Impact of Rosuvastatin on Endothelial Function and Inflammation in Patients With Chronic Heart Failure - Full Text View

Sponsor:	University of Leipzig
Collaborator:	AstraZeneca
Information provided by:	University of Leipzig
ClinicalTrials.gov Identifier:	NCT00176332

Purpose

Statin therapy has been shown to efficiently reduce mortality in patients with coronary artery disease and myocardial infarction, partially as a result of the lipid-lowering properties of statins. However, especially the pleiotropic effects of statins, e.g. their anti-inflammatory and anti-oxidative properties, might be of interest in the treatment of patients with chronic heart failure that are limited in their exercise capacity due to alterations of the skeletal muscle and peripheral endothelial dysfunction.

Aim of this trial is therefore to assess the effects of three months of rosuvastatin treatment on markers of inflammation and oxidative stress in the skeletal muscle and the blood, on postnatal vasculogenesis, and endothelial function of the radial artery in patients with severe chronic heart failure.

Condition	Intervention	Phase
Heart Failure	Drug: rosuvastatin	Phase II

Study Type:	Interventional
Study Design:	Treatment, Randomized, Double-Blind, Placebo Control, Single Group Assignment, Efficacy Study
Official Title:	Impact of Three Months of Rosuvastatin Treatment on Peripheral Endothelial Function, Inflammatory Markers in the Blood and the Skeletal Muscle and on Postnatal Vasculogenesis in Patients With Severe Chronic Heart Failure

Resource links provided by NLM:

MedlinePlus related topics: Heart Failure Statins

Drug Information available for: Rosuvastatin calcium Rosuvastatin

U.S. FDA Resources

Further study details as provided by University of Leipzig:

Primary Outcome Measures:

Inflammation in the blood and the skeletal muscle
Vasculogenesis
Endothelial function of the radial artery

Secondary Outcome Measures:

Peak oxygen uptake
Left ventricular function

Estimated Enrollment:	40
Study Start Date:	March 2004
Study Completion Date:	December 2006

Detailed Description:

A total of 40 patients with severe chronic heart failure are prospectively randomized to either 3 months of rosuvastatin or placebo treatment.

Before and after the intervention period maximal exercise capacity is measured by ergospirometry and endothelial function is determined by high-resolution A-mode ultrasound. Skeletal muscle biopsies are obtained at begin and after 3 months and are analyzed for inflammatory markers, measures of oxidative stress and vasculogenesis. Blood samples are assessed with regard to markers of inflammation and oxidative stress as well.

Eligibility

Ages Eligible for Study:	18 Years to 75 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

chronic heart failure (NYHA class III or IV)
peak oxygen uptake <20 mL/min/kg body weight
left ventricular ejection fraction <30 %
left ventricular end-diastolic diameter >55 mm
stable medication within the last 4 weeks

Exclusion Criteria:

elevated GOT and GPT levels as a sign of hepatic dysfunction
elevated creatinine levels as a sign of renal dysfunction
insulin-dependent diabetes mellitus
arterial hypertension
muscle disease or elevated CK levels
treatment with fibrates
co-treatment with drugs that are metabolized by Cyp3A4
diseases that disallow a participation in the study

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00176332

Locations

Germany, Saxony
University of Leipzig, Heart Center, Department of Internal Medicine / Cardiology
Leipzig, Saxony, Germany, 04289

Sponsors and Collaborators

University of Leipzig

AstraZeneca

Investigators

Principal Investigator:

Rainer P Hambrecht, MD

University of Leipzig, Heart Center, Department of Internal Medicine / Cardiology

More Information

No publications provided

Study ID Numbers:	121/2003
Study First Received:	September 10, 2005
Last Updated:	July 31, 2007
ClinicalTrials.gov Identifier:	NCT00176332 History of Changes
Health Authority:	Germany: Federal Institute for Drugs and Medical Devices

Keywords provided by University of Leipzig:

chronic heart failure
rosuvastatin
endothelial function
skeletal muscle

Additional relevant MeSH terms:

Antimetabolites
Heart Failure
Rosuvastatin
Heart Diseases
Molecular Mechanisms of Pharmacological Action
Therapeutic Uses

Antilipemic Agents
Enzyme Inhibitors
Cardiovascular Diseases
Anticholesteremic Agents
Hydroxymethylglutaryl-CoA Reductase Inhibitors
Pharmacologic Actions

ClinicalTrials.gov processed this record on February 09, 2010