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A Study to Assess the Efficacy and Safety of ETC-1002 in Subjects With Elevated Blood Cholesterol and Either Normal or Elevated Triglycerides

A Placebo-Controlled, Randomized, Double-Blind, Parallel Group, Multicenter Study to Evaluate the Efficacy and Safety of ETC-1002 in Subjects With Hypercholesterolemia and Either Normal or Elevated Triglycerides.

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01262638
Enrollment
177
Registered
2010-12-17
Start date
2010-12-31
Completion date
2011-08-23
Last updated
2021-03-17

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

Conditions

Dyslipidemia

Brief summary

This Phase 2 proof-of-concept study will assess the lipid regulating efficacy and safety of ETC-1002 in subjects with hypercholesterolemia and either normal or elevated triglycerides.

Interventions

ETC-1002 daily for 12 weeks

DRUGPlacebo

Placebo daily for 12 weeks

Sponsors

Esperion Therapeutics, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

Major Inclusion Criteria: * Provision of written informed consent prior to any study-specific procedure * Fasting LDL-C between 130 and 220 mg/dL following wash-out of all lipid regulating medications and supplements * Fasting triglyceride \<400 mg/dL following wash-out of all lipid regulating medications and supplements * BMI between 18 and 35 mg/kg2 Major

Exclusion criteria

* Clinically significant cardiovascular disease, diabetes or uncontrolled hypertension * Females of child bearing potential (i.e., females who are not surgically sterile or post-menopausal)

Design outcomes

Primary

MeasureTime frameDescription
Percent Change From Baseline to Week 12 in Calculated Low-Density Lipoprotein-Cholesterol (LDL-C)Baseline; 12 weeksPercent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Weeks -1 and 0. Least square (LS) mean percent change from Baseline to Week 12 was based on an analysis of covariance (ANCOVA) model with effects of treatment and triglyceride (TG) stratum and Baseline value as a covariate. Missing LDL-C values at Week 12 were imputed using the last observation carried forward (LOCF) procedure (only post-Baseline values were carried forward).
Percent Change From Baseline to Week 12 in LDL-C by Triglyceride (TG) StratumBaseline; 12 weeksPercent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Weeks -1 and 0. LS mean percent change from Baseline to Week 12 was based on an ANCOVA model with effects of treatment and center and Baseline value as a covariate. Missing LDL-C values at Week 12 were imputed using the LOCF procedure (only post-Baseline values were carried forward).

Secondary

MeasureTime frameDescription
Percent Change From Baseline to Week 12 in High-Density Lipoprotein-Cholesterol (HDL-C)Baseline; 12 weeksPercent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Weeks -1 and 0. LS mean percent change from Baseline to Week 12 was based on an ANCOVA model with effects of treatment and TG stratum and Baseline value as a covariate. Missing HDL-C values at Week 12 were imputed using the LOCF procedure (only post-Baseline values were carried forward).
Percent Change From Baseline to Week 12 in Total Cholesterol (TC)Baseline; 12 weeksPercent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Weeks -1 and 0. LS mean percent change from Baseline to Week 12 based on an ANCOVA model with effects of treatment and TG stratum and Baseline value as a covariate. Missing TC values at Week 12 were imputed using the LOCF procedure (only post-Baseline values were carried forward).
Percent Change From Baseline to Week 12 in Apolipoprotein B (ApoB)Baseline; 12 weeksPercent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the value from Week 0. LS mean percent change from Baseline to Week 12 was based on an ANCOVA model with effects of treatment and TG stratum and Baseline value as a covariate. Missing ApoB values at Week 12 were imputed using the LOCF procedure (only post-Baseline values were carried forward).
Percent Change From Baseline to Week 12 in Apolipoprotein AI (ApoAI)Baseline; 12 weeksPercent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week 0. LS mean percent change from Baseline to Week 12 was based on an ANCOVA model with effects of treatment and TG stratum and Baseline value as a covariate. Missing ApoAI values at Week 12 were imputed using the LOCF procedure (only post-Baseline values were carried forward).
Percent Change From Baseline to Week 12 in Lipoprotein (a)Baseline; 12 weeksPercent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week 0. LS mean percent change from Baseline to Week 12 was based on an ANCOVA model with effects of treatment and TG stratum and Baseline value as a covariate. Missing Lipoprotein (a) values at Week 12 were imputed using the LOCF procedure (only post-Baseline values were carried forward).
Percent Change From Baseline to Week 12 in Free Fatty Acids (FFA)Baseline; 12 weeksPercent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week 0. LS mean percent change from Baseline to Week 12 was based on an ANCOVA model with effects of treatment and TG stratum and Baseline value as a covariate. Missing FFA values at Week 12 were imputed using the LOCF procedure (only post-Baseline values were carried forward).
Percent Change From Baseline to Week 12 in High-Sensitivity C-Reactive Protein (hsCRP)Baseline; 12 weeksPercent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the value from Week 0. LS mean percent change from Baseline to Week 12 was based on an ANCOVA model with effects of treatment and TG stratum and Baseline value as a covariate. Missing hsCRP values at Week 12 were imputed using the LOCF procedure (only post-Baseline values were carried forward).
Percent Change From Baseline to Week 12 in Non-HDL-CBaseline; 12 weeksPercent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Weeks -1 and 0. LS mean percent change from Baseline to Week 12 was based on an ANCOVA model with effects of treatment and TG stratum and Baseline value as a covariate. Missing non-HDL-C values at Week 12 were imputed using the LOCF procedure (only post-Baseline values were carried forward).
Percent Change From Baseline to Week 12 in Total HDL ParticlesBaseline; 12 weeksPercent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week 0. LS mean percent change from Baseline to Week 12 was based on an ANCOVA model with effects of treatment and TG stratum and Baseline value as a covariate. Missing values at Week 12 were imputed using the LOCF procedure (only post-Baseline values were carried forward).
Number of Participants With Treatment-emergent Adverse Events (TEAEs)up to 12 weeksTEAEs were defined as adverse events (AEs) that began or worsened in severity after the first dose of study medication, occurring up to 30 days after the last dose of study medication.
Number of Participants With Clinically Significant Physical Examination Findingsup to 12 weeksClinical significance was determined by the investigator.
Number of Participants With Clinically Important Changes From Baseline in Vital Sign ValuesBaseline; up to 12 weeksClinical importance was determined by the investigator.
Number of Participants With Clinically Important Changes From Baseline in Electrocardiogram ValuesBaseline; up to 12 weeksClinical importance was determined by the investigator.
Number of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Week 12Laboratory abnormalities are laboratory values that are outside the normal range.
Percent Change From Baseline to Week 12 in Total LDL ParticlesBaseline; 12 weeksPercent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week 0. LS mean percent change from Baseline to Week 12 was based on an ANCOVA model with effects of treatment and TG stratum and Baseline value as a covariate. Missing values at Week 12 were imputed using the LOCF procedure (only post-Baseline values were carried forward).
Percent Change From Baseline to Week 12 in TGBaseline; 12 weeksPercent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Weeks -1 and 0. LS mean percent change from Baseline to Week 12 was based on an ANCOVA model with effects of treatment and TG stratum and Baseline value as a covariate. Missing TG values at Week 12 were imputed using the LOCF procedure (only post-Baseline values were carried forward).

Countries

United States

Participant flow

Recruitment details

A total of 177 participants were enrolled and treated across 11 study sites in the United States.

Pre-assignment details

During Screening, appropriate participants washed off all lipid-regulating drugs and supplements as necessary for 6 weeks prior to randomization. Participants not taking lipid-regulating medications or supplements for 4 weeks prior to Screening may have combined the S1 and Q1 visits. Participants with hypercholesterolemia were stratified into the normal (\<150 milligrams per deciliter \[mg/dL\]) or elevated (≥150 mg/dL) triglycerides (TG) stratum.

Participants by arm

ArmCount
ETC-1002 40 mg
Participants received ETC-1002 40 milligrams (mg), orally, once daily for 12 weeks.
45
ETC-1002 80 mg
Participants received ETC-1002 80 mg, orally, once daily for 12 weeks.
44
ETC-1002 120 mg
Participants received ETC-1002 120 mg, orally, once daily for 12 weeks.
44
Placebo
Participants received placebo, orally, once daily for 12 weeks.
44
Total177

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event3434
Overall StudyLost to Follow-up1111
Overall StudyParticipant Went Out of Town0010
Overall StudyPer Investigator/Sponsor/Regulatory Body0010
Overall StudyProtocol Violation1001
Overall StudyWithdrawal by Subject2101

Baseline characteristics

CharacteristicTotalPlaceboETC-1002 120 mgETC-1002 40 mgETC-1002 80 mg
Age, Continuous57.3 Years
STANDARD_DEVIATION 9.52
55.5 Years
STANDARD_DEVIATION 10.4
56.7 Years
STANDARD_DEVIATION 9.92
58.4 Years
STANDARD_DEVIATION 8.66
58.8 Years
STANDARD_DEVIATION 9
Calculated Low-density Lipoprotein Cholesterol (LDL-C)166.4 milligrams per deciliter (mg/dL)
STANDARD_DEVIATION 24.05
167.4 milligrams per deciliter (mg/dL)
STANDARD_DEVIATION 22.03
165.0 milligrams per deciliter (mg/dL)
STANDARD_DEVIATION 23.08
163.1 milligrams per deciliter (mg/dL)
STANDARD_DEVIATION 24.88
170.2 milligrams per deciliter (mg/dL)
STANDARD_DEVIATION 26.23
LDL-C by Triglyceride (TG) Stratum
Elevated Stratum, TG≥150 mg/dL
171.7 mg/dL
STANDARD_DEVIATION 25.73
168.2 mg/dL
STANDARD_DEVIATION 25.94
169.8 mg/dL
STANDARD_DEVIATION 27.25
172.9 mg/dL
STANDARD_DEVIATION 24.35
175.7 mg/dL
STANDARD_DEVIATION 26.46
LDL-C by Triglyceride (TG) Stratum
Normal Stratum, TG<150 mg/dL
161.2 mg/dL
STANDARD_DEVIATION 21.15
166.6 mg/dL
STANDARD_DEVIATION 17.87
160.2 mg/dL
STANDARD_DEVIATION 17.3
153.8 mg/dL
STANDARD_DEVIATION 22.06
164.6 mg/dL
STANDARD_DEVIATION 25.36
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
22 Participants6 Participants2 Participants7 Participants7 Participants
Race (NIH/OMB)
More than one race
1 Participants0 Participants1 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
2 Participants1 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
152 Participants37 Participants41 Participants38 Participants36 Participants
Sex: Female, Male
Female
79 Participants13 Participants19 Participants26 Participants21 Participants
Sex: Female, Male
Male
98 Participants31 Participants25 Participants19 Participants23 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 450 / 440 / 440 / 44
other
Total, other adverse events
15 / 4518 / 4417 / 4417 / 44
serious
Total, serious adverse events
0 / 450 / 440 / 441 / 44

Outcome results

Primary

Percent Change From Baseline to Week 12 in Calculated Low-Density Lipoprotein-Cholesterol (LDL-C)

Percent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Weeks -1 and 0. Least square (LS) mean percent change from Baseline to Week 12 was based on an analysis of covariance (ANCOVA) model with effects of treatment and triglyceride (TG) stratum and Baseline value as a covariate. Missing LDL-C values at Week 12 were imputed using the last observation carried forward (LOCF) procedure (only post-Baseline values were carried forward).

Time frame: Baseline; 12 weeks

Population: Modified Intent-to-Treat (mITT) Population: all randomized participants who received at least 1 dose of study medication and had a Baseline assessment and at least 1 post-Baseline assessment, excluding any assessments taken more than 2 days after a dose of study medication

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ETC-1002 40 mgPercent Change From Baseline to Week 12 in Calculated Low-Density Lipoprotein-Cholesterol (LDL-C)-17.9 Percent ChangeStandard Error 2.17
ETC-1002 80 mgPercent Change From Baseline to Week 12 in Calculated Low-Density Lipoprotein-Cholesterol (LDL-C)-25.0 Percent ChangeStandard Error 2.12
ETC-1002 120 mgPercent Change From Baseline to Week 12 in Calculated Low-Density Lipoprotein-Cholesterol (LDL-C)-26.6 Percent ChangeStandard Error 2.16
PlaceboPercent Change From Baseline to Week 12 in Calculated Low-Density Lipoprotein-Cholesterol (LDL-C)-2.1 Percent ChangeStandard Error 2.16
p-value: <0.000195% CI: [-21.8, -9.7]ANCOVA
p-value: <0.000195% CI: [-28.9, -16.9]ANCOVA
p-value: <0.000195% CI: [-30.5, -18.4]ANCOVA
Primary

Percent Change From Baseline to Week 12 in LDL-C by Triglyceride (TG) Stratum

Percent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Weeks -1 and 0. LS mean percent change from Baseline to Week 12 was based on an ANCOVA model with effects of treatment and center and Baseline value as a covariate. Missing LDL-C values at Week 12 were imputed using the LOCF procedure (only post-Baseline values were carried forward).

Time frame: Baseline; 12 weeks

Population: mITT Population

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
ETC-1002 40 mgPercent Change From Baseline to Week 12 in LDL-C by Triglyceride (TG) StratumNormal (TG<150 mg/dL)-17.8 Percent ChangeStandard Error 2.92
ETC-1002 40 mgPercent Change From Baseline to Week 12 in LDL-C by Triglyceride (TG) StratumElevated (TG≥150 mg/dL)-17.8 Percent ChangeStandard Error 3.21
ETC-1002 80 mgPercent Change From Baseline to Week 12 in LDL-C by Triglyceride (TG) StratumElevated (TG≥150 mg/dL)-28.1 Percent ChangeStandard Error 3.22
ETC-1002 80 mgPercent Change From Baseline to Week 12 in LDL-C by Triglyceride (TG) StratumNormal (TG<150 mg/dL)-21.9 Percent ChangeStandard Error 2.73
ETC-1002 120 mgPercent Change From Baseline to Week 12 in LDL-C by Triglyceride (TG) StratumNormal (TG<150 mg/dL)-29.2 Percent ChangeStandard Error 2.72
ETC-1002 120 mgPercent Change From Baseline to Week 12 in LDL-C by Triglyceride (TG) StratumElevated (TG≥150 mg/dL)-23.6 Percent ChangeStandard Error 3.37
PlaceboPercent Change From Baseline to Week 12 in LDL-C by Triglyceride (TG) StratumElevated (TG≥150 mg/dL)-4.5 Percent ChangeStandard Error 3.22
PlaceboPercent Change From Baseline to Week 12 in LDL-C by Triglyceride (TG) StratumNormal (TG<150 mg/dL)0.3 Percent ChangeStandard Error 2.89
Secondary

Number of Participants With Clinically Important Changes From Baseline in Electrocardiogram Values

Clinical importance was determined by the investigator.

Time frame: Baseline; up to 12 weeks

Population: Safety Population

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
ETC-1002 40 mgNumber of Participants With Clinically Important Changes From Baseline in Electrocardiogram Values0 Participants
ETC-1002 80 mgNumber of Participants With Clinically Important Changes From Baseline in Electrocardiogram Values0 Participants
ETC-1002 120 mgNumber of Participants With Clinically Important Changes From Baseline in Electrocardiogram Values0 Participants
PlaceboNumber of Participants With Clinically Important Changes From Baseline in Electrocardiogram Values0 Participants
Secondary

Number of Participants With Clinically Important Changes From Baseline in Vital Sign Values

Clinical importance was determined by the investigator.

Time frame: Baseline; up to 12 weeks

Population: Safety Population

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
ETC-1002 40 mgNumber of Participants With Clinically Important Changes From Baseline in Vital Sign Values0 Participants
ETC-1002 80 mgNumber of Participants With Clinically Important Changes From Baseline in Vital Sign Values0 Participants
ETC-1002 120 mgNumber of Participants With Clinically Important Changes From Baseline in Vital Sign Values0 Participants
PlaceboNumber of Participants With Clinically Important Changes From Baseline in Vital Sign Values0 Participants
Secondary

Number of Participants With Clinically Significant Physical Examination Findings

Clinical significance was determined by the investigator.

Time frame: up to 12 weeks

Population: Safety Population

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
ETC-1002 40 mgNumber of Participants With Clinically Significant Physical Examination Findings2 Participants
ETC-1002 80 mgNumber of Participants With Clinically Significant Physical Examination Findings2 Participants
ETC-1002 120 mgNumber of Participants With Clinically Significant Physical Examination Findings0 Participants
PlaceboNumber of Participants With Clinically Significant Physical Examination Findings2 Participants
Secondary

Number of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12

Laboratory abnormalities are laboratory values that are outside the normal range.

Time frame: Week 12

Population: Safety Population. Only participants with available data were analyzed.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
ETC-1002 40 mgNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Alanine aminotransferase4 Participants
ETC-1002 40 mgNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Total bilirubin1 Participants
ETC-1002 40 mgNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Hemoglobin5 Participants
ETC-1002 40 mgNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Leukocytes3 Participants
ETC-1002 40 mgNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Aspartate aminotransferase5 Participants
ETC-1002 40 mgNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Creatine kinase12 Participants
ETC-1002 40 mgNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Creatinine1 Participants
ETC-1002 40 mgNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Uric acid6 Participants
ETC-1002 80 mgNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Hemoglobin8 Participants
ETC-1002 80 mgNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Leukocytes2 Participants
ETC-1002 80 mgNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Aspartate aminotransferase6 Participants
ETC-1002 80 mgNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Uric acid8 Participants
ETC-1002 80 mgNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Creatine kinase8 Participants
ETC-1002 80 mgNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Alanine aminotransferase3 Participants
ETC-1002 80 mgNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Creatinine0 Participants
ETC-1002 80 mgNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Total bilirubin1 Participants
ETC-1002 120 mgNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Uric acid6 Participants
ETC-1002 120 mgNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Hemoglobin4 Participants
ETC-1002 120 mgNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Creatinine1 Participants
ETC-1002 120 mgNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Creatine kinase3 Participants
ETC-1002 120 mgNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Total bilirubin0 Participants
ETC-1002 120 mgNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Leukocytes1 Participants
ETC-1002 120 mgNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Alanine aminotransferase3 Participants
ETC-1002 120 mgNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Aspartate aminotransferase8 Participants
PlaceboNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Alanine aminotransferase4 Participants
PlaceboNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Aspartate aminotransferase2 Participants
PlaceboNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Creatinine0 Participants
PlaceboNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Uric acid3 Participants
PlaceboNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Creatine kinase5 Participants
PlaceboNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Hemoglobin2 Participants
PlaceboNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Total bilirubin1 Participants
PlaceboNumber of Participants With the Indicated Abnormal Laboratory Parameter Values at Week 12Leukocytes1 Participants
Secondary

Number of Participants With Treatment-emergent Adverse Events (TEAEs)

TEAEs were defined as adverse events (AEs) that began or worsened in severity after the first dose of study medication, occurring up to 30 days after the last dose of study medication.

Time frame: up to 12 weeks

Population: Safety Population: all randomized participants who received at least 1 dose of study medication

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
ETC-1002 40 mgNumber of Participants With Treatment-emergent Adverse Events (TEAEs)34 Participants
ETC-1002 80 mgNumber of Participants With Treatment-emergent Adverse Events (TEAEs)32 Participants
ETC-1002 120 mgNumber of Participants With Treatment-emergent Adverse Events (TEAEs)31 Participants
PlaceboNumber of Participants With Treatment-emergent Adverse Events (TEAEs)33 Participants
Secondary

Percent Change From Baseline to Week 12 in Apolipoprotein AI (ApoAI)

Percent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week 0. LS mean percent change from Baseline to Week 12 was based on an ANCOVA model with effects of treatment and TG stratum and Baseline value as a covariate. Missing ApoAI values at Week 12 were imputed using the LOCF procedure (only post-Baseline values were carried forward).

Time frame: Baseline; 12 weeks

Population: mITT Population. Only participants with available data were analyzed.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ETC-1002 40 mgPercent Change From Baseline to Week 12 in Apolipoprotein AI (ApoAI)2.9 Percent ChangeStandard Error 1.96
ETC-1002 80 mgPercent Change From Baseline to Week 12 in Apolipoprotein AI (ApoAI)-2.7 Percent ChangeStandard Error 1.95
ETC-1002 120 mgPercent Change From Baseline to Week 12 in Apolipoprotein AI (ApoAI)0.0 Percent ChangeStandard Error 1.97
PlaceboPercent Change From Baseline to Week 12 in Apolipoprotein AI (ApoAI)-3.1 Percent ChangeStandard Error 1.95
Secondary

Percent Change From Baseline to Week 12 in Apolipoprotein B (ApoB)

Percent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the value from Week 0. LS mean percent change from Baseline to Week 12 was based on an ANCOVA model with effects of treatment and TG stratum and Baseline value as a covariate. Missing ApoB values at Week 12 were imputed using the LOCF procedure (only post-Baseline values were carried forward).

Time frame: Baseline; 12 weeks

Population: mITT Population. Only participants with available data were analyzed.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ETC-1002 40 mgPercent Change From Baseline to Week 12 in Apolipoprotein B (ApoB)-14.6 Percent ChangeStandard Error 1.83
ETC-1002 80 mgPercent Change From Baseline to Week 12 in Apolipoprotein B (ApoB)-18.4 Percent ChangeStandard Error 1.82
ETC-1002 120 mgPercent Change From Baseline to Week 12 in Apolipoprotein B (ApoB)-22.1 Percent ChangeStandard Error 1.84
PlaceboPercent Change From Baseline to Week 12 in Apolipoprotein B (ApoB)-0.9 Percent ChangeStandard Error 1.83
Secondary

Percent Change From Baseline to Week 12 in Free Fatty Acids (FFA)

Percent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week 0. LS mean percent change from Baseline to Week 12 was based on an ANCOVA model with effects of treatment and TG stratum and Baseline value as a covariate. Missing FFA values at Week 12 were imputed using the LOCF procedure (only post-Baseline values were carried forward).

Time frame: Baseline; 12 weeks

Population: mITT Population. Only participants with available data were analyzed.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ETC-1002 40 mgPercent Change From Baseline to Week 12 in Free Fatty Acids (FFA)2.5 Percent ChangeStandard Error 6.15
ETC-1002 80 mgPercent Change From Baseline to Week 12 in Free Fatty Acids (FFA)-14.4 Percent ChangeStandard Error 6.08
ETC-1002 120 mgPercent Change From Baseline to Week 12 in Free Fatty Acids (FFA)5.3 Percent ChangeStandard Error 6.34
PlaceboPercent Change From Baseline to Week 12 in Free Fatty Acids (FFA)3.6 Percent ChangeStandard Error 6.09
Secondary

Percent Change From Baseline to Week 12 in High-Density Lipoprotein-Cholesterol (HDL-C)

Percent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Weeks -1 and 0. LS mean percent change from Baseline to Week 12 was based on an ANCOVA model with effects of treatment and TG stratum and Baseline value as a covariate. Missing HDL-C values at Week 12 were imputed using the LOCF procedure (only post-Baseline values were carried forward).

Time frame: Baseline; 12 weeks

Population: mITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ETC-1002 40 mgPercent Change From Baseline to Week 12 in High-Density Lipoprotein-Cholesterol (HDL-C)7.2 Percent ChangeStandard Error 2.22
ETC-1002 80 mgPercent Change From Baseline to Week 12 in High-Density Lipoprotein-Cholesterol (HDL-C)0.9 Percent ChangeStandard Error 2.12
ETC-1002 120 mgPercent Change From Baseline to Week 12 in High-Density Lipoprotein-Cholesterol (HDL-C)4.4 Percent ChangeStandard Error 2.16
PlaceboPercent Change From Baseline to Week 12 in High-Density Lipoprotein-Cholesterol (HDL-C)2.4 Percent ChangeStandard Error 2.18
Secondary

Percent Change From Baseline to Week 12 in High-Sensitivity C-Reactive Protein (hsCRP)

Percent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the value from Week 0. LS mean percent change from Baseline to Week 12 was based on an ANCOVA model with effects of treatment and TG stratum and Baseline value as a covariate. Missing hsCRP values at Week 12 were imputed using the LOCF procedure (only post-Baseline values were carried forward).

Time frame: Baseline; 12 weeks

Population: mITT Population. Only participants with available data were analyzed.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ETC-1002 40 mgPercent Change From Baseline to Week 12 in High-Sensitivity C-Reactive Protein (hsCRP)18.4 Percent ChangeStandard Error 42.45
ETC-1002 80 mgPercent Change From Baseline to Week 12 in High-Sensitivity C-Reactive Protein (hsCRP)57.0 Percent ChangeStandard Error 42.44
ETC-1002 120 mgPercent Change From Baseline to Week 12 in High-Sensitivity C-Reactive Protein (hsCRP)48.0 Percent ChangeStandard Error 43.24
PlaceboPercent Change From Baseline to Week 12 in High-Sensitivity C-Reactive Protein (hsCRP)86.6 Percent ChangeStandard Error 42.45
Secondary

Percent Change From Baseline to Week 12 in Lipoprotein (a)

Percent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week 0. LS mean percent change from Baseline to Week 12 was based on an ANCOVA model with effects of treatment and TG stratum and Baseline value as a covariate. Missing Lipoprotein (a) values at Week 12 were imputed using the LOCF procedure (only post-Baseline values were carried forward).

Time frame: Baseline; 12 weeks

Population: mITT Population. Only participants with available data were analyzed.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ETC-1002 40 mgPercent Change From Baseline to Week 12 in Lipoprotein (a)0.3 Percent ChangeStandard Error 5.2
ETC-1002 80 mgPercent Change From Baseline to Week 12 in Lipoprotein (a)7.6 Percent ChangeStandard Error 5.2
ETC-1002 120 mgPercent Change From Baseline to Week 12 in Lipoprotein (a)16.2 Percent ChangeStandard Error 5.27
PlaceboPercent Change From Baseline to Week 12 in Lipoprotein (a)-2.7 Percent ChangeStandard Error 5.22
Secondary

Percent Change From Baseline to Week 12 in Non-HDL-C

Percent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Weeks -1 and 0. LS mean percent change from Baseline to Week 12 was based on an ANCOVA model with effects of treatment and TG stratum and Baseline value as a covariate. Missing non-HDL-C values at Week 12 were imputed using the LOCF procedure (only post-Baseline values were carried forward).

Time frame: Baseline; 12 weeks

Population: mITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ETC-1002 40 mgPercent Change From Baseline to Week 12 in Non-HDL-C-17.4 Percent ChangeStandard Error 2.01
ETC-1002 80 mgPercent Change From Baseline to Week 12 in Non-HDL-C-22.7 Percent ChangeStandard Error 1.95
ETC-1002 120 mgPercent Change From Baseline to Week 12 in Non-HDL-C-23.0 Percent ChangeStandard Error 2
PlaceboPercent Change From Baseline to Week 12 in Non-HDL-C-2.3 Percent ChangeStandard Error 2
Secondary

Percent Change From Baseline to Week 12 in TG

Percent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Weeks -1 and 0. LS mean percent change from Baseline to Week 12 was based on an ANCOVA model with effects of treatment and TG stratum and Baseline value as a covariate. Missing TG values at Week 12 were imputed using the LOCF procedure (only post-Baseline values were carried forward).

Time frame: Baseline; 12 weeks

Population: mITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ETC-1002 40 mgPercent Change From Baseline to Week 12 in TG-15.1 Percent ChangeStandard Error 4.29
ETC-1002 80 mgPercent Change From Baseline to Week 12 in TG-10.6 Percent ChangeStandard Error 4.16
ETC-1002 120 mgPercent Change From Baseline to Week 12 in TG1.1 Percent ChangeStandard Error 4.26
PlaceboPercent Change From Baseline to Week 12 in TG-1.2 Percent ChangeStandard Error 4.29
Secondary

Percent Change From Baseline to Week 12 in Total Cholesterol (TC)

Percent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Weeks -1 and 0. LS mean percent change from Baseline to Week 12 based on an ANCOVA model with effects of treatment and TG stratum and Baseline value as a covariate. Missing TC values at Week 12 were imputed using the LOCF procedure (only post-Baseline values were carried forward).

Time frame: Baseline; 12 weeks

Population: mITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ETC-1002 40 mgPercent Change From Baseline to Week 12 in Total Cholesterol (TC)-11.5 Percent ChangeStandard Error 1.53
ETC-1002 80 mgPercent Change From Baseline to Week 12 in Total Cholesterol (TC)-17.8 Percent ChangeStandard Error 1.5
ETC-1002 120 mgPercent Change From Baseline to Week 12 in Total Cholesterol (TC)-17.1 Percent ChangeStandard Error 1.53
PlaceboPercent Change From Baseline to Week 12 in Total Cholesterol (TC)-1.4 Percent ChangeStandard Error 1.53
Secondary

Percent Change From Baseline to Week 12 in Total HDL Particles

Percent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week 0. LS mean percent change from Baseline to Week 12 was based on an ANCOVA model with effects of treatment and TG stratum and Baseline value as a covariate. Missing values at Week 12 were imputed using the LOCF procedure (only post-Baseline values were carried forward).

Time frame: Baseline; 12 weeks

Population: mITT Population. Only participants with available data were analyzed.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ETC-1002 40 mgPercent Change From Baseline to Week 12 in Total HDL Particles5.7 Percent ChangeStandard Error 1.78
ETC-1002 80 mgPercent Change From Baseline to Week 12 in Total HDL Particles3.6 Percent ChangeStandard Error 1.74
ETC-1002 120 mgPercent Change From Baseline to Week 12 in Total HDL Particles7.3 Percent ChangeStandard Error 1.84
PlaceboPercent Change From Baseline to Week 12 in Total HDL Particles0.4 Percent ChangeStandard Error 1.75
Secondary

Percent Change From Baseline to Week 12 in Total LDL Particles

Percent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week 0. LS mean percent change from Baseline to Week 12 was based on an ANCOVA model with effects of treatment and TG stratum and Baseline value as a covariate. Missing values at Week 12 were imputed using the LOCF procedure (only post-Baseline values were carried forward).

Time frame: Baseline; 12 weeks

Population: mITT Population. Only participants with available date were analyzed.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ETC-1002 40 mgPercent Change From Baseline to Week 12 in Total LDL Particles-14.8 Percent ChangeStandard Error 2.26
ETC-1002 80 mgPercent Change From Baseline to Week 12 in Total LDL Particles-16.3 Percent ChangeStandard Error 2.23
ETC-1002 120 mgPercent Change From Baseline to Week 12 in Total LDL Particles-20.7 Percent ChangeStandard Error 2.34
PlaceboPercent Change From Baseline to Week 12 in Total LDL Particles1.9 Percent ChangeStandard Error 2.22

Source: ClinicalTrials.gov · Data processed: Mar 23, 2026