The relationship of cholesterol-lowering drugs with steroid HORMONEs, bile acids, muscle morphology, vitamin D, the immune system and related diseases such as depression and osteoporosis

2024-516967-10-00 Protocol CHORMONE Therapeutic use (Phase IV) Ongoing, recruiting

Start 10 Dec 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites · Protocol CHORMONE

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 250
Countries 1
Sites 1

Hyperlipidemia

Do cholesterol-lowering drugs reduce the levels of steroid hormones?

Key facts

Sponsor
Medical University Of Vienna
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Cardiovascular Diseases [C14]
Trial duration
10 Dec 2024 → ongoing
Decision date (initial)
2024-12-10
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-516967-10-00
EudraCT number
2020-001000-42

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

Do cholesterol-lowering drugs reduce the levels of steroid hormones?

Conditions and MedDRA coding

Hyperlipidemia

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. Inclusion criteria for all cohorts except the new-onset low-dose statin therapy patient group: - Age 18–75 years - LDL cholesterol levels >116 mg/dl - Previously prescribed dyslipidemia treatment according to the ESC/EAS guidelines with either atorvastatin >=40 mg, rosuvastatin >=20 mg or PCSK-9 inhibitors such as Praluent, Repatha or Inclisiran Inclusion criteria for the new-onset low-dose statin therapy patient group: - No history of statin treatment - Age 18–75 years - LDL cholesterol levels >116 mg/dl before statin treatment - Previously prescribed dyslipidemia treatment according to the ESC/EAS guidelines with simvastatin <=20 mg, atorvastatin <=10 mg or rosuvastatin <=10 mg

Exclusion criteria 1

  1. - Severe liver disease - Pregnancy - Malignant disorders - Hepatitis B and Hepatitis C - HIV - Primary psychiatric disorder other than depression (ICD-10: F32 and F33) - Exclusion criteria for the MR investigations: claustrophobia, implants in the human body that do not fit to the guidelines on the feasibility of MR measurements.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Changes in sex steroid levels

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 23

Evolocumab

SUB128552 · Substance

Active substance
Evolocumab
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
140 mg milligram(s)
Max total dose
140 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Alirocumab

SUB170596 · Substance

Active substance
Alirocumab
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
300 mg milligram(s)
Max total dose
300 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Alirocumab

SUB170596 · Substance

Active substance
Alirocumab
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
300 mg milligram(s)
Max total dose
300 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Rosuvastatin

SUB20634 · Substance

Active substance
Rosuvastatin
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
40 mg milligram(s)
Max total dose
40 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Rosuvastatin

SUB20634 · Substance

Active substance
Rosuvastatin
Pharmaceutical form
TABLETS
Route of administration
ORAL
Max daily dose
40 mg milligram(s)
Max total dose
40 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Rosuvastatin

SUB20634 · Substance

Active substance
Rosuvastatin
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
40 mg milligram(s)
Max total dose
40 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Rosuvastatin

SUB20634 · Substance

Active substance
Rosuvastatin
Pharmaceutical form
TABLETS
Route of administration
ORAL
Max daily dose
80 mg milligram(s)
Max total dose
80 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Inclisiran

SUB182427 · Substance

Active substance
Inclisiran
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
284 mg milligram(s)
Max total dose
284 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Atorvastatin

SUB05600MIG · Substance

Active substance
Atorvastatin
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
80 mg milligram(s)
Max total dose
80 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Atorvastatin

SUB05600MIG · Substance

Active substance
Atorvastatin
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
80 mg milligram(s)
Max total dose
80 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Atorvastatin

SUB05600MIG · Substance

Active substance
Atorvastatin
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
80 mg milligram(s)
Max total dose
80 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Atorvastatin

SUB05600MIG · Substance

Active substance
Atorvastatin
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
80 mg milligram(s)
Max total dose
80 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Atorvastatin

SUB05600MIG · Substance

Active substance
Atorvastatin
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
80 mg milligram(s)
Max total dose
80 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Atorvastatin

SCP1010304 · ATC

Active substance
Atorvastatin
Route of administration
ORAL
Max daily dose
80 mg milligram(s)
Max total dose
80 mg milligram(s)
Max treatment duration
36 Week(s)
Authorisation status
Authorised
ATC code
C10AA05 — ATORVASTATIN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Rosuvastatin Zinc

SCP102639772 · ATC

Active substance
Rosuvastatin Zinc
Route of administration
ORAL
Max daily dose
40 mg milligram(s)
Max total dose
40 mg milligram(s)
Max treatment duration
36 Week(s)
Authorisation status
Authorised
ATC code
C10AA07 — ROSUVASTATIN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

SCP49547845 · ATC

Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
300 mg milligram(s)
Max total dose
300 mg milligram(s)
Max treatment duration
36 Week(s)
Authorisation status
Authorised
ATC code
C10AX14 — ALIROCUMAB
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Evolocumab

SCP18725227 · ATC

Active substance
Evolocumab
Substance synonyms
AMG145
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
140 mg milligram(s)
Max total dose
140 mg milligram(s)
Max treatment duration
36 Week(s)
Authorisation status
Authorised
ATC code
C10AX13 — EVOLOCUMAB
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Inclisiran

SCP47421243 · ATC

Active substance
Inclisiran
Substance synonyms
ALN-60212
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
284 mg milligram(s)
Max total dose
284 mg milligram(s)
Max treatment duration
36 Week(s)
Authorisation status
Authorised
ATC code
C10AX16 — INCLISIRAN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Rosuvastatin 5 mg film-coated tablets

PRD4310512 · Product

Active substance
Rosuvastatin
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
40 mg milligram(s)
Max total dose
40 mg milligram(s)
Max treatment duration
36 Week(s)
Authorisation status
Authorised
ATC code
C10AA07 — ROSUVASTATIN
Marketing authorisation
PL 16363/0506
MA holder
MILPHARM LIMITED
MA country
XI
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Atorvastatin 10 mg film-coated tablets

PRD4844875 · Product

Active substance
Atorvastatin
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
80 mg milligram(s)
Max total dose
80 mg milligram(s)
Max treatment duration
36 Week(s)
Authorisation status
Authorised
ATC code
C10AA05 — ATORVASTATIN
Marketing authorisation
PL 43461/0017
MA holder
FLAMINGO PHARMA UK LTD
MA country
XI
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Leqvio 284 mg solution for injection in pre-filled syringe

PRD8574502 · Product

Active substance
Inclisiran
Substance synonyms
ALN-60212
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
284 mg milligram(s)
Max total dose
284 mg milligram(s)
Max treatment duration
36 Week(s)
Authorisation status
Authorised
ATC code
C10AX16 — -
Marketing authorisation
EU/1/20/1494/001
MA holder
NOVARTIS EUROPHARM LIMITED
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Repatha 140 mg solution for injection in pre-filled syringe

PRD3018595 · Product

Active substance
Evolocumab
Substance synonyms
AMG145
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
ORAL
Max daily dose
140 mg milligram(s)
Max total dose
140 mg milligram(s)
Max treatment duration
36 Week(s)
Authorisation status
Authorised
ATC code
C10AX13 — -
Marketing authorisation
EU/1/15/1016/001
MA holder
AMGEN EUROPE B.V.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Praluent 150 mg solution for injection in pre-filled pen

PRD8819941 · Product

Active substance
Alirocumab
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
300 mg milligram(s)
Max total dose
300 mg milligram(s)
Max treatment duration
36 Week(s)
Authorisation status
Authorised
ATC code
C10AX14 — -
Marketing authorisation
EU/1/15/1031/018
MA holder
SANOFI WINTHROP INDUSTRIE
MA country
Liechtenstein
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Medical University Of Vienna

Sponsor organisation
Medical University Of Vienna
Address
Spitalgasse 23, Alsergrund Alsergrund
City
Vienna
Postcode
1090
Country
Austria

Scientific contact point

Organisation
Medical University Of Vienna
Contact name
Division of Endocrinology and Metabolism, Department of Medicine III

Public contact point

Organisation
Medical University Of Vienna
Contact name
Division of Endocrinology and Metabolism, Department of Medicine III

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Austria Ongoing, recruiting 250 1
Rest of world 0

Investigational sites

Austria

1 site · Ongoing, recruiting
Medical University Of Vienna
Division of Endocrinology and Metabolism, Department of Medicine III, Waehringer Guertel 18-20, Alsergrund, Vienna

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Austria 2024-12-10 2024-12-10

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 8 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2024-516967-10-00 13.2
Recruitment arrangements (for publication) Placeholder 1
Subject information and informed consent form (for publication) L1_SIS and ICF 13.0
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Atorvastatin 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Evolocumab 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Inclisiran 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Praluent 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Rosuvastatin 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-04 Austria Acceptable
2024-12-06
2024-12-10