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ABT-335

Phase 4FDA approved 2008

Dyslipidemia | Small molecule | Cardiovascular |Abbott Laboratories|Trials Updated: Feb 29, 2016

ABT-335 development status

FDA approval Dec 15, 2008 as Trilipix
Approval holderAbbvie
ApplicationNDA022224
Highest phase Phase 4 (NCT01025492)
Phase scored for ABTPhase 3
Registered trials 15 across 5 sponsors since Mar 2006

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

ABT-335 target and mechanism

ModalitySmall molecule

Also known as Trilipex, TriLipix, Fenofibric acid, Choline Fenofibrate

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials7
Total Enrollment5,504

FDA Designations

No designations recorded

ABT-335 clinical trials

ABT-335 · 7 trials · 5 indications

Phase 3 6Phase 2 1
NCT00639158Safety and Efficacy Study Comparing ABT-335 Coadministered With Atorvastatin and Ezetimibe to Atorvastatin Coadministered With Ezetimibe in Subjects With Multiple Abnormal Lipid (Fat) Levels in the BloodDyslipidemias
COMPLETED543 Analytics
NCT00491530A Year 2, Safety Extension Study of the Combination of ABT-335 and Statin Therapy for Subjects With Mixed DyslipidemiaMixed Dyslipidemia
COMPLETED310 Analytics
NCT00300430Study to Evaluate the Long-Term Safety and Efficacy of ABT-335, in Combination With Three Different Statins in Subjects With Mixed Dyslipidemia.Dyslipidemia
COMPLETED1,911 Analytics
NCT00300456Evaluate Safety and Efficacy of ABT-335 in Combination With Simvastatin in Subjects With Multiple Abnormal Lipid Levels in the BloodDyslipidemia
COMPLETED657 Analytics
NCT00300469Evaluate Safety and Efficacy of ABT-335 in Combination With Atorvastatin in Subjects With Multiple Abnormal Lipid Levels in the BloodMixed Dyslipidemia
COMPLETED613 Analytics
NCT00300482Evaluate Safety and Efficacy of ABT-335 in Combination With Rosuvastatin Calcium in Subjects With Multiple Abnormal Lipid Levels in the BloodDyslipidemia
COMPLETED1,445 Analytics
PHASE3COMPLETED
Safety and Efficacy Study Comparing ABT-335 Coadministered With Atorvastatin and Ezetimibe to Atorvastatin Coadministered With Ezetimibe in Subjects With Multiple Abnormal Lipid (Fat) Levels in the Blood
DyslipidemiasUnlock trial analytics
PHASE3COMPLETED
A Year 2, Safety Extension Study of the Combination of ABT-335 and Statin Therapy for Subjects With Mixed Dyslipidemia
Mixed DyslipidemiaUnlock trial analytics
PHASE3COMPLETED
Study to Evaluate the Long-Term Safety and Efficacy of ABT-335, in Combination With Three Different Statins in Subjects With Mixed Dyslipidemia.
DyslipidemiaUnlock trial analytics
PHASE3COMPLETED
Evaluate Safety and Efficacy of ABT-335 in Combination With Simvastatin in Subjects With Multiple Abnormal Lipid Levels in the Blood
DyslipidemiaUnlock trial analytics
PHASE3COMPLETED
Evaluate Safety and Efficacy of ABT-335 in Combination With Atorvastatin in Subjects With Multiple Abnormal Lipid Levels in the Blood
Mixed DyslipidemiaUnlock trial analytics
PHASE3COMPLETED
Evaluate Safety and Efficacy of ABT-335 in Combination With Rosuvastatin Calcium in Subjects With Multiple Abnormal Lipid Levels in the Blood
DyslipidemiaUnlock trial analytics

Study Endpoints

Primary Endpoints

Median Percent Change in Triglycerides From Baseline to Final Visit
Baseline to 12 Weeks (Final Visit)

\[(Week 12 triglycerides minus baseline triglycerides)/baseline triglycerides\] x 100

Mean Percent Change in High-Density Lipoprotein Cholesterol (HDL-C) From Baseline to Final Visit
Baseline to 12 weeks (Final Visit)

\[(Week 12 HDL-C minus baseline HDL-C)/baseline HDL-C\] x 100

Percentage of Subjects Reporting Adverse Events During Combination Therapy in the Preceding Double-Blind Studies or in the Preceding Open-Label Year 1 Study or in This Open-Label Year 2 Study
Anytime after initiation of combination therapy (in the preceding 12-week double-blind studies or in the preceding open-label year 1 study) up to 116 weeks, to within 30 days after the last dose of combination therapy.

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.

Percentage of Subjects Reporting Adverse Events During Combination Therapy, Either in the Preceding Double-blind Studies or in This Open-label Study
Anytime after initiation of combination therapy (either in the double-blind or open-label study) to within 30 days after the last dose of combination therapy
Mean Percent Change in Triglycerides From Baseline to Final Visit
Baseline to 12 Weeks (Final Visit)

\[(Week 12 triglycerides minus baseline triglycerides)/baseline triglycerides\] x 100

Mean Percent Change in Low-density Lipoprotein Cholesterol (LDL-C) From Baseline to Final Visit
Baseline to 12 Weeks (Final Visit)

\[(Week 12 LDL-C minus baseline LDL-C)/baseline LDL-C\] x 100

The Apolipoprotein A-I Fractional Catabolic Rate (FCR)
4 weeks, 12 weeks and 22 weeks

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.

Apo-A1 Production Rate
4 weeks, 12 weeks and 22 weeks

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.

Post-prandial Triglyceride Incremental Area Under the Curve (iAUC)
4 weeks, 12 weeks, 22 weeks

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)

Secondary Endpoints

Mean Percent Change in Apolipoprotein AI (apoAI) From Baseline to Final Visit
Baseline to 12 weeks (Final Visit)
Mean Percent Change in Very Low-Density Lipoprotein Cholesterol (VLDL-C) From Baseline to Final Visit
Baseline to 12 weeks (final visit)
Mean Percent Change in Apolipoprotein CIII (apoCIII) From Baseline to Final Visit
Baseline to 12 weeks (Final Visit)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ABT-335 + atorvastatin + ezetimibeACTIVE_COMPARATOR -
Placebo + atorvastatin + ezetimibePLACEBO_COMPARATOR -
ABT-335 + rosuvastatin calciumEXPERIMENTAL -
ABT-335 + simvastatinEXPERIMENTAL -
ABT-335 + atorvastatin calciumEXPERIMENTAL -
AACTIVE_COMPARATOR20 mg drug and ABT-335
BACTIVE_COMPARATOR40 mg drug and ABT 335
CACTIVE_COMPARATOR40 mg drug and ABT-335
DPLACEBO_COMPARATOR20 mg simvastatin monotherapy
EPLACEBO_COMPARATOR40 mg simvastatin monotherapy
FPLACEBO_COMPARATOR80 mg simvastatin monotherapy
AtorvastatinACTIVE_COMPARATORatorvastatin 10 mg/day by mouth for a total duration of 4 weeks
ABT335ACTIVE_COMPARATORABT335 135 mg/day by mouth added to atorvastatin for a total duration of at least 8
ER niacinACTIVE_COMPARATORER niacin titrated up to 2 g/day with aspirin 325 mg/day by mouth added to atorvastatin and ABT335 for 10 weeks

Interventions

NameTypeDescription
ABT-335DRUG135 mg capsule, daily, 12 weeks
placeboDRUGplacebo capsule, daily, 12 weeks
atorvastatinDRUG40 mg, tablet, daily, 12 weeks
ezetimibeDRUG10 mg capsule, daily, 12 weeks
rosuvastatin calciumDRUGOral 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
simvastatinDRUGOral 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 calciumDRUGOral 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 calciumDRUGABT-335 135 mg plus rosuvastatin calcium daily, 52 weeks
ABT-335 and atorvastatin calciumDRUGABT-335 135 mg plus atorvastatin calcium daily, 52 weeks
ABT-335 and simvastatinDRUGABT-335 135 mg plus simvastatin daily, 52 weeks
ABT335DRUG135 mg QD added to atorvastatin for 8 weeks
ER NiacinDRUG2000 mg QD added to atorvastatin and ABT335 for 10 weeks
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites118

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...

Countries:United States
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Frequently asked questions about ABT-335

What is ABT-335 used for?

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.

Who makes ABT-335?

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.

What phase is ABT-335 in?

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.

What clinical trials is ABT-335 in?

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.

How many patients were enrolled in ABT-335 trials?

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.