Cardiovascular DiseasesPhase 3CLEAR OutcomesNCT02993406
Evaluation of Major Cardiovascular Events in Participants With, or at High Risk for, Cardiovascular Disease Who Are Statin Intolerant Treated With Bempedoic Acid (ETC-1002) or Placebo
A Phase 3 study testing Bempedoic acid 180 mg tablet in people with Cardiovascular Diseases and Statin Adverse Reaction, run by Esperion Therapeutics, Inc. at 1,319 sites in 32 countries.
Trial summary
The purpose of this study is to determine if treatment with bempedoic acid (ETC-1002) versus placebo decreases the risk of cardiovascular events in participants who have or are at high risk for cardiovascular disease and are statin intolerant. Read more about this study
- Who is it for?
- Ages 18 to 85 years
- Conditions the study is for
- Cardiovascular Diseases, Statin Adverse Reaction
- What is being tested?
- Bempedoic acid 180 mg tablet
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 13,970 participants
- Where
- 1,319 sitesin 32 countries
- Study dates
- 22 Dec 2016to 7 Nov 2022
- 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 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age between 18 and 85 years
- History of, or at high risk for, cardiovascular disease (CVD) including coronary artery disease, symptomatic peripheral arterial disease, cerebrovascular atherosclerotic disease, or at high risk for a cardiovascular event
- Participant-reported SI due to an adverse safety effect that started or increased during statin therapy and resolved or improved when statin therapy was discontinued resulting in an inability to tolerate:
- 2 or more statins at any dose, or
- 1 statin at any dose and unwilling to attempt a second statin or advised by a physician to not attempt a second statin.
- Please note that participants currently tolerating very low dose statin therapy (an average daily dose of rosuvastatin <5 mg, atorvastatin <10 mg, simvastatin <10 mg, lovastatin <20 mg, pravastatin <40 mg, fluvastatin <40 mg, or pitavastatin <2 mg) are considered to be intolerant to that low dose statin. Patients may continue taking very low dose statin therapy throughout the study provided that it is stable (used for at least 4 weeks prior to screening) and well tolerated.
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- Written confirmation by both participant and investigator that the participant is statin intolerant as defined above, aware of the benefit of statin use to reduce the risk of MACE including death, and also aware that many other participants who are unable to tolerate a statin are able to tolerate a different statin or dose.
- Men and nonpregnant, nonlactating women
- Fasting blood LDL-cholesterol ≥ 100 (2.6 mmol/L) at screening
Who cannot join
- Fasting blood triglycerides greater than 500 mg/dL (5.6 mmol/L) at screening
- Recent (within 90 days of screening) history of major cardiovascular events, transient ischemic attack (TIA), or unstable or symptomatic cardiac arrhythmia
- History of severe heart failure
- Uncontrolled hypertension or uncontrolled diabetes
Trial locations and contacts
1,319 sites in 32 countries.
1315 sites in 32 countries
United States300 sites
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Abington, Pennsylvania, 19001
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Akron, Ohio, 44304
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Akron, Ohio, 44311
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Albany, New York, 12211
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Allen, Texas, 75013
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Amarillo, Texas, 79106
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Anderson, Indiana, 46011
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Anderson, South Carolina, 29621-2062
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Anderson, South Carolina, 29621
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Annapolis, Maryland, 21401
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Asheboro, North Carolina, 27203
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Atlanta, Georgia, 30322
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Aurora, Colorado, 80012
Seton Heart Institute
Austin, Texas, 78705
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Baltimore, Maryland, 21218
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Baltimore, Maryland, 21228
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Baltimore, Maryland, 21229
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Baltimore, Maryland, 21237
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Beaver, Pennsylvania, 15009
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Bellevue, Washington, 98004
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Beverly Hills, California, 90211
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Binghamton, New York, 13901
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Birmingham, Alabama, 35211
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Birmingham, Alabama, 35235
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Boca Raton, Florida, 33434
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Boynton Beach, Florida, 33435
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Boynton Beach, Florida, 33472
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Bradenton, Florida, 34209
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Bridgeton, Missouri, 63044
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Bridgeton, New Jersey, 08302
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Bridgewater, New Jersey, 08807
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Bronxville, New York, 10708
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Buckley, Michigan, 49620
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Buffalo, New York, 14215
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Burke, Virginia, 22015
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Burlington, North Carolina, 27215
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Cadillac, Michigan, 49601
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Camp Hill, Pennsylvania, 17011
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Canton, Ohio, 44710
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Carlsbad, California, 92008
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Caro, Michigan, 48723
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Cary, North Carolina, 27511
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Cary, North Carolina, 27518
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Champaign, Illinois, 61820
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Chandler, Arizona, 85224
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Charleston, South Carolina, 29407
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Charleston, South Carolina, 29425
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Charlotte, North Carolina, 28204
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Charlottesville, Virginia, 22903
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Chicago, Illinois, 60602
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Cincinnati, Ohio, 45236
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Clearwater, Florida, 33756
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Cleveland, Ohio, 44109
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Cleveland, Ohio, 44195
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Colorado Springs, Colorado, 80909
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Colorado Springs, Colorado, 80922
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Columbia, Maryland, 21044
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Columbus, Georgia, 31904
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Columbus, Ohio, 43210
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Columbus, Ohio, 43212
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Cottonwood, Arizona, 86326
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Council Bluffs, Iowa, 51501
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Covington, Georgia, 30014
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Crystal River, Florida, 34429
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Cumberland, Rhode Island, 02864
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Cumming, Georgia, 30041
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Dallas, Texas, 75226
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Dallas, Texas, 75231
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Dallas, Texas, 75234
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Dallas, Texas, 75235
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Danville, Virginia, 24541
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Dayton, Ohio, 45419
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DeSoto, Texas, 75115
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Dunwoody, Georgia, 30338
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Elizabethtown, Kentucky, 42701
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Elkhart, Indiana, 46514-2487
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Endwell, New York, 13760
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Eunice, Louisiana, 70535
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Evansville, Indiana, 47714
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Evansville, Indiana, 47715
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Falls Church, Virginia, 22042
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Fargo, North Dakota, 58103
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Farmington, Utah, 84025
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Fayetteville, Tennessee, 37334
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Fleming Island, Florida, 32003
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Flemington, New Jersey, 08822
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Fort Lauderdale, Florida, 33008
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Fort Lauderdale, Florida, 33308
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Fort Worth, Texas, 76107
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Fort Worth, Texas, 76132
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Fountain Hills, Arizona, 85268
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Franklin, Ohio, 45005
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Fremont, Nebraska, 68025
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Gainesville, Georgia, 30501
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Gilbert, Arizona, 85295
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Glendale, Arizona, 85306
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Glendale, Arizona, 85308
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Golden, Colorado, 80401
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Grand Blanc, Michigan, 48439
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Grand Rapids, Michigan, 49546
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Green Bay, Wisconsin, 54301
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Greenacres City, Florida, 33467
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Greeneville, Tennessee, 37745
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Greensboro, North Carolina, 27401
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Greensboro, North Carolina, 27408
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Greensboro, North Carolina, 27410
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Greer, South Carolina, 29651
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Gurnee, Illinois, 60031
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Haddon, New Jersey, 08035
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Hamden, Connecticut, 06517
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Hampton, Virginia, 23666
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Hartford, Connecticut, 06102
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Haverhill, Massachusetts, 01830
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Henderson, Nevada, 89052
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Hialeah, Florida, 33010
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Hialeah, Florida, 33012
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Hickory, North Carolina, 28601
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Houston, Texas, 77008
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Houston, Texas, 77030
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Houston, Texas, 77054
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Houston, Texas, 77074
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Huntington Beach, California, 92648-1717
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Huntsville, Alabama, 35802
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Hutchinson, Kansas, 67502
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Hyannis, Massachusetts, 02601
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Indianapolis, Indiana, 46237
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Indianapolis, Indiana, 46290
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Inverness, Florida, 34452
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Iowa City, Iowa, 52242
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Jackson, Tennessee, 38301
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Jackson Heights, New York, 11372
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Jacksonville, Florida, 32205
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Jacksonville, Florida, 32216
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Jacksonville, Florida, 32277
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Jamaica, New York, 11432
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Jerseyville, Illinois, 62052
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Johnstown, Pennsylvania, 15905
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Jupiter, Florida, 33458
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Kalamazoo, Michigan, 49009
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Kalispell, Montana, 59901
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Kansas City, Kansas, 66160
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Katy, Texas, 77450
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Kenosha, Wisconsin, 53144
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Kerrville, Texas, 78028
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Knoxville, Tennessee, 37918
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La Crosse, Wisconsin, 54601
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Lake Charles, Louisiana, 70601
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Lake Worth, Florida, 33461
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Lansing, Michigan, 48910
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Lansing, Michigan, 48912
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Largo, Florida, 33770
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Largo, Florida, 33777
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Las Vegas, Nevada, 89119
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Layton, Utah, 84041
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Lenoir, North Carolina, 28645
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Lexington, Kentucky, 40503
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Lincoln, California, 95648
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Lincoln, Nebraska, 68526
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Linden, New Jersey, 07036
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Little River, South Carolina, 29566
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Littleton, Colorado, 80120
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Long Beach, California, 90806
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Long Beach, California, 90807
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Louisville, Kentucky, 40213
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Loveland, Colorado, 80538
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Lubbock, Texas, 79410
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Macon, Georgia, 31201
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Madison, Wisconsin, 53713
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Manhasset, New York, 11030
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Marion, Ohio, 43302
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Maumee, Ohio, 43537
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McKinney, Texas, 75017
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McMurray, Pennsylvania, 15317
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Melbourne, Florida, 32934
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Meridian, Idaho, 83646
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Mesa, Arizona, 85206
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Miami, Florida, 33125
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Miami, Florida, 33126
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Miami, Florida, 33133
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Miami, Florida, 33144
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Miami, Florida, 33165
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Miami, Florida, 33172
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Miami, Florida, 33173
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Miami, Florida, 33175
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Miami, Florida, 33186
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Miami Lakes, Florida, 33016
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Middleburg Heights, Ohio, 44130
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Minneapolis, Minnesota, 55455
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Mobile, Alabama, 36608
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Mobile, Alabama, 36617
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Mooresville, North Carolina, 28117
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Morehead City, North Carolina, 28557
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Mount Clemens, Michigan, 48043
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Munster, Indiana, 46321
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Murray, Utah, 84123
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Naples, Florida, 34102
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Nashua, New Hampshire, 03060
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Natrona Heights, Pennsylvania, 15065
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New Orleans, Louisiana, 70121
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New Orleans, Louisiana, 70124
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New Port Richey, Florida, 34655
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New Windsor, New York, 12553
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New York, New York, 10029
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New York, New York, 10036
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Norfolk, Virginia, 23510
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Norman, Oklahoma, 73069
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North Haven, Connecticut, 06473
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North Miami Beach, Florida, 33162
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Northridge, California, 91324
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Ocala, Florida, 34471
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Oceanside, California, 92056
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Odessa, Texas, 79761
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Oklahoma City, Oklahoma, 73111
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Oklahoma City, Oklahoma, 73120
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Oklahoma City, Oklahoma, 73134
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Oklahoma City, Oklahoma, 73135
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Old Point Station, South Carolina, 29707
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Olympia Fields, Illinois, 60461
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Omaha, Nebraska, 68144
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Orem, Utah, 84058
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Orlando, Florida, 32825
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Ormond Beach, Florida, 32174
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Paducah, Kentucky, 42003
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Pearland, Texas, 77584
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Pell City, Alabama, 35125
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Pembroke Pines, Florida, 33025
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Pembroke Pines, Florida, 33026
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Pembroke Pines, Florida, 33027
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Petoskey, Michigan, 49770
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Phoenix, Arizona, 85020
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Phoenix, Arizona, 85050
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Pinellas Park, Florida, 33781
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Pittsburgh, Pennsylvania, 15236
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Plano, Texas, 75024
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Plano, Texas, 75093
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Ponte Vedra, Florida, 32081
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Port Charlotte, Florida, 33952
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Poughkeepsie, New York, 12601
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Providence, Rhode Island, 02906
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Raleigh, North Carolina, 27609
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Rancho Cucamonga, California, 91730
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Rapid City, South Dakota, 57701
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Rapid City, South Dakota, 57702
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Richfield, Minnesota, 55432
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Richmond, Indiana, 47374
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Roanoke, Virginia, 24014
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Rock Island, Illinois, 61201
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Rockford, Illinois, 61107
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Rockville, Maryland, 20850
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Rocky Mount, North Carolina, 27804
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Rocky Mount, North Carolina, 28404
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Safety Harbor, Florida, 34695
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Saginaw, Michigan, 48601
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Saint Cloud, Minnesota, 56303-1900
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Saint Paul, Minnesota, 55101
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Saint Paul, Minnesota, 55102
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Salisbury, Maryland, 21804
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San Angelo, Texas, 76904
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San Antonio, Texas, 78229
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San Antonio, Texas, 78230
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San Diego, California, 92108
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Sanford, North Carolina, 27330
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Santa Ana, California, 92705
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Santa Rosa, California, 95405
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Saratoga Springs, New York, 12866
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Savannah, Georgia, 31406
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Schertz, Texas, 78154
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Sewell, New Jersey, 08080
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Smithfield, Pennsylvania, 15478
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Southampton, New York, 11968
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St Louis, Missouri, 63128
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St Louis, Missouri, 63141
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St. Petersburg, Florida, 33713
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Stamford, Connecticut, 06905
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Sterling Heights, Michigan, 48312
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Suffolk, Virginia, 23435
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Sugar Land, Texas, 77479
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Summerville, South Carolina, 29485
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Tampa, Florida, 33624
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Teaneck, New Jersey, 07666
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Tomball, Texas, 77375
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Torrance, California, 90509
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Towson, Maryland, 21204
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Troy, Michigan, 48085
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Tucker, Georgia, 30084
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Tucson, Arizona, 85712
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Tucson, Arizona, 85741
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Tulsa, Oklahoma, 74133
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Tupelo, Mississippi, 38801
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Tuscumbia, Alabama, 35674
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Tyler, Texas, 75701
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Uniontown, Pennsylvania, 15401
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Victoria, Texas, 77901
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Vista, California, 92083
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Waterloo, Iowa, 50702
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Wellington, Florida, 33449
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West Des Moines, Iowa, 50266
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West Monroe, Louisiana, 71291
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Wichita, Kansas, 67205-1138
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Wilmington, North Carolina, 28401
Brazil84 sites
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Balneário Camboriú, Santa Catarina, 88331-085
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Bela Vista, 1323
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Belém, Pará, 66073-000
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Belo Horizonte, Minas Gerais, 30110-934
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Belo Horizonte, Minas Gerais, 30140-062
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Belo Horizonte, Minas Gerais, 30150-240
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Belo Horizonte, 30140
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Belo Horizonte, 30190
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Belo Horizonte, 31150221
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Bento Gonçalves, 95700068
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Blumenau, Santa Catarina, 89010-906
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Boa Vista, Recife, 50070
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Brasília, Federal District, 70200-730
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Brasília, Federal District, 70710-100
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Brasília, Federal District, 71655-175
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Brasília, 70658
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Campinas, São Paulo, 13010-001
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Campinas, São Paulo, 13020-431
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Campinas, São Paulo, 13060-080
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Campo Grande, Mato Grosso do Sul, 79080-190
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Caxias do Sul, Rio Grande Du Sul, 95070-560
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Cotia, São Paulo, 06717-100
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Curitiba, Paraná, 80030-110
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Curitiba, Paraná, 80030-480
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Curitiba, Paraná, 80060-900
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Curitiba, Paraná, 80730-150
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Curitiba, 80045
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Curitiba, 80230130
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Curitiba, 80730150
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Fortaleza, Ceará, 60160-230
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Fortaleza, Ceará, 60430-350
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Fortaleza, Ceará, 60430-370
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Fortaleza, Ceará, 60846-190
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Goiânia, Goiás, 74210-050
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Goiânia, Goiás, 74223-130
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Goiânia, 74093
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Jaú, São Paulo, 17210-190
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Joinville, 89227
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Maceió, 57051
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Marília, São Paulo, 17515-000
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Marília, 17515
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Maringá, 87015001
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Natal, Rio Grande do Norte, 59020-500
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Paraíso, São Paulo, 4005
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Passo Fundo, Rio Grande do Sul, 99010-080
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Porto Alegre, Rio Grande do Sul, 90035-170
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Porto Alegre, Rio Grande do Sul, 90510-040
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Porto Alegre, Rio Grande do Sul, 90620-001
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Porto Alegre, Rio Grande do Sul, 90840-440
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Porto Alegre, Rio Grande Du Sul, 90020-090
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Porto Alegre, 90035
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Porto Alegre, 91350200
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Recife, Pernambuco, 52051-380
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Rio de Janeiro, 22271-100
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Salvador, Estado de Bahia, 41950-275
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Salvador, 40050
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Salvador, 40110
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Salvador, 40170
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Salvador, 41820
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Santa Maria, Rio Grande do Sul, 97015-530
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Santa Maria, 97105
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Santo André, São Paulo, 09030-010
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Santo André, São Paulo, 09080-110
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Santo André, São Paulo, 09090-790
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São José, 88103
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São José do Rio Preto, São Paulo, 15015
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São José do Rio Preto, São Paulo, 15090-000
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São José dos Campos, São Paulo, 12243-280
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São Luís, 65077357
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São Paulo, Sau Paulo, 05403-000
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São Paulo, São Paulo, 01141-020
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São Paulo, São Paulo, 01221-020
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São Paulo, São Paulo, 01228-000
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São Paulo, São Paulo, 01244-030
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São Paulo, São Paulo, 01327-010
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São Paulo, São Paulo, 01406-200
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São Paulo, São Paulo, 01506-000
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São Paulo, São Paulo, 050017-000
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São Paulo, 08270-070
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São Paulo, 0
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Tatuí, São Paulo, 18270-170
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Uberlândia, Minas Gerais, 38411-186
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Vitória, Espírito Santo, 29055-450
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Votuporanga, São Paulo, 15500-003
Poland72 sites
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Bialystok, 15-445
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Brzozów, 36
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Bydgoszcz, 85-231
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Bydgoszcz, 85
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Chełm, 22-100
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Częstochowa, 42-202
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Elblag, 82-300
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Gdansk, 80-382
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Gdansk, 80-542
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Gdynia, 81-537
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Grodzisk Mazowiecki, 05-825
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Katowice, Silesian Voivodeship, 40-648
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Katowice, Sląskie, 40-018
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Katowice, Sląskie, 40-083
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Katowice, 40-040
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Katowice, 40
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Kielce, 25-364
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Krakow, Lesser Poland Voivodeship, 31-156
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Krakow, 30082
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Krakow, 31-261
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Krakow, 31
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Legnica, Lower Silesian Voivodeship, 59-220
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Legnica, 59
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Lodz, 15-445
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Lodz, 90-127
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Lodz, 90-302
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Lodz, 90-368
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Lodz, 90-549
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Lodz, 91-211
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Lodz, 93-513
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Lodz, 94-048
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Lublin, Lubelski, 20-091
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Lublin, 20-044
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Lublin, 20-709
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Nałęczów, 24-140
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Nowa Sól, 67-100
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Nowy Targ, 34
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Oświęcim, 32-600
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Płock, 09-400
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Poznan, 60-702
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Poznan, 60
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Poznan, 61-655
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Puławy, 24-100
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Ruda Śląska, Sląskie, 41-709
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Ruda Śląska, 41-709
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Ruda Śląska, 41
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Rzeszów, 35-006
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Rzeszów, 35-055
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Rzeszów, 35
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Siedlce, 08-110
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Skierniewice, 96-100
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Sopot, 81-717
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Staszów, 28-200
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Szczecin, 71-434
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Szczecin, 71-531
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Tarnów, Lesser Poland Voivodeship, 33-100
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Tarnów, 33
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Tczew, 83
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Torun, 87-100
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Warsaw, 00-465
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Warsaw, 01-192
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Warsaw, 02-793
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Warsaw, 04-730
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Włocławek, Kuyavian-Pomeranian Voivodeship, 87-800
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Włocławek, 87
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Wroclaw, Lower Silesian Voivodeship, 51-314
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Wroclaw, Lower Silesian Voivodeship, 53-301
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Wroclaw, 50-381
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Wroclaw, 50
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Wroclaw, 51
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Wroclaw, 53
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Zamość, 22-400
Argentina71 sites
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Bahía Blanca, Buenos Aires, 8000
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Bahía Blanca, Buenos Aires, B8000FTD
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Bahía Blanca, Buenos Aires, B8001HXM
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Berazategui, Buenos Aires, 1884
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Buenos Aires, 1056
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Buenos Aires, 1406
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Buenos Aires, C1179AAB
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Buenos Aires, C1180AAX
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Buenos Aires, C1280AEB
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Buenos Aires, C1405BCK
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Buenos Aires, C1425AGC
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Caba, Ciudad Autonoma, C1419GEP
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Ciudad Autonoma Buenos Aires, C1118AAE
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Ciudad Autonoma Buenos Aires, C1128AAE
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Ciudad Autónoma de Buenos Aire, Ciudad Autonoma, C1093AAS
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Ciudad Autónoma de Buenos Aire, Ciudad Autonoma, C1119ACN
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Ciudad Autónoma de Buenos Aire, Ciudad Autonoma, C1425DES
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Ciudad Autónoma de Buenos Aire, Ciudad Autonoma, C1428ART
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Ciudad Autónoma de Buenos Aire, Ciudad Autonoma, C1430CKE
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Ciudad Autónoma de Buenos Aires, Buenos Aires, 1426
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Ciudad Autónoma de Buenos Aires, Buenos Aires, C1179AAB
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Córdoba, Córdoba Province, 5000
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Córdoba, Córdoba Province, X50000EVQ
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Córdoba, Córdoba Province, X5003DCP
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Córdoba, 5008
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Córdoba, 5016
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Córdoba, X5000AAW
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Córdoba, X5000AOQ
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Córdoba, X5000BNB
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Córdoba, X5000JHQ
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Córdoba, X5003DCE
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Coronel Suárez, Buenos Aires, B7540GHD
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Corrientes, 3400
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Godoy Cruz, Mendoza Province, 5501
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Haedo, Buenos Aires, B1706CZA
Study site
La Plata, Buenos Aires, B1900AXI
Study site
La Plata, B1900EHD
Study site
La Plata, B1902COS
Study site
Lanus, B1824KAJ
Study site
Mar del Plata, Buenos Aires, B7600FYK
Study site
Mar del Plata, Buenos Aires, B7600FZ
Study site
Mar del Plata, Buenos Aires, B7600GNY
Study site
Mar del Plata, Buenos Aires, B7602CBM
Study site
Morón, Buenos Aires, 1708
Study site
Morón, B1708GIK
Study site
Pilar, B1629ODT
Study site
Quilmes, B1878GEG
Study site
Ramos Mejía, B1704ETD
Study site
Rosario, Santa Fe Province, 2000
Study site
Rosario, Santa Fe Province, CP2000
Study site
Rosario, Santa Fe Province, S2000DIF
Study site
Rosario, Santa Fe Province, S2000DNM
Study site
Rosario, Sante Fe, 2000
Study site
Rosario, S2000ORE
Study site
Rosario, S2001ODA
Study site
Salta, 4406
Study site
San Fernando, Buenos Aires, B1646EBJ
Study site
San Lorenzo, 2200
Study site
San Martín, Buenos Aires, B1650CSQ
Study site
San Miguel de Tucumán, Tucumán Province, T4000ICL
Study site
San Miguel de Tucumán, Tucumán Province, T4000
Study site
San Miguel de Tucumán, T4000ICL
Study site
San Miguel de Tucumán, T4000IFL
Study site
San Rafael, Mendoza Province, CP5600
Study site
San Vicente, Córdoba Province, X5006CBI
Study site
Santa Fe, S3000EOZ
Study site
Santa Fe, S3000FWO
Study site
Temperley, Partido De Lomas De Zamora, 1834
Study site
Vicente López, Buenos Aires, 1602
Study site
Villa Luro, Ciudad Autonoma Buenos Aires, C1440CFD
Study site
Zárate, Buenos Aires, B2800DGH
Russia68 sites
Study site
Arkhangelsk, 163001
Study site
Barnaul, Altayskiy Kray, 656038
Study site
Barnaul, 656038
Study site
Chelyabinsk, 454021
Study site
Chelyabinsk, 454091
Study site
Ivanovo, 153012
Study site
Kazan', 420012
Study site
Kemerovo, 650000
Study site
Kemerovo, 650002
Study site
Kemerovo, 650055
Study site
Kirov, 610014
Study site
Kirov, 610027
Study site
Kirovsk, 187340
Study site
Krasnoyarsk, 660062
Study site
Kursk, 305007
Study site
Kursk, 305035
Study site
Moscow, 109388
Study site
Moscow, 111539
Study site
Moscow, 115516
Study site
Moscow, 117593
Study site
Moscow, 119049
Study site
Moscow, 119620
Study site
Moscow, 121359
Study site
Moscow, 125299
Study site
Moscow, 125367
Study site
Moscow, 129090
Study site
Moscow, 129301
Study site
Nizhny Novgorod, 603011
Study site
Novosibirsk, 630051
Study site
Novosibirsk, 630068
Study site
Novosibirsk, 630089
Study site
Novosibirsk, 630117
Study site
Omsk, 644018
Study site
Omsk, 644024
Study site
Orenburg, 460000
Study site
Perm, 614097
Study site
Rostov-on-Don, 344068
Study site
Ryazan, 390026
Study site
Ryazan, 390039
Study site
Saint Petersburg, 192148
Study site
Saint Petersburg, 192283
Study site
Saint Petersburg, 193318
Study site
Saint Petersburg, 194044
Study site
Saint Petersburg, 194156
Study site
Saint Petersburg, 195067
Study site
Saint Petersburg, 195220
Study site
Saint Petersburg, 195271
Study site
Saint Petersburg, 196084
Study site
Saint Petersburg, 196105
Study site
Saint Petersburg, 196601
Study site
Saint Petersburg, 197022
Study site
Saint Petersburg, 197341
Study site
Saint Petersburg, 197376
Study site
Saint Petersburg, 198205
Study site
Saint Petersburg, 198328
Study site
Saint Petersburg, 198510
Study site
Saint Petersburg, 199106
Study site
Saratov, 410012
Study site
Sestroretsk, 197706
Study site
Smolensk, 214019
Study site
Tomsk, 634009
Study site
Tomsk, 634012
Study site
Yaroslavl, 150000
Study site
Yaroslavl, 150030
Study site
Yaroslavl, 150062
Study site
Yekaterinburg, 620028
Study site
Yekaterinburg, 620109
Study site
Yekaterinburg, 620144
Netherlands64 sites
Study site
Alkmaar, 1815 JD
Study site
Almelo, 7609 PP
Study site
Almere Stad, 1311 RL
Study site
Amersfoort, 3813 TZ
Study site
Amstelveen, 1186 AM
Study site
Amsterdam, 1034 CS
Study site
Amsterdam, 1066 EC
Study site
Amsterdam, 1081 HV
Study site
Amsterdam, 1091 AC
Study site
Amsterdam, 1105 AZ
Study site
Amsterdam
Study site
Apeldoorn, 7334 DZ
Study site
Apeldoorn
Study site
Arnhem, 6815 AD
Study site
Beverwijk, 1942 LE
Study site
Blaricum, 1261 AN
Study site
Delft, 2625 AD
Study site
Dirksland, 3247 BW
Study site
Doetinchem, 7009 BL
Study site
Dordrecht, 3318 AT
Study site
Ede, 6716 RP
Study site
Eindhoven, 5623 EJ
Study site
Enschede, 7512 KZ
Study site
Goes, 4462 RA
Study site
Gorinchem, 4204 AA
Study site
Gouda, 2803 HH
Study site
Gouda, 2803
Study site
Hardenberg, 7772 SE
Study site
Hardenberg, 7772
Study site
Harderwijk
Study site
Heerlen, 6419 PC
Study site
Helmond, 5707 HA
Study site
Hilversum, 1213 XZ
Study site
Hoogeveen, 7909 AA
Study site
Hoogezand, 9603 AE
Study site
Hoorn, 1624 NP
Study site
Leeuwarden, 8934 AD
Study site
Leiden, 2333 ZA
Study site
Leiderdorp, 2353 GA
Study site
Maastricht, 6229 HX
Study site
Nijmegen, 6525 GA
Study site
Nijmegen, 6532 SZ
Study site
Purmerend, 1441 RN
Study site
Roosendaal, 4708 AE
Study site
Rotterdam, 3037 AN
Study site
Rotterdam, 3045 PM
Study site
Rotterdam, 3067 GJ
Study site
Rotterdam, 3079 DZ
Study site
Rotterdam, 3083 AN
Study site
Schiedam, 3118 JH
Study site
Sneek
Study site
The Hague, 2545 CH
Study site
The Hague, 2565 KV
Study site
The Hague, 2573 KH
Study site
Tiel, 4002 WP
Study site
Tilburg, 5022
Study site
Utrecht, 3511 NH
Study site
Utrecht, 3582 KE
Study site
Utrecht, 3584 CX
Study site
Venlo, 5912 BL
Study site
Zutphen, 7207
Study site
Zwijndrecht, 3331 LZ
Study site
Zwijndrecht, 3334 SB
Study site
Zwolle, 8025 AB
Germany56 sites
Study site
Altenburg, Saxony, 04600
Study site
Bad Homburg, Hesse, 61348
Study site
Bad Homburg, 61348
Study site
Bad Krozingen, Baden-Wurttemberg, 79189
Study site
Berlin, 10115
Study site
Berlin, 10117
Study site
Berlin, 10409
Study site
Berlin, 10629
Study site
Berlin, 10787
Study site
Berlin, 12627
Study site
Berlin, 13597
Study site
Bielefeld, North Rhine-Westphalia, 33604
Study site
Bielefeld, 33604
Study site
Bochum, North Rhine-Westphalia, 44787
Study site
Böhlen, Saxony, 04564
Study site
Cologne, North Rhine-Westphalia, 50937
Study site
Cologne, North Rhine-Westphalia, 51069
Study site
Dippoldiswalde, Saxony, 01744
Study site
Dortmund, North Rhine-Westphalia, 44137
Study site
Dortmund, North Rhine-Westphalia, 44141
Study site
Dresden, Baden-Wurttemberg, 01307
Study site
Dresden, Saxony, 01099
Study site
Dresden, Saxony, 01277
Study site
Dresden, Saxony, 01279
Study site
Dresden, Saxony, 01307
Study site
Essen, North Rhine-Westphalia, 45355
Study site
Essen, North Rhine-Westphalia, 45359
Study site
Falkensee, 14612
Study site
Frankfurt, 60389
Study site
Frankfurt am Main, Hesse, 60313
Study site
Frankfurt am Main, Hesse, 60594
Study site
Frankfurt am Main, Hesse, 65929
Study site
Goch, North Rhine-Westphalia, 47574
Study site
Hamburg, 22041
Study site
Hamburg, 22143
Study site
Hamburg, 22607
Study site
Hanover, 30159
Study site
Heidelberg, Baden-Wurttemberg, 69115
Study site
Heidelberg, 69120
Study site
Kassel, Hesse, 34121
Study site
Leipzig, Saxony, 04103
Study site
Leipzig, Saxony, 04249
Study site
Mainz, Hesse, 55128
Study site
Mainz, Rhineland-Palatinate, 55131
Study site
Mainz, D-55128
Study site
Markkleeberg, Saxony, 04416
Study site
Munich, Bavaria, 80809
Study site
Reinfeld, 23858
Study site
Rodgau, Hesse, 63110
Study site
Schwerin, Mecklenburg-Vorpommern, 19055
Study site
Siegen, North Rhine-Westphalia, 57072
Study site
Soest, North Rhine-Westphalia, 59494
Study site
Wallerfing, Bavaria, 94574
Study site
Wermsdorf, Saxony, 04779
Study site
Witten, North Rhine-Westphalia, 58455
Study site
Zwenkau, Saxony, 04442
Ukraine49 sites
Study site
Brovary, 07400
Study site
Cherkasy, 18009
Study site
Chernivtsi, 58000
Study site
Dnipro, 49005
Study site
Dnipro, 49006
Study site
Dnipro, 49023
Study site
Dnipro, 49038
Study site
Ivano-Frankivsk, 76008
Study site
Ivano-Frankivsk, 76018
Study site
Kharkiv, 61002
Study site
Kharkiv, 61039
Study site
Kharkiv, 61103
Study site
Kharkiv, 61106
Study site
Kharkiv, 61124
Study site
Kharkiv, 61172
Study site
Kharkiv, 61176
Study site
Kyiv, 01023
Study site
Kyiv, 01601
Study site
Kyiv, 02002
Study site
Kyiv, 02091
Study site
Kyiv, 02166
Study site
Kyiv, 02232
Study site
Kyiv, 03037
Study site
Kyiv, 03049
Study site
Kyiv, 03110
Study site
Kyiv, 03115
Study site
Kyiv, 03680
Study site
Kyiv, 04050
Study site
Kyiv, 04053
Study site
Lutsk, 43024
Study site
Lviv, 79011
Study site
Lviv, 79015
Study site
Mykolaiv, 54003
Study site
Odesa, 65025
Study site
Sumy, 40021
Study site
Ternopil, 46010
Study site
Uzhhorod, 88014
Study site
Vinnytsia, 21001
Study site
Vinnytsia, 21005
Study site
Vinnytsia, 21009
Study site
Vinnytsia, 21018
Study site
Vinnytsia, 21029
Study site
Zaporizhzhya, 60106
Study site
Zaporizhzhya, 69001
Study site
Zaporizhzhya, 69005
Study site
Zaporizhzhya, 69063
Study site
Zaporizhzhya, 69104
Study site
Zaporizhzhya, 69600
Study site
Zhytomyr, 10002
Romania46 sites
Study site
Alba Iulia, 510053
Study site
Baia Mare, Maramureş, 430032
Study site
Baia Mare, 430032
Study site
Baia Mare, 430222
Study site
Baloteşti, 077015
Study site
Brăila, 810249
Study site
Brasov, 500283
Study site
Brasov, 500326
Study site
Bucharest, 010192
Study site
Bucharest, 010825
Study site
Bucharest, 020045
Study site
Bucharest, 020125
Study site
Bucharest, 021659
Study site
Bucharest, 030088
Study site
Bucharest, 030463
Study site
Bucharest, 050659
Study site
Bucharest, 062272
Study site
Bucharest, 10825
Study site
Bucharest, 20063
Study site
Bucharest, 20614
Study site
Bucharest, 4204178
Study site
Calarasi, 910103
Study site
Cluj-Napoca, 400496
Study site
Craiova, 200500
Study site
Deva, 330084
Study site
Galati, 800001
Study site
Galati, 800291
Study site
Oradea, 410001
Study site
Oradea, 410159
Study site
Oradea, 410167
Study site
Oradea, 410491
Study site
Paşcani, 705200
Study site
Piteşti, Argeş, 110084
Study site
Piteşti, 110084
Study site
Ploieşti, 100342
Study site
Satu Mare, Satu Mare County, 440055
Study site
Satu Mare, 440055
Study site
Târgu Mureş, 540099
Study site
Târgu Mureş, 540140
Study site
Târgu Mureş, 540142
Study site
Târgu Mureş, 540143
Study site
Timișoara, Timiș County, 300456
Study site
Timișoara, 300362
Study site
Timișoara, 300456
Study site
Timișoara, 300723
Study site
Zalău, 450112
Mexico43 sites
Study site
Aguascalientes, 20010
Study site
Aguascalientes, 20016
Study site
Aguascalientes, 20230
Study site
Chihuahua City, Chihuahua C.P., 31203
Study site
Chihuahua City, 0
Study site
Chihuahua City, 31217
Study site
Chihuahua City, 4032
Study site
Cuernavaca, 62250
Study site
Culiacán, Sinaloa, 80200
Study site
Culiacán, Sinaloa, 80230
Study site
Durango, 34000
Study site
Guadalajara, Jalisco, 44160
Study site
Guadalajara, Jalisco, 44670
Study site
Guadalajara, 44160
Study site
Guadalajara, 44500
Study site
Guadalajara, 44657
Study site
Guadalajara, 44670
Study site
Juárez, 32472
Study site
Mazatlán, Sinaloa, 82110
Study site
Mérida, Yucatán, 97129
Study site
Mexico City, Mexico City, 03100
Study site
Mexico City, Mexico City, 03300
Study site
Mexico City, Mexico City, 06100
Study site
Mexico City, Mexico City, 06700
Study site
Mexico City, Mexico City, 11650
Study site
Mexico City, 14080
Study site
Mexico City, 3100
Study site
Mexico City, 3720
Study site
Mexico City, 7760
Study site
Monclova, Coahuila, 25750
Study site
Monterrey, Nuevo León, 64660
Study site
Monterrey, 64060
Study site
Monterrey, 64460
Study site
Monterrey, 64718
Study site
Pachuca, Hidalgo, 42090
Study site
Pachuca, 42070
Study site
Puerto Vallarta, 48328
Study site
Querétaro, 76090
Study site
Querétaro City, Querétaro, 76000
Study site
Tamaulipas, C.P 89440
Study site
Tijuana, Baja California Norte, 22500
Study site
Torreón, Coahuila, 27000
Study site
Veracruz, 91900
Hungary42 sites
Study site
Baja, 6500
Study site
Balatonfüred, H-8230
Study site
Balatongyörök, 8313
Study site
Békéscsaba, 5600
Study site
Budapest, 1033
Study site
Budapest, 1036
Study site
Budapest, 1037
Study site
Budapest, 1083
Study site
Budapest, 1085
Study site
Budapest, 1097
Study site
Budapest, 1121
Study site
Budapest, 1122
Study site
Budapest, 1125
Study site
Budapest, 1132
Study site
Budapest, 1134
Study site
Budapest, 1135
Study site
Debrecen, 4025
Study site
Debrecen, 4032
Study site
Dombóvár, 7200
Study site
Gyöngyös, 3200
Study site
Győr, 9024
Study site
Gyula, 5700
Study site
Hajdúszoboszló, 4200
Study site
Kalocsa, 6300
Study site
Kecskemét, 8000
Study site
Kiskunhalas, 6400
Study site
Miskolc, 3530
Study site
Mosonmagyaróvár, H-9200
Study site
Nagykanizsa, 8800
Study site
Nyíregyháza, 4400
Study site
Nyíregyháza, H-4405
Study site
Orosháza, Szentetornya, 5905
Study site
Orosháza, 5905
Study site
Pécs, 7623
Study site
Pécs, 7635
Study site
Polgár, 4090
Study site
Székesfehérvár, 8000
Study site
Szekszárd, 7100
Study site
Szentendre, 2000
Study site
Szentes, 6600
Study site
Szombathely, 9700
Study site
Zalaegerszeg, 8900
United Kingdom36 sites
Study site
Airdrie, North Lanarkshire, ML6 0JS
Study site
Axbridge, Somerset, BS26 2BJ
Study site
Basildon, Essex, SS16 5NL
Study site
Bath, Somerset, BA3 2UH
Study site
Birmingham, West Midlands, B15 2SQ
Study site
Blackpool, Lancashire, FY4 3AD
Study site
Blackpool, FY3 7EN
Study site
Cardiff, South Glamorgan, CF15 9SS
Study site
Chertsey, Surrey, KT16 0PZ
Study site
Chesterfield, S40 4AA
Study site
Chorley, Lancashire, PR7 7NA
Study site
Crownhill, PL5 3JB
Study site
Dundee, Tayside Region, DD1 9SY
Study site
East Kilbride, Lanarkshire, G75 8RG
Study site
Edinburgh, Lothian Region, EH16 4SA
Study site
Exmouth, Devon, EX8 2JF
Study site
Fowey, Cornwall, PL23 1DT
Study site
Glasgow, Strathclyde, G20 OSP
Study site
Hayle, Cornwall, TR27 5DT
Study site
Hexham, Northumberland, NE46 1QJ
Study site
Lincoln, LN2 5QY
Study site
Liverpool, Merseyside, L22 0LG
Study site
London, Greater London, EC1M 6BQ
Study site
Manchester, Greater Manchester, M15 6SX
Study site
Oldham, OL1 2JH
Study site
Plymouth, Devon, PL6 8DH
Study site
Plymouth, Devon, PL7 2QP
Study site
Reading, Berkshire, RG2 0TG
Study site
Royal Leamington Spa, CV32 4RA
Study site
Sandbach, CW11 1EQ
Study site
Soham, Cambridgeshire, CB7 5JD
Study site
Stockton-on-Tees, Durham, TS19 8PE
Study site
Torpoint, Cornwall, PL11 2TB
Study site
Wakefield, Yorkshire and the Humber, WF1 4DG
Study site
Wakefield, Yorkshire, WF1 4DG
Study site
Whitby, YO21 1SD
Czechia35 sites
Study site
Benátky nad Jizerou, 294 71
Study site
Beroun, 266 01
Study site
Brandýs nad Labem, 25001
Study site
Brno, 603 00
Study site
Brno, 636 00
Study site
Brno, 638 00
Study site
Brno, 639 00
Study site
Brno, 656 91
Study site
Broumov, 550 01
Study site
Choceň, 56501
Study site
Chrudim, 53701
Study site
Frýdek-Místek, 73801
Study site
Havířov, 763 01
Study site
Havlíčkův Brod, 580 22
Study site
Hodonín, 69501
Study site
Hradec Králové, 500 02
Study site
Hradec Králové, 50005
Study site
Kolín, 28000
Study site
Náchod, 547 01
Study site
Olomouc, 77900
Study site
Ostrava, 70200
Study site
Pardubice, 530 02
Study site
Prague, 10100
Study site
Prague, 11000
Study site
Prague, 120 00
Study site
Prague, 128 00
Study site
Prague, 140 21
Study site
Prague, 150 06
Study site
Prague, 158 00
Study site
Praha 4 - Krc, 140 59
Study site
Přerov, 75002
Study site
Slaný, 274 01
Study site
Teplice, 41501
Study site
Trutnov, 541 01
Study site
Uherské Hradiště, 68601
India35 sites
Study site
Ahmedabad, Gujarat, 380007
Study site
Bangalore, Karnataka, 560010
Study site
Bangalore, Karnataka, 560099
Study site
Belagavi, Karnataka, 590010
Study site
Bengaluru, Karnataka, 560074
Study site
Chennai, Tamil Nadu, 600037
Study site
Chhatrapati Sambhajinagar, Maharashtra, 431001
Study site
Chhatrapati Sambhajinagar, Maharashtra, 431005
Study site
Coimbatore, Tamil Nadu, 641009
Study site
Delhi, 110062
Study site
Faridabad, Haryana, 121001
Study site
Gurgaon, Haryana, 122001
Study site
Guwahati, Assam, 781006
Study site
Hubli, Karnatak, 580021
Study site
Hyderabad, Andhra Pradesh, 500034
Study site
Jaipur, Rajasthan, 302001
Study site
Jaipur, Rajasthan, 302020
Study site
Kolkata, West Bengal, 700027
Study site
Lucknow, Uttar Pradesh, 226010
Study site
Nadiād, Gujarat, 387002
Study site
Nagpur, Maharashtra, 440003
Study site
Nagpur, Maharashtra, 440010
Study site
Nagpur, Maharashtra, 440012
Study site
Nashik, Maharashtra, 422005
Study site
Nashik, Maharashtra, 422007
Study site
New Delhi, National Capital Territory of Delhi, 110002
Study site
New Delhi, National Capital Territory of Delhi, 110005
Study site
New Delhi, National Capital Territory of Delhi, 110070
Study site
Noida, Uttar Pradesh, 201301
Study site
Pune, Maharashtra, 411001
Study site
Pune, Maharashtra, 411004
Study site
Pune, Maharashtra, 411005
Study site
Surat, Gujarat, 395002
Study site
Surat, Gujarat, 395009
Study site
Vadodara, Gujarat, 391740
South Africa35 sites
Study site
Alberton, Guateng, 1449
Study site
Bloemfontein, Free State, 9300
Study site
Bloemfontein, Free State, 9301
Study site
Cape Town, Western Cape, 7130
Study site
Cape Town, Western Cape, 7405
Study site
Cape Town, Western Cape, 7500
Study site
Cape Town, Western Cape, 7570
Study site
Cape Town, Western Cape, 7580
Study site
Cape Town, Western Cape, 7764
Study site
Cape Town, Western Cape, 7925
Study site
Centurion, Gauteng, 0157
Study site
Durban, KwaZulu-Natal, 4001
Study site
Durban, KwaZulu-Natal, 4320
Study site
Durban, KwaZulu-Natal, 4339
Study site
Johannesburg, Gauteng, 1401
Study site
Johannesburg, Gauteng, 2193
Study site
Johannesburg, Gauteng, 2196
Study site
Kempton Park, Gauteng, 1619
Study site
Merebank, KwaZulu-Natal, 4052
Study site
Middelburg, Mpumalanga, 1055
Study site
Moloto South, Mpumalanga, 1022
Study site
Port Elizabeth, Eastern Cape, 6001
Study site
Port Elizabeth, Eastern Cape, 6014
Study site
Pretoria, Gauteng, 0002
Study site
Pretoria, Gauteng, 0040
Study site
Pretoria, Gauteng, 0084
Study site
Pretoria, Gauteng, 0087
Study site
Pretoria, Gauteng, 0157
Study site
Pretoria, Gauteng, 0184
Study site
Pretoria, Gauteng, 1692
Study site
Pretoria, Guateng, 0002
Study site
Pretoria, Guateng, 0181
Study site
Somerset West, Western Cape, 7130
Study site
Thabazimbi, Limpopo, 0380
Study site
Worcester, Western Cape, 6850
Bulgaria33 sites
Study site
Blagoevgrad, 2700
Study site
Byala, 7100
Study site
Dimitrovgrad, 6400
Study site
Haskovo, 6300
Study site
Pazardzhik, 4400
Study site
Pernik, 2300
Study site
Pleven, 5800
Study site
Plovdiv, 4000
Study site
Plovdiv, 4002
Study site
Rousse, 7000
Study site
Rousse, 7013
Study site
Sandanski, 2800
Study site
Sliven, 8800
Study site
Sofia, 1040
Study site
Sofia, 1202
Study site
Sofia, 1233
Study site
Sofia, 1309
Study site
Sofia, 1336
Study site
Sofia, 1407
Study site
Sofia, 1408
Study site
Sofia, 1431
Study site
Sofia, 1527
Study site
Sofia, 1606
Study site
Sofia, 1680
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Sofia, 1750
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Sofia, 1784
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Stara Zagora, 6000
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Stara Zagora, 6004
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Varna, 9000
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Varna, 9002
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Varna, 9020
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Veliko Tarnovo, 5000
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Yambol, 8600
Australia31 sites
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Adamstown, New South Wales, 2289
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Adelaide, South Australia, 5000
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Ashford, South Australia, 5035
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Auchenflower, Queensland, 4066
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Ballarat, Victoria, 3350
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Box Hill, Victoria, 3128
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Bundaberg, Queensland, 4670
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Camperdown, New South Wales, 2050
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Chermside, Queensland, 4032
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Clayton, Victoria, 3168
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Fitzroy, Victoria, 3065
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Frankston, Victoria, 3199
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Fullarton, South Australia, 5063
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Gosford, New South Wales, 2250
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Hobart, Tasmania, 7000
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Joondalup, Western Australia, 6027
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Langwarrin, Victoria, 3910
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Liverpool, New South Wales, 2170
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Melbourne, Victoria, 3004
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Merewether, New South Wales, 2291
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Mildura, Victoria, 3500
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Milton, Queensland, 4064
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Murdoch, Western Australia, 6150
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Nedlands, Western Australia, 6009
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Perth, Western Australia, 6000
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Sherwood, Queensland, 4075
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Sippy Downs, Queensland, 4556
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Subiaco, Western Australia, 6008
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Tumbi Vmbi, New South Wales, 2261
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Wollongong, New South Wales, 2522
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Woolloongabba, Queensland, 4102
Slovakia26 sites
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Bardejov, 08501
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Bratislava, Ružinov, 82606
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Bratislava, 81104
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Bratislava, 83101
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Bratislava, 84108
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Bratislava, 85101
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Dolný Kubín, 02601
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Komárno, 94501
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Košice, 040 22
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Košice, 04001
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Košice, 04011
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Košice, 4001
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Levice, 93401
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Levice, 93405
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Ľubochňa, 3491
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Lučenec, 984 01
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Lučenec, 98401
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Moldava nad Bodvou, 045 01
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Nitra, 94901
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Nové Zámky, 94052
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Prešov, 08001
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Rožňava, 048 01
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Šahy, 93601
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Štúrovo, 943 01
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Svidník, 08901
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Žilina, 01001
Canada25 sites
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Brampton, Ontario, L6T 0G1
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Brampton, Ontario, L6Z 4N5
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Cambridge, Ontario, N1R 6V6
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Cambridge, Ontario, N1R 7R1
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Chicoutimi, Quebec, G7H 7K9
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Greater Sudbury, Ontario, P3E 5M4
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London, Ontario, N5W 6A2
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Longueuil, Quebec, J4M 2X1
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Longueuil, Quebec, J4N 2H4
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Montreal, Quebec, H1T 1C8
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Montreal, Quebec, H1T 3Y7
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Mount Pearl, Newfoundland and Labrador, A1N 1W7
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Newmarket, Ontario, L3Y 5G8
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Oakville, Ontario, L6K 3W7
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Peterborough, Ontario, K9J 0B2
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Pointe-Claire, Quebec, H9R 3J1
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Québec, G1G 3Y8
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Québec, G1V 4G5
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Saint-Georges, Quebec, G5Y 4T8
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Saint-Jean-sur-Richelieu, Quebec, J3A 1J2
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Saint-Jérôme, Quebec, J7Z 5T3
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Sarnia, Ontario, N7T 4X3
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Toronto, Ontario, M9V 4B4
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Victoria, British Columbia, V8T 5G4
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Victoriaville, Quebec, G6P 6P6
Colombia22 sites
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Barranquilla, 0000
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Barranquilla, 080020
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Barranquilla, 80020
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Bogotá, 1013
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Bogotá, 110221
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Bogotá, 110911
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Bogotá, 111111
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Bogotá, 111211
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Bucaramanga, 00000
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Bucaramanga, 681004
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Cali, 760035
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Cali, 760036
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Cartagena, 130010
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Cartagena, 13001
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Espinal, 00000
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Ibague, 730006
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Manizales, 170004
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Medellín, 00000
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Medellín, 050021
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Pereira, 00000
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San Gil, 00000
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Zipaquirá, 250252
Belgium21 sites
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Aalst, 9300
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Antwerp, 2020
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Antwerp, 2060
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Brasschaat, 2930
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Bruges, 8000
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Brussels, 1070
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Brussels, 1090
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De Pinte, 9840
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Dendermonde, 9200
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Edegem, 2650
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Genk, 3600
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Ghent, 9000
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Halen, 3545
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Liège, 4000
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Mechelen, 2800
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Merksem, 2170
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Mons, 7000
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Tienen, 3300
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Turnhout, 2300
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Wetteren, 9230
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Yvoir, 5530
New Zealand15 sites
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Auckland, 0600
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Auckland, 0620
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Auckland, 0626
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Auckland, 1010
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Christchurch, 8011
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Christchurch, 8024
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Grafton, 1023
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Hamilton, 3200
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Hastings, 4120
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New Plymouth, 4342
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Papamoa, 3118
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Rotorua, 3010
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Tauranga, 3110
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Tauranga, 3144
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Wellington, 6021
Spain14 sites
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A Coruña, 15006
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Almería, 04120
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Barcelona, 08003
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Barcelona, 08023
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Barcelona, 08025
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Barcelona, 08034
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Girona, 17005
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Madrid, 28007
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Madrid, 28034
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Málaga, 29010
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Santiago de Compostela, La Coruña, 15706
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Seville, 41003
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Seville, 41010
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Seville, 41071
Croatia13 sites
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Čakovec, 40000
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Dubrovnik, 20000
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Koprivnica, 48000
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Krapinske Toplice, 49217
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Opatija, 51410
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Osijek, 31000
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Rijeka, 51000
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Slavonski Brod, 35000
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Varaždin, 42000
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Virovitica, 33000
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Zabok, 49210
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Zadar, 23000
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Zagreb, 10000
Denmark12 sites
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Aalborg, 9000
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Aalborg, 9100
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Århus N, 8200
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Ballerup Municipality, 2750
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Copenhagen NV, 2400
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Esbjerg, 6700
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Glostrup Municipality, 2600
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Hellerup, 2900
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Holbæk, 4300
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Nykøbing Falster, 4800
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Vejle, 7100
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Viborg, 8800
Turkey (Türkiye)12 sites
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Adana, 01330
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Ankara, 06500
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Antalya, 07059
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Edirne, 22030
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Eskişehir, 26480
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Istanbul, 34394
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Istanbul, 34846
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Istanbul, 34890
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Izmir, 35100
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Kocaeli, 41380
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Mersin, 33343
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Sivas, 58140
Austria11 sites
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Feldkirch, 6807
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Graz, 8036
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Innsbruck, 6020
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Linz, 4020
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Linz, 4021
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Vienna, 1030
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Vienna, 1060
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Vienna, 1090
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Vienna, 1130
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Vienna, 1170
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Wiener Neustadt, 2700
Lithuania11 sites
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Alytus, 62386
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Kaunas, 47144
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Kaunas, 48259
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Kaunas, 49387
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Kaunas, 49449
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Kaunas, LT-44001
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Kaunas, LT-50161
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Klaipėda, 91131
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Šiauliai, 76231
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Vilnius, 10323
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Vilnius, LT-08661
Serbia11 sites
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Belgrade, 11000
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Belgrade, 11040
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Belgrade, 11080
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Kragujevac, 34000
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Niš, 18000
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Pančevo, 26000
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Smederevo, 11300
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Sremska Mitrovica, 22000
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Užice, 31000
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Valjevo, 14000
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Zaječar, 19000
Chile9 sites
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San Bernardo, 8071064
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Santiago, 00000
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Santiago, 7500000
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Santiago, 7500739
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Santiago, 8150000
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Santiago, 8331143
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Santiago, 8910131
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Temuco, 4781156
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Viña del Mar, 2520997
Latvia9 sites
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Daugavpils, LV-5401
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Kuldīga, LV-3301
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Ogre, LV-5001
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Riga, LV-1010
Study site
Riga, LV-1038
Study site
Riga, LV1002
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Riga, LV1012
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Tukums, LV-3101
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Ventspils, LV-3601
Estonia4 sites
Study site
Tallinn, 10117
Study site
Tallinn, 10128
Study site
Tallinn, 10138
Study site
Tallinn, 13419
About this study
Official title: A Randomized, Double-blind, Placebo-controlled Study to Assess the Effects of Bempedoic Acid (ETC-1002) on the Occurrence of Major Cardiovascular Events in Patients With, or at High Risk for, Cardiovascular Disease Who Are Statin Intolerant
The purpose of this study is to determine if treatment with bempedoic acid (ETC-1002) versus placebo decreases the risk of cardiovascular events in participants who have or are at high risk for cardiovascular disease and are statin intolerant.
- Conditions
- Cardiovascular Diseases, Statin Adverse Reaction
- Being tested
- Bempedoic acid 180 mg tablet, Matching placebo tablet
- Medical subject headings
- Cardiovascular Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Bempedoic acid 180 mg tabletDrug
Also called ETC-1002
Patients take bempedoic acid 180 mg tablet orally once daily
Matching placebo tabletDrug
Also called placebo comparator
Patients take matching placebo tablet orally once daily
| Study group | Role | What they receive |
|---|---|---|
| Bempedoic Acid 180 mg | Experimental | Bempedoic acid 180 mg tablet taken orally, once daily. Receives: Drug: Bempedoic acid 180 mg tablet |
| Placebo Comparator | Placebo comparator | Matching placebo tablet taken orally, once daily Receives: Drug: Matching placebo tablet |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With First Occurrence of Four Component Major Adverse Cardiovascular Events (MACE)
The primary efficacy end point was a four-component composite of adjudicated MACE, defined as death from cardiovascular causes, nonfatal myocardial infarction, nonfatal stroke, or coronary revascularization, as assessed in a time-to first-event analysis.
Measured: Up to 68 months
Secondary outcomes (6)
Number of Participants With First Occurrence of Three Component MACE
The first key secondary end point was a three-component MACE, defined as death from cardiovascular causes, nonfatal myocardial infarction, or nonfatal stroke.
Measured: Up to 68 months
Number of Participants With First Occurrence of Myocardial Infarction
Number of participants with time to first occurrence of fatal and non-fatal myocardial infarction are presented.
Measured: Up to 68 months
Number of Participants With Time to First Occurrence of Coronary Revascularization
Number of participants with time to first occurrence of coronary revascularization are presented.
Measured: Up to 68 months
Number of Participants With Time to First Occurrence of Stroke
Number of participants with time to first occurrence of fatal and non-fatal stroke.
Measured: Up to 68 months
Number of Participants With Time to Cardiovascular Death
Number of participants with time to cardiovascular death are presented.
Measured: Up to 68 months
Number of Participants With Time to All-cause Mortality
All-cause mortality is death due to any cause. Number of participants with time to all-cause mortality are presented.
Measured: Up to 68 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Dec 2016 (estimated)
- Study start22 Dec 2016
- Primary completion7 Nov 2022
- Study completion7 Nov 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (16)Papers the sponsor has linked to this study.
- Other trials for Cardiovascular DiseasesStudies 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 13,970 participants (actual)
Sponsor and investigators
- Lead sponsor
- Esperion Therapeutics, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- The Cleveland Clinic
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02993406
- Sponsor's protocol ID
- 1002-043
- Acronym
- CLEAR Outcomes
- Status last verified
- Dec 2023
- First submitted
- 9 Dec 2016
- Last updated
- 3 Jan 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- Individual data sharing
- No
Publications
Pinkosky SL, Newton RS, Day EA, Ford RJ, Lhotak S, Austin RC, Birch CM, Smith BK, Filippov S, Groot PHE, Steinberg GR, Lalwani ND. Liver-specific ATP-citrate lyase inhibition by bempedoic acid decreases LDL-C and attenuates atherosclerosis. Nat Commun. 2016 Nov 28;7:13457. doi: 10.1038/ncomms13457.
PubMed 27892461Bilen O, Ballantyne CM. Bempedoic Acid (ETC-1002): an Investigational Inhibitor of ATP Citrate Lyase. Curr Atheroscler Rep. 2016 Oct;18(10):61. doi: 10.1007/s11883-016-0611-4.
PubMed 27663902Thompson PD, MacDougall DE, Newton RS, Margulies JR, Hanselman JC, Orloff DG, McKenney JM, Ballantyne CM. Treatment with ETC-1002 alone and in combination with ezetimibe lowers LDL cholesterol in hypercholesterolemic patients with or without statin intolerance. J Clin Lipidol. 2016 May-Jun;10(3):556-67. doi: 10.1016/j.jacl.2015.12.025. Epub 2016 Jan 6.
PubMed 27206943Thompson PD, Rubino J, Janik MJ, MacDougall DE, McBride SJ, Margulies JR, Newton RS. Use of ETC-1002 to treat hypercholesterolemia in patients with statin intolerance. J Clin Lipidol. 2015 May-Jun;9(3):295-304. doi: 10.1016/j.jacl.2015.03.003. Epub 2015 Mar 19.
PubMed 26073387Nicholls S, Lincoff AM, Bays HE, Cho L, Grobbee DE, Kastelein JJ, Libby P, Moriarty PM, Plutzky J, Ray KK, Thompson PD, Sasiela W, Mason D, McCluskey J, Davey D, Wolski K, Nissen SE. Rationale and design of the CLEAR-outcomes trial: Evaluating the effect of bempedoic acid on cardiovascular events in patients with statin intolerance. Am Heart J. 2021 May;235:104-112. doi: 10.1016/j.ahj.2020.10.060. Epub 2020 Oct 24.
PubMed 33470195Nissen SE, Lincoff AM, Brennan D, Ray KK, Mason D, Kastelein JJP, Thompson PD, Libby P, Cho L, Plutzky J, Bays HE, Moriarty PM, Menon V, Grobbee DE, Louie MJ, Chen CF, Li N, Bloedon L, Robinson P, Horner M, Sasiela WJ, McCluskey J, Davey D, Fajardo-Campos P, Petrovic P, Fedacko J, Zmuda W, Lukyanov Y, Nicholls SJ; CLEAR Outcomes Investigators. Bempedoic Acid and Cardiovascular Outcomes in Statin-Intolerant Patients. N Engl J Med. 2023 Apr 13;388(15):1353-1364. doi: 10.1056/NEJMoa2215024. Epub 2023 Mar 4.
PubMed 36876740Nissen SE, Menon V, Nicholls SJ, Brennan D, Laffin L, Ridker P, Ray KK, Mason D, Kastelein JJP, Cho L, Libby P, Li N, Foody J, Louie MJ, Lincoff AM. Bempedoic Acid for Primary Prevention of Cardiovascular Events in Statin-Intolerant Patients. JAMA. 2023 Jul 11;330(2):131-140. doi: 10.1001/jama.2023.9696.
PubMed 37354546Spiazzi BF, Brennan D, Zingano CP, Powell HA, Nicholls SJ, Nissen SE, Laffin LJ. Bempedoic Acid and Venous Thromboembolism Risk Among Statin-Intolerant Patients: A Post Hoc Analysis of the CLEAR Outcomes Randomized Clinical Trial. JAMA Cardiol. 2026 Jul 1;11(7):659-663. doi: 10.1001/jamacardio.2026.1208.
PubMed 42201706Naderi S, Brennan D, Li N, Lincoff AM, Nicholls SJ, Nissen SE, Plutzky J, Powell HA, Robinson P, Cho L. Sex Differences in Statin Intolerance: Insights From the CLEAR Outcomes Trial. Clin Cardiol. 2026 Apr;49(4):e70288. doi: 10.1002/clc.70288.
PubMed 41923439Menon V, Bloedon L, Li N, Lincoff AM, Nicholls SJ, Powell HA, Nissen SE. Lack of impact of adjunctive lipid-modifying therapy in the CLEAR Outcomes trial. J Clin Lipidol. 2026 Jan;20(1):196-199. doi: 10.1016/j.jacl.2025.10.072. Epub 2025 Nov 4.
PubMed 41391972Nicholls SJ, Ray KK, Lincoff AM, Sarnes E, Gillard KK, Bloedon L, Migliaccio-Walle K, Elsea D, Nissen SE. Cost-Effectiveness of Bempedoic Acid in High Cardiovascular Risk Patients with Statin Intolerance: An Analysis of the CLEAR Outcomes Trial. Am J Cardiovasc Drugs. 2026 Jan;26(1):59-70. doi: 10.1007/s40256-025-00753-w. Epub 2025 Aug 20.
PubMed 40833562Laufs U, Lincoff AM, Nicholls SJ, Li N, Bloedon L, Sasiela WJ, Powell HA, Herout PM, Thompson PD, Nissen SE. Characteristics and outcomes of patients with and without statin-associated muscle symptoms treated with bempedoic acid in the CLEAR Outcomes trial. J Clin Lipidol. 2025 Mar-Apr;19(2):337-347. doi: 10.1016/j.jacl.2024.12.014. Epub 2024 Dec 25.
PubMed 39939212Bays HE, Bloedon L, Brennan D, Lei L, Lincoff AM, Nicholls SJ, Plutzky J, Powell HA, Nissen SE. Bempedoic Acid for Prevention of Cardiovascular Events in People With Obesity: A CLEAR Outcomes Subset Analysis. J Am Heart Assoc. 2025 Feb 18;14(4):e037898. doi: 10.1161/JAHA.124.037898. Epub 2025 Feb 8.
PubMed 39921511Lincoff AM, Ray KK, Sasiela WJ, Haddad T, Nicholls SJ, Li N, Cho L, Mason D, Libby P, Goodman SG, Nissen SE. Comparative Cardiovascular Benefits of Bempedoic Acid and Statin Drugs. J Am Coll Cardiol. 2024 Jul 9;84(2):152-162. doi: 10.1016/j.jacc.2024.04.048.
PubMed 38960508Ray KK, Nicholls SJ, Li N, Louie MJ, Brennan D, Lincoff AM, Nissen SE; CLEAR OUTCOMES Committees and Investigators. Efficacy and safety of bempedoic acid among patients with and without diabetes: prespecified analysis of the CLEAR Outcomes randomised trial. Lancet Diabetes Endocrinol. 2024 Jan;12(1):19-28. doi: 10.1016/S2213-8587(23)00316-9. Epub 2023 Dec 4.
PubMed 38061370
Study at a glance
From the registry record, last updated by the sponsor on 3 Jan 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Placebo-controlled Study to Assess the Effects of Bempedoic Acid (ETC-1002) on the Occurrence of Major Cardiovascular Events in Patients With, or at High Risk for, Cardiovascular Disease Who Are Statin Intolerant
- ClinicalTrials.gov ID
- NCT02993406
- Acronym / sponsor ID
- CLEAR Outcomes / 1002-043
- Conditions
- Cardiovascular Diseases, Statin Adverse Reaction
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 13,970 participants (actual)
- Lead sponsor
- Esperion Therapeutics, Inc.Industry (pharma, biotech, devices)
- Collaborators
- The Cleveland Clinic
- Study start
- 22 Dec 2016 (actual)
- Primary completion
- 7 Nov 2022 (actual)
- Study completion
- 7 Nov 2022 (actual)
- First posted
- 15 Dec 2016 (estimated)
- Results
- Posted 3 Jan 2024
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 study is to determine if treatment with bempedoic acid (ETC-1002) versus placebo decreases the risk of cardiovascular events in participants who have or are at high risk for cardiovascular disease and are statin intolerant.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Bempedoic Acid 180 mg | Experimental | Drug: Bempedoic acid 180 mg tabletBempedoic acid 180 mg tablet taken orally, once daily. |
| Placebo Comparator | Placebo comparator | Drug: Matching placebo tabletMatching placebo tablet taken orally, once daily |
Who may qualify
- Ages
- 18 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Age between 18 and 85 years
- History of, or at high risk for, cardiovascular disease (CVD) including coronary artery disease, symptomatic peripheral arterial disease, cerebrovascular atherosclerotic disease, or at high risk for a cardiovascular event
- Participant-reported SI due to an adverse safety effect that started or increased during statin therapy and resolved or improved when statin therapy was discontinued resulting in an inability to tolerate:
- Please note that participants currently tolerating very low dose statin therapy (an average daily dose of rosuvastatin <5 mg, atorvastatin <10 mg, simvastatin <10 mg, lovastatin <20 mg, pravastatin <40 mg, fluvastatin <40 mg, or pitavastatin <2 mg) are considered to be intolerant to that low dose statin. Patients may continue taking very low dose statin therapy throughout the study provided that it is stable (used for at least 4 weeks prior to screening) and well tolerated.
- Written confirmation by both participant and investigator that the participant is statin intolerant as defined above, aware of the benefit of statin use to reduce the risk of MACE including death, and also aware that many other participants who are unable to tolerate a statin are able to tolerate a different statin or dose.
Key exclusion criteria (4 listed)
- Fasting blood triglycerides greater than 500 mg/dL (5.6 mmol/L) at screening
- Recent (within 90 days of screening) history of major cardiovascular events, transient ischemic attack (TIA), or unstable or symptomatic cardiac arrhythmia
- History of severe heart failure
- Uncontrolled hypertension or uncontrolled diabetes
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 |
|---|---|---|
| Bempedoic acid 180 mg tabletAlso: ETC-1002Patients take bempedoic acid 180 mg tablet orally once daily | Drug | Bempedoic Acid 180 mg |
| Matching placebo tabletAlso: placebo comparatorPatients take matching placebo tablet orally once daily | Drug | Placebo Comparator |
Primary outcome
Number of Participants With First Occurrence of Four Component Major Adverse Cardiovascular Events (MACE)
Time frame: Up to 68 months
The primary efficacy end point was a four-component composite of adjudicated MACE, defined as death from cardiovascular causes, nonfatal myocardial infarction, nonfatal stroke, or coronary revascularization, as assessed in a time-to first-event analysis.
6 secondary outcomes
Number of Participants With First Occurrence of Three Component MACE
Time frame: Up to 68 months
Number of Participants With First Occurrence of Myocardial Infarction
Time frame: Up to 68 months
Number of Participants With Time to First Occurrence of Coronary Revascularization
Time frame: Up to 68 months
Number of Participants With Time to First Occurrence of Stroke
Time frame: Up to 68 months
Number of Participants With Time to Cardiovascular Death
Time frame: Up to 68 months
Number of Participants With Time to All-cause Mortality
Time frame: Up to 68 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Jan 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 27892461Pinkosky SL, Newton RS, Day EA, Ford RJ, Lhotak S, Austin RC, Birch CM, Smith BK, Filippov S, Groot PHE, Steinberg GR, Lalwani ND. Liver-specific ATP-citrate lyase inhibition by bempedoic acid decreases LDL-C and attenuates atherosclerosis. Nat Commun. 2016 Nov 28;7:13457. doi: 10.1038/ncomms13457.
- Background: PubMed 27663902Bilen O, Ballantyne CM. Bempedoic Acid (ETC-1002): an Investigational Inhibitor of ATP Citrate Lyase. Curr Atheroscler Rep. 2016 Oct;18(10):61. doi: 10.1007/s11883-016-0611-4.
- Background: PubMed 27206943Thompson PD, MacDougall DE, Newton RS, Margulies JR, Hanselman JC, Orloff DG, McKenney JM, Ballantyne CM. Treatment with ETC-1002 alone and in combination with ezetimibe lowers LDL cholesterol in hypercholesterolemic patients with or without statin intolerance. J Clin Lipidol. 2016 May-Jun;10(3):556-67. doi: 10.1016/j.jacl.2015.12.025. Epub 2016 Jan 6.
- Background: PubMed 26073387Thompson PD, Rubino J, Janik MJ, MacDougall DE, McBride SJ, Margulies JR, Newton RS. Use of ETC-1002 to treat hypercholesterolemia in patients with statin intolerance. J Clin Lipidol. 2015 May-Jun;9(3):295-304. doi: 10.1016/j.jacl.2015.03.003. Epub 2015 Mar 19.
- Background: PubMed 33470195Nicholls S, Lincoff AM, Bays HE, Cho L, Grobbee DE, Kastelein JJ, Libby P, Moriarty PM, Plutzky J, Ray KK, Thompson PD, Sasiela W, Mason D, McCluskey J, Davey D, Wolski K, Nissen SE. Rationale and design of the CLEAR-outcomes trial: Evaluating the effect of bempedoic acid on cardiovascular events in patients with statin intolerance. Am Heart J. 2021 May;235:104-112. doi: 10.1016/j.ahj.2020.10.060. Epub 2020 Oct 24.
- Background: PubMed 36876740Nissen SE, Lincoff AM, Brennan D, Ray KK, Mason D, Kastelein JJP, Thompson PD, Libby P, Cho L, Plutzky J, Bays HE, Moriarty PM, Menon V, Grobbee DE, Louie MJ, Chen CF, Li N, Bloedon L, Robinson P, Horner M, Sasiela WJ, McCluskey J, Davey D, Fajardo-Campos P, Petrovic P, Fedacko J, Zmuda W, Lukyanov Y, Nicholls SJ; CLEAR Outcomes Investigators. Bempedoic Acid and Cardiovascular Outcomes in Statin-Intolerant Patients. N Engl J Med. 2023 Apr 13;388(15):1353-1364. doi: 10.1056/NEJMoa2215024. Epub 2023 Mar 4.
- Background: PubMed 37354546Nissen SE, Menon V, Nicholls SJ, Brennan D, Laffin L, Ridker P, Ray KK, Mason D, Kastelein JJP, Cho L, Libby P, Li N, Foody J, Louie MJ, Lincoff AM. Bempedoic Acid for Primary Prevention of Cardiovascular Events in Statin-Intolerant Patients. JAMA. 2023 Jul 11;330(2):131-140. doi: 10.1001/jama.2023.9696.
- Derived from this study: PubMed 42201706Spiazzi BF, Brennan D, Zingano CP, Powell HA, Nicholls SJ, Nissen SE, Laffin LJ. Bempedoic Acid and Venous Thromboembolism Risk Among Statin-Intolerant Patients: A Post Hoc Analysis of the CLEAR Outcomes Randomized Clinical Trial. JAMA Cardiol. 2026 Jul 1;11(7):659-663. doi: 10.1001/jamacardio.2026.1208.
- Derived from this study: PubMed 41923439Naderi S, Brennan D, Li N, Lincoff AM, Nicholls SJ, Nissen SE, Plutzky J, Powell HA, Robinson P, Cho L. Sex Differences in Statin Intolerance: Insights From the CLEAR Outcomes Trial. Clin Cardiol. 2026 Apr;49(4):e70288. doi: 10.1002/clc.70288.
- Derived from this study: PubMed 41391972Menon V, Bloedon L, Li N, Lincoff AM, Nicholls SJ, Powell HA, Nissen SE. Lack of impact of adjunctive lipid-modifying therapy in the CLEAR Outcomes trial. J Clin Lipidol. 2026 Jan;20(1):196-199. doi: 10.1016/j.jacl.2025.10.072. Epub 2025 Nov 4.
- Derived from this study: PubMed 40833562Nicholls SJ, Ray KK, Lincoff AM, Sarnes E, Gillard KK, Bloedon L, Migliaccio-Walle K, Elsea D, Nissen SE. Cost-Effectiveness of Bempedoic Acid in High Cardiovascular Risk Patients with Statin Intolerance: An Analysis of the CLEAR Outcomes Trial. Am J Cardiovasc Drugs. 2026 Jan;26(1):59-70. doi: 10.1007/s40256-025-00753-w. Epub 2025 Aug 20.
- Derived from this study: PubMed 39939212Laufs U, Lincoff AM, Nicholls SJ, Li N, Bloedon L, Sasiela WJ, Powell HA, Herout PM, Thompson PD, Nissen SE. Characteristics and outcomes of patients with and without statin-associated muscle symptoms treated with bempedoic acid in the CLEAR Outcomes trial. J Clin Lipidol. 2025 Mar-Apr;19(2):337-347. doi: 10.1016/j.jacl.2024.12.014. Epub 2024 Dec 25.
- Individual participant dataSharing planned: No
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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.
The record lists no contact. Use the official record to reach the sponsor.
1,319 sites in 32 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Bempedoic acid 180 mg tablet in people with Cardiovascular Diseases and Statin Adverse Reaction, run by Esperion Therapeutics, Inc. at 1,319 sites in 32 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 9 inclusion and 4 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 3 Jan 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1,319 sites in United States, Brazil, Poland, Argentina, Russia and 27 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. 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 3 Jan 2024). 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?
Number of Participants With First Occurrence of Four Component Major Adverse Cardiovascular Events (MACE) (time frame: Up to 68 months). 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 NCT02993406, which also lists 16 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 3 Jan 2024.