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Ezetimibe

Phase 3

Familial Hypercholesterolemia | Small molecule | Metabolic |Organon & Co.|Last Updated: Aug 15, 2024

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials1
Total Enrollment50

FDA Designations

No designations recorded

Clinical trial landscape

Ezetimibe · 7 trials · 7 indications

Phase 3 5Phase 1 2
NCT00867165Pediatric Study to Evaluate the Efficacy and Safety of Ezetimibe Monotherapy in Children With Primary Hypercholesterolemia (P05522)Primary Hypercholesterolemia
COMPLETED138 Analytics
NCT00652301A Research Study to Evaluate MK0653 (Ezetimibe) and Simvastatin, Given Together and Alone, on Intestinal Absorption of Cholesterol (0653-050)(COMPLETED)Cholesterol
COMPLETED40 Analytics
NCT00552097Effect of Ezetimibe Plus Simvastatin Versus Simvastatin Alone on Atherosclerosis in the Carotid Artery (ENHANCE)(P02578)Atherosclerosis
COMPLETED720 Analytics
NCT03882905A Study of SCH 58235 (Ezetimibe) When Added to Ongoing Therapy With a Statin in Participants With Primary Hypercholesterolemia, Known Coronary Heart Disease, or Multiple Cardiovascular Risk Factors (P02173)Primary Hypercholesterolemia
COMPLETED769 Analytics
NCT03884452Ezetimibe (SCH 58235) Taken With Either Atorvastatin or Simvastatin in Participants With Familial Hypercholesterolemia (MK-0653-018)Familial Hypercholesterolemia
COMPLETED50 Analytics
PHASE3COMPLETED
Pediatric Study to Evaluate the Efficacy and Safety of Ezetimibe Monotherapy in Children With Primary Hypercholesterolemia (P05522)
Primary HypercholesterolemiaUnlock trial analytics
PHASE3COMPLETED
A Research Study to Evaluate MK0653 (Ezetimibe) and Simvastatin, Given Together and Alone, on Intestinal Absorption of Cholesterol (0653-050)(COMPLETED)
CholesterolUnlock trial analytics
PHASE3COMPLETED
Effect of Ezetimibe Plus Simvastatin Versus Simvastatin Alone on Atherosclerosis in the Carotid Artery (ENHANCE)(P02578)
AtherosclerosisUnlock trial analytics
PHASE3COMPLETED
A Study of SCH 58235 (Ezetimibe) When Added to Ongoing Therapy With a Statin in Participants With Primary Hypercholesterolemia, Known Coronary Heart Disease, or Multiple Cardiovascular Risk Factors (P02173)
Primary HypercholesterolemiaUnlock trial analytics
PHASE3COMPLETED
Ezetimibe (SCH 58235) Taken With Either Atorvastatin or Simvastatin in Participants With Familial Hypercholesterolemia (MK-0653-018)
Familial HypercholesterolemiaUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C) at Week 12
Baseline and Week 12

Serum LDL-C levels calculated at baseline and after 12 weeks of study drug administration. LDL-C were calculated by the method of Friedewald equation, LDL-C = Total Cholesterol (TC) - (High-density lipoprotein cholesterol \[HDL-C\] + triglyceride \[TG\]/5).

reduced intestinal cholesterol absorption with ezetimibe + simvastatin vs simvastatin alone.
Based on 7 week treatment periods.
Change in ultrasound-determined average carotid artery intima-media thickness (IMT) on a per subject basis between baseline and endpoint.
24 months
Percentage Change from Baseline in LDL-C: Base Study
Baseline and Week 8 of Base Study
Percentage Participants with Consecutive Elevations ≥3 x Upper Limit of Normal (ULN) in Aspartate Aminotransferase (AST) or Alanine Aminotransferase (ALT): Extension
up to 48 weeks (Extension)
Percent change from baseline in Low Density Lipoprotein Cholesterol (LDL-C) measured directly
Baseline and Up to Week 12
Percentage of participants with an Adverse Event (AE)
Up to Week 12
Area under the concentration-time-curve from time zero to infinity (AUC0-∞) of atorvastatin
Hour 0 to Hour 48
Maximum plasma concentration (Cmax) of atorvastatin
Hour 0 to Hour 48
Area under the concentration time-curves from time zero to the time of last measured concentration (AUC0-last) of unconjugated ezetimibe (EZ)
Hour 0 to Hour 96
Maximum plasma concentration (Cmax) of unconjugated ezetimibe (EZ)
Hour 0 to Hour 96
To evaluate the safety and tolerability of cyclosporine coadministered with ezetimibe vs. cyclosporine administered alone.
Blood sampling will be conducted for 48 hours starting with the first cyclosporine dosing.

Secondary Endpoints

Percentage Change From Baseline in Total Cholesterol (TC) at Week 12
Baseline and Week 12
Percentage Change From Baseline in Apolipoprotein B (Apo B) at Week 12
Baseline and Week 12
Percentage Change From Baseline High-density Lipoprotein Cholesterol (HDL-C) at Week 12
Baseline and Week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
EzetimibeEXPERIMENTALEzetimibe 10-mg tablet once daily for 12 weeks
PlaceboPLACEBO_COMPARATORPlacebo to match ezetimibe 10-mg tablet once daily for 12 weeks
1EXPERIMENTALezetimibe 10 mg tablet plus simvastatin 20 mg tablet
2ACTIVE_COMPARATORezetimibe 10 mg tablet
3ACTIVE_COMPARATORsimvastatin 20 mg tablet
4PLACEBO_COMPARATORmatching placebo
EZ/SimvaEXPERIMENTAL -
Placebo/SimvaPLACEBO_COMPARATOR -
Ezetimibe: Base StudyEXPERIMENTAL10-mg tablet, oral taken once daily concomitantly with the participant' s current statin therapy for 8 weeks.
Placebo: Base StudyPLACEBO_COMPARATORPlacebo for ezetimibe 10-mg tablet, oral taken once daily concomitantly with the participant' s current statin therapy for 8 weeks.
Ezetimibe: ExtensionEXPERIMENTAL10-mg tablet, oral taken once daily concomitantly with simvastatin for 48 weeks.
Placebo: ExtensionPLACEBO_COMPARATORPlacebo for ezetimibe tablet, oral taken once daily concomitantly with simvastatin for 48 weeks.
Atorvastatin 80 mgEXPERIMENTAL80 mg atorvastatin taken orally, once daily for 12 weeks
Ezetimibe + Atorvastatin 40 mgEXPERIMENTAL10 mg ezetimibe and 40 mg atorvastatin taken orally, once daily for 12 weeks
Ezetimibe + Atorvastatin 80 mgEXPERIMENTAL10 mg ezetimibe and 80 mg atorvastatin taken orally, once daily for 12 weeks
Simvastatin 80 mgEXPERIMENTAL80 mg simvastatin taken orally, once daily for 12 weeks
Ezetimibe + Simvastatin 40 mgEXPERIMENTAL10 mg ezetimibe and 40 mg simvastatin taken orally, once daily for 12 weeks
Ezetimibe + Simvastatin 80 mgEXPERIMENTAL10 mg ezetimibe and 80 mg simvastatin taken orally, once daily for 12 weeks
Ezetimibe 10mg and Atorvastatin 10mgACTIVE_COMPARATOREzetimibe 10mg tablet and Atorvastatin 10mg tablet coadministered
10mg Ezetimibe/10mg AtorvastatinEXPERIMENTAL10mg Ezetimibe/10mg atorvastatin combination tablet
Ezetimibe 10mg and Atorvastatin 80mgACTIVE_COMPARATOREzetimibe 10mg tablet and Atorvastatin 80mg tablet coadministered
10mg Ezetimibe/80mg AtorvastatinEXPERIMENTALEzetimibe/atorvastatin 10mg/80mg combination tablet
Treatment AACTIVE_COMPARATORTreatment A: subjects will be given a single oral dose of cyclosporine 100 mg capsules on Day 1.
Treatment BACTIVE_COMPARATORTreatment B: subjects will receive single oral daily doses of ezetimibe 20 mg (2 x 10 mg tablets) on Days 1 through 6, followed by coadministration of a single oral dose of ezetimibe 20 mg (2 x 10 mg tablets) and cyclosporine 100 mg capsule on Day 7.

Interventions

NameTypeDescription
ezetimibeDRUGoral tablets: ezetimibe 10 mg once daily for 12 weeks
PlaceboDRUGoral tablets: placebo to match ezetimibe 10 mg; administered once daily during the 5-week, single-blind, placebo run-in and diet stabilization period and 12-week double-blind treatment period
Comparator: Placebo (unspecified)DRUGmatching placebo tablet. Duration of Treatment 31 Weeks.
simvastatinDRUGsimvastatin 20 mg tablet. Duration of Treatment 31 Weeks.
ezetimibe (plus simvastatin)DRUGoral tablets; ezetimibe 10 mg (plus simvastatin 80 mg) once daily for 24 months
placebo (plus simvastatin)DRUGtablets; placebo to match ezetimibe 10 mg (plus simvastatin 80 mg) once daily for 24 months
SimivastatinDRUGOnce daily administration at dose to be determined
StatinDRUGStatin administered orally once daily at dose determined by treatment prior to enrollment by personal physician
AtorvastatinDRUGTablets taken orally once daily in the morning
Placebo for EzetimibeDRUGTablets taken orally once daily in the morning or evening
Ezetimibe/atorvastatin 10mg/10mg FDCDRUGEzetimibe/atorvastatin 10mg/10mg FDC tablet given orally after an overnight fast (at least 10 hours).
Atorvastatin 10mgDRUGAtorvastatin 10mg given orally after an overnight fast (at least 10 hours).
Atorvastatin 80mgDRUGAtorvastatin 80mg tablet given orally after an overnight fast (at least 10 hours).
Ezetimibe/atorvastatin 10mg/80mg FDCDRUGEzetimibe/atorvastatin 10mg/80mg FDC tablet given orally after an overnight fast (at least 10 hours).
Comparator: cyclosporineDRUGsingle oral dose of cyclosporine 100 mg capsules on Day 1 or Day 7.
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Eligibility Criteria

Age Range6 Years to 10 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Each subject may be of either sex and of any race/ethnicity, and must be \>=6 and \<=10 years of age, with a diagnosis of primary hypercholesterolemia (heterozygous familial or nonfamilial) despite being on a lipid-lowering diet for at least 3 months with a LDL-C of \>159mg/dL...

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Frequently asked questions about Ezetimibe

What is Ezetimibe used for?

Ezetimibe is a small molecule drug being developed for conditions related to high cholesterol, including atherosclerosis, primary hypercholesterolemia, hyperlipidemia, and familial hypercholesterolemia. It is intended to lower cholesterol levels in patients with these metabolic disorders.

Who makes Ezetimibe?

Ezetimibe is being developed by Organon & Co., a company traded on the New York Stock Exchange under the ticker symbol OGN. The drug is currently in Phase 3 clinical development for cholesterol-related indications.

What phase is Ezetimibe in?

Ezetimibe is in Phase 3 clinical development. It is an investigational drug and has not been approved by the FDA. The drug has completed 28 clinical trials, all of which are finished, with no active trials currently ongoing.

What clinical trials is Ezetimibe in?

Ezetimibe has completed several Phase 3 trials, including NCT00867165, which studied its efficacy and safety in children with primary hypercholesterolemia, and NCT03882905, which evaluated it when added to statin therapy in adults with primary hypercholesterolemia. Another trial, NCT03884452, tested it with atorvastatin or simvastatin in familial hypercholesterolemia.

Is Ezetimibe the same as SCH 58235?

Yes, Ezetimibe is also known as SCH 58235. Clinical trial records refer to the drug by this alternative name, such as in NCT03882905, which is titled 'A Study of SCH 58235 (Ezetimibe) When Added to Ongoing Therapy With a Statin.'