UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000052625
Receipt number R000060051
Scientific Title The exploratory observational study of the usefulness of pemafibrate in lipid management of primary dyslipidemia
Date of disclosure of the study information 2023/11/01
Last modified on 2026/04/30 16:26:56

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Basic information

Public title

The exploratory observational study of the usefulness of pemafibrate in lipid management of primary dyslipidemia

Acronym

PEMA-PD(PEMAfibrate-Primary Dyslipidemia)

Scientific Title

The exploratory observational study of the usefulness of pemafibrate in lipid management of primary dyslipidemia

Scientific Title:Acronym

PEMA-PD(PEMAfibrate-Primary Dyslipidemia)

Region

Japan


Condition

Condition

Primary dyslipidemia

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to exploratively collect data on the usefulness of pemafibrate in patients with primary dyslipidemia, especially CETP deficiency and familial type III hyperlipidemia (ApoE mutation).

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Change in triglyceride levels from baseline

Key secondary outcomes

Changes in lipids and various clinical parameters at each point. Adverse events and side effects.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Patients with diagnosed or suspected primary dyslipidemia (suspected CETP deficiency, HDL-C of 100 mg/dL or higher; suspected familial type III hyperlipidemia, following the diagnostic criteria in the Japan Atherosclerosis Society Guidelines for Prevention of Atherosclerotic Cardiovascular Diseases 2022.)
2) Patients who have received pemafibrate from May 2018 through the date of informed consent, or patients who will receive pemafibrate due to therapeutic need by September 30, 2024.
3) Patients at 18 years of age or older on the date of informed consent.
4) Patients who have given their written informed consent to participate in this study.

Key exclusion criteria

Patients considered to be inappropriate for participation in this study at the discretion of principal investigator or sub-investigator.

Target sample size

10


Research contact person

Name of lead principal investigator

1st name Shizuya
Middle name
Last name Yamashita

Organization

Rinku General Medical Center

Division name

Department of Cardiology

Zip code

598-8577

Address

2-23 Ourai-kita, Rinku, Izumisano, Osaka 598-8577, Japan

TEL

072-469-3111

Email

s-yamashita@rgmc.izumisano.osaka.jp


Public contact

Name of contact person

1st name Daisaku
Middle name
Last name Masuda

Organization

Rinku General Medical Center

Division name

Department of Cardiology

Zip code

598-8577

Address

2-23 Ourai-kita, Rinku, Izumisano, Osaka 598-8577, Japan

TEL

072-469-3111

Homepage URL


Email

d-masuda@rgmc.izumisano.osaka.jp


Sponsor or person

Institute

Rinku General Medical Center

Institute

Department

Personal name



Funding Source

Organization

Kowa Company, Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

IRB, Rinku General Medical Center

Address

2-23 Ourai-kita, Rinku, Izumisano, Osaka 598-8577, Japan

Tel

072-469-3111

Email

j-chiken@rgmc.izumisano.osaka.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

地方独立行政法人りんくう総合医療センター(大阪府)


Other administrative information

Date of disclosure of the study information

2023 Year 11 Month 01 Day


Related information

URL releasing protocol

https://www.rgmc.izumisano.osaka.jp/about/information/clinical/

Publication of results

Published


Result

URL related to results and publications

https://www.rgmc.izumisano.osaka.jp/about/information/clinical/

Number of participants that the trial has enrolled

5

Results

In patients with CETP deficiency and high remnant cholesterol level, treatment with pemafibrate effectively reduced triglyceride levels in all cases. No complications associated with the treatment were observed. Furthermore, analysis of the lipoprotein profile using HPLC revealed, as in previous studies, a reduction in the remnant content of VLDL and LDL in patients with high remnant cholesterol level. No changes specific to CETP deficiency were observed.

Results date posted

2026 Year 04 Month 30 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Two cases of CETP deficiency and three cases of high-remnant cholesterol level, selected in accordance with the protocol

Participant flow

Two cases of CETP deficiency and three cases of high-remnant cholesterol level, selected in accordance with the protocol. In all cases, patients were administered pemafibrate and blood samples were taken before and after treatment in accordance with the protocol.

Adverse events

None

Outcome measures

*Various Observation Items
(1) Physical Examination
- Height, Weight, BMI (calculated), Waist circumference, Blood pressure
(2) Blood Test
- Lipid parameters: TG, TC, HDL-C, LDL-C, Apo A-I, Apo A-II, Apo B, Apo B-48, Apo C-II, Apo C-III, Apo E, Lp(a), RemL-C, Lipoprotein fraction (PAGE), non-HDL-C (calculated), TG/HDL-C (calculated)
- Glucose-related parameters: FPG, HbA1c
- Liver-related parameters: AST, ALT, ALP, G-GTP
- Renal-related parameters: Cr, eGFR (calculated)
- Thyroid-related parameters: FT3, FT4, TSH
(3) Adverse Events, Side Effects
- Adverse events, side effects, and outcomes occurring after the start of study drug administration
(4) Genetic Testing, etc.
- Patients with CETP deficiency: CETP protein level, Lipoprotein fraction (GP-HPLC)
- Patients suspected of CETP deficiency: CETP genetic testing, CETP protein level, Lipoprotein fraction (GP-HPLC)
- Patients with Familial Type III Hyperlipoproteinemia: Lipoprotein fraction (GP-HPLC)
- Patients suspected of Familial Type III Hyperlipoproteinemia: ApoE isoform, Lipoprotein fraction (GP-HPLC)

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2023 Year 09 Month 20 Day

Date of IRB

2023 Year 09 Month 20 Day

Anticipated trial start date

2023 Year 11 Month 13 Day

Last follow-up date

2024 Year 12 Month 31 Day

Date of closure to data entry

2025 Year 03 Month 31 Day

Date trial data considered complete

2025 Year 03 Month 31 Day

Date analysis concluded

2025 Year 06 Month 30 Day


Other

Other related information

This prospective, observational, exploratory study (including some retrospective cases) aims to collect data on the effectiveness and safety of pemafibrate in patients with primary dyslipidemia, particularly CETP deficiency and familial type III hyperlipidemia (ApoE mutation). This study will collect data on all eligible patients who give their consent during the study period.


Management information

Registered date

2023 Year 10 Month 26 Day

Last modified on

2026 Year 04 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000060051