Phase 4
N=37
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
Bottom Line
View on ClinicalTrials.gov: NCT02824432 ↗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
| Outcome | Result | p-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
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.