Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT01462877
Other study ID # W13-254
Secondary ID
Status Completed
Phase Phase 4
First received October 28, 2011
Last updated February 25, 2015
Start date October 2011
Est. completion date March 2014

Study information

Verified date February 2015
Source Abbott
Contact n/a
Is FDA regulated No
Health authority China: Food and Drug Administration
Study type Interventional

Clinical Trial Summary

Atherogenic dyslipidemia includes patients who have coronary heart disease (CHD) or CHD risk equivalents, whose TG level is not adequately controlled after statin monotherapy. According to the published ESC/EAS consensus, fibrate is suggested to be added to this type of patient who has insufficient improvement. The purpose of the study is to evaluate the efficacy on lipid control and the safety of adding fenofibrate in patients on a background of statin treatment.


Description:

It is an open-label , single group, multi-center study. At around 30 investigate sites, 500 dyslipidemic Chinese patients with coronary heart disease (CHD) or CHD risk equivalent, whose TG ≥1.70 mmol/L (150mg/dl) and <5.65mmol/L (500mg/dl) after at least 2 month statin monotherapy with standard dose will be enrolled. After at least 2 month statin monotherapy with standard dose, patients having high TG will be recruited and given statin-fenofibrate combination therapy for 8 weeks. Several lipid parameters and safety parameters will be compared between baseline, after 4 weeks treatment and after 8 weeks treatment. Primary efficacy endpoint is the percentage of TG decrease before and after 8 weeks treatment. Secondary endpoints on efficacy are the absolute change and the percent of change on TC, LDL-C, HDL-C, apoA1, apoB and apoB/apoA1 of baseline, after 4 weeks treatment and 8 weeks treatment, absolute change and percentage of change of hsCRP from baseline to 8 weeks of treatment. Second endpoints on safety is the incidence of AE/SAE, change on CK, ALT, AST, BUN and Cr before and after treatment and the number of clinical meaningful abnormal change defined as ALT or AST >3ULN, or CK >10ULN, or BUN >1.5ULN or Cr >1.5ULN. Other Arm type is a self comparator


Recruitment information / eligibility

Status Completed
Enrollment 506
Est. completion date March 2014
Est. primary completion date February 2014
Accepts healthy volunteers No
Gender Both
Age group 18 Years to 80 Years
Eligibility Inclusion Criteria:

1. =18 years and < 80 years, male or female

2. With at least one risk of coronary heart disease (CHD) [medical history of myocardial infarction (MI) or coronary angiography shows coronary stenosis = 50% or post percutaneous coronary intervention (PCI) or post coronary artery bypass grafting (CABG)] or CHD risk equivalents, which comprise,

- Other clinical forms of atherosclerotic disease (ischemic stroke, peripheral arterial disease, abdominal aortic aneurysm, and symptomatic carotid artery disease)

- Type 2 Diabetes

- Multiple risk factors that confer a 10-year risk for CHD >20%.

3. = 2 months statin monotherapy with standard dose (atorvastatin =20mg q.d. or rosuvastatin =10mg q.d. or simvastatin =40mg q.d. or pravastatin =40mg q.d. or pitavastatin =4mg q.d or fluvastatin =80mg q.d. or lovastatin =40mg q.d.) and plan to continue the previous type and dose of statin

4. Triglycerides (TG)=1.70 mmol/L (150mg/dl) and TG<5.65 mmol/L (500mg/dl)

5. Subject must be able to provide informed consent, approved by an Independent Ethics Committee (IEC)/Institutional Review Board (IRB), on his or her own behalf, prior to any study-specific procedures.

Exclusion Criteria:

1. Hypersensitive to fenofibrate or to any of its excipients

2. Hepatic insufficiency [alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 2ULN (upper limit of normal)]

3. Renal insufficiency [Creatinine clearance rate (Ccr)<60ml/min estimated from Cockcroft-Gault equation Ccr=(140-age)*weight(Kg)*0.85(if female)/[0.818*Cr (µmol/L)]

4. Creatine kinase (CK) > 2 ULN

5. Congenital galactosemia, glucose-galactose malabsorption syndrome or lactase deficiency

6. Hypothyroidism

7. Combination use of other non-statin lipid-regulating drugs such as fibrates, niacin and fish oil in previous 2 months

8. Combination use of drug with similar structure as Fenofibrate, especially ketoprofen

9. Combination use of oral anticoagulants

10. Pregnant or lactating woman

11. Other conditions at investigator's discretion

Study Design

Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment


Intervention

Drug:
fenofibrate
Fenofibrate Capsule 200mg qd orally

Locations

Country Name City State
China Site Reference ID/Investigator# 64695 Xiamen

Sponsors (2)

Lead Sponsor Collaborator
Abbott Rundo International Pharmaceutical Research & Development Co.,Ltd.

Country where clinical trial is conducted

China, 

Outcome

Type Measure Description Time frame Safety issue
Primary Percentage of Triglyceride (TG) Change Blood tests Baseline and up to 8 weeks after intervention No
Secondary Change in Serum Total Cholesterol Blood tests Baseline and up to 8 weeks after intervention No
Secondary Change in Serum Low-density Lipoprotein Cholesterol Blood tests Baseline up to 8 weeks after intervention No
Secondary Change in Serum High-density Lipoprotein Cholesterol Blood tests Baseline up to 8 weeks after intervention No
Secondary Change in Serum Non-high-density Lipoprotein Cholesterol Blood tests Baseline up to 8 weeks after intervention No
Secondary Change in Serum Apolipoprotein A1 Blood tests Baseline up to 8 weeks after intervention No
Secondary Change in Serum Apolipoprotein B Blood tests Baseline up to 8 weeks after intervention No
Secondary Change in Serum Alanine Aminotransferase Blood tests Baseline up to 8 weeks after intervention Yes
Secondary Change in Serum Aspartate Aminotransferase Blood tests Baseline up to 8 weeks after intervention Yes
Secondary Change in Serum Creatine Kinase Blood tests Baseline up to 8 weeks after intervention Yes
Secondary Change in Serum Creatinine Blood tests Baseline up to 8 weeks after intervention Yes
Secondary Change in Serum High Sensitivity C-reactive Protein Blood tests Baseline and up to 8 weeks after intervention No
See also
  Status Clinical Trial Phase
Recruiting NCT05654272 - Development of CIRC Technologies
Recruiting NCT05650307 - CV Imaging of Metabolic Interventions
Recruiting NCT04515303 - Digital Intervention Participation in DASH
Completed NCT04056208 - Pistachios Blood Sugar Control, Heart and Gut Health Phase 2
Recruiting NCT04417387 - The Genetics and Vascular Health Check Study (GENVASC) Aims to Help Determine Whether Gathering Genetic Information Can Improve the Prediction of Risk of Coronary Artery Disease (CAD)
Not yet recruiting NCT06211361 - Cardiac Rehabilitation Program in Patients With Cardiovascular Disease N/A
Not yet recruiting NCT06032572 - Evaluation of the Safety and Effectiveness of the VRS100 System in PCI (ESSENCE) N/A
Recruiting NCT04514445 - The BRAVE Study- The Identification of Genetic Variants Associated With Bicuspid Aortic Valve Using a Combination of Case-control and Family-based Approaches.
Enrolling by invitation NCT04253054 - Chinese Multi-provincial Cohort Study-Beijing Project
Completed NCT03273972 - INvestigating the Lowest Threshold of Vascular bENefits From LDL Lowering With a PCSK9 InhibiTor in healthY Volunteers N/A
Completed NCT03680638 - The Effect of Antioxidants on Skin Blood Flow During Local Heating Phase 1
Recruiting NCT04843891 - Evaluation of PET Probe [64]Cu-Macrin in Cardiovascular Disease, Cancer and Sarcoidosis. Phase 1
Completed NCT04083872 - Clinical Study to Investigate the Pharmacokinetic Profiles and Safety of Highdose CKD-385 in Healthy Volunteers(Fasting) Phase 1
Completed NCT04083846 - Clinical Study to Investigate the Pharmacokinetic Profiles and Safety of High-dose CKD-385 in Healthy Volunteers(Fed) Phase 1
Completed NCT03693365 - Fluid Responsiveness Tested by the Effective Pulmonary Blood Flow During a Positive End-expiratory Trial
Completed NCT03619148 - The Incidence of Respiratory Symptoms Associated With the Use of HFNO N/A
Completed NCT03466333 - Postnatal Enalapril to Improve Cardiovascular fUnction Following Preterm Pre-eclampsia Phase 2
Completed NCT04082585 - Total Health Improvement Program Research Project
Completed NCT05132998 - Impact of a Comprehensive Cardiac Rehabilitation Program Framework Among High Cardiovascular Risk Cancer Survivors N/A
Completed NCT05067114 - Solutions for Atrial Fibrillation Edvocacy (SAFE)