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ezetimibe simvastatin

Phase 3FDA approved 2004

Aortic Stenosis | Small molecule | Cardiovascular |Organon & Co.|Trials Updated: Aug 15, 2024

ezetimibe simvastatin development status

FDA approval Jul 23, 2004 as Vytorin
Approval holderOrganon
ApplicationNDA021687
Highest phase Phase 3
Registered trials 9 across 1 sponsor since Aug 2004

Label indication VYTORIN VYTORIN ® is a combination of simvastatin and ezetimibe indicated: As an adjunct to diet to reduce elevated low density lipoprotein cholesterol (LDL-C): In adults with primary hyperlipidemia. In adults and pediatric patients aged 10 years and older with heterozygous familial hypercholesterolemia (HeFH). FDA label

ezetimibe simvastatin target and mechanism

Molecular targetNPC1L1
Target classInhibitor
ModalitySmall molecule

Also known as Vytorin, MK0653A

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials7
Total Enrollment6,006

FDA Designations

No designations recorded

ezetimibe simvastatin clinical trials

ezetimibe simvastatin · 7 trials · 7 indications

Phase 3 7
NCT00862251Ezetimibe/Simvastatin (MK-0653A) Versus Rosuvastatin Versus Doubling Statin Dose in Participants With Cardiovascular Disease and Diabetes Mellitus (MK-0653A-133)(COMPLETED)Cardiovascular Disorder
COMPLETED808 Analytics
NCT00462748A Study to Determine the Number of Patients Who Reach Optimal Cholesterol Levels on Each of Three Different Treatments (0653A-121)Hypercholesterolemia
COMPLETED786 Analytics
NCT00479713A Study to Assess the Cholesterol Lowering Effect of an Ezetimibe/Simvastatin Combination Tablet Compared to Another Cholesterol Lowering Drug in Patients With High Cholesterol and With High Cardiovascular Risk (0653A-809)(COMPLETED)Hypercholesterolemia
COMPLETED618 Analytics
NCT00409773Ezetimibe/Simvastatin in Patients With Metabolic Syndrome (0653A-107)(COMPLETED)Hypercholesterolemia
COMPLETED1,143 Analytics
NCT00651560Vytorin As Strategy To Reduce Dislipidemia In Adults (0653A-148)Hyperlipidemia
COMPLETED167 Analytics
NCT00093899A Study to Evaluate an Investigational Drug in Patients With Mixed Hyperlipidemia (0653A-071)(COMPLETED)Hyperlipidemia
COMPLETED611 Analytics
NCT00092677An Investigational Drug on Clinical Outcomes in Patients With Aortic Stenosis (Narrowing of the Major Blood Vessel of the Heart)(MK-0653A-043 AM4)(COMPLETED)Aortic Stenosis
COMPLETED1,873 Analytics
PHASE3COMPLETED
Ezetimibe/Simvastatin (MK-0653A) Versus Rosuvastatin Versus Doubling Statin Dose in Participants With Cardiovascular Disease and Diabetes Mellitus (MK-0653A-133)(COMPLETED)
Cardiovascular DisorderUnlock trial analytics
PHASE3COMPLETED
A Study to Determine the Number of Patients Who Reach Optimal Cholesterol Levels on Each of Three Different Treatments (0653A-121)
HypercholesterolemiaUnlock trial analytics
PHASE3COMPLETED
A Study to Assess the Cholesterol Lowering Effect of an Ezetimibe/Simvastatin Combination Tablet Compared to Another Cholesterol Lowering Drug in Patients With High Cholesterol and With High Cardiovascular Risk (0653A-809)(COMPLETED)
HypercholesterolemiaUnlock trial analytics
PHASE3COMPLETED
Ezetimibe/Simvastatin in Patients With Metabolic Syndrome (0653A-107)(COMPLETED)
HypercholesterolemiaUnlock trial analytics
PHASE3COMPLETED
Vytorin As Strategy To Reduce Dislipidemia In Adults (0653A-148)
HyperlipidemiaUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate an Investigational Drug in Patients With Mixed Hyperlipidemia (0653A-071)(COMPLETED)
HyperlipidemiaUnlock trial analytics
PHASE3COMPLETED
An Investigational Drug on Clinical Outcomes in Patients With Aortic Stenosis (Narrowing of the Major Blood Vessel of the Heart)(MK-0653A-043 AM4)(COMPLETED)
Aortic StenosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Percent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C) After Switching to Treatment With Ezetimibe/Simvastatin vs Doubling the Dose of Statin (Simvastatin or Atorvastatin).
Baseline and Week 6
Percentage of Patients Achieving a Target of Fasting LDL-C of <2mmol/l at Study End
6 Weeks

Fasting LDL-C was the primary efficacy variable. The primary efficacy analysis was based on the proportion of patients achieving a target of \<2mmol/l in fasting LDL-C at study end.

Percent Change in Low Density Lipoprotein-Cholesterol (LDL-C) at Study Endpoint After Six Weeks of Treatment
Baseline and 6 weeks

Percent Change in LDL-C at study endpoint after six weeks of treatment is calculated as the difference between week 6 measure and baseline measure divided by baseline measure \*100.

Percent Change From Baseline in Low Density Lipoprotein (LDL-C) at Week 6
Baseline and 6 Weeks
Evaluate the hypolipidemic effect of Vytorin after 4 weeks treatment in adult patients with mix dislipidemia to reduce the cardiovascular risk and achieve the ATP-III goals.
After 4 weeks treatment
Plasma LDL-C.
Number of Participants That Experienced One or More Components of the Composite Clinical Endpoint of MCE (Major Cardiovascular Events)
Entire follow-up (median = 4.35 years)

Composite endpoint of MCE consists of cardiovascular death, AVR (aortic valve replacement) surgery, CHF(congestive heart failure) as a result of progression of aortic stenosis, nonfatal MI (myocardial infarction), CABG (coronary artery bypass) surgery, PCI (percutaneous coronary intervention), hospitalized unstable angina, and nonhemorrhagic stroke

Secondary Endpoints

In Participants Treated With Simvastatin at Baseline, Percent Change From Baseline in LDL-C After Switching to Treatment With Ezetimibe/Simvastatin vs Doubling the Dose of Simvastatin
Baseline and Week 6
In Participants Treated With Atorvastatin at Baseline, Percent Change From Baseline in LDL-C After Switching to Treatment With Ezetimibe/Simvastatin vs Doubling the Dose of Atorvastatin
Baseline and Week 6
Percent Change From Baseline in LDL-C After Switching to Treatment With Ezetimibe/Simvastatin vs Switching Treatment to Rosuvastatin
Baseline and Week 6
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Ezetimibe/simvastatinEXPERIMENTAL -
Doubling statin doseACTIVE_COMPARATOR -
RosuvastatinACTIVE_COMPARATOR -
1EXPERIMENTALArm 1: Drug
2ACTIVE_COMPARATORArm 2: Active comparator
3ACTIVE_COMPARATORArm 3: Active comparator
4OTHERArm 4: drug + comparator + Placebo
5OTHERArm 5: drug + comparator + Placebo
EZ/Simva 10/40 mgEXPERIMENTALEzetimibe 10 mg + Simvastatin 40 mg
PlaceboPLACEBO_COMPARATOR -

Interventions

NameTypeDescription
ezetimibe (+) simvastatinDRUGezetimibe/simvastatin 10/20 mg tablets, taken once daily for six weeks.
simvastatin 40 mg or atorvastatin 20 mgDRUGsimvastatin 40 mg or atorvastatin 20 mg tablets, taken once daily for six weeks.
RosuvastatinDRUGrosuvastatin 10 mg tablets, taken once daily for six weeks.
atorvastatin 10 mg or simvastatin 20 mgDRUGAll patients will take atorvastatin 10 mg tablets OR simvastatin 20 mg tablets, taken once daily in a 6-week screening/stabilization period prior to randomization.
Comparator: atorvastatinDRUGatorvastatin 40mg. once daily tablet formulation, all tablet form, taken orally
Comparator: rosuvastatinDRUGrosuvastatin 10 mg. once daily tablet formulation, all tablet form, taken orally.
Comparator : rosuvastatin calciumDRUGrosuvastatin 10mg. The treatment duration will be 6 weeks.
Comparator: Placebo (unspecified)DRUGrosuvastatin 10mg Placebo. The treatment duration will be 6 weeks.
Comparator: atorvastatin calciumDRUGAtorvastatin will be supplied in 10mg, 20mg and 40mg tablets. Each patient will receive 1 active treatment dose \& 2 Placebo doses at randomization according to a predetermined partial blinding schedule to reduce the number of pills from 5 to 3 per patient per day for 6 weeks.
Comparator: PlaceboDRUGmatching Placebo
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Eligibility Criteria

Age Range18 Years to 79 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Patient has not taken common statins or ezetimibe within 6 weeks of study screening or patient is currently taking a daily dose of the following statins for 6 weeks prior to study screening: simvastatin, atorvastatin, pravastatin, fluvastatin, ezetimibe, lovastatin, or ezetimi...

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Frequently asked questions about ezetimibe simvastatin

What is ezetimibe simvastatin?

Ezetimibe simvastatin is a small molecule combination therapy developed by Organon & Co. (OGN) for cardiovascular conditions including hypercholesterolemia, hyperlipidemia, aortic stenosis, and cardiovascular disorder. It is in Phase 3 development and has been studied in completed clinical trials.

What is ezetimibe simvastatin used for?

Ezetimibe simvastatin is used for hypercholesterolemia, hyperlipidemia, aortic stenosis, and cardiovascular disorder. It is a combination product in Phase 3 development by Organon & Co. (OGN), studied in patients with high cholesterol and cardiovascular risk.

What does ezetimibe simvastatin target?

Ezetimibe simvastatin targets NPC1L1 as an inhibitor. NPC1L1 is involved in cholesterol absorption, and inhibiting this target is the mechanism of action for the ezetimibe component. The simvastatin component is a statin, and the combination is designed to address lipid levels.

Who makes ezetimibe simvastatin?

Ezetimibe simvastatin is developed by Organon & Co., which trades under the ticker OGN. Organon is the company responsible for the clinical development of this combination therapy.

What phase is ezetimibe simvastatin in?

Ezetimibe simvastatin is in Phase 3 clinical development. It is investigational and has not been approved by the FDA. The development program includes completed Phase 3 trials, and no active trials are currently listed.

What clinical trials is ezetimibe simvastatin in?

Ezetimibe simvastatin has been studied in completed Phase 3 trials including NCT00862251, NCT00651560, NCT00479713, and NCT00462748. These trials enrolled a total of 2,547 participants and evaluated the combination in cardiovascular disorder, diabetes mellitus, hyperlipidemia, and hypercholesterolemia.