Efficacy and Safety of the Fixed-dose Combination Atorvastatin/Fenofibrate vs Atorvastatin in Patients With T2D and DLP.
Confirmatory Study of the Efficacy and Safety of the Fixed-dose Combination Atorvastatin / Fenofibrate Versus Atorvastatin on the Lipid Profile of Patients With Type 2 Diabetes (T2D) and Dyslipidaemia (DLP).
1 other identifier
interventional
78
1 country
1
Brief Summary
Phase IIIb, randomized, longitudinal, prospective, multicenter study to evaluate the efficacy and safety of the fixed-dose combination atorvastatin / fenofibrate versus atorvastatin on the lipid profile of patients with type 2 diabetes and dyslipidemia.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Feb 2022
Shorter than P25 for phase_3
1 active site
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
April 29, 2021
CompletedFirst Posted
Study publicly available on registry
May 11, 2021
CompletedStudy Start
First participant enrolled
February 15, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2022
CompletedMarch 2, 2022
February 1, 2022
3 months
April 29, 2021
February 28, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Magnitude of change in lipid profile figures.
To assess the magnitude of change in lipid profile figures (Lp \[a\], LDL, and triglycerides) at 2 and 4 months with respect to their baseline measurement and between treatment groups.
Baseline, 2 and 4 months.
Proportion of subjects achieving triglyceride levels <150 mg /dL.
Describe the proportion of subjects who achieved triglyceride levels \<150 mg / dL at the end of treatment.
4 months
Describe the proportion of subjects who reduced levels of LDL cholesterol
Describe the proportion of subjects who reduced levels of LDL cholesterol, under 30% compare to the baseline value.
Baseline and 4 months.
Secondary Outcomes (11)
Impact on anthropometric indicators (Weight)
Baseline and 4 Months
Impact on anthropometric indicators body mass index (BMI)
Baseline and 4 months
Impact on anthropometric indicators (Waist circumference)
Baseline and 4 months
Impact on liver function with aspartate aminotransferas (AST)
Baseline and 4 months
Impact on liver function with Alanine Aminotransferase (ALT)
Baseline and 4 months
- +6 more secondary outcomes
Study Arms (2)
Group A: Atorvastatin / Fenofibrate in fixed dose
EXPERIMENTALGroup A: Atorvastatin / Fenofibrate in fixed dose Pharmaceutical Form: Tablets Dosage: 20 mg /160 mg Adminstration way: Oral
Group B: Atorvastatin (Lipitor ®)
ACTIVE COMPARATORGroup B: Atorvastatin (Lipitor ®) Pharmaceutical Form: Tablets Dosage: 20 mg Adminstration wat: Oral
Interventions
1 tablet once a day, 20 mg /160 mg, Orally
1 tablet once a day, 20 mg, Orally
Eligibility Criteria
You may qualify if:
- That the subject agrees to participate in the study and gives their informed consent in writing.
- Both genres.
- Age 18 to 75 years old.
- Diagnosis of type 2 diabetes mellitus with adequate glycemic control defined by HbA1c ≤ 7.5% at the time of selection.
- Diagnosis of dyslipidemia prior to the start of the study (LDL cholesterol\> 100 mg / dl and triglycerides\> 150 mg / dl).
- Willing to avoid sexual contact or to use a barrier method of contraception while conducting the study.
You may not qualify if:
- The drug is contraindicated for medical reasons.
- Consumption of oral contraceptives, cyclosporine or strong cytochrome p450 (CYP) 3A4 inhibitors, protease inhibitors, erythromycin and azoles.
- Patients with Type 1 Diabetes Mellitus.
- Acute or Severe renal dysfunction (glomerular filtration \<30 ml / min / 1.72 m2).
- History of chronic liver disease or ALT and / or AST ≥ 2 times the upper limit of normal, or GGT ≥3 times the upper limit of normal.
- Chronic or acute pancreatitis except for acute pancreatitis due to severe hypertriglyceridemia (defined by the presence of triglycerides\> 1000 mg / dl and / or milky plasma, in the absence of other etiological factors of pancreatitis).
- Patients with active gallbladder disease (defined as acute or chronic gallbladder disorders associated with clinical signs or symptoms).
- Patient with a history or presence of myopathies.
- Pregnant or lactating women.
- Known contraindication or hypersensitivity to the use of any of the components of the investigational drug.
- The patient is participating in another clinical study involving an investigational treatment or participated in one in the previous 4 weeks.
- At the medical discretion, a disease that affects the prognosis and prevents outpatient management, for example, but not restricted to: end-stage cancer, kidney, heart, respiratory or liver or mental failure or with scheduled surgical or hospital procedures.
- Be a patient with a working relationship with the principal investigator or the research center or prisoner.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Laboratorio Silanes, S.A. de C.V.
Mexico City, 11000, Mexico
Related Publications (5)
Escobedo-de la Pena J, de Jesus-Perez R, Schargrodsky H, Champagne B. [Prevalence of dyslipidemias in Mexico city and Its relation to other cardiovascular risk factors. Results from the CARMELA study]. Gac Med Mex. 2014 Mar-Apr;150(2):128-36. Spanish.
PMID: 24603993BACKGROUNDHarivenkatesh N, David DC, Haribalaji N, Sudhakar MK. Efficacy and safety of alternate day therapy with atorvastatin and fenofibrate combination in mixed dyslipidemia: a randomized controlled trial. J Cardiovasc Pharmacol Ther. 2014 May;19(3):296-303. doi: 10.1177/1074248413518968. Epub 2014 Feb 10.
PMID: 24516261BACKGROUNDLella M, Indira K. A comparative study of efficacy of atorvastatin alone and its combination with fenofibrate on lipid profile in type 2 diabetes mellitus patients with hyperlipidemia. J Adv Pharm Technol Res. 2013 Jul;4(3):166-70. doi: 10.4103/2231-4040.116778.
PMID: 24083205BACKGROUNDAthyros VG, Papageorgiou AA, Athyrou VV, Demitriadis DS, Kontopoulos AG. Atorvastatin and micronized fenofibrate alone and in combination in type 2 diabetes with combined hyperlipidemia. Diabetes Care. 2002 Jul;25(7):1198-202. doi: 10.2337/diacare.25.7.1198.
PMID: 12087019BACKGROUNDPadilla-Padilla FG, Ruiz-Bernes LN, Roman-Pintos LM, Peraza-Zaldivar JA, Sander-Padilla JG, Lugo-Sanchez LA, Rios-Brito KF, Arguedas-Nunez MM, Flores-Huanosta D, Gonzalez-Canudas J. Efficacy and Safety of the Fixed-Dose Combination of Atorvastatin/Fenofibrate Versus Atorvastatin on the Lipid Profile of Patients with Type 2 Diabetes and Dyslipidemia. Cardiol Ther. 2025 Jun;14(2):297-314. doi: 10.1007/s40119-025-00410-y. Epub 2025 May 5.
PMID: 40323331DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Alberto J Zamora Muciño-Arroyo, M.D
Investigación Biomédica para el Desarrollo de Fármacos S.A. de C.V. (BIOMED-AGS)
- PRINCIPAL INVESTIGATOR
Joel Rodríguez Saldaña, M.D
Resultados médicos, desarrollo e investigación SC (REMEDI)
- PRINCIPAL INVESTIGATOR
Francisco G Padilla Padilla, M.D
Independent
- PRINCIPAL INVESTIGATOR
Juan A Peraza Zaldivar, M.D
Investigación Biomédica para el Desarrollo de Fármacos S.A. de C.V. (BIOMED-GDL)
- PRINCIPAL INVESTIGATOR
Luis M Román Pintos, PhD
Hospital Hispano S.A de C.V
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 29, 2021
First Posted
May 11, 2021
Study Start
February 15, 2022
Primary Completion
May 1, 2022
Study Completion
May 1, 2022
Last Updated
March 2, 2022
Record last verified: 2022-02
Data Sharing
- IPD Sharing
- Will not share