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CTRI Number  CTRI/2024/07/070838 [Registered on: 18/07/2024] Trial Registered Prospectively
Last Modified On: 16/07/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study to compare the effectiveness and safety of bempedoic acid and ezetimibe for treating high lipid levels 
Scientific Title of Study   A Comparative study to evaluate the efficacy and safety of Bempedoic acid versus Ezetimibe in patients with Dyslipidemia  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Afzal Noor  
Designation  Junior Resident 
Affiliation  Eras Lucknow Medical College 
Address  Department of Pharmacology 5th floor Eras Lucknow Medical College Sarfarazganj Lucknow

Lucknow
UTTAR PRADESH
226003
India 
Phone  8210934187  
Fax    
Email  mdafzalnoor@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dilshad Ali Rizvi 
Designation  Professor 
Affiliation  Eras Lucknow Medical College 
Address  Department of Pharmacology, 5th floor Eras Lucknow Medical College Sarfarazganj Lucknow

Lucknow
UTTAR PRADESH
226003
India 
Phone  9450025751  
Fax    
Email  dr.dilshadali@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Afzal Noor  
Designation  Junior Resident 
Affiliation  Eras Lucknow Medical College 
Address  Department of Pharmacology 5th floor Eras Lucknow Medical College Sarfarazganj Lucknow

Lucknow
UTTAR PRADESH
226003
India 
Phone  8210934187  
Fax    
Email  mdafzalnoor@gmail.com  
 
Source of Monetary or Material Support  
Eras lucknow medical college sarfarazganj lucknow Uttar Pradesh India 226003 
 
Primary Sponsor  
Name  Afzal Noor 
Address  Department of Pharmacology 5th floor, Eras Lucknow Medical College Sarfarazganj Lucknow India 226003 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Afzal Noor  Eras Lucknow Medical College  Department of Pharmacology 5th floor
Lucknow
UTTAR PRADESH 
8210934187

mdafzalnoor@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee ELMCH Era University Lucknow  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E785||Hyperlipidemia, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Bempedoic acid  Dose: 180 mg Frequency: OD (once a day) Route: Oral Duration: 12 weeks 
Comparator Agent  Ezetimibe  Dose: 10 mg Frequency: OD (once a day) Route: Oral Duration: 12 weeks 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  Stable atherosclerotic cardiovascular disease
Uncontrolled LDL cholesterol level (fasting more than 70 mg/dl) on maximally tolerated dose of statin.(Atrovastatin 80 mg OD, Rosuvastatin 40 mg OD)
 
 
ExclusionCriteria 
Details  Age less than 18 yr
BMI more or equal 40 kg/m sq.
Triglyceride levels more or equal to 500 mg/dl
History of statin intolerance
History of cardiac event in last 12 weeks
Pregnant and Lactating women.

 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Achieving the target level of fasting LDL-C less than 70 mg/dl  0 week 6 weeks 12 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
The study shall further examine the adverse drug reaction caused by Bempedoic acid 180 mg and Ezetimibe 10 mg in patients of dyslipidemia.   0,6,12th weeks 
 
Target Sample Size   Total Sample Size="106"
Sample Size from India="106" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   01/08/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Researchers who provide a methodologically sound proposal.

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [mdafzalnoor@gmail.com].

  6. For how long will this data be available start date provided 01-08-2024 and end date provided 29-03-2026?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

Title :  A Comparative study to evaluate the efficacy and safety of Bempedoic acid versus Ezetimibe in patients with Dyslipidemia

Background : Dyslipidemia is characterized by an elevation of serum total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), or triglycerides (TG) and reduced serum high-density lipoprotein cholesterol (HDL-C) concentration. Bempedoic acid is a nonstatin for hypercholesterolemia. BA is ATP-citrate lyase inhibitor. It reduces hepatic cholesterol synthesis,which lead to clearance of LDL particles from circulation. Ezetimibe is a non-statin lipid-lowering medication that works by inhibiting the absorption of dietary cholesterol in the small intestine.

MATERIAL AND METHODS: The study was conducted as a prospective, randomized, open-labeled trial at Era’s Lucknow Medical College and Hospital, with collaboration between the Department of Pharmacology and the Department of Medicine. A total of 106 patients participated, evenly distributed with 53 patients in each group. The study spanned a period of 18 months, during which patients with Atherosclerotic Cardiovascular Disease (ASCVD) and uncontrolled levels of Low-Density Lipoprotein Cholesterol (LDL-C), despite receiving the maximum tolerated dose of statin, were enrolled from the medical outpatient department of ELMC&H in Lucknow

 
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