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临床试验/NCT01185236
NCT01185236Unknown4 期

A Single Center, Open Label, Randomized Study to Compare the Effect of Vytorin (Simvastatin/Ezetimibe) 10/20mg Versus Atorvastatin 20mg on ApoB/ApoA1 Ratio in Subjects With Diabetes

Seoul National University Hospital1 个研究点 分布在 1 个国家目标入组 132 人开始时间: 2010年9月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
4 期
入组人数
132
试验地点
1
主要终点
change of ApoB/ApoA1

研究概览

简要总结

A single center, open label, randomized, clinical trial comparing ApoB/ApoA ratio of Vytorin 10/20mg vs atorvastatin 20mg treatment.

DM2 patients will be screened for inclusion criteria. Patients (n=66 in each arm) will be randomized to either Ezetimibe/simvastatin 10/20mg or atorvastatin 20mg after 4 week washout or TLC period. Primary and secondary endpoints will be assessed at week 12.

Primary endpoint:

  1. change of ApoB/ApoA ratio at week 12.

Secondary endpoint:

  1. Change of lipid parameters (TC, LDL-C, HDL-C, TG, apoB 48) at week 12.
  2. Change of HbA1C at week 12.
  3. Change of HOMA index at week 12
  • HOMA =[Fasting insulin (mIU/L) × Fasting glucose (mmol/L)] / 22.5
  1. Change of hsCRP at week 12
  2. Safety assessment

Hypotheses:

  • Three months treatment of Vytorin 10/20mg will be superior to atorvastatin 20mg in ApoB/ApoA ratio.
  • In DM patients, Ezetimibe/Simvastatin Combination will be well-tolerated.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
20 Years 至 80 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Hypercholesterolemia (baseline screening LDL-C > 100 mg/dL)
  • In case of medication, stable doses of oral hypoglycemic agents for at least three months
  • HbA1c <8.5%

排除标准

  • Chronic renal failure: creatinine > 3.0 mg/dL
  • Serious liver disease (> x3 LFT UNL)
  • Congestive heart failure
  • Stroke or MI/coronary intervention during the preceding 3 months.
  • CK > x 2.5 UNL
  • Unstable hypo/hyperthyroidism
  • Pregnant/lactating woman, or woman intending to become pregnant
  • Subject with any clinically significant condition or situation, in the opinion of the investigator, would interfere with the study evaluations or optimal participation in the study.

研究组 & 干预措施

simvastatin/ezetimibe (vytorin) group

Experimental

vytorin 10/20mg po once daily for 12weeks

干预措施: simvastatin/ezetimibe (Drug)

atorvastatin group

Active Comparator

atorvastatin 20mg po once daily for 12weeks

干预措施: atorvastatin 20mg (Drug)

结局指标

主要结局

change of ApoB/ApoA1

时间窗: after 12 weeks' treatment

change of ApoB/ApoA1

次要结局

  • change of lipid profile(12weeks)
  • change of HbA1c(12weeks)
  • change of HOMA index(12weeks)
  • change of hsCRP(12weeks)
  • safety(during 12weeks of treatment)

研究者

申办方类型
Other

研究点 (1)

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