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Lapaquistat and atorvastatin

Phase 3

Hypercholesterolemia | Small molecule | Metabolic |Takeda Pharmaceutical Company Limited|Last Updated: May 24, 2012

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials7
Total Enrollment4,649

FDA Designations

No designations recorded

Clinical trial landscape

Lapaquistat and atorvastatin · 7 trials · 1 indication

Phase 3 6Phase 2 1
NCT00286481Efficacy of Lapaquistat Acetate Alone or Combined With Simvastatin in Subjects With HypercholesterolemiaHypercholesterolemia
COMPLETED1,362 Analytics
NCT00868127Safety of Lapaquistat Acetate in Subjects With HypercholesterolemiaHypercholesterolemia
COMPLETED574 Analytics
NCT00249912Efficacy of Lapaquistat Acetate Alone or Combined With Rosuvastatin in Subjects With HypercholesterolemiaHypercholesterolemia
COMPLETED415 Analytics
NCT00256178Efficacy of Lapaquistat Acetate and Simvastatin in Subjects With Primary Dyslipidemia.Hypercholesterolemia
COMPLETED411 Analytics
NCT00268697Efficacy of Lapaquistat Acetate Alone and With Ezetimibe in Subjects With Primary Dyslipidemia.Hypercholesterolemia
COMPLETED1,267 Analytics
NCT00143676Efficacy of Lapaquistat Acetate and Atorvastatin on Blood Cholesterol Levels in Subjects With Primary HypercholesterolemiaHypercholesterolemia
COMPLETED448 Analytics
PHASE3COMPLETED
Efficacy of Lapaquistat Acetate Alone or Combined With Simvastatin in Subjects With Hypercholesterolemia
HypercholesterolemiaUnlock trial analytics
PHASE3COMPLETED
Safety of Lapaquistat Acetate in Subjects With Hypercholesterolemia
HypercholesterolemiaUnlock trial analytics
PHASE3COMPLETED
Efficacy of Lapaquistat Acetate Alone or Combined With Rosuvastatin in Subjects With Hypercholesterolemia
HypercholesterolemiaUnlock trial analytics
PHASE3COMPLETED
Efficacy of Lapaquistat Acetate and Simvastatin in Subjects With Primary Dyslipidemia.
HypercholesterolemiaUnlock trial analytics
PHASE3COMPLETED
Efficacy of Lapaquistat Acetate Alone and With Ezetimibe in Subjects With Primary Dyslipidemia.
HypercholesterolemiaUnlock trial analytics
PHASE3COMPLETED
Efficacy of Lapaquistat Acetate and Atorvastatin on Blood Cholesterol Levels in Subjects With Primary Hypercholesterolemia
HypercholesterolemiaUnlock trial analytics

Study Endpoints

Primary Endpoints

Change from Baseline in Low Density Lipoprotein cholesterol
Week 12 or Final Visit
Adverse Events
Weeks 2, 4, 8, 12, 24, 36 and 48
Vital Signs
Weeks 2, 4, 8, 12, 24, 36 and 48
Clinical Laboratory Blood Sample for Lipid Panel
Weeks 2, 4, 8, 12, 24, 36 and 48
Clinical Laboratory Serum Chemistries
Weeks 2, 4, 8, 12, 24, 36 and 48
Clinical Laboratory Hematology
Weeks 2, 4, 8, 12, 24, 36 and 48
Clinical Laboratory Serum Human Chorionic Gonadotropin
Weeks 2, 4, 8, 12, 24, 36 and 48
Clinical Laboratory Urinalysis
Weeks 2, 4, 8, 12, 24, 36 and 48
Physical Examination
Week 48
12-lead Electrocardiogram
Week 48
Best Corrected Visual Acuity
Week 48
Change from Baseline in fasting plasma Low Density Lipoprotein cholesterol
Week 24 or Final Visit
Percent change from Baseline in Low Density Lipoprotein Cholesterol
Week 6

Secondary Endpoints

Adverse Events
Weeks: 2, 4, 8, and 12 or Final Visit
Physical Examination
Week 12 or Final Visit
Safety Laboratory Tests
Weeks: 2, 4, 8, and 12 or Final Visit
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelFACTORIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Lapaquistat Acetate 50 mg QD + SimvastatinEXPERIMENTAL -
Lapaquistat Acetate 100 mg QD + SimvastatinEXPERIMENTAL -
SimvastatinACTIVE_COMPARATOR -
Lapaquistat Acetate 100 mg QDEXPERIMENTAL -
Lapaquistat Acetate 100 mg QD + Added TherapyEXPERIMENTAL -
Lapaquistat Acetate 50 mg QD + RosuvastatinEXPERIMENTAL -
Lapaquistat Acetate 100 mg QD + RosuvastatinEXPERIMENTAL -
RosuvastatinACTIVE_COMPARATOR -
Lapaquistat Acetate 100 mg QD + EzetimibeEXPERIMENTAL -
EzetimibeACTIVE_COMPARATOR -
Lapaquistat Acetate 50 mg QD + AtorvastatinEXPERIMENTAL -
Lapaquistat Acetate 100 mg QD + AtorvastatinEXPERIMENTAL -
AtorvastatinACTIVE_COMPARATOR -
Lapaquistat Acetate 100 mg QD + Atorvastatin QDEXPERIMENTAL -
Atorvastatin QDACTIVE_COMPARATOR -

Interventions

NameTypeDescription
Lapaquistat acetate and simvastatinDRUGLapaquistat acetate 50 mg, tablets, orally, once daily and stable dose of simvastatin for up to 12 weeks.
SimvastatinDRUGLapaquistat acetate placebo-matching tablets, orally, once daily and stable dose of simvastatin for up to 12 weeks.
Lapaquistat acetateDRUGParticipants from 01-04-TL-475-008 Monotherapy Study: Lapaquistat acetate 100 mg, tablets, orally, once daily for up to 48 weeks.
Lapaquistat acetate and additional lipid-lowering therapyDRUGParticipants from 01-04-TL-475-009 Atorvastatin Add-on Study: Lapaquistat acetate 100 mg, tablets, orally, once daily and current Atorvastatin therapy for up to 4 weeks. Then, Lapaquistat 100 mg, tablets, orally, once daily and dose adjustment of Atorvastatin OR additional companion lipid-lowering therapy as needed for target LDL-C for up to 42 weeks.
Lapaquistat acetate and rosuvastatinDRUGLapaquistat acetate 50 mg, tablets, orally, once daily and stable Rosuvastatin therapy (10 or 20 mg) for up to 24 weeks.
RosuvastatinDRUGLapaquistat acetate placebo-matching tablets, orally, once daily and stable Rosuvastatin therapy (10 or 20 mg) for up to 24 weeks.
Lapaquistat acetate and ezetimibeDRUGLapaquistat acetate 100 mg, tablets, orally, once daily and stable ezetimibe therapy for up to 24 weeks.
EzetimibeDRUGLapaquistat acetate placebo-matching tablets, orally, once daily and stable ezetimibe therapy for up to 24 weeks.
Lapaquistat acetate and atorvastatinDRUGLapaquistat acetate 50 mg, tablets, orally, once daily and Atorvastatin 10 mg to 40 mg stable dose for up to 24 weeks.
AtorvastatinDRUGLapaquistat acetate placebo-matching tablets, orally, once daily and Atorvastatin 10 mg to 40 mg stable dose for up to 24 weeks.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites67

Inclusion Criteria: * Woman of childbearing potential can not to be pregnant, lactating, not planning on becoming pregnant, and agree to use acceptable forms of contraception throughout the course of the study. * Prior to Randomization, has a low-density lipoprotein cholesterol level mean greater t...

Countries:United StatesCanadaCzechiaEstoniaFinlandGermanyPolandSouth AfricaUnited KingdomLatviaRussiaSerbia
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Frequently asked questions about Lapaquistat and atorvastatin

What is Lapaquistat used for?

Lapaquistat is an investigational small molecule being developed for Type 2 Diabetes, Dyslipidemia, Hypercholesterolemia, and Hyperlipidemias. It is in Phase 3 clinical development for these cardiovascular conditions. The drug is not approved and remains under investigation.

Who makes Lapaquistat?

Lapaquistat is being developed by Takeda Pharmaceutical Company Limited, which trades under the ticker TAK. The drug is an investigational small molecule in Phase 3 clinical development for cardiovascular indications including dyslipidemia and hypercholesterolemia.

What phase is Lapaquistat in?

Lapaquistat is in Phase 3 clinical development. It is an investigational drug and has not been approved. Seven clinical trials have been completed, with no active trials currently ongoing. The trials enrolled a total of 4,649 participants.

What clinical trials is Lapaquistat in?

Lapaquistat has completed seven clinical trials, including NCT00143663, NCT00256178, NCT00487994, and NCT00864643. These Phase 3 and Phase 2 trials studied the drug's effects on cholesterol levels in patients with dyslipidemia and hypercholesterolemia, both alone and with statins like simvastatin and atorvastatin.

Is Lapaquistat the same as Lapaquistat Acetate?

Lapaquistat is the same as Lapaquistat Acetate. Clinical trials refer to the drug as Lapaquistat Acetate, which is the active pharmaceutical ingredient being studied in patients with dyslipidemia and hypercholesterolemia.