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EZ /Atorva

Phase 3

Hypercholesterolemia | Small molecule | Metabolic |Organon & Co.|Last Updated: May 16, 2024

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-BlindCONTROLLEDBiomarker
Total Trials2
Total Enrollment589
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03768427Ezetimibe (EZ)/Atorvastatin (Ator) (MK-0653C) vs. Ator in Chinese Hypercholesterolemic Participants (MK-0653C-439)PHASE3 COMPLETED 454May 27, 2019Apr 1, 2021May 16, 202430 China
NCT02460159A Clinical Trial to Assess the Long Term Safety and Tolerability of MK-0653C in Japanese Participants With Hypercholesterolemia (MK-0653C-384)PHASE3 COMPLETED 135Jun 23, 2015Dec 22, 2016May 16, 2024 -
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Study Endpoints
Primary Endpoints
Percent Change From Baseline in LDL-C at Week 12
Baseline (Day 1) and Week 12

Participants had LDL-C levels assessed at baseline and after 12 weeks of study drug administration. The change from baseline was calculated.

Percentage of Participants Who Experience 1 or More Adverse Event (AE)
up to 54 Weeks

An AE was defined as any untoward medical occurrence in a subject which does not necessarily have a causal relationship with the treatment. An AE was any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with use of a medicinal product, whether or not considered related to the medicinal product. The percentage of participants that reported at least 1 AE was summarized.

Percentage of Participants Who Experience 1 or More Gastrointestinal-related AEs
up to 54 weeks

Gastrointestinal-related AEs included all preferred terms within system organ class of Gastrointestinal Disorders except Chapped Lips and Toothache.

Percentage of Participants Who Experience 1 or More Gallbladder-related AEs
up to 54 weeks

Gallbladder-related AEs included Bile Duct Obstruction, Bile Duct Stone, Bile Duct Stenosis, Biliary Colic, Cholangitis, Cholecystectomy, Cholecystitis, Cholelithiasis, Gallbladder Disorder, Gallbladder Perforation, Hepatic Pain, and Hydrocholecystis.

Percentage of Participants Who Experience 1 or More Allergic Reaction or Rash AEs
up to 54 weeks

Allergic Reaction or Rash AEs included Allergy to Arthropod Sting, Anaphylactoid Reaction, Anaphylactic Reaction, Anaphylatic Shock, Anaphylactoid Shock, Angioedema, Conjunctivitis Allergic, Contrast Media Reaction, Dermatitis, Dermatitis Allergic, Dermatitis Atopic, Dermatitis Bullous, Dermatitis Contact, Dermatitis Psoriasiform, Drug Hypersensitivity, Eczema, Eosinophila, Erythema, Eye Allergy, Face Oedema, Hypersensitivity, Mechanical Urticaria, Palmar Erythema, Periorbital Oedema, Photodermatosis, Photosensitivity Allergic reaction, Photosensitivity Reaction, Pigmentation Disorder, Pruritus, Pruritus Generalised, Rash, Rash Erythematous, Rash Follicular, Rash Generalised, Rash Maculo-Papular, Rash Papulosquamous, Rash Pruritic, Rash Pustular, Rash Vesicular, Rhinitis, Rhinitis Allergic, Rosacea, Skin Exfoliation, Skin Disorder, Skin Hyperpigmentation, Skin Lesion, Skin Mass, Skin Ulcer, Subcutaneous Nodule, Swelling Face, Systemic Lupus Erythematosus Rash, Urticaria.

Percentage of Participants Who Experience 1 or More Hepatitis-related AEs
up to 54 weeks

Hepatitis-related AEs included Cholestasis, Cytolytic Hepatitis, Hepatic Cyst, Hepatic Failure, Hepatic Lesion, Hepatic Necrosis, Hepatitis, Hepatitis Cholestatic, Hepatitis Fulminant, Hepatitis Infectious, Hepatocellular Injury, Hepatomegaly, Jaundice, Jaundice Cholestatic.

Percentage of Participants Who Experience Consecutive Elevations in Alanine Aminotransferase (ALT) and/or Aspartate Aminotransferase (AST) ≥3 Times Upper Normal Limit (ULN)
up to 52 weeks

Participants had ALT and AST levels assessed throughout the 52 week treatment period. Participants who had 2 consecutive assessments of ALT and/or AST that were 3 x ULN or greater were recorded. The ALT and AST ULNs were 40 U/L.

Percentage of Participants Who Experience Elevations in ALT or AST ≥5 Times ULN
up to 52 weeks

Participants had ALT and AST levels assessed throughout the 52 week treatment period. Participants who had assessments of ALT or AST that were 5x ULN or greater were recorded. The ALT and AST ULNs were 40 U/L.

Percentage of Participants Who Experience Elevations in ALT or AST ≥10 Times ULN
up to 52 weeks

Participants had ALT and AST levels assessed throughout the 52 week treatment period. Participants who had assessments of ALT and/or AST that were 10x ULN or greater were recorded. The ALT and AST ULNs were 40 U/L.

Percentage of Participants With Potential Hy's Law Condition
up to 52 weeks

Percentage of Participants with Potential Hy's Law Condition (defined as serum ALT or serum AST elevations \>3xULN, with serum alkaline phosphatase \<2xULN and total bilirubin (TBL) ≥2xULN) was summarized. The ALT and AST ULNs were 40 U/L. The ULN for alkaline phosphatase was 359 IU/L and the ULN for total bilirubin was 1.2 mg/dL.

Percentage of Participants Who Experience Elevations in Creatine Kinase (CK) ≥10 Times ULN
up to 52 weeks

Participants had creatine phosphokinase (CK) levels assessed throughout the 12 week treatment period. Participants who had any CK level that was ≥10 x ULN were recorded. The CK ULNs for males and females were 287 IU/L and 163 IU/L, respectively.

Percentage of Participants Who Experience Elevations in Creatine Kinase (CK) ≥10 Times ULN With Muscle Symptoms
up to 52 weeks

Participants had CK levels assessed throughout the 52 week treatment period. Participants who had any CK level that was ≥10 x ULN and had associated muscle symptoms present within +/- 7 days were recorded. The CK ULNs for males and females were 287 IU/L and 163 IU/L, respectively.

Percentage of Participants Who Experience Elevations in Creatine Kinase (CK) ≥10 Times ULN and Drug-Related Muscle Symptoms
up to 52 weeks

Participants had CK levels assessed throughout the 52 week treatment period. Participants who had any CK level that was ≥10 x ULN and had associated muscle symptoms present within +/- 7 days that were reported as at least possibly-related to study drug were recorded. The CK ULNs for males and females were 287 IU/L and 163 IU/L, respectively.

Secondary Endpoints
Percentage of Participants With An Adverse Event (AE)
Up to approximately 17 weeks
Number of Participants Who Discontinued From Study Treatment
Up to approximately 15 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
EZ 10 mg/Ator 10 mgEXPERIMENTALSingle oral dose of EZ10mg/Ator10mg FDC tablet once daily (QD) for 84 days
Atorvastatin 20 mgACTIVE_COMPARATOR2 atorvastatin 10 mg tablets administered orally, QD for 84 days
EZ 10 mg/Ator 20 mgEXPERIMENTALSingle oral dose of EZ10mg/Ator20mg FDC tablet QD for 84 days
Atorvastatin 40 mgACTIVE_COMPARATOR2 atorvastatin 20 mg tablets administered orally, QD for 84 days
EZ 10 mg/Atorva 10 mg FDCEXPERIMENTALone EZ 10 mg/Atorva 10 mg fixed-dose combination (FDC) tablet orally with food once daily for 52 weeks.
EZ 10 mg/Atorva 20 mg FDCEXPERIMENTALone EZ 10 mg/Atorva 20 mg fixed -dose combination (FDC) tablet orally with food once daily for 52 weeks.
Interventions
NameTypeDescription
EZ 10 mg/Ator 10 mgCOMBINATION_PRODUCTFDC of EZ10 mg/Ator 10mg
EZ 10 mg/Ator 20 mgCOMBINATION_PRODUCTFDC of EZ10 mg/Ator 20mg
AtorvastatinDRUGAtorvastatin administered orally QD, either as two 10 mg tablets or as two 20 mg tablets
Placebo for FDC EZ/AtorDRUGA single placebo tablet administered orally QD for 84 days
Placebo for atorvastatinDRUGTwo placebo tablets matching atorvastatin administered orally QD for 84 days
EZ 10 mg/Atorva 20 mg FDCDRUG -
EZ 10 mg/Atorva 10 mg FDCDRUG -
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Eligibility Criteria
Age Range18 Years — 80 Years
SexALL
Healthy VolunteersNo
Study Sites30

Inclusion Criteria: * Has hypercholesterolemia diagnosed by investigator according to Chinese Guidelines on Prevention and Treatment of Dyslipidemia in Adults (2016 Edition). * Has been stabilized on atorvastatin treatment at 10 mg or 20 mg (or other statins with LDL-C lowering efficacy equivalent ...

Countries:China
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