Low Density Lipoprotein (LDL) Cholesterol Metabolism in Impaired Glucose Tolerance
Plasma Kinetics Study the of Free Cholesterol and Cholesterol Ester in Subjects With Impaired Glucose Tolerance
1 other identifier
observational
29
1 country
1
Brief Summary
Impaired glucose tolerance is associated with an increased risk of developing cardiovascular disease and atherosclerosis for reasons not yet totally understood. Previous studies evaluated the kinetics of plasma LDL and a faster removal rate of free cholesterol in normolipidemic patients with diagnosed arterial coronary disease and deposits of this cholesterol on the blood vessel walls. This disassociation of the cholesterol may suggest a new mechanism for not only the genesis but for the progression of arterial coronary disease. The objective of this research was to study the plasma kinetics of free cholesterol and cholesterol ester in impaired glucose tolerance patient, asymptomatic for coronary artery disease (CAD), to elucidate mechanisms involved in atherogenesis in these patients.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Jun 2008
1 active site
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Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2009
CompletedFirst Submitted
Initial submission to the registry
November 24, 2009
CompletedFirst Posted
Study publicly available on registry
November 25, 2009
CompletedNovember 25, 2009
November 1, 2009
1.1 years
November 24, 2009
November 24, 2009
Conditions
Outcome Measures
Primary Outcomes (1)
Blood samples were used to determine the removal of the free and esterified cholesterol in impaired glucose tolerance patients.
day of test
Study Arms (2)
Impaired glucose tolerance
Patients diagnosed with impaired glucose tolerance
Control
Patients with normal blood glucose
Interventions
This study is done with the injection of an artificial lipid nanoemulsion doubly labeled with 14C-cholesteryl oleate and 3H-cholesterol, with a total radioactivity injection dose of 0.03mSV. Blood samples collected in a pre established period of time in 24 hours.
Eligibility Criteria
Patients with impaired glucose tolerance and controls were recruited from the Hospital of Clinics, Some were patients and staff of the Heart Institute and patients treated in outpatient clinics, offices and clinics outside the Hospital of Clinics of University of São Paulo.
You may qualify if:
- total cholesterol \< 6mmol/L
- LDL-C \< 4mmol/L
- triacylglycerides \< 2.2mmol/L
- with normal blood pressure or hypertension until 130/85 mmHg
You may not qualify if:
- presence of previous cardiovascular disease: macrovascular, peripheral arterial disease and cerebral stroke.
- presence of chronic disease: chronic renal failure (creatinin \>30 ug/mg), hepatic failure, asthma, chronic obstructive pulmonary disease, inflammatory disease, oncology and thyropathy compensated.
- use of drugs: statins, fibrates, glucocorticoids and metformin
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Endocrinology Service and Lipid Laboratory of Heart Institute of University of São Paulo
São Paulo, São Paulo, Brazil
Related Publications (3)
Couto RD, Dallan LA, Lisboa LA, Mesquita CH, Vinagre CG, Maranhao RC. Deposition of free cholesterol in the blood vessels of patients with coronary artery disease: a possible novel mechanism for atherogenesis. Lipids. 2007 May;42(5):411-8. doi: 10.1007/s11745-007-3041-9. Epub 2007 Apr 19.
PMID: 17443358BACKGROUNDSantos RD, Chacra AP, Morikawa A, Vinagre CC, Maranhao RC. Plasma kinetics of free and esterified cholesterol in familial hypercholesterolemia: effects of simvastatin. Lipids. 2005 Jul;40(7):737-43. doi: 10.1007/s11745-005-1437-6.
PMID: 16196425BACKGROUNDSantos RD, Hueb W, Oliveira AA, Ramires JA, Maranhao RC. Plasma kinetics of a cholesterol-rich emulsion in subjects with or without coronary artery disease. J Lipid Res. 2003 Mar;44(3):464-9. doi: 10.1194/jlr.M200331-JLR200. Epub 2002 Dec 1.
PMID: 12562871BACKGROUND
Biospecimen
whole blood samples
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Antonio C Lerario, MD, pHD
University of Sao Paulo
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
November 24, 2009
First Posted
November 25, 2009
Study Start
June 1, 2008
Primary Completion
July 1, 2009
Study Completion
October 1, 2009
Last Updated
November 25, 2009
Record last verified: 2009-11