Clinical trial

Effect of Early Initiation of Evolocumab and Combination Lipid-lowering Agent on Lipid Profiles Changes in Patients With Acute Coronary Syndrome Undergoing percuTAneous coronaRy Intervention: a Prospective, Randomized Controlled Trial

Name
9-2022-0119
Description
Investigators aimed to evaluate efficacy and safety of early Initiation of evolocumab and combination lipid-lowering agent (statin + Ezetimibe) on lipid profiles changes in patients with ACS undergoing PCI
Trial arms
Trial start
2022-12-01
Estimated PCD
2025-11-01
Trial end
2025-11-01
Status
Recruiting
Phase
Early phase I
Treatment
Evolocumab 140 MG/ML
Randomly assigned Evolocumab + rosuvastatin + ezetimibe versus rosuvastatin + ezetimibe
Arms:
Evolocumab treatment group
Other names:
REPATHA® (Amgen Inc, Thousand Oaks, California, USA)
Rosuvastatin 5mg
Rosuvastatin 5mg will be assigned to all participants
Arms:
Evolocumab treatment group, Group not receiving evolocumab
Ezetimibe 10mg
Ezetimibe 10mg will be assigned to all participants
Arms:
Evolocumab treatment group, Group not receiving evolocumab
Size
102
Primary endpoint
Difference in LDL level change (mg/dL)
Baseline, 2 weeks later
Eligibility criteria
Inclusion Criteria: 1. Over 19 years old 2. Patients who agreed to the research protocol and clinical follow-up survey plan, decided to participate in this study voluntarily, and gave written consent to the informed consent form. 3. Patients who underwent percutaneous coronary stenting for acute coronary syndrome Exclusion Criteria: 1. Patients who have previously taken statins, 2. Patients with active liver disease or patients with three times or more increase in AST or ALT 3. If you have an allergic or hypersensitivity reaction to Evorucumab, statin, or Ezetimib, 4. Pregnant women, lactating women, or women of childbearing age who plan to become pregnant during this study 5. The remaining life expectancy is expected to be less than a year. 6. Subjects who visited the hospital due to psychogenic shock and are expected to be less likely to survive by medical judgment 7. Subjects participating in a randomized clinical trial of medical devices/pharmaceuticals
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE4'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'interventionModelDescription': 'The experimental and control groups consist of patients undergoing stenting for acute coronary syndrome and will be randomized to receive early evolocumab along with statin/ezetimibe use or no evolocumab. Rosuvastatin 5 mg and Ezetimibe 10 mg are administered to both the experimental group and the control group.', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 102, 'type': 'ESTIMATED'}}
Updated at
2024-03-19

1 organization

3 products

1 indication

Organization
Yonsei University
Product
Evolocumab
Product
Ezetimibe