Skip to content

Study to Assess the Tolerability and Efficacy of Anacetrapib (MK-0859) Co-Administered With Statin in Participants With Heterozygous Familial Hypercholesterolemia (MK-0859-020)

A 1-Year, Worldwide, Multicenter, Double-Blind, Randomized, Parallel, Placebo-Controlled Study to Assess the Efficacy and Tolerability of Anacetrapib When Added to Ongoing Statin Therapy With or Without Other Lipid Modifying Medication(s) in Patients With Heterozygous Familial Hypercholesterolemia

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01524289
Acronym
REALIZE
Enrollment
306
Registered
2012-02-01
Start date
2012-02-03
Completion date
2018-11-13
Last updated
2019-10-14

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

Conditions

Hyperlipoproteinemia Type II, Hypercholesterolemia, Familial

Brief summary

The objective of this study is to evaluate the efficacy and tolerability of adding anacetrapib to ongoing statin therapy in participants with heterozygous familial hypercholesterolemia (HeFH).

Interventions

One oral tablet, orally once daily for 52 weeks

DRUGPlacebo

One oral tablet once daily for 52 weeks

Sponsors

Merck Sharp & Dohme LLC
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

Inclusion criteria

* If of reproductive potential, must agree to remain abstinent or use (or have their partner use) 2 acceptable methods of birth control for the duration of the study * Diagnosed with Heterozygous Familial Hypercholesterolemia (HeFH) * Have been treated with an optimal dose of statin for at least 6 weeks

Exclusion criteria

* Received treatment with low-density lipoprotein (LDL) apheresis within 4 weeks of screening or expect to undergo treatment with LDL apheresis during the course of the study * Homozygous familial hypercholesterolemia * Severe chronic heart failure * Uncontrolled hypertension * Uncontrolled cardiac arrhythmias, myocardial infarction (MI), percutaneous coronary intervention (PCI), coronary artery bypass graft (CABG), unstable angina, or stroke within 3 months * Uncontrolled endocrine or metabolic disease known to influence serum lipids or lipoproteins * Active or chronic hepatobiliary, hepatic, or gall bladder disease * Pregnant or breast-feeding, or plans to become pregnant during the study or within 2 years after stopping study medication * History of ileal bypass, gastric bypass, or other significant condition associated with malabsorption * Human immunodeficiency virus (HIV) positive * History of malignancy ≤5 years * Donated blood products or has had phlebotomy of \>300 mL within 8 weeks or intends to donate 250 mL of blood products or receive blood products within the projected duration of the study * Currently taking medications that are potent inhibitors or inducers of cytochrome P450 3A4 (CYP3A) (including but not limited to cyclosporine, systemic itraconazole or ketoconazole, erythromycin, clarithromycin, or telithromycin, nefazodone, protease inhibitors, carbamazepine, phenobarbital, phenytoin, rifabutin, rifampin, St John's wort) or has discontinued treatment \<3 weeks prior * Consumes more than 2 alcoholic drinks per day * Currently participating or has participated in a study with an investigational compound or device within 3 months * Receiving treatment with systemic corticosteroids or taking systemic anabolic agents

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Who Died From Any Cause - Treatment PhaseUp to 52 weeksThe percentage of participants who died from any cause during the treatment phase is presented. All deaths were adjudicated by an expert committee independent of the Sponsor.
Percentage of Participants With Bicarbonate Levels > ULNUp to 52 weeksParticipants had bicarbonate levels assessed throughout the 52-week treatment period. The percentage of participants who had any bicarbonate level that was \> the ULN of 33 mEq/L during the treatment phase is presented.
Percentage of Participants With Consecutive Changes in Alanine Aminotransferase (ALT) and/or Aspartate Aminotransferase (AST) of >=3 x ULNUp to 52 weeksParticipants had AST and ALT levels assessed throughout the 52-week treatment period. The percentage of participants who had 2 consecutive assessments of either AST or ALT that were 3 x ULN or greater during the treatment phase is presented.
Percentage of Participants With Creatine Kinase (CK) Level >=10 x ULNUp to 52 weeksParticipants had CK levels assessed throughout the 52-week treatment period. The percentage of participants who had any CK level that was \>=10 x ULN during the treatment phase is presented.
Percentage of Participants With CK Level >=10 x ULN With Muscle SpasmsUp to 52 weeksParticipants had CK levels assessed throughout the 52-week treatment period. The percentage of participants who had any CK level that was \>=10 x ULN and had associated muscle spasms during the treatment phase is presented.
Percentage of Participants Adjudicated Cardiovascular (CV) SAEUp to 52 weeksAn AE or suspected adverse reaction was considered an SAE if it resulted in any of the following outcomes: death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, or a congenital anomaly/birth defect. All events were adjudicated by an expert committee independent of the Sponsor. The percentage of participants that experienced adjudicated SAEs of CV death, non-fatal stroke, non-fatal myocardial infarction, or unstable angina during the treatment phase is presented.
Percentage of Participants With Any Serious Adverse Event - Treatment PhaseUp to 52 weeksA serious adverse experience (SAE) was any adverse event that occurred at any dose that resulted in death or was life threatening, resulted in a persistent or significant disability/incapacity, resulted in or prolonged an existing inpatient hospitalization, or was a congenital anomaly/birth defect. The percentage of participants with any serious adverse event during the treatment phase is presented.
Percent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) - Treatment PhaseBaseline and Week 52LDL-C levels were measured at baseline and week 52 (or at discontinuation) using a beta quantification method. The Treatment Phase was the period from the date of the participant's first dose of study treatment (randomization visit, Visit 3) to the participant's last visit on treatment (discontinuation visit or Visit 8 \[Week 52\]).
Percentage of Participants With Any Adverse Event - Treatment PhaseUp to 52 weeksAn adverse event (AE) or experience was any unfavorable and unintended change in the structure (signs), function (symptoms), or chemistry (laboratory data) of the body temporally associated with any use of a study treatment, whether or not considered related to the use of the study treatment. Any worsening of a preexisting condition which was temporally associated with the use of the study treatment is also an AE. The percentage of participants with any adverse event during the treatment phase is presented.
Percentage of Participants With Any Treatment-Related Adverse Event - Treatment PhaseUp to 52 weeksAn AE was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study treatment, whether or not considered related to the use of the treatment. Any worsening of a preexisting condition which was temporally associated with the use of the study treatment was also an AE. AEs reported by the investigator as definitely, probably or possibly related to study treatment were considered treatment-related. The percentage of participants with any treatment-related adverse event during the treatment phase is presented.
Percentage of Participants Discontinuing Study Treatment Due to an Adverse Event - Treatment PhaseUp to 52 weeksAn adverse event (AE) was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study treatment, whether or not considered related to the use of the drug. Any worsening of a preexisting condition which was temporally associated with the use of the study drug was also an AE. The percentage of participants who discontinued study treatment due to an AE during the treatment phase is presented.
Percentage of Participants With Changes in Systolic Blood Pressure (SBP) >= 10 mm HgUp to 52 weeksParticipants had SBP assessed at baseline and throughout the 52-week treatment period. Percentage of participants who had a SBP reading that was \>= 10 mm Hg higher than their baseline SBP for any assessment performed during the treatment phase is presented.
Percentage of Participants With Changes in SBP >= 15 mm HgUp to 52 weeksParticipants had SBP assessed at baseline and throughout the 52-week treatment period. The percentage of participants who had a SBP reading that was \>= 15 mm Hg higher than their baseline SBP for any assessment performed during the treatment phase is presented.
Percentage of Participants With Changes in Diastolic Blood Pressure (DBP) >= 10 mm HgUp to 52 weeksParticipants had DBP assessed at baseline and throughout the 52-week treatment period. The percentage of participants who had a DBP reading that was \>= 10 mm Hg higher than their baseline DBP for any assessment performed during the treatment phase is presented.
Percentage of Participants With Sodium Levels > Upper Limit of Normal (ULN)Up to 52 weeksParticipants had sodium levels assessed throughout the 52-week treatment period. The percentage of participants who had any sodium level that was greater than the ULN of 145 mEq/L during the treatment phase is presented.
Percentage of Participants With Chloride Levels > ULNUp to 52 weeksParticipants had chloride levels assessed throughout the 52-week treatment period. The percentage of participants who had any chloride level that was \> the ULN of 110 mEq/L during the treatment phase is presented.
Percentage of Participants With Potassium Levels < Lower Limit of Normal (LLN)Up to 52 weeksParticipants had potassium levels assessed throughout the 52-week treatment period. The percentage of participants who had any potassium level that was \< the LLN of 3.5 mEq/L during the treatment phase is presented.

Secondary

MeasureTime frameDescription
Percent Change From Baseline in Non-High-Density Lipoprotein Cholesterol LevelsBaseline and Week 52The efficacy of adding anacetrapib 100 mg was evaluated relative to placebo on plasma concentrations of non-high-density lipoprotein cholesterol (HDL-C) for the FAS population at Week 0 (start of treatment phase) and Week 52 (end of treatment phase) or at discontinuation.
Percent Change From Baseline in Apolipoprotein (Apo) B LevelsBaseline and Week 52The efficacy of adding anacetrapib 100 mg was evaluated relative to placebo on plasma concentrations of apolipoprotein (Apo) B for the FAS population at Week 0 (start of treatment phase) and Week 52 (end of treatment phase) or at discontinuation.
Percent Change From Baseline in Apolipoprotein (Apo) A-1 LevelsBaseline and Week 52The efficacy of adding anacetrapib 100 mg was evaluated relative to placebo on plasma concentrations of Apo A-1 for the FAS population at Week 0 (start of treatment phase) and Week 52 (end of treatment phase) or at discontinuation.
Percent Change From Baseline in Lipoprotein(a) (Lp[a]) LevelsBaseline and Week 52The efficacy of adding anacetrapib 100 mg was evaluated relative to placebo on plasma concentrations of lipoprotein(a) (Lp\[a\]) for the FAS population at Week 0 (start of treatment phase) and Week 52 (end of treatment phase) or at discontinuation.
Percent Change From Baseline in High-Density Lipoprotein Cholesterol LevelsBaseline and Week 52The efficacy of adding anacetrapib 100 mg relative to placebo on plasma concentrations of high-density lipoprotein cholesterol (HDL-C) was evaluated at Week 0 (start of treatment phase) and Week 52 (end of treatment phase) or at discontinuation.

Participant flow

Recruitment details

This study was conducted at 26 study centers. Participants were to complete a 2-week placebo run-in period, a 52-week randomized treatment phase and a 12-week reversal phase (safety follow-up).

Pre-assignment details

The study enrolled participants who were 18 to 80 years old, had a genotype-confirmed or clinical diagnosis of heterozygous familial hypercholesterolemia (HeFH), and had been treated with an optimal dose of statin for at least 6 weeks.

Participants by arm

ArmCount
Anacetrapib 100 mg
Participants were administered one tablet of 100 mg anacetrapib orally once daily with a meal for 52 weeks during the treatment phase.
204
Placebo
Participants were administered one matching placebo tablet orally once daily with a meal for 52 weeks during the treatment phase.
102
Total306

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event125
Overall StudyDid not take study medication10
Overall StudyLost to Follow-up01
Overall StudyPhysician Decision10
Overall StudyProtocol Violation51
Overall StudyWithdrawal by Subject117

Baseline characteristics

CharacteristicAnacetrapib 100 mgPlaceboTotal
Age, Continuous55.0 Years
STANDARD_DEVIATION 11.8
55.7 Years
STANDARD_DEVIATION 11.9
55.3 Years
STANDARD_DEVIATION 11.8
Race/Ethnicity, Customized
Asian
2 Participants0 Participants2 Participants
Race/Ethnicity, Customized
Black or African American
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Multi-racial
3 Participants1 Participants4 Participants
Race/Ethnicity, Customized
White
199 Participants100 Participants299 Participants
Sex: Female, Male
Female
84 Participants52 Participants136 Participants
Sex: Female, Male
Male
120 Participants50 Participants170 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 / 2030 / 1020 / 1960 / 95
other
Total, other adverse events
87 / 20341 / 1020 / 1960 / 95
serious
Total, serious adverse events
18 / 20310 / 1023 / 1962 / 95

Outcome results

Primary

Percentage of Participants Adjudicated Cardiovascular (CV) SAE

An AE or suspected adverse reaction was considered an SAE if it resulted in any of the following outcomes: death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, or a congenital anomaly/birth defect. All events were adjudicated by an expert committee independent of the Sponsor. The percentage of participants that experienced adjudicated SAEs of CV death, non-fatal stroke, non-fatal myocardial infarction, or unstable angina during the treatment phase is presented.

Time frame: Up to 52 weeks

Population: The APaT population consisted of all randomized participants who received at least one dose of study treatment.

ArmMeasureValue (NUMBER)
Anacetrapib 100 mgPercentage of Participants Adjudicated Cardiovascular (CV) SAE1.5 Percentage of Participants
PlaceboPercentage of Participants Adjudicated Cardiovascular (CV) SAE0.0 Percentage of Participants
p-value: 0.21895% CI: [-2.2, 4.3]Miettinen and Nurminen
Primary

Percentage of Participants Discontinuing Study Treatment Due to an Adverse Event - Treatment Phase

An adverse event (AE) was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study treatment, whether or not considered related to the use of the drug. Any worsening of a preexisting condition which was temporally associated with the use of the study drug was also an AE. The percentage of participants who discontinued study treatment due to an AE during the treatment phase is presented.

Time frame: Up to 52 weeks

Population: The APaT population consists of all randomized participants who received at least one dose of study treatment.

ArmMeasureValue (NUMBER)
Anacetrapib 100 mgPercentage of Participants Discontinuing Study Treatment Due to an Adverse Event - Treatment Phase5.9 Percentage of Participants
PlaceboPercentage of Participants Discontinuing Study Treatment Due to an Adverse Event - Treatment Phase4.9 Percentage of Participants
95% CI: [-5.5, 6.1]
Primary

Percentage of Participants Who Died From Any Cause - Treatment Phase

The percentage of participants who died from any cause during the treatment phase is presented. All deaths were adjudicated by an expert committee independent of the Sponsor.

Time frame: Up to 52 weeks

Population: The APaT population consisted of all randomized participants who received at least one dose of study treatment.

ArmMeasureValue (NUMBER)
Anacetrapib 100 mgPercentage of Participants Who Died From Any Cause - Treatment Phase0.0 Percentage of Participants
PlaceboPercentage of Participants Who Died From Any Cause - Treatment Phase0.0 Percentage of Participants
p-value: >0.99995% CI: [-3.6, 1.9]Miettinen and Nurminen
Primary

Percentage of Participants With Any Adverse Event - Treatment Phase

An adverse event (AE) or experience was any unfavorable and unintended change in the structure (signs), function (symptoms), or chemistry (laboratory data) of the body temporally associated with any use of a study treatment, whether or not considered related to the use of the study treatment. Any worsening of a preexisting condition which was temporally associated with the use of the study treatment is also an AE. The percentage of participants with any adverse event during the treatment phase is presented.

Time frame: Up to 52 weeks

Population: The all participants as treated (APaT) population consisted of all randomized participants who received at least one dose of study treatment.

ArmMeasureValue (NUMBER)
Anacetrapib 100 mgPercentage of Participants With Any Adverse Event - Treatment Phase76.4 Percentage of Participants
PlaceboPercentage of Participants With Any Adverse Event - Treatment Phase78.4 Percentage of Participants
95% CI: [-11.5, 8.4]
Primary

Percentage of Participants With Any Serious Adverse Event - Treatment Phase

A serious adverse experience (SAE) was any adverse event that occurred at any dose that resulted in death or was life threatening, resulted in a persistent or significant disability/incapacity, resulted in or prolonged an existing inpatient hospitalization, or was a congenital anomaly/birth defect. The percentage of participants with any serious adverse event during the treatment phase is presented.

Time frame: Up to 52 weeks

Population: The APaT population consisted of all randomized participants who received at least one dose of study treatment.

ArmMeasureValue (NUMBER)
Anacetrapib 100 mgPercentage of Participants With Any Serious Adverse Event - Treatment Phase8.9 Percentage of Participants
PlaceboPercentage of Participants With Any Serious Adverse Event - Treatment Phase9.8 Percentage of Participants
95% CI: [-8.9, 5.6]
Primary

Percentage of Participants With Any Treatment-Related Adverse Event - Treatment Phase

An AE was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study treatment, whether or not considered related to the use of the treatment. Any worsening of a preexisting condition which was temporally associated with the use of the study treatment was also an AE. AEs reported by the investigator as definitely, probably or possibly related to study treatment were considered treatment-related. The percentage of participants with any treatment-related adverse event during the treatment phase is presented.

Time frame: Up to 52 weeks

Population: The APaT population consisted of all randomized participants who received at least one dose of study treatment.

ArmMeasureValue (NUMBER)
Anacetrapib 100 mgPercentage of Participants With Any Treatment-Related Adverse Event - Treatment Phase18.2 Percentage of Participants
PlaceboPercentage of Participants With Any Treatment-Related Adverse Event - Treatment Phase13.7 Percentage of Participants
95% CI: [-4.8, 12.6]
Primary

Percentage of Participants With Bicarbonate Levels > ULN

Participants had bicarbonate levels assessed throughout the 52-week treatment period. The percentage of participants who had any bicarbonate level that was \> the ULN of 33 mEq/L during the treatment phase is presented.

Time frame: Up to 52 weeks

Population: The analysis population consisted of all randomized participants who received at least one dose of study treatment and had at least one post-baseline test result that met pre-determined criteria.

ArmMeasureValue (NUMBER)
Anacetrapib 100 mgPercentage of Participants With Bicarbonate Levels > ULN0.0 Percentage of Participants
PlaceboPercentage of Participants With Bicarbonate Levels > ULN0.0 Percentage of Participants
p-value: >0.99995% CI: [-3.7, 1.9]Miettinen and Nurminen
Primary

Percentage of Participants With Changes in Diastolic Blood Pressure (DBP) >= 10 mm Hg

Participants had DBP assessed at baseline and throughout the 52-week treatment period. The percentage of participants who had a DBP reading that was \>= 10 mm Hg higher than their baseline DBP for any assessment performed during the treatment phase is presented.

Time frame: Up to 52 weeks

Population: The analysis population consisted of all randomized participants who received at least one dose of study treatment and had at least one post-baseline test result that met pre-determined criteria.

ArmMeasureValue (NUMBER)
Anacetrapib 100 mgPercentage of Participants With Changes in Diastolic Blood Pressure (DBP) >= 10 mm Hg22.8 Percentage of Participants
PlaceboPercentage of Participants With Changes in Diastolic Blood Pressure (DBP) >= 10 mm Hg36.6 Percentage of Participants
p-value: 0.01195% CI: [-25, -3.1]Miettinen and Nurminen
Primary

Percentage of Participants With Changes in SBP >= 15 mm Hg

Participants had SBP assessed at baseline and throughout the 52-week treatment period. The percentage of participants who had a SBP reading that was \>= 15 mm Hg higher than their baseline SBP for any assessment performed during the treatment phase is presented.

Time frame: Up to 52 weeks

Population: The analysis population consisted of all randomized participants who received at least one dose of study treatment and had at least one post-baseline test result that met pre-determined criteria.

ArmMeasureValue (NUMBER)
Anacetrapib 100 mgPercentage of Participants With Changes in SBP >= 15 mm Hg26.2 Percentage of Participants
PlaceboPercentage of Participants With Changes in SBP >= 15 mm Hg33.7 Percentage of Participants
p-value: 0.17995% CI: [-18.7, 3.3]Miettinen and Nurminen
Primary

Percentage of Participants With Changes in Systolic Blood Pressure (SBP) >= 10 mm Hg

Participants had SBP assessed at baseline and throughout the 52-week treatment period. Percentage of participants who had a SBP reading that was \>= 10 mm Hg higher than their baseline SBP for any assessment performed during the treatment phase is presented.

Time frame: Up to 52 weeks

Population: The analysis population consisted of all randomized participants who received at least one dose of study treatment and had at least one post-baseline test result that met pre-determined criteria.

ArmMeasureValue (NUMBER)
Anacetrapib 100 mgPercentage of Participants With Changes in Systolic Blood Pressure (SBP) >= 10 mm Hg45.0 Percentage of Participants
PlaceboPercentage of Participants With Changes in Systolic Blood Pressure (SBP) >= 10 mm Hg53.5 Percentage of Participants
p-value: 0.16895% CI: [-20.1, 3.5]Miettinen and Nurminen
Primary

Percentage of Participants With Chloride Levels > ULN

Participants had chloride levels assessed throughout the 52-week treatment period. The percentage of participants who had any chloride level that was \> the ULN of 110 mEq/L during the treatment phase is presented.

Time frame: Up to 52 weeks

Population: The analysis population consisted of all randomized participants who received at least one dose of study treatment and had at least one post-baseline test result that met pre-determined criteria.

ArmMeasureValue (NUMBER)
Anacetrapib 100 mgPercentage of Participants With Chloride Levels > ULN0.5 Percentage of Participants
PlaceboPercentage of Participants With Chloride Levels > ULN0.0 Percentage of Participants
p-value: 0.4895% CI: [-3.2, 2.8]Miettinen and Nurminen
Primary

Percentage of Participants With CK Level >=10 x ULN With Muscle Spasms

Participants had CK levels assessed throughout the 52-week treatment period. The percentage of participants who had any CK level that was \>=10 x ULN and had associated muscle spasms during the treatment phase is presented.

Time frame: Up to 52 weeks

Population: The analysis population consisted of all randomized participants who received at least one dose of study treatment and had at least one post-baseline test result that met pre-determined criteria.

ArmMeasureValue (NUMBER)
Anacetrapib 100 mgPercentage of Participants With CK Level >=10 x ULN With Muscle Spasms0.0 Percentage of Participants
PlaceboPercentage of Participants With CK Level >=10 x ULN With Muscle Spasms1.0 Percentage of Participants
p-value: 0.15795% CI: [-5.4, 0.9]Miettinen and Nurminen
Primary

Percentage of Participants With Consecutive Changes in Alanine Aminotransferase (ALT) and/or Aspartate Aminotransferase (AST) of >=3 x ULN

Participants had AST and ALT levels assessed throughout the 52-week treatment period. The percentage of participants who had 2 consecutive assessments of either AST or ALT that were 3 x ULN or greater during the treatment phase is presented.

Time frame: Up to 52 weeks

Population: The analysis population consisted of all randomized participants who received at least one dose of study treatment and had at least one post-baseline test result that met pre-determined criteria.

ArmMeasureValue (NUMBER)
Anacetrapib 100 mgPercentage of Participants With Consecutive Changes in Alanine Aminotransferase (ALT) and/or Aspartate Aminotransferase (AST) of >=3 x ULN1.5 Percentage of Participants
PlaceboPercentage of Participants With Consecutive Changes in Alanine Aminotransferase (ALT) and/or Aspartate Aminotransferase (AST) of >=3 x ULN1.0 Percentage of Participants
p-value: 0.72295% CI: [-4, 3.5]Miettinen and Nurminen
Primary

Percentage of Participants With Creatine Kinase (CK) Level >=10 x ULN

Participants had CK levels assessed throughout the 52-week treatment period. The percentage of participants who had any CK level that was \>=10 x ULN during the treatment phase is presented.

Time frame: Up to 52 weeks

Population: The analysis population consisted of all randomized participants who received at least one dose of study treatment and had at least one post-baseline test result that met pre-determined criteria.

ArmMeasureValue (NUMBER)
Anacetrapib 100 mgPercentage of Participants With Creatine Kinase (CK) Level >=10 x ULN0.0 Percentage of Participants
PlaceboPercentage of Participants With Creatine Kinase (CK) Level >=10 x ULN1.0 Percentage of Participants
p-value: 0.15795% CI: [-5.4, 0.9]Miettinen and Nurminen
Primary

Percentage of Participants With Potassium Levels < Lower Limit of Normal (LLN)

Participants had potassium levels assessed throughout the 52-week treatment period. The percentage of participants who had any potassium level that was \< the LLN of 3.5 mEq/L during the treatment phase is presented.

Time frame: Up to 52 weeks

Population: The analysis population consisted of all randomized participants who received at least one dose of study treatment and had at least one post-baseline test result that met pre-determined criteria.

ArmMeasureValue (NUMBER)
Anacetrapib 100 mgPercentage of Participants With Potassium Levels < Lower Limit of Normal (LLN)1.5 Percentage of Participants
PlaceboPercentage of Participants With Potassium Levels < Lower Limit of Normal (LLN)1.0 Percentage of Participants
p-value: 0.72295% CI: [-4, 3.5]Miettinen and Nurminen
Primary

Percentage of Participants With Sodium Levels > Upper Limit of Normal (ULN)

Participants had sodium levels assessed throughout the 52-week treatment period. The percentage of participants who had any sodium level that was greater than the ULN of 145 mEq/L during the treatment phase is presented.

Time frame: Up to 52 weeks

Population: The analysis population consisted of all randomized participants who received at least one dose of study treatment and had at least one post-baseline test result that met pre-determined criteria.

ArmMeasureValue (NUMBER)
Anacetrapib 100 mgPercentage of Participants With Sodium Levels > Upper Limit of Normal (ULN)11.4 Percentage of Participants
PlaceboPercentage of Participants With Sodium Levels > Upper Limit of Normal (ULN)9.9 Percentage of Participants
p-value: 0.69695% CI: [-6.8, 8.4]Miettinen and Nurminen
Primary

Percent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) - Treatment Phase

LDL-C levels were measured at baseline and week 52 (or at discontinuation) using a beta quantification method. The Treatment Phase was the period from the date of the participant's first dose of study treatment (randomization visit, Visit 3) to the participant's last visit on treatment (discontinuation visit or Visit 8 \[Week 52\]).

Time frame: Baseline and Week 52

Population: The full analysis set (FAS) population consisted of all randomized participants who received at least one dose of study treatment, had at least one post randomization observation for the analysis endpoint subsequent to at least one dose of study treatment and had baseline data for those analyses that require baseline data.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Anacetrapib 100 mgPercent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) - Treatment Phase-36.0 Percent Change
PlaceboPercent Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) - Treatment Phase3.7 Percent Change
p-value: <0.00195% CI: [-45.7, -33.7]Constrained Longitudinal Data Analysis
Secondary

Percent Change From Baseline in Apolipoprotein (Apo) A-1 Levels

The efficacy of adding anacetrapib 100 mg was evaluated relative to placebo on plasma concentrations of Apo A-1 for the FAS population at Week 0 (start of treatment phase) and Week 52 (end of treatment phase) or at discontinuation.

Time frame: Baseline and Week 52

Population: The FAS population consisted of all randomized participants who received at least one dose of study treatment and had at least one post randomization observation for the analysis endpoint subsequent to at least one dose of study treatment, and had baseline data for those analyses that require baseline data.

ArmMeasureValue (NUMBER)
Anacetrapib 100 mgPercent Change From Baseline in Apolipoprotein (Apo) A-1 Levels35.8 Percent Change
PlaceboPercent Change From Baseline in Apolipoprotein (Apo) A-1 Levels2.9 Percent Change
p-value: <0.00195% CI: [28.2, 37.6]Constrained Longitudinal Data Analysis
Secondary

Percent Change From Baseline in Apolipoprotein (Apo) B Levels

The efficacy of adding anacetrapib 100 mg was evaluated relative to placebo on plasma concentrations of apolipoprotein (Apo) B for the FAS population at Week 0 (start of treatment phase) and Week 52 (end of treatment phase) or at discontinuation.

Time frame: Baseline and Week 52

Population: The FAS population consisted of all randomized participants who received at least one dose of study treatment and had at least one post randomization observation for the analysis endpoint subsequent to at least one dose of study treatment, and had baseline data for those analyses that require baseline data.

ArmMeasureValue (NUMBER)
Anacetrapib 100 mgPercent Change From Baseline in Apolipoprotein (Apo) B Levels-19.6 Percent Change
PlaceboPercent Change From Baseline in Apolipoprotein (Apo) B Levels5.2 Percent Change
p-value: <0.00195% CI: [-29.5, -20.1]Constrained Longitudinal Data Analysis
Secondary

Percent Change From Baseline in High-Density Lipoprotein Cholesterol Levels

The efficacy of adding anacetrapib 100 mg relative to placebo on plasma concentrations of high-density lipoprotein cholesterol (HDL-C) was evaluated at Week 0 (start of treatment phase) and Week 52 (end of treatment phase) or at discontinuation.

Time frame: Baseline and Week 52

Population: The FAS population consisted of all randomized participants who received at least one dose of study treatment and had at least one post randomization observation for the analysis endpoint subsequent to at least one dose of study treatment, and had baseline data for those analyses that require baseline data.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Anacetrapib 100 mgPercent Change From Baseline in High-Density Lipoprotein Cholesterol Levels105.8 Percent Change
PlaceboPercent Change From Baseline in High-Density Lipoprotein Cholesterol Levels3.7 Percent Change
p-value: <0.00195% CI: [94.2, 110.1]Constrained Longitudinal Data Analysis
Secondary

Percent Change From Baseline in Lipoprotein(a) (Lp[a]) Levels

The efficacy of adding anacetrapib 100 mg was evaluated relative to placebo on plasma concentrations of lipoprotein(a) (Lp\[a\]) for the FAS population at Week 0 (start of treatment phase) and Week 52 (end of treatment phase) or at discontinuation.

Time frame: Baseline and Week 52

Population: The FAS population consisted of all randomized participants who received at least one dose of study treatment and had at least one post randomization observation for the analysis endpoint subsequent to at least one dose of study treatment, and had baseline data for those analyses that require baseline data.

ArmMeasureValue (NUMBER)
Anacetrapib 100 mgPercent Change From Baseline in Lipoprotein(a) (Lp[a]) Levels-31.8 Percent Change
PlaceboPercent Change From Baseline in Lipoprotein(a) (Lp[a]) Levels0.0 Percent Change
p-value: <0.00195% CI: [-34.7, -21.2]Wilcoxon (Mann-Whitney)
Secondary

Percent Change From Baseline in Non-High-Density Lipoprotein Cholesterol Levels

The efficacy of adding anacetrapib 100 mg was evaluated relative to placebo on plasma concentrations of non-high-density lipoprotein cholesterol (HDL-C) for the FAS population at Week 0 (start of treatment phase) and Week 52 (end of treatment phase) or at discontinuation.

Time frame: Baseline and Week 52

Population: The FAS population consisted of all randomized participants who received at least one dose of study treatment and had at least one post randomization observation for the analysis endpoint subsequent to at least one dose of study treatment, and had baseline data for those analyses that require baseline data.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Anacetrapib 100 mgPercent Change From Baseline in Non-High-Density Lipoprotein Cholesterol Levels-32.0 Percent Change
PlaceboPercent Change From Baseline in Non-High-Density Lipoprotein Cholesterol Levels4.4 Percent Change
p-value: <0.00195% CI: [-41.7, -31.1]Constrained Longitudinal Data Analysis

Source: ClinicalTrials.gov · Data processed: Mar 18, 2026