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Phase 4 N=37 Randomized Other

Exploratory Study of the Effect of Omega-3-acid Ethyl Esters (TAK-085) on Vascular Endothelial Function in Patients With Hyperlipidemia by Flow Mediated Dilation

Hyperlipidemia

Enrolled (actual)
37
Serious AEs
0.0%
Results posted
May 2019
Primary outcome: Primary: Flow-mediated Dilation (FMD) With Fasting State at Baseline, Week 4 and Week 8 — 6.71; 5.85; 5.85; 3.15 Percentage of dilation

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
TAK-085 (Drug)
Age
Adult, Older Adult · 20+ yrs
Sex
All
Sponsor
Takeda
Primary completion
Aug 2017

Outcome Measures

OutcomeResultp-value
PRIMARY
Flow-mediated Dilation (FMD) With Fasting State at Baseline, Week 4 and Week 8
6.71; 5.85; 5.85; 3.15; 5.38; 3.95
PRIMARY
Change From Baseline in FMD With Fasting State at Week 4 and Week 8
-1.02; -2.71; -1.20; -1.33
PRIMARY
Percent Change From Baseline in FMD With Fasting State at Baseline, Week 4 and Week 8
24.01; -36.70; 37.37; -8.19
SECONDARY
FMD With 4-Hours Postprandial State at Baseline and Week 8
5.49; 3.80; 5.81; 4.95
SECONDARY
Change From Baseline in FMD With 4-Hours Postprandial State at Week 8
0.02; 1.02
SECONDARY
Percent Change From Baseline in FMD With 4-Hours Postprandial State at Week 8
-1.62; 76.79
SECONDARY
Triglyceride (TG) Level With Fasting State at Baseline, Week 4, and Week 8
176.8; 194.4; 178.2; 144.6; 157.2; 144.9
SECONDARY
Change From Baseline in TG Level With Fasting State at Week 4 and Week 8
1.4; -49.8; -23.1; -49.4
SECONDARY
Percent Change From Baseline in TG Level With Fasting State at Week 4 and Week 8
4.8; -24.5; -7.7; -23.5
SECONDARY
TG Level With 4-Hours Postprandial State at Baseline, Week 4 and Week 8
265.9; 278.2; 266.1; 216.2; 240.5; 202.3
SECONDARY
Change From Baseline in TG Level With 4-Hours Postprandial State at Week 4 and Week 8
-9.1; -62.1; -34.7; -75.9
SECONDARY
Percent Change From Baseline in TG Level With 4-Hours Postprandial State at Week 4 and Week 8
3.8; -22.4; -6.0; -27.2
SECONDARY
Dihomo-gamma-linolenic Acid Concentration With Fasting State at Baseline, Week 4 and Week 8
51.37; 57.32; 42.54; 34.37; 43.12; 33.32
SECONDARY
Change From Baseline in Dihomo-gamma-linolenic Acid Concentration With Fasting State at Week 4 and Week 8
-8.83; -22.95; -9.91; -24.01
SECONDARY
Percent Change From Baseline in Dihomo-gamma-linolenic Acid Concentration With Fasting State at Week 4 and Week 8
-12.99; -38.81; -15.11; -41.09
SECONDARY
Arachidonic Acid Concentration With Fasting State at Baseline, Week 4 and Week 8
254.36; 253.08; 238.69; 217.96; 243.71; 197.82
SECONDARY
Change From Baseline in Arachidonic Acid Concentration With Fasting State at Week 4 and Week 8
-15.67; -35.12; -10.50; -55.26
SECONDARY
Percent Change From Baseline in Arachidonic Acid Concentration With Fasting State at Week 4 and Week 8
-6.66; -11.80; -5.41; -20.19
SECONDARY
Eicosapentaenoic Acid Concentration With Fasting State at Baseline, Week 4 and Week 8
66.04; 55.62; 128.07; 192.34; 134.94; 193.75
SECONDARY
Change From Baseline in Eicosapentaenoic Acid Concentration With Fasting State at Week 4 and Week 8
62.02; 136.72; 70.98; 138.13
SECONDARY
Percent Change From Baseline in Eicosapentaenoic Acid Concentration With Fasting State at Week 4 and Week 8
126.17; 297.49; 137.55; 305.92
SECONDARY
Docosahexaenoic Acid Concentration With Fasting State at Baseline, Week 4 and Week 8
173.30; 145.43; 207.04; 212.20; 201.04; 207.53
SECONDARY
Change From Baseline in Docosahexaenoic Acid Concentration With Fasting State at Week 4 and Week 8
33.74; 66.77; 26.31; 62.11
SECONDARY
Percent Change From Baseline in Docosahexaenoic Acid Concentration With Fasting State at Week 4 and Week 8
24.32; 52.83; 19.69; 51.54
SECONDARY
Eicosapentaenoic Acid to Arachidonic Acid (EPA/AA) Ratio With Fasting State at Baseline, Week 4 and Week 8
0.265; 0.240; 0.564; 0.946; 0.579; 1.043
SECONDARY
Change From Baseline in EPA/AA Ratio With Fasting State at Week 4 and Week 8
0.299; 0.706; 0.322; 0.803
SECONDARY
Percent Change From Baseline in EPA/AA Ratio With Fasting State at Week 4 and Week 8
141.396; 353.990; 152.244; 412.899
SECONDARY
Docosahexaenoic Acid to Arachidonic Acid (DHA/AA) Ratio With Fasting State at Baseline, Week 4 and Week 8
0.697; 0.619; 0.913; 1.038; 0.881; 1.119
SECONDARY
Change From Baseline in DHA/AA Ratio With Fasting State at Week 4 and Week 8
0.216; 0.419; 0.177; 0.499
SECONDARY
Percent Change From Baseline in DHA/AA Ratio With Fasting State at Week 4 and Week 8
33.538; 76.932; 27.797; 93.582
SECONDARY
Number of Participants Reporting One or More Adverse Events (AEs)
4; 2
SECONDARY
Number of Participants Reporting One or More AEs Related to Body Weight
0; 0
SECONDARY
Number of Participants Reporting One or More AEs Related to Blood Pressure in the Sitting Position
0; 0
SECONDARY
Number of Participants Reporting One or More AEs Related to Pulse in the Sitting Position
0; 0
SECONDARY
Number of Participants Reporting One or More AEs Related to Laboratory Tests of Fasting Plasma Glucose
0; 0

Summary

The purpose of this study is to explore the effects of omega-3-acid ethyl esters (TAK-085) on vascular endothelial function when administered for 8 weeks, as measured by FMD, in patients with hyperlipidemia.

Eligibility Criteria

Inclusion Criteria

  • Participants with the diagnosis of hyperlipidemia and receiving instructions for lifestyle improvement
  • Participants with a fasting TG level of 150 -499 mg/dL at Visit 1 after informed consent (Day -29 to Day -1 before start of study drug administration)
  • Participants receiving a stable dose of HMG-CoA reductase inhibitor therapy continuously for at least 4 weeks before informed consent at Visit 1 (Day -29 to Day -1 before start of study drug administration)
  • Male or postmenopausal female participants
  • Participants who, in the opinion of the principal investigator or the investigator, are capable of understanding the content of the clinical research and complying with the research protocol requirements.
  • Participants who can provide written informed consent prior to the conduction of the clinical research procedures
  • Participants aged ≥20 years at the time of informed consent at Visit 1(Day -28 to Day 0 before the start of study drug administration)

Exclusion Criteria

  • Participants with a history of revascularization or those have had coronary artery disease (a definitive diagnosis of myocardial infarction, angina) within 24 weeks before informed consent at Visit 1 (Day -29 to Day -1 before the start of study drug administration)
  • Participants who have undergo aortic aneurysmectomy within 24 weeks prior to informed consent at Visit 1 (Day -29 to Day -1 before the start of study drug administration) or those with concurrent aortic aneurysm
  • Participants who have had clinically significant hemorrhagic disorders (e.g., hemophilia, capillary fragility, gastrointestinal ulcer, urinary tract hemorrhage, hemoptysis, and vitreous hemorrhage) within 24 weeks prior to informed consent at Visit 1 (Day -29 to Day -1 before the start of study drug administration) or those who concurrently have the above disorders
  • Participant with a fasting FMD level of 0% measured at the start of study drug administration at Visit 2 (Day -15 to Day -1 before the start of study drug administration)
  • Participants in whom the type and dosage of HMG-CoA reductase inhibitors, antidiabetic drugs and antihypertensive drugs have been changed within 4 weeks prior to informed consent at Visit 1 (Day -29 to Day -1 before the start of study drug administration)
  • Participants who have started anti dyslipidemic agents within 4 weeks prior to informed consent at Visit 1 (Day -29 to Day -1 before the start of study drug administration)
  • Participants requiring a change in the dose of dyslipidemia therapeutic, antidiabetic, or antihypertensive drugs during the period between informed consent at Visit 1 (Day -29 to Day -1 before the start of study drug administration) and the start of study drug administration at Visit 2 (Day -15 to Day -1 before the start of study drug administration)
  • Participants with severe hepatic dysfunction
  • Participants with severe renal dysfunction (as an indicator, CKD category ≥G3b, equivalent to an A3)
  • Participants who have been diagnosed with pancreatitis
  • Participants who have been diagnosed with lipoprotein lipase deficiency, apoprotein C-II deficiency, familial hypercholesterolemia, familial combined hyperlipidemia, or familial type III hyperlipidemia
  • Participants with concurrent Cushing's syndrome, uremia, systemic lupus erythematosus (SLE), serum dysproteinemia, or hypothyroidism
  • Participants with symptomatic Peripheral Arterial Disease (PAD)
  • Participants with concurrent hypertension of grade II or higher Note 1) Note 1: Participants with systolic blood pressure of ≥160 mm Hg or diastolic BP of ≥100 mm Hg regardless of treatment with antihypertensive drugs
  • Participants who are habitual drinkers drinking an average of over 100 mL per day (expressed in terms of quantity of alcohol) or participants with, or with a history of drug abuse or addiction Note 2)
  • Participants with a history of hypersensitivity or allergy for omega-3-acid ethyl esters-
  • Participant
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02824432). 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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