Skip to content

A Clinical Trial to Assess the Long Term Safety and Tolerability of MK-0653C in Japanese Participants With Hypercholesterolemia (MK-0653C-384)

A Phase III, Clinical Trial to Assess the Long Term Safety and Tolerability of MK-0653C in Japanese Patients With Hypercholesterolemia Who Have Inadequate LDL-C Control on Ezetimibe or Atorvastatin Calcium Monotherapy

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02460159
Enrollment
135
Registered
2015-06-02
Start date
2015-06-23
Completion date
2016-12-22
Last updated
2024-05-16

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

Conditions

Heterozygous Familial Hypercholesterolemia, Hypercholesterolemia

Brief summary

This study will assess the safety and tolerability of Ezetimibe (EZ) 10 mg/Atorvastatin (Atora) 10 mg and EZ 10mg/Atora 20 mg fixed-dose combination (FDC) in Japanese participants with hypercholesterolemia uncontrolled with monotherapy of Ezetimibe 10 mg or Atorvastatin up to 20 mg. There is no formal hypothesis for the study.

Interventions

DRUGEZ 10 mg/Atorva 20 mg FDC
DRUGEZ 10 mg/Atorva 10 mg FDC

Sponsors

Organon and Co
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* Japanese * Outpatient with hypercholesterolemia * Has familial hypercholesterolemia (FH) diagnosed per genetic testing or meets two or more of the below criteria based on Japan Atherosclerosis Society Guideline 2012 (JAS2012): Hyper low-density lipoprotein (LDL)-cholesterolemia (an untreated LDL-C level of ≥180mg/dL); tendon xanthoma (tendon xanthoma on the backs of the hands, elbows, knees, etc. or achilles tendon hypertrophy) or xanthoma tuberosum; family history of FH or premature coronary arterial disease (within the participant's second degree relatives) * Females must be of non-reproductive potential or agree to remain abstinent or use (or partner use) two acceptable methods of birth control from date of signed informed consent to the 14 days after the last dose of study drug * Agree to maintain a stable diet that is consistent with the JAS 2012 for prevention of atherosclerotic cardiovascular diseases for the duration of the study

Exclusion criteria

* Uncontrolled hypertension * Type 1 or uncontrolled type 2 diabetes mellitus (treated or untreated) * Homozygous familial hypercholesterolemia or has undergone LDL apheresis * Had a gastrointestinal tract bypass, or other significant intestinal malabsorption * History of cancer within the past 5 years except for successfully treated dermatological basal cell or squamous cell carcinoma or in situ cervical cancer * Human immunodeficiency virus (HIV) positive * History of drug/ alcohol abuse within the past 5 years or psychiatric illness not adequately controlled and stable on pharmacotherapy * Consumes more than 25 g of alcohol per day * Consumes more than 1L of grapefruit juice per day * Currently following an excessive weight reduction diet * Engaging in a vigorous exercise regimen (e.g.; marathon training, body building training etc.) or intends to start training during the study * Hypersensitivity or intolerance to ezetimibe or atorvastatin * History of myopathy or rhabdomyolysis with ezetimibe or any statin * Pregnant or lactating * Taking any other investigational drugs and/or has taken any investigational drugs within 30 days

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Who Experience 1 or More Adverse Event (AE)up to 54 WeeksAn AE was defined as any untoward medical occurrence in a subject which does not necessarily have a causal relationship with the treatment. An AE was any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with use of a medicinal product, whether or not considered related to the medicinal product. The percentage of participants that reported at least 1 AE was summarized.
Percentage of Participants Who Experience 1 or More Gastrointestinal-related AEsup to 54 weeksGastrointestinal-related AEs included all preferred terms within system organ class of Gastrointestinal Disorders except Chapped Lips and Toothache.
Percentage of Participants Who Experience 1 or More Gallbladder-related AEsup to 54 weeksGallbladder-related AEs included Bile Duct Obstruction, Bile Duct Stone, Bile Duct Stenosis, Biliary Colic, Cholangitis, Cholecystectomy, Cholecystitis, Cholelithiasis, Gallbladder Disorder, Gallbladder Perforation, Hepatic Pain, and Hydrocholecystis.
Percentage of Participants Who Experience 1 or More Allergic Reaction or Rash AEsup to 54 weeksAllergic Reaction or Rash AEs included Allergy to Arthropod Sting, Anaphylactoid Reaction, Anaphylactic Reaction, Anaphylatic Shock, Anaphylactoid Shock, Angioedema, Conjunctivitis Allergic, Contrast Media Reaction, Dermatitis, Dermatitis Allergic, Dermatitis Atopic, Dermatitis Bullous, Dermatitis Contact, Dermatitis Psoriasiform, Drug Hypersensitivity, Eczema, Eosinophila, Erythema, Eye Allergy, Face Oedema, Hypersensitivity, Mechanical Urticaria, Palmar Erythema, Periorbital Oedema, Photodermatosis, Photosensitivity Allergic reaction, Photosensitivity Reaction, Pigmentation Disorder, Pruritus, Pruritus Generalised, Rash, Rash Erythematous, Rash Follicular, Rash Generalised, Rash Maculo-Papular, Rash Papulosquamous, Rash Pruritic, Rash Pustular, Rash Vesicular, Rhinitis, Rhinitis Allergic, Rosacea, Skin Exfoliation, Skin Disorder, Skin Hyperpigmentation, Skin Lesion, Skin Mass, Skin Ulcer, Subcutaneous Nodule, Swelling Face, Systemic Lupus Erythematosus Rash, Urticaria.
Percentage of Participants Who Experience 1 or More Hepatitis-related AEsup to 54 weeksHepatitis-related AEs included Cholestasis, Cytolytic Hepatitis, Hepatic Cyst, Hepatic Failure, Hepatic Lesion, Hepatic Necrosis, Hepatitis, Hepatitis Cholestatic, Hepatitis Fulminant, Hepatitis Infectious, Hepatocellular Injury, Hepatomegaly, Jaundice, Jaundice Cholestatic.
Percentage of Participants Who Experience Consecutive Elevations in Alanine Aminotransferase (ALT) and/or Aspartate Aminotransferase (AST) ≥3 Times Upper Normal Limit (ULN)up to 52 weeksParticipants had ALT and AST levels assessed throughout the 52 week treatment period. Participants who had 2 consecutive assessments of ALT and/or AST that were 3 x ULN or greater were recorded. The ALT and AST ULNs were 40 U/L.
Percentage of Participants Who Experience Elevations in ALT or AST ≥5 Times ULNup to 52 weeksParticipants had ALT and AST levels assessed throughout the 52 week treatment period. Participants who had assessments of ALT or AST that were 5x ULN or greater were recorded. The ALT and AST ULNs were 40 U/L.
Percentage of Participants Who Experience Elevations in ALT or AST ≥10 Times ULNup to 52 weeksParticipants had ALT and AST levels assessed throughout the 52 week treatment period. Participants who had assessments of ALT and/or AST that were 10x ULN or greater were recorded. The ALT and AST ULNs were 40 U/L.
Percentage of Participants With Potential Hy's Law Conditionup to 52 weeksPercentage of Participants with Potential Hy's Law Condition (defined as serum ALT or serum AST elevations \>3xULN, with serum alkaline phosphatase \<2xULN and total bilirubin (TBL) ≥2xULN) was summarized. The ALT and AST ULNs were 40 U/L. The ULN for alkaline phosphatase was 359 IU/L and the ULN for total bilirubin was 1.2 mg/dL.
Percentage of Participants Who Experience Elevations in Creatine Kinase (CK) ≥10 Times ULNup to 52 weeksParticipants had creatine phosphokinase (CK) levels assessed throughout the 12 week treatment period. Participants who had any CK level that was ≥10 x ULN were recorded. The CK ULNs for males and females were 287 IU/L and 163 IU/L, respectively.
Percentage of Participants Who Experience Elevations in Creatine Kinase (CK) ≥10 Times ULN With Muscle Symptomsup to 52 weeksParticipants had CK levels assessed throughout the 52 week treatment period. Participants who had any CK level that was ≥10 x ULN and had associated muscle symptoms present within +/- 7 days were recorded. The CK ULNs for males and females were 287 IU/L and 163 IU/L, respectively.
Percentage of Participants Who Experience Elevations in Creatine Kinase (CK) ≥10 Times ULN and Drug-Related Muscle Symptomsup to 52 weeksParticipants had CK levels assessed throughout the 52 week treatment period. Participants who had any CK level that was ≥10 x ULN and had associated muscle symptoms present within +/- 7 days that were reported as at least possibly-related to study drug were recorded. The CK ULNs for males and females were 287 IU/L and 163 IU/L, respectively.

Participant flow

Participants by arm

ArmCount
EZ 10 mg/Atorva 10 mg FDC
One ezetimibe (EZ) 10 mg/atorvastatin (Atorva) 10 mg fixed-dose combination (FDC) tablet orally with food once daily for 52 weeks.
117
EZ 10 mg/Atorva 20 mg FDC
One EZ 10 mg/Atorva 20 mg fixed -dose combination (FDC) tablet orally with food once daily for 52 weeks.
18
Total135

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event41
Overall StudyWithdrawal by Subject20

Baseline characteristics

CharacteristicEZ 10 mg/Atorva 10 mg FDCEZ 10 mg/Atorva 20 mg FDCTotal
Age, Continuous57.8 years
STANDARD_DEVIATION 12.6
61.6 years
STANDARD_DEVIATION 10.9
58.3 years
STANDARD_DEVIATION 12.4
Sex: Female, Male
Female
48 Participants6 Participants54 Participants
Sex: Female, Male
Male
69 Participants12 Participants81 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 1170 / 18
other
Total, other adverse events
77 / 11716 / 18
serious
Total, serious adverse events
7 / 1172 / 18

Outcome results

Primary

Percentage of Participants Who Experience 1 or More Adverse Event (AE)

An AE was defined as any untoward medical occurrence in a subject which does not necessarily have a causal relationship with the treatment. An AE was any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with use of a medicinal product, whether or not considered related to the medicinal product. The percentage of participants that reported at least 1 AE was summarized.

Time frame: up to 54 Weeks

Population: All participants that received at least 1 dose of study drug and had available data for endpoint.

ArmMeasureValue (NUMBER)
EZ 10 mg/Atorva 10 mg FDCPercentage of Participants Who Experience 1 or More Adverse Event (AE)82.9 Percentage of Participants
EZ 10 mg/Atorva 20 mg FDCPercentage of Participants Who Experience 1 or More Adverse Event (AE)88.9 Percentage of Participants
Primary

Percentage of Participants Who Experience 1 or More Allergic Reaction or Rash AEs

Allergic Reaction or Rash AEs included Allergy to Arthropod Sting, Anaphylactoid Reaction, Anaphylactic Reaction, Anaphylatic Shock, Anaphylactoid Shock, Angioedema, Conjunctivitis Allergic, Contrast Media Reaction, Dermatitis, Dermatitis Allergic, Dermatitis Atopic, Dermatitis Bullous, Dermatitis Contact, Dermatitis Psoriasiform, Drug Hypersensitivity, Eczema, Eosinophila, Erythema, Eye Allergy, Face Oedema, Hypersensitivity, Mechanical Urticaria, Palmar Erythema, Periorbital Oedema, Photodermatosis, Photosensitivity Allergic reaction, Photosensitivity Reaction, Pigmentation Disorder, Pruritus, Pruritus Generalised, Rash, Rash Erythematous, Rash Follicular, Rash Generalised, Rash Maculo-Papular, Rash Papulosquamous, Rash Pruritic, Rash Pustular, Rash Vesicular, Rhinitis, Rhinitis Allergic, Rosacea, Skin Exfoliation, Skin Disorder, Skin Hyperpigmentation, Skin Lesion, Skin Mass, Skin Ulcer, Subcutaneous Nodule, Swelling Face, Systemic Lupus Erythematosus Rash, Urticaria.

Time frame: up to 54 weeks

Population: All participants that received at least 1 dose of study drug and had available data for endpoint.

ArmMeasureValue (NUMBER)
EZ 10 mg/Atorva 10 mg FDCPercentage of Participants Who Experience 1 or More Allergic Reaction or Rash AEs6.8 Percentage of Participants
EZ 10 mg/Atorva 20 mg FDCPercentage of Participants Who Experience 1 or More Allergic Reaction or Rash AEs22.2 Percentage of Participants
Primary

Percentage of Participants Who Experience 1 or More Gallbladder-related AEs

Gallbladder-related AEs included Bile Duct Obstruction, Bile Duct Stone, Bile Duct Stenosis, Biliary Colic, Cholangitis, Cholecystectomy, Cholecystitis, Cholelithiasis, Gallbladder Disorder, Gallbladder Perforation, Hepatic Pain, and Hydrocholecystis.

Time frame: up to 54 weeks

Population: All participants that received at least 1 dose of study drug and had available data for outcome.

ArmMeasureValue (NUMBER)
EZ 10 mg/Atorva 10 mg FDCPercentage of Participants Who Experience 1 or More Gallbladder-related AEs0.0 Percentage of Participants
EZ 10 mg/Atorva 20 mg FDCPercentage of Participants Who Experience 1 or More Gallbladder-related AEs0.0 Percentage of Participants
Primary

Percentage of Participants Who Experience 1 or More Gastrointestinal-related AEs

Gastrointestinal-related AEs included all preferred terms within system organ class of Gastrointestinal Disorders except Chapped Lips and Toothache.

Time frame: up to 54 weeks

Population: All participants that received at least 1 dose of study drug and had available data for endpoint.

ArmMeasureValue (NUMBER)
EZ 10 mg/Atorva 10 mg FDCPercentage of Participants Who Experience 1 or More Gastrointestinal-related AEs30.8 Percentage of participants
EZ 10 mg/Atorva 20 mg FDCPercentage of Participants Who Experience 1 or More Gastrointestinal-related AEs11.1 Percentage of participants
Primary

Percentage of Participants Who Experience 1 or More Hepatitis-related AEs

Hepatitis-related AEs included Cholestasis, Cytolytic Hepatitis, Hepatic Cyst, Hepatic Failure, Hepatic Lesion, Hepatic Necrosis, Hepatitis, Hepatitis Cholestatic, Hepatitis Fulminant, Hepatitis Infectious, Hepatocellular Injury, Hepatomegaly, Jaundice, Jaundice Cholestatic.

Time frame: up to 54 weeks

Population: All participants that received at least 1 dose of study drug and had available data for endpoint.

ArmMeasureValue (NUMBER)
EZ 10 mg/Atorva 10 mg FDCPercentage of Participants Who Experience 1 or More Hepatitis-related AEs0.0 Percentage of Participants
EZ 10 mg/Atorva 20 mg FDCPercentage of Participants Who Experience 1 or More Hepatitis-related AEs5.6 Percentage of Participants
Primary

Percentage of Participants Who Experience Consecutive Elevations in Alanine Aminotransferase (ALT) and/or Aspartate Aminotransferase (AST) ≥3 Times Upper Normal Limit (ULN)

Participants had ALT and AST levels assessed throughout the 52 week treatment period. Participants who had 2 consecutive assessments of ALT and/or AST that were 3 x ULN or greater were recorded. The ALT and AST ULNs were 40 U/L.

Time frame: up to 52 weeks

Population: All participants that received at least 1 dose of study drug and had available data for endpoint.

ArmMeasureValue (NUMBER)
EZ 10 mg/Atorva 10 mg FDCPercentage of Participants Who Experience Consecutive Elevations in Alanine Aminotransferase (ALT) and/or Aspartate Aminotransferase (AST) ≥3 Times Upper Normal Limit (ULN)0.9 Percentage of Participants
EZ 10 mg/Atorva 20 mg FDCPercentage of Participants Who Experience Consecutive Elevations in Alanine Aminotransferase (ALT) and/or Aspartate Aminotransferase (AST) ≥3 Times Upper Normal Limit (ULN)0.0 Percentage of Participants
Primary

Percentage of Participants Who Experience Elevations in ALT or AST ≥10 Times ULN

Participants had ALT and AST levels assessed throughout the 52 week treatment period. Participants who had assessments of ALT and/or AST that were 10x ULN or greater were recorded. The ALT and AST ULNs were 40 U/L.

Time frame: up to 52 weeks

Population: All participants that received at least 1 dose of study drug and had available data for endpoint.

ArmMeasureValue (NUMBER)
EZ 10 mg/Atorva 10 mg FDCPercentage of Participants Who Experience Elevations in ALT or AST ≥10 Times ULN0.0 Percentage of Participants
EZ 10 mg/Atorva 20 mg FDCPercentage of Participants Who Experience Elevations in ALT or AST ≥10 Times ULN0.0 Percentage of Participants
Primary

Percentage of Participants Who Experience Elevations in ALT or AST ≥5 Times ULN

Participants had ALT and AST levels assessed throughout the 52 week treatment period. Participants who had assessments of ALT or AST that were 5x ULN or greater were recorded. The ALT and AST ULNs were 40 U/L.

Time frame: up to 52 weeks

Population: All participants that received at least 1 dose of study drug and had available data for endpoint.

ArmMeasureValue (NUMBER)
EZ 10 mg/Atorva 10 mg FDCPercentage of Participants Who Experience Elevations in ALT or AST ≥5 Times ULN0.0 Percentage of Participants
EZ 10 mg/Atorva 20 mg FDCPercentage of Participants Who Experience Elevations in ALT or AST ≥5 Times ULN0.0 Percentage of Participants
Primary

Percentage of Participants Who Experience Elevations in Creatine Kinase (CK) ≥10 Times ULN

Participants had creatine phosphokinase (CK) levels assessed throughout the 12 week treatment period. Participants who had any CK level that was ≥10 x ULN were recorded. The CK ULNs for males and females were 287 IU/L and 163 IU/L, respectively.

Time frame: up to 52 weeks

Population: All participants that received at least 1 dose of study drug and had available data for endpoint.

ArmMeasureValue (NUMBER)
EZ 10 mg/Atorva 10 mg FDCPercentage of Participants Who Experience Elevations in Creatine Kinase (CK) ≥10 Times ULN0.0 Percentage of Participants
EZ 10 mg/Atorva 20 mg FDCPercentage of Participants Who Experience Elevations in Creatine Kinase (CK) ≥10 Times ULN0.0 Percentage of Participants
Primary

Percentage of Participants Who Experience Elevations in Creatine Kinase (CK) ≥10 Times ULN and Drug-Related Muscle Symptoms

Participants had CK levels assessed throughout the 52 week treatment period. Participants who had any CK level that was ≥10 x ULN and had associated muscle symptoms present within +/- 7 days that were reported as at least possibly-related to study drug were recorded. The CK ULNs for males and females were 287 IU/L and 163 IU/L, respectively.

Time frame: up to 52 weeks

Population: All participants that received at least 1 dose of study drug and had available data for endpoint.

ArmMeasureValue (NUMBER)
EZ 10 mg/Atorva 10 mg FDCPercentage of Participants Who Experience Elevations in Creatine Kinase (CK) ≥10 Times ULN and Drug-Related Muscle Symptoms0.0 Percentage of Participants
EZ 10 mg/Atorva 20 mg FDCPercentage of Participants Who Experience Elevations in Creatine Kinase (CK) ≥10 Times ULN and Drug-Related Muscle Symptoms0.0 Percentage of Participants
Primary

Percentage of Participants Who Experience Elevations in Creatine Kinase (CK) ≥10 Times ULN With Muscle Symptoms

Participants had CK levels assessed throughout the 52 week treatment period. Participants who had any CK level that was ≥10 x ULN and had associated muscle symptoms present within +/- 7 days were recorded. The CK ULNs for males and females were 287 IU/L and 163 IU/L, respectively.

Time frame: up to 52 weeks

Population: All participants that received at least 1 dose of study drug and had available data for endpoint.

ArmMeasureValue (NUMBER)
EZ 10 mg/Atorva 10 mg FDCPercentage of Participants Who Experience Elevations in Creatine Kinase (CK) ≥10 Times ULN With Muscle Symptoms0.0 Percentage of Participants
EZ 10 mg/Atorva 20 mg FDCPercentage of Participants Who Experience Elevations in Creatine Kinase (CK) ≥10 Times ULN With Muscle Symptoms0.0 Percentage of Participants
Primary

Percentage of Participants With Potential Hy's Law Condition

Percentage of Participants with Potential Hy's Law Condition (defined as serum ALT or serum AST elevations \>3xULN, with serum alkaline phosphatase \<2xULN and total bilirubin (TBL) ≥2xULN) was summarized. The ALT and AST ULNs were 40 U/L. The ULN for alkaline phosphatase was 359 IU/L and the ULN for total bilirubin was 1.2 mg/dL.

Time frame: up to 52 weeks

Population: All participants that received at least 1 dose of study drug and had available data for endpoint.

ArmMeasureValue (NUMBER)
EZ 10 mg/Atorva 10 mg FDCPercentage of Participants With Potential Hy's Law Condition0.0 Percentage of Participants
EZ 10 mg/Atorva 20 mg FDCPercentage of Participants With Potential Hy's Law Condition0.0 Percentage of Participants

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