Outcomes Study to Assess STatin Residual Risk Reduction With EpaNova in HiGh CV Risk PatienTs With Hypertriglyceridemia



Status:Active, not recruiting
Conditions:Peripheral Vascular Disease, Cardiology, Metabolic
Therapuetic Areas:Cardiology / Vascular Diseases, Pharmacology / Toxicology
Healthy:No
Age Range:18 - 99
Updated:1/23/2019
Start Date:October 30, 2014
End Date:October 31, 2019

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A Long-Term Outcomes Study to Assess STatin Residual Risk Reduction With EpaNova in HiGh Cardiovascular Risk PatienTs With Hypertriglyceridemia (STRENGTH)

The study is a randomized, double-blind, placebo-controlled (corn oil), parallel group design
that will enroll approximately 13,000 patients with hypertriglyceridemia and low HDL and high
risk for CVD to be randomized 1:1 to either corn oil + statin or Epanova + statin, once
daily, for approximately 3-5 years as determined when the number of MACE outcomes is reached.


Inclusion Criteria:

1. Men or women, ≥18 years of age.

2. Patient must be on a stable diet and statin* therapy at least 4 weeks prior to
randomization (Visit 2) and meet the following criteria:

1. LDL-C <100 mg/dL

2. TG level ≥180 and <500 mg/dL and HDL-C <42 mg/dL for men or HDL-C <47 mg/dL for
women

3. Patient is at high risk for a future cardiovascular event if at least one of the
following criteria (3a, 3b or 3c)* is present via patient history, physical exam, or
medical records at the time of screening:

1. Any atherosclerotic CVD as defined in protocol.

2. History of diabetes mellitus (type 1 or 2) and ≥40 years of age for men and ≥50
years of age for women, plus one of the risk factors defined in protocol.

3. Male patients >50 years of age or females >60 years of age, with at least one of
the risk factors defined in protocol.

Key Exclusion Criteria:

1. Allergy or intolerance to omega-3 carboxylic acids, omega-3 fatty acids, omega-3-acid
ethyl esters, or corn oil. 2.Use of fibrates, bile acid sequestrants, or niacin or its
analogues (>250 mg/day) within 4 weeks prior to Visit 2. 3.Statin naïve at Visit 1.
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