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Carotid Intima-media Thickness in Japan Statin Treatment Against Recurrent Stroke(J-STARS Echo)

Phase 3
Completed
Conditions
Ischemic Stroke
Interventions
Registration Number
NCT00361530
Lead Sponsor
Translational Research Center for Medical Innovation, Kobe, Hyogo, Japan
Brief Summary

Carotid ultrasound can reveal the intima-media complex thickness(IMT), that has been reported to be a marker of atherosclerosis as well as a risk of cardiovascular events, and to be attenuated by 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase inhibitors (statins) . This substudy of J-STARS will observe the temporal profile of carotid IMT prospectively in the patients with prescription of pravastatin and the control.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
854
Inclusion Criteria
  • Ischemic stroke except for cardiogenic embolism, from 1 month to 3 years after onset
  • Hyperlipidemia and total cholesterol level of 180-240mg/dl without the prescription of statin within previous 30 days
  • Able to visit outpatient department
  • Informed consent on the form.
Exclusion Criteria
  • Ischemic stroke of other determined cause according to the TOAST classification
  • Ischemic heart disease and necessary to use statin
  • Hemorrhagic disorders
  • Platelet count <=100,000/ul within 3 months prior to study start
  • Alanine aminotransferase (ALT) or aspartate aminotransferase (AST)>= 100IU/L within 3 months prior to study start
  • Serum creatinine >=2.0mg/dl within 3 months prior to study start
  • A scheduled operation
  • The presence of malignant disorder
  • Patients whom carotid ultrasound cannot examine because of neck tumor or torticollis
  • Patients after carotid endarterectomy or radiation therapy to neck
  • Patients whose carotid ultrasound cannot be examined because of neck tumor or torticollis
  • Patients after carotid endarterectomy or radiation therapy to neck

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PravastatinStatinPatient has 10mg oral administration of Pravastatin per day. It starts within one month from their entry and continues every day until the end of the study or its endpoints.
Primary Outcome Measures
NameTimeMethod
Intima-media complex thickness (IMT) of the common carotid artery (CCA)until the last day of the next February after 5-year follow-up survey
Secondary Outcome Measures
NameTimeMethod
Plaque score, number of plaque, recurrent cerebrovascular eventsuntil the last day of the next February after 5-year follow-up survey

Trial Locations

Locations (2)

Hiroshima University Hospital

🇯🇵

Hiroshima, Japan

National Cardiovascular Center (NCVC)

🇯🇵

Suita-shi, Osaka, Japan

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