Efficacy and Safety of EzetimiBe/Rosuvastatin in Diabetic Dislipidemia With Hypertriglyceridaemia (REMBRANDT)

Seoul National University

Status and phase: Unknown; Phase 4

Conditions: Dyslipidemias; Diabetes Mellitus, Type 2; Nutritional and Metabolic Diseases; Endocrine System Diseases

Treatments: Drug: Rosuzet tablet 10/5 mg (Ezetimibe 10 mg/Rosuvastatin 5 mg)

Study type: Interventional

Funder types: Other

Identifiers

NCT04700436

REMBRANDT

Details and patient eligibility

About

To compare and evaluate the effects of LDL-C and Triglyceride (TG) control on the first dose Ezetimibe/Statin (Rosuvastatin 5 mg/Ezetimibe 10 mg) combination therapy compared to the average dose Statin (Rosuvastatin 10 mg) monotherapy in patients with Type 2 diabetes with hypertriglyceridemia (TG > 200 mg/dL).

Full description

The purpose of this study is to compare and evaluate the effects of LDL-C and Triglyceride (TG) control on the first dose Ezetimibe/Statin (Rosuvastatin 5 mg/Ezetimibe 10 mg) combination therapy compared to the average dose Statin (Rosuvastatin 10 mg) monotherapy in patients with Type 2 diabetes with hypertriglyceridemia (TG > 200 mg/dL).

Enrollment: 240 estimated patients

Sex: All

Ages: 40 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Screening (Visit 1) Inclusion Criteria

1. Korean men and women aged 40 to 75

2. Patients who have been diagnosed with type 2 diabetes based on clinical judgment and satisfy diabetes diagnosis criteria

3. Those who have no history of statin administration or who are receiving low- and moderate-intensity statin, and who have the following laboratory values on an empty stomach

   • Low density lipoprotein-cholesterol (LDL-C) ≥ 100 mg/dL (direct measurement result)
   • 200 mg/dL ≤ Triglyceride (TG) ≤ 499 mg/dL

4. Those with less than 9% HbA1C

5. Those who voluntarily agreed to participate in this clinical trial and signed a written ICF

Randomization (Visit 2) Inclusion Criteria

1. Persons with compliance 80% or more during Suvast tablet 5 mg Run-in period and with good TLC by investigator's judgment
2. LDL-C ≥ 70 mg/dL (direct measurement result) at baseline (visit 2)
3. Triglyceride (TG) ≥ 150 mg/dL at baseline (visit 2)

Exclusion criteria

1. Patients with hypersensitivity to the main ingredient (Ezetimibe or Rosuvastatin) and ingredients of IP

2. Pregnant and lactating women, and women and men of childbearing potential who do not agree to conduct appropriate contraception during clinical trial

3. Patients with Body Mass Index (BMI) < 15 kg/ m2 or > 35 kg/m2

4. Persons with the following medical history or surgical/interventional history

   • Atherosclerotic disease occurring within 24 weeks at screening
   • Myopathy including rhabdomyolysis
   • Patients who have had a history of drug or alcohol abuse, or who have met drug or alcohol abuse criteria within 1 year at screening
   • Major mental illness (depression, bipolar disorder, etc.)
   • Malignant tumor within 5 years at screening

5. Persons with the following comorbidities and laboratory abnormalities

   • CK ≥ 2 X ULN
   • Patients with severe hepatopathy (AST or ALT > 5 X ULN)
   • Patients with unexplained persistent ALT elevation opinion or active liver disease
   • TSH (Thyroid stimulating hormone) > 1.5 X ULN or those who do not maintain stable thyroid stimulating hormone level by investigator's judgment
   • Uncontrolled hypertension (greater than sitBP 160/100 mmHg at screening)
   • Renal disorder patients with severe renal failure (creatinine clearance (CLcr)

6. Those who have the following history of drug administration within 3 months at screening

   • Non-statin lipid modulators
   • Foods or drugs that affect lipid control
   • Systemic steroids

7. Those who are expected to administer contraindication drugs during clinical trial, including screening

8. Those who have persistent history of drinking within 1 week at clinical trial participation or who are unable to perform TLC due to continuous drinking during clinical trial

9. Patients with genetic problems such as galactose intolerance, Lapp lactase deficiency, or glucose-galactose malabsorptioin

10. Those who received other IPs or investigational medical devices within 30 days at screening

11. Patients judged to be ineligible to participate in clinical trial by investigator's decision

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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240 participants in 2 patient groups

Test group

Experimental group

Description:

Subject administered with Rosuzet tablet 10/5 mg (Ezetimibe 10 mg/Rosuvastatin 5 mg)

Treatment:

Drug: Rosuzet tablet 10/5 mg (Ezetimibe 10 mg/Rosuvastatin 5 mg)

Control group

Active Comparator group

Description:

Subject administered with Suvast tablet 10 mg (Rosuvastatin 10 mg)

Treatment:

Drug: Rosuzet tablet 10/5 mg (Ezetimibe 10 mg/Rosuvastatin 5 mg)