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Pediatric Study to Evaluate the Efficacy and Safety of Ezetimibe Monotherapy in Children With Primary Hypercholesterolemia (P05522)

A Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Efficacy and Safety Study of Ezetimibe Monotherapy in Children (Ages 6 to 10 Years) With Primary Hypercholesterolemia (Heterozygous Familial and Nonfamilial) (Phase 3, Protocol No. P05522)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00867165
Enrollment
138
Registered
2009-03-23
Start date
2009-05-21
Completion date
2012-04-13
Last updated
2024-05-21

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

Conditions

Primary Hypercholesterolemia

Keywords

heterozygous familial hypercholesterolemia, nonfamilial hypercholesterolemia

Brief summary

The purpose of this study is to determine the effect of ezetimibe 10 mg/day compared to placebo on the reduction of low-density lipoprotein cholesterol (LDL-C) from baseline to 12 weeks of treatment in children \>=6 to \<=10 years old with primary hypercholesterolemia. The study will also evaluate the effect of ezetimibe on total cholesterol (TC), apolipoprotein B (Apo B), high-density lipoprotein cholesterol (HDL-C), non-HDL-C, and triglycerides (TG). The safety of ezetimibe in this subject population will also be evaluated.

Interventions

DRUGezetimibe

oral tablets: ezetimibe 10 mg once daily for 12 weeks

DRUGPlacebo

oral tablets: placebo to match ezetimibe 10 mg; administered once daily during the 5-week, single-blind, placebo run-in and diet stabilization period and 12-week double-blind treatment period

Sponsors

Merck Sharp & Dohme LLC
CollaboratorINDUSTRY
Organon and Co
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

Inclusion criteria

* Each subject may be of either sex and of any race/ethnicity, and must be \>=6 and \<=10 years of age, with a diagnosis of primary hypercholesterolemia (heterozygous familial or nonfamilial) despite being on a lipid-lowering diet for at least 3 months with a LDL-C of \>159mg/dL * Each subject's parent/guardian must be willing to give written informed consent on his/her behalf.

Exclusion criteria

Each subject must not: * Have known hypersensitivity or any contraindication to ezetimibe. * Have use of any investigational drugs within 30 days of study entry. * Be a member or a family member of the personnel of the investigational or sponsor staff directly involved with this trial. * Be a female of child-bearing potential who is pregnant, intends to become pregnant, or is nursing * Have known congenital cardiac disorder. * Have documented or laboratory values consistent with homozygous familial hypercholesterolemia (HoFH). * Be known to be human immunodeficiency virus (HIV) positive.

Design outcomes

Primary

MeasureTime frameDescription
Percentage Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C) at Week 12Baseline and Week 12Serum LDL-C levels calculated at baseline and after 12 weeks of study drug administration. LDL-C were calculated by the method of Friedewald equation, LDL-C = Total Cholesterol (TC) - (High-density lipoprotein cholesterol \[HDL-C\] + triglyceride \[TG\]/5).

Secondary

MeasureTime frameDescription
Percentage Change From Baseline in Total Cholesterol (TC) at Week 12Baseline and Week 12Serum TC levels measured using enzymatic methods at baseline and after 12 weeks of study drug administration.
Percentage Change From Baseline in Apolipoprotein B (Apo B) at Week 12Baseline and Week 12Serum Apo B measured at baseline and after 12 weeks of study drug administration.
Percentage Change From Baseline High-density Lipoprotein Cholesterol (HDL-C) at Week 12Baseline and Week 12Serum HDL-C levels measured by photometry after precipitation at baseline and after 12 weeks of study drug administration.
Percentage Change From Baseline in Non-HDL-C at Week 12Baseline and Week 12Serum Non-HDL-C calculated at baseline and after 12 weeks of study drug administration. Non-HDL-C values were calculated as follows: Non-HDL-C (mg/dL) = TC - HDL-C.
Percentage Change From Baseline in Triglycerides (TG) at Week 12Baseline and Week 12Serum TG levels measured using enzymatic methods at baseline and after 12 weeks of study drug.
Percent Change From Baseline in LDL-C at Week 2Baseline and Week 2Serum LDL-C levels calculated at baseline and after 2 weeks of study drug administration. LDL-C were calculated by the method of Friedewald equation, LDL-C = Total Cholesterol (TC) - (High-density lipoprotein cholesterol \[HDL-C\] + triglyceride \[TG\]/5).
Percent Change From Baseline in LDL-C at Week 4Baseline and Week 4Serum LDL-C levels calculated at baseline and after 4 weeks of study drug administration. LDL-C were calculated by the method of Friedewald equation, LDL-C = Total Cholesterol (TC) - (High-density lipoprotein cholesterol \[HDL-C\] + triglyceride \[TG\]/5).
Percent Change From Baseline in LDL-C at Week 8Baseline and Week 8Serum LDL-C levels calculated at baseline and after 8 weeks of study drug administration. LDL-C were calculated by the method of Friedewald equation, LDL-C = Total Cholesterol (TC) - (High-density lipoprotein cholesterol \[HDL-C\] + triglyceride \[TG\]/5).
Percentage Change From Baseline in TC at Week 2Baseline and Week 2Serum TC levels measured using enzymatic methods at baseline and after 2 weeks of study drug administration.
Percentage Change From Baseline in TC at Week 4Baseline and Week 4Serum TC levels measured using enzymatic methods at baseline and after 4 weeks of study drug administration.
Percentage Change From Baseline in TC at Week 8Baseline and Week 8Serum TC levels measured using enzymatic methods at baseline and after 8 weeks of study drug administration.
Percentage Change From Baseline HDL-C at Week 2Baseline and Week 2Serum HDL-C levels measured by photometry after precipitation at baseline and after 2 weeks of study drug administration.
Percentage Change From Baseline HDL-C at Week 4Baseline and Week 4Serum HDL-C levels measured by photometry after precipitation at baseline and after 4 weeks of study drug administration.
Percentage Change From Baseline HDL-C at Week 8Baseline and Week 8Serum HDL-C levels measured by photometry after precipitation at baseline and after 8 weeks of study drug administration.
Percentage Change From Baseline in Non-HDL-C at Week 2Baseline and Week 2Serum Non-HDL-C calculated at baseline and after 2 weeks of study drug administration. Non-HDL-C values were calculated as follows: Non-HDL-C (mg/dL) = TC - HDL-C.
Percentage Change From Baseline in Non-HDL-C at Week 4Baseline and Week 4Serum Non-HDL-C calculated at baseline and after 4 weeks of study drug administration. Non-HDL-C values were calculated as follows: Non-HDL-C (mg/dL) = TC - HDL-C.
Percentage Change From Baseline in Non-HDL-C at Week 8Baseline and Week 8Serum Non-HDL-C calculated at baseline and after 8 weeks of study drug administration. Non-HDL-C values were calculated as follows: Non-HDL-C (mg/dL) = TC - HDL-C.
Percentage Change From Baseline in TG at Week 2Baseline and Week 2Serum TG levels measured using enzymatic methods at baseline and after 2 weeks of study drug administration.
Percentage Change From Baseline in TG at Week 4Baseline and Week 4Serum TG levels measured using enzymatic methods at baseline and after 4 weeks of study drug administration.
Percentage Change From Baseline in TG at Week 8Baseline and Week 8Serum TG levels measured using enzymatic methods at baseline and after 8 weeks of study drug administration.
Percentage Change From Baseline in Apolipoprotein A-I (Apo A-I) at Week 12Baseline and Week 12Serum Apo A-I levels measured at baseline and after 12 weeks of study drug administration.
Percentage Change From Baseline in TC:HDL-C Ratio at Week 2Baseline and Week 2Serum TC:HDL-C Ratio calculated at baseline and after 2 weeks of study drug administration.
Percentage Change From Baseline in TC:HDL-C Ratio at Week 4Baseline and Week 4Serum TC:HDL-C Ratio calculated at baseline and after 4 weeks of study drug administration.
Percentage Change From Baseline in TC:HDL-C Ratio at Week 8Baseline and Week 8Serum TC:HDL-C Ratio calculated at baseline and after 8 weeks of study drug administration.
Percentage Change From Baseline in TC:HDL-C Ratio at Week 12Baseline and Week 12Serum TC:HDL-C Ratio calculated at baseline and after 12 weeks of study drug administration.
Percentage Change From Baseline in LDL-C:HDL-C Ratio at Week 2Baseline and Week 2Serum LDL-C:HDL-C Ratio calculated at baseline and after 2 weeks of study drug administration.
Percentage Change From Baseline in LDL-C:HDL-C Ratio at Week 4Baseline and Week 4Serum LDL-C:HDL-C Ratio calculated at baseline and after 4 weeks of study drug administration.
Percentage Change From Baseline in LDL-C:HDL-C Ratio at Week 8Baseline and Week 8Serum LDL-C:HDL-C Ratio calculated at baseline and after 8 weeks of study drug administration.
Percentage Change From Baseline in LDL-C:HDL-C Ratio at Week 12Baseline and Week 12Serum LDL-C:HDL-C Ratio calculated at baseline and after 12 weeks of study drug administration.
Percentage Change From Baseline in Apo B:Apo A-I Ratio at Week 12Baseline and Week 12Serum Apo B:Apo A-I Ratio calculated at baseline and after 12 weeks of study drug administration
Percentage Change From Baseline in High-sensitivity C-reactive Protein (Hs-CRP) at Week 4Baseline and Week 4Plasma hs-CRP measured at baseline and after 4 weeks of study drug administration.
Percentage Change From Baseline in High-sensitivity C-reactive Protein (Hs-CRP) at Week 12Baseline and Week 12Plasma hs-CRP measured at baseline and after 12 weeks of study drug administration.
Percent Change From Baseline in Sitosterol at Week 2Baseline and Week 2Plasma sitosterol measured at baseline and after 2 weeks of study drug administration.
Percentage Change From Baseline in Sitosterol at Week 4Baseline and Week 4Plasma sitosterol measured at baseline and after 4 weeks of study drug administration.
Percentage Change From Baseline in Sitosterol at Week 8Baseline and Week 8Plasma sitosterol measured at baseline and after 8 weeks of study drug administration.
Percentage Change From Baseline in Sitosterol at Week 12Baseline and Week 12Plasma sitosterol measured at baseline and after 12 weeks of study drug administration.
Percentage Change From Baseline in Campesterol at Week 2Baseline and Week 2Plasma campesterol measured at baseline and after 2 weeks of study drug administration.
Percentage Change From Baseline in Campesterol at Week 8Baseline and Week 8Plasma campesterol measured at baseline and after 8 weeks of study drug administration.
Percentage Change From Baseline in Campesterol at Week 12Baseline and Week 12Plasma campesterol measured at baseline and after 12 weeks of study drug administration.
Percentage Change From Baseline in Cholestanol at Week 2Baseline and Week 2Plasma cholestanol measured at baseline and after 2 weeks of study drug administration.
Percentage Change From Baseline in Cholestanol at Week 4Baseline and Week 4Plasma cholestanol measured at baseline and after 4 weeks of study drug administration.
Percentage Change From Baseline in Campesterol at Week 4Baseline and Week 4Plasma campesterol measured at baseline and after 4 weeks of study drug administration.
Percentage Change From Baseline in Cholestanol at Week 12Baseline and Week 12Plasma cholestanol measured at baseline and after 12 weeks of study drug administration.
Percentage Change From Baseline in Lathosterol at Week 2Baseline and Week 2Plasma lathosterol measured at baseline and after 2 weeks of study drug administration.
Percentage Change From Baseline in Lathosterol at Week 4Baseline and Week 4Plasma lathosterol measured at baseline and after 4 weeks of study drug administration.
Percentage Change From Baseline in Lathosterol at Week 8Baseline and Week 8Plasma lathosterol measured at baseline and after 8 weeks of study drug administration.
Percentage Change From Baseline in Lathosterol at Week 12Baseline and Week 12Plasma lathosterol measured at baseline and after 12 weeks of study drug administration.
Percentage Change From Baseline in Cholestanol at Week 8Baseline and Week 8Plasma cholestanol measured at baseline and after 8 weeks of study drug administration.

Participant flow

Participants by arm

ArmCount
Ezetimibe
Ezetimibe 10-mg tablet once daily for 12 weeks
93
Placebo
Placebo to match ezetimibe 10-mg tablet once daily for 12 weeks
45
Total138

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event30
Overall StudyWithdrawal by Subject10

Baseline characteristics

CharacteristicEzetimibePlaceboTotal
Age, Continuous8.2 years
STANDARD_DEVIATION 1.7
8.5 years
STANDARD_DEVIATION 1.6
8.3 years
STANDARD_DEVIATION 1.6
Sex: Female, Male
Female
52 Participants27 Participants79 Participants
Sex: Female, Male
Male
41 Participants18 Participants59 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
27 / 9218 / 45
serious
Total, serious adverse events
2 / 920 / 45

Outcome results

Primary

Percentage Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C) at Week 12

Serum LDL-C levels calculated at baseline and after 12 weeks of study drug administration. LDL-C were calculated by the method of Friedewald equation, LDL-C = Total Cholesterol (TC) - (High-density lipoprotein cholesterol \[HDL-C\] + triglyceride \[TG\]/5).

Time frame: Baseline and Week 12

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study~medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C) at Week 12-27.70 Percent Change
PlaceboPercentage Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C) at Week 12-0.95 Percent Change
p-value: <0.00195% CI: [-30.8, -22.69]ANCOVA
Secondary

Percentage Change From Baseline HDL-C at Week 2

Serum HDL-C levels measured by photometry after precipitation at baseline and after 2 weeks of study drug administration.

Time frame: Baseline and Week 2

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline HDL-C at Week 20.01 Percentage Change
PlaceboPercentage Change From Baseline HDL-C at Week 20.96 Percentage Change
p-value: 0.73395% CI: [-6.46, 4.55]ANCOVA
Secondary

Percentage Change From Baseline HDL-C at Week 4

Serum HDL-C levels measured by photometry after precipitation at baseline and after 4 weeks of study drug administration.

Time frame: Baseline and Week 4

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline HDL-C at Week 40.86 Percentage Change
PlaceboPercentage Change From Baseline HDL-C at Week 40.33 Percentage Change
p-value: 0.86395% CI: [-5.59, 6.66]ANCOVA
Secondary

Percentage Change From Baseline HDL-C at Week 8

Serum HDL-C levels measured by photometry after precipitation at baseline and after 8 weeks of study drug administration.

Time frame: Baseline and Week 8

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline HDL-C at Week 81.41 Percentage Change
PlaceboPercentage Change From Baseline HDL-C at Week 8-0.52 Percentage Change
p-value: 0.50195% CI: [-3.71, 7.56]ANCOVA
Secondary

Percentage Change From Baseline High-density Lipoprotein Cholesterol (HDL-C) at Week 12

Serum HDL-C levels measured by photometry after precipitation at baseline and after 12 weeks of study drug administration.

Time frame: Baseline and Week 12

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline High-density Lipoprotein Cholesterol (HDL-C) at Week 122.11 Percentage Change
PlaceboPercentage Change From Baseline High-density Lipoprotein Cholesterol (HDL-C) at Week 121.41 Percentage Change
p-value: 0.80795% CI: [-4.97, 6.36]ANCOVA
Secondary

Percentage Change From Baseline in Apo B:Apo A-I Ratio at Week 12

Serum Apo B:Apo A-I Ratio calculated at baseline and after 12 weeks of study drug administration

Time frame: Baseline and Week 12

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in Apo B:Apo A-I Ratio at Week 12-22.16 Percentage Change
PlaceboPercentage Change From Baseline in Apo B:Apo A-I Ratio at Week 12-2.87 Percentage Change
p-value: <0.00195% CI: [-23.87, -14.7]ANCOVA
Secondary

Percentage Change From Baseline in Apolipoprotein A-I (Apo A-I) at Week 12

Serum Apo A-I levels measured at baseline and after 12 weeks of study drug administration.

Time frame: Baseline and Week 12

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in Apolipoprotein A-I (Apo A-I) at Week 121.80 Percentage Change
PlaceboPercentage Change From Baseline in Apolipoprotein A-I (Apo A-I) at Week 123.71 Percentage Change
p-value: 0.37395% CI: [-6.15, 2.32]ANCOVA
Secondary

Percentage Change From Baseline in Apolipoprotein B (Apo B) at Week 12

Serum Apo B measured at baseline and after 12 weeks of study drug administration.

Time frame: Baseline and Week 12

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in Apolipoprotein B (Apo B) at Week 12-21.66 Percent Change
PlaceboPercentage Change From Baseline in Apolipoprotein B (Apo B) at Week 12-1.42 Percent Change
p-value: <0.00195% CI: [-24.02, -16.45]ANCOVA
Secondary

Percentage Change From Baseline in Campesterol at Week 12

Plasma campesterol measured at baseline and after 12 weeks of study drug administration.

Time frame: Baseline and Week 12

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in Campesterol at Week 12-67.59 Percentage Change
PlaceboPercentage Change From Baseline in Campesterol at Week 12-2.92 Percentage Change
p-value: <0.00195% CI: [-74.11, -55.23]ANCOVA
Secondary

Percentage Change From Baseline in Campesterol at Week 2

Plasma campesterol measured at baseline and after 2 weeks of study drug administration.

Time frame: Baseline and Week 2

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in Campesterol at Week 2-53.87 Percentage Change
PlaceboPercentage Change From Baseline in Campesterol at Week 2-4.38 Percentage Change
p-value: <0.00195% CI: [-54.83, -44.14]ANCOVA
Secondary

Percentage Change From Baseline in Campesterol at Week 4

Plasma campesterol measured at baseline and after 4 weeks of study drug administration.

Time frame: Baseline and Week 4

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in Campesterol at Week 4-62.27 Percentage Change
PlaceboPercentage Change From Baseline in Campesterol at Week 4-4.28 Percentage Change
p-value: <0.00195% CI: [-62.87, -53.11]ANCOVA
Secondary

Percentage Change From Baseline in Campesterol at Week 8

Plasma campesterol measured at baseline and after 8 weeks of study drug administration.

Time frame: Baseline and Week 8

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in Campesterol at Week 8-66.79 Percentage Change
PlaceboPercentage Change From Baseline in Campesterol at Week 8-4.19 Percentage Change
p-value: <0.00195% CI: [-68.54, -56.66]ANCOVA
Secondary

Percentage Change From Baseline in Cholestanol at Week 12

Plasma cholestanol measured at baseline and after 12 weeks of study drug administration.

Time frame: Baseline and Week 12

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in Cholestanol at Week 12-28.71 Percentage Change
PlaceboPercentage Change From Baseline in Cholestanol at Week 123.42 Percentage Change
p-value: <0.00195% CI: [-40.38, -23.9]ANCOVA
Secondary

Percentage Change From Baseline in Cholestanol at Week 2

Plasma cholestanol measured at baseline and after 2 weeks of study drug administration.

Time frame: Baseline and Week 2

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in Cholestanol at Week 2-25.44 Percentage Change
PlaceboPercentage Change From Baseline in Cholestanol at Week 2-7.09 Percentage Change
p-value: <0.00195% CI: [-24.7, -11.99]ANCOVA
Secondary

Percentage Change From Baseline in Cholestanol at Week 4

Plasma cholestanol measured at baseline and after 4 weeks of study drug administration.

Time frame: Baseline and Week 4

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in Cholestanol at Week 4-27.40 Percentage Change
PlaceboPercentage Change From Baseline in Cholestanol at Week 4-1.79 Percentage Change
p-value: <0.00195% CI: [-31.2, -20.02]ANCOVA
Secondary

Percentage Change From Baseline in Cholestanol at Week 8

Plasma cholestanol measured at baseline and after 8 weeks of study drug administration.

Time frame: Baseline and Week 8

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in Cholestanol at Week 8-29.19 Percentage Change
PlaceboPercentage Change From Baseline in Cholestanol at Week 8-0.44 Percentage Change
p-value: <0.00195% CI: [-34.89, -22.59]ANCOVA
Secondary

Percentage Change From Baseline in High-sensitivity C-reactive Protein (Hs-CRP) at Week 12

Plasma hs-CRP measured at baseline and after 12 weeks of study drug administration.

Time frame: Baseline and Week 12

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in High-sensitivity C-reactive Protein (Hs-CRP) at Week 129.35 Percentage Change
PlaceboPercentage Change From Baseline in High-sensitivity C-reactive Protein (Hs-CRP) at Week 12-7.92 Percentage Change
p-value: 0.38295% CI: [-20.46, 55]Constrained longitudinal data analysis
Secondary

Percentage Change From Baseline in High-sensitivity C-reactive Protein (Hs-CRP) at Week 4

Plasma hs-CRP measured at baseline and after 4 weeks of study drug administration.

Time frame: Baseline and Week 4

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in High-sensitivity C-reactive Protein (Hs-CRP) at Week 410.00 Percentage Change
PlaceboPercentage Change From Baseline in High-sensitivity C-reactive Protein (Hs-CRP) at Week 456.11 Percentage Change
p-value: 0.11695% CI: [-108.14, 15.92]Constrained longitudinal data analysis
Secondary

Percentage Change From Baseline in Lathosterol at Week 12

Plasma lathosterol measured at baseline and after 12 weeks of study drug administration.

Time frame: Baseline and Week 12

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in Lathosterol at Week 1236.62 Percentage Change
PlaceboPercentage Change From Baseline in Lathosterol at Week 1212.57 Percentage Change
p-value: <0.00195% CI: [10.43, 37.67]ANCOVA
Secondary

Percentage Change From Baseline in Lathosterol at Week 2

Plasma lathosterol measured at baseline and after 2 weeks of study drug administration.

Time frame: Baseline and Week 2

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in Lathosterol at Week 234.07 Percentage Change
PlaceboPercentage Change From Baseline in Lathosterol at Week 214.06 Percentage Change
p-value: 0.00195% CI: [8.1, 31.91]ANCOVA
Secondary

Percentage Change From Baseline in Lathosterol at Week 4

Plasma lathosterol measured at baseline and after 4 weeks of study drug administration.

Time frame: Baseline and Week 4

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in Lathosterol at Week 433.02 Percentage Change
PlaceboPercentage Change From Baseline in Lathosterol at Week 46.73 Percentage Change
p-value: <0.00195% CI: [13.99, 38.58]ANCOVA
Secondary

Percentage Change From Baseline in Lathosterol at Week 8

Plasma lathosterol measured at baseline and after 8 weeks of study drug administration.

Time frame: Baseline and Week 8

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in Lathosterol at Week 835.87 Percentage Change
PlaceboPercentage Change From Baseline in Lathosterol at Week 8-0.82 Percentage Change
p-value: <0.00195% CI: [24.12, 49.28]ANCOVA
Secondary

Percentage Change From Baseline in LDL-C:HDL-C Ratio at Week 12

Serum LDL-C:HDL-C Ratio calculated at baseline and after 12 weeks of study drug administration.

Time frame: Baseline and Week 12

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in LDL-C:HDL-C Ratio at Week 12-28.01 Percentage Change
PlaceboPercentage Change From Baseline in LDL-C:HDL-C Ratio at Week 120.34 Percentage Change
p-value: <0.00195% CI: [-34.41, -22.29]ANCOVA
Secondary

Percentage Change From Baseline in LDL-C:HDL-C Ratio at Week 2

Serum LDL-C:HDL-C Ratio calculated at baseline and after 2 weeks of study drug administration.

Time frame: Baseline and Week 2

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in LDL-C:HDL-C Ratio at Week 2-23.35 Percentage Change
PlaceboPercentage Change From Baseline in LDL-C:HDL-C Ratio at Week 21.15 Percentage Change
p-value: <0.00195% CI: [-29.88, -19.12]ANCOVA
Secondary

Percentage Change From Baseline in LDL-C:HDL-C Ratio at Week 4

Serum LDL-C:HDL-C Ratio calculated at baseline and after 4 weeks of study drug administration.

Time frame: Baseline and Week 4

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in LDL-C:HDL-C Ratio at Week 4-25.72 Percentage Change
PlaceboPercentage Change From Baseline in LDL-C:HDL-C Ratio at Week 4-0.57 Percentage Change
p-value: <0.00195% CI: [-30.69, -19.62]ANCOVA
Secondary

Percentage Change From Baseline in LDL-C:HDL-C Ratio at Week 8

Serum LDL-C:HDL-C Ratio calculated at baseline and after 8 weeks of study drug administration.

Time frame: Baseline and Week 8

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in LDL-C:HDL-C Ratio at Week 8-26.43 Percentage Change
PlaceboPercentage Change From Baseline in LDL-C:HDL-C Ratio at Week 82.87 Percentage Change
p-value: <0.00195% CI: [-35.71, -22.91]ANCOVA
Secondary

Percentage Change From Baseline in Non-HDL-C at Week 12

Serum Non-HDL-C calculated at baseline and after 12 weeks of study drug administration. Non-HDL-C values were calculated as follows: Non-HDL-C (mg/dL) = TC - HDL-C.

Time frame: Baseline and Week 12

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in Non-HDL-C at Week 12-25.47 Percentage Change
PlaceboPercentage Change From Baseline in Non-HDL-C at Week 120.28 Percentage Change
p-value: <0.00195% CI: [-29.59, -21.91]ANCOVA
Secondary

Percentage Change From Baseline in Non-HDL-C at Week 2

Serum Non-HDL-C calculated at baseline and after 2 weeks of study drug administration. Non-HDL-C values were calculated as follows: Non-HDL-C (mg/dL) = TC - HDL-C.

Time frame: Baseline and Week 2

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in Non-HDL-C at Week 2-22.54 Percentage Change
PlaceboPercentage Change From Baseline in Non-HDL-C at Week 21.64 Percentage Change
p-value: <0.00195% CI: [-27.78, -20.58]ANCOVA
Secondary

Percentage Change From Baseline in Non-HDL-C at Week 4

Serum Non-HDL-C calculated at baseline and after 4 weeks of study drug administration. Non-HDL-C values were calculated as follows: Non-HDL-C (mg/dL) = TC - HDL-C.

Time frame: Baseline and Week 4

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in Non-HDL-C at Week 4-24.94 Percentage Change
PlaceboPercentage Change From Baseline in Non-HDL-C at Week 4-0.33 Percentage Change
p-value: <0.00195% CI: [-28.06, -21.16]ANCOVA
Secondary

Percentage Change From Baseline in Non-HDL-C at Week 8

Serum Non-HDL-C calculated at baseline and after 8 weeks of study drug administration. Non-HDL-C values were calculated as follows: Non-HDL-C (mg/dL) = TC - HDL-C.

Time frame: Baseline and Week 8

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in Non-HDL-C at Week 8-25.41 Percentage Change
PlaceboPercentage Change From Baseline in Non-HDL-C at Week 81.14 Percentage Change
p-value: <0.00195% CI: [-30.35, -22.75]ANCOVA
Secondary

Percentage Change From Baseline in Sitosterol at Week 12

Plasma sitosterol measured at baseline and after 12 weeks of study drug administration.

Time frame: Baseline and Week 12

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in Sitosterol at Week 12-60.65 Percentage Change
PlaceboPercentage Change From Baseline in Sitosterol at Week 122.09 Percentage Change
p-value: 0.00195% CI: [-73.22, -52.26]ANCOVA
Secondary

Percentage Change From Baseline in Sitosterol at Week 4

Plasma sitosterol measured at baseline and after 4 weeks of study drug administration.

Time frame: Baseline and Week 4

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in Sitosterol at Week 4-58.82 Percentage Change
PlaceboPercentage Change From Baseline in Sitosterol at Week 4-0.30 Percentage Change
p-value: <0.00195% CI: [-63.67, -53.38]ANCOVA
Secondary

Percentage Change From Baseline in Sitosterol at Week 8

Plasma sitosterol measured at baseline and after 8 weeks of study drug administration.

Time frame: Baseline and Week 8

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in Sitosterol at Week 8-61.59 Percentage Change
PlaceboPercentage Change From Baseline in Sitosterol at Week 8-0.57 Percentage Change
p-value: <0.00195% CI: [-67.51, -54.53]ANCOVA
Secondary

Percentage Change From Baseline in TC at Week 2

Serum TC levels measured using enzymatic methods at baseline and after 2 weeks of study drug administration.

Time frame: Baseline and Week 2

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in TC at Week 2-18.69 Percentage Change
PlaceboPercentage Change From Baseline in TC at Week 21.40 Percentage Change
p-value: <0.00195% CI: [-23.3, -16.89]ANCOVA
Secondary

Percentage Change From Baseline in TC at Week 4

Serum TC levels measured using enzymatic methods at baseline and after 4 weeks of study drug administration.

Time frame: Baseline and Week 4

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in TC at Week 4-20.57 Percentage Change
PlaceboPercentage Change From Baseline in TC at Week 4-0.29 Percentage Change
p-value: <0.00195% CI: [-23.39, -17.15]ANCOVA
Secondary

Percentage Change From Baseline in TC at Week 8

Serum TC levels measured using enzymatic methods at baseline and after 8 weeks of study drug administration.

Time frame: Baseline and Week 8

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in TC at Week 8-20.84 Percentage Change
PlaceboPercentage Change From Baseline in TC at Week 80.54 Percentage Change
p-value: <0.00195% CI: [-24.67, -18.08]ANCOVA
Secondary

Percentage Change From Baseline in TC:HDL-C Ratio at Week 12

Serum TC:HDL-C Ratio calculated at baseline and after 12 weeks of study drug administration.

Time frame: Baseline and Week 12

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in TC:HDL-C Ratio at Week 12-21.09 Percentage Change
PlaceboPercentage Change From Baseline in TC:HDL-C Ratio at Week 121.20 Percentage Change
p-value: <0.00195% CI: [-27.25, -17.34]ANCOVA
Secondary

Percentage Change From Baseline in TC:HDL-C Ratio at Week 2

Serum TC:HDL-C Ratio calculated at baseline and after 2 weeks of study drug administration.

Time frame: Baseline and Week 2

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in TC:HDL-C Ratio at Week 2-17.21 Percentage Change
PlaceboPercentage Change From Baseline in TC:HDL-C Ratio at Week 22.56 Percentage Change
p-value: <0.00195% CI: [-24.7, -14.82]ANCOVA
Secondary

Percentage Change From Baseline in TC:HDL-C Ratio at Week 4

Serum TC:HDL-C Ratio calculated at baseline and after 4 weeks of study drug administration.

Time frame: Baseline and Week 4

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in TC:HDL-C Ratio at Week 4-19.36 Percentage Change
PlaceboPercentage Change From Baseline in TC:HDL-C Ratio at Week 41.48 Percentage Change
p-value: <0.00195% CI: [-25.59, -16.07]ANCOVA
Secondary

Percentage Change From Baseline in TC:HDL-C Ratio at Week 8

Serum TC:HDL-C Ratio calculated at baseline and after 8 weeks of study drug administration.

Time frame: Baseline and Week 8

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in TC:HDL-C Ratio at Week 8-20.07 Percentage Change
PlaceboPercentage Change From Baseline in TC:HDL-C Ratio at Week 83.41 Percentage Change
p-value: <0.00195% CI: [-29, -17.97]ANCOVA
Secondary

Percentage Change From Baseline in TG at Week 2

Serum TG levels measured using enzymatic methods at baseline and after 2 weeks of study drug administration.

Time frame: Baseline and Week 2

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in TG at Week 2-3.90 Percentage Change
PlaceboPercentage Change From Baseline in TG at Week 25.83 Percentage Change
p-value: 0.13795% CI: [-22.73, 3.27]Constrained longitudinal data analysis
Secondary

Percentage Change From Baseline in TG at Week 4

Serum TG levels measured using enzymatic methods at baseline and after 4 weeks of study drug administration.

Time frame: Baseline and Week 4

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in TG at Week 4-5.54 Percentage Change
PlaceboPercentage Change From Baseline in TG at Week 49.65 Percentage Change
p-value: 0.00595% CI: [-26.05, -4.34]Constrained longitudinal data analysis
Secondary

Percentage Change From Baseline in TG at Week 8

Serum TG levels measured using enzymatic methods at baseline and after 8 weeks of study drug administration.

Time frame: Baseline and Week 8

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in TG at Week 8-9.99 Percentage Change
PlaceboPercentage Change From Baseline in TG at Week 8-1.38 Percentage Change
p-value: 0.14995% CI: [-20.44, 3.23]Constrained longitudinal data analysis
Secondary

Percentage Change From Baseline in Total Cholesterol (TC) at Week 12

Serum TC levels measured using enzymatic methods at baseline and after 12 weeks of study drug administration.

Time frame: Baseline and Week 12

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study~medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in Total Cholesterol (TC) at Week 12-20.74 Percentage Change
PlaceboPercentage Change From Baseline in Total Cholesterol (TC) at Week 120.19 Percentage Change
p-value: <0.00195% CI: [-24.2, -17.65]ANCOVA
Secondary

Percentage Change From Baseline in Triglycerides (TG) at Week 12

Serum TG levels measured using enzymatic methods at baseline and after 12 weeks of study drug.

Time frame: Baseline and Week 12

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercentage Change From Baseline in Triglycerides (TG) at Week 12-6.23 Percentage change
PlaceboPercentage Change From Baseline in Triglycerides (TG) at Week 128.44 Percentage change
p-value: 0.02195% CI: [-27.35, -2]Constrained longitudinal data analysis
Secondary

Percent Change From Baseline in LDL-C at Week 2

Serum LDL-C levels calculated at baseline and after 2 weeks of study drug administration. LDL-C were calculated by the method of Friedewald equation, LDL-C = Total Cholesterol (TC) - (High-density lipoprotein cholesterol \[HDL-C\] + triglyceride \[TG\]/5).

Time frame: Baseline and Week 2

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercent Change From Baseline in LDL-C at Week 2-24.75 Percentage Change
PlaceboPercent Change From Baseline in LDL-C at Week 20.23 Percentage Change
p-value: <0.00195% CI: [-28.95, -20.99]ANCOVA
Secondary

Percent Change From Baseline in LDL-C at Week 4

Serum LDL-C levels calculated at baseline and after 4 weeks of study drug administration. LDL-C were calculated by the method of Friedewald equation, LDL-C = Total Cholesterol (TC) - (High-density lipoprotein cholesterol \[HDL-C\] + triglyceride \[TG\]/5).

Time frame: Baseline and Week 4

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercent Change From Baseline in LDL-C at Week 4-26.93 Percentage Change
PlaceboPercent Change From Baseline in LDL-C at Week 4-2.99 Percentage Change
p-value: <0.00195% CI: [-27.49, -20.39]ANCOVA
Secondary

Percent Change From Baseline in LDL-C at Week 8

Serum LDL-C levels calculated at baseline and after 8 weeks of study drug administration. LDL-C were calculated by the method of Friedewald equation, LDL-C = Total Cholesterol (TC) - (High-density lipoprotein cholesterol \[HDL-C\] + triglyceride \[TG\]/5).

Time frame: Baseline and Week 8

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercent Change From Baseline in LDL-C at Week 8-27.22 Percentage Change
PlaceboPercent Change From Baseline in LDL-C at Week 80.49 Percentage Change
p-value: <0.00195% CI: [-31.7, -23.73]ANCOVA
Secondary

Percent Change From Baseline in Sitosterol at Week 2

Plasma sitosterol measured at baseline and after 2 weeks of study drug administration.

Time frame: Baseline and Week 2

Population: Full Analysis Set (FAS) population defined as all randomized participants who took at least one dose of study medication and had a baseline value and at least one valid post-baseline evaluation.

ArmMeasureValue (LEAST_SQUARES_MEAN)
EzetimibePercent Change From Baseline in Sitosterol at Week 2-50.20 Percentage Change
PlaceboPercent Change From Baseline in Sitosterol at Week 2-0.59 Percentage Change
p-value: <0.00195% CI: [-55.36, -43.87]ANCOVA

Source: ClinicalTrials.gov · Data processed: Mar 17, 2026