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Completed

NCT Number: NCT04700436

Efficacy and Safety of EzetimiBe/Rosuvastatin in Diabetic Dislipidemia With Hypertriglyceridaemia

To compare and evaluate the effects of LDL-C and Triglyceride (TG) control on the first dose Ezetimibe/Statin (Rosuvastatin 5 mg/Ezetimibe 10 mg) combination therapy compared to the average dose Statin (Rosuvastatin 10 mg) monotherapy in patients with Type 2 diabetes with hypertriglyceridemia (TG > 200 mg/dL).

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Key information

Age range

40 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

Korea University Ansan Hospital, Ansan, South Korea

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About this study

The purpose of this study is to compare and evaluate the effects of LDL-C and Triglyceride (TG) control on the first dose Ezetimibe/Statin (Rosuvastatin 5 mg/Ezetimibe 10 mg) combination therapy compared to the average dose Statin (Rosuvastatin 10 mg) monotherapy in patients with Type 2 diabetes with hypertriglyceridemia (TG > 200 mg/dL).

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Screening (Visit 1) Inclusion Criteria

  • Korean men and women aged 40 to 75
  • Patients who have been diagnosed with type 2 diabetes based on clinical judgment and satisfy diabetes diagnosis criteria
  • Who have the following laboratory values on an empty stomach
  • Patients with no prior statin therapy
  • Low-density lipoprotein cholesterol (LDL-C) ≥ 100 mg/dL (measured directly or calculated; calculated LDL-C is applicable only when triglyceride levels are < 400 mg/dL)
  • 200 mg/dL ≤ Triglyceride (TG) ≤ 499 mg/dL
  • Patients currently receiving low- or moderate-intensity statin therapy
  • Low-density lipoprotein cholesterol (LDL-C) ≥ 70 mg/dL (measured directly or calculated; calculated LDL-C is applicable only when triglyceride levels are < 400 mg/dL)
  • 200 mg/dL ≤ Triglyceride (TG) ≤ 499 mg/dL
  • Those with less than 9% HbA1C
  • Those who voluntarily agreed to participate in this clinical trial and signed a written ICF

Randomization (Visit 2) Inclusion Criteria

  • Persons with compliance 80% or more during Suvast tablet 5 mg Run-in period and with good TLC by investigator's judgment

Exclusion criteria

  • Patients with hypersensitivity to the main ingredient (Ezetimibe or Rosuvastatin) and ingredients of IP
  • Pregnant and lactating women, and women and men of childbearing potential who do not agree to conduct appropriate contraception during clinical trial
  • Patients with Body Mass Index (BMI) < 15 kg/ m2 or > 35 kg/m2
  • Persons with the following medical history or surgical/interventional history
  • Atherosclerotic disease occurring within 24 weeks at screening
  • Myopathy including rhabdomyolysis
  • Patients who have had a history of drug or alcohol abuse, or who have met drug or alcohol abuse criteria within 1 year at screening
  • Major mental illness (depression, bipolar disorder, etc.)
  • Malignant tumor within 5 years at screening
  • Persons with the following comorbidities and laboratory abnormalities
  • CK ≥ 2 X ULN
  • Patients with severe hepatopathy (AST or ALT > 5 X ULN)
  • Patients with unexplained persistent ALT elevation opinion or active liver disease
  • TSH (Thyroid stimulating hormone) > 1.5 X ULN or those who do not maintain stable thyroid stimulating hormone level by investigator's judgment
  • Uncontrolled hypertension (greater than sitBP 160/100 mmHg at screening)
  • Renal disorder patients with severe renal failure (creatinine clearance (CLcr)<30 mL/min
  • Those who have the following history of drug administration within 3 months at screening
  • Non-statin lipid modulators
  • Foods or drugs that affect lipid control
  • Systemic steroids
  • Those who are expected to administer contraindication drugs during clinical trial, including screening
  • Those who have persistent history of drinking within 1 week at clinical trial participation or who are unable to perform TLC due to continuous drinking during clinical trial
  • Patients with genetic problems such as galactose intolerance, Lapp lactase deficiency, or glucose-galactose malabsorptioin
  • Those who received other IPs or investigational medical devices within 30 days at screening
  • Patients judged to be ineligible to participate in clinical trial by investigator's decision

Treatment and study plan

Rosuzet tablet 10/5 mg (Ezetimibe 10 mg/Rosuvastatin 5 mg)

Drug

Test drug: Rosuzet tablet 10/5 mg (Ezetimibe 10 mg/Rosuvastatin 5 mg)

Suvast tablet 10 mg (Rosuvastatin 10 mg)

Drug
  • Control drug: Suvast tablet 10 mg (Rosuvastatin 10 mg)

Primary outcomes

  1. LDL-C change rate (percent, %)

    Time frame: Baseline and 16 weeks

    To compare LDL-C change rate (percent, %) between test and control group

  2. Triglyceride (TG) change rate (percent, %)

    Time frame: Baseline and 16 weeks

    To compare Triglyceride (TG) change rate (percent,%)between test and control group

Secondary outcomes

  1. Change rates (percent, %) of LDL-C and Triglyceride (TG)

    Time frame: Baseline and 4 weeks

    To measure/compare Change rates (percent, %) of LDL-C and Triglyceride (TG) between test and control group

  2. Changes (mg/dL) of Total cholesterol (TC), Triglyceride (TG), HDL-C, and non-HDL-C

    Time frame: Baseline, 4 weeks, and 16 weeks

    To measure/compare Changes (mg/dL) of Total cholesterol (TC), Triglyceride (TG), HDL-C, and non-HDL-C between test and control group

  3. Percent (%) of subjects with a 50% or more reduction in LDL-C level

    Time frame: 4 weeks and 16 weeks

    To measure/compare Percent (%) of subjects with a 50% or more reduction in LDL-C level between test and control group

  4. Percent (%) of subjects with LDL-C below 70 mg/dL

    Time frame: 4 weeks and 16 weeks

    To measure/compare Percent (%) of subjects with LDL-C below 70 mg/dL between test and control group

  5. Changes of lipoproteins (ApoA1, ApoB)

    Time frame: Baseline and 16 weeks

    To measure/compare Changes of lipoproteins (ApoA1 (mg/dL), ApoB (mg/dL)) between test and control group

  6. Changes of lipoproteins (ApoB/ApoA1 ratio)

    Time frame: Baseline and 16 weeks

    To measure/compare Changes of lipoproteins (ApoB/ApoA1 ratio) between test and control group

  7. Change of HOMA-IR

    Time frame: Baseline and 16 weeks

    To measure/compare Change of HOMA-IR between test and control group

  8. Change of HbA1C (percentage, %)

    Time frame: Baseline, 4 weeks, and 16 weeks

    To measure/compare Change of HbA1C (percentage, %) between test and control group

  9. Change (mg/dL) of Fasting Plasma Glucose (FPG)

    Time frame: Baseline, 4 weeks, and 16 weeks

    To measure/compare Change (mg/dL) of Fasting Plasma Glucose (FPG) between test and control group

  10. Change (mg/dL) of hs-CRP

    Time frame: Baseline and 16 weeks

    To measure/compare Change (mg/dL) of hs-CRP between test and control group

  11. Changes of plasma triglyceride (mg/dL), ApoB100 (mg/dL), and ApoB48 (mg/dL) levels at 30-minute, 1-, 2-, 3-, 4-, 5-, and 6-hour before and after FMC in subjects who perform FMC

    Time frame: Baseline and 16 weeks

    To measure/compare Changes of plasma triglyceride (mg/dL), ApoB100 (mg/dL), and ApoB48 (mg/dL) levels at 30-minute, 1-, 2-, 3-, 4-, 5-, and 6-hour before and after FMC in subjects who perform FMC between test and control group

  12. On the graphs at 30-minute, 1-, 2-, 3-, 4-, 5-, and 6-hour before and after FMC in subjects who perform FMC, total Area Under the Curve (tAUC) of each plasma triglyceride (mg/dL), ApoB100 (mg/dL), and ApoB48 (mg/dL)

    Time frame: Baseline and 16 weeks

    To measure/compare On the graphs at 30-minute, 1-, 2-, 3-, 4-, 5-, and 6-hour before and after FMC in subjects who perform FMC, total Area Under the Curve (tAUC) of each plasma triglyceride (mg/dL), ApoB100 (mg/dL), and ApoB48 (mg/dL) between test and control group

  13. Adverse event

    Time frame: Baseline and 16 weeks

    To measure/compare Adverse event between test and control group

  14. Blood pressure

    Time frame: Baseline and 16 weeks

    To measure/compare Blood pressure between test and control group

  15. Pulse

    Time frame: Baseline and 16 weeks

    To measure/compare Pulse between test and control group

  16. Electrocardiogram (12-lead ECG)

    Time frame: -4 weeks and 16 weeks

    Number(%) of participants with Clinically Significant or Normal Electrocardiogram (12-lead ECG) findings after study drug administration

Sponsors and collaborators

Lead sponsor

Seoul National University Hospital

Other

Collaborators

  • Gangnam Severance Hospital

Registry information

Official study title

A Multi-center, Randomized, Open-label, Active-controlled, Phase IV Clinical Trial to Evaluate the Efficacy and Safety of EzetimiBe/Rosuvastatin Diabetic Dislipidemia With Hypertriglyceridaemia

Acronym: REMBRANDT

Important dates

Study start
2020
Primary completion
2021
Study completion
2024
First posted
Jan 7, 2021
Registry last updated
Aug 14, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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