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Phase 4 N=26 Randomized Triple-blind Basic Science

Effects of Ezetimibe on the Absorption of Oxidized Cholesterol

Hypercholesterolemia

Enrolled (actual)
26
Serious AEs
Results posted
Sep 2009
Primary outcome: Primary: Log[Area-under-the-plasma-concentration-curve(AUC) 0-8 Hours 7-ketocholesterol] After an Oral Bolus — 1.925; 2.177 Log(mg*hr/dl) — p=0.03

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
ezetimibe (Drug); placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
UCSF Benioff Children's Hospital Oakland
Primary completion
Feb 2008

Outcome Measures

OutcomeResultp-value
PRIMARY
Log[Area-under-the-plasma-concentration-curve(AUC) 0-8 Hours 7-ketocholesterol] After an Oral Bolus
1.925; 2.177 0.03 sig
SECONDARY
Log(Maximal Plasma Concentration (Cmax) of 7-ketocholesterol) After an Oral Bolus
0.973; 1.246 0.01 sig

Summary

The purpose of this study is to test the effects of Zetia™ (ezetimibe) 10 milligrams (mg) on the absorption of oxysterol into the blood following a meal containing oxysterol.

Eligibility Criteria

Inclusion Criteria

  • Not currently pregnant or lactating and is highly unlikely to conceive
  • Body Mass Index (BMI) between 20-30 kilograms per meter squared (kg/m2) inclusive.
  • Body weight, as reported by patient, stable (±2 kg) for >6 weeks
  • Plasma low density lipoprotein cholesterol (LDL-C) between 130 and 180 milligrams per deciliter (mg/dL) inclusive. Note: One retest allowed.
  • Triglyceride (TG) concentrations ≤150 mg/dL. Note: One retest allowed.
  • Fasting blood glucose 4x per month.
  • Treated with any other investigational drug within 30 days of Visit 1.
  • Hypersensitivity or intolerance to ezetimibe or any component of this medication.
  • Any condition or situation which poses a risk to the patient or interfere with participation in the study.
  • Congestive heart failure.
  • Uncontrolled cardiac arrhythmias.
  • History of myocardial infarction, stroke, or any other clinical manifestation of coronary, cerebral, or peripheral vascular disease.
  • Uncontrolled hypertension
  • Impaired renal function, nephrotic syndrome or other clinically significant renal disease at Visit 1.
  • Active or chronic hepatobiliary or hepatic disease.
  • History of irritable bowel syndrome, ileal bypass, gastric bypass or any gastrointestinal disorder/condition associated with malabsorption.
  • Uncontrolled endocrine or metabolic disease known to influence serum lipids or lipoproteins.
  • Type I or Type II diabetes mellitus.
  • Disorders of the hematologic, digestive, or central nervous systems including cerebrovascular disease and degenerative disease that would limit study evaluation or participation.
  • Human Immunodeficiency Virus (HIV) positive.
  • History of cancer within the past 5 years (except for successfully treated basal and squamous cell carcinomas).
  • History of uncontrolled psychiatric illness or drug/alcohol abuse within the past 5 years. Individuals with psychiatric illness adequately controlled and stable on pharmacotherapy may be enrolled at the discretion of the investigator.
  • Lipid-lowering agents taken within 6 weeks and fibrates taken within 8 weeks prior to visit 3.
  • Cardiovascular medications are acceptable provided the patient has been on a stable regimen for at least 6 weeks prior to Visit 3 and indicates a willingness to continue the stable regimen for the duration of the study.
  • Supplementation with antioxidants beyond a standard multivitamin for the duration of the study.
  • Psyllium, other fiber-based laxatives, and/or over the counter (OTC) therapies known to affect serum lipid levels taken within 6 weeks of Visit 3.
  • Female patients receiving hormone replacement therapy, any estrogen antagonist/agonist or hormonal contraceptives.
  • Treatment with cyclosporine except for ophthalmic indication
  • Anti-obesity medications such as orlistat or sibutramine taken within 3 months prior to Visit 1.
  • Therapeutic doses of systemic corticosteroids except inhaled steroid therapy (for example, Pulmicort®) maintained on a stable dosing regimen for at least 6 weeks prior to randomization (Visit 3) and throughout the duration of the study
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00794677). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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