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HypertriglyceridemiaPhase 3ANCHORNCT01047501

Effect of AMR101 (Ethyl Icosapentate) on Triglyceride (Tg) Levels in Patients on Statins With High Tg Levels (≥ 200 and < 500 mg/dL)

A Phase 3 study testing AMR101 (ethyl icosapentate) - 4 g/day and AMR101 (ethyl icosapentate) - 2 g/day in people with Hypertriglyceridemia, run by Amarin Pharma Inc. at 80 sites in United States.

Completed

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

Official record
Search all trials

Trial summary

The primary objective is to determine the efficacy of AMR101 (ethyl icosapentate) compared to placebo in lowering high fasting triglyceride levels in patients with high risk for cardiovascular disease and fasting triglyceride levels ≥ 200 and < 500 mg/dL. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Hypertriglyceridemia
What is being tested?
AMR101 (ethyl icosapentate) - 4 g/day and AMR101 (ethyl icosapentate) - 2 g/day
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
702 participants
Where
80 sitesUnited States
Study dates
Dec 2009to Feb 2011
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men and women, ages >18
  • Fasting triglyceride ≥200 mg/dL and <500 mg/dL
  • LDL-C (low density lipoprotein - cholesterol) ≥40 mg/dL and <100 mg/dL
  • High risk for coronary heart disease
  • On stable dose of statin (atorvastatin, rosuvastatin or simvastatin)
  • Provide written informed consent and authorization for protected health information disclosure

Who cannot join

  • Women who are pregnant or lactating, or planning to become pregnant
  • Use of non-statin lipid-altering drugs which cannot be stopped including fibrates, niacin, fish oil and other products containing omega-3 fatty acids or other dietary supplements with potential lipid-altering effects
  • History of bariatric surgery or currently on weight loss drugs
  • Uncontrolled hypertension (BP > 160/100)
  • HIV infection or on treatment with HIV-protease inhibitors, cyclophosphamide,or isotretinoin
  • Consumption of more than 2 alcoholic beverages per day
Show all 9Show fewer
  • History of cancers (except if been disease free for >5 years OR history was basal or squamous cell skin cancer)
  • Participation in another clinical trial involving an investigational agent in the last 30 days
  • Other parameters will be assessed at the study center to ensure eligibility for this study.

Trial locations and contacts

80 sites in 1 country.

80 sites in 1 country

United States80 sites
  • Amarin Investigational Site

    Addison, Illinois, 60101

  • Amarin Investigational Site

    Anaheim, California, 92801

  • Amarin Investigational Site

    Auburn, Maine, 04210

  • Amarin Investigational Site

    Augusta, Georgia, 30904

  • Amarin Investigational Site

    Augusta, Georgia, 30909

  • Amarin Investigational Site

    Aventura, Florida, 33180

  • Amarin Investigational Site

    Baltimore, Maryland, 21209

  • Amarin Investigational Site

    Beaver, Pennsylvania, 15009

  • Amarin Investigational Site

    Burbank, California, 91505

  • Amarin Investigational Site

    Butte, Montana, 59701

  • Amarin Investigational Site

    Charlotte, North Carolina, 28277

  • Amarin Investigational Site

    Chino, California, 91710

  • Amarin Investigational Site

    Cincinnati, Ohio, 45212

  • Amarin Investigational Site

    Cincinnati, Ohio, 45219

  • Amarin Investigational Site

    Clearwater, Florida, 33756

  • Amarin Investigational Site

    Cleveland, Ohio, 44122

  • Amarin Investigational Site

    Concord, New Hampshire, 03301

  • Amarin Investigational Site

    Coral Gables, Florida, 33134

  • Amarin Investigational Site

    Dallas, Texas, 75230

  • Amarin Investigational Site

    Durham, North Carolina, 27710

  • Amarin Investigational Site

    Elkridge, Maryland, 21075

  • Amarin Investigational Site

    Encinitas, California, 92024

  • Amarin Investigational Site

    Endwell, New York, 13760

  • Amarin Investigational Site

    Ettrick, Virginia, 23803

  • Amarin Investigational Site

    Golden, Colorado, 80401

  • Amarin Investigational Site

    Harleysville, Pennsylvania, 19438

  • Amarin Investigational Site

    Hialeah, Florida, 33012

  • Amarin Investigational Site

    Hickory, North Carolina, 28601

  • Amarin Investigational Site

    Houston, Texas, 77030

  • Amarin Investigational Site

    Houston, Texas, 77074

  • Amarin Investigational Site

    Indianapolis, Indiana, 46260

  • Amarin Investigational Site

    Irvine, California, 92618

  • Amarin Investigational Site

    Jacksonville, Florida, 32205

  • Amarin Investigational Site

    Jacksonville, Florida, 32223

  • Amarin Investigational Site

    Jersey Shore, Pennsylvania, 17740

  • Amarin Investigational Site

    Kansas City, Kansas, 66160

  • Amarin Investigational Site

    Kettering, Ohio, 45429

  • Amarin Investigational Site

    Lake Jackson, Texas, 77566

  • Amarin Investigational Site

    Lansdale, Pennsylvania, 19446

  • Amarin Investigational Site

    Los Angeles, California, 90025

  • Amarin Investigational Site

    Los Angeles, California, 90057

  • Amarin Investigational Site

    Louisville, Kentucky, 40213

  • Amarin Investigational Site

    Miami, Florida, 33169

  • Amarin Investigational Site

    Morton, Illinois, 61550

  • Amarin Investigational Site

    Mt. Pleasant, South Carolina, 29464

  • Amarin Investigational Site

    Munfordville, Kentucky, 42765

  • Amarin Investigational Site

    Muscle Shoals, Alabama, 35662

  • Amarin Investigational Site

    New Port Richey, Florida, 34652

  • Amarin Investigational Site

    New Port Richey, Florida, 34653

  • Amarin Investigational Site

    New Windsor, New York, 12553

  • Amarin Investigational Site

    Newton, Kansas, 67114

  • Amarin Investigational Site

    Norfolk, Virginia, 23502

  • Amarin Investigational Site

    Norman, Oklahoma, 73069

  • Amarin Investigational Site

    Olive Branch, Mississippi, 38654

  • Amarin Investigational Site

    Orlando, Florida, 32833

  • Amarin Investigational Site

    Philadelphia, Pennsylvania, 19114

  • Amarin Investigational Site

    Phoenix, Arizona, 85050

  • Amarin Investigational Site

    Port Orange, Florida, 32127

  • Amarin Investigational Site

    Raleigh, North Carolina, 27527

  • Amarin Investigational Site

    Rapid City, South Dakota, 57702

  • Amarin Investigational Site

    Richmond, Virginia, 23225

  • Amarin Investigational Site

    Richmond, Virginia, 23294

  • Amarin Investigational Site

    San Antonio, Texas, 78224

  • Amarin Investigational Site

    San Antonio, Texas, 78229

  • Amarin Investigational Site

    Scottsboro, Alabama, 35768

  • Amarin Investigational Site

    Spring Valley, California, 91978

  • Amarin Investigational Site

    St Louis, Missouri, 63110

  • Amarin Investigational Site

    Statesville, North Carolina, 28677

  • Amarin Investigational Site

    Syracuse, New York, 13202

  • Amarin Investigational Site

    Temple, Texas, 76502

  • Amarin Investigational Site

    Troy, Michigan, 48098

  • Amarin Investigational Site

    Tucson, Arizona, 85705

  • Amarin Investigational Site

    Tulsa, Oklahoma, 74136

  • Amarin Investigational Site

    Wauwatosa, Wisconsin, 53226

  • Amarin Investigational Site

    West Palm Beach, Florida, 33401

  • Amarin Investigational Site

    Westlake Village, California, 91361

  • Amarin Investigational Site

    Wheat Ridge, Colorado, 80033

  • Amarin Investigational Site

    Wichita, Kansas, 67205

  • Amarin Investigational Site

    Wilmington, North Carolina, 28401

  • Amarin Investigational Site

    Winston-Salem, North Carolina, 27103

Other trials in United States

About this study

Official title: Evaluation of the Effect of Two Doses of AMR101 (Ethyl Icosapentate) on Fasting Serum Triglyceride Levels in Patients With Persistent High Triglyceride Levels (≥ 200 mg/dL and < 500 mg/dL) Despite Statin Therapy

The primary objective is to determine the efficacy of AMR101 (ethyl icosapentate) compared to placebo in lowering high fasting triglyceride levels in patients with high risk for cardiovascular disease and fasting triglyceride levels ≥ 200 and < 500 mg/dL.

Being tested
AMR101 (ethyl icosapentate) - 4 g/day, AMR101 (ethyl icosapentate) - 2 g/day, Placebo
Keywords
hypertriglyceridemia, omega-3 fatty acids, statin, triglycerides, lipids, EPA, docosahexaenoic acid, fish, fatty acids, fibrates, niacin, lipid, atorvastatin, Lovaza, simvastatin, lovastatin, pravastatin, fluvastatin, rosuvastatin, Trilipix
Medical subject headings
Hypertriglyceridemia, Dyslipidemias

What participants receive

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

  • AMR101 (ethyl icosapentate) - 4 g/dayDrug

    Also called VASCEPA® (icosapent ethyl)

    AMR101 (ethyl icosapentate) 4 capsules/day for 12 weeks

  • AMR101 (ethyl icosapentate) - 2 g/dayDrug

    Also called VASCEPA® (icosapent ethyl)

    AMR101 (ethyl icosapentate) 2 capsules/day with placebo 2 capsules/day for 12 weeks

  • PlaceboDrug

    Placebo 4 capsules/day for 12 weeks

Study groups in NCT01047501
Study groupRoleWhat they receive
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo
AMR101 (ethyl icosapentate) - 2 g/dayExperimentalNot described
Receives: Drug: AMR101 (ethyl icosapentate) - 2 g/day
AMR101 (ethyl icosapentate) - 4 g/dayExperimentalNot described
Receives: Drug: AMR101 (ethyl icosapentate) - 4 g/day

What is being measured

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

  1. Difference Between AMR101 (Ethyl Icosapentate) and Placebo Treatment Groups in Triglyceride Lowering Effect

    Median percent change from baseline to Week 12 in fasting serum triglyceride levels following treatment with AMR101 (ethyl icosapentate) 2 g/day or 4 g/day

    Measured: baseline and 12 weeks

Secondary outcomes (5)
  1. Difference Between AMR101 (Ethyl Icosapentate) and Placebo Treatment Groups in Low-density Lipoprotein Cholesterol Levels

    Median percent change from baseline to Week 12 in serum low density lipoprotein cholesterol levels following treatment with AMR101 (ethyl icosapentate) 2 g/day or 4 g/day

    Measured: baseline and 12 weeks

  2. Difference Between AMR101 (Ethyl Icosapentate) and Placebo Treatment Groups in Non-High-Density Lipoprotein Cholesterol Levels

    Median percent change from baseline to Week 12 in serum non-high density lipoprotein cholesterol levels following treatment with AMR101 (ethyl icosapentate) 2 g/day or 4 g/day

    Measured: baseline and 12 weeks

  3. Difference Between AMR101 (Ethyl Icosapentate) and Placebo Treatment Groups in Very Low-density Lipoprotein Cholesterol Levels

    Median percent change from baseline to Week 12 in serum very low-density lipoprotein cholesterol levels following treatment with AMR101 (ethyl icosapentate) 2 g/day or 4 g/day

    Measured: baseline and 12 weeks

  4. Difference Between AMR101 (Ethyl Icosapentate) and Placebo Treatment Groups in Lipoprotein-associated Phospholipase A2 Levels

    Median percent change from baseline to Week 12 in serum Lipoprotein-associated Phospholipase A2 levels following treatment with AMR101 (ethyl icosapentate) 2 g/day or 4 g/day

    Measured: baseline and 12 weeks

  5. Difference Between AMR101 (Ethyl Icosapentate) and Placebo Treatment Groups in Apolipoprotein B Levels

    Median percent change from baseline to Week 12 in serum Apolipoprotein B levels following treatment with AMR101 (ethyl icosapentate) 2 g/day or 4 g/day

    Measured: baseline and 12 weeks

Timeline

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

  1. First posted13 Jan 2010 (estimated)
  2. Study startDec 2009
  3. Primary completionFeb 2011
  4. Study completionFeb 2011

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
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
702 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01047501
Sponsor's protocol ID
AMR-01-01-0017
Other IDs
The ANCHOR Study
Acronym
ANCHOR
Status last verified
Mar 2022
First submitted
11 Jan 2010
Last updated
25 Apr 2022
Data monitoring committee
No
FDA-regulated drug
Yes
Individual data sharing
No

Publications

  • Ballantyne CM, Bays HE, Kastelein JJ, Stein E, Isaacsohn JL, Braeckman RA, Soni PN. Efficacy and safety of eicosapentaenoic acid ethyl ester (AMR101) therapy in statin-treated patients with persistent high triglycerides (from the ANCHOR study). Am J Cardiol. 2012 Oct 1;110(7):984-92. doi: 10.1016/j.amjcard.2012.05.031. Epub 2012 Jul 20.

    PubMed 22819432
  • Brinton EA, Ballantyne CM, Bays HE, Kastelein JJ, Braeckman RA, Soni PN. Effects of icosapent ethyl on lipid and inflammatory parameters in patients with diabetes mellitus-2, residual elevated triglycerides (200-500 mg/dL), and on statin therapy at LDL-C goal: the ANCHOR study. Cardiovasc Diabetol. 2013 Jul 9;12:100. doi: 10.1186/1475-2840-12-100.

    PubMed 23835245
  • Bays HE, Ballantyne CM, Braeckman RA, Stirtan WG, Soni PN. Icosapent ethyl, a pure ethyl ester of eicosapentaenoic acid: effects on circulating markers of inflammation from the MARINE and ANCHOR studies. Am J Cardiovasc Drugs. 2013 Feb;13(1):37-46. doi: 10.1007/s40256-012-0002-3.

    PubMed 23325450
  • Ballantyne CM, Braeckman RA, Bays HE, Kastelein JJ, Otvos JD, Stirtan WG, Doyle RT Jr, Soni PN, Juliano RA. Effects of icosapent ethyl on lipoprotein particle concentration and size in statin-treated patients with persistent high triglycerides (the ANCHOR Study). J Clin Lipidol. 2015 May-Jun;9(3):377-83. doi: 10.1016/j.jacl.2014.11.009. Epub 2014 Nov 29.

    PubMed 26073397
  • Bays HE, Ballantyne CM, Braeckman RA, Stirtan WG, Doyle RT Jr, Philip S, Soni PN, Juliano RA. Icosapent Ethyl (Eicosapentaenoic Acid Ethyl Ester): Effects Upon High-Sensitivity C-Reactive Protein and Lipid Parameters in Patients With Metabolic Syndrome. Metab Syndr Relat Disord. 2015 Aug;13(6):239-47. doi: 10.1089/met.2014.0137. Epub 2015 Apr 20.

    PubMed 25893544
  • Ballantyne CM, Bays HE, Braeckman RA, Philip S, Stirtan WG, Doyle RT Jr, Soni PN, Juliano RA. Icosapent ethyl (eicosapentaenoic acid ethyl ester): Effects on plasma apolipoprotein C-III levels in patients from the MARINE and ANCHOR studies. J Clin Lipidol. 2016 May-Jun;10(3):635-645.e1. doi: 10.1016/j.jacl.2016.02.008. Epub 2016 Feb 23.

    PubMed 27206952
  • Ballantyne CM, Bays HE, Philip S, Doyle RT Jr, Braeckman RA, Stirtan WG, Soni PN, Juliano RA. Icosapent ethyl (eicosapentaenoic acid ethyl ester): Effects on remnant-like particle cholesterol from the MARINE and ANCHOR studies. Atherosclerosis. 2016 Oct;253:81-87. doi: 10.1016/j.atherosclerosis.2016.08.005. Epub 2016 Aug 20.

    PubMed 27596132
  • Bays HE, Ballantyne CM, Doyle RT Jr, Juliano RA, Philip S. Icosapent ethyl: Eicosapentaenoic acid concentration and triglyceride-lowering effects across clinical studies. Prostaglandins Other Lipid Mediat. 2016 Sep;125:57-64. doi: 10.1016/j.prostaglandins.2016.07.007. Epub 2016 Jul 11.

    PubMed 27418543
  • Mosca L, Ballantyne CM, Bays HE, Guyton JR, Philip S, Doyle RT Jr, Juliano RA. Usefulness of Icosapent Ethyl (Eicosapentaenoic Acid Ethyl Ester) in Women to Lower Triglyceride Levels (Results from the MARINE and ANCHOR Trials). Am J Cardiol. 2017 Feb 1;119(3):397-403. doi: 10.1016/j.amjcard.2016.10.027. Epub 2016 Nov 1.

    PubMed 27939227
  • Brinton EA, Ballantyne CM, Guyton JR, Philip S, Doyle RT Jr, Juliano RA, Mosca L. Lipid Effects of Icosapent Ethyl in Women with Diabetes Mellitus and Persistent High Triglycerides on Statin Treatment: ANCHOR Trial Subanalysis. J Womens Health (Larchmt). 2018 Sep;27(9):1170-1176. doi: 10.1089/jwh.2017.6757. Epub 2018 Mar 27.

    PubMed 29583081
  • Miller M, Ballantyne CM, Bays HE, Granowitz C, Doyle RT Jr, Juliano RA, Philip S. Effects of Icosapent Ethyl (Eicosapentaenoic Acid Ethyl Ester) on Atherogenic Lipid/Lipoprotein, Apolipoprotein, and Inflammatory Parameters in Patients With Elevated High-Sensitivity C-Reactive Protein (from the ANCHOR Study). Am J Cardiol. 2019 Sep 1;124(5):696-701. doi: 10.1016/j.amjcard.2019.05.057. Epub 2019 Jun 6.

    PubMed 31277790
  • Ballantyne CM, Manku MS, Bays HE, Philip S, Granowitz C, Doyle RT Jr, Juliano RA. Icosapent Ethyl Effects on Fatty Acid Profiles in Statin-Treated Patients With High Triglycerides: The Randomized, Placebo-controlled ANCHOR Study. Cardiol Ther. 2019 Jun;8(1):79-90. doi: 10.1007/s40119-019-0131-8. Epub 2019 Feb 20.

    PubMed 30788718
  • Vijayaraghavan K, Szerlip HM, Ballantyne CM, Bays HE, Philip S, Doyle RT Jr, Juliano RA, Granowitz C. Icosapent ethyl reduces atherogenic markers in high-risk statin-treated patients with stage 3 chronic kidney disease and high triglycerides. Postgrad Med. 2019 Aug;131(6):390-396. doi: 10.1080/00325481.2019.1643633. Epub 2019 Jul 25.

    PubMed 31306043

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing AMR101 (ethyl icosapentate) - 4 g/day and AMR101 (ethyl icosapentate) - 2 g/day in people with Hypertriglyceridemia, run by Amarin Pharma Inc. at 80 sites in United States.

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 6 inclusion and 9 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 25 Apr 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 80 sites in United States. 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. Some participants in this study may receive a placebo. 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 25 Apr 2022). 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?

Difference Between AMR101 (Ethyl Icosapentate) and Placebo Treatment Groups in Triglyceride Lowering Effect (time frame: baseline and 12 weeks). 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 NCT01047501, which also lists 13 linked publications.

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 25 Apr 2022.

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