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Familial HypercholesterolemiaPhase 3NCT00827606

Atorvastatin Three Year Pediatric Study

A Phase 3 study testing atorvastatin in people with Familial Hypercholesterolemia, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 40 sites in 15 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to characterize three year descriptive growth and development (ie, height, weight, body mass index, Tanner Stage) and efficacy of cholesterol reduction in pediatric subjects with Heterozygous Familial Hypercholesterolemia receiving atorvastatin treatment. Read more about this study

Who is it for?
Ages 6 to 15 years
Conditions the study is for
Familial Hypercholesterolemia
What is being tested?
atorvastatin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
272 participants
Where
40 sitesin 15 countries
Study dates
Mar 2009to Oct 2013
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 6 to 15 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Heterozygous familial hypercholesterolemia, ages 6-15, LDL greater than 4 mmol/l

Who cannot join

  • Active liver disease or hepatic dysfunction, or persistent elevations of serum transaminases exceeding three times the upper limit of normal (ULN).
  • Female of childbearing potential who is not using adequate contraceptive measures or any female who is pregnant or breastfeeding. Any female who becomes pregnant during study participation will be immediately discontinued from treatment and counseled appropriately about the in utero exposure.
  • Known hypersensitivities to HMG-CoA reductase inhibitors

Trial locations and contacts

40 sites in 15 countries.

40 sites in 15 countries

United States7 sites
  • Johns Hopkins University

    Baltimore, Maryland, 21287

  • Johns Hopkins

    Baltimore, Maryland, 21287

  • MEDPACE Clinical Pharmacology Unit

    Cincinnati, Ohio, 45212

  • University of Florida

    Gainesville, Florida, 32608

  • The Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104

  • Phoenix Children's Hospital

    Phoenix, Arizona, 85016

  • Children's National Medical Center

    Washington D.C., District of Columbia, 20010

Other trials in United States

Slovakia5 sites
  • Metabolicka ambulancia, 2. Detská klinika Lekárskej fakulty Univerzity Komenského

    Bratislava, 833 40

  • Detska fakultna nemocnica Kosice-old

    Košice, 040 01

  • Detska fakultna nemocnica Kosice

    Košice, 040 11

  • Lipmet, s.r.o.

    Poprad, 05801

  • Fakultna nemocnica Trencin

    Trenčín, 911 71

Other trials in Slovakia

Spain5 sites
  • Hospital Santa Creu I Sant Pau

    Barcelona, 08041

  • Hospital General Universitario de Elche

    Elche, Alicante, 03202

  • Hospital Sant Joan de Deu

    Esplugues de Llobregat, 08950

  • Hospital de Merida

    Mérida, Badajoz, 6800

  • Hospital Universitario Marques de Valdecilla

    Santander, Cantabria, 39008

Other trials in Spain

Russia4 sites
  • Moscow State Healthcare Institution 'Morozovskaya Children's City Clinical Hospital'

    Moscow, 119049

  • Autonomous Non-Profit Organization Medical Center 21 Century

    Saint Petersburg, 194044

  • Saint-Petersburg State Pediatric Medical Academy

    Saint Petersburg, 194100

  • Saint-Petersburg State Healthcare Institution "Children's Polyclinic #35"

    Saint Petersburg, 196084

Other trials in Russia

Turkey (Türkiye)3 sites
  • Hacettepe University Medical Faculty. Department of Pediatrics. Nutrition and Metabolism Unit

    Ankara, 06100

  • Gazi University, Medical Faculty

    Ankara, 6500

  • Ege University Medical Faculty

    Izmir, 35100

Other trials in Turkey (Türkiye)

Belgium2 sites
  • Cliniques Universitaires Saint-Luc / Pediatrie generale

    Brussels, 1200

  • Universitaire Ziekenhuizen Leuven / Center for Metabolic Diseases

    Leuven, 3000

Other trials in Belgium

Canada2 sites
  • Clinique des Maladies Lipidiques de Quebec

    Québec, Quebec, G1V 4M6

  • Clinique des maladies lipidiques de Quebec Inc

    Sainte-Foy, Quebec, G1V 4M6

Other trials in Canada

Germany2 sites
  • Charite Campus Virchow-Klinikum

    Berlin, 13353

  • Augenaerztliche Gemeinschaftspraxis

    Freiburg im Breisgau, 79098

Other trials in Germany

Hungary2 sites
  • Semmelweis Medical University

    Budapest, H-1094

  • Fejer Megyei Szent Gyorgy Korhaz

    Székesfehérvár, 8003

Other trials in Hungary

Italy2 sites
  • Dipartimento di Medicina Clinica e delle Patologie Emergenti-University Hospital of Palermo

    Palermo, 90127

  • Dipartimento di Clinica e Terapia Medica, Università degli Studi di Roma La Sapienza

    Roma, 00161

Other trials in Italy

Poland2 sites
  • Poradnia Chorob Metabolicznych

    Bydgoszcz, 85-667

  • Klinika Chorob Metabolicznych

    Warsaw, 04-730

Other trials in Poland

Greece1 site
  • 1st Pediatrics Clinic , University of Athens, Agia Sofia Hospital

    Athens, 115 27

Other trials in Greece

Norway1 site
  • Rikshospitalet Lipidklinikken

    Oslo, 0027

Other trials in Norway

Puerto Rico1 site
  • Hospital de la Concepcion

    San German, 683

Other trials in Puerto Rico

Switzerland1 site
  • Dr. med. Jean-Marc Nuoffer

    Ch-3010 Bern

Other trials in Switzerland

About this study

Official title: A Three Year, Prospective, Open-label, Study To Evaluate Clinical Efficacy, Safety And Tolerability Of Atorvastatin In Children And Adolescents With Heterozygous Familial Hypercholesterolemia

The purpose of this study is to characterize three year descriptive growth and development (ie, height, weight, body mass index, Tanner Stage) and efficacy of cholesterol reduction in pediatric subjects with Heterozygous Familial Hypercholesterolemia receiving atorvastatin treatment.

Being tested
atorvastatin
Keywords
pediatric heterozygous familial hypercholesterolemia
Medical subject headings
Hyperlipoproteinemia Type II

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • atorvastatinDrug

    Atorvastatin tablets or chewable tablets, 5, 10, 20, 40 mg strengths, once daily, for three years (an 80 mg maximum daily dose is delivered by taking two 40 mg strengths, once daily)

Study groups in NCT00827606
Study groupRoleWhat they receive
AtorvastatinExperimentalAll subjects will be treated with atorvastatin
Receives: Drug: atorvastatin

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Low Density Lipoprotein Cholesterol (LDL-C; Millimoles Per Liter [mMol/L]) During the Study

    Assessments were performed in the fasting state (minimum 10-hour fast). Change from baseline was also determined.

    Measured: Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36 (or early termination [ET])

  2. Percent Change From Baseline in LDL-C

    Assessments were performed in the fasting state (minimum 10-hour fast).

    Measured: Months 1, 2, 3, 6, 12, 18, 24, 30 and 36 (or ET)

  3. High-Density Lipoprotein Cholesterol (HDL-C; mMol/L) During the Study

    Assessments were performed in the fasting state (minimum 10-hour fast). Change from baseline was also determined.

    Measured: Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  4. Percent Change From Baseline in HDL-C

    Assessments were performed in the fasting state (minimum 10-hour fast).

    Measured: Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  5. Total Cholesterol (mMol/L) During the Study

    Assessments were performed in the fasting state (minimum 10-hour fast). Change from baseline was also determined.

    Measured: Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  6. Percent Change From Baseline in Total Cholesterol

    Assessments were performed in the fasting state (minimum 10-hour fast).

    Measured: Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  7. Trigylcerides (mMol/L) During the Study

    Assessments were performed in the fasting state (minimum 10-hour fast). Change from baseline was also determined.

    Measured: Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  8. Percent Change From Baseline in Trigylcerides

    Assessments were performed in the fasting state (minimum 10-hour fast).

    Measured: Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  9. Very Low-Density Lipoprotein (VLDL; mMol/L) During the Study

    Assessments were performed in the fasting state (minimum 10-hour fast). Change from baseline was also determined.

    Measured: Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  10. Percent Change From Baseline in VLDL

    Assessments were performed in the fasting state (minimum 10-hour fast).

    Measured: Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  11. Apoliprotein A-1 (Apo A-1; Grams Per Liter [g/L]) During the Study

    Assessments were performed in the fasting state (minimum 10-hour fast). Change from baseline was also determined.

    Measured: Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  12. Percent Change From Baseline in Apo A-1

    Assessments were performed in the fasting state (minimum 10-hour fast).

    Measured: Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  13. Apoliprotein B (Apo B; g/L) During the Study

    Assessments were performed in the fasting state (minimum 10-hour fast). Change from baseline was also determined.

    Measured: Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  14. Percent Change From Baseline in Apo B

    Assessments were performed in the fasting state (minimum 10-hour fast).

    Measured: Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  15. Number of Participants With Shift From Baseline in Tanner_Stage by Timepoint and Baseline Tanner_Stage

    Tanner_Stage was assessed based on 2 components by gender, pubic hair and breasts for females and pubic hair and genitalia for males. If these values of components were not same, then the Tanner_Stage had the higher value of 2 components for each gender by visit.

    Measured: Baseline, Months 6, 12, 18, 24, 30, and 36/ET

  16. Height (Centimeters [cm]) During the Study: Males

    Investigator assessment of height changes during the study. Change from baseline was also determined.

    Measured: Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  17. Percent Change From Baseline in Height: Males

    Investigator assessment of height changes during the study.

    Measured: Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  18. Height (cm) During the Study: Females

    Investigator assessment of height changes during the study. Change from baseline was also determined.

    Measured: Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  19. Percent Change From Baseline in Height: Females

    Investigator assessment of height changes during the study.

    Measured: Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  20. Weight (Kilograms [kg]) During the Study: Males

    Investigator assessment of weight changes during the study. Change from baseline was also determined.

    Measured: Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  21. Percent Change From Baseline in Weight: Males

    Investigator assessment of weight changes during the study.

    Measured: Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  22. Weight (kg) During the Study: Females

    Investigator assessment of weight changes during the study. Change from baseline was also determined.

    Measured: Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  23. Percent Change From Baseline in Weight: Females

    Investigator assessment of weight changes during the study.

    Measured: Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  24. Body Mass Index (BMI in kg Per Square Meter [kg/m^2]) During the Study: Males

    Investigator assessment of BMI changes during the study. Change from baseline was also determined.

    Measured: Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  25. Percent Change From Baseline in BMI: Males

    Investigator assessment of BMI changes during the study.

    Measured: Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  26. BMI (kg/m^2) During the Study: Females

    Investigator assessment of BMI changes during the study. Change from baseline was also determined.

    Measured: Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  27. Percent Change From Baseline in BMI: Females

    Investigator assessment of BMI changes during the study.

    Measured: Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  28. Age (Years) During the Study: Males

    Investigator assessment of age during the study. Change from baseline was also determined.

    Measured: Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  29. Percent Change From Baseline in Age: Males

    Investigator assessment of age during the study.

    Measured: Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  30. Age (Years) During the Study: Females

    Investigator assessment of age during the study. Change from baseline was also determined.

    Measured: Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  31. Percent Change From Baseline in Age: Females

    Investigator assessment of age during the study.

    Measured: Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

  32. Flow-Mediated Dilatation (FMD) During the Study

    Percent (%) FMD was calculated as (hyperemic diameter minus resting diameter) divided by the resting diameter multiplied by 100. Change from baseline was also determined.

    Measured: Baseline, Months 6, 12, 18, 24, 30 and 36/ET

  33. Percent Change From Baseline in FMD

    Percent (%) FMD was calculated as (hyperemic diameter minus resting diameter) divided by the resting diameter multiplied by 100.

    Measured: Months 6, 12, 18, 24, 30 and 36/ET

Secondary outcomes (2)
  1. Percentage of Participants With Overall Expected Maturation and Development Consistent With Expectations as Assessed by the Investigator

    Measured: Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36 (or early termination)

  2. Percentage of Participants by Study Drug Compliance Category

    Compliance to study drug was categorized as <80%, 80% - 120%, and greater than (>) 120%.

    Measured: Months 1, 2, 3, 6, 12, 18, 24, 30, and 36 (or early termination)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Jan 2009 (estimated)
  2. Study startMar 2009
  3. Primary completionOct 2013
  4. Study completionOct 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
272 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00827606
Sponsor's protocol ID
A2581173
Other IDs
2008-006130-95, 2008
Status last verified
Feb 2021
First submitted
21 Jan 2009
Last updated
21 Feb 2021
Data monitoring committee
Yes

Publications

  • Langslet G, Breazna A, Drogari E. A 3-year study of atorvastatin in children and adolescents with heterozygous familial hypercholesterolemia. J Clin Lipidol. 2016 Sep-Oct;10(5):1153-1162.e3. doi: 10.1016/j.jacl.2016.05.010. Epub 2016 Jun 7.

    PubMed 27678432

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing atorvastatin in people with Familial Hypercholesterolemia, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 40 sites in 15 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 21 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 40 sites in United States, Slovakia, Spain, Russia, Turkey (Türkiye) and 10 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 2 Jun 2015). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Low Density Lipoprotein Cholesterol (LDL-C; Millimoles Per Liter [mMol/L]) During the Study (time frame: Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36 (or early termination [ET])). The study lists 33 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00827606, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Feb 2021.

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