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Effect of SLC01B1 (rs2306283) Polymorphism on the Efficacy and Safety Profile of Atorvastatin in Pakistani Population

Completed
Conditions
Hyperlipidemias
Registration Number
NCT06674044
Lead Sponsor
Riphah International University
Brief Summary

The goal of this prospective cohort study was to identify the effect of SLC01B1 gene polymorphism in the Pakistani population. The main questions it aims to answer are:

To identify polymorphism in SLOC1B1 (rs2306283) in the Pakistani population. To determine the association between SLOC1B1 (rs2306283) polymorphism and the clinical efficacy of atorvastatin To determine the association between SLOC1B1 (rs2306283) polymorphism and the safety profile of atorvastatin.

Detailed Description

The goal of this prospective cohort study was to identify the effect of SLC01B1 gene polymorphism in the Pakistani population, due to the high prevalence of this variant in the Pakistani Population

The main questions it aims to answer are:

To identify polymorphism in SLOC1B1 (rs2306283) in the Pakistani population. To determine the association between SLOC1B1 (rs2306283) polymorphism and the clinical efficacy of atorvastatin To determine the association between SLOC1B1 (rs2306283) polymorphism and the safety profile of atorvastatin.

The participants' blood samples were taken and further genotyping was performed using conventional tetraARMS PCR. The results were visualized by gel electrophoresis.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
100
Inclusion Criteria
  1. Pakistani individuals aged between 30 to 60 years
  2. Patients with deranged lipid profile
  3. Newly diagnosed patients of dyslipidemia taking atorvastatin (Lipiget) 10mg/day
  4. Normal hepatic and renal function
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Exclusion Criteria
  1. Patient taking other lipid-lowering medications
  2. Moderate and severe systemic diseases
  3. Pregnancy
  4. Patients taking medications and diet that can interact with atorvastatin
  5. Hypothyroidism
  6. Recent history of surgical procedure or trauma
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To identify genetic polymorphism in SLOC1B1 in the Pakistani population1 month

Genetic polymorphism in SLOC1B1 in the Pakistani population will be assessed by ARMS PCR assay.

Lipid profile1 month

Lipid profile will be measured at 0 and on the 28th day of atorvastatin therapy on a blood sample.

LDL cholesterol was categorized as optimal \<100mg/dl, Near or above optimal = 100-129mg/dl, Borderline = 130-159mg/dl, high = 160-189mg/dl, and very high \>190mg/dl.

Total cholesterol: \<200mg/dl = desirable, 200-239mg/dl = borderline high, \>240mg/dl = high.

HDL cholesterol: \<40mg/dl = low and \>60mg/dl = high.

Triglycerides: \<150mg/dl were considered optimal, 150-199mg/dl as Borderline high, and 200-500 mg/dl as high

The SAMS-CI tool1 month

The patient will be assessed for safety profile through the myopathy by Statin-associated myopathy (SAM-CI) tool by filling out the questionnaire on days 0, 14, and 28. The SAMS-CI tool will be used, to record the location, symmetry, and onset of muscle symptoms at day 0, 14, and 28 of atorvastatin therapy. Patients reporting the presence of muscular pain will be further divided into "Unlikely", "Possible", and "Probable" categories based on their SAMS-CI score.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

IIMC, Riphah International University

🇵🇰

Islamabad, Federal, Pakistan

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