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Evaluation of ETC-1002 in Participants With Hypercholesterolemia and Hypertension

A Placebo-Controlled, Randomized, Double-Blind, Parallel Group Study to Evaluate the Efficacy and Safety of ETC-1002 in Patients With Hypercholesterolemia and Hypertension

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02178098
Enrollment
143
Registered
2014-06-30
Start date
2014-06-16
Completion date
2015-05-22
Last updated
2023-04-04

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

Conditions

Hypercholesterolemia, Hypertension

Keywords

LDL, Cholesterol

Brief summary

This Phase 2 study will assess the efficacy and safety of ETC-1002 monotherapy versus placebo in participants with hypercholesterolemia and hypertension.

Interventions

ETC-1002 capsules taken once daily

DRUGPlacebo

Placebo capsules taken once daily

Sponsors

Medpace, Inc.
CollaboratorINDUSTRY
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

* Mean 24-hour ambulatory SBP greater than or equal to 130 mmHg * or- Mean 24-hour ambulatory DBP greater than or equal to 80 mmHg * Fasting LDL-C between 100 and 220 mg/dL * Fasting triglycerides less than 400 mg/dL * Body mass index (BMI) between 18 and 45 kg/m2

Exclusion criteria

* Known or suspected secondary hypertension or history of malignant hypertension * Taking more than two anti-hypertension medications at the first visit * History or current clinically significant cardiovascular disease * History or current type 1 diabetes or type 2 diabetes

Design outcomes

Primary

MeasureTime frameDescription
Percent Change From Baseline in Calculated Low-density Lipoprotein Cholesterol (LDL-C) to Week 6Baseline; 6 weeksPercent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week -1 and Week 0. Percent change from Baseline in LDL-C was analyzed using an analysis of covariance (ANCOVA) model with a term for treatment and Baseline value as a covariate. The Week 6 endpoint was the last available post-Baseline value. For the Week 6 endpoint, missing values at Week 6 were imputed using the last observation carried forward (LOCF) procedure, with only post-Baseline values carried forward. Modified Intent-to-Treat (mITT) Population is defined as all randomized participants who received at least 1 dose of study drug, had a Baseline assessment, and had at least 1 post-Baseline assessment, excluding any assessment taken more than 2 days after a dose of study drug

Secondary

MeasureTime frameDescription
Change From Baseline in 24-hour Mean Diastolic Blood Pressure (DBP) to Week 6Baseline; 6 weeksChange from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the last value prior to the first dose of study medication. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. The Week 6 endpoint was the last available post-Baseline value.
Change From Baseline in Mean Daytime SBP to Week 6Baseline; 6 weeksChange from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the last value prior to the first dose of study medication. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. Daytime measurements were defined as those taken from 7 AM to 10 PM (\>7 AM and ≤10 PM). The Week 6 endpoint was the last available post-Baseline value.
Change From Baseline in Mean Daytime DBP to Week 6Baseline; 6 weeksChange from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the last value prior to the first dose of study medication. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. Daytime measurements were defined as those taken from 7 AM to 10 PM (\>7 AM and ≤10 PM). The Week 6 endpoint was the last available post-Baseline value.
Change From Baseline in Mean Nighttime SBP to Week 6Baseline; 6 weeksChange from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the last value prior to the first dose of study medication. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. Nighttime measurements were defined as those taken from 10 PM to 7 AM (\>10 PM and ≤7 AM). The Week 6 endpoint was the last available post-Baseline value.
Change From Baseline in Mean Nighttime DBP to Week 6Baseline; 6 weeksChange from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the last value prior to the first dose of study medication. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. Nighttime measurements were defined as those taken from 10 PM to 7 AM (\>10 PM and ≤7 AM). The Week 6 endpoint was the last available post-Baseline value.
Change From Baseline in Sitting Cuff SBP to Week 6Baseline: 6 weeksChange from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the mean of the values from Weeks -1 and 0. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. Three BP measurements were collected at least 3 minutes apart, and the mean of the second and third measurements was calculated and used for summary and analysis. The Week 6 endpoint was the last available post-Baseline value.
Change From Baseline in Sitting Cuff DBP to Week 6Baseline; 6 weeksChange from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the mean of the values from Weeks -1 and 0. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. Three BP measurements were collected at least 3 minutes apart, and the mean of the second and third measurements was calculated and used for summary and analysis. The Week 6 endpoint was the last available post-Baseline value.
Percent Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) to Week 6Baseline; 6 weeksA non-parametric analysis was performed for hsCRP parameters. 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 last value prior to the first dose of study medication. If hsCRP was \<0.2, 0.1 was imputed for analysis. The Week 6 endpoint was the last available post-Baseline value.
Change From Baseline in Mean 24-hour Systolic Blood Pressure (SBP) to Week 6Baseline; 6 weeksChange from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the last value prior to the first dose of study medication. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. The Week 6 endpoint was the last available post-Baseline value.
Percent Change From Baseline in Apolipoprotein B (ApoB) to Week 6Baseline; 6 weeksPercent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week -1 and Week 0. Change from Baseline was calculated using an ANCOVA model with terms for treatment and statin intolerance, and Baseline value as a covariate. The Week 6 endpoint was the last available post-Baseline value.
Percent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C) to Week 6Baseline; 6 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 last value prior to the first dose of study medication. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. The Week 6 endpoint was the last available post-Baseline value.
Percent Change From Baseline in Triglycerides (TG) to Week 6Baseline; 6 weeksPercent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week -1 and Week 0. The Week 6 endpoint was the last available post-Baseline value. Data was analyzed using non-parametric analysis.
Percent Change From Baseline in HDL-C to Week 6Baseline; 6 weeksPercent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week -1 and Week 0. Change from Baseline was calculated using an ANCOVA model with terms for treatment and statin intolerance, and Baseline value as a covariate. The Week 6 endpoint was the last available post-Baseline value.
Percent Change From Baseline in Free Fatty Acids (FFA) to Week 6Baseline; 6 weeksPercent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week -1 and Week 0. The Week 6 endpoint was the last available post-Baseline value.
Change From Baseline in Body Weight to Week 6Baseline; 6 weeksBaseline was defined as the mean of the values from Week -1 and Week 0. Change from Baseline was calculated as the post-Baseline value minus the Baseline value.
Plasma Trough Concentrations of ETC-1002 and Metabolite ESP15228Week 2, Week 4 and Week 6Plasma trough concentration is defined as the lowest concentration reached before the next dose is administered.
Percent Change From Baseline in Total Cholesterol to Week 6Baseline; 6 weeksPercent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week -1 and Week 0. Change from Baseline was calculated using an ANCOVA model with terms for treatment and statin intolerance, and value as a covariate. The Week 6 endpoint was the last available post-Baseline value.

Countries

United States

Participant flow

Participants by arm

ArmCount
Placebo
Participants received matching oral placebo capsules taken once daily for 6 weeks.
72
ETC-1002 180 mg
Participants received oral bempedoic acid 180 milligrams (mg) daily for 6 weeks.
71
Total143

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event12
Overall StudyLost to Follow-up01
Overall StudyOther22
Overall StudyProtocol Violation11
Overall StudySponsor Request10
Overall StudyWithdrawal by Subject06

Baseline characteristics

CharacteristicETC-1002 180 mgTotalPlacebo
Age, Continuous54.6 years
STANDARD_DEVIATION 8.41
55.6 years
STANDARD_DEVIATION 8.38
56.5 years
STANDARD_DEVIATION 8.29
Race/Ethnicity, Customized
Asian
2 Participants3 Participants1 Participants
Race/Ethnicity, Customized
Black or African American
17 Participants40 Participants23 Participants
Race/Ethnicity, Customized
More than one race
2 Participants3 Participants1 Participants
Race/Ethnicity, Customized
Unknown
1 Participants3 Participants2 Participants
Race/Ethnicity, Customized
White
49 Participants94 Participants45 Participants
Sex: Female, Male
Female
26 Participants61 Participants35 Participants
Sex: Female, Male
Male
45 Participants82 Participants37 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 720 / 71
other
Total, other adverse events
4 / 723 / 71
serious
Total, serious adverse events
2 / 724 / 71

Outcome results

Primary

Percent Change From Baseline in Calculated Low-density Lipoprotein Cholesterol (LDL-C) to Week 6

Percent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week -1 and Week 0. Percent change from Baseline in LDL-C was analyzed using an analysis of covariance (ANCOVA) model with a term for treatment and Baseline value as a covariate. The Week 6 endpoint was the last available post-Baseline value. For the Week 6 endpoint, missing values at Week 6 were imputed using the last observation carried forward (LOCF) procedure, with only post-Baseline values carried forward. Modified Intent-to-Treat (mITT) Population is defined as all randomized participants who received at least 1 dose of study drug, had a Baseline assessment, and had at least 1 post-Baseline assessment, excluding any assessment taken more than 2 days after a dose of study drug

Time frame: Baseline; 6 weeks

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

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboPercent Change From Baseline in Calculated Low-density Lipoprotein Cholesterol (LDL-C) to Week 63.16 Percent ChangeStandard Error 2.133
ETC-1002 180 mgPercent Change From Baseline in Calculated Low-density Lipoprotein Cholesterol (LDL-C) to Week 6-21.08 Percent ChangeStandard Error 2.196
p-value: <0.000195% CI: [-30.33, -18.15]ANCOVA
Secondary

Change From Baseline in 24-hour Mean Diastolic Blood Pressure (DBP) to Week 6

Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the last value prior to the first dose of study medication. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. The Week 6 endpoint was the last available post-Baseline value.

Time frame: Baseline; 6 weeks

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

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in 24-hour Mean Diastolic Blood Pressure (DBP) to Week 6-0.05 mmHgStandard Deviation 0.76
ETC-1002 180 mgChange From Baseline in 24-hour Mean Diastolic Blood Pressure (DBP) to Week 6-1.10 mmHgStandard Deviation 0.79
p-value: 0.346195% CI: [-3.25, 1.15]ANCOVA
Secondary

Change From Baseline in Body Weight to Week 6

Baseline was defined as the mean of the values from Week -1 and Week 0. Change from Baseline was calculated as the post-Baseline value minus the Baseline value.

Time frame: Baseline; 6 weeks

Population: Safety Population: all randomized participants who received at least 1 dose of study drug. Only participants with available data were analyzed.

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Body Weight to Week 6-0.335 kilogramsStandard Deviation 1.59
ETC-1002 180 mgChange From Baseline in Body Weight to Week 6-0.009 kilogramsStandard Deviation 1.927
Secondary

Change From Baseline in Mean 24-hour Systolic Blood Pressure (SBP) to Week 6

Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the last value prior to the first dose of study medication. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. The Week 6 endpoint was the last available post-Baseline value.

Time frame: Baseline; 6 weeks

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

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Mean 24-hour Systolic Blood Pressure (SBP) to Week 6-0.64 millimeters of mercury (mmHg)Standard Error 1.045
ETC-1002 180 mgChange From Baseline in Mean 24-hour Systolic Blood Pressure (SBP) to Week 6-2.28 millimeters of mercury (mmHg)Standard Error 1.085
p-value: 0.280895% CI: [-4.62, 1.35]ANCOVA
Secondary

Change From Baseline in Mean Daytime DBP to Week 6

Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the last value prior to the first dose of study medication. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. Daytime measurements were defined as those taken from 7 AM to 10 PM (\>7 AM and ≤10 PM). The Week 6 endpoint was the last available post-Baseline value.

Time frame: Baseline; 6 weeks

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

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Mean Daytime DBP to Week 6-0.01 mmHgStandard Error 0.856
ETC-1002 180 mgChange From Baseline in Mean Daytime DBP to Week 6-1.47 mmHgStandard Error 0.89
p-value: 0.248195% CI: [-3.93, 1.03]ANCOVA
Secondary

Change From Baseline in Mean Daytime SBP to Week 6

Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the last value prior to the first dose of study medication. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. Daytime measurements were defined as those taken from 7 AM to 10 PM (\>7 AM and ≤10 PM). The Week 6 endpoint was the last available post-Baseline value.

Time frame: Baseline; 6 weeks

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

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Mean Daytime SBP to Week 6-0.35 mmHgStandard Error 1.198
ETC-1002 180 mgChange From Baseline in Mean Daytime SBP to Week 6-2.66 mmHgStandard Error 1.245
p-value: 0.185295% CI: [-5.74, 1.12]ANCOVA
Secondary

Change From Baseline in Mean Nighttime DBP to Week 6

Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the last value prior to the first dose of study medication. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. Nighttime measurements were defined as those taken from 10 PM to 7 AM (\>10 PM and ≤7 AM). The Week 6 endpoint was the last available post-Baseline value.

Time frame: Baseline; 6 weeks

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

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Mean Nighttime DBP to Week 6-0.52 mmHgStandard Error 0.879
ETC-1002 180 mgChange From Baseline in Mean Nighttime DBP to Week 6-0.33 mmHgStandard Error 0.913
p-value: 0.881795% CI: [-2.33, 2.71]ANCOVA
Secondary

Change From Baseline in Mean Nighttime SBP to Week 6

Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the last value prior to the first dose of study medication. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. Nighttime measurements were defined as those taken from 10 PM to 7 AM (\>10 PM and ≤7 AM). The Week 6 endpoint was the last available post-Baseline value.

Time frame: Baseline; 6 weeks

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

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Mean Nighttime SBP to Week 6-1.18 mmHgStandard Error 1.167
ETC-1002 180 mgChange From Baseline in Mean Nighttime SBP to Week 6-1.57 mmHgStandard Error 1.212
p-value: 0.818195% CI: [-3.72, 2.94]ANCOVA
Secondary

Change From Baseline in Sitting Cuff DBP to Week 6

Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the mean of the values from Weeks -1 and 0. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. Three BP measurements were collected at least 3 minutes apart, and the mean of the second and third measurements was calculated and used for summary and analysis. The Week 6 endpoint was the last available post-Baseline value.

Time frame: Baseline; 6 weeks

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

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Sitting Cuff DBP to Week 6-3.32 mmHgStandard Error 0.82
ETC-1002 180 mgChange From Baseline in Sitting Cuff DBP to Week 6-2.53 mmHgStandard Error 0.844
p-value: 0.506195% CI: [-1.54, 3.11]ANCOVA
Secondary

Change From Baseline in Sitting Cuff SBP to Week 6

Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the mean of the values from Weeks -1 and 0. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. Three BP measurements were collected at least 3 minutes apart, and the mean of the second and third measurements was calculated and used for summary and analysis. The Week 6 endpoint was the last available post-Baseline value.

Time frame: Baseline: 6 weeks

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

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Sitting Cuff SBP to Week 6-4.98 mmHgStandard Error 1.274
ETC-1002 180 mgChange From Baseline in Sitting Cuff SBP to Week 6-3.45 mmHgStandard Error 1.311
p-value: 0.40495% CI: [-2.09, 5.15]ANCOVA
Secondary

Percent Change From Baseline in Apolipoprotein B (ApoB) to Week 6

Percent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week -1 and Week 0. Change from Baseline was calculated using an ANCOVA model with terms for treatment and statin intolerance, and Baseline value as a covariate. The Week 6 endpoint was the last available post-Baseline value.

Time frame: Baseline; 6 weeks

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

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboPercent Change From Baseline in Apolipoprotein B (ApoB) to Week 64.77 Percent ChangeStandard Error 1.797
ETC-1002 180 mgPercent Change From Baseline in Apolipoprotein B (ApoB) to Week 6-14.13 Percent ChangeStandard Error 1.911
p-value: <0.000195% CI: [-24.09, -13.71]ANCOVA
Secondary

Percent Change From Baseline in Free Fatty Acids (FFA) to Week 6

Percent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week -1 and Week 0. The Week 6 endpoint was the last available post-Baseline value.

Time frame: Baseline; 6 weeks

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

ArmMeasureValue (MEDIAN)
PlaceboPercent Change From Baseline in Free Fatty Acids (FFA) to Week 61.08 Percent Change
ETC-1002 180 mgPercent Change From Baseline in Free Fatty Acids (FFA) to Week 69.56 Percent Change
p-value: 0.309395% CI: [-8.21, 24.02]Wilcoxon Rank-Sum Test
Secondary

Percent Change From Baseline in HDL-C to Week 6

Percent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week -1 and Week 0. Change from Baseline was calculated using an ANCOVA model with terms for treatment and statin intolerance, and Baseline value as a covariate. The Week 6 endpoint was the last available post-Baseline value.

Time frame: Baseline; 6 weeks

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

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboPercent Change From Baseline in HDL-C to Week 62.42 Percent ChangeStandard Error 1.614
ETC-1002 180 mgPercent Change From Baseline in HDL-C to Week 6-5.76 Percent ChangeStandard Error 1.661
p-value: 0.000695% CI: [-12.76, -3.59]ANCOVA
Secondary

Percent Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) to Week 6

A non-parametric analysis was performed for hsCRP parameters. 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 last value prior to the first dose of study medication. If hsCRP was \<0.2, 0.1 was imputed for analysis. The Week 6 endpoint was the last available post-Baseline value.

Time frame: Baseline; 6 weeks

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

ArmMeasureValue (MEDIAN)
PlaceboPercent Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) to Week 619.61 Percent Change
ETC-1002 180 mgPercent Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) to Week 6-25.00 Percent Change
p-value: <0.000195% CI: [-62.8, -25.21]Wilcoxon Rank-Sum Test
Secondary

Percent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C) to Week 6

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 last value prior to the first dose of study medication. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. The Week 6 endpoint was the last available post-Baseline value.

Time frame: Baseline; 6 weeks

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

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboPercent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C) to Week 63.20 Percent ChangeStandard Error 1.728
ETC-1002 180 mgPercent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C) to Week 6-15.49 Percent ChangeStandard Error 1.779
p-value: <0.000195% CI: [-23.62, -13.77]ANCOVA
Secondary

Percent Change From Baseline in Total Cholesterol to Week 6

Percent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week -1 and Week 0. Change from Baseline was calculated using an ANCOVA model with terms for treatment and statin intolerance, and value as a covariate. The Week 6 endpoint was the last available post-Baseline value.

Time frame: Baseline; 6 weeks

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

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboPercent Change From Baseline in Total Cholesterol to Week 62.90 Percent ChangeStandard Error 1.389
ETC-1002 180 mgPercent Change From Baseline in Total Cholesterol to Week 6-13.77 Percent ChangeStandard Error 1.43
p-value: <0.000195% CI: [-20.63, -12.7]ANCOVA
Secondary

Percent Change From Baseline in Triglycerides (TG) to Week 6

Percent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week -1 and Week 0. The Week 6 endpoint was the last available post-Baseline value. Data was analyzed using non-parametric analysis.

Time frame: Baseline; 6 weeks

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

ArmMeasureValue (MEDIAN)
PlaceboPercent Change From Baseline in Triglycerides (TG) to Week 6-3.75 Percent Change
ETC-1002 180 mgPercent Change From Baseline in Triglycerides (TG) to Week 6-0.07 Percent Change
p-value: 0.368995% CI: [-6.78, 16.42]Wilcoxon Rank-Sum Test
Secondary

Plasma Trough Concentrations of ETC-1002 and Metabolite ESP15228

Plasma trough concentration is defined as the lowest concentration reached before the next dose is administered.

Time frame: Week 2, Week 4 and Week 6

Population: Pharmacokinetic Concentration Population: all randomized participants who received at least 1 dose of study drug and had at least 1 measurable plasma concentration value for study drug collected between 18 and 36 hours post-dose. Only participants with available data were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPlasma Trough Concentrations of ETC-1002 and Metabolite ESP15228Week 2, ETC-10026666.20 nanograms per milliliter (ng/mL)Standard Deviation 4777.661
PlaceboPlasma Trough Concentrations of ETC-1002 and Metabolite ESP15228Week 4, ETC-10026817.45 nanograms per milliliter (ng/mL)Standard Deviation 4543.944
PlaceboPlasma Trough Concentrations of ETC-1002 and Metabolite ESP15228Week 6, ETC-10026836.36 nanograms per milliliter (ng/mL)Standard Deviation 3702.241
PlaceboPlasma Trough Concentrations of ETC-1002 and Metabolite ESP15228Week 2, ESP152281219.60 nanograms per milliliter (ng/mL)Standard Deviation 783
PlaceboPlasma Trough Concentrations of ETC-1002 and Metabolite ESP15228Week 4, ESP152281220.79 nanograms per milliliter (ng/mL)Standard Deviation 674.437
PlaceboPlasma Trough Concentrations of ETC-1002 and Metabolite ESP15228Week 6, ESP152281221.32 nanograms per milliliter (ng/mL)Standard Deviation 557.93

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