HypercholesterolemiaPhase 2NCT02072161
Evaluation of ETC-1002 vs Placebo in Patients Receiving Ongoing Statin Therapy
A Phase 2 study testing ETC-1002 and Statin Therapy in people with Hypercholesterolemia, run by Esperion Therapeutics, Inc. at 40 sites in United States.
Trial summary
The purpose of this research study is to see how ETC-1002 is tolerated in the body and how ETC-1002 affects the levels of LDL-C (bad cholesterol) in patients receiving ongoing statin therapy. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Hypercholesterolemia
- What is being tested?
- ETC-1002 and Statin Therapy
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 133 participants
- Where
- 40 sitesUnited States
- Study dates
- Mar 2014to Jan 2015
- Phase
- Phase 2
- Are there results?
- None posted in the registry
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 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Fasting, calculated mean LDL-C ≥130 mg/dL and ≤220 mg/dL
- Fasting mean TG level ≤400 mg/dL
- Stable statin therapy for at least 3 months prior to screening: atorvastatin (10 or 20 mg daily), simvastatin (5, 10 or 20 mg daily), rosuvastatin (5 or 10 mg daily), or pravastatin (10, 20 or 40 mg daily)
Who cannot join
- Clinically significant cardiovascular disease within 12 months of screening
- Current muscle-related symptoms that may be due to ongoing statin therapy or a history of certain lab abnormalities that occurred during statin therapy and resolved when statin therapy was discontinued
- Type 1 diabetes or uncontrolled type 2 diabetes
- Use of metformin or thiazolidinediones (TZD) within 4 weeks of screening
- History of chronic musculoskeletal symptoms such as fibromyalgia
- Uncontrolled hypothyroidism
Show all 15Show fewer
- Liver disease or dysfunction
- Renal dysfunction or nephritic syndrome
- Gastrointestinal conditions or procedures or surgeries
- Hematologic or coagulation disorders or low hemoglobin levels
- HIV or AIDS
- History of malignancy
- History of drug or alcohol abuse within 2 years
- Use of experimental or investigational drugs within 30 days of screening
- Use of ETC-1002 in a previous clinical study
Trial locations and contacts
40 sites in 1 country.
40 sites in 1 country
United States40 sites
Study site
Boise, Idaho, 83704
Study site
Bountiful, Utah, 84010
Study site
Brandon, Florida, 33511
Study site
Chandler, Arizona, 85224
Study site
Chino, California, 91710
Study site
Cincinnati, Ohio, 45219
Study site
Cincinnati, Ohio, 45245
Study site
Columbus, Ohio, 43213
Study site
Denver, Colorado, 80220
Study site
Evansville, Indiana, 47714
Study site
Franklin, Ohio, 45005
Study site
Greer, South Carolina, 29651
Study site
Hartford, Connecticut, 06102
Study site
Houston, Texas, 77030
Study site
Indianapolis, Indiana, 46260
Study site
Jacksonville, Florida, 32216
Study site
Kingsport, Tennessee, 37660
Study site
Los Angeles, California, 90057
Study site
Louisville, Kentucky, 40213
Study site
Lyndhurst, Ohio, 44124
Study site
Marietta, Georgia, 30066
Study site
Marion, Ohio, 43302
Study site
Meridian, Idaho, 83646
Study site
Mt. Pleasant, South Carolina, 29464
Study site
Muscle Shoals, Alabama, 35662
Study site
Norfolk, Virginia, 23502
Study site
Orem, Utah, 84058
Study site
Oviedo, Florida, 32765
Study site
Ponte Vedra, Florida, 32081
Study site
Port Gibson, Mississippi, 39150
Study site
Richmond, Virginia, 23294
Study site
Rochester, New York, 14609
Study site
Sacramento, California, 95821
Study site
Salisbury, North Carolina, 28144
Study site
Summerville, South Carolina, 29485
Study site
Tampa, Florida, 33606
Study site
Tulsa, Oklahoma, 74136
Study site
Walnut Creek, California, 94595
Study site
West Palm Beach, Florida, 33409
Study site
Wichita, Kansas, 67205
About this study
Official title: A Randomized, Double-Blind, Parallel-Group Study to Evaluate the Efficacy and Safety of ETC-1002 Versus Placebo in Patients With Hypercholesterolemia Receiving Ongoing Statin Therapy
The purpose of this research study is to see how ETC-1002 is tolerated in the body and how ETC-1002 affects the levels of LDL-C (bad cholesterol) in patients receiving ongoing statin therapy.
Read the detailed description
Approximately 132 hypercholesterolemic patients already taking statin therapy to treat elevated LDL-C will be randomized in a ratio of 1:1:1 to receive either ETC-1002 (120 mg or 180 mg dose), or placebo for 12 weeks in addition to ongoing statin therapy. This study will explore the safety and efficacy of ETC-1002 when given to patients receiving statin therapy.
- Conditions
- Hypercholesterolemia
- Being tested
- ETC-1002, Placebo, Statin Therapy
- Keywords
- Statin, LDL, Cholesterol
- Medical subject headings
- Hypercholesterolemia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ETC-1002Drug
ETC-1002 capsules, taken once daily oral
PlaceboDrug
Placebo capsules, taken once daily oral
Statin TherapyDrug
Patients remained on ongoing statin therapy (not study provided) of either Atorvastatin 10mg or 20mg; Simvastatin 5mg, 10mg or 20mg; Rosuvastatin 5mg or 10mg; or Pravastatin 10mg, 20mg or 40mg.
| Study group | Role | What they receive |
|---|---|---|
| ETC-1002 120 mg/day | Experimental | Orally, once daily in morning as capsules Receives: Drug: ETC-1002; Drug: Statin Therapy |
| ETC-1002 180 mg/day | Experimental | Orally, once daily in morning as capsules Receives: Drug: ETC-1002; Drug: Statin Therapy |
| Placebo | Placebo comparator | Orally, once daily in morning Receives: Drug: Placebo; Drug: Statin Therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percent change from baseline in calculated low density lipoprotein-cholesterol (LDL-C)
Measured: 12 weeks
Secondary outcomes (9)
Percent change in non-high-density lipoprotein cholesterol (non-HDL-C)
Measured: 12 weeks
Percent change in apolipoprotein B (ApoB)
Measured: 12 weeks
Percent change in total cholesterol (TC)
Measured: 12 weeks
Percent change in high-sensitivity C-reactive protein (hsCRP)
Measured: 12 weeks
Percent change in triglycerides (TG)
Measured: 12 weeks
Percent change in lipoprotein particle number
Measured: 12 weeks
Safety using adverse event reports; clinical laboratory results
Measured: 12 weeks
Safety using adverse event reports; vital signs
Measured: 12 weeks
Pharmacokinetic plasma trough concentrations of ETC-1002 and metabolite 15228
Measured: 12 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Feb 2014 (estimated)
- Study startMar 2014
- Primary completionJan 2015
- Study completionJan 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for HypercholesterolemiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 133 participants (actual)
Sponsor and investigators
- Lead sponsor
- Esperion Therapeutics, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Medpace, Inc.
- Responsible party
- Sponsor
- Investigators
- Diane E MacDougall, Study director, Esperion Therapeutics, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02072161
- Sponsor's protocol ID
- 1002-009
- Status last verified
- Mar 2019
- First submitted
- 24 Feb 2014
- Last updated
- 29 Mar 2019
- Results posted
- No
- Data monitoring committee
- No
Publications
Gutierrez MJ, Rosenberg NL, Macdougall DE, Hanselman JC, Margulies JR, Strange P, Milad MA, McBride SJ, Newton RS. Efficacy and safety of ETC-1002, a novel investigational low-density lipoprotein-cholesterol-lowering therapy for the treatment of patients with hypercholesterolemia and type 2 diabetes mellitus. Arterioscler Thromb Vasc Biol. 2014 Mar;34(3):676-83. doi: 10.1161/ATVBAHA.113.302677. Epub 2014 Jan 2.
PubMed 24385236Ballantyne CM, Davidson MH, Macdougall DE, Bays HE, Dicarlo LA, Rosenberg NL, Margulies J, Newton RS. Efficacy and safety of a novel dual modulator of adenosine triphosphate-citrate lyase and adenosine monophosphate-activated protein kinase in patients with hypercholesterolemia: results of a multicenter, randomized, double-blind, placebo-controlled, parallel-group trial. J Am Coll Cardiol. 2013 Sep 24;62(13):1154-62. doi: 10.1016/j.jacc.2013.05.050. Epub 2013 Jun 13.
PubMed 23770179Filippov S, Pinkosky SL, Lister RJ, Pawloski C, Hanselman JC, Cramer CT, Srivastava RAK, Hurley TR, Bradshaw CD, Spahr MA, Newton RS. ETC-1002 regulates immune response, leukocyte homing, and adipose tissue inflammation via LKB1-dependent activation of macrophage AMPK. J Lipid Res. 2013 Aug;54(8):2095-2108. doi: 10.1194/jlr.M035212. Epub 2013 May 24.
PubMed 23709692Pinkosky SL, Filippov S, Srivastava RA, Hanselman JC, Bradshaw CD, Hurley TR, Cramer CT, Spahr MA, Brant AF, Houghton JL, Baker C, Naples M, Adeli K, Newton RS. AMP-activated protein kinase and ATP-citrate lyase are two distinct molecular targets for ETC-1002, a novel small molecule regulator of lipid and carbohydrate metabolism. J Lipid Res. 2013 Jan;54(1):134-51. doi: 10.1194/jlr.M030528. Epub 2012 Nov 1.
PubMed 23118444
Study at a glance
From the registry record, last updated by the sponsor on 29 Mar 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Parallel-Group Study to Evaluate the Efficacy and Safety of ETC-1002 Versus Placebo in Patients With Hypercholesterolemia Receiving Ongoing Statin Therapy
- ClinicalTrials.gov ID
- NCT02072161
- Acronym / sponsor ID
- 1002-009
- Conditions
- Hypercholesterolemia
- Keywords
- Statin, LDL, Cholesterol
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 133 participants (actual)
- Lead sponsor
- Esperion Therapeutics, Inc.Industry (pharma, biotech, devices)
- Collaborators
- Medpace, Inc.
- Study start
- Mar 2014
- Primary completion
- Jan 2015 (actual)
- Study completion
- Jan 2015 (actual)
- First posted
- 26 Feb 2014 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this research study is to see how ETC-1002 is tolerated in the body and how ETC-1002 affects the levels of LDL-C (bad cholesterol) in patients receiving ongoing statin therapy.
Detailed description
Approximately 132 hypercholesterolemic patients already taking statin therapy to treat elevated LDL-C will be randomized in a ratio of 1:1:1 to receive either ETC-1002 (120 mg or 180 mg dose), or placebo for 12 weeks in addition to ongoing statin therapy. This study will explore the safety and efficacy of ETC-1002 when given to patients receiving statin therapy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| ETC-1002 120 mg/day | Experimental | Drug: ETC-1002, Drug: Statin TherapyOrally, once daily in morning as capsules |
| ETC-1002 180 mg/day | Experimental | Drug: ETC-1002, Drug: Statin TherapyOrally, once daily in morning as capsules |
| Placebo | Placebo comparator | Drug: Placebo, Drug: Statin TherapyOrally, once daily in morning |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Fasting, calculated mean LDL-C ≥130 mg/dL and ≤220 mg/dL
- Fasting mean TG level ≤400 mg/dL
- Stable statin therapy for at least 3 months prior to screening: atorvastatin (10 or 20 mg daily), simvastatin (5, 10 or 20 mg daily), rosuvastatin (5 or 10 mg daily), or pravastatin (10, 20 or 40 mg daily)
Key exclusion criteria (15 listed)
- Clinically significant cardiovascular disease within 12 months of screening
- Current muscle-related symptoms that may be due to ongoing statin therapy or a history of certain lab abnormalities that occurred during statin therapy and resolved when statin therapy was discontinued
- Type 1 diabetes or uncontrolled type 2 diabetes
- Use of metformin or thiazolidinediones (TZD) within 4 weeks of screening
- History of chronic musculoskeletal symptoms such as fibromyalgia
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ETC-1002ETC-1002 capsules, taken once daily oral | Drug | ETC-1002 120 mg/day, ETC-1002 180 mg/day |
| PlaceboPlacebo capsules, taken once daily oral | Drug | Placebo |
| Statin TherapyPatients remained on ongoing statin therapy (not study provided) of either Atorvastatin 10mg or 20mg; Simvastatin 5mg, 10mg or 20mg; Rosuvastatin 5mg or 10mg; or Pravastatin 10mg, 20mg or 40mg. | Drug | ETC-1002 120 mg/day, ETC-1002 180 mg/day, Placebo |
Primary outcome
Percent change from baseline in calculated low density lipoprotein-cholesterol (LDL-C)
Time frame: 12 weeks
9 secondary outcomes
Percent change in non-high-density lipoprotein cholesterol (non-HDL-C)
Time frame: 12 weeks
Percent change in apolipoprotein B (ApoB)
Time frame: 12 weeks
Percent change in total cholesterol (TC)
Time frame: 12 weeks
Percent change in high-sensitivity C-reactive protein (hsCRP)
Time frame: 12 weeks
Percent change in triglycerides (TG)
Time frame: 12 weeks
Percent change in lipoprotein particle number
Time frame: 12 weeks
Safety using adverse event reports; clinical laboratory results
Time frame: 12 weeks
Safety using adverse event reports; vital signs
Time frame: 12 weeks
Pharmacokinetic plasma trough concentrations of ETC-1002 and metabolite 15228
Time frame: 12 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Mar 2019.
- Background: PubMed 24385236Gutierrez MJ, Rosenberg NL, Macdougall DE, Hanselman JC, Margulies JR, Strange P, Milad MA, McBride SJ, Newton RS. Efficacy and safety of ETC-1002, a novel investigational low-density lipoprotein-cholesterol-lowering therapy for the treatment of patients with hypercholesterolemia and type 2 diabetes mellitus. Arterioscler Thromb Vasc Biol. 2014 Mar;34(3):676-83. doi: 10.1161/ATVBAHA.113.302677. Epub 2014 Jan 2.
- Background: PubMed 23770179Ballantyne CM, Davidson MH, Macdougall DE, Bays HE, Dicarlo LA, Rosenberg NL, Margulies J, Newton RS. Efficacy and safety of a novel dual modulator of adenosine triphosphate-citrate lyase and adenosine monophosphate-activated protein kinase in patients with hypercholesterolemia: results of a multicenter, randomized, double-blind, placebo-controlled, parallel-group trial. J Am Coll Cardiol. 2013 Sep 24;62(13):1154-62. doi: 10.1016/j.jacc.2013.05.050. Epub 2013 Jun 13.
- Background: PubMed 23709692Filippov S, Pinkosky SL, Lister RJ, Pawloski C, Hanselman JC, Cramer CT, Srivastava RAK, Hurley TR, Bradshaw CD, Spahr MA, Newton RS. ETC-1002 regulates immune response, leukocyte homing, and adipose tissue inflammation via LKB1-dependent activation of macrophage AMPK. J Lipid Res. 2013 Aug;54(8):2095-2108. doi: 10.1194/jlr.M035212. Epub 2013 May 24.
- Background: PubMed 23118444Pinkosky SL, Filippov S, Srivastava RA, Hanselman JC, Bradshaw CD, Hurley TR, Cramer CT, Spahr MA, Brant AF, Houghton JL, Baker C, Naples M, Adeli K, Newton RS. AMP-activated protein kinase and ATP-citrate lyase are two distinct molecular targets for ETC-1002, a novel small molecule regulator of lipid and carbohydrate metabolism. J Lipid Res. 2013 Jan;54(1):134-51. doi: 10.1194/jlr.M030528. Epub 2012 Nov 1.
Related trials for Hypercholesterolemia
Active, not recruitingObservational study
Study Evaluating LDL-C Change and Adherence to Inclisiran Lipid-lowering Therapy in ASCVD
Primary Hypercholesterolemia, Mixed Dyslipidemia
Active, not recruitingPhase 3
A Study of Inclisiran to Prevent Cardiovascular Events in High-risk Primary Prevention Patients.
Primary Prevention of Atherosclerotic Cardiovascular Disease
RecruitingObservational study
Causes and Natural History of Dyslipidemias
Hypercholesterolemia, Atherosclerosis
Active, not recruitingObservational study
Early Detection of Familial Hypercholesterolaemia in Pre-school Children ( CzeCH-IT)
Familial Hypercholesterolaemia
Not yet recruiting
Penn Family Screening for Familial Hypercholesterolemia (NHLBI R33) Trial 3
Familial Hypercholesterolemia
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Diane E MacDougall study director
Esperion Therapeutics, Inc.
40 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing ETC-1002 and Statin Therapy in people with Hypercholesterolemia, run by Esperion Therapeutics, Inc. at 40 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 3 inclusion and 15 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 29 Mar 2019. 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. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Percent change from baseline in calculated low density lipoprotein-cholesterol (LDL-C) (time frame: 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 NCT02072161, which also lists 4 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 29 Mar 2019.