Women |
Non-Caucasian |
Excessive obesity defined as BMI above 35
kg/m2, rounded to the nearest whole number |
LDL-C >190 mg/dl at screening |
Fasting TGs >400 mg/dl at screening |
Diabetes mellitus, defined as a fasting glucose
>7 mM, or taking diabetic therapy at screening |
History of symptomatic cardiovascular disease including
angina pectoris, acute myocardial infarction, or peripheral
arterial disease including intermittent claudication |
History of symptomatic cerebrovascular disease,
including cerebrovascular hemorrhage, transient ischemic attack,
or carotid endarterectomy |
A current smoker or have smoked in the preceding 12
months |
Consume >10 g of alcohol (equivalent to one 100
ml glass of table wine) per day |
Have received statins, fibric acid derivatives, bile
acid sequestrants, cholesterol absorption inhibitors (including
ezetimibe), or nicotinic acid >500 mg per day in the
previous year |
Have uncontrolled hypertension (SBP ≥140 mm Hg or
DBP ≥90 mm Hg). Patients may have their hypertension
controlled with a calcium channel blocker but must not receive
treatment with a diuretic, beta-blocker, angiotensin converting
enzyme inhibitor, or angiotensin II receptor blocker . If the
patient has previously received treatment with these therapies,
they must have been discontinued at least 2 months
previously. |
Any conditions that cause secondary dyslipidemia or
increase the risk of statin therapy including alcoholism,
autoimmune disease, nephrotic syndrome, uremia, any viral
hepatitis clinically active within 12 months before study entry,
obstructive hepatic or biliary disease, dysglobulinemia or
macroglobulinemia, multiple myeloma, glycogen storage disease,
porphyria, and uncontrolled hypothyroidism or hyperthyroidism.
Controlled thyroid disease [normal serum thyroid stimulating
hormone and stable therapy for at least 3 months] is
permitted. |
History of pancreatic injury or pancreatitis, or
impaired pancreatic function/injury as indicated by abnormal
lipase |
Liver injury as indicated by serum transaminase levels
(alanine aminotransferase/serum glutamic pyruvic transaminase,
aspartate aminotransaminase/serum glutamic oxaloacetic
transaminase) >3 × upper limit of the reference
range (ULRR). |
Impaired renal function as indicated by serum creatinine
levels >1.5 × ULRR at screening or estimated
glomerular filtration rate (eGFR) by Cockroft formula <60
ml/min. |
History of any muscle disease or unexplained elevation
(>3 × ULRR) of serum creatine kinase |
Any surgical or medical condition that might
significantly alter the absorption, distribution, metabolism, or
excretion of the study drug, including the following: history of
major gastrointestinal tract surgery (e.g., gastrectomy,
gastroenterostomy or small bowel resection), gastritis or
inflammatory bowel disease, current active ulcers, or
gastrointestinal or rectal bleeding |
Current obstruction of the urinary tract or difficulty
in voiding likely to require intervention during the course of
the study |
Severe acute illness or severe trauma in the preceding 3
months |
Evidence of symptomatic heart failure (New York Heart
Association class III or IV): significant heart block or cardiac
arrhythmia |
History of uncontrolled complex ventricular arrhythmias,
uncontrolled atrial fibrillation/flutter or uncontrolled
supraventricular tachycardias with a ventricular response rate
of >100 beats/min at rest. Patients whose
electrophysiological instability is controlled with a pacemaker
or implantable cardiac device are eligible. |
History of drug abuse |
History of allergy or intolerance to medication
(including statins) |
Current or recent (within 1 week) use of supplements or
medications known to alter lipid metabolism including soluble
fiber (including >2 teaspoons Metamucil or
psyllium-containing supplement per day) or other dietary fiber
supplements, fish oils containing omega-3 oils, “fat
blockers” (e.g., orlistat), or other products at the
discretion of the investigator |
Any forbidden concomitant medication |
Within the exclusion period defined in the National
Register for Healthy Volunteers of the French Ministry of
Health |
Participation in any clinical trial with an
investigational drug in the past 3 months preceding study
entry |
Forfeit their freedom by administrative or legal award
or who are under guardianship |