New drug offers hope for Statin-Intolerant patients with high cholesterol
NCT ID NCT05923281
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a drug called pemafibrate (K-877) in 71 people with high cholesterol who cannot take statins due to side effects. Participants took either a low or high dose of pemafibrate or a placebo daily for 12 weeks. The goal was to see if pemafibrate safely lowers LDL (bad) cholesterol.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Pemafibrate (K-877)
- What this could lead to
- If it works, this could provide a new treatment option for people with high cholesterol who cannot tolerate statins.
- What could go wrong
- This is a small, completed Phase 3 trial with only 71 participants. The results may not apply to everyone, and pemafibrate may not lower cholesterol as effectively as statins.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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71 people
The number who actually took part.
- Started
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May 2023
- Finished
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Aug 2024
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: The person who meet all the following criteria the object to the clinical trial 1. Patients had to be age 18 years or older at written informed consent 2. Patients with statin intolerant hypercholesterolemia 3. Patients who have laboratory records with fasting serum TG \<= 150 mg/dL (\<=175 mg/dL when not fasting) within 6 months prior to consent. 4. Patients with the fasting serum TG \<= 150 mg/dL at screening 5. Patients who have received dietary or exercise guidance from 12 weeks or more prior to Screening 6. Patients who apply any of the following risk category with LDL-C level (Friedewald formula) based on JAS2022 at screening * Low risk for primary prevention: LDL-C \>=160 mg/dL * Intermediate risk for primary prevention: LDL-C \>=140 mg/dL * High risk for primary prevention: LDL-C\>=120 mg/dL * Secondary prevention: LDL-C\>=120 mg/dL Exclusion Criteria: The person who meet any of the following criteria will be excluded from the study. 1. Patients who require administration of prohibited drugs during the clinical trial period after written informed consent 2. Patients with type 1 diabetes and uncontrolled diabetes \[HbA1c(NGSP) \>= 10.0 % at Screening\] 3. Patients with uncontrolled thyroid disease 4. Patients with undergoing LDL apheresis 5. Patients with cirrhosis or those with biliary obstruction 6. Patients with familial hypercholesterolemia (homozygotes) 7. Patients with uncontrolled hypertension (SBP \>= 160 mmHg or DBP \>= 100 mmHg) at Screening 8. Patients with an AST or ALT three times the upper limit at Screening 9. Patients with an CK four times the upper limit at Screening 10. Patients with any of the following criteria within 3 months before obtaining informed consent: myocardial infarction, severe or unstable angina pectoris, coronary angioplasty, coronary artery bypass surgery, stroke, transient ischemic attack, symptomatic carotid artery stenosis, symptomatic peripheral arterial disease, abdominal aortic aneurysm, uncontrolled severe arrhythmia and decompensated heart failure 11. Patients who plan to undergo PCI, CABG, carotid artery or peripheral revascularization 12. Patients with heart failure class III or higher according to NYHA cardiac function classification 13. Patients with malignant tumor or those who are judged to have a high risk of recurrence 14. Patients with a history of myopathy or rhabdomyolysis due to K-877 (pemafibrate) 15. Patients with a history of hypersensitivity due to K-877 (pemafibrate) 16. Patients with a history of serious drug allergies (anaphylactic shock, etc.) 17. Pregnant women, lactating women, women planning to become pregnant or lactating during the study period, or pregnant women\*2 who do not use specific contraceptive methods\*1 18. Patients who have collected 400 mL or more of whole blood within 16 weeks, or 200 mL or more of whole blood within 4 weeks, or blood samples (plasma and platelet components) within 2 weeks before Screening 19. Patients with alcoholics or drug addicts 20. Patients who participated in other clinical trials of a drug with new active ingredients within 16 weeks or a drug with an approved active ingredients within 12 weeks prior to administration and received an investigational drug other than placebo,or those who will participate in other clinical trials at the same time as the clinical trial 21. Patients who have been determined inappropriate by the investigator, etc * 1 Acceptable contraceptive methods: oral, implantable/injectable contraceptive hormones, mechanical products \[intrauterine devices (IUDs) ,etc\] or barrier methods with spermicides (pessaries, condoms, cervical caps, etc) * 2 Woman of childbearing potential refers to a woman who is physiologically capable of becoming pregnant with a male partner who has not undergone contraception. However, it does not apply if the investigator confirms that any of the following criteria is met. * Patients with hysterectomy or tubal ligation before informed consent * Post-menopausal women (those who who have passed more than 1 year since their last menstrual period without other medical reasons).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Affiliated CENTRAL CLINIC of Higashiyamato Hospital
Tokyo, Japan
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Central Japan International Medical Center
Gifu, Japan
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Fukuwa Clinic
Tokyo, Japan
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Juntendo University Hospital
Tokyo, Japan
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Kohnodai Hospital, National Center for Global Health and Medicine
Chiba, Japan
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Koshigaya Municipal Hospital
Saitama, Japan
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Kumamoto University Hospital
Kumamoto, Japan
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Medical Corporation Chiseikai Tokyo Center Clinic
Tokyo, Japan
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Medical Corporation LONGWOOD Maeda Clinic
Osaka, Japan
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Mishuku Hospital
Tokyo, Japan
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NTT Medical Center Sapporo
Hokkaido, Japan
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Nakayama Clinic
Aichi, Japan
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OCROM Clinic
Osaka, Japan
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Rinku General Medical Center
Osaka, Japan
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Saitama Medical University Hospital
Saitama, Japan
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Seiwa Clinic
Tokyo, Japan
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Tashiro Endocrinology Clinic
Fukuoka, Japan
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ToCROM Clinic
Tokyo, Japan
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Tokyo Heart Summit Tokyo Heart Rhythm Hospital
Tokyo, Japan
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Tokyo-Eki Center-building Clinic
Tokyo, Japan
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Tsukuba Medical Center Foundation Tsukuba Medical Center Hospital
Ibaraki, Japan
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Yokohama Minami Kyosai Hospital
Kanagawa, Japan
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