Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
EZ/Atorva · 2 trials · 2 indications
Participants had LDL-C levels assessed at baseline and after 12 weeks of study drug administration. The change from baseline was calculated.
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.
Gastrointestinal-related AEs included all preferred terms within system organ class of Gastrointestinal Disorders except Chapped Lips and Toothache.
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.
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.
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.
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.
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.
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 (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.
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.
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.
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.
| Arm | Type | Description |
|---|---|---|
| EZ 10 mg/Ator 10 mg | EXPERIMENTAL | Single oral dose of EZ10mg/Ator10mg FDC tablet once daily (QD) for 84 days |
| Atorvastatin 20 mg | ACTIVE_COMPARATOR | 2 atorvastatin 10 mg tablets administered orally, QD for 84 days |
| EZ 10 mg/Ator 20 mg | EXPERIMENTAL | Single oral dose of EZ10mg/Ator20mg FDC tablet QD for 84 days |
| Atorvastatin 40 mg | ACTIVE_COMPARATOR | 2 atorvastatin 20 mg tablets administered orally, QD for 84 days |
| EZ 10 mg/Atorva 10 mg FDC | EXPERIMENTAL | one 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 FDC | EXPERIMENTAL | one EZ 10 mg/Atorva 20 mg fixed -dose combination (FDC) tablet orally with food once daily for 52 weeks. |
| Name | Type | Description |
|---|---|---|
| EZ 10 mg/Ator 10 mg | COMBINATION_PRODUCT | FDC of EZ10 mg/Ator 10mg |
| EZ 10 mg/Ator 20 mg | COMBINATION_PRODUCT | FDC of EZ10 mg/Ator 20mg |
| Atorvastatin | DRUG | Atorvastatin administered orally QD, either as two 10 mg tablets or as two 20 mg tablets |
| Placebo for FDC EZ/Ator | DRUG | A single placebo tablet administered orally QD for 84 days |
| Placebo for atorvastatin | DRUG | Two placebo tablets matching atorvastatin administered orally QD for 84 days |
| EZ 10 mg/Atorva 20 mg FDC | DRUG | - |
| EZ 10 mg/Atorva 10 mg FDC | DRUG | - |
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 ...
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EZ/Atorva is a fixed-dose combination treatment for hypercholesterolemia, developed by Organon & Co. It combines ezetimibe and atorvastatin in a single tablet. Clinical development has focused on lowering cholesterol in adults, including Chinese and Japanese patient populations, with one trial also enrolling participants with heterozygous familial hypercholesterolemia.
EZ/Atorva is developed by Organon & Co., which trades under the ticker OGN. Organon is the sponsor of the clinical program for this fixed-dose combination, including the Phase 3 trials conducted in Chinese and Japanese participants with hypercholesterolemia.
EZ/Atorva is in Phase 3 clinical development. Two Phase 3 trials have been completed, and no trials are currently active. The program has enrolled 589 participants in total across randomized, double-blind, controlled studies. EZ/Atorva is investigational and has not been established as approved for marketing.
Two completed Phase 3 trials make up the EZ/Atorva program. NCT03768427 compared ezetimibe/atorvastatin (MK-0653C) with atorvastatin alone in 454 Chinese participants with hypercholesterolemia. NCT02460159 assessed long-term safety and tolerability of MK-0653C in 135 Japanese participants with hypercholesterolemia, including heterozygous familial hypercholesterolemia.