Dyslipidemia
Conditions
Brief summary
This study will evaluate and compare the effectiveness of MK-0653 (Vytorin) to current standard treatment with other statins for the treatment of dyslipidemia in moderate, moderately-high and high-risk participants.
Interventions
Algorithm based treatment using 10/10mg, 10/20mg and 10/40mg ezetimibe/simvastatin combination tablets orally once daily.
Participants are prescribed a statin (any other than Vytorin) as per routine standard of care
Sponsors
Study design
Eligibility
Inclusion criteria
* Low-density lipoprotein cholesterol (LDL-C) ≥100 mg/dL * Either treatment naïve (no previous treatment with lipid-lowering medication) or if previously treated with lipid-lowering medication, must complete a wash-out 6 weeks prior to enrollment
Exclusion criteria
* LDL-C level ≥ 190 mg/dL * Hypersensitivity or intolerance to Vytorin, ezetimibe or simvastatin * Taking other lipid lowering agent except statins. (i.e. fenofibrate, niacin, ezetimibe, etc) * Pregnant or breastfeeding, or expecting to conceive within the projected duration of the study * Currently participating in or has previously participated in a study within 30 days * Congestive heart failure defined by New York Heart Association (NYHA) Class III or IV within previous 6 months * Uncontrolled cardiac arrhythmias or recent significant electrocardiogram (ECG) changes * Unstable angina pectoris * Myocardial infarction, coronary artery bypass surgery, or angioplasty within previous 3 months * Unstable or severe peripheral artery disease within previous 3 months * Uncontrolled hypertension (treated or untreated) * Type 1 or Type 2 diabetes mellitus that is poorly controlled or recently diagnosed (within previous 3 months) * Uncontrolled endocrine or metabolic disease known to influence serum lipids or lipoproteins * Serious cerebrovascular disorder (ischemic stroke or cerebral hemorrhage) within the previous 6 months * Received treatment with systemic corticosteroids, any cyclical hormones within previous 8 weeks
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of Participants who Achieve Low-density Lipoprotein Cholesterol (LDL-C) goal (High-risk <100 mg/dL; Moderate-high and High risk <130 mg/dL) | Week 6 |
Secondary
| Measure | Time frame |
|---|---|
| Number of High-risk Participants who Achieve an LDL-C < 70 mg/dL | Week 6 |
| Change in Serum LDL From Baseline | Baseline and Week 6 |
| Change in Total Cholesterol From Baseline | Baseline and Week 6 |
| Change in High-density lipoprotein (HDL) From Baseline | Baseline and Week 6 |
| Change in LDL-C level From Baseline | Baseline and Week 6 |
| Change in Serum Non-HDL From Baseline | Baseline and Week 6 |
| Change in LDL-C/HDL-C Ratio From Baseline | Baseline and Week 6 |
| Change in Apolipoprotein B (ApoB) From Baseline | Baseline and Week 6 |
| Number of Participants who Achieve non-HDL-C goal (High-risk <100 mg/dL; Moderate-high and High risk <160 mg/dL)) | Week 6 |
| Change in Serum Triglycerides (TG) From Baseline | Baseline and Week 6 |