Effect of Statin Therapy on C-Reactive Protein Levels in Patients With Chronic Obstructive Lung Disease (COPD)
Recruitment status was Recruiting
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Purpose
Hypothesis for this pilot study is that simvastatin will lower the levels of CRP and ET-1 in COPD patients.
| Condition | Intervention | Phase |
|---|---|---|
|
COPD Inflammation |
Drug: simvastatin |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Crossover Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Effect of Statin Therapy on C-Reactive Protein Levels in Patients With COPD |
- serum CRP levels [ Time Frame: 9 weeks ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 40 |
| Study Start Date: | April 2008 |
| Estimated Study Completion Date: | December 2009 |
| Estimated Primary Completion Date: | March 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Placebo Comparator: 1
placebo drug
|
Drug: simvastatin
40 mg po daily
|
|
Active Comparator: 2
simvastatin
|
Drug: simvastatin
40 mg po daily
|
Detailed Description:
Patients with chronic obstructive lung disease (COPD) have an ongoing systemic inflammation, which can be assessed by measuring C-reactive protein (CRP). CRP is found to be a strong and independent predictor of future COPD outcomes. Statins are a class of cholesterol lowering drugs that decrease mortality from cardiovascular disease and stroke. In addition, they have anti-inflammatory, anti-thrombotic and immunomodulatory properties. Statins lower C-reactive protein by the ability to reduce the production of interleukin (IL)-6, the cytokine that activates the acute phase CRP response.
Thus the rationale for this study is to evaluate effect of statins on the levels of CRP and ET-1 in COPD patients.
Eligibility| Ages Eligible for Study: | 40 Years to 79 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Medically optimized COPD patients
- Age 40-79 years.
- serum CRP levels >3mg/l
Exclusion Criteria:
- Current smoker
- COPD exacerbation in the last 2 months.
- Active hepatic or severe renal dysfunction.
- connective tissue disease, chronic inflammatory disease, malignancy, any acute illness, leukocytosis (>10,000 white blood cells) or thrombocytosis (>450,000 platelets).
- Recent h/o myocardial infarction, angina in the last 6 months.
- Pregnancy.
Contacts and Locations| Contact: Hemal J. Parekh, M.D. | 909-825-7084 ext 6098 | hemalp6@yahoo.com |
| Contact: Lennard Specht, M.D. | 909-825-7084 ext 6098 | norman.specht@va.gov |
| United States, California | |
| VA Loma Linda Health Care System | Recruiting |
| Loma Linda, California, United States, 92357 | |
| Contact: Lennard Specht, M.D. 909-825-7084 ext 6098 norman.specht@va.gov | |
| Contact: James Anholm, M.D. 909-825-7084 ext 6098 james.anholm@va.gov | |
| Principal Investigator: | Lennard Specht, M.D. | VA Loma Linda Health Care System |
| Principal Investigator: | Hemal J. Parekh, M.D. | VA Loma LInda Healthcare System |
| Principal Investigator: | James D. Anholm, M.D. | VA Loma Linda Healthcare System |
More Information
No publications provided
| Responsible Party: | Lennard Specht, M.D., VA Loma Linda Health Care System |
| ClinicalTrials.gov Identifier: | NCT00655993 History of Changes |
| Other Study ID Numbers: | 00746 |
| Study First Received: | April 4, 2008 |
| Last Updated: | April 9, 2008 |
| Health Authority: | United States: Federal Government |
Keywords provided by VA Loma Linda Health Care System:
|
COPD Inflammation CRP levels simvastatin |
Additional relevant MeSH terms:
|
Inflammation Pulmonary Disease, Chronic Obstructive Lung Diseases, Obstructive Pathologic Processes Lung Diseases Respiratory Tract Diseases Simvastatin 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 May 19, 2013