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Outcomes Study to Assess STatin Residual Risk Reduction With EpaNova in HiGh CV Risk PatienTs With Hypertriglyceridemia

A Long-Term Outcomes Study to Assess STatin Residual Risk Reduction With EpaNova in HiGh Cardiovascular Risk PatienTs With Hypertriglyceridemia (STRENGTH)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02104817
Acronym
STRENGTH
Enrollment
13078
Registered
2014-04-04
Start date
2014-10-30
Completion date
2020-05-27
Last updated
2021-08-17

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

Conditions

Eligible Men or Women Considered High Risk for Atherosclerotic Cardiovascular Disease (CVD)

Keywords

omega-3 carboxylic acid

Brief summary

The study is a randomized, double-blind, placebo-controlled (corn oil), parallel group design that will enroll approximately 13,000 patients with hypertriglyceridemia and low HDL and high risk for CVD to be randomized 1:1 to either corn oil + statin or Epanova + statin, once daily, for approximately 3-5 years as determined when the number of MACE outcomes is reached.

Interventions

Adjunct to statin therapy and diet in high risk adult patients for the prevention and reduction of major adverse cardiovascular events (MACE)

corn oil control arm

Sponsors

The Cleveland Clinic
CollaboratorOTHER
IQVIA RDS Inc.
CollaboratorINDUSTRY
AstraZeneca
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No

Inclusion criteria

1. Men or women, ≥18 years of age. 2. Patient must be on a stable diet and statin\* therapy at least 4 weeks prior to randomization (Visit 2) and meet the following criteria: 1. LDL-C \<100 mg/dL 2. TG level ≥180 and \<500 mg/dL and HDL-C \<42 mg/dL for men or HDL-C \<47 mg/dL for women 3. Patient is at high risk for a future cardiovascular event if at least one of the following criteria (3a, 3b or 3c)\* is present via patient history, physical exam, or medical records at the time of screening: 1. Any atherosclerotic CVD as defined in protocol. 2. History of diabetes mellitus (type 1 or 2) and ≥40 years of age for men and ≥50 years of age for women, plus one of the risk factors defined in protocol. 3. Male patients \>50 years of age or females \>60 years of age, with at least one of the risk factors defined in protocol. Key

Exclusion criteria

1\. Allergy or intolerance to omega-3 carboxylic acids, omega-3 fatty acids, omega-3-acid ethyl esters, or corn oil. 2.Use of fibrates, bile acid sequestrants, or niacin or its analogues (\>250 mg/day) within 4 weeks prior to Visit 2. 3.Statin naïve at Visit 1.

Design outcomes

Primary

MeasureTime frameDescription
The Composite of Major Adverse Cardiovascular Events (MACE)From the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closureMACE components include: cardiovascular (CV) death, nonfatal myocardial infarction (MI), nonfatal stroke, emergent/elective coronary revascularization, or hospitalization for unstable angina. Participants with no observed events are censored at the earliest of withdrawal of consent date and last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed).

Secondary

MeasureTime frameDescription
The Composite of Coronary EventsFrom the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closureCoronary events include: cardiac death (including death due to acute myocardial infarction, sudden cardiac death and death due to cardiovascular procedures), non-fatal myocardial infarction (MI), emergent/elective coronary revascularization and hospitalization for unstable angina. Participants with no observed events are censored at the earliest of withdrawal of consent date and last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed).
CV DeathFrom the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closureParticipants with no observed events are censored at the latest of the date of last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed), last date known to be alive, and date of non-cardiovascular death.
CV Death in the Subgroup of Participants With Established CVD at BaselineFrom the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closureParticipants with no observed events are censored at the latest of the date of last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed), last date known to be alive, and date of non-cardiovascular death in the subgroup of participants with established CVD at baseline
All-cause DeathFrom the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closureParticipants with no observed events are censored at the latest of the date of last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed) and last date known to be alive.
All-cause Death in the Subgroup of Participants With Established CVD at BaselineFrom the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closureParticipants with no observed events are censored at the latest of the date of last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed) and last date known to be alive in the subgroup of participants with established CVD at baseline
The Composite of MACE in the Subgroup of Participants With Established CV Disease(CVD) at BaselineFrom the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closureMACE components include: cardiovascular (CV) death, nonfatal myocardial infarction (MI), nonfatal stroke, emergent/elective coronary revascularization, or hospitalization for unstable angina. Participants with no observed events are censored at the earliest of withdrawal of consent date and last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed).
The Composite of CV EventsFrom the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closureCV events include: cardiovascular (CV) death, non-fatal myocardial infarction (MI) and non-fatal stroke. Participants with no observed events are censored at the earliest of withdrawal of consent date and last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed).
The Composite of CV Events in the Subgroup of Participants With Established CV Disease (CVD) at BaselineFrom the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closureCV events include: cardiovascular (CV) death, non-fatal myocardial infarction (MI) and non-fatal stroke. Participants with no observed events are censored at the earliest of withdrawal of consent date and last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed).
The Composite of Coronary Events in the Subgroup of Participants With Established CVD at BaselineFrom the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closureCoronary events include: cardiac death (including death due to acute myocardial infarction, sudden cardiac death and death due to cardiovascular procedures), non-fatal myocardial infarction (MI), emergent/elective coronary revascularization and hospitalization for unstable angina. Participants with no observed events are censored at the earliest of withdrawal of consent date and last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed) in the subgroup of participants with established CVD at baseline

Other

MeasureTime frameDescription
Non-fatal Myocardial InfarctionFrom the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closureParticipants with no observed events are censored at the earliest of withdrawal of consent date and last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed).
Non-fatal StrokeFrom the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closureParticipants with no observed events are censored at the earliest of withdrawal of consent date and last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed).
Hospitalization for Unstable AnginaFrom the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closureParticipants with no observed events are censored at the earliest of withdrawal of consent date and last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed).
Emergent/Elective Coronary RevascularizationFrom the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closureParticipants with no observed events are censored at the earliest of withdrawal of consent date and last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed).

Countries

Australia, Belgium, Canada, China, Czechia, Denmark, Estonia, Hungary, Italy, Japan, Lithuania, Mexico, Netherlands, New Zealand, Poland, Russia, South Africa, South Korea, Taiwan, Ukraine, United Kingdom, United States

Participant flow

Recruitment details

686 study sites in 22 countries randomized subjects. The first patient was enrolled on 30 October 2014 and randomized on 11 November 2014. The last patient was randomized on 12 July 2017.

Participants by arm

ArmCount
Epanova
Omega-3 carboxylic acid 4 x 1 gram capsule
6,539
Placebo
Corn oil 4 x 1 gram capsule
6,539
Total13,078

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyDeath363330
Overall StudyLost to Follow-up32
Overall StudyOther reasons128135
Overall StudyProtocol Violation01
Overall StudyStudy terminated by sponsor5,8545,901
Overall StudyWithdrawal by Subject11178

Baseline characteristics

CharacteristicPlaceboEpanovaTotal
Age, Continuous62.5 years
STANDARD_DEVIATION 8.98
62.5 years
STANDARD_DEVIATION 8.98
62.5 years
STANDARD_DEVIATION 8.98
Race/Ethnicity, Customized
AMERICAN INDIAN OR ALASKA NATIVE
112 Participants114 Participants226 Participants
Race/Ethnicity, Customized
ASIAN
657 Participants698 Participants1355 Participants
Race/Ethnicity, Customized
BLACK OR AFRICAN AMERICAN
166 Participants180 Participants346 Participants
Race/Ethnicity, Customized
MULTIPLE
47 Participants33 Participants80 Participants
Race/Ethnicity, Customized
NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER
11 Participants10 Participants21 Participants
Race/Ethnicity, Customized
NOT REPORTED
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
OTHER
154 Participants159 Participants313 Participants
Race/Ethnicity, Customized
UNKNOWN
10 Participants4 Participants14 Participants
Race/Ethnicity, Customized
WHITE
5382 Participants5341 Participants10723 Participants
Region of Enrollment
Australia
54 Participants58 Participants112 Participants
Region of Enrollment
Belgium
51 Participants53 Participants104 Participants
Region of Enrollment
Canada
177 Participants187 Participants364 Participants
Region of Enrollment
China
356 Participants357 Participants713 Participants
Region of Enrollment
Czech Republic
108 Participants120 Participants228 Participants
Region of Enrollment
Denmark
73 Participants48 Participants121 Participants
Region of Enrollment
Estonia
53 Participants57 Participants110 Participants
Region of Enrollment
Hungary
562 Participants561 Participants1123 Participants
Region of Enrollment
Italy
34 Participants33 Participants67 Participants
Region of Enrollment
Japan
139 Participants166 Participants305 Participants
Region of Enrollment
Korea, Republic Of
65 Participants68 Participants133 Participants
Region of Enrollment
Lithuania
193 Participants170 Participants363 Participants
Region of Enrollment
Mexico
155 Participants152 Participants307 Participants
Region of Enrollment
Netherlands
215 Participants206 Participants421 Participants
Region of Enrollment
New Zealand
77 Participants74 Participants151 Participants
Region of Enrollment
Poland
492 Participants501 Participants993 Participants
Region of Enrollment
Russia
326 Participants307 Participants633 Participants
Region of Enrollment
South Africa
490 Participants471 Participants961 Participants
Region of Enrollment
Taiwan, Province Of China
31 Participants28 Participants59 Participants
Region of Enrollment
Ukraine
955 Participants1009 Participants1964 Participants
Region of Enrollment
United Kingdom
382 Participants377 Participants759 Participants
Region of Enrollment
USA
1551 Participants1536 Participants3087 Participants
Sex: Female, Male
Female
2279 Participants2289 Participants4568 Participants
Sex: Female, Male
Male
4260 Participants4250 Participants8510 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
373 / 6,539333 / 6,539
other
Total, other adverse events
1,405 / 6,532826 / 6,535
serious
Total, serious adverse events
2,259 / 6,5322,195 / 6,535

Outcome results

Primary

The Composite of Major Adverse Cardiovascular Events (MACE)

MACE components include: cardiovascular (CV) death, nonfatal myocardial infarction (MI), nonfatal stroke, emergent/elective coronary revascularization, or hospitalization for unstable angina. Participants with no observed events are censored at the earliest of withdrawal of consent date and last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed).

Time frame: From the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closure

Population: Full Analysis Set

ArmMeasureValue (NUMBER)
EpanovaThe Composite of Major Adverse Cardiovascular Events (MACE)785 Number of Participants
PlaceboThe Composite of Major Adverse Cardiovascular Events (MACE)795 Number of Participants
p-value: 0.83795% CI: [0.9, 1.09]Regression, Cox
Secondary

All-cause Death

Participants with no observed events are censored at the latest of the date of last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed) and last date known to be alive.

Time frame: From the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closure

Population: Full Analysis Set

ArmMeasureValue (NUMBER)
EpanovaAll-cause Death373 Number of Participants
PlaceboAll-cause Death333 Number of Participants
p-value: 0.11295% CI: [0.97, 1.31]Regression, Cox
Secondary

All-cause Death in the Subgroup of Participants With Established CVD at Baseline

Participants with no observed events are censored at the latest of the date of last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed) and last date known to be alive in the subgroup of participants with established CVD at baseline

Time frame: From the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closure

Population: Full Analysis Set

ArmMeasureGroupValue (NUMBER)
EpanovaAll-cause Death in the Subgroup of Participants With Established CVD at BaselineOverall number of participants373 Number of Participants
EpanovaAll-cause Death in the Subgroup of Participants With Established CVD at BaselineNumber of participants with established CVD at baselne234 Number of Participants
PlaceboAll-cause Death in the Subgroup of Participants With Established CVD at BaselineOverall number of participants333 Number of Participants
PlaceboAll-cause Death in the Subgroup of Participants With Established CVD at BaselineNumber of participants with established CVD at baselne202 Number of Participants
p-value: 0.09195% CI: [0.97, 1.42]Regression, Cox
Secondary

CV Death

Participants with no observed events are censored at the latest of the date of last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed), last date known to be alive, and date of non-cardiovascular death.

Time frame: From the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closure

ArmMeasureValue (NUMBER)
EpanovaCV Death228 Number of Participants
PlaceboCV Death211 Number of Participants
p-value: 0.37295% CI: [0.9, 1.31]Regression, Cox
Secondary

CV Death in the Subgroup of Participants With Established CVD at Baseline

Participants with no observed events are censored at the latest of the date of last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed), last date known to be alive, and date of non-cardiovascular death in the subgroup of participants with established CVD at baseline

Time frame: From the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closure

Population: Full Analysis Set

ArmMeasureGroupValue (NUMBER)
EpanovaCV Death in the Subgroup of Participants With Established CVD at BaselineOverall number of participants228 Number of Participants
EpanovaCV Death in the Subgroup of Participants With Established CVD at BaselineNumber of participants with established CVD at baseline152 Number of Participants
PlaceboCV Death in the Subgroup of Participants With Established CVD at BaselineOverall number of participants211 Number of Participants
PlaceboCV Death in the Subgroup of Participants With Established CVD at BaselineNumber of participants with established CVD at baseline138 Number of Participants
p-value: 0.33695% CI: [0.89, 1.41]Regression, Cox
Secondary

The Composite of Coronary Events

Coronary events include: cardiac death (including death due to acute myocardial infarction, sudden cardiac death and death due to cardiovascular procedures), non-fatal myocardial infarction (MI), emergent/elective coronary revascularization and hospitalization for unstable angina. Participants with no observed events are censored at the earliest of withdrawal of consent date and last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed).

Time frame: From the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closure

Population: Full Analysis Set

ArmMeasureValue (NUMBER)
EpanovaThe Composite of Coronary Events556 Number of Participants
PlaceboThe Composite of Coronary Events616 Number of Participants
p-value: 0.09295% CI: [0.81, 1.02]Regression, Cox
Secondary

The Composite of Coronary Events in the Subgroup of Participants With Established CVD at Baseline

Coronary events include: cardiac death (including death due to acute myocardial infarction, sudden cardiac death and death due to cardiovascular procedures), non-fatal myocardial infarction (MI), emergent/elective coronary revascularization and hospitalization for unstable angina. Participants with no observed events are censored at the earliest of withdrawal of consent date and last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed) in the subgroup of participants with established CVD at baseline

Time frame: From the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closure

Population: Full Analysis Set

ArmMeasureGroupValue (NUMBER)
EpanovaThe Composite of Coronary Events in the Subgroup of Participants With Established CVD at BaselineOverall number of participants556 Number of Participants
EpanovaThe Composite of Coronary Events in the Subgroup of Participants With Established CVD at BaselineNumber of participants with established CVD at baseline417 Number of Participants
PlaceboThe Composite of Coronary Events in the Subgroup of Participants With Established CVD at BaselineOverall number of participants616 Number of Participants
PlaceboThe Composite of Coronary Events in the Subgroup of Participants With Established CVD at BaselineNumber of participants with established CVD at baseline493 Number of Participants
p-value: 0.01695% CI: [0.75, 0.97]Regression, Cox
Secondary

The Composite of CV Events

CV events include: cardiovascular (CV) death, non-fatal myocardial infarction (MI) and non-fatal stroke. Participants with no observed events are censored at the earliest of withdrawal of consent date and last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed).

Time frame: From the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closure

Population: Full Analysis Set

ArmMeasureValue (NUMBER)
EpanovaThe Composite of CV Events541 Number of Participants
PlaceboThe Composite of CV Events517 Number of Participants
p-value: 0.40295% CI: [0.93, 1.19]Regression, Cox
Secondary

The Composite of CV Events in the Subgroup of Participants With Established CV Disease (CVD) at Baseline

CV events include: cardiovascular (CV) death, non-fatal myocardial infarction (MI) and non-fatal stroke. Participants with no observed events are censored at the earliest of withdrawal of consent date and last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed).

Time frame: From the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closure

Population: Full Analysis Set

ArmMeasureGroupValue (NUMBER)
EpanovaThe Composite of CV Events in the Subgroup of Participants With Established CV Disease (CVD) at BaselineOverall number of participants541 Number of Participants
EpanovaThe Composite of CV Events in the Subgroup of Participants With Established CV Disease (CVD) at BaselineNumber of participants with established CVD at baseline383 Number of Participants
PlaceboThe Composite of CV Events in the Subgroup of Participants With Established CV Disease (CVD) at BaselineOverall number of participants517 Number of Participants
PlaceboThe Composite of CV Events in the Subgroup of Participants With Established CV Disease (CVD) at BaselineNumber of participants with established CVD at baseline385 Number of Participants
p-value: 0.9495% CI: [0.87, 1.16]Regression, Cox
Secondary

The Composite of MACE in the Subgroup of Participants With Established CV Disease(CVD) at Baseline

MACE components include: cardiovascular (CV) death, nonfatal myocardial infarction (MI), nonfatal stroke, emergent/elective coronary revascularization, or hospitalization for unstable angina. Participants with no observed events are censored at the earliest of withdrawal of consent date and last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed).

Time frame: From the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closure

Population: Full Analysis Set

ArmMeasureGroupValue (NUMBER)
EpanovaThe Composite of MACE in the Subgroup of Participants With Established CV Disease(CVD) at BaselineOverall number of participants785 Number of Participants
EpanovaThe Composite of MACE in the Subgroup of Participants With Established CV Disease(CVD) at BaselineNumber of participants with established cardiovascular disease (CVD) at baseline569 Number of Participants
PlaceboThe Composite of MACE in the Subgroup of Participants With Established CV Disease(CVD) at BaselineOverall number of participants795 Number of Participants
PlaceboThe Composite of MACE in the Subgroup of Participants With Established CV Disease(CVD) at BaselineNumber of participants with established cardiovascular disease (CVD) at baseline610 Number of Participants
p-value: 0.26995% CI: [0.84, 1.05]Regression, Cox
Other Pre-specified

Emergent/Elective Coronary Revascularization

Participants with no observed events are censored at the earliest of withdrawal of consent date and last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed).

Time frame: From the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closure

Population: Full Analysis Set

ArmMeasureValue (NUMBER)
EpanovaEmergent/Elective Coronary Revascularization414 Number of Participants
PlaceboEmergent/Elective Coronary Revascularization441 Number of Participants
p-value: 0.40895% CI: [0.83, 1.08]Regression, Cox
Other Pre-specified

Hospitalization for Unstable Angina

Participants with no observed events are censored at the earliest of withdrawal of consent date and last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed).

Time frame: From the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closure

Population: Full Analysis Set

ArmMeasureValue (NUMBER)
EpanovaHospitalization for Unstable Angina87 Number of Participants
PlaceboHospitalization for Unstable Angina104 Number of Participants
p-value: 0.23395% CI: [0.63, 1.12]Regression, Cox
Other Pre-specified

Non-fatal Myocardial Infarction

Participants with no observed events are censored at the earliest of withdrawal of consent date and last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed).

Time frame: From the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closure

Population: Full Analysis Set

ArmMeasureValue (NUMBER)
EpanovaNon-fatal Myocardial Infarction218 Number of Participants
PlaceboNon-fatal Myocardial Infarction226 Number of Participants
p-value: 0.7795% CI: [0.81, 1.17]Regression, Cox
Other Pre-specified

Non-fatal Stroke

Participants with no observed events are censored at the earliest of withdrawal of consent date and last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed).

Time frame: From the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closure

Population: Full Analysis Set

ArmMeasureValue (NUMBER)
EpanovaNon-fatal Stroke142 Number of Participants
PlaceboNon-fatal Stroke125 Number of Participants
p-value: 0.27895% CI: [0.9, 1.45]Regression, Cox

Source: ClinicalTrials.gov · Data processed: Mar 15, 2026