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 - Summary - 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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Objective:

To assess the LDL-C-lowering effectiveness and safety profile of LivaloZet® Tablets in Korean patients with dyslipidemia and metabolic syndrome.

Approach:
  • Study Design: Multi-center, non-interventional, prospective observational study enrolling up to 10,000 Korean adult patients.
  • Participants: Korean adults with dyslipidemia and metabolic syndrome prescribed LivaloZet® Tablets.
  • Endpoints: Primary endpoint: percent change in LDL-C at Week 24. Secondary endpoints: LDL-C changes at Week 48, full lipid panel changes, and LDL-C target achievement rates.
  • Safety Assessments: Monitored through adverse events, laboratory tests, and vital signs, including liver and muscle function tests.
Key Findings:
  • Dyslipidemia and metabolic syndrome significantly increase cardiovascular risk.
  • LivaloZet® combines pitavastatin and ezetimibe for effective LDL-C reduction.
  • The study will provide real-world evidence on the effectiveness and safety of LivaloZet®.
Interpretation:

The study aims to generate descriptive data on the effectiveness and safety of LivaloZet® in a real-world setting, focusing on LDL-C reduction and metabolic safety.

Limitations:
  • Non-randomized, single-arm observational design limits causal inference.
  • Potential confounding by indication and selection bias.
  • Inter-laboratory variability may affect results.
Conclusion:

The PIVOT study will offer insights into the LDL-C-lowering effectiveness and safety of LivaloZet® in patients with dyslipidemia and metabolic syndrome.

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