NCT02593487

Brief Summary

In many large trials, reducing low density lipoprotein (LDL) levels with rosuvastatin decreased the incidence of major cardiovascular events,but little attention to the effects of rosuvastatin on HDL level,especially on HDL subtype. Epidemiological evidence strongly favors the notion that the risk of cardiovascular disease (CVD) is inversely related to the plasma high-density lipoprotein (HDL) cholesterol concentration. HDL can be subdivided into large-sized (HDL2a, HDL2b) and small-sized subclasses (preb1-HDL, HDL3c, HDL3b, HDL3a) and preb2-HDL. Some studies indicate that only large HDL2a and HDL2b particles make HDLs possess anti-atherogenic functions. The investigators assume that rosuvastatin could play the role of anti-atherosclerosis though the levels of HDL2a、HDL2b increased.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
300

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Nov 2015

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

October 29, 2015

Completed
3 days until next milestone

Study Start

First participant enrolled

November 1, 2015

Completed
1 day until next milestone

First Posted

Study publicly available on registry

November 2, 2015

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2016

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2017

Completed
Last Updated

November 3, 2015

Status Verified

October 1, 2015

Enrollment Period

1.1 years

First QC Date

October 29, 2015

Last Update Submit

October 31, 2015

Conditions

Keywords

Coronary Artery DiseaseHyperlipidemiaRosuvastatinLipoproteinshigh-density lipoproteinHDL2

Outcome Measures

Primary Outcomes (1)

  • The primary efficacy endpoint is to detect the percentage change of HDL2 level by using rosuvastatin after 12 weeks in hyperlipidemia patients with CAD compared with baseline.

    Visit 0 (Screening and Enrollment, 0 day);Visit 1 (4weeks);Visit 2 (8weeks);Visit 3 (12weeks)

Study Arms (2)

Rosuvastatin 10mg/d group

EXPERIMENTAL

rosuvastatin 10mg table by mouth, qd

Drug: Rosuvastatin 10mg/d group

Rosuvastatin 20mg/d group

ACTIVE COMPARATOR

rosuvastatin 20mg table by mouth, qd

Drug: Rosuvastatin 20mg/d group

Interventions

rosuvastatin 10mg tablet,q.d. for 12 weeks.

Also known as: Routine dose group
Rosuvastatin 10mg/d group

rosuvastatin 20mg tablet,q.d. for 12 weeks.

Also known as: Loading dose group
Rosuvastatin 20mg/d group

Eligibility Criteria

Age30 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients with CAD undergoing quantitative coronary angiography ;
  • Patients with hyperlipidemia: TG(Triglyceride)\>1.6mmol/L and/or TC(total cholesterol)\>4.6mmol/L, and they didn't take antilipemic agents or steroid hormone at least three months before this trial.
  • Patients between the ages of 30 and 75 years, the functions of liver or kidney are not severe.

You may not qualify if:

  • Thyroid dysfunction, Liver or Biliary Tract Diseases, Acute Myocardial Infarction during the last half year, Renal Insufficiency or Kidney Failure and Cerebrovascular Trauma;
  • Drug induce Hyperlipidemia, Familial Hypercholesterolemia;
  • Having a major trauma , operation with intestines and stomach recently or the disease affecting drug absorbed;
  • Having Anaphylactic Reaction, Mental Disorders and Drinking history.
  • Taking statin, Nicotinic Acids and other drugs which can influence the level of HDL.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Xu-kai Wang

Chongqing, Chongqing Municipality, 400042, China

Location

Related Publications (8)

  • Tian L, Long S, Li C, Liu Y, Chen Y, Zeng Z, Fu M. High-density lipoprotein subclass and particle size in coronary heart disease patients with or without diabetes. Lipids Health Dis. 2012 May 15;11:54. doi: 10.1186/1476-511X-11-54.

  • Pirillo A, Norata GD, Catapano AL. High-density lipoprotein subfractions--what the clinicians need to know. Cardiology. 2013;124(2):116-25. doi: 10.1159/000346463. Epub 2013 Feb 20.

  • Navab M, Reddy ST, Van Lenten BJ, Anantharamaiah GM, Fogelman AM. The role of dysfunctional HDL in atherosclerosis. J Lipid Res. 2009 Apr;50 Suppl(Suppl):S145-9. doi: 10.1194/jlr.R800036-JLR200. Epub 2008 Oct 27.

  • Barter P, Gotto AM, LaRosa JC, Maroni J, Szarek M, Grundy SM, Kastelein JJ, Bittner V, Fruchart JC; Treating to New Targets Investigators. HDL cholesterol, very low levels of LDL cholesterol, and cardiovascular events. N Engl J Med. 2007 Sep 27;357(13):1301-10. doi: 10.1056/NEJMoa064278.

  • Katabami T, Murakami M, Kobayashi S, Matsui T, Ujihara M, Takagi S, Higa M, Ichijo T, Ohta A, Tanaka Y. Efficacy of low-dose rosuvastatin in patients with type 2 diabetes and hypo high-density lipoprotein cholesterolaemia. J Int Med Res. 2014 Apr;42(2):457-67. doi: 10.1177/0300060513507648. Epub 2014 Mar 4.

  • Kaneko K, Saito H, Takahashi T, Kiribayashi N, Omi K, Sasaki T, Niizeki T, Sugawara S, Akasaka M, Kubota I. Rosuvastatin improves plaque morphology in cerebral embolism patients with normal low-density lipoprotein and severe aortic arch plaque. J Stroke Cerebrovasc Dis. 2014 Jul;23(6):1682-9. doi: 10.1016/j.jstrokecerebrovasdis.2014.01.018. Epub 2014 Apr 13.

  • Expert Dyslipidemia Panel of the International Atherosclerosis Society Panel members. An International Atherosclerosis Society Position Paper: global recommendations for the management of dyslipidemia--full report. J Clin Lipidol. 2014 Jan-Feb;8(1):29-60. doi: 10.1016/j.jacl.2013.12.005. Epub 2013 Dec 17.

  • Tian L, Li C, Liu Y, Chen Y, Fu M. The value and distribution of high-density lipoprotein subclass in patients with acute coronary syndrome. PLoS One. 2014 Jan 23;9(1):e85114. doi: 10.1371/journal.pone.0085114. eCollection 2014.

MeSH Terms

Conditions

HyperlipidemiasCoronary DiseaseCoronary Artery Disease

Interventions

Rosuvastatin CalciumPopulation Groups

Condition Hierarchy (Ancestors)

DyslipidemiasLipid Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesMyocardial IschemiaHeart DiseasesCardiovascular DiseasesVascular DiseasesArteriosclerosisArterial Occlusive Diseases

Intervention Hierarchy (Ancestors)

SulfonamidesAmidesOrganic ChemicalsFluorobenzenesHydrocarbons, FluorinatedHydrocarbons, HalogenatedHydrocarbonsSulfonesSulfur CompoundsPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsDemographyPopulation Characteristics

Study Officials

  • Xu-kai Wang, PhD

    the Department of Cardiology, Daping Hospital, the Third Military Medical University

    STUDY CHAIR

Central Study Contacts

Xu-kai Wang, PhD

CONTACT

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD,PhD

Study Record Dates

First Submitted

October 29, 2015

First Posted

November 2, 2015

Study Start

November 1, 2015

Primary Completion

December 1, 2016

Study Completion

June 1, 2017

Last Updated

November 3, 2015

Record last verified: 2015-10

Locations