Overview

Efficacy of Lapaquistat Acetate and Simvastatin in Subjects With Primary Dyslipidemia.

Status:
Completed
Trial end date:
2007-03-01
Target enrollment:
0
Participant gender:
All
Summary
The purpose of the study is to determine the efficacy of lapaquistat acetate, once daily (QD), taken with simvastatin on cholesterol levels in subjects with primary dyslipidemia
Phase:
Phase 3
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Takeda
Treatments:
Simvastatin
Criteria
Inclusion Criteria:

- Females of childbearing potential who are sexually active must agree to use adequate
contraception from screening throughout the duration of the study and for 30 days
following the last dose.

- Has a documented history of dyslipidemia with or without cardiovascular risk factors
but without type 1 or 2 diabetes.

- Is on a stable dose of simvastatin, either 20 or 40 mg, for at least 4 weeks prior to
Screening.

- Prior to Randomization, the participant has a mean low density lipoprotein cholesterol
level greater than or equal to 100 mg/dL and less than or equal to 190 mg/dL for 2
consecutive samples.

- Prior to Randomization, the subject has mean triglyceride level greater than or equal
to 400 mg/dL for 2 consecutive samples.

- Is willing and able to comply with the recommended, standardized diet.

Exclusion Criteria:

- Has annine aminotransferase or aspartate aminotransferase level greater than 1.5 times
the upper limit of normal, identified during screening.

- Has a serum creatinine greater than 133 mmol/L, identified during screening.

- Has a creatine kinase greater than 3 times the upper limit of normal, identified
during screening.

- Has active liver disease or jaundice.

- Has taken any bile acid sequestrants [eg, cholestyramine], and intestinal cholesterol
uptake inhibitors [eg, ezetimibe]) from 30 days before Screening until study
completion or any fibrates for 6 weeks before Visit 1.

- Has a previous history of cancer that has been in remission for less than 5 years
prior to the first dose of study medication.

- Has an endocrine disorder, such as Cushing's syndrome, hyperthyroidism, or
inappropriately treated hypothyroidism affecting lipid metabolism.

- Has a history of myocardial infarction, angina pectoris, unstable angina, transient
ischemic attacks, cerebrovascular accident, peripheral vascular disease, abdominal
aortic aneurysm, coronary angioplasty, coronary or peripheral arterial surgery, or
multiple risk factors that confer a 10-year risk for cardiovascular heart disease
greater than 20% based on Framingham risk scoring.

- Has a positive hepatitis B surface antigen or hepatitis C virus antibody test, as
determined by medical history.

- Has a positive human immunodeficiency virus status or is taking antiretroviral
medications, as determined by medical history and/or subject's verbal report.

- Has received any investigational medication 30 days prior to screening, (for drugs
with a long half-life, within a period of less than 5 times the drug's half-life) or
is participating in an investigational study.

- Has received lapaquistat acetate in a previous clinical study or as a therapeutic
agent.

- Has a history or presence of clinically significant food allergy that would prevent
adherence to the specialized diet.

- Has a known heterozygous or homozygous familial hypercholesterolemia or known type III
hyperlipoproteinemia (familial dysbetalipoproteinemia).

- Has fibromyalgia, myopathy, rhabdomyolysis, or unexplained muscle pain.

- Has uncontrolled hypertension

- Has had inflammatory bowel disease or any other malabsorption syndrome, or has had
gastric bypass or any other surgical procedure for weight loss.

- Has a history of drug abuse or a history of high alcohol intake within the previous 2
years.

- Has type 1 or 2 diabetes mellitus.