Status:

COMPLETED

Effects of Ezetimibe on the Absorption of Oxidized Cholesterol

Lead Sponsor:

UCSF Benioff Children's Hospital Oakland

Collaborating Sponsors:

Merck Schering-Plough

Conditions:

Hypercholesterolemia

Eligibility:

All Genders

18-70 years

Phase:

PHASE4

Brief 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.

Detailed Description

There are a number of cholesterol-lowering drugs available that can lower blood cholesterol to a healthier level. Zetia™ (ezetimibe) 10 mg is available by prescription for the treatment of high choles...

Eligibility Criteria

Inclusion

  • 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 \<110 mg/dL and hemoglobin A1c (HbA1C) ≤ 6 percent at Visit 1. Note: One retest allowed.
  • Liver transaminases (ALT, AST) ≤1.5 x upper limit of normal (ULN) and no active liver disease. Note: One retest allowed.
  • Creatine Phosphokinase (CPK) ≤2x ULN. Note: One retest allowed.
  • Willingness to maintain a stable diet for the duration of the study.
  • Can understand and comply with study procedures and signs a written informed consent.
  • Patient is ≥80 precent compliant with dosing during Placebo Run-In Period or, in the opinion of the investigator, is able to maintain ≥80 percent therapy compliance during the active treatment period of the study.

Exclusion

  • Lipid-lowering therapy and replacement of this therapy with study medication is considered inappropriate by the investigator.
  • Consumes an average of more than 2 alcoholic drinks per day.
  • Smokes.
  • Currently engages in a vigorous exercise regimen or intensive exercise bouts \>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

Key Trial Info

Start Date :

June 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 1 2008

Estimated Enrollment :

26 Patients enrolled

Trial Details

Trial ID

NCT00794677

Start Date

June 1 2006

End Date

September 1 2008

Last Update

March 9 2021

Active Locations (1)

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Cholesterol Research Center

Berkeley, California, United States, 94705