Trial Outcomes & Findings for Carotid IMT (Intima Media Thickening) Study (0524A-041)(TERMINATED) (NCT NCT00384293)
NCT ID: NCT00384293
Last Updated: 2015-09-30
Results Overview
change in mean carotid intima media thickness defined as a composite measure of the left and right common, bulb, and internal carotid artery.
TERMINATED
PHASE3
937 participants
after 96 weeks of postrandomization treatment
2015-09-30
Participant Flow
There was an MK0524A active run-in period prior to randomization. Per protocol, patients were scheduled to receive MK0524A 1g orally once daily for 4 weeks. The MK0524A dose was then increased to 2g (2x 1g tablets), once daily, for an additional 4 weeks prior to randomization.
Participant milestones
| Measure |
MK0524A Active Run-In Period
Patients who received MK0524A during active run-in (Visit 2). Per protocol, patients were scheduled to receive MK0524A 1g orally once daily for 4 weeks. The MK0524A dose was then increased to 2g (2x 1g tablets), once daily, at Visit 3 for an additional 4 weeks prior to randomization.
|
MK0524A, 2 g (Postrandomization Period)
Patients who were randomized to MK0524A, 2 g (oral administration) once daily.
|
Placebo (Postrandomization Period)
Patients who were randomized to placebo
|
|---|---|---|---|
|
MK0524A Active Run-In, Pre-randomization
STARTED
|
937
|
0
|
0
|
|
MK0524A Active Run-In, Pre-randomization
Entered Active run-in, MK0524A 1 g
|
937
|
0
|
0
|
|
MK0524A Active Run-In, Pre-randomization
MK0524A Dose Increased to 2 g
|
813
|
0
|
0
|
|
MK0524A Active Run-In, Pre-randomization
COMPLETED
|
433
|
0
|
0
|
|
MK0524A Active Run-In, Pre-randomization
NOT COMPLETED
|
504
|
0
|
0
|
|
Post-randomization Period
STARTED
|
0
|
214
|
219
|
|
Post-randomization Period
Received ≥1 Dose of MK0524A Study Drug
|
0
|
214
|
218
|
|
Post-randomization Period
COMPLETED
|
0
|
0
|
0
|
|
Post-randomization Period
NOT COMPLETED
|
0
|
214
|
219
|
Reasons for withdrawal
| Measure |
MK0524A Active Run-In Period
Patients who received MK0524A during active run-in (Visit 2). Per protocol, patients were scheduled to receive MK0524A 1g orally once daily for 4 weeks. The MK0524A dose was then increased to 2g (2x 1g tablets), once daily, at Visit 3 for an additional 4 weeks prior to randomization.
|
MK0524A, 2 g (Postrandomization Period)
Patients who were randomized to MK0524A, 2 g (oral administration) once daily.
|
Placebo (Postrandomization Period)
Patients who were randomized to placebo
|
|---|---|---|---|
|
MK0524A Active Run-In, Pre-randomization
Adverse Event
|
120
|
0
|
0
|
|
MK0524A Active Run-In, Pre-randomization
Lost to Follow-up
|
1
|
0
|
0
|
|
MK0524A Active Run-In, Pre-randomization
Withdrawal by Subject
|
24
|
0
|
0
|
|
MK0524A Active Run-In, Pre-randomization
Not cIMT eligible at Visit 3
|
340
|
0
|
0
|
|
MK0524A Active Run-In, Pre-randomization
Trial Termination
|
16
|
0
|
0
|
|
MK0524A Active Run-In, Pre-randomization
Certified Sonographer Not Available
|
2
|
0
|
0
|
|
MK0524A Active Run-In, Pre-randomization
Patient Unable to Complete cIMT Scan
|
1
|
0
|
0
|
|
Post-randomization Period
Adverse Event
|
0
|
23
|
7
|
|
Post-randomization Period
Lost to Follow-up
|
0
|
2
|
1
|
|
Post-randomization Period
Protocol Violation
|
0
|
1
|
0
|
|
Post-randomization Period
Withdrawal by Subject
|
0
|
8
|
6
|
|
Post-randomization Period
Trial Termination
|
0
|
180
|
204
|
|
Post-randomization Period
Patient Randomized in Error
|
0
|
0
|
1
|
Baseline Characteristics
Carotid IMT (Intima Media Thickening) Study (0524A-041)(TERMINATED)
Baseline characteristics by cohort
| Measure |
MK0524A, 2 g (Postrandomization Period)
n=214 Participants
Patients who were randomized to MK0524A, 2 g (oral administration) once daily.
|
Placebo (Postrandomization Period)
n=218 Participants
Patients who were randomized to placebo
|
Total
n=432 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
53.1 years
STANDARD_DEVIATION 8.94 • n=99 Participants
|
54.5 years
STANDARD_DEVIATION 8.22 • n=107 Participants
|
53.8 years
STANDARD_DEVIATION 8.60 • n=206 Participants
|
|
Sex: Female, Male
Female
|
76 Participants
n=99 Participants
|
82 Participants
n=107 Participants
|
158 Participants
n=206 Participants
|
|
Sex: Female, Male
Male
|
138 Participants
n=99 Participants
|
136 Participants
n=107 Participants
|
274 Participants
n=206 Participants
|
PRIMARY outcome
Timeframe: after 96 weeks of postrandomization treatmentPopulation: study prematurely terminated, no efficacy analyses were performed
change in mean carotid intima media thickness defined as a composite measure of the left and right common, bulb, and internal carotid artery.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: after 96 weeks of postrandomization treatmentPopulation: study prematurely terminated, no efficacy analyses were performed
Outcome measures
Outcome data not reported
Adverse Events
MK0524A Active Run-In Period
MK0524A, 2 g (Postrandomization Period)
Placebo (Postrandomization Period)
Serious adverse events
| Measure |
MK0524A Active Run-In Period
Patients who received MK0524A during active run-in (Visit 2). Per protocol, patients were scheduled to receive MK0524A 1g orally once daily for 4 weeks. The MK0524A dose was then increased to 2g (2x 1g tablets), once daily, at Visit 3 for an additional 4 weeks prior to randomization.
|
MK0524A, 2 g (Postrandomization Period)
Patients who were randomized to MK0524A, 2 g (oral administration) once daily.
|
Placebo (Postrandomization Period)
Patients who were randomized to placebo
|
|---|---|---|---|
|
Cardiac disorders
Acute coronary syndrome
|
0.00%
0/937
|
0.00%
0/214
|
0.46%
1/218
|
|
Cardiac disorders
Acute myocardial infarction
|
0.11%
1/937
|
0.00%
0/214
|
0.00%
0/218
|
|
Cardiac disorders
Acute pectoris
|
0.00%
0/937
|
0.47%
1/214
|
0.00%
0/218
|
|
Cardiac disorders
Angina unstable
|
0.11%
1/937
|
0.47%
1/214
|
0.46%
1/218
|
|
Cardiac disorders
Atrial fibrillation
|
0.11%
1/937
|
0.00%
0/214
|
0.00%
0/218
|
|
Cardiac disorders
Myocardial infarction
|
0.11%
1/937
|
0.00%
0/214
|
0.00%
0/218
|
|
Gastrointestinal disorders
Pancreatitis
|
0.00%
0/937
|
0.00%
0/214
|
0.46%
1/218
|
|
Gastrointestinal disorders
Constipation
|
0.11%
1/937
|
0.00%
0/214
|
0.00%
0/218
|
|
General disorders
Pyrexia
|
0.00%
0/937
|
0.00%
0/214
|
0.46%
1/218
|
|
Hepatobiliary disorders
Hepatitis
|
0.11%
1/937
|
0.00%
0/214
|
0.00%
0/218
|
|
Immune system disorders
Anaphylactic shock
|
0.00%
0/937
|
0.00%
0/214
|
0.46%
1/218
|
|
Infections and infestations
Diverticulitis
|
0.11%
1/937
|
0.00%
0/214
|
0.00%
0/218
|
|
Infections and infestations
Staphylococcal sepsis
|
0.11%
1/937
|
0.00%
0/214
|
0.00%
0/218
|
|
Injury, poisoning and procedural complications
Limb injury
|
0.00%
0/937
|
0.00%
0/214
|
0.46%
1/218
|
|
Metabolism and nutrition disorders
Hypoglycaemia
|
0.11%
1/937
|
0.00%
0/214
|
0.00%
0/218
|
|
Musculoskeletal and connective tissue disorders
Rotator cuff syndrome
|
0.00%
0/937
|
0.93%
2/214
|
0.00%
0/218
|
|
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
|
0.00%
0/937
|
0.47%
1/214
|
0.46%
1/218
|
|
Musculoskeletal and connective tissue disorders
Osteoarthritis
|
0.00%
0/937
|
0.00%
0/214
|
0.46%
1/218
|
|
Musculoskeletal and connective tissue disorders
Toe deformity
|
0.00%
0/937
|
0.00%
0/214
|
0.46%
1/218
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung cancer metastatic
|
0.11%
1/937
|
0.00%
0/214
|
0.00%
0/218
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Papillary thyroid cancer
|
0.11%
1/937
|
0.00%
0/214
|
0.00%
0/218
|
|
Pregnancy, puerperium and perinatal conditions
Pregnancy
|
0.00%
0/937
|
0.00%
0/214
|
0.46%
1/218
|
|
Renal and urinary disorders
Renal failure acute
|
0.11%
1/937
|
0.00%
0/214
|
0.00%
0/218
|
|
Reproductive system and breast disorders
Ovarian cyst
|
0.00%
0/937
|
0.47%
1/214
|
0.00%
0/218
|
|
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
|
0.00%
0/937
|
0.00%
0/214
|
0.46%
1/218
|
|
Vascular disorders
Arterial stenosis
|
0.11%
1/937
|
0.00%
0/214
|
0.00%
0/218
|
Other adverse events
| Measure |
MK0524A Active Run-In Period
Patients who received MK0524A during active run-in (Visit 2). Per protocol, patients were scheduled to receive MK0524A 1g orally once daily for 4 weeks. The MK0524A dose was then increased to 2g (2x 1g tablets), once daily, at Visit 3 for an additional 4 weeks prior to randomization.
|
MK0524A, 2 g (Postrandomization Period)
Patients who were randomized to MK0524A, 2 g (oral administration) once daily.
|
Placebo (Postrandomization Period)
Patients who were randomized to placebo
|
|---|---|---|---|
|
Gastrointestinal disorders
Diarrhoea
|
2.1%
20/937
|
3.7%
8/214
|
1.8%
4/218
|
|
Gastrointestinal disorders
Nausea
|
2.6%
24/937
|
2.3%
5/214
|
0.00%
0/218
|
|
Gastrointestinal disorders
Vomiting
|
0.00%
0/937
|
2.3%
5/214
|
0.00%
0/218
|
|
General disorders
Fatigue
|
0.00%
0/937
|
2.8%
6/214
|
2.3%
5/218
|
|
Infections and infestations
Influenza
|
0.00%
0/937
|
6.5%
14/214
|
8.3%
18/218
|
|
Infections and infestations
Nasopharyngitis
|
2.5%
23/937
|
6.5%
14/214
|
6.0%
13/218
|
|
Infections and infestations
Upper respiratory tract infection
|
0.00%
0/937
|
1.9%
4/214
|
2.8%
6/218
|
|
Musculoskeletal and connective tissue disorders
Arthralgia
|
0.00%
0/937
|
3.7%
8/214
|
1.4%
3/218
|
|
Musculoskeletal and connective tissue disorders
Back pain
|
0.00%
0/937
|
3.7%
8/214
|
2.8%
6/218
|
|
Musculoskeletal and connective tissue disorders
Myalgia
|
0.00%
0/937
|
2.8%
6/214
|
3.7%
8/218
|
|
Musculoskeletal and connective tissue disorders
Pain in extremity
|
0.00%
0/937
|
0.93%
2/214
|
3.2%
7/218
|
|
Nervous system disorders
Headache
|
5.5%
52/937
|
4.7%
10/214
|
2.3%
5/218
|
|
Nervous system disorders
Paraesthesia
|
5.0%
47/937
|
0.00%
0/214
|
0.00%
0/218
|
|
Nervous system disorders
Burning Sensation
|
2.7%
25/937
|
0.00%
0/214
|
0.00%
0/218
|
|
Nervous system disorders
Dizziness
|
2.2%
21/937
|
0.00%
0/214
|
0.00%
0/218
|
|
Skin and subcutaneous tissue disorders
Pruritus
|
8.3%
78/937
|
4.7%
10/214
|
0.92%
2/218
|
|
Skin and subcutaneous tissue disorders
Erythema
|
2.5%
23/937
|
0.00%
0/214
|
0.00%
0/218
|
|
Skin and subcutaneous tissue disorders
Rash
|
2.3%
22/937
|
0.00%
0/214
|
0.00%
0/218
|
|
Vascular disorders
Flushing
|
19.6%
184/937
|
2.3%
5/214
|
0.00%
0/218
|
|
Vascular disorders
Hot flush
|
3.9%
37/937
|
0.00%
0/214
|
0.00%
0/218
|
Additional Information
Senior Vice President, Global Clinical Development
Merck Sharp & Dohme Corp.
Results disclosure agreements
- Principal investigator is a sponsor employee Merck agreements may vary with individual investigators, but will not prohibit any investigator from publishing. Merck supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
- Publication restrictions are in place
Restriction type: OTHER