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Lipitor

Phase 4FDA approved

Hypercholesterolemia | Small molecule | Metabolic |Viatris Inc.|Trials Updated: Mar 15, 2021

Lipitor development status

FDA approval on record Jul 10, 1998
Approval holderUpjohn
ApplicationNDA020702
Highest phase Phase 4 (NCT00844376)
Phase scored for VTRSPhase 1
Registered trials 176 across 40 sponsors since Aug 2001

Label indication LIPITOR is indicated: • To reduce the risk of: o Myocardial infarction (MI), stroke, revascularization procedures, and angina in adults with multiple risk factors for coronary heart disease (CHD) but without clinically evident CHD o MI and stroke in adults with type 2 diabetes mellitus with multiple risk factors for CHD but without clinically evident CHD o Non-fatal MI, fatal and non-fatal stroke, revascularization…

Lipitor target and mechanism

ModalitySmall molecule

Also known as Atorvastatin

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials7
Total Enrollment2,533

FDA Designations

No designations recorded

Lipitor clinical trials

Lipitor · 7 trials · 5 indications

Phase 3 4Phase 1 3
NCT00827606Atorvastatin Three Year Pediatric StudyFamilial Hypercholesterolemia
COMPLETED272 Analytics
NCT00136942A Swiss Study With Atorvastatin in Hyperlipidemic Patients Measuring LDL-CholesterolHyperlipidemia
COMPLETED370 Analytics
NCT00150371Canadians Achieve Cholesterol Targets Fast With Atorvastatin Stratified TitrationHypercholesterolemia
COMPLETED1,100 Analytics
NCT00151502To Evaluate the Safety and Effectiveness of Atorvastatin Plus a Cholinesterase Inhibitor in AD Patients.Alzheimer's Disease
COMPLETED600 Analytics
PHASE3COMPLETED
Atorvastatin Three Year Pediatric Study
Familial HypercholesterolemiaUnlock trial analytics
PHASE3COMPLETED
A Swiss Study With Atorvastatin in Hyperlipidemic Patients Measuring LDL-Cholesterol
HyperlipidemiaUnlock trial analytics
PHASE3COMPLETED
Canadians Achieve Cholesterol Targets Fast With Atorvastatin Stratified Titration
HypercholesterolemiaUnlock trial analytics
PHASE3COMPLETED
To Evaluate the Safety and Effectiveness of Atorvastatin Plus a Cholinesterase Inhibitor in AD Patients.
Alzheimer's DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Low Density Lipoprotein Cholesterol (LDL-C; Millimoles Per Liter [mMol/L]) During the Study
Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36 (or early termination [ET])

Assessments were performed in the fasting state (minimum 10-hour fast). Change from baseline was also determined.

Percent Change From Baseline in LDL-C
Months 1, 2, 3, 6, 12, 18, 24, 30 and 36 (or ET)

Assessments were performed in the fasting state (minimum 10-hour fast).

High-Density Lipoprotein Cholesterol (HDL-C; mMol/L) During the Study
Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Assessments were performed in the fasting state (minimum 10-hour fast). Change from baseline was also determined.

Percent Change From Baseline in HDL-C
Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Assessments were performed in the fasting state (minimum 10-hour fast).

Total Cholesterol (mMol/L) During the Study
Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Assessments were performed in the fasting state (minimum 10-hour fast). Change from baseline was also determined.

Percent Change From Baseline in Total Cholesterol
Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Assessments were performed in the fasting state (minimum 10-hour fast).

Trigylcerides (mMol/L) During the Study
Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Assessments were performed in the fasting state (minimum 10-hour fast). Change from baseline was also determined.

Percent Change From Baseline in Trigylcerides
Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Assessments were performed in the fasting state (minimum 10-hour fast).

Very Low-Density Lipoprotein (VLDL; mMol/L) During the Study
Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Assessments were performed in the fasting state (minimum 10-hour fast). Change from baseline was also determined.

Percent Change From Baseline in VLDL
Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Assessments were performed in the fasting state (minimum 10-hour fast).

Apoliprotein A-1 (Apo A-1; Grams Per Liter [g/L]) During the Study
Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Assessments were performed in the fasting state (minimum 10-hour fast). Change from baseline was also determined.

Percent Change From Baseline in Apo A-1
Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Assessments were performed in the fasting state (minimum 10-hour fast).

Apoliprotein B (Apo B; g/L) During the Study
Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Assessments were performed in the fasting state (minimum 10-hour fast). Change from baseline was also determined.

Percent Change From Baseline in Apo B
Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Assessments were performed in the fasting state (minimum 10-hour fast).

Number of Participants With Shift From Baseline in Tanner_Stage by Timepoint and Baseline Tanner_Stage
Baseline, Months 6, 12, 18, 24, 30, and 36/ET

Tanner\_Stage was assessed based on 2 components by gender, pubic hair and breasts for females and pubic hair and genitalia for males. If these values of components were not same, then the Tanner\_Stage had the higher value of 2 components for each gender by visit.

Height (Centimeters [cm]) During the Study: Males
Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Investigator assessment of height changes during the study. Change from baseline was also determined.

Percent Change From Baseline in Height: Males
Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Investigator assessment of height changes during the study.

Height (cm) During the Study: Females
Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Investigator assessment of height changes during the study. Change from baseline was also determined.

Percent Change From Baseline in Height: Females
Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Investigator assessment of height changes during the study.

Weight (Kilograms [kg]) During the Study: Males
Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Investigator assessment of weight changes during the study. Change from baseline was also determined.

Percent Change From Baseline in Weight: Males
Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Investigator assessment of weight changes during the study.

Weight (kg) During the Study: Females
Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Investigator assessment of weight changes during the study. Change from baseline was also determined.

Percent Change From Baseline in Weight: Females
Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Investigator assessment of weight changes during the study.

Body Mass Index (BMI in kg Per Square Meter [kg/m^2]) During the Study: Males
Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Investigator assessment of BMI changes during the study. Change from baseline was also determined.

Percent Change From Baseline in BMI: Males
Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Investigator assessment of BMI changes during the study.

BMI (kg/m^2) During the Study: Females
Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Investigator assessment of BMI changes during the study. Change from baseline was also determined.

Percent Change From Baseline in BMI: Females
Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Investigator assessment of BMI changes during the study.

Age (Years) During the Study: Males
Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Investigator assessment of age during the study. Change from baseline was also determined.

Percent Change From Baseline in Age: Males
Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Investigator assessment of age during the study.

Age (Years) During the Study: Females
Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Investigator assessment of age during the study. Change from baseline was also determined.

Percent Change From Baseline in Age: Females
Months 1, 2, 3, 6, 12, 18, 24, 30 and 36/ET

Investigator assessment of age during the study.

Flow-Mediated Dilatation (FMD) During the Study
Baseline, Months 6, 12, 18, 24, 30 and 36/ET

Percent (%) FMD was calculated as (hyperemic diameter minus resting diameter) divided by the resting diameter multiplied by 100. Change from baseline was also determined.

Percent Change From Baseline in FMD
Months 6, 12, 18, 24, 30 and 36/ET

Percent (%) FMD was calculated as (hyperemic diameter minus resting diameter) divided by the resting diameter multiplied by 100.

The proportion of patients achieving LDL-C target as defined by local swiss AGLArecommendations across starting doses of 10 mg, 20 mg, 40 mg, and 80 mg of atorvastatin.
Proportion (%) of subjects achieving their LDL-C target after 12 weeks of treatment according to their 10-year CHD risk category (based on the new canadian guidelines on the management and treatment of dyslipidemia).
If the results of this study demonstrate efficacy and lead to the approval by the FDA of atorvastatin for use in humans for the treatment of Alzheimer's disease, this would be available as an additional treatment option for patients.
Parent-metabolite Population Pharmacokinetic (PK) Model for Atorvastatin and Its Metabolites: Atorvastatin Apparent Clearance (CL/F)
Week 2, Week 4, Week 6, Week 8

Parent-metabolite population PK model built using sparse blood samples from both Tanner Stage 1 and Tanner Stage 2+. Blood sampling times: Weeks 2 and 6: single sample between 4 and 12 hours postdose; Weeks 4 and 8: predose, 1 hour, and 2 hours postdose. Plasma samples were analyzed for atorvastatin and active hydroxyacid metabolite (o-hydroxyatorvastatin) concentrations using a validated, sensitive, and specific high-performance liquid chromatography tandem mass spectrometric method. Data presented are the result of the model used.

Parent-metabolite Population Pharmacokinetic (PK) Model for Atorvastatin and Its Metabolites: Apparent Volume of Distribution of the Central Compartment (Vc/F)
Week 2, Week 4, Week 6, Week 8

Parent-metabolite population PK model built using sparse blood samples from Tanner Stages 1 and 2+. Sampling times: Weeks 2 + 6: single sample between 4 -12 hours postdose; Weeks 4 + 8: predose, 1 + 2 hours postdose. Plasma samples analyzed for atorvastatin and active hydroxyacid metabolite (o-hydroxyatorvastatin) concentrations using validated, sensitive, specific high-performance liquid chromatography tandem mass spectrometric method. Vc/F value based on 70 kg body weight. Parameter estimation uncertainty (95% CI) by non-parametric bootstrap analysis. Data presented are result of model used.

Primary study endpoints will be AUClast, AUCinf (if data permit) and Cmax from plasma atorvastatin concentration data.
5 months

Secondary Endpoints

Percentage of Participants With Overall Expected Maturation and Development Consistent With Expectations as Assessed by the Investigator
Baseline, Months 1, 2, 3, 6, 12, 18, 24, 30 and 36 (or early termination)
Percentage of Participants by Study Drug Compliance Category
Months 1, 2, 3, 6, 12, 18, 24, 30, and 36 (or early termination)
The proportion of patients across different AGLA-categories (primary and secondary prevention) achieving LDL-C target as defined by AGLA-recommendations across starting doses of 10 mg, 20 mg, 40 mg, and 80 mg of atorvastatin.
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AtorvastatinEXPERIMENTALAll subjects will be treated with atorvastatin
1OTHER6-10 years will be administered with atorvastatin tablet formulation with initial doses based on age cohort.
2OTHER10-17 years will be administered 10-mg daily dose of atorvastatin tablet formulation.
ReferenceOTHERCommercial 10 mg Lipitor formulation tablet
TestOTHERAtorvastatin pediatric formulation

Interventions

NameTypeDescription
atorvastatinDRUGAtorvastatin tablets or chewable tablets, 5, 10, 20, 40 mg strengths, once daily, for three years (an 80 mg maximum daily dose is delivered by taking two 40 mg strengths, once daily)
LipitorDRUGA single dose of 10 mg Lipitor tablet
Atorvastatin pediatric formulationDRUGA single dose of 10 mg atorvastatin pediatric formulation
Atorvastatin pediatric appropriate formulationDRUGA single dose of pediatric appropriate atorvastatin 80 mg formulation
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Eligibility Criteria

Age Range6 Years to 15 Years
SexALL
Healthy VolunteersNo
Study Sites40

Inclusion Criteria: * Heterozygous familial hypercholesterolemia, ages 6-15, LDL greater than 4 mmol/l Exclusion Criteria: * Active liver disease or hepatic dysfunction, or persistent elevations of serum transaminases exceeding three times the upper limit of normal (ULN). Female of childbearing ...

Countries:United StatesBelgiumCanadaGermanyGreeceHungaryItalyNorwayPolandPuerto RicoRussiaSlovakiaSpainSwitzerlandTurkey (Türkiye)AustraliaAustriaDenmarkSouth AfricaSwedenUnited KingdomSingapore
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