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Epanova

Phase 3

Hypertriglyceridemia | Small molecule | Other |AstraZeneca PLC|Last Updated: Sep 10, 2019

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDBiomarker
Total Trials2
Total Enrollment493
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02009865Epanova® for Lowering Very High Triglycerides II (EVOLVE II)PHASE3 COMPLETED 379Dec 16, 2013Dec 23, 2014Sep 10, 201940 United States, Canada +5
NCT02859129Study to Evaluate the 2-Way Interaction Between Multiple Doses of Epanova™ and a Single Dose of Rosuvastatin (Crestor®)PHASE1 COMPLETED 114Sep 1, 2013Nov 1, 2013Aug 17, 20161 United States
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Study Endpoints
Primary Endpoints
Percent Change in Triglyceride for All Subjects
From Baseline to Week 12 Endpoint

This primary endpoint was tested in parallel together with the first of the secondary endpoints, each at 0.025 Type I error rate.

ln-transformed Cmax,ss of baseline-adjusted total EPA, total DHA, and total EPA+DHA
Days 1 and 24

ln-transformed Cmax,ss of baseline-adjusted (primary analysis) and unadjusted (secondary analysis) total EPA, total DHA, and total EPA+DHA using a linear mixed effect model.

ln-transformed AUC0-tau of baseline-adjusted total EPA, total DHA, and total EPA+DHA
Days 1 and 24

ln-transformed AUC0-tau of baseline-adjusted (primary analysis) and unadjusted (secondary analysis) total EPA, total DHA, and total EPA+DHA using a linear mixed effect model.

Secondary Endpoints
Percent Change in Triglycerides for Subjects With at Least 1 Qualifying Triglyceride >885 mg/dL
From Baseline to Week 12 Endpoint
Percent Change in Non-High-Density Lipoprotein Cholesterol (mg/dL)
From Baseline to Week 12 Endpoint
Percent Change in High-Density Lipoprotein Cholesterol (mg/dL)
From Baseline to Week 12 Endpoint
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Epanova 2 g/dayEXPERIMENTALArm 1
Olive Oil 2 g/dayPLACEBO_COMPARATORArm 2
RosuvastatinEXPERIMENTALSingle oral dose of 40 mg (1 x 40 mg tablet) rosuvastatin (Crestor®) (Day 1).
Epanova®EXPERIMENTALMultiple oral doses of 2 g (2 x 1 g capsules) Epanova® QD for 10 consecutive days (Days 4 to 13)
Epanova® + Crestor®EXPERIMENTALEpanova® multiple oral doses of 4 g (4 x 1 g capsules) QD for 13 consecutive days (Days 14 to 26) with coadministration of single 40 mg (1 x 40 mg tablet) oral dose of rosuvastatin (Crestor®) with the 11th dose of 4 g Epanova® on Day 24
Vascepa®ACTIVE_COMPARATORVascepa® multiple oral doses of 2 g (2 x 1 g capsules) every 12 hours for 20 consecutive days (Days 1 to 20).
Interventions
NameTypeDescription
EpanovaDRUGEpanova will be provided in 1 g polyacrylate-coated soft gel capsules. Two capsules will be taken once per day, without regard to meals, for 12 weeks. At clinic visits, study drug will be administered at the clinic after fasting blood draws are complete.
Olive OilDRUGOlive oil will be provided in 1 g polyacrylate-coated soft gel capsules. Two capsules will be taken once per day, without regard to meals, for 12 weeks. At clinic visits, study drug will be administered at the clinic after fasting blood draws are complete.
rosuvastatin 40 mg tabletDRUGSingle oral dose of 40 mg (1 x 40 mg tablet) rosuvastatin (Crestor®) (Day 1).
Epanova™ QD (2 x 1 g capsules)DRUGMultiple oral doses of 2 g (2 x 1 g capsules) Epanova™ QD for 10 consecutive days (Days 4 to 13)
Multiple doses of 4 g Epanova™ with single of rosuvastatin 40 mg doseDRUGMultiple oral doses of 4 g Epanova™ QD for 13 consecutive days with coadministration of single 40 mg oral dose of rosuvastatin (Crestor®) with the 11th dose of Epanova™ on Day 24
Multiple (20) oral doses of 2 g Vascepa® every 12 hoursDRUGMultiple oral doses of 2 g (2 x 1 g capsules) Vascepa® every 12 hours for 20 consecutive days (Days 1 to 20).
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Eligibility Criteria
Age Range18 Years — 130 Years
SexALL
Healthy VolunteersNo
Study Sites40

Inclusion Criteria: 1. Understanding of the study procedures, willingness to adhere to the study schedule, and agreement to participate in the study by giving written informed consent prior to screening; 2. Willing to use an appropriate and effective method of contraception; 3. Qualifying (average ...

Countries:United StatesCanadaCzechiaDenmarkHungaryNetherlandsRussia
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