandard Deviation 20.33
High Dose ColesevelamPercent Change in High-density Lipoprotein Cholesterol (HDL-C) From Study Baseline (Day 1) to Week 26.9.3 percent change from baselineStandard Deviation 19.37
All High Dose Colesevelam in Open Label ExtensionPercent Change in High-density Lipoprotein Cholesterol (HDL-C) From Study Baseline (Day 1) to Week 26.8.1 percent change from baselineStandard Deviation 17.86
Secondary

Percent Change in Low-density Lipoprotein Cholesterol (LDL-C) From Study Baseline (Day 1) to Week 26.

Percent change in low-density lipoprotein cholesterol from baseline to Week 26 was calculated for subpopulations representing each assigned treatment group during the Double blind Period, and for the overall population in the Open Label Extension Period.

Time frame: 26 weeks (week 26 - day 1)

Population: Intent-to-Treat (ITT) Population. Last Observation Carried Forward.

ArmMeasureValue (MEAN)Dispersion
PlaceboPercent Change in Low-density Lipoprotein Cholesterol (LDL-C) From Study Baseline (Day 1) to Week 26.-11.9 percent change from baselineStandard Deviation 22.39
Low Dose ColesevelamPercent Change in Low-density Lipoprotein Cholesterol (LDL-C) From Study Baseline (Day 1) to Week 26.-16.8 percent change from baselineStandard Deviation 19.85
High Dose ColesevelamPercent Change in Low-density Lipoprotein Cholesterol (LDL-C) From Study Baseline (Day 1) to Week 26.-13.5 percent change from baselineStandard Deviation 21.58
All High Dose Colesevelam in Open Label ExtensionPercent Change in Low-density Lipoprotein Cholesterol (LDL-C) From Study Baseline (Day 1) to Week 26.-14.0 percent change from baselineStandard Deviation 21.32
Secondary

Percent Change in Non-high-density Lipoprotein Cholesterol From Study Baseline (Day 1) to Week 26.

Percent change in non-high-density lipoprotein cholesterol from baseline to Week 26 was calculated for subpopulations representing each assigned treatment group during the Double blind Period, and for the overall population in the Open Label Extension Period.

Time frame: 26 weeks (week 26 - day 1)

Population: Intent to treat population. Last Observation Carried Forward.

ArmMeasureValue (MEAN)Dispersion
PlaceboPercent Change in Non-high-density Lipoprotein Cholesterol From Study Baseline (Day 1) to Week 26.-10.0 percent change from baselineStandard Deviation 21.04
Low Dose ColesevelamPercent Change in Non-high-density Lipoprotein Cholesterol From Study Baseline (Day 1) to Week 26.-13.2 percent change from baselineStandard Deviation 19.9
High Dose ColesevelamPercent Change in Non-high-density Lipoprotein Cholesterol From Study Baseline (Day 1) to Week 26.-11.0 percent change from baselineStandard Deviation 20.8
All High Dose Colesevelam in Open Label ExtensionPercent Change in Non-high-density Lipoprotein Cholesterol From Study Baseline (Day 1) to Week 26.-11.3 percent change from baselineStandard Deviation 20.53
Secondary

Percent Change in Plasma Apolipoprotein B (Apo B) From Day 1 (Study Baseline) to Week 8.

Percent change in Apo B (mg/dL) and standard deviation (SD) from Day 1 (Study Baseline) to Week 8 (last observation carried forward - LOCF)- Intent-to-Treat ITT population.

Time frame: 8 weeks (week 8 - day 1)

Population: Intent-to-Treat (ITT) Population in Double blind Period. Last Observation Carried Forward.

ArmMeasureValue (MEAN)Dispersion
PlaceboPercent Change in Plasma Apolipoprotein B (Apo B) From Day 1 (Study Baseline) to Week 8.2.3 percent change from baselineStandard Deviation 14.78
Low Dose ColesevelamPercent Change in Plasma Apolipoprotein B (Apo B) From Day 1 (Study Baseline) to Week 8.-0.7 percent change from baselineStandard Deviation 16.52
High Dose ColesevelamPercent Change in Plasma Apolipoprotein B (Apo B) From Day 1 (Study Baseline) to Week 8.-7.0 percent change from baselineStandard Deviation 14.45
p-value: 0.7433ANCOVA
p-value: 0.0003ANCOVA
Secondary

Percent Change in Plasma Apolipoprotien A-I (Apo A-1) From Day 1 (Study Baseline) to Week 8.

Percent change in Apolipoprotien A-I (Apo A-1) (mg/dL) and standard deviation (SD) from Day 1 (Study Baseline) to Week 8 (last observation carried forward - LOCF)- Intent-to-Treat ITT population.

Time frame: 8 weeks (week 8 - day 1)

Population: Intent-to-Treat (ITT) Population in Double blind Period. Last Observation Carried Forward.

ArmMeasureValue (MEAN)Dispersion
PlaceboPercent Change in Plasma Apolipoprotien A-I (Apo A-1) From Day 1 (Study Baseline) to Week 8.4.4 percent change from baselineStandard Deviation 14.62
Low Dose ColesevelamPercent Change in Plasma Apolipoprotien A-I (Apo A-1) From Day 1 (Study Baseline) to Week 8.7.0 percent change from baselineStandard Deviation 13.96
High Dose ColesevelamPercent Change in Plasma Apolipoprotien A-I (Apo A-1) From Day 1 (Study Baseline) to Week 8.11.2 percent change from baselineStandard Deviation 16.79
p-value: 0.0002ANCOVA
p-value: <0.0001ANCOVA
Secondary

Percent Change in Plasma High-density Lipoprotein-cholesterol (HDL-C) From Day 1 (Study Baseline) to Week 8.

Percent change in HDL-C (mg/dL) and standard deviation (SD) from Day 1 (Study Baseline) to Week 8 (last observation carried forward - LOCF)- Intent-to-Treat ITT population.

Time frame: 8 weeks (week 8 - day 1)

Population: Intent-to-Treat Population for Double blind Period. Last Observation Carried Forward.

ArmMeasureValue (MEAN)Dispersion
PlaceboPercent Change in Plasma High-density Lipoprotein-cholesterol (HDL-C) From Day 1 (Study Baseline) to Week 8.2.5 percent change from baselineStandard Deviation 12.52
Low Dose ColesevelamPercent Change in Plasma High-density Lipoprotein-cholesterol (HDL-C) From Day 1 (Study Baseline) to Week 8.3.9 percent change from baselineStandard Deviation 12.45
High Dose ColesevelamPercent Change in Plasma High-density Lipoprotein-cholesterol (HDL-C) From Day 1 (Study Baseline) to Week 8.8.5 percent change from baselineStandard Deviation 14.72
p-value: 0.0155ANCOVA
p-value: <0.0001ANCOVA
Secondary

Percent Change in Plasma Non-high Density Lipoprotein-cholesterol (Non-HDL-C) From Day 1 (Study Baseline) to Week 8.

Percent change in non-HDL-C (mg/dL) and standard deviation (SD) from Day 1 (Study Baseline) to Week 8 (last observation carried forward - LOCF)- Intent-to-Treat ITT population.

Time frame: 8 weeks (week 8 - day 1)

Population: Intent-to-Treat Population for Double blind Period. Last Observation Carried Forward.

ArmMeasureValue (MEAN)Dispersion
PlaceboPercent Change in Plasma Non-high Density Lipoprotein-cholesterol (Non-HDL-C) From Day 1 (Study Baseline) to Week 8.3.4 percent change from baselineStandard Deviation 16.01
Low Dose ColesevelamPercent Change in Plasma Non-high Density Lipoprotein-cholesterol (Non-HDL-C) From Day 1 (Study Baseline) to Week 8.-2.1 percent change from baselineStandard Deviation 17.32
High Dose ColesevelamPercent Change in Plasma Non-high Density Lipoprotein-cholesterol (Non-HDL-C) From Day 1 (Study Baseline) to Week 8.-8.4 percent change from baselineStandard Deviation 18.28
p-value: 0.3482ANCOVA
p-value: 0.0006ANCOVA
Secondary

Percent Change in Plasma Total Cholesterol (TC) From Day 1 (Study Baseline) to Week 8.

Percent change in total cholesterol (mg/dL) and standard deviation (SD) from Day 1 (Study Baseline) to Week 8 (last observation carried forward - LOCF)- Intent-to-Treat ITT population.

Time frame: 8 weeks (week 8 - day 1)

Population: Intent-to-Treat Population for Double blind Period. Last Observation Carried Forward.

ArmMeasureValue (MEAN)Dispersion
PlaceboPercent Change in Plasma Total Cholesterol (TC) From Day 1 (Study Baseline) to Week 8.2.9 percent change from baselineStandard Deviation 13.29
Low Dose ColesevelamPercent Change in Plasma Total Cholesterol (TC) From Day 1 (Study Baseline) to Week 8.-1.1 percent change from baselineStandard Deviation 14.22
High Dose ColesevelamPercent Change in Plasma Total Cholesterol (TC) From Day 1 (Study Baseline) to Week 8.-5.4 percent change from baselineStandard Deviation 15.8
p-value: 0.526ANCOVA
p-value: 0.0085ANCOVA
Secondary

Percent Change in Plasma Triglycerides (TG) From Day 1 (Study Baseline) to Week 8.

Percent change in triglycerides (mg/dL) and standard deviation (SD) from Day 1 (Study Baseline) to Week 8 (last observation carried forward - LOCF)- Intent-to-Treat ITT population.

Time frame: 8 weeks (week 8 - day 1)

Population: Intent-to-Treat Population for Double blind Period. Last Observation Carried Forward.

ArmMeasureValue (MEAN)Dispersion
PlaceboPercent Change in Plasma Triglycerides (TG) From Day 1 (Study Baseline) to Week 8.12.5 percent change from baselineStandard Deviation 40.8
Low Dose ColesevelamPercent Change in Plasma Triglycerides (TG) From Day 1 (Study Baseline) to Week 8.16.9 percent change from baselineStandard Deviation 35.7
High Dose ColesevelamPercent Change in Plasma Triglycerides (TG) From Day 1 (Study Baseline) to Week 8.12.5 percent change from baselineStandard Deviation 53.2
p-value: <0.0001ANCOVA
p-value: 0.0008ANCOVA
Secondary

Percent Change in Total Cholesterol From Study Baseline (Day 1) to Week 26.

Percent change in total cholesterol (TC) from baseline to Week 26 was calculated for subpopulations representing each assigned treatment group during the Double blind Period, and for the overall population in the Open Label Extension Period.

Time frame: 26 weeks (week 26 - day 1)

Population: Intent to treat population. Last Observation Carried Forward.

ArmMeasureValue (MEAN)Dispersion
PlaceboPercent Change in Total Cholesterol From Study Baseline (Day 1) to Week 26.-7.5 percent change from baselineStandard Deviation 17.21
Low Dose ColesevelamPercent Change in Total Cholesterol From Study Baseline (Day 1) to Week 26.-9.1 percent change from baselineStandard Deviation 16.91
High Dose ColesevelamPercent Change in Total Cholesterol From Study Baseline (Day 1) to Week 26.-7.5 percent change from baselineStandard Deviation 17.55
All High Dose Colesevelam in Open Label ExtensionPercent Change in Total Cholesterol From Study Baseline (Day 1) to Week 26.-8.0 percent change from baselineStandard Deviation 17.15
Secondary

Percent Change in Triglycerides From Study Baseline (Day 1) to Week 26.

Percent change in triglycerides from baseline to Week 26 was calculated for subpopulations representing each assigned treatment group during the Double blind Period, and for the overall population in the Open Label Extension Period.

Time frame: 26 weeks (week 26 - day 1)

Population: Intent to treat population. Last Observation Carried Forward.

ArmMeasureValue (MEAN)Dispersion
PlaceboPercent Change in Triglycerides From Study Baseline (Day 1) to Week 26.-5.3 percent change from baselineStandard Deviation 59.1
Low Dose ColesevelamPercent Change in Triglycerides From Study Baseline (Day 1) to Week 26.19.5 percent change from baselineStandard Deviation 58
High Dose ColesevelamPercent Change in Triglycerides From Study Baseline (Day 1) to Week 26.14.2 percent change from baselineStandard Deviation 64.5
All High Dose Colesevelam in Open Label ExtensionPercent Change in Triglycerides From Study Baseline (Day 1) to Week 26.11.5 percent change from baselineStandard Deviation 61.8

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026