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Trial ยท NCT02666664

Evaluation of Long-Term Safety and Tolerability of ETC-1002 in High-Risk Patients With Hyperlipidemia and High CV Risk (CLEAR Harmony)

NCT02666664, Phase 3, Completed, Esperion Therapeutics, Inc.; results first posted 2020-04-20

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Evaluation of Long-Term Safety and Tolerability of ETC-1002 in High-Risk Patients With Hyperlipidemia and High CV Risk (CLEAR Harmony). Trials, record NCT02666664. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02666664

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Evaluation of Long-Term Safety and Tolerability of ETC-1002 in High-Risk Patients With Hyperlipidemia and High CV Risk (CLEAR Harmony)
NCT number
NCT02666664
Status
Completed
Phases
Phase 3
Enrollment
2,230 participants, actual
Lead sponsor
Esperion Therapeutics, Inc.
Conditions
Hypercholesterolemia, Atherosclerotic Cardiovascular Diseases
Interventions
ETC-1002, Placebo
First posted
2016-01-28
Last updated
2020-05-11
Other registries' IDs
eudract:2015-004136-36
Results first posted
2020-04-20

Source ClinicalTrials.gov

Registered outcomes30

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPercentage of Participants With Treatment-emergent Adverse Events (TEAEs)Up to approximately 52 weeks
TEAEs, defined as adverse events (AEs) that began or worsened in severity after the first dose of double-blind study drug and up to 30 days after receiving the last dose of double-blind study drug, were collected and reported.
PrimaryPercentage of Participants With Adjudicated Major Adverse Cardiovascular EventUp to approximately 52 weeks
TEAEs, defined as AEs that began or worsened in severity after the first dose of double-blind study drug and up to 30 days after receiving the last dose of double-blind study drug, were collected and reported. Cardiovascular events were considered as adverse events of special interest. Treatment-emergent = TE.
PrimaryPercentage of Participants With the Indicated Event of Special Interest: Creatine Kinase ElevationsUp to approximately 52 weeks
TEAEs of special interest (AESIs) were predefined and monitored throughout the study. Creatine kinase elevations were assessed using the following preferred term: Blood creatine phosphokinase increased (system organ class: investigations).
PrimaryPercentage of Participants With the Indicated Event of Special Interest: Hepatic DisordersUp to approximately 52 weeks
Treatment-emergent AESIs were predefined and monitored throughout the study. TEAEs potentially related to hepatic events were assessed using the following preferred terms and laboratory abnormalities: aspartate aminotransferase (AST) increased, Alanine aminotransferase (ALT) increased, Hepatic enzyme increased, Blood bilirubin increased, liver function test (LFT) abnormal, LFT increased, hepatic enzyme abnormal, transaminases increased, potential Hy's Law cases (PHLC) \[AST and (\&)/or ALT \>3 x upper limit of normal (ULN) with concurrent total bilirubin \>2 x ULN\], AST and/or ALT \>3 x ULN, and total bilirubin \>2 x ULN (system organ class: investigations). AST and ALT values were repeated and confirmed. "Repeated and confirmed" was defined as a participant having the last on-study LFT \> x ULN, the last on-treatment LFT \> x ULN, or LFT \> x ULN followed by another LFT \> x ULN.
PrimaryPercentage of Participants With the Indicated Event of Special Interest: HypoglycemiaUp to approximately 52 weeks
Treatment-emergent AESIs were predefined and monitored throughout the study. Hypoglycemia was assessed using the following preferred terms: hypoglycaemia (system organ class: metabolism and nutrition disorders); blood glucose abnormal and blood glucose decreased (system organ class: investigations). The percentage of unique participants is reported in the "Overall hypoglycemia AESIs" category; a participant could have been represented in more than one of the individual hypoglycemia AESIs.
PrimaryPercentage of Participants With the Indicated Event of Special Interest: Metabolic AcidosisUp to approximately 52 weeks
Treatment-emergent AESIs were predefined and monitored throughout the study. Metabolic acidosis was assessed using the preferred term metabolic acidosis (system organ class: metabolism and nutrition disorders).
PrimaryPercentage of Participants With the Indicated Event of Special Interest: Muscular DisorderUp to approximately 52 weeks
Treatment-emergent AESIs were predefined and monitored throughout the study. Muscular safety was assessed using the following preferred terms and laboratory abnormalities: myalgia, muscle spasms, pain in extremity, muscular weakness (system organ class: musculoskeletal and connective tissue disorders), and creatine kinase \>5 ULN (repeated and confirmed). The percentage of unique participants is reported in the "Overall muscular disorder AESIs" category; a participant could have been represented in more than one of the individual muscular disorder AESIs.
PrimaryPercentage of Participants With the Indicated Event of Special Interest: Neurocognitive DisorderUp to approximately 52 weeks
Treatment-emergent AESIs were predefined and monitored throughout the study. Neurocognitive disorder was assessed using the following preferred terms: memory impairment, amnesia, and cognitive disorder (system organ class: nervous system disorders); confusional state and disorientation (system organ class: psychiatric disorders). The percentage of unique participants is reported in the "Overall neurocognitive disorder AESIs" category; a participant could have been represented in more than one of the individual neurocognitive disorder AESIs.
PrimaryPercentage of Participants With the Indicated Event of Special Interest: New Onset or Worsening Diabetes MellitusUp to approximately 52 weeks
Treatment-emergent AESIs were predefined and monitored throughout the study. New onset or worsening diabetes was assessed using the following preferred terms: type 2 diabetes mellitus, diabetes mellitus, hyperglycaemia, glucose tolerance impaired, diabetes mellitus inadequate control, and impaired fasting glucose (system organ class: metabolism and nutrition disorders); blood glucose increased, glycosylated haemoglobin increased, blood glucose abnormal, and glucose urine present (system organ class: investigations); and glycosuria (system organ class: renal and urinary disorders). The percentage of unique participants is reported in the "Overall new onset/worsening diabetes mellitus AESIs" category; a participant could have been represented in more than one of the individual new onset/worsening diabetes mellitus AESIs.
PrimaryPercentage of Participants With the Indicated Event of Special Interest: Renal DisorderUp to approximately 52 weeks
Treatment-emergent AESIs were predefined and monitored throughout the study. TEAEs potentially related to renal events were assessed using the following preferred terms: renal failure, renal impairment, acute kidney injury (system organ class: renal and urinary disorders); blood creatinine increased, glomerular filtration rate decreased, blood urea increased, estimated glomerular filtration rate (eGFR) \<30 milliliter per minute per 1.73 square meter (ml/min/1.73m\^2), and change from baseline in creatinine \>1 mg/dL (system organ class: investigations); and gout (system organ class: metabolism and nutrition disorders). The percentage of unique participants is reported in the "Overall renal disorder AESIs" category; a participant could have been represented in more than one of the individual renal disorder AESIs.

Outcomes30

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants With Treatment-emergent Adverse Events (TEAEs)Up to approximately 52 weeks
Safety Population: all randomized participants who received at least 1 dose of investigational medicinal product. Participants were included in the treatment group that they received, regardless of their randomized treatment.
percentage of participantsNUMBER
PRIMARYPercentage of Participants With Adjudicated Major Adverse Cardiovascular EventUp to approximately 52 weeksSafety Populationpercentage of participantsNUMBER
PRIMARYPercentage of Participants With the Indicated Event of Special Interest: Creatine Kinase ElevationsUp to approximately 52 weeksSafety Populationpercentage of participantsNUMBER
PRIMARYPercentage of Participants With the Indicated Event of Special Interest: Hepatic DisordersUp to approximately 52 weeks
Safety Population. The percentage of unique participants is reported in the Overall hepatic disorder AESIs category; a participant could have been represented in more than one of the individual hepatic disorder AESIs.
percentage of participantsNUMBER
PRIMARYPercentage of Participants With the Indicated Event of Special Interest: HypoglycemiaUp to approximately 52 weeksSafety Populationpercentage of participantsNUMBER
PRIMARYPercentage of Participants With the Indicated Event of Special Interest: Metabolic AcidosisUp to approximately 52 weeksSafety Populationpercentage of participantsNUMBER
PRIMARYPercentage of Participants With the Indicated Event of Special Interest: Muscular DisorderUp to approximately 52 weeksSafety Populationpercentage of participantsNUMBER
PRIMARYPercentage of Participants With the Indicated Event of Special Interest: Neurocognitive DisorderUp to approximately 52 weeksSafety Populationpercentage of participantsNUMBER
PRIMARYPercentage of Participants With the Indicated Event of Special Interest: New Onset or Worsening Diabetes MellitusUp to approximately 52 weeksSafety Populationpercentage of participantsNUMBER
PRIMARYPercentage of Participants With the Indicated Event of Special Interest: Renal DisorderUp to approximately 52 weeksSafety Populationpercentage of participantsNUMBER

Results by group178

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)PlaceboAny TEAE78.7percentage of participants
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)Bempedoic AcidAny TEAE78.5percentage of participants
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)PlaceboAny serious TEAE14.0percentage of participants
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)Bempedoic AcidAny serious TEAE14.5percentage of participants
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)PlaceboAny fatal TEAE0.3percentage of participants
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)Bempedoic AcidAny fatal TEAE0.9percentage of participants
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)PlaceboAny TEAE leading to discontinuation of study drug7.1percentage of participants
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)Bempedoic AcidAny TEAE leading to discontinuation of study drug10.9percentage of participants
Percentage of Participants With Adjudicated Major Adverse Cardiovascular EventPlaceboAny adjudicated major clinical event5.7percentage of participants
Percentage of Participants With Adjudicated Major Adverse Cardiovascular EventBempedoic AcidAny adjudicated major clinical event4.6percentage of participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPlacebo742
Overall StudySTARTEDBempedoic Acid1,488
Overall StudyCOMPLETEDPlacebo706
Overall StudyCOMPLETEDBempedoic Acid1,404
Overall StudyNOT COMPLETEDPlacebo36
Overall StudyNOT COMPLETEDBempedoic Acid84

Adverse events512

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersBempedoic Acid411,487
otherAnaemiaBlood and lymphatic system disordersPlacebo15742
otherAngina pectorisCardiac disordersBempedoic Acid241,487
otherAngina pectorisCardiac disordersPlacebo19742
otherNauseaGastrointestinal disordersBempedoic Acid431,487
otherNauseaGastrointestinal disordersPlacebo19742
otherConstipationGastrointestinal disordersBempedoic Acid261,487
otherConstipationGastrointestinal disordersPlacebo18742
otherDiarrhoeaGastrointestinal disordersBempedoic Acid601,487
otherDiarrhoeaGastrointestinal disordersPlacebo30742

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityBempedoic Acid131,487
Total, all-cause mortalityPlacebo2742
Total, other adverse eventsBempedoic Acid7921,487
Total, other adverse eventsPlacebo381742
Total, serious adverse eventsBempedoic Acid2161,487
Total, serious adverse eventsPlacebo104742

Papers9

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
11535564BACKGROUNDPubMed
18537526BACKGROUNDPubMed
21600525BACKGROUNDPubMed
24222016BACKGROUNDPubMed
27892461BACKGROUNDPubMed
30865796RESULTPubMed
32609313DERIVEDPubMed
35916348DERIVEDPubMed
36813656DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Bempedoic Acid vs Placebo: deaths from any causeTrial comparisons
Bempedoic Acid vs Placebo: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02666664

GET https://conductscience.org/api/trials/v1/NCT02666664/registered?page=2