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EZ/Atorva

Phase 3

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

Success Probability

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials2
Total Enrollment589

FDA Designations

No designations recorded

Clinical trial landscape

EZ/Atorva · 2 trials · 2 indications

Phase 3 2
NCT03768427Ezetimibe (EZ)/Atorvastatin (Ator) (MK-0653C) vs. Ator in Chinese Hypercholesterolemic Participants (MK-0653C-439)Hypercholesterolemia
COMPLETED454 Analytics
NCT02460159A Clinical Trial to Assess the Long Term Safety and Tolerability of MK-0653C in Japanese Participants With Hypercholesterolemia (MK-0653C-384)Hypercholesterolemia
COMPLETED135 Analytics
PHASE3COMPLETED
Ezetimibe (EZ)/Atorvastatin (Ator) (MK-0653C) vs. Ator in Chinese Hypercholesterolemic Participants (MK-0653C-439)
HypercholesterolemiaUnlock trial analytics
PHASE3COMPLETED
A Clinical Trial to Assess the Long Term Safety and Tolerability of MK-0653C in Japanese Participants With Hypercholesterolemia (MK-0653C-384)
HypercholesterolemiaUnlock trial analytics

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 to 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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Frequently asked questions about EZ/Atorva

What is EZ/Atorva used for?

EZ/Atorva is used for hypercholesterolemia, a condition of high cholesterol levels in the blood. It is being developed as a treatment for this metabolic condition, including heterozygous familial hypercholesterolemia, a genetic form of high cholesterol.

What does EZ/Atorva target?

EZ/Atorva is a small molecule combination therapy. It combines ezetimibe, which targets cholesterol absorption in the intestine, and atorvastatin, which targets cholesterol production in the liver. Together, they work to lower cholesterol levels in patients with hypercholesterolemia.

Who makes EZ/Atorva?

EZ/Atorva is being developed by Organon & Co., a pharmaceutical company traded on the New York Stock Exchange under the ticker symbol OGN. The company is conducting clinical trials to evaluate the drug's safety and efficacy in patients with hypercholesterolemia.

What phase is EZ/Atorva in?

EZ/Atorva is in Phase 3 clinical development. It is an investigational drug, meaning it has not yet been approved by regulatory authorities. Two Phase 3 trials have been completed to assess its safety and efficacy in patients with hypercholesterolemia.

What clinical trials is EZ/Atorva in?

EZ/Atorva has been studied in two completed Phase 3 trials. NCT02460159 assessed long-term safety and tolerability in Japanese participants with hypercholesterolemia, enrolling 135 patients. NCT03768427 compared EZ/Atorva to atorvastatin alone in Chinese participants with hypercholesterolemia, enrolling 454 patients.

Is EZ/Atorva the same as MK-0653C?

Yes, EZ/Atorva is also known as MK-0653C. In clinical trials, the drug is referred to by this code name, which appears in the trial titles and descriptions. Both names refer to the same combination therapy of ezetimibe and atorvastatin.