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    The EU Clinical Trials Register currently displays   42314   clinical trials with a EudraCT protocol, of which   6969   are clinical trials conducted with subjects less than 18 years old.
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    Summary
    EudraCT Number:2004-001580-22
    Sponsor's Protocol Code Number:062
    National Competent Authority:Germany - BfArM
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2004-10-20
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedGermany - BfArM
    A.2EudraCT number2004-001580-22
    A.3Full title of the trial
    A Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate Efficacy and Safety of Adding Ezetimibe 30 mg to an Ongoing Regimen of Ezetimibe 10 mg in Patients With Homozygous Sitosterolemia
    A.3.2Name or abbreviated title of the trial where available
    Sitosterolemia High Dose Study
    A.4.1Sponsor's protocol code number062
    A.7Trial is part of a Paediatric Investigation Plan Information not present in EudraCT
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorMSD SHARP & DOHME GMBH
    B.1.3.4CountryGermany
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing support
    B.4.2Country
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisation
    B.5.2Functional name of contact point
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Information not present in EudraCT
    D.2.1.1.1Trade name Ezetrol
    D.2.1.1.2Name of the Marketing Authorisation holderMSD-SP Ltd., Hertford Road, UK-Hoddesdon, Hertfordshire EN11 9BU, United Kingdom
    D.2.1.2Country which granted the Marketing AuthorisationGermany
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameEzetrol
    D.3.2Product code MK-0653
    D.3.4Pharmaceutical form Tablet
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number10, 40
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Information not present in EudraCT
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy Information not present in EudraCT
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product Information not present in EudraCT
    D.3.11.8Extractive medicinal product Information not present in EudraCT
    D.3.11.9Recombinant medicinal product Information not present in EudraCT
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboTablet
    D.8.4Route of administration of the placeboOral use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Homozygous Sitosterolemia
    MedDRA Classification
    E.1.3Condition being studied is a rare disease Yes
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    In patients with sitosterolemia who have been taking ezetimibe 10 mg daily for at least 6 months prior to entry, to compare the effects of adding ezetimibe 30 mg versus placebo to ongoing ezetimibe 10-mg treatment for 26 weeks on plasma sitosterol concentration.
    E.2.2Secondary objectives of the trial
    In patients with sitosterolemia who have been taking ezetimibe 10 mg daily for at least 6 months prior to entry:

    1.To compare the effects of adding ezetimibe 30 mg versus placebo to ongoing ezetimibe 10-mg treatment for 26 weeks on plasma campesterol concentration.

    2.To assess change in size of Achilles tendon-thickness and non-Achilles xanthomas relative to baseline after adding ezetimibe 30 mg versus placebo to ongoing treatment with ezetimibe 10 mg for 26 weeks.

    3.To evaluate the safety and tolerability of ezetimibe 40 mg in patients with sitosterolemia previously treated with ezetimibe 10 mg.
    E.2.3Trial contains a sub-study Information not present in EudraCT
    E.3Principal inclusion criteria
    Patient is at least 18 years of age.

    Patient has a diagnosis of homozygous sitosterolemia, with a history of plasma sitosterol concentration of >5 mg/dL (0.13 mmol/L).

    Patient has been on an on-going stable regimen of ezetimibe 10 mg daily for at least 6 months prior to visit 1.

    Current treatment regimen for sitosterolemia and diet must be stable for at least 4 weeks prior to visit 1 and for the duration of the study.
    E.4Principal exclusion criteria
    Patient has a condition which might pose a risk to the patient, interfere with participation in the study, or does not meet criteria for this protocol.

    Patient has clinically significant lab abnormalities prior to visit 2 (ALT, AST, CPK ≥ 3 x ULN, TSH >6 mIU/L).

    Patient has the following conditions: uncontrolled cardiac arrhythmias, severe/unstable peripheral vascular disease, uncontrolled hypertension, impaired renal function, very poorly controlled Type 1 or Type 2 DM, active or chronic hepatobiliary or hepatic disease, positive for HIV.

    Patient has the following conditions within 1 month of visit 1: unstable angina pectoris, symptomatic carotid disease, myocardial infarction, coronary artery bypass surgery/other invasive coronary.

    Patient is on statin AND is treated with, or likely to require treatment with, an agent that has precautions or contraindications to concomitant use with the statin.
    Patient is taking oral corticosteroids UNLESS patient uses as stable replacement therapy for pituitary/adrenal disease.

    Patient is on a thiazide diuretic UNLESS treated with a stable regimen for at least 6 weeks prior to visit 1.

    Patient has ileal bypass surgery within 3 months prior to visit 1.

    Patient has a condition which might pose a risk to the patient, interfere with participation in the study, or does not meet criteria for this protocol.

    Patient has clinically significant lab abnormalities prior to visit 2 (ALT, AST, CPK ≥ 3 x ULN, TSH >6 mIU/L).

    Patient has the following conditions: uncontrolled cardiac arrhythmias, severe/unstable peripheral vascular disease, uncontrolled hypertension, impaired renal function, very poorly controlled Type 1 or Type 2 DM, active or chronic hepatobiliary or hepatic disease, positive for HIV.

    Patient has the following conditions within 1 month of visit 1: unstable angina pectoris, symptomatic carotid disease, myocardial infarction, coronary artery bypass surgery/other invasive coronary.

    Patient is on statin AND is treated with, or likely to require treatment with, an agent that has precautions or contraindications to concomitant use with the statin.

    Patient is taking oral corticosteroids UNLESS patient uses as stable replacement therapy for pituitary/adrenal disease.

    Patient is on a thiazide diuretic UNLESS treated with a stable regimen for at least 6 weeks prior to visit 1.

    Patient has ileal bypass surgery within 3 months prior to visit 1.
    E.5 End points
    E.5.1Primary end point(s)
    Plasma concentrations of sitosterol, campesterol, lathosterol, desmosterol, total cholesterol, LDL-C, radiographic assessment of Achilles tendon thickness and direct measurements of non-Achilles xanthomas.
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy No
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic Information not present in EudraCT
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) Yes
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind Yes
    E.8.1.5Parallel group Yes
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo Yes
    E.8.2.3Other No
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.5The trial involves multiple Member States Yes
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA No
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.7Trial has a data monitoring committee Information not present in EudraCT
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    Post Study visit 14 days after last visit or 14 days after last blinded treatment dose if patient discontinues.
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years0
    E.8.9.1In the Member State concerned months8
    E.8.9.1In the Member State concerned days
    E.8.9.2In all countries concerned by the trial years0
    E.8.9.2In all countries concerned by the trial months8
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero Information not present in EudraCT
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) Information not present in EudraCT
    F.1.1.3Newborns (0-27 days) Information not present in EudraCT
    F.1.1.4Infants and toddlers (28 days-23 months) Information not present in EudraCT
    F.1.1.5Children (2-11years) Information not present in EudraCT
    F.1.1.6Adolescents (12-17 years) Information not present in EudraCT
    F.1.2Adults (18-64 years) Yes
    F.1.3Elderly (>=65 years) Yes
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Information not present in EudraCT
    F.3.3.1Women of childbearing potential not using contraception For clinical trials recorded in the database before the 10th March 2011 this question read: "Women of childbearing potential" and did not include the words "not using contraception". An answer of yes could have included women of child bearing potential whether or not they would be using contraception. The answer should therefore be understood in that context. This trial was recorded in the database on 2004-10-20. Yes
    F.3.3.2Women of child-bearing potential using contraception Information not present in EudraCT
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state3
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 9
    F.4.2.2In the whole clinical trial 30
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    Ezetimibe 10 mg is an approved treatment for sitosterolemia in US, UK, Germany, France, Norway, and the Netherlands.
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2004-12-21
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2004-12-02
    P. End of Trial
    P.End of Trial StatusCompleted
    P.Date of the global end of the trial2005-10-01
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