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审核状态: Project audit state: |
通过审核 Successful |
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注册号: Registration number: |
ChiCTR2600125607 |
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最近更新日期: Date of Last Refreshed on: |
2026-05-28 16:58:54 |
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注册时间: Date of Registration: |
2026-05-28 00:00:00 |
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注册号状态: |
预注册 |
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Registration Status: |
Prospective registration |
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注册题目: |
一项在他汀类药物控制不佳的高脂血症患者中评估贝派度酸片有效性和安全性的多中心、随机、双盲、安慰剂对照Ⅲ期临床研究 |
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Public title: |
A multicenter, randomized, double?blind, placebo?controlled phase III clinical study to evaluate the efficacy and safety of bempedoic acid tablets in patients with hyperlipidemia inadequately controlled by statins. |
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注册题目简写: |
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English Acronym: |
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研究课题的正式科学名称: |
一项在他汀类药物控制不佳的高脂血症患者中评估贝派度酸片有效性和安全性的多中心、随机、双盲、安慰剂对照III期临床研究 |
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Scientific title: |
A multicenter, randomized, double?blind, placebo?controlled phase III clinical study to evaluate the efficacy and safety of bempedoic acid tablets in patients with hyperlipidemia inadequately controlled by statins. |
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研究课题代号(代码): Study subject ID: |
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在二级注册机构或其它机构的注册号: The registration number of the Partner Registry or other register: |
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申请注册联系人: |
袁祖贻 |
研究负责人: |
袁祖贻 |
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Applicant: |
Yuan Zuyi |
Study leader: |
Yuan Zuyi |
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申请注册联系人电话: Applicant telephone: |
+86 29 85323215 |
研究负责人电话:
Study leader's |
+86 29 85323215 |
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申请注册联系人传真 : Applicant Fax: |
研究负责人传真: Study leader's fax: |
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申请注册联系人电子邮件: Applicant E-mail: |
zuyiyuan01@163.com |
研究负责人电子邮件: Study leader's E-mail: |
zuyiyuan@mail.xjtu.edu.cn |
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申请单位网址(自愿提供): Applicant website(voluntary supply): |
研究负责人网址(自愿提供): Study leader's website(voluntary supply): |
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申请注册联系人通讯地址: |
陕西省西安市雁塔区雁塔西路277号 |
研究负责人通讯地址: |
陕西省西安市雁塔西路277号 |
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Applicant address: |
No. 277, Yanta West Road, Yanta District, Xi'an City, Shaanxi Province |
Study leader's address: |
No. 277, Yanta West Road, Yanta District, Xi'an City, Shaanxi Province |
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申请注册联系人邮政编码: Applicant postcode: |
研究负责人邮政编码: Study leader's postcode: |
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申请人所在单位: |
西安交通大学第一附属医院 |
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Applicant's institution: |
The First Affiliated Hospital of Xi'an Jiaotong University |
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研究负责人所在单位: |
西安交通大学第一附属医院 |
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Affiliation of the Leader: |
The First Affiliated Hospital of Xi'an Jiaotong University |
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是否获伦理委员会批准: |
是 |
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Approved by ethic committee: |
Yes |
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伦理委员会批件文号: Approved No. of ethic committee: |
X-XJTU1AF2026LSY-091 |
伦理委员会批件附件: Approved file of Ethical Committee: |
查看附件View |
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批准本研究的伦理委员会名称: |
西安交通大学第一附属医院医学伦理委员会 |
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Name of the ethic committee: |
Ethics Committee of the First Affiliated Hospital of Xian Jiaotong University |
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伦理委员会批准日期: Date of approved by ethic committee: |
2026-04-08 00:00:00 | ||
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伦理委员会联系人: |
易秋月 |
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Contact Name of the ethic committee: |
Yi Qiuyue |
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伦理委员会联系地址: |
陕西省西安市雁塔西路277号 |
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Contact Address of the ethic committee: |
No. 277, Yanta West Road, Yanta District, Xi'an City, Shaanxi Province |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 29 85323473 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
yqy0118@163.com |
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研究实施负责(组长)单位: |
西安交通大学第一附属医院 |
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Primary sponsor: |
The First Affiliated Hospital of Xi'an Jiaotong University |
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研究实施负责(组长)单位地址: |
陕西省西安市雁塔西路277号 |
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Primary sponsor's address: |
277 West Yanta Road, Xi’an, Shaanxi,710061,People’s Republic of China |
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试验主办单位(项目批准或申办者): Secondary sponsor: |
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经费或物资来源: |
石药集团欧意药业有限公司 |
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Source(s) of funding: |
CSPC Ouyi Pharmaceutical Co., Ltd. |
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研究疾病: |
高脂血症 |
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Target disease: |
Hyperlipidemia |
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研究疾病代码: |
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Target disease code: |
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研究类型: |
干预性研究 |
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Study type: |
Interventional study |
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研究所处阶段: |
III期临床试验 | ||||||||||||||||||||||
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Study phase: |
3 |
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研究设计: |
随机平行对照 |
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Study design: |
Parallel |
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研究目的: |
评估贝派度酸片在他汀类药物控制不佳的高脂血症参与者中的疗效。 |
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Objectives of Study: |
NA |
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药物成份或治疗方案详述: |
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Description for medicine or protocol of treatment in detail: |
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纳入标准: |
1.年龄>=18周岁。 2.18.5 kg/m^2<=BMI<=35 kg/m^2。 3.已确诊ASCVD的参与者或ASCVD高危人群(先进行10年ASCVD发病危险评估,如果为中危且年龄<55岁者,评估余生危险)(依据《中国血脂管理指南2023年》,详见附录13.8);和/或确诊有HeFH的参与者(详见附录13.9)。 4.筛选前单用中等及以上强度稳定剂量的他汀类药物或联用其他调脂药物(±胆固醇吸收抑制剂:依折麦布、海博麦布;±除吉非罗齐外的贝特类药物)稳定治疗至少4周后,LDL-C仍不能达标的高脂血症参与者。 5.空腹LDL-C(禁食8-12小时)在筛选时和随机前需同时符合以下标准中的任意一个: (1)ASCVD高危参与者:V1和V3的LDL-C>=2.6 mmol/L(或100 mg/dL); (2)ASCVD极高危参与者:V1和V3的LDL-C>=1.8 mmol/L(或70 mg/dL); ASCVD超高危参与者:V1和V3的LDL-C>=1.4 mmol/L(或55 mg/dL)。 6.单盲导入期他汀类背景降脂药、贝派度酸片安慰剂、±依折麦布(如有)的依从性良好,依从性均≥80%且≤120%。 7.男性或女性,从签署ICF开始至给药结束后1个月内无生育计划(包括捐精、捐卵)和同意采取有效避孕方法者。 8.充分了解本研究的目的和要求,自愿参加临床研究并签署书面ICF。 |
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Inclusion criteria |
1. Age >= 18 years. 2. 18.5 kg/m^2 <= BMI <= 35 kg/m^2. 3. Participants diagnosed with ASCVD or those at high risk of ASCVD (first assess the 10-year risk of ASCVD; if moderate risk and age < 55, assess lifetime risk) (according to the '2023 Chinese Guidelines for Lipid Management', see Appendix 13.8); and/or participants diagnosed with HeFH (see Appendix 13.9). 4. Participants with hyperlipidemia who, before screening, were treated with moderate or higher intensity statins at a stable dose alone or in combination with other lipid-lowering drugs (± cholesterol absorption inhibitors: ezetimibe, colesevelam; +/- fibrates other than gemfibrozil) for at least 4 weeks and still failed to reach LDL-C targets. 5. Fasting LDL-C (after 8-12 hours of fasting) must meet any of the following criteria both at screening and before randomization: (1) ASCVD high-risk participants: LDL-C >= 2.6 mmol/L (or 100 mg/dL) at V1 and V3; (2) ASCVD very high-risk participants: LDL-C >= 1.8 mmol/L (or 70 mg/dL) at V1 and V3; ASCVD ultra-high-risk participants: LDL-C >= 1.4 mmol/L (or 55 mg/dL) at V1 and V3. 6. Good compliance during the single-blind statin background lipid-lowering therapy, placebo of bempedoic acid tablets, +/- ezetimibe (if any), with compliance >= 80% and <=120%. 7. Male or female participants who have no reproductive plans (including sperm or egg donation) from the time of signing the ICF until one month after the end of administration and agree to use effective contraception. 8. Fully understand the purpose and requirements of this study, voluntarily participate in the clinical study, and sign the written ICF. |
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排除标准: |
1.已知对试验用药品及其辅料中的任何成分或相关制剂有过敏史、有过敏性疾患(哮喘、荨麻疹、湿疹等)或过敏体质者。 |
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Exclusion criteria: |
1. Individuals with a known history of allergy to any component of the investigational drug or its excipients, with allergic diseases (asthma, urticaria, eczema, etc.), or with an allergic constitution. 2. Participants diagnosed with HoFH (see Appendix 13.9.2). 3. Individuals with a history of tendon disease or tendon rupture prior to screening. 4. Individuals with a confirmed or suspected diagnosis of type 1 diabetes, or other specific types of diabetes caused by other reasons (monogenic diabetes syndromes, cystic fibrosis, pancreatitis, drug-induced or chemically-induced diabetes, etc.) prior to screening. 5. Individuals with severe, uncontrolled comorbidities that may affect the absorption and metabolism of the investigational drug or have a significant impact on lipid levels at the time of screening, including but not limited to severe active infections, gastrointestinal diseases or postoperative status (including bariatric surgery), immune system diseases (such as systemic lupus erythematosus), etc. 6. Individuals with hyperthyroidism or uncontrolled stable hypothyroidism at screening (controlled stable refers to receiving a stable dose of thyroid hormone replacement therapy for at least 3 months with TSH within the normal range at screening), or individuals with clinically significant abnormal thyroid function test results at screening. 7. Individuals with uncontrolled hypertension at screening, defined as resting systolic blood pressure >=160 mmHg or diastolic blood pressure >=100 mmHg. 8. Individuals who experienced an acute gout attack within 3 months prior to screening. 9. Serious cardiovascular and cerebrovascular events occurring within 3 months before screening or from introduction to randomization, including: unexplained syncope, uncontrolled symptomatic arrhythmias (e.g., atrial fibrillation, starting or changing dosage of arrhythmia medications within 3 months prior to screening), decompensated heart failure (NYHA grade III or IV), unstable angina, acute myocardial infarction, cerebrovascular accidents (e.g., cerebral infarction, cerebral hemorrhage), transient ischemic attacks, coronary artery bypass grafting, Percutaneous coronary intervention, peripheral vascular intervention, or planning to undergo major surgery or interventional procedures during the study period (such as percutaneous coronary intervention, coronary artery bypass grafting, carotid or peripheral vascular reconstruction). 10. Any type of treated or untreated malignant tumor within 5 years prior to screening or prior to randomization (excluding clinically cured basal cell carcinoma or carcinoma in situ). 11. Prior to screening, any of the following medications/treatment history: (1) Within 4 weeks prior to screening, the following medications: Xuelicon, niacin and its derivatives, steranols, bile acid chelating agents, containing red yeast rice or other ingredients deemed by the investigator to affect blood lipids; (2) Use of potent CYP enzyme inhibitors, inducers (see Appendix 13.5), or probenecid within 30 days prior to medication; (3) Use of ACL inhibitors within 3 months prior to screening or previous use of this product with poor efficacy or adverse reactions; (4) Lipoprotein plasma exchange within 3 months prior to screening; (5) Use of PCSK9 monoclonal antibodies or small molecule inhibitors within 6 months prior to screening; (6) Use of small RNA-interfering lipid-lowering drugs, such as Incslan sodium injection, within 2 years prior to screening; or antisense oligonucleotide lipid-lowering drugs, such as Tryngolza (Olezarsen); Or have taken CETP inhibitors such as obicetrapib. 12. Changes in dosage of the following drugs within 4 weeks prior to screening, or plans to initiate or change the dosage of the following drugs during the study: (1) systemic steroid hormones; (2) Thyroid hormones; (3) Hypoglycemic drugs; (4) Weight loss medications. 13. History of nephrotic syndrome, glomerulonephritis, or severe renal insufficiency before screening or prior to randomization, including eGFR <30 mL/min/1.73m^2 at screening and before randomization (calculated using CKD-EPI formula, see Appendix 13.10). 14. Liver disease or liver dysfunction at screening or prior to randomization, including: alanine aminotransferase or aspartate aminotransferase >2×ULN; or total bilirubin > 1.2×ULN. 15. Any indicator from screening until before randomization meets the following criteria: (1) Hemoglobin <100 g/L; (2) HBsAg positive, HCV antibody positive, TP-Ab positive, or HIV antibody positive; (3) Creatine kinase >3× ULN; (4) Triglycerides > 5.64 mmol/L; (5)HbA1c>8.5%; (6) For women of childbearing age, a positive pregnancy test is required. (See Appendix 13.1 for details); 16. Long QT syndrome or prolonged QTcF interval (QTcF: males > 450 ms, females > 470 ms). 17. Participation in clinical research and use of other investigational drugs or devices within 3 months prior to screening (counted as the start date of the last visit for the previous clinical study), within 5 drug half-lives (whichever is longer), or prior to randomization and the use of other investigational drugs or devices (excluding failed screenings). 18. Frequent drinkers within 3 months prior to screening or prior to randomization, i.e., those who consumed more than 14 units of alcohol per week (1 unit = 360 mL of 5% beer or 45 mL of 40% spirits or 150 mL of 12% alcohol), and/or those unable to stop alcohol intake during the trial. 19. History of drug abuse or drug use. 20. Individuals who have donated blood or lost ≥400 mL of blood within 3 months prior to screening or prior to randomization, or have hematologic diseases (including but not limited to aplastic anemia, hemoglobinopathy, hemolytic anemia, thalassemia, sickle cell anemia), or any disease causing hemolysis or erythrocyte instability (such as malaria). 21. Breastfeeding women. 22. Other factors deemed unsuitable for the trial by the investigator. |
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研究实施时间: Study execute time: |
从 From 2026-02-10 00:00:00至 To 2027-12-31 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2026-06-01 00:00:00 至 To 2027-12-31 00:00:00 |
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干预措施: Interventions: |
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研究实施地点: Countries of recruitment and research settings: |
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测量指标: Outcomes: |
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采集人体标本:
Collecting sample(s)
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征募研究对象情况: Recruiting status: |
尚未开始 Not yet recruiting |
年龄范围: Participant age: |
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性别: |
男女均可 |
Gender: |
Both |
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随机方法(请说明由何人用什么方法产生随机序列): |
中央随机 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
Central randomization |
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是否公开试验完成后的统计结果: Calculated Results after the Study Completed public access: |
不公开/Private |
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盲法: |
对研究者和参试者设盲 |
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Blinding: |
Blinding for researchers and participants |
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是否共享原始数据: IPD sharing |
否No |
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共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址): |
无 |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
None |
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数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC: |
EDC |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
EDC |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
有/Yes |