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Trial · NCT03531905

Bempedoic Acid + Ezetimibe Fixed-Dose Combination (FDC) Study in Patients With Type 2 Diabetes and Elevated LDL-C

NCT03531905, Phase 2, Completed, Esperion Therapeutics, Inc.; results first posted 2020-04-09

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ConductScience Library. Bempedoic Acid + Ezetimibe Fixed-Dose Combination (FDC) Study in Patients With Type 2 Diabetes and Elevated LDL-C. Trials, record NCT03531905. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03531905

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Trial

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

Title
Bempedoic Acid + Ezetimibe Fixed-Dose Combination (FDC) Study in Patients With Type 2 Diabetes and Elevated LDL-C
NCT number
NCT03531905
Status
Completed
Phases
Phase 2
Enrollment
242 participants, actual
Lead sponsor
Esperion Therapeutics, Inc.
Conditions
Diabetes, Diabetes Mellitus, Type 2, Cholesterolemia
Interventions
Bempedoic acid + Ezetimibe FDC Oral Tablet, Ezetimibe 10 mg Oral Tablet, Placebo Oral Tablet, Placebo oral capsule
First posted
2018-05-22
Last updated
2020-04-09
Results first posted
2020-04-09
Limitations and caveats
Sites 5801003, 5801041, and 5801043 were suspected of Good Clinical Practice violations in an earlier Phase 3 trial (NCT03337308), hence the Efficacy Analysis Set (which excluded these 3 sites) was designated as the primary efficacy analysis set.

Source ClinicalTrials.gov

Registered outcomes16

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

ListOutcomeTime frameDescription
PrimaryPercent Change From Baseline to Week 12/End of Study (EOS) in Low-density Lipoprotein Cholesterol (LDL-C)Baseline; Week 12
Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals. Samples were collected and analyzed for LDL-C. Baseline was defined as the average of LDL-C values at the Screening Visit 3 (Visit S3) and the Treatment Visit 1 (Visit T1) (last 2 non-missing values on or prior to Day 1). If only 1 value was available, the single value was used as Baseline. Percent change from Baseline for LDL-C was analyzed using analysis of covariance (ANCOVA), with treatment as factor and Baseline lipid parameter as a covariate. Missing data for LDL-C was imputed using the last observation carried forward (LOCF) method. Percent change from Baseline was calculated as: (\[LDL-C value at Week 12 minus Baseline value\] divided by \[Baseline value\]) multiplied by 100. For LDL-C, if a measured LDL-C value was available, measured LDL-C was used.
SecondaryPercent Change From Baseline to Week 12/EOS in LDL-C (Comparing Ezetimibe With Placebo)Baseline; Week 12
Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals. Samples were collected and analyzed for LDL-C. Baseline was defined as the average of LDL-C values at Visit S3 and Visit T1 (last 2 non-missing values on or prior to Day 1). If only 1 value was available, the single value was used as Baseline. Percent change from Baseline for LDL-C was analyzed using ANCOVA, with treatment as factor and Baseline lipid parameter as a covariate. Missing data for LDL-C was imputed using the LOCF method. Percent change from Baseline was calculated as: (\[LDL-C value at Week 12 minus Baseline value\] divided by \[Baseline value\]) multiplied by 100. For LDL-C, if a measured LDL-C value was available, measured LDL-C was used.
SecondaryPercent Change From Baseline to Week 12 in High-sensitivity C-reactive Protein (hsCRP)Baseline; Week 12
Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals. Samples were collected and analyzed for hsCRP. Baseline was defined as the last value prior to the first dose of investigational medicinal product (IMP). Percent change from Baseline for hsCRP was analyzed using a non-parametric approach. Percent change from Baseline was calculated as: (\[hsCRP value at Week 12 minus Baseline value\] divided by \[Baseline value\]) multiplied by 100. For hsCRP, if a measured hsCRP value was available, measured hsCRP was used.
SecondaryPercent Change From Baseline to Week 12 in Non-high-density Lipoprotein Cholesterol (Non-HDL-C)Baseline; Week 12
Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals. Samples were collected and analyzed for non-HDL-C. Baseline was defined as the average of non-HDL-C values at Visit S3 and Visit T1 (last 2 non-missing values on or prior to Day 1). If only 1 value was available, the single value was used as Baseline. Percent change from Baseline for non-HDL-C was analyzed using ANCOVA, with treatment as factor and Baseline lipid parameter as a covariate. Missing data for non-HDL-C was imputed using the LOCF method. Percent change from Baseline was calculated as: (\[non-HDL-C value at Week 12 minus Baseline value\] divided by \[Baseline value\]) multiplied by 100. For non-HDL-C, if a measured non-HDL-C value was available, measured non-HDL-C was used.
SecondaryPercent Change From Baseline to Week 12 in Total Cholesterol (TC)Baseline; Week 12
Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals. Samples were collected and analyzed for TC. Baseline was defined as the average of TC values at Visit S3 and Visit T1 (last 2 non-missing values on or prior to Day 1). If only 1 value was available, the single value was used as Baseline. Percent change from Baseline for TC was analyzed using ANCOVA, with treatment as factor and Baseline lipid parameter as a covariate. Missing data for TC was imputed using the LOCF method. Percent change from Baseline was calculated as: (\[TC value at Week 12 minus Baseline value\] divided by \[Baseline value\]) multiplied by 100. For TC, if a measured TC value was available, measured TC was used.
SecondaryPercent Change From Baseline to Week 12 in Apolipoprotein B (Apo B)Baseline; Week 12
Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals. Samples were collected and analyzed for apo B. Baseline was defined as the last value prior to the first dose of IMP. Percent change from Baseline for TC was analyzed using ANCOVA, with treatment as factor and Baseline lipid parameter as a covariate. Missing data for apo B was imputed using the LOCF method. Percent change from Baseline was calculated as: (\[apo B value at Week 12 minus Baseline value\] divided by \[Baseline value\]) multiplied by 100. For apo B, if a measured apo B value was available, measured apo B was used.
SecondaryPercent Change From Baseline to Week 12 in Triglycerides (TGs)Baseline; Week 12
Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals. Samples were collected and analyzed for TGs. Baseline was defined as the average of TG values at Visit S3 and Visit T1 (last 2 non-missing values on or prior to Day 1). If only 1 value was available, the single value was used as Baseline. Percent change from Baseline for TGs was analyzed using a non-parametric approach. Percent change from Baseline was calculated as: (\[TG value at Week 12 minus Baseline value\] divided by \[Baseline value\]) multiplied by 100. For TGs, if a measured TG value was available, measured TG was used.
SecondaryPercent Change From Baseline to Week 12 in High-density Lipoprotein Cholesterol (HDL-C)Baseline; Week 12
Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals. Samples were collected and analyzed for HDL-C. Baseline was defined as the average of HDL-C values at Visit S3 and Visit T1 (last 2 non-missing values on or prior to Day 1). If only 1 value was available, the single value was used as Baseline. Percent change from Baseline for HDL-C was analyzed using ANCOVA, with treatment as factor and Baseline lipid parameter as a covariate. Missing data for HDL-C was imputed using the LOCF method. Percent change from Baseline was calculated as: (\[HDL-C value at Week 12 minus Baseline value\] divided by \[Baseline value\]) multiplied by 100. For HDL-C, if a measured HDL-C value was available, measured HDL-C was used.
SecondaryNumber of Participants With LDL-C <70 Milligrams Per Deciliter (mg/dL) at Week 12Week 12
Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals. Samples were collected and analyzed for LDL-C. For LDL-C, if a measured LDL-C value was available, measured LDL-C was used.
SecondarySecondary Outcome Measure: Number of Participants With an LDL-C Reduction of ≥50% From Baseline at Week 12Baseline; Week 12
Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals. Samples were collected and analyzed for LDL-C. Baseline was defined as the average of LDL-C values at Visit S3 and Visit T1 (last 2 non-missing values on or prior to Day 1). If only 1 value was available, the single value was used as Baseline. LDL-C reduction from Baseline was calculated as the LDL-C value at Week 12 minus the Baseline value. For LDL-C, if a measured LDL-C value was available, measured LDL-C was used.

Outcomes16

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercent Change From Baseline to Week 12/End of Study (EOS) in Low-density Lipoprotein Cholesterol (LDL-C)Baseline; Week 12
Efficacy Analysis Set (EAS): all randomized participants who received at least one dose of investigational medicinal product (Full Analysis Set), excluding participants at three study sites. Only participants with available data were analyzed.
Percent changeGEOMETRIC_LEAST_SQUARES_MEAN
SECONDARYPercent Change From Baseline to Week 12/EOS in LDL-C (Comparing Ezetimibe With Placebo)Baseline; Week 12EAS. Only participants with available data were analyzed.Percent changeLEAST_SQUARES_MEAN
SECONDARYPercent Change From Baseline to Week 12 in High-sensitivity C-reactive Protein (hsCRP)Baseline; Week 12EAS. Only participants with available data were analyzed.Percent changeMEDIAN
SECONDARYPercent Change From Baseline to Week 12 in Non-high-density Lipoprotein Cholesterol (Non-HDL-C)Baseline; Week 12EAS. Only participants with available data were analyzed.Percent changeLEAST_SQUARES_MEAN
SECONDARYPercent Change From Baseline to Week 12 in Total Cholesterol (TC)Baseline; Week 12EAS. Only participants with available data were analyzed.Percent changeLEAST_SQUARES_MEAN
SECONDARYPercent Change From Baseline to Week 12 in Apolipoprotein B (Apo B)Baseline; Week 12EAS. Only participants with available data were analyzed.Percent changeLEAST_SQUARES_MEAN
SECONDARYPercent Change From Baseline to Week 12 in Triglycerides (TGs)Baseline; Week 12EAS. Only participants with available data were analyzed.Percent changeMEDIAN
SECONDARYPercent Change From Baseline to Week 12 in High-density Lipoprotein Cholesterol (HDL-C)Baseline; Week 12EAS. Only participants with available data were analyzed.Percent changeLEAST_SQUARES_MEAN
SECONDARYNumber of Participants With LDL-C <70 Milligrams Per Deciliter (mg/dL) at Week 12Week 12EAS. Only participants with available data were analyzed.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYSecondary Outcome Measure: Number of Participants With an LDL-C Reduction of ≥50% From Baseline at Week 12Baseline; Week 12EAS. Only participants with available data were analyzed.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group47

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

OutcomeGroupCategoryValueSpreadUnits
Percent Change From Baseline to Week 12/End of Study (EOS) in Low-density Lipoprotein Cholesterol (LDL-C)Bempedoic Acid 180 mg + Ezetimibe 10 mg FDC-38.8Standard Error 2.24Percent change
Percent Change From Baseline to Week 12/End of Study (EOS) in Low-density Lipoprotein Cholesterol (LDL-C)Ezetimibe 10 mg-19.2Standard Error 2.16Percent change
Percent Change From Baseline to Week 12/End of Study (EOS) in Low-density Lipoprotein Cholesterol (LDL-C)Placebo0.9Standard Error 2.20Percent change
Percent Change From Baseline to Week 12/EOS in LDL-C (Comparing Ezetimibe With Placebo)Ezetimibe 10 mg-19.2Standard Error 2.16Percent change
Percent Change From Baseline to Week 12/EOS in LDL-C (Comparing Ezetimibe With Placebo)Placebo0.9Standard Error 2.20Percent change
Percent Change From Baseline to Week 12 in High-sensitivity C-reactive Protein (hsCRP)Bempedoic Acid 180 mg + Ezetimibe 10 mg FDC-25.347Inter-Quartile Range -48.980 to 3.292Percent change
Percent Change From Baseline to Week 12 in High-sensitivity C-reactive Protein (hsCRP)Ezetimibe 10 mg2.078Inter-Quartile Range -22.610 to 48.770Percent change
Percent Change From Baseline to Week 12 in High-sensitivity C-reactive Protein (hsCRP)Placebo14.085Inter-Quartile Range -21.642 to 50.776Percent change
Percent Change From Baseline to Week 12 in Non-high-density Lipoprotein Cholesterol (Non-HDL-C)Bempedoic Acid 180 mg + Ezetimibe 10 mg FDC-33.0Standard Error 2.01Percent change
Percent Change From Baseline to Week 12 in Non-high-density Lipoprotein Cholesterol (Non-HDL-C)Ezetimibe 10 mg-17.8Standard Error 1.94Percent change

Participant flow9

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDBempedoic Acid 180 mg + Ezetimibe 10 mg FDC81
Overall StudySTARTEDEzetimibe 10 mg81
Overall StudySTARTEDPlacebo80
Overall StudyCOMPLETEDBempedoic Acid 180 mg + Ezetimibe 10 mg FDC74
Overall StudyCOMPLETEDEzetimibe 10 mg76
Overall StudyCOMPLETEDPlacebo77
Overall StudyNOT COMPLETEDBempedoic Acid 180 mg + Ezetimibe 10 mg FDC7
Overall StudyNOT COMPLETEDEzetimibe 10 mg5
Overall StudyNOT COMPLETEDPlacebo3

Adverse events18

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherBronchitisInfections and infestationsBempedoic Acid 180 mg + Ezetimibe 10 mg FDC081
otherBronchitisInfections and infestationsEzetimibe 10 mg381
otherBronchitisInfections and infestationsPlacebo080
otherUrinary tract infectionInfections and infestationsBempedoic Acid 180 mg + Ezetimibe 10 mg FDC381
otherUrinary tract infectionInfections and infestationsEzetimibe 10 mg381
otherUrinary tract infectionInfections and infestationsPlacebo380
otherBlood glucose increasedInvestigationsBempedoic Acid 180 mg + Ezetimibe 10 mg FDC381
otherBlood glucose increasedInvestigationsEzetimibe 10 mg081
otherBlood glucose increasedInvestigationsPlacebo080
otherGlycosylated haemoglobin increasedInvestigationsBempedoic Acid 180 mg + Ezetimibe 10 mg FDC281

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityBempedoic Acid 180 mg + Ezetimibe 10 mg FDC081
Total, all-cause mortalityEzetimibe 10 mg081
Total, all-cause mortalityPlacebo080
Total, other adverse eventsBempedoic Acid 180 mg + Ezetimibe 10 mg FDC881
Total, other adverse eventsEzetimibe 10 mg681
Total, other adverse eventsPlacebo780
Total, serious adverse eventsBempedoic Acid 180 mg + Ezetimibe 10 mg FDC081
Total, serious adverse eventsEzetimibe 10 mg181
Total, serious adverse eventsPlacebo180

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
24385236BACKGROUND

Source PubMed

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 comparisons0

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

None in this release.

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.

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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/NCT03531905

GET https://conductscience.org/api/trials/v1/NCT03531905/results?page=2