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A Study of the Efficacy and Safety of ETC-1002 in Participants With Statin Intolerance

A Placebo-Controlled, Randomized, Double-Blind, Parallel Group, Multicenter Study to Evaluate the Efficacy and Safety of ETC-1002 in Subjects With Hypercholesterolemia and a History of Statin Intolerance

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01751984
Enrollment
56
Registered
2012-12-18
Start date
2012-10-04
Completion date
2013-05-01
Last updated
2022-04-04

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

Conditions

Hypercholesterolemia

Keywords

lipid-lowering drugs, statin intolerance

Brief summary

This study will assess the Low-Density Lipoprotein-Cholesterol (LDL-C) lowering efficacy and safety of ETC-1002 versus placebo in participants with hypercholesterolemia and a history of statin intolerance.

Interventions

Weeks 1-2, 60 milligrams per day (mg/day); Weeks 3-4, 120 mg/day; Weeks 5-6, 180 mg/day; Weeks 7-8, 240 mg/day

DRUGPlacebo

Placebo once daily for 8 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

Key Inclusion Criteria: * A history of statin intolerance that began during statin treatment and resolved within 4 weeks of stopping the statin treatment * For participants on current lipid-regulating drugs - LDL-C 100-220 milligrams per deciliter (mg/dL) and triglycerides \<350 mg/dL (prior to wash-out of all lipid-regulating drugs and supplements) * For participants not on current lipid-regulating drugs - LDL-C 115-270 mg/dL and fasting TG \<400 mg/dL Key

Exclusion criteria

* Acute significant cardiovascular disease * Poorly controlled hypertension

Design outcomes

Primary

MeasureTime frameDescription
Percent Change From Baseline to Week 8 in Calculated Low-Density Lipoprotein-Cholesterol (LDL-C)Baseline; 8 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. Least square (LS) mean percent change from Baseline to Week 8 was based on an analysis of covariance (ANCOVA) model with effects of treatment and Baseline value as a covariate. Missing LDL-C values at Week 8 were imputed using the last observation carried forward (LOCF) procedure (only post-Baseline values were carried forward). A negative percent change from Baseline reflects clinical improvement.

Secondary

MeasureTime frameDescription
Percent Change From Baseline to Week 8 in Apolipoprotein AIBaseline; 8 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 8 was based on an ANCOVA model with effects of treatment and Baseline value as a covariate. Missing values at Week 8 were imputed using the LOCF procedure (only post-Baseline values were carried forward). A negative percent change from Baseline reflects clinical improvement.
Percent Change From Baseline to Week 8 in High-Density Lipoprotein-Cholesterol (HDL-C)Baseline; 8 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 8 was based on an ANCOVA model with effects of treatment and Baseline value as a covariate. Missing values at Week 8 were imputed using the LOCF procedure (only post-Baseline values were carried forward). A negative percent change from Baseline reflects clinical improvement.
Percent Change From Baseline to Week 8 in Non-HDL-CBaseline; 8 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 8 was based on an ANCOVA model with effects of treatment and Baseline value as a covariate. Missing values at Week 8 were imputed using the LOCF procedure (only post-Baseline values were carried forward). A negative percent change from Baseline reflects clinical improvement.
Percent Change From Baseline to Week 8 in Total CholesterolBaseline; 8 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 8 was based on an ANCOVA model with effects of treatment and Baseline value as a covariate. Missing values at Week 8 were imputed using the LOCF procedure (only post-Baseline values were carried forward). A negative percent change from Baseline reflects clinical improvement.
Percent Change From Baseline to Week 8 in TriglyceridesBaseline; 8 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 8 was based on an ANCOVA model with effects of treatment and Baseline value as a covariate. Missing values at Week 8 were imputed using the LOCF procedure (only post-Baseline values were carried forward). A negative percent change from Baseline reflects clinical improvement.
Percent Change From Baseline to Week 8 in Apolipoprotein BBaseline; 8 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 8 was based on an ANCOVA model with effects of treatment and Baseline value as a covariate. Missing values at Week 8 were imputed using the LOCF procedure (only post-Baseline values were carried forward). A negative percent change from Baseline reflects clinical improvement.
Percent Change From Baseline to Weeks 2, 4, 6, and 8 in Calculated LDL-CBaseline; Weeks 2, 4, 6, and 8Percent 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 was based on an ANCOVA model with effects of treatment and Baseline value as a covariate. A negative percent change from Baseline reflects clinical improvement.
Percent Change From Baseline to Week 8 in High-Sensitivity C-Reactive Protein (hsCRP)Baseline; 8 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 8 was based on an ANCOVA model with effects of treatment and Baseline value as a covariate. Data were based on the participant's last post-Baseline value. Only those participants having a valid assessment at Baseline and each subsequent time point were included in the summaries at that time point. hsCRP results indicated as \<0.2 in the laboratory data were set to 0.2 for purposes of analysis. A negative percent change from Baseline reflects clinical improvement.
Percent Change From Baseline to Week 8 in Free Fatty Acids (FFA)Baseline; 8 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 8 was based on an ANCOVA model with effects of treatment and Baseline value as a covariate. Data were based on the participant's last post-Baseline value.
Number of Participants Achieving Their National Cholesterol Education Program Adult Treatment Panel III (NCEP ATPIII) LDL-C Goal (<100 Milligrams Per Deciliter [mg/dL]) After 8 Weeks of TreatmentBaseline; up to 8 weeksParticipants were analyzed to evaluate the LDL-C target of \<100 mg/dL for high risk participants with cardiovascular diseases. Missing values at Week 8 were imputed using the LOCF procedure (only post-Baseline values were carried forward).
Number or Participants With Treatment-emergent Adverse Events (TEAEs)up to 8 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 Muscle-Related TEAEsup to 8 weeksTEAEs were defined as 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.
Percent Change From Baseline to Week 8 in Lipoprotein (a)Baseline; 8 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 8 was based on an ANCOVA model with effects of treatment and Baseline value as a covariate. Data are based on the participant's last post-Baseline value. Only those participants having a valid assessment at Baseline and each subsequent time point were included in the summaries at that time point. Lipoprotein (a) results indicated as \<3 in the laboratory data were set to 3 for purposes of analysis. A negative percent change from Baseline reflects clinical improvement.

Countries

United States

Participant flow

Participants by arm

ArmCount
ETC-1002
Participants initially received ETC-1002 60 milligrams (mg) once daily (QD) on Day 1 for 2 weeks, and then were titrated successively to 120 mg QD for 2 weeks, 180 mg QD for 2 weeks, and 240 mg QD for 2 weeks.
37
Placebo
Participants received placebo QD on Day 1 for 8 weeks.
19
Total56

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event53
Overall StudyPer Investigator/Sponsor/Regulatory Body10
Overall StudyWithdrawal by Subject01

Baseline characteristics

CharacteristicETC-1002PlaceboTotal
Age, Continuous63.9 years
STANDARD_DEVIATION 5.42
60.4 years
STANDARD_DEVIATION 7.88
62.8 years
STANDARD_DEVIATION 6.51
Calculated Low-density Lipoprotein Cholesterol (LDL-C)175.7 milligrams per deciliter (mg/dL)
STANDARD_DEVIATION 36.52
184.8 milligrams per deciliter (mg/dL)
STANDARD_DEVIATION 32.53
178.9 milligrams per deciliter (mg/dL)
STANDARD_DEVIATION 35.16
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
2 Participants0 Participants2 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
35 Participants19 Participants54 Participants
Sex: Female, Male
Female
17 Participants11 Participants28 Participants
Sex: Female, Male
Male
20 Participants8 Participants28 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 370 / 19
other
Total, other adverse events
19 / 3715 / 19
serious
Total, serious adverse events
1 / 370 / 19

Outcome results

Primary

Percent Change From Baseline to Week 8 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 value from Week 0. Least square (LS) mean percent change from Baseline to Week 8 was based on an analysis of covariance (ANCOVA) model with effects of treatment and Baseline value as a covariate. Missing LDL-C values at Week 8 were imputed using the last observation carried forward (LOCF) procedure (only post-Baseline values were carried forward). A negative percent change from Baseline reflects clinical improvement.

Time frame: Baseline; 8 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. The participant composition of this population could change depending on the parameter being analyzed. Only participants with available data were analyzed.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ETC-1002Percent Change From Baseline to Week 8 in Calculated Low-Density Lipoprotein-Cholesterol (LDL-C)-32.0 Percent ChangeStandard Error 1.93
PlaceboPercent Change From Baseline to Week 8 in Calculated Low-Density Lipoprotein-Cholesterol (LDL-C)-3.3 Percent ChangeStandard Error 2.69
p-value: <0.000195% CI: [-35.4, -22.1]ANCOVA
Secondary

Number of Participants Achieving Their National Cholesterol Education Program Adult Treatment Panel III (NCEP ATPIII) LDL-C Goal (<100 Milligrams Per Deciliter [mg/dL]) After 8 Weeks of Treatment

Participants were analyzed to evaluate the LDL-C target of \<100 mg/dL for high risk participants with cardiovascular diseases. Missing values at Week 8 were imputed using the LOCF procedure (only post-Baseline values were carried forward).

Time frame: Baseline; up to 8 weeks

Population: mITT Population. The participant composition of this population could change depending on the parameter being analyzed. Only participants with available data were analyzed.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
ETC-1002Number of Participants Achieving Their National Cholesterol Education Program Adult Treatment Panel III (NCEP ATPIII) LDL-C Goal (<100 Milligrams Per Deciliter [mg/dL]) After 8 Weeks of TreatmentWeek 8: Achieved LDL-C Goal21 Participants
ETC-1002Number of Participants Achieving Their National Cholesterol Education Program Adult Treatment Panel III (NCEP ATPIII) LDL-C Goal (<100 Milligrams Per Deciliter [mg/dL]) After 8 Weeks of TreatmentWeek 8: Did Not Achieve LDL-C Goal13 Participants
PlaceboNumber of Participants Achieving Their National Cholesterol Education Program Adult Treatment Panel III (NCEP ATPIII) LDL-C Goal (<100 Milligrams Per Deciliter [mg/dL]) After 8 Weeks of TreatmentWeek 8: Achieved LDL-C Goal0 Participants
PlaceboNumber of Participants Achieving Their National Cholesterol Education Program Adult Treatment Panel III (NCEP ATPIII) LDL-C Goal (<100 Milligrams Per Deciliter [mg/dL]) After 8 Weeks of TreatmentWeek 8: Did Not Achieve LDL-C Goal17 Participants
p-value: <0.000195% CI: [45.4, 78.1]Fisher Exact
Secondary

Number of Participants With Muscle-Related TEAEs

TEAEs were defined as 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 8 weeks

Population: Safety Population

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
ETC-1002Number of Participants With Muscle-Related TEAEs12 Participants
PlaceboNumber of Participants With Muscle-Related TEAEs7 Participants
Secondary

Number or 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 8 weeks

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

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
ETC-1002Number or Participants With Treatment-emergent Adverse Events (TEAEs)26 Participants
PlaceboNumber or Participants With Treatment-emergent Adverse Events (TEAEs)15 Participants
Secondary

Percent Change From Baseline to Week 8 in Apolipoprotein AI

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 8 was based on an ANCOVA model with effects of treatment and Baseline value as a covariate. Missing values at Week 8 were imputed using the LOCF procedure (only post-Baseline values were carried forward). A negative percent change from Baseline reflects clinical improvement.

Time frame: Baseline; 8 weeks

Population: mITT Population. The participant composition of this population could change depending on the parameter being analyzed. Only participants with available data were analyzed.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ETC-1002Percent Change From Baseline to Week 8 in Apolipoprotein AI-4.2 Percent ChangeStandard Error 2.04
PlaceboPercent Change From Baseline to Week 8 in Apolipoprotein AI0.1 Percent ChangeStandard Error 2.98
p-value: =0.255595% CI: [-11.7, 3.2]ANCOVA
Secondary

Percent Change From Baseline to Week 8 in Apolipoprotein B

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 8 was based on an ANCOVA model with effects of treatment and Baseline value as a covariate. Missing values at Week 8 were imputed using the LOCF procedure (only post-Baseline values were carried forward). A negative percent change from Baseline reflects clinical improvement.

Time frame: Baseline; 8 weeks

Population: mITT Population. The participant composition of this population could change depending on the parameter being analyzed. Only participants with available data were analyzed.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ETC-1002Percent Change From Baseline to Week 8 in Apolipoprotein B-19.7 Percent ChangeStandard Error 2.61
PlaceboPercent Change From Baseline to Week 8 in Apolipoprotein B-4.4 Percent ChangeStandard Error 3.77
p-value: =0.001995% CI: [-24.6, -6]ANCOVA
Secondary

Percent Change From Baseline to Week 8 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 value from Week 0. LS mean percent change from Baseline to Week 8 was based on an ANCOVA model with effects of treatment and Baseline value as a covariate. Data were based on the participant's last post-Baseline value.

Time frame: Baseline; 8 weeks

Population: mITT Population. The participant composition of this population could change depending on the parameter being analyzed. Only participants with available data were analyzed.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ETC-1002Percent Change From Baseline to Week 8 in Free Fatty Acids (FFA)14.3 Percent ChangeStandard Error 7.99
PlaceboPercent Change From Baseline to Week 8 in Free Fatty Acids (FFA)10.4 Percent ChangeStandard Error 11.31
p-value: 0.77695% CI: [-24.1, 32]ANCOVA
Secondary

Percent Change From Baseline to Week 8 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 value from Week 0. LS mean percent change from Baseline to Week 8 was based on an ANCOVA model with effects of treatment and Baseline value as a covariate. Missing values at Week 8 were imputed using the LOCF procedure (only post-Baseline values were carried forward). A negative percent change from Baseline reflects clinical improvement.

Time frame: Baseline; 8 weeks

Population: mITT Population. The participant composition of this population could change depending on the parameter being analyzed.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ETC-1002Percent Change From Baseline to Week 8 in High-Density Lipoprotein-Cholesterol (HDL-C)-8.2 Percent ChangeStandard Deviation 2.46
PlaceboPercent Change From Baseline to Week 8 in High-Density Lipoprotein-Cholesterol (HDL-C)-2.4 Percent ChangeStandard Deviation 3.51
p-value: 0.189295% CI: [-14.5, 2.9]ANCOVA
Secondary

Percent Change From Baseline to Week 8 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 value from Week 0. LS mean percent change from Baseline to Week 8 was based on an ANCOVA model with effects of treatment and Baseline value as a covariate. Data were based on the participant's last post-Baseline value. Only those participants having a valid assessment at Baseline and each subsequent time point were included in the summaries at that time point. hsCRP results indicated as \<0.2 in the laboratory data were set to 0.2 for purposes of analysis. A negative percent change from Baseline reflects clinical improvement.

Time frame: Baseline; 8 weeks

Population: mITT Population. The participant composition of this population could change depending on the parameter being analyzed. Only participants with available data were analyzed.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ETC-1002Percent Change From Baseline to Week 8 in High-Sensitivity C-Reactive Protein (hsCRP)-22.6 Percent ChangeStandard Error 11.77
PlaceboPercent Change From Baseline to Week 8 in High-Sensitivity C-Reactive Protein (hsCRP)1.1 Percent ChangeStandard Error 16.74
p-value: 0.256595% CI: [-65.4, 18]ANCOVA
Secondary

Percent Change From Baseline to Week 8 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 value from Week 0. LS mean percent change from Baseline to Week 8 was based on an ANCOVA model with effects of treatment and Baseline value as a covariate. Data are based on the participant's last post-Baseline value. Only those participants having a valid assessment at Baseline and each subsequent time point were included in the summaries at that time point. Lipoprotein (a) results indicated as \<3 in the laboratory data were set to 3 for purposes of analysis. A negative percent change from Baseline reflects clinical improvement.

Time frame: Baseline; 8 weeks

Population: mITT Population. The participant composition of this population could change depending on the parameter being analyzed. Only participants with available data were analyzed.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ETC-1002Percent Change From Baseline to Week 8 in Lipoprotein (a)10.4 Percent ChangeStandard Error 5.78
PlaceboPercent Change From Baseline to Week 8 in Lipoprotein (a)-1.2 Percent ChangeStandard Error 8.32
p-value: 0.256395% CI: [-8.8, 32.1]ANCOVA
Secondary

Percent Change From Baseline to Week 8 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 value from Week 0. LS mean percent change from Baseline to Week 8 was based on an ANCOVA model with effects of treatment and Baseline value as a covariate. Missing values at Week 8 were imputed using the LOCF procedure (only post-Baseline values were carried forward). A negative percent change from Baseline reflects clinical improvement.

Time frame: Baseline; 8 weeks

Population: mITT Population. The participant composition of this population could change depending on the parameter being analyzed.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ETC-1002Percent Change From Baseline to Week 8 in Non-HDL-C-25.4 Percent ChangeStandard Error 2.04
PlaceboPercent Change From Baseline to Week 8 in Non-HDL-C-4.4 Percent ChangeStandard Error 2.88
p-value: <0.000195% CI: [-28, -13.9]ANCOVA
Secondary

Percent Change From Baseline to Week 8 in Total Cholesterol

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 8 was based on an ANCOVA model with effects of treatment and Baseline value as a covariate. Missing values at Week 8 were imputed using the LOCF procedure (only post-Baseline values were carried forward). A negative percent change from Baseline reflects clinical improvement.

Time frame: Baseline; 8 weeks

Population: mITT Population. The participant composition of this population could change depending on the parameter being analyzed.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ETC-1002Percent Change From Baseline to Week 8 in Total Cholesterol-22.2 Percent ChangeStandard Error 1.64
PlaceboPercent Change From Baseline to Week 8 in Total Cholesterol-3.7 Percent ChangeStandard Error 2.32
p-value: <0.000195% CI: [-24.2, -12.7]ANCOVA
Secondary

Percent Change From Baseline to Week 8 in Triglycerides

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 8 was based on an ANCOVA model with effects of treatment and Baseline value as a covariate. Missing values at Week 8 were imputed using the LOCF procedure (only post-Baseline values were carried forward). A negative percent change from Baseline reflects clinical improvement.

Time frame: Baseline; 8 weeks

Population: mITT Population. The participant composition of this population could change depending on the parameter being analyzed.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ETC-1002Percent Change From Baseline to Week 8 in Triglycerides11.2 Percent ChangeStandard Error 6.34
PlaceboPercent Change From Baseline to Week 8 in Triglycerides-7.4 Percent ChangeStandard Error 8.98
p-value: =0.096295% CI: [-3.5, 40.8]ANCOVA
Secondary

Percent Change From Baseline to Weeks 2, 4, 6, and 8 in Calculated 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 value from Week 0. LS mean percent change from Baseline was based on an ANCOVA model with effects of treatment and Baseline value as a covariate. A negative percent change from Baseline reflects clinical improvement.

Time frame: Baseline; Weeks 2, 4, 6, and 8

Population: Completers Population: All randomized participants who received at least 1 dose of study medication and had a Baseline assessment and an assessment at the specified time point, excluding any assessments taken more than 2 days after a dose of study medication. The participant composition of this population could change depending on the parameter being analyzed. Only participants with available data were analyzed.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
ETC-1002Percent Change From Baseline to Weeks 2, 4, 6, and 8 in Calculated LDL-CWeek 2-19.5 Percent ChangeStandard Error 1.83
ETC-1002Percent Change From Baseline to Weeks 2, 4, 6, and 8 in Calculated LDL-CWeek 6-32.6 Percent ChangeStandard Error 2.28
ETC-1002Percent Change From Baseline to Weeks 2, 4, 6, and 8 in Calculated LDL-CWeek 4-31.0 Percent ChangeStandard Error 1.5
ETC-1002Percent Change From Baseline to Weeks 2, 4, 6, and 8 in Calculated LDL-CWeek 8-32.6 Percent ChangeStandard Error 2.48
PlaceboPercent Change From Baseline to Weeks 2, 4, 6, and 8 in Calculated LDL-CWeek 8-4.0 Percent ChangeStandard Error 3.51
PlaceboPercent Change From Baseline to Weeks 2, 4, 6, and 8 in Calculated LDL-CWeek 2-1.4 Percent ChangeStandard Error 2.52
PlaceboPercent Change From Baseline to Weeks 2, 4, 6, and 8 in Calculated LDL-CWeek 4-1.0 Percent ChangeStandard Error 2.12
PlaceboPercent Change From Baseline to Weeks 2, 4, 6, and 8 in Calculated LDL-CWeek 6-3.8 Percent ChangeStandard Error 3.28
p-value: <0.000195% CI: [-24.3, -11.8]ANCOVA
p-value: <0.000195% CI: [-35.2, -24.7]ANCOVA
p-value: <0.000195% CI: [-36.9, -20.8]ANCOVA
p-value: <0.000195% CI: [-37.2, -19.8]ANCOVA

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026