Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Label indication Fenofibric acid delayed-release capsules are indicated as adjunctive therapy to diet: • to reduce triglyceride (TG) levels in adults with severe hypertriglyceridemia (TG greater than or equal to 500 mg/dL). • to reduce elevated low-density lipoprotein cholesterol (LDL-C) in adults with primary hyperlipidemia when use of recommended LDL-C lowering therapy is not possible. FDA label
Also known as Trilipex, TriLipix, Fenofibric acid, Choline Fenofibrate
ABT-335 · 7 trials · 5 indications
\[(Week 12 triglycerides minus baseline triglycerides)/baseline triglycerides\] x 100
\[(Week 12 HDL-C minus baseline HDL-C)/baseline HDL-C\] x 100
All serious and non-serious adverse events are reported from the time of combination study drug initiation until 30 days after discontinuation of study drug. Adverse events are unfavorable changes in health that occur in subjects during a clinical trial or within a specified period following a trial. Serious adverse events are those that result in death, require inpatient hospitalization or the prolongation of hospitalization, result in congenital anomaly/birth defect, or significant disability/incapacity or are life-threatening.
\[(Week 12 triglycerides minus baseline triglycerides)/baseline triglycerides\] x 100
\[(Week 12 LDL-C minus baseline LDL-C)/baseline LDL-C\] x 100
After receiving total daily caloric intake over 20 hrs as 20 identical small meals, starting at 0600 hrs, subjects took study medications at 0800 hrs. Five hours after the first meal, i.v. 5,5,5-2H3-L-leucine was administered, followed by a primed-constant infusion at 10 mol/kg body weight per hr for 15 hrs during which 14 blood samples were collected. Isotopic enrichment of leucine in apoA1 band excised from polyacrylamide gel was calculated. Assuming steady state apo A-I metabolism, we used a compartment model to fit data, consisting a precursor compartment (Compartment 1), the plasma leucine pool, an intracellular compartment accounting for apoA1 synthesis and lipoprotein assembly (Compartment 2), and compartments to account for dispositional kinetics of the subfractions including a plasma pool compartment (Compartment 3). The apoA1 FCR corresponds to the rate of irreversible loss of leucine pools from Compartment 3.
The apolipoprotein A-I production rate using (5,5,5-2H3-L-leucine) was measured following each of the three study periods i.e following 4 weeks of atorvastatin 10 mg/day, following 8 further weeks of ABT335 135 mg/day added to atorvastatin and following 10 further weeks of ER niacin 2000 mg/day and aspirin 325 mg/day added to atorvastatin+ABT335.
Triglyceride iAUC was measured during an oral fat tolerance test administered after 4 weeks of atorvastatin 10 mg/day , a further 8 weeks of atorvastatin 10mg /day+ABT335 135mg/day and then after a further 10 weeks of atorvastatin 10 mg/day+ABT335 135 mg/day+Niaspan 2000 mg/day. The standardized oral fat load was administered one hour post medication dosing and blood was collected prior to drug dosing, prior to the oral fat load and hourly thereafter for 10 hours (0,1,2,3,4,5,6,7,8,9,10,12 hrs post drug dosing)
| Arm | Type | Description |
|---|---|---|
| ABT-335 + atorvastatin + ezetimibe | ACTIVE_COMPARATOR | - |
| Placebo + atorvastatin + ezetimibe | PLACEBO_COMPARATOR | - |
| ABT-335 + rosuvastatin calcium | EXPERIMENTAL | - |
| ABT-335 + simvastatin | EXPERIMENTAL | - |
| ABT-335 + atorvastatin calcium | EXPERIMENTAL | - |
| A | ACTIVE_COMPARATOR | 20 mg drug and ABT-335 |
| B | ACTIVE_COMPARATOR | 40 mg drug and ABT 335 |
| C | ACTIVE_COMPARATOR | 40 mg drug and ABT-335 |
| D | PLACEBO_COMPARATOR | 20 mg simvastatin monotherapy |
| E | PLACEBO_COMPARATOR | 40 mg simvastatin monotherapy |
| F | PLACEBO_COMPARATOR | 80 mg simvastatin monotherapy |
| Atorvastatin | ACTIVE_COMPARATOR | atorvastatin 10 mg/day by mouth for a total duration of 4 weeks |
| ABT335 | ACTIVE_COMPARATOR | ABT335 135 mg/day by mouth added to atorvastatin for a total duration of at least 8 |
| ER niacin | ACTIVE_COMPARATOR | ER niacin titrated up to 2 g/day with aspirin 325 mg/day by mouth added to atorvastatin and ABT335 for 10 weeks |
| Name | Type | Description |
|---|---|---|
| ABT-335 | DRUG | 135 mg capsule, daily, 12 weeks |
| placebo | DRUG | placebo capsule, daily, 12 weeks |
| atorvastatin | DRUG | 40 mg, tablet, daily, 12 weeks |
| ezetimibe | DRUG | 10 mg capsule, daily, 12 weeks |
| rosuvastatin calcium | DRUG | Oral coadministration of rosuvastatin calcium (20 mg) once daily, beginning in either the 12-week double-blind study or the previous 52-week open-label year 1 study and continuing in 52-week year 2 study |
| simvastatin | DRUG | Oral coadministration of simvastatin (40 mg) once daily, beginning in either the 12-week double-blind study or the previous 52-week open-label year 1 study and continuing in 52-week year 2 study |
| atorvastatin calcium | DRUG | Oral coadministration of atorvastatin calcium (40 mg) once daily, beginning in either the 12-week double-blind study or the previous 52-week open-label year 1 study and continuing in 52-week year 2 study |
| ABT-335 and rosuvastatin calcium | DRUG | ABT-335 135 mg plus rosuvastatin calcium daily, 52 weeks |
| ABT-335 and atorvastatin calcium | DRUG | ABT-335 135 mg plus atorvastatin calcium daily, 52 weeks |
| ABT-335 and simvastatin | DRUG | ABT-335 135 mg plus simvastatin daily, 52 weeks |
| ABT335 | DRUG | 135 mg QD added to atorvastatin for 8 weeks |
| ER Niacin | DRUG | 2000 mg QD added to atorvastatin and ABT335 for 10 weeks |
Inclusion Criteria: * Subjects with mixed dyslipidemia (trigylcerides, \> or = to 150 mg/dL to \< 400 mg/dL; HDL-C \< 40 mg/dL for males, \< 50 mg/dL for females; LDL-C, \> or = to 130 mg/dL). * Subjects must agree to use adequate birth control methods and to adhere to the American Heart Associatio...
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ABT-335 is being developed for the treatment of dyslipidemia and mixed dyslipidemia, conditions involving abnormal lipid levels in the blood. It has been studied in patients with multiple abnormal lipid levels, including those with coronary heart disease. It is an investigational therapy and is not approved for commercial use.
ABT-335 is developed by Abbott Laboratories, which trades under the ticker ABT. Abbott sponsored the clinical trial program evaluating the drug in combination with statin therapy for patients with dyslipidemia and mixed dyslipidemia.
ABT-335 has completed Phase 3 clinical development. Four of its five trials are completed, including Phase 3 studies, and no trials are currently active. It is an investigational drug and has not been approved by the FDA.
ABT-335 has been evaluated in five trials, including NCT00300482, a Phase 3 study combining ABT-335 with rosuvastatin calcium in 1,445 subjects, and NCT00639158, a Phase 3 study with atorvastatin and ezetimibe in 543 subjects. NCT00491530 was a Phase 3 safety extension study in mixed dyslipidemia.
Across five clinical trials, ABT-335 enrolled a total of 4,581 participants. The studies were randomized, double-blind, and active-controlled, and they evaluated the drug in adults with dyslipidemia and mixed dyslipidemia, including patients with coronary heart disease.