[E]PANOVA Combined With a [S]TATIN in [P]ATIENTS With HYPERT[R]IGLYCER[I]DEMIA to Reduce Non-HDL CHOLES[T]EROL

Study Overview
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Brief Summary
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The primary objective is to evaluate the efficacy of adding Epanova (2 g or 4 g daily) to an optimal statin monotherapy for lowering non-high-density lipoprotein (non-HDL) cholesterol in subjects with persistent hypertriglyceridemia and high risk for cardiovascular disease.

Detailed Description
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The primary efficacy variable is serum non-HDL cholesterol. The primary endpoints are the differences in mean percent changes from baseline to end-of-treatment in non-HDL cholesterol between placebo and the 2g/day and 4g/day Epanova groups. Baseline is defined as the average of Visits 2, 3 and 4 (Weeks -2, -1 and 0) and end-of-treatment is the average of Visits 5 and 6 (Weeks 5 and 6).

Official Title
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A 6-Week, Randomized, Double-Blind, Placebo(Olive Oil)-Controlled Study to Assess the Efficacy and Safety of Add-On Epanova® to Statin Therapy in Subjects With Persistent Hypertriglyceridemia and High Risk for Cardiovascular Disease

Conditions
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Hypertriglyceridemia, Cardiovascular Disease

Intervention / Treatment
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* Drug: Olive oil, 4g
* Drug: omega-3-carboxylic acids, 2g
* Drug: omega-3-carboxylic acids, 4g


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Men or women, ≥18 years of age. Fasting triglyceride (TG) level ≥200 mg/dL and <500 mg/dL. The subject is a high risk for a future cardiovascular event. The subject is treated with a statin and at or near LDL-C goal. Exclusion Criteria: Allergy or intolerance to omega-3 fatty acids and omega-3-acid ethyl esters. Use of fibrates, bile acid sequestrants, or niacin or its analogues (greater than 200 mg/d) during screening. Use of simvastatin 80 mg or Vytorin10/80 mg during screening. Use of any eicosapentaenoic acid (EPA) or docosahexaenoic acid (DHA) products. Use of any supplement for the purpose of lowering plasma cholesterol during screening. Use of weight loss drugs or programs during screening. Use of erythromycin, telithromycin, clarithromycin, cyclosporine, itraconazole, ketoconazole, protease inhibitors, or nefazodone during screening. Use of anticoagulants during screening. Use of oral or injected corticosteroids during screening. Use of tamoxifen, estrogens, progestins, or testosterone, that has not been stable for >4 weeks at Visit 1, or is unstable during screening. Use of >750 mL/d grapefruit juice during screening. Known lipoprotein lipase impairment or deficiency, or apolipoprotein C-II deficiency or familial dysbetalipoproteinemia. History of pancreatitis. Type I diabetes mellitus, use of insulin, or HbA1c >10% at Visit 1. Poorly controlled hypertension Uncontrolled hypothyroidism, or thyroid stimulating hormone (TSH) >1.5xULN at Visit 2. Recent history or current significant nephrotic syndrome, pulmonary, hepatic, biliary, gastrointestinal or immunologic disease. History of cancer (except non-melanoma skin cancer, or carcinoma in situ of cervix) within the previous two years. Females who are pregnant, planning to be pregnant during the study period, lactating, or women of childbearing potential who are not using an acceptable method of contraception. Creatine kinase >5.0 times upper limit of normal (ULN); aspartate aminotransferase (AST) or alanine aminotransferase (ALT) >2.5 times ULN at Visit 2. Current or recent history (past 12 months) of drug or alcohol abuse. Exposure to any investigational agent within 4 weeks prior to Visit 1. Any other condition the investigator believes would interfere with the subject's ability to provide informed consent, comply with study instructions, or which might confound the interpretation of the study results or put the subject at undue risk.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Placebo Comparator: Olive Oil<br>olive oil: 4 g/day + prescription statin | Drug: Olive oil, 4g<br>* Olive oil: 4 x 1 g capsule daily for 6 weeks + prescription statin<br>* Other names: Placebo comparator;|
| Experimental: Epanova, 2 g<br>omega-3-carboxylic acids, 2g/day + prescription statin | Drug: omega-3-carboxylic acids, 2g<br>* Epanova: 2 x 1 g capsule + olive oil 2 x 1 g capsule daily for 6 weeks + prescription statin<br>* Other names: omega-3-carboxylic acids;|
| Experimental: Epanova, 4 g<br>omega-3-carboxylic acids, 4g/day + prescription statin | Drug: omega-3-carboxylic acids, 4g<br>* Epanova: 4 x 1 g capsule daily for 6 weeks + prescription statin<br>* Other names: omega-3-carboxylic acids;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Serum Non-HDL Cholesterol | The primary endpoints are the differences in mean percent changes from baseline to end-of-treatment in non-HDL cholesterol between placebo and the 2g/day and 4g/day Epanova groups. | 6 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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dyslipidemia, hyperlipidemia, cardiovascular risk