Pleiotropism of Statin Therapy in High Dose Versus Low Dose Combined With Ezetimibe
Recruitment status was Recruiting
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Purpose
- To test the hypothesis that therapy with high dose statin provides endothelial superior benefit to the same cholesterol lowering with low-dose statin combined with ezetimibe.
- To test the hypothesis that therapy with high dose statin provides anti-inflammatory effect than the same reduction of cholesterol with low dose of statin plus ezetimibe
| Condition | Intervention |
|---|---|
|
Endothelial Function |
Drug: simvastatin, combined with simvastatin ezetimibe, placebo |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator) |
| Official Title: | Comparison of the Effect on Endothelial Function of Statin Therapy in High Dose Versus Low Dose Combined With Ezetimibe |
- Percent change vasodilation of brachial artery flow-mediated, after eight weeks of treatment. [ Time Frame: 8 weeks ] [ Designated as safety issue: Yes ]
- biochemical markers [ Time Frame: 8 weeks ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 60 |
| Study Start Date: | March 2010 |
| Estimated Study Completion Date: | December 2011 |
| Estimated Primary Completion Date: | December 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: high-dose simvastatin, combined, placebo
simvastatin 80 mg per days or simvastatin 10 mg and ezetimibe 10 mg, over a period of eight weeks, treatment consisted of tablets identical, or placebo
|
Drug: simvastatin, combined with simvastatin ezetimibe, placebo
simvastatin 80 mg per days or simvastatin 10 mg and ezetimibe 10 mg, over a period of eight weeks, treatment consisted of tablets identical, or placebo
Other Name: zocor, vytorin
|
Detailed Description:
Randomized, double-blind, placebo-controlled study. Inclusion Criteria: Obese women with body mass index (BMI)> 25 kg / m², aged 18 years and LDL-C> 100 mg / dl For treatment with simvastatin 80 mg, the participant will receive two identical vials, each containing a simvastatin 40 mg. For treatment with the combination simvastatin 10 mg and ezetimibe 10 mg, the participant will receive two identical bottles, one bottle with simvastatin 10 mg, and another bottle with ezetimibe 10mg. In the control group, each participant will receive two identical bottles, each bottle containing inert tablets. Each group with 20 participants.
Dependent Variable (Final Primary Outcome): Percentage change vasodilation of brachial artery flow-mediated, after treatment for eight weeks.
Covariates: clinical, biochemical markers and ultrasound.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Women with body mass index (BMI)> 25 kg / m²
- Aged > 18 years
- LDL-C> 100 mg / dl
Exclusion Criteria:
- Previous use of statins, fibrates or ezetimibe
- Triglycerides> 400 mg / dl
- Serum creatinine greater than 2.0 md / dl
- Elevated liver enzymes, more than one and half times the upper limit of normal
- Creatine kinase (CK) levels more than three times the upper limit of normal
- Pregnant
- Breast-feeding
- Heart failure
- Psychiatric disorders
- Hormone replacement therapy.
- The occurrence of recent onset within the last four weeks of treatment with beta-blockers, converting enzyme inhibitor or calcium channel blocker, the intervention should be undertaken after a period of at least four weeks of continuous use.
- Acute inflammatory processes in the last month, assessed by clinical history and physical examination (ear, throat, skin lesions or other inflammatory manifestations) as well as reports of chronic diseases such as collagen, or the occurrence of active tuberculosis in the last three months will be excluded from work.
Contacts and Locations| Contact: Maristela M Garcia, MD | 55-71-99739981 | marismacardiol@gmail.com |
| Contact: Luis Claudio L Correia, Phd | 55-71-99711032 | lccorreia@terra.com.br |
| Brazil | |
| Escola Bahiana de Medicina e Saúde Púiblica | Recruiting |
| Salvador, Bahia, Brazil, 40000 | |
| Contact: Marilia G Rodrigues, MD 55-71-3359485 mgaleffi@cardiol.br | |
| Contact: Paulo Roberto P Lima, student 55-71-99184765 prpassoslima@hotmail.com | |
| Sub-Investigator: Carolina Garcez, student | |
| Principal Investigator: | Maristela M Garcia, MD | Escola Bahiana de Medicina e Saúde Pública |
More Information
No publications provided
| Responsible Party: | Luis Claudio Lemos Correia, Phd, Escola Bahiana de Medicina e Saude Publica |
| ClinicalTrials.gov Identifier: | NCT01241097 History of Changes |
| Other Study ID Numbers: | sxse |
| Study First Received: | November 15, 2010 |
| Last Updated: | November 15, 2010 |
| Health Authority: | Brazil: Ethics Committee |
Keywords provided by Federal University of Bahia:
|
endothelial function statins ezetimibe pleiotropism |
Additional relevant MeSH terms:
|
Simvastatin Ezetimibe Hypolipidemic Agents Antimetabolites Molecular Mechanisms of Pharmacological Action Pharmacologic Actions |
Lipid Regulating Agents Therapeutic Uses Hydroxymethylglutaryl-CoA Reductase Inhibitors Anticholesteremic Agents Enzyme Inhibitors |
ClinicalTrials.gov processed this record on June 18, 2013