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Healthy Lactating WomenPhase 4NCT06021951

Milk-Only Lactation Study to Evaluate the Concentration of Bempedoic Acid and Bempedoic Acid/Ezetimibe Fixed Combination Drug Product (FCDP) in the Breast Milk of Healthy Lactating Women

A Phase 4 study testing Bempedoic Acid 180 MG Oral Tablet and Bempedoic Acid/Ezetimibe 180 MG-10 MG Oral Tablet in people with Healthy Lactating Women, run by Esperion Therapeutics, Inc. at 1 site in United States.

Completed

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

Official record
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Trial summary

This study is designed to characterize the excretion of bempedoic acid or bempedoic acid and ezetimibe into mature breast milk of healthy lactating women and assess the exposure to the breast fed infant by estimating the daily infant dosage and the relative infant dose (RID) of bempedoic acid or bempedoic acid and… Read more about this study

Who is it for?
Ages 18 to 45 years, women onlyHealthy volunteers can take part
Conditions the study is for
Healthy Lactating Women
What is being tested?
Bempedoic Acid 180 MG Oral Tablet and Bempedoic Acid/Ezetimibe 180 MG-10 MG Oral Tablet
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
16 participants
Where
1 siteUnited States
Study dates
4 Aug 2023to 22 Mar 2024
Phase
Phase 4
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 45 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • The subject must be a lactating female who had a normal full-term pregnancy and has been actively breastfeeding or pumping for at least 4 weeks; lactation must be well established per Investigator discretion.
  • The subject must be willing to pump regularly during the study to maintain milk supply and discontinue breastfeeding for the entire 13-day Treatment and Washout Periods.
  • The subject must not be pregnant.
  • The subject must be surgically sterile or willing to use 1 acceptable method of birth control.

Who cannot join

  • Has clinically significant infection (e.g., pneumonia, pyelonephritis) or chronic infection within 30 days prior to enrollment.
  • Has evidence of unstable or uncontrolled, clinically significant cardiovascular, central nervous system, pulmonary, hepatic, renal, gastrointestinal, genitourinary, hematological, coagulation, immunological, endocrine/metabolic, or other medical disorder, including serious allergy, asthma, hypoxemia, hypertension, seizures, or allergic skin rash, that, in the opinion of the Investigator, would confound the study results or compromise subject safety.
  • Has estimated glomerular filtration rate (eGFR) <30 mL/min/1.732 using the Modification of Diet in Renal Disease (MDRD) formula.
  • Has liver disease or dysfunction characterized by Child-Pugh Class B or Class C.
  • History of any major neurological disorders, including stroke, multiple sclerosis, brain tumor, or neurodegenerative disease.
  • Has active psychiatric problems that, in the Investigator's opinion, may interfere with compliance with the study procedures.
Show all 19Show fewer
  • Has history of breast implants, breast augmentation, or breast reduction surgery.
  • Has a prior history of difficulty establishing lactation.
  • Gastrointestinal conditions or procedures (including weight loss surgery; e.g., Lap-Band® or gastric bypass) that may affect drug absorption.
  • Any history of malignancy (with the exception only of basal or squamous cell carcinoma of the skin in individuals that have been cancer free for >5 years).
  • History within the last 2 years of drug, alcohol, amphetamine and derivatives, or cocaine abuse.
  • Current smoker.
  • Blood donation, participation in a multiple blood draw clinical study, major trauma, or surgery with or without blood loss within 30 days prior to enrollment.
  • Blood transfusion for any reason within 90 days prior to enrollment.
  • Use of any 3-hydroxy-3-methylglutaryl coenzyme A (HMG CoA) reductase inhibitor (statin) concurrently or within 30 days prior to randomization.
  • Use of cyclosporine, cholestyramine, probenecid, fibrate drugs, or medications contraindicated during lactation concurrently or within 30 days prior to randomization.
  • Concomitant use or use within 30 days prior to randomization of drugs that decrease breast milk production, such as pseudoephedrine.
  • Concomitant use or use within 30 days prior to randomization of drugs that increase breast milk production, such as domperidone.
  • Use of any experimental or investigational drugs/vaccines concurrently or within 30 days or 5 half-lives of the drug, whichever is longer, prior to screening.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • PPD Development, Las Vegas Research Unit

    Las Vegas, Nevada, 89113

Other trials in United States

About this study

Official title: An Open-Label Postmarking Milk-Only Lactation Study to Evaluate the Concentration of Bempedoic Acid and Bempedoic Acid and Ezetimibe in the Breast Milk of Healthy Lactating Women Administered Therapeutic Doses of Bempedoic Acid or Bempedoic Acid/Ezetimibe Fixed Combination Drug Product (FCDP)

This study is designed to characterize the excretion of bempedoic acid or bempedoic acid and ezetimibe into mature breast milk of healthy lactating women and assess the exposure to the breast fed infant by estimating the daily infant dosage and the relative infant dose (RID) of bempedoic acid or bempedoic acid and ezetimibe in breast milk after 6 consecutive daily doses of bempedoic acid or bempedoic acid/ezetimibe FCDP.

Read the detailed description

Post marketing approval commitment for the FDA

Being tested
Bempedoic Acid 180 MG Oral Tablet, Bempedoic Acid/Ezetimibe 180 MG-10 MG Oral Tablet
Keywords
Bempedoic acid, Ezetimibe, Bempedoic acid and ezetimibe, Breast Milk

What participants receive

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

  • Bempedoic Acid 180 MG Oral TabletDrug

    Also called Nexletol

    Bempedoic Acid 180 MG Oral Tablet [Nexletol]

  • Bempedoic Acid/Ezetimibe 180 MG-10 MG Oral TabletDrug

    Also called Nexlizet 180 mg-10 mg

    Bempedoic Acid/Ezetimibe 180 MG-10 MG Oral Tablet [NEXLIZET]

Study groups in NCT06021951
Study groupRoleWhat they receive
Bempedoic acidExperimentalNot described
Receives: Drug: Bempedoic Acid 180 MG Oral Tablet
Bempedoic acid/ezetimibe fixed combination drug productExperimentalNot described
Receives: Drug: Bempedoic Acid/Ezetimibe 180 MG-10 MG Oral Tablet

What is being measured

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

  1. Daily Infant Dose

    Daily infant dosage of study drug was calculated for Bempedoic Acid arm and FCDP arm respectively from the cumulative amount of study drug (bempedoic acid or bempedoic acid and ezetimibe) excreted in breast milk over 24 hours.

    Measured: 24 hours post Day 6 dose administration

  2. Relative Infant Dose (RID)

    Relevant Infant Dose (RID) (calculated as the ratio of estimated infant daily dose per kg body weight and maternal daily dose per kg of body weight multiplied by 100) was analyzed for the Bempedoic Acid arm and FCDP arm respectively. Maternal dosage is the ratio of bempedoic acid dose or ezetimibe dose administered daily divided by maternal body weight at baseline.

    Measured: 24 hours post Day 6 dose administration

Secondary outcomes (16)
  1. Cumulative Amount of Bempedoic Acid (ETC-1002) and Metabolites (ESP-15228, ETC-1002-Glucuronide) in Breast Milk

    Cumulative amount of ETC-1002, ESP-15228, and ETC-1002-glucuronide excreted in breast milk during the 24-hour collection period were analyzed for the Bempedoic Acid arm and FCDP arm respectively.

    Measured: 24 hours post Day 6 dose administration

  2. Cumulative Amount of Ezetimibe (EZE) and Metabolite (EZE-Glucuronide) in Breast Milk

    Cumulative amount of Ezetimibe, and EZE-glucuronide excreted in breast milk during 24-hour collection period were analyzed (FCDP arm only).

    Measured: 24 hours post Day 6 dose administration

  3. Maximum Concentrations (Cmax) of Bempedoic Acid and Metabolites in Breast Milk

    Cmax of ETC-1002, ESP-15228, and ETC-1002-glucuronide in Breast Milk were analyzed for Bempedoic Acid arm and FCDP arm respectively

    Measured: 24 hours post Day 6 dose administration

  4. Cmax of Ezetimibe and Metabolite in Breast Milk

    Cmax of Ezetimibe, and EZE-glucuronide analyzed in FCDP arm only.

    Measured: 24 hours post Day 6 dose administration

  5. Time of Maximum Concentration (Tmax) of Bempedoic Acid and Metabolites in Breast Milk

    Tmax of ETC-1002, ESP-15228, and ETC-1002-glucuronide in Breast Milk were analyzed for Bempedoic Acid arm and FCDP arm respectively

    Measured: 24 hours post Day 6 dose administration

  6. Tmax of Ezetimibe and Metabolite in Breast Milk

    Tmax of Ezetimibe and EZE-glucuronide in Breast Milk were analyzed for FCDP arm only.

    Measured: 24 hours post Day 6 dose administration

  7. Area Under the Breast Milk Concentration-time Curve Over the 24-hour Collection Interval (AUC24h) of Bempedoic Acid and Metabolites in Breast Milk

    AUC24h of ETC-1002, ESP-15228, and ETC-1002-glucuronide in Breast Milk were analyzed for Bempedoic Acid arm and FCDP arm respectively.

    Measured: 24 hours post Day 6 dose administration

  8. AUC24h of Ezetimibe and Metabolite in Breast Milk

    AUC24h of Ezetimibe and EZE-glucuronide in Breast Milk were analyzed for FCDP arm only.

    Measured: 24 hours post Day 6 dose administration

  9. Average Concentration (Cavg) of Bempedoic Acid and Metabolites in Breast Milk

    Cavg (defined as AUC24h/24h) of ETC-1002, ESP-15228, and ETC-1002-glucuronide in Breast Milk were analyzed for Bempedoic Acid arm and FCDP arm respectively.

    Measured: 24 hours post Day 6 dose administration

  10. Cavg of Ezetimibe and Metabolite in Breast Milk

    Cavg of Ezetimibe and EZE-glucuronide in Breast Milk were analyzed for FCDP arm only.

    Measured: 24 hours post Day 6 dose administration

  11. Trough Concentration (Ctrough) of Bempedoic Acid and Metabolites in Breast Milk

    Ctrough_milk of ETC-1002, ESP-15228, and ETC-1002-glucuronide were analyzed for Bempedoic Acid arm and FCDP arm respectively.

    Measured: 24 hours post Day 6 dose administration

  12. Ctrough of Ezetimibe and Metabolite in Breast Milk

    Ctrough_milk of Ezetimibe and EZE-glucuronide were analyzed for FCDP arm only.

    Measured: 24 hours post Day 6 dose administration

  13. Ctrough of Bempedoic Acid and Metabolites in Plasma

    Ctrough_plasma of ETC-1002, ESP-15228, and ETC-1002-glucuronide were analyzed for Bempedoic Acid arm and FCDP arm respectively.

    Measured: 24 hours post Day 6 dose administration

  14. Ctrough of Ezetimibe and Metabolite in Plasma

    Ctrough_plasma of Ezetimibe and EZE-glucuronide were analyzed for FCDP arm only.

    Measured: 24 hours post Day 6 dose administration

  15. Ctrough_milk/Ctrough_plasma (M/P Ratio) of Bempedoic Acid and Metabolites

    M/P Ratio of ETC-1002, ESP-15228, and ETC-1002-glucuronide were analyzed for Bempedoic Acid arm and FCDP arm respectively.

    Measured: 24 hours post Day 6 dose administration

  16. M/P Ratio of Ezetimibe and Metabolite

    M/P Ratio of Ezetimibe and EZE-glucuronide were analyzed for FCDP arm only.

    Measured: 24 hours post Day 6 dose administration

Timeline

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

  1. First posted1 Sep 2023
  2. Study start4 Aug 2023
  3. Primary completion21 Feb 2024
  4. Study completion22 Mar 2024

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
16 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06021951
Sponsor's protocol ID
1002FDC-075
Status last verified
May 2024
First submitted
27 Aug 2023
Last updated
11 Apr 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Bempedoic Acid 180 MG Oral Tablet and Bempedoic Acid/Ezetimibe 180 MG-10 MG Oral Tablet in people with Healthy Lactating Women, run by Esperion Therapeutics, Inc. at 1 site in United States.

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

Who may be eligible to take part?

The sponsor lists 4 inclusion and 19 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 11 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 11 Apr 2025). 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?

Daily Infant Dose (time frame: 24 hours post Day 6 dose administration). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 11 Apr 2025.

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