NCT04499859

Brief Summary

Combination therapy of rosuvastatin 5mg and ezetimibe 10 mg showed similar achievement rate in decreasing LDL cholesterol level by 50% as single use of rosuvastatin 20 mg. This trial aims to prove non-inferiority of concomitant usage of low dose rosuvastatin and ezetimibe among patients with acute myocardial infarction who went through percutaneous coronary intervention at decreasing major adverse cardiac events compared to the efficacy of single use of high dose rosuvastatin.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
3,548

participants targeted

Target at P75+ for phase_4

Timeline
16mo left

Started Oct 2020

Longer than P75 for phase_4

Geographic Reach
1 country

7 active sites

Status
recruiting

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

Study Progress81%
Oct 2020Aug 2027

First Submitted

Initial submission to the registry

July 29, 2020

Completed
7 days until next milestone

First Posted

Study publicly available on registry

August 5, 2020

Completed
2 months until next milestone

Study Start

First participant enrolled

October 1, 2020

Completed
5.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 30, 2026

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

August 30, 2027

Last Updated

July 30, 2025

Status Verified

July 1, 2025

Enrollment Period

5.9 years

First QC Date

July 29, 2020

Last Update Submit

July 28, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Major Adverse Cardiovascular Events (MACE)

    A composite of cardiovascular death, major coronary events (non-fatal MI, documented unstable angina requiring hospital admission, all coronary revascularization with either PCI or bypass surgery occurring at least 30 days after randomization), or non-fatal stroke.

    24 months

Secondary Outcomes (14)

  • death from any cause, a major coronary event, or a non-fatal stroke

    24 months

  • cardiovascular death, non-fatal MI, or non-fatal stroke

    24 months

  • all-cause death from any cause

    24months

  • cardiovascular death

    24months

  • any myocardial infaction

    24 months

  • +9 more secondary outcomes

Study Arms (2)

ezetimibe 10 mg plus rosuvastatin 5 mg

EXPERIMENTAL

Rosuzet 5/10 mg , once a day for 24 months

Drug: Ezetimibe 10mg + Rosuvastatin 5mg

rosuvastatin 20 mg only

ACTIVE COMPARATOR

Any brand drugs of rosuvastatin 20mg, once a day for 24 months

Drug: Rosuvastatin 20mg

Interventions

Initial use of 10mg of ezetimibe combined with 5 mg of rosuvastatin

Also known as: Rosuzet 10/5 mg
ezetimibe 10 mg plus rosuvastatin 5 mg

20mg of Rosuvastatin as a standard treatment for AMI patients

Also known as: Crestor 20mg
rosuvastatin 20 mg only

Eligibility Criteria

Age19 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Adults Aged 19 and up
  • Patients diagnosed with myocardial infarction (both ST segment elevation and non-ST segment elevation) who were treated with percutaneous coronary intervention (Myocardial infarction defined as in the 4th Universal Definition of Myocardial Infarction)
  • For female patients who are of childbearing age, subjects that agreed on taking mandatory pregnancy test
  • Patients who agreed and signed on the informed consent form

You may not qualify if:

  • Patients with life expectancy of a year or less due to malignancy
  • Patients with chronic liver disease
  • Patients with sensitivity to active ingredient of the research drugs (ezetimibe and/or rosuvastatin) or patients who are prohibited to take ezetimibe and/or rosuvastatin.
  • Pregnant and/or breastfeeding
  • Female patients who are unable to use any means of contraception
  • Patients receiving hemodialysis, peritoneal dialysis patients and/or kidney transplant patients, due to end stage renal disease
  • Patients who participated in other clinical trial(s) within 3 months from the screening (except non-interventional observational study)
  • Patients considered inappropriate for the study for any other reason(s) by the inspector(s)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (7)

Bucheon St.Mary Hospital

Bucheon-si, Gyeonggido, South Korea

RECRUITING

St.Vincent's Hospital

Suwon, Gyeonggido, South Korea

RECRUITING

Uijeongbu St.Mary's Hospital

Uijeongbu-si, Gyeonggido, South Korea

RECRUITING

Daejeon St.Mary's Hospital

Daejeon, South Korea

RECRUITING

Incheon St.Mary's Hospital

Incheon, South Korea

RECRUITING

Seoul St.Mary's Hospital

Seoul, 137-701, South Korea

RECRUITING

Yeouido St.Mary Hospital

Seoul, South Korea

RECRUITING

Related Publications (1)

  • Choo EH, Kim CJ, Hwang BH, Lee KY, Oh GC, Lim S, Choi IJ, Kim DB, Kwon OS, Lee S, Choi Y, Park CS, Park MW, Kim HY, Lee HC, Kang TS, Sung JK, Woo SI, Park HS, Yun KH, Chang K; ROSUZET-AMI investigator. High-Intensity Statin versus Upfront Equivalent-Dose Combination of Moderate-Intensity Statin with Ezetimibe Following Acute Myocardial Infarction (ROSUZET-AMI): protocol of a multicentre, open-label, randomised non-inferiority trial. BMJ Open. 2025 Nov 5;15(11):e104127. doi: 10.1136/bmjopen-2025-104127.

MeSH Terms

Conditions

Myocardial Infarction

Interventions

EzetimibeRosuvastatin Calcium

Condition Hierarchy (Ancestors)

Myocardial IschemiaHeart DiseasesCardiovascular DiseasesVascular DiseasesInfarctionIschemiaPathologic ProcessesPathological Conditions, Signs and SymptomsNecrosis

Intervention Hierarchy (Ancestors)

AzetidinesAzetinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsSulfonamidesAmidesOrganic ChemicalsFluorobenzenesHydrocarbons, FluorinatedHydrocarbons, HalogenatedHydrocarbonsSulfonesSulfur CompoundsPyrimidines

Study Officials

  • Kiyuk Chang, MD,PhD

    Seoul St. Mary's Hospital

    STUDY CHAIR

Central Study Contacts

Kiyuk Chang, MD,PhD

CONTACT

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Professor of Medicine

Study Record Dates

First Submitted

July 29, 2020

First Posted

August 5, 2020

Study Start

October 1, 2020

Primary Completion (Estimated)

August 30, 2026

Study Completion (Estimated)

August 30, 2027

Last Updated

July 30, 2025

Record last verified: 2025-07

Data Sharing

IPD Sharing
Will not share

Aggregate summary data available on reasonable request. Exceptionally, and subject to Steering Committee approval, deidentified core analytic IPD may be accessed in a secure, non-downloadable virtual environment at the coordinating center. Contact PI (Kiyuk Chang) with proposal + ethics documentation; DUA required; costs may apply.

Locations