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Clinical Trials List

Protocol NumberD5881C00004
NCT Number(ClinicalTrials.gov Identfier)NCT02104817

2014-12-30 - 2019-12-31

Phase III

Terminated6

ICD-10E78.1

Pure hyperglyceridemia

ICD-9272.1

Pure hyperglyceridemia

A Long-Term Outcomes Study to Assess STatin Residual Risk Reduction with EpaNova in HiGh Cardiovascular Risk PatienTs with Hypertriglyceridemia (STRENGTH)

  • Trial Applicant

    IQVIA RDS Taiwan Ltd.

  • Sponsor

    AstraZeneca AB

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2025/08/20

Investigators and Locations

Principal Investigator Chern-En Chiang 醫學研究部
Taipei Veterans General Hospital

Taiwan National PI

江晨恩、Wen-Chung Yu

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

12 Completed

Audit

None

Principal Investigator 徐國基 Division of Cardiovascular Diseases

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Completed

Principal Investigator 曾維功 Division of Cardiovascular Diseases

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Completed

Principal Investigator 黃啟宏 Division of Cardiovascular Diseases

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Completed

Principal Investigator WEN-TER Lai 未分科

Co-Principal Investigator

Audit

None

Principal Investigator WEN-TER Lai Division of Cardiovascular Diseases

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Completed

Principal Investigator CHIH-YUAN WANG CHIH-YUAN WANG Division of Endocrinology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Completed

Condition/Disease

major adverse cardiovascular event, MACE

Objectives

The study is a randomized, double-blind, placebo-controlled (corn oil), parallel group design that will enroll approximately 13,000 patients with hypertriglyceridemia and low HDL and high risk for CVD to be randomized 1:1 to either corn oil + statin or Epanova + statin, once daily, for approximately 3-5 years as determined when the number of MACE outcomes is reached.

Test Drug

Epanova®

Active Ingredient

omega-3 carboxylic acids

Dosage Form

capsule

Dosage

1g

Endpoints

Primary Outcome Measures :
The Composite of Major Adverse Cardiovascular Events (MACE) [ Time Frame: From the date of randomization and up to completion of the end-of-treatment visit (Month 60) or at study closure ]
MACE components include: cardiovascular (CV) death, nonfatal myocardial infarction (MI), nonfatal stroke, emergent/elective coronary revascularization, or hospitalization for unstable angina. Participants with no observed events are censored at the earliest of withdrawal of consent date and last study contact (defined as the latest of the dates of assessments contributing to an opportunity to assess as to whether the participant has had every component of the endpoint being analyzed).

Inclution Criteria

Inclusion Criteria:

Men or women, ≥18 years of age.
Patient must be on a stable diet and statin* therapy at least 4 weeks prior to randomization (Visit 2) and meet the following criteria:
LDL-C <100 mg/dL
TG level ≥180 and <500 mg/dL and HDL-C <42 mg/dL for men or HDL-C <47 mg/dL for women
Patient is at high risk for a future cardiovascular event if at least one of the following criteria (3a, 3b or 3c)* is present via patient history, physical exam, or medical records at the time of screening:

Any atherosclerotic CVD as defined in protocol.
History of diabetes mellitus (type 1 or 2) and ≥40 years of age for men and ≥50 years of age for women, plus one of the risk factors defined in protocol.
Male patients >50 years of age or females >60 years of age, with at least one of the risk factors defined in protocol.

Exclusion Criteria

Key Exclusion Criteria:

1. Allergy or intolerance to omega-3 carboxylic acids, omega-3 fatty acids, omega-3-acid ethyl esters, or corn oil. 2.Use of fibrates, bile acid sequestrants, or niacin or its analogues (>250 mg/day) within 4 weeks prior to Visit 2. 3.Statin naïve at Visit 1.

The Estimated Number of Participants

  • Taiwan

    53 participants

  • Global

    13000 participants