NCT02227784

Brief Summary

The purpose of the ACCENTUATE study is to evaluate whether the study drug known as evacetrapib is effective in treating participants with high cholesterol and atherosclerotic cardiovascular disease (ASCVD) and/or diabetes.

Trial Health

60
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
366

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Oct 2014

Shorter than P25 for phase_3

Geographic Reach
2 countries

64 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 26, 2014

Completed
2 days until next milestone

First Posted

Study publicly available on registry

August 28, 2014

Completed
1 month until next milestone

Study Start

First participant enrolled

October 1, 2014

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2015

Completed
2.3 years until next milestone

Results Posted

Study results publicly available

March 22, 2018

Completed
Last Updated

October 8, 2019

Status Verified

September 1, 2019

Enrollment Period

1.2 years

First QC Date

August 26, 2014

Results QC Date

February 18, 2018

Last Update Submit

September 25, 2019

Conditions

Outcome Measures

Primary Outcomes (1)

  • Percent Change From Baseline to 3 Months in Low-Density Lipoprotein Cholesterol (LDL-C)

    Change in LDL-C levels from baseline to the 3-month visit expressed as a percentage of the baseline levels. LDL-C was measured by beta quantification. Statistics are from analysis of covariance with log baseline measurement and treatment is included in the model. Least Square Means (LS means) and median differences were analyzed in log units and converted to standard units. Log Percent change from baseline response is the dependent variable.

    Baseline, 3 Months

Secondary Outcomes (6)

  • Percent Change From Baseline to 3 Months in High-Density Lipoprotein Cholesterol (HDL-C)

    Baseline, 3 Months

  • Percent Change From Baseline to 3 Months in Apolipoprotein AI (apoAI)

    Baseline, 3 Months

  • Percent Change From Baseline to 3 Months in Non-HDL-C

    Baseline, 3 Months

  • Percent Change From Baseline to 3 Months in Apolipoprotein B (apoB)

    Baseline, 3 Months

  • Percent Change From Baseline to 3 Months in Cholesterol Efflux Capacity

    Baseline, 3 Months

  • +1 more secondary outcomes

Study Arms (4)

Atorvastatin + Evacetrapib

EXPERIMENTAL

Atorvastatin 40 milligrams (mg) orally once daily for 28 days during lead in period. Atorvastatin 40 mg plus evacetrapib 130 mg with placebo for blinding orally once daily for 90 days. Open label extension (atorvastatin 40 mg plus evacetrapib 130 mg) is available for compliant participants.

Drug: EvacetrapibDrug: AtorvastatinDrug: Placebo

Atorvastatin 80 mg

ACTIVE COMPARATOR

Atorvastatin 40 mg orally once daily for 28 days during lead in period. Atorvastatin 80 mg orally with placebo for blinding once daily for 90 days. Open label extension (atorvastatin 40 mg plus evacetrapib 130 mg) is available for compliant participants.

Drug: AtorvastatinDrug: Placebo

Atorvastatin + Ezetimibe

ACTIVE COMPARATOR

Atorvastatin 40 mg orally once daily for 28 days during lead in period. Atorvastatin 40 mg plus ezetimibe 10 mg with placebo for blinding orally once daily for 90 days. Open label extension (atorvastatin 40 mg plus evacetrapib 130 mg) is available for compliant participants.

Drug: AtorvastatinDrug: EzetimibeDrug: Placebo

Atorvastatin 40 mg

ACTIVE COMPARATOR

Atorvastatin 40 mg orally once daily for 28 days during lead in period. Atorvastatin 40 mg with placebo for blinding orally once daily for 90 days. Open label extension (atorvastatin 40 mg plus evacetrapib 130 mg) is available for compliant participants.

Drug: AtorvastatinDrug: Placebo

Interventions

Administered orally

Also known as: LY2484595
Atorvastatin + Evacetrapib

Administered orally

Atorvastatin + EvacetrapibAtorvastatin + EzetimibeAtorvastatin 40 mgAtorvastatin 80 mg

Administered orally

Atorvastatin + Ezetimibe

Administered orally

Atorvastatin + EvacetrapibAtorvastatin + EzetimibeAtorvastatin 40 mgAtorvastatin 80 mg

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Must be treated with atorvastatin 40 mg/day for at least 30 days prior to screening
  • Have an LDL-C \>70 mg/deciliter(dL) or non-HDL-C \>100 mg/dL
  • Have screening triglycerides ≤400 mg/dL (≤4.5 millimoles/Liter)
  • Individuals with ASCVD and/or individuals with type 1 or type 2 diabetes

You may not qualify if:

  • Have a hemoglobin A1c (HbA1c) \>9.5%
  • New York Heart Association (NYHA) class III or IV congestive heart failure
  • History of either a transient ischemic stroke or ischemic stroke \<30 days
  • History of acute coronary syndrome (ACS) \<30 days

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (64)

Heart Center Research, LLC

Huntsville, Alabama, 35801, United States

Location

Desert Clinical Research

Mesa, Arizona, 85213, United States

Location

Central Phoenix Med Clinic LLC

Phoenix, Arizona, 85020, United States

Location

Advanced Clinical Research

Carmichael, California, 95608, United States

Location

Tooraj Joseph Raoof M.D., Inc.

Encino, California, 91436, United States

Location

Irvine Clinical Research Center

Irvine, California, 92618, United States

Location

VA Long Beach Healthcare System

Long Beach, California, 90822, United States

Location

Rancho Cucamonga Clinical

Rancho Cucamonga, California, 91730, United States

Location

Encompass Clinical Research

Spring Valley, California, 91978, United States

Location

University Clinical Investigators, Inc.

Tustin, California, 92780, United States

Location

Diablo Clinical Research

Walnut Creek, California, 94598, United States

Location

University of Colorado Health Sciences Center

Aurora, Colorado, 80045-2517, United States

Location

Cardiac Research

Colorado Springs, Colorado, 80909, United States

Location

ZASA Clinical Research

Boynton Beach, Florida, 33472, United States

Location

Cardiology Research Assoc.

Daytona Beach, Florida, 32117, United States

Location

Avail Clinical Research LLC

DeLand, Florida, 32720, United States

Location

Alan Graff, MD, PA

Fort Lauderdale, Florida, 33308, United States

Location

Nature Coast Clinical Research, LLC

Inverness, Florida, 34452, United States

Location

Suncoast Research Group, LLC

Miami, Florida, 33135, United States

Location

Progressive Medical Research

Port Orange, Florida, 32127, United States

Location

Cardiology Partners Clinical Research Institute, LLC

Wellington, Florida, 33449, United States

Location

Georgia Heart Specialists

Covington, Georgia, 30014, United States

Location

United Osteoporosis Center

Gainesville, Georgia, 30501, United States

Location

East West Medical Institute

Honolulu, Hawaii, 96814, United States

Location

Solaris Clinical Research

Meridian, Idaho, 83646, United States

Location

Northwest Heart Clinical Research, LLC

Arlington Heights, Illinois, 60005, United States

Location

Cedar-Crosse Research Center

Chicago, Illinois, 60607, United States

Location

Midwest CRC

Crystal Lake, Illinois, 60012, United States

Location

Indiana Heart Physicians Inc

Indianapolis, Indiana, 46237, United States

Location

Midwest Institute for Clinical Research

Indianapolis, Indiana, 46260, United States

Location

Hutchinson Clinic

Hutchinson, Kansas, 67502, United States

Location

Community Medical Associates

Louisville, Kentucky, 40205, United States

Location

Grace Research

Bossier City, Louisiana, 71111, United States

Location

Maryland Cardiovascular Specialists

Baltimore, Maryland, 21229, United States

Location

Overlea Personal Physicians

Baltimore, Maryland, 21236, United States

Location

Cape Cod Research Institute

Hyannis, Massachusetts, 02601, United States

Location

ActivMed Practices & Research, Inc

Methuen, Massachusetts, 01844, United States

Location

Medex Healthcare Research, Inc.

St Louis, Missouri, 63117, United States

Location

Palm Research Center

Las Vegas, Nevada, 89128, United States

Location

Heart and Vascular Center of New Brunswick LLC

Somerset, New Jersey, 08873, United States

Location

Medex Healthcare Research, Inc.

New York, New York, 10036, United States

Location

Saratoga Clinical Research LLC

Saratoga Springs, New York, 12866, United States

Location

Buffalo Cardiology and Pulmonary Associates, P.C.

Williamsville, New York, 14221, United States

Location

Asheville Cardiology Associates

Asheville, North Carolina, 28803, United States

Location

Metrolina Internal Medicine, P.A.

Charlotte, North Carolina, 28204, United States

Location

High Point Clinical Trials Center

High Point, North Carolina, 27265, United States

Location

Boice Willis Clinic, PA

Rocky Mount, North Carolina, 27804, United States

Location

PMG Research of Wilmington, LLC

Wilmington, North Carolina, 28401, United States

Location

Lillestol Research LLC

Fargo, North Dakota, 58103, United States

Location

Aventiv Research

Columbus, Ohio, 43213, United States

Location

South Oklahoma Heart Research, LLC

Oklahoma City, Oklahoma, 73135, United States

Location

Portland Preventive Cardiology, LLC

Portland, Oregon, 97225, United States

Location

Partners in Clinical Research

Cumberland, Rhode Island, 02864, United States

Location

PMG Research of Charleston, LLC

Mt. Pleasant, South Carolina, 29464, United States

Location

Black Hills Cardiovascular Research Group

Rapid City, South Dakota, 57701, United States

Location

Holston Medical Group Clinical Research

Kingsport, Tennessee, 37660, United States

Location

Northwest Houston Heart Center

Tomball, Texas, 77375-4536, United States

Location

National Clinical Research - Richmond

Richmond, Virginia, 23294, United States

Location

Northwest Clinical Research Center

Bellevue, Washington, 98007-4209, United States

Location

Kootenai Heart Clinics, LLC

Spokane, Washington, 99204, United States

Location

Clinical Investigation Specialists Inc

Kenosha, Wisconsin, 53142, United States

Location

Research and Cardiovascular Corp.

Ponce, 00717-1322, Puerto Rico

Location

Clinical Research Puerto Rico, Inc.

San Juan, 00909, Puerto Rico

Location

GCM Medical Group PSC

San Juan, 00909, Puerto Rico

Location

Related Publications (1)

  • Nicholls SJ, Ray KK, Ballantyne CM, Beacham LA, Miller DL, Ruotolo G, Nissen SE, Riesmeyer JS; ACCENTUATE Investigators. Comparative effects of cholesteryl ester transfer protein inhibition, statin or ezetimibe on lipid factors: The ACCENTUATE trial. Atherosclerosis. 2017 Jun;261:12-18. doi: 10.1016/j.atherosclerosis.2017.04.008. Epub 2017 Apr 8.

MeSH Terms

Conditions

Hyperlipidemias

Interventions

evacetrapibAtorvastatinEzetimibe

Condition Hierarchy (Ancestors)

DyslipidemiasLipid Metabolism DisordersMetabolic DiseasesNutritional and Metabolic Diseases

Intervention Hierarchy (Ancestors)

PyrrolesAzolesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsHeptanoic AcidsFatty AcidsLipidsAzetidinesAzetines

Limitations and Caveats

Early termination was due to program termination.

Results Point of Contact

Title
Chief Medical Officer
Organization
Eli Lilly and Company

Study Officials

  • Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)

    Eli Lilly and Company

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
GT60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 26, 2014

First Posted

August 28, 2014

Study Start

October 1, 2014

Primary Completion

December 1, 2015

Study Completion

December 1, 2015

Last Updated

October 8, 2019

Results First Posted

March 22, 2018

Record last verified: 2019-09

Data Sharing

IPD Sharing
Will share

Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.

Shared Documents
STUDY PROTOCOL, SAP, CSR
Time Frame
Data are available 6 months after the primary publication and approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting.
Access Criteria
A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
More information

Locations