Homozygous Familial Hypercholesterolemia, Primary Hypercholesterolemia
Conditions
Brief summary
The purpose of this study is to evaluate the overall safety, tolerability, and efficacy of Ezetimibe when used alone or in combination with a statin in patients with hypercholesterolemia
Interventions
1 tablet of 10 mg once daily
Sponsors
Study design
Eligibility
Inclusion criteria
* Outpatient men or women, age 18 years and above. * Patients with primary (heterozygous familial and non-familial) hypercholesterolemia or homozygous familial hypercholesterolemia.
Exclusion criteria
* Known hypersensitivity to Ezetimibe. * Moderate to severe hepatic insufficiency. * Persistent elevation of serum transaminase levels of more than 1.5 times the upper limit of normal. * Pregnancy or lactation. * Concomitant intake of bile acid sequestrants (resins), nicotinic acid (niacin), fibric acid (fibrates), or cyclosporine
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Tolerability as Measured by Subject Self-assessment | 28 days after Visit 1 | Evaluation of the overall tolerability of ezetimibe as measured by subject self-assessment |
| Safety as Measured by Number of Subjects With at Least One Adverse Event | 28 days after Visit 1 | Evaluation of the overall safety of ezetimibe as measured by number of subjects who experienced at least one adverse event |
| Safety as Measured by Number and Type of Adverse Events. | 28 days after Visit 1 | Evaluation of the overall safety of ezetimibe as measured by the number and type of adverse events. |
| Safety as Measured by Severity of Adverse Events as Determined by the Investigator | 28 days after Visit 1 | To evaulate the safety of ezetimibe as measured by severity of adverse events, as determined by the investigator |
| Safety as Measured by Adverse Event Relatedness to Study Drug as Reported by the Investigator. | 28 days after Visit 1 | To evaluate the overall safety of ezetimibe as measured by adverse event relatedness to study drug as reported by the investigator. |
| Safety as Measured by Dose Adjustment Upon Incidence of an Adverse Event | 28 days after Visit 1 | To evaluate the overall safety of ezetimibe as measured by action taken by the investigator upon incidence of an adverse event |
| Safety as Measured by Outcome of Adverse Events | 28 days after Visit 1 | To evaluate overall safety of ezetimibe as measured by outcome of adverse events |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| To Evaluate the Efficacy of Ezetimibe in Lowering Serum Cholesterol Levels 28 Days After Visit 1 (Baseline) | 28 days after Visit 1 | Change in mean total cholesterol values |
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Ezetimibe as Prescribed by the Physician in Normal Practice Filipino subjects with hypercholesterolemia who are using ezetimibe either alone or in combination with a statin | 4,105 |
| Total | 4,105 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Adverse Event | 2 |
| Overall Study | Completed status not on Case Report Form | 124 |
| Overall Study | Death | 2 |
| Overall Study | Lost to Follow-up | 8 |
| Overall Study | Protocol Violation | 10 |
Baseline characteristics
| Characteristic | Ezetimibe as Prescribed by the Physician in Normal Practice |
|---|---|
| Age, Continuous | 54.62 years STANDARD_DEVIATION 11.6 |
| Sex/Gender, Customized Female | 2175 participants |
| Sex/Gender, Customized Male | 1930 participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 0 / 4,105 |
| serious Total, serious adverse events | 3 / 4,105 |
Outcome results
Safety as Measured by Adverse Event Relatedness to Study Drug as Reported by the Investigator.
To evaluate the overall safety of ezetimibe as measured by adverse event relatedness to study drug as reported by the investigator.
Time frame: 28 days after Visit 1
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Adverse Event Relatedness to Study Drug as Reported by the Investigator. | Not related to treatment | 8 adverse events |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Adverse Event Relatedness to Study Drug as Reported by the Investigator. | Relatedness not reported | 26 adverse events |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Adverse Event Relatedness to Study Drug as Reported by the Investigator. | Related to treatment | 20 adverse events |
Safety as Measured by Dose Adjustment Upon Incidence of an Adverse Event
To evaluate the overall safety of ezetimibe as measured by action taken by the investigator upon incidence of an adverse event
Time frame: 28 days after Visit 1
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Dose Adjustment Upon Incidence of an Adverse Event | Treatment dosage unchanged | 45 adverse event |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Dose Adjustment Upon Incidence of an Adverse Event | Treatment dosage reduced | 6 adverse event |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Dose Adjustment Upon Incidence of an Adverse Event | Treatment temporarily discontinued | 3 adverse event |
Safety as Measured by Number and Type of Adverse Events.
Evaluation of the overall safety of ezetimibe as measured by the number and type of adverse events.
Time frame: 28 days after Visit 1
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Number and Type of Adverse Events. | gastrointestinal upset | 2 adverse events |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Number and Type of Adverse Events. | abdominal pain | 4 adverse events |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Number and Type of Adverse Events. | body weakness | 1 adverse events |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Number and Type of Adverse Events. | constipation | 3 adverse events |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Number and Type of Adverse Events. | crampy abdominal pain | 1 adverse events |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Number and Type of Adverse Events. | diarrhea | 6 adverse events |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Number and Type of Adverse Events. | dizziness | 4 adverse events |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Number and Type of Adverse Events. | epigastric discomfort | 1 adverse events |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Number and Type of Adverse Events. | flatulence | 2 adverse events |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Number and Type of Adverse Events. | headache | 13 adverse events |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Number and Type of Adverse Events. | leg cramps/muscle pain | 1 adverse events |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Number and Type of Adverse Events. | mild myalgia | 2 adverse events |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Number and Type of Adverse Events. | myalgia | 4 adverse events |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Number and Type of Adverse Events. | nausea | 7 adverse events |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Number and Type of Adverse Events. | oily flatus | 1 adverse events |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Number and Type of Adverse Events. | urticaria | 1 adverse events |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Number and Type of Adverse Events. | vague abdominal discomfort | 1 adverse events |
Safety as Measured by Number of Subjects With at Least One Adverse Event
Evaluation of the overall safety of ezetimibe as measured by number of subjects who experienced at least one adverse event
Time frame: 28 days after Visit 1
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Number of Subjects With at Least One Adverse Event | 45 subjects |
Safety as Measured by Outcome of Adverse Events
To evaluate overall safety of ezetimibe as measured by outcome of adverse events
Time frame: 28 days after Visit 1
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Outcome of Adverse Events | Adverse event cleared | 49 adverse events |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Outcome of Adverse Events | Adverse event still present | 2 adverse events |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Outcome of Adverse Events | Adverse event outcome not reported | 3 adverse events |
Safety as Measured by Severity of Adverse Events as Determined by the Investigator
To evaulate the safety of ezetimibe as measured by severity of adverse events, as determined by the investigator
Time frame: 28 days after Visit 1
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Severity of Adverse Events as Determined by the Investigator | Mild adverse events | 49 adverse events |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Severity of Adverse Events as Determined by the Investigator | Moderate adverse events | 4 adverse events |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Safety as Measured by Severity of Adverse Events as Determined by the Investigator | Severe adverse events | 1 adverse events |
Tolerability as Measured by Subject Self-assessment
Evaluation of the overall tolerability of ezetimibe as measured by subject self-assessment
Time frame: 28 days after Visit 1
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Ezetimibe as Prescribed by the Physician in Normal Practice | Tolerability as Measured by Subject Self-assessment | Excellent | 1325 subjects |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Tolerability as Measured by Subject Self-assessment | Very good | 1956 subjects |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Tolerability as Measured by Subject Self-assessment | Good | 713 subjects |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Tolerability as Measured by Subject Self-assessment | Fair | 54 subjects |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Tolerability as Measured by Subject Self-assessment | Poor | 3 subjects |
| Ezetimibe as Prescribed by the Physician in Normal Practice | Tolerability as Measured by Subject Self-assessment | Not reported | 54 subjects |
To Evaluate the Efficacy of Ezetimibe in Lowering Serum Cholesterol Levels 28 Days After Visit 1 (Baseline)
Change in mean total cholesterol values
Time frame: 28 days after Visit 1
Population: All enrolled subjects who had both baseline and post-treatment samples collected for cholesterol measurements
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Ezetimibe as Prescribed by the Physician in Normal Practice | To Evaluate the Efficacy of Ezetimibe in Lowering Serum Cholesterol Levels 28 Days After Visit 1 (Baseline) | -62.70 mg/dL | Standard Deviation 47.05 |