A multi-center, open-label, observational study to evaluate the efficacy and safety of LivaloZet® tablets in patients with dyslipidemia and metabolic syndrome: PIVOT study protocol - Scorecard - MDSpire

A multi-center, open-label, observational study to evaluate the efficacy and safety of LivaloZet® tablets in patients with dyslipidemia and metabolic syndrome: PIVOT study protocol

  • By

  • Kyong Hye Joung

  • Bon Jeong Ku

  • July 10, 2026

  • 0 min

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Clinical Scorecard: A multicenter, open-label observational trial assessing the safety and effectiveness of LivaloZet® tablets in individuals with dyslipidemia and metabolic syndrome: Protocol for the PIVOT study

At a Glance

CategoryDetail
ConditionDyslipidemia accompanied by metabolic syndrome
Key MechanismsCombination of pitavastatin and ezetimibe for cholesterol-lowering with a glucose-neutral profile
Target PopulationKorean adult patients with dyslipidemia and metabolic syndrome
Care SettingMulti-center, non-interventional, prospective observational study

Key Highlights

  • LivaloZet® Tablet combines pitavastatin and ezetimibe for effective LDL-C reduction.
  • The study aims to enroll up to 10,000 patients.
  • Primary endpoint is the percent change in LDL-C from baseline at Week 24.
  • Safety assessments include monitoring for hepatotoxicity and myopathy.
  • The study will provide real-world evidence on the effectiveness and safety of LivaloZet®.

Guideline-Based Recommendations

Diagnosis

  • Dyslipidemia defined by elevated LDL-C, triglycerides, or reduced HDL-C.

Management

  • Combination therapy with statins and ezetimibe is recommended for LDL-C reduction.

Monitoring & Follow-up

  • Systematic monitoring of AST, ALT, and creatine kinase for statin-related side effects.

Risks

  • Potential for dose-dependent hepatotoxicity and rhabdomyolysis with statins.

Patient & Prescribing Data

Korean adults with dyslipidemia and metabolic syndrome.

LivaloZet® is indicated for patients requiring potent LDL-C reduction or those unable to tolerate high-dose statins.

Clinical Best Practices

  • Utilize fixed-dose combinations for improved adherence and efficacy.
  • Assess glucose metabolism in patients with metabolic syndrome on lipid-lowering therapy.

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