MedPath

LIpid Lowering With Highly Potent Statins in Hyperlipidaemia With Type 2 Diabetes patiENts

Not Applicable
Completed
Conditions
Hypercholesterolemia With Concomitant Type 2 Diabetes
Interventions
Registration Number
NCT01544309
Lead Sponsor
Listen Trial Group
Brief Summary

The purpose of this study is to compare the effect of rosuvastatin and atorvastatin on lipid lowering effect and glucose metabolism in hypercholesterolemia patients with diabetes mellitus.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1049
Inclusion Criteria
  1. Hypercholesterolemia patients

    • Patients who have not achieved the target control levels of LDL-C in the "Japan Atherosclerosis Society Guidelines for Prevention of Atherosclerotic Cardiovascular Diseases 2007"

  2. Type 2 diabetes patients

    • Patients diagnosed with type 2 diabetes and receiving diet therapy, exercise therapy, or medication
    • Patients who received constant therapy for three months before registration and have no plan for therapy change
    • Patients with kept HbA1c level (Japan Diabetes Society [JDS] level) of less than 7.0% (or, National Glycohemoglobin Standardization Program [NGSP] level of less than 7.4%) within three months before registration
    • Patients receiving or not receiving medication at present
  3. Patients giving voluntary written consent to participate in the study

  4. Male or female patients at 20 years or older

Exclusion Criteria
  1. Patients who administered rosuvastatin, atorvastatin or ezetimibe within three month at the registration
  2. Patients with severe hypertension (systolic blood pressure [SBP] ≥ 180 mmHg or diastolic blood pressure [DBP] ≥ 110 mmHg)
  3. Patients with type 1 diabetes
  4. Patients judged to have familial hypercholesterolemia
  5. Patients with a serum triglyceride level of ≥ 400 mg/dL
  6. Patients who had the onset of cardiovascular or cerebrovascular disease within three months
  7. Patients with serious heart failure (NYHA classification III - IV)
  8. Patients with a history of hypersensitivity to statins
  9. Patients with a history of drug-induced myopathy
  10. Patients with severe complication of diabetes
  11. Patients receiving insulin
  12. Patients with serious liver or kidney disease
  13. Patients with serious concurrent disease such as malignancy, or patients with severely limited lifespan
  14. Patients who are or may be pregnant
  15. Patients judged by the investigators to be ineligible for participation in the study for any other reason

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Rosuvastatin administration groupRosuvastatin-
Atorvastatin administration groupAtorvastatin-
Primary Outcome Measures
NameTimeMethod
Percent Change in Non-high-density Lipoprotein Cholesterol (HDL-C) LevelBaseline, and 12 months after administration
Change in HbA1c LevelBaseline, 12 months after administration
Secondary Outcome Measures
NameTimeMethod
Change in HbA1c LevelBaseline, 3, 6 months after administration and the end of study treatment (or at the occurrence of deterioration of diabetic treatment status)
Percent Change in Insulin LevelBaseline, 3, 6, 12 months after administration and the end of study treatment (or at the occurrence of deterioration of diabetic treatment status)

An inverse relationship exists between mean change in insulin level and the mean rate of change when the degree of standard deviation is large, wherein the mean change is negative although the mean rate of change is positive or vice versa.

Number of Participants Stratified by Time to the Occurrence of Deterioration of Diabetic Treatment StatusBaseline, 3, 6, 12 months after administration

"Deterioration of diabetic treatment status" is defined as addition of new drug, increase in dosage, drug changes (therapy intensification), and deterioration in HbA1c of \> 0.5%.

Percent Change in 1,5-AG LevelBaseline, 3, 6, 12 months after administration and the end of study treatment(or at the occurrence of deterioration of diabetic treatment status)

An inverse relationship exists between mean change in 1,5-AG level and the mean rate of change when the degree of standard deviation is large, wherein the mean change is negative although the mean rate of change is positive or vice versa

Occurrence of Deterioration of Diabetic Treatment StatusBaseline, 12 months after administration

"Deterioration of diabetic treatment status" is defined as addition of new drug, increase in dosage, drug changes (therapy intensification), and deterioration in HbA1c of \> 0.5%.

Percent Changes in Lipids (LDL-C, HDL-C, TC, TG, Non-HDL-C/HDL-C Ratio, and FFA)Baseline, 3, 6, 12 months after administration, the end of starting dose and the end of study treatment
Percent Change in Non-HDL-C LevelBaseline, 3 and 6 months after administration, the end of starting dose and the end of study treatment
Frequency of Cardiovascular Events (Coronary Artery Disease, Heart Failure, Cerebrovascular Disease, Peripheral Artery Disease and Aortic Disease)From the start of the treatment to the end of study treatment
Percent Changes in Lipids and Inflammatory Marker (Hs-CRP) and Their CorrelationBaseline, 3, 6, 12 months after administration, the end of starting dose and the end of study treatment

Correlation between percent changes in lipids (LDL-C, HDL-C, non-HDL-C, TG, non-HDL-C/HDL-C ratio, LDL-C/HDL-C ratio, TC and FFA) and inflammatory marker (hs-CRP)

Rate of Patients Who Have Reached the Target LDL-C Level Specified in Japan Atherosclerosis Society Guidelines (JASGL) 20073 months after administration, the end of starting dose and the end of study treatment

Percentage of participants achieving the target LDL-C levels \<100 mg/dL for participants with history of coronary artery diseases (CAD) and \<120 mg/dL for participants without history of CAD are presented.

Change in Blood Glucose Level (Fasting)Baseline, 3, 6, 12 months after administration and the end of study treatment(or at the occurrence of deterioration of diabetic treatment status)
Change From Baseline in Insulin LevelBaseline, 3, 6, 12 months after administration and the end of study treatment (or at the occurrence of deterioration of diabetic treatment status)

An inverse relationship exists between mean change in insulin level and the mean rate of change when the degree of standard deviation is large, wherein the mean change is negative although the mean rate of change is positive or vice versa

Change From Baseline in 1,5-AG LevelBaseline, 3, 6, 12 months after administration and the end of study treatment(or at the occurrence of deterioration of diabetic treatment status)

An inverse relationship exists between mean change in 1,5-AG level and the mean rate of change when the degree of standard deviation is large, wherein the mean change is negative although the mean rate of change is positive or vice versa

Percent Change in Blood Glucose Level (Fasting)Baseline, 3, 6, 12 months after administration and the end of study treatment(or at the occurrence of deterioration of diabetic treatment status)
Frequency of Serious Adverse Events (SAE)Up to 12 months

Trial Locations

Locations (133)

Ijinkai Takeda General Hospital

🇯🇵

Kyoto city, Kyoto pref., Japan

Takenaka Clinic

🇯🇵

Kyoto city, Kyoto pref., Japan

Koseikai Clinic

🇯🇵

Kyoto city, Kyoto pref., Japan

Sawai Naika Iin

🇯🇵

Kyotanabe city, Kyoto pref., Japan

Yoshimura Eye&Internal Medical Clinic

🇯🇵

Mishima city, Shizuoka pref., Japan

Yata Clinic

🇯🇵

Yoshinogawa city, Tokushima pref., Japan

Tokyo Center Clinic

🇯🇵

Chuo ku, Tokyo, Japan

Nakano Sunbright Clinic

🇯🇵

Nakano ku, Tokyo, Japan

Tsurumachi Clinic

🇯🇵

Setagaya ku, Tokyo, Japan

Ishii Clinic

🇯🇵

Tachikawa city, Tokyo, Japan

Fukuoka City Medical Association Hospital

🇯🇵

Fukuoka city, Fukuoka pref., Japan

Iinuma Iin

🇯🇵

Gifu city, Gifu pref., Japan

Asamoto Internal Medical Clinic

🇯🇵

Kyoto city, Kyoto pref., Japan

Iwasaki Hospital

🇯🇵

Tsu city, Mie pref., Japan

Hasegawa Clinic

🇯🇵

Nakano city, Nagano pref., Japan

Fujii Internal Medicine Clinic

🇯🇵

Kashihara city, Nara pref., Japan

Uchiyama Clinic

🇯🇵

Joetsu city, Niigata pref., Japan

Kawade Iin

🇯🇵

Gifu city, Gifu pref., Japan

Hashimoto Naika Clinic

🇯🇵

Gifu city, Gifu pref., Japan

Kondo Cardiovascular Clinic

🇯🇵

Ogaki, Gifu pref., Japan

Hiramitsu Heart Clinic

🇯🇵

Nagoya city, Aichi pref., Japan

Honjo Daiichi Hospital

🇯🇵

Yurihonjo city, Akita pref., Japan

Matsuno Medical Clinic

🇯🇵

Iyo gun, Ehime pref., Japan

Yokota Naika

🇯🇵

Miyazaki city, Miyazaki pref., Japan

Yoshii Central Clinic

🇯🇵

Takasaki city, Gunma pref., Japan

Doniwa Clinic

🇯🇵

Kanazawa city, Ishikawa pref., Japan

Shigenobu Clinic

🇯🇵

Miyoshi city, Hiroshima pref., Japan

Yanagi Medical Clinic

🇯🇵

Hakusan city, Ishikawa pref., Japan

Yamamoto Clinic

🇯🇵

Sagamihara city, Kanagawa pref., Japan

Tegoshi Clinic

🇯🇵

Kyoto city, Kyoto pref., Japan

Miyagi Clinic Cardiovascular Medicine

🇯🇵

Yatsushiro city, Kumamoto pref., Japan

Kawano Clinic

🇯🇵

Nichinan city, Miyazaki pref., Japan

Matsuoka Clinic

🇯🇵

Kita katsuragi gun, Nara pref., Japan

Sakabe International Clinic

🇯🇵

Kyoto city, Kyoto pref., Japan

Ishikawa Clinic

🇯🇵

Miyazaki city, Miyazaki pref., Japan

Nara Prefectural Gojo Hospital

🇯🇵

Gojo city, Nara pref., Japan

Etou Clinic

🇯🇵

Nichinan city, Miyazaki pref., Japan

Yamaguchi Clinic

🇯🇵

Nichinan city, Miyazaki pref., Japan

Ote Clinic of Internal

🇯🇵

Sakurai city, Nara pref., Japan

Inoue Clinic

🇯🇵

Niigata city, Niigata pref., Japan

Maeda Medical Clinic

🇯🇵

Niigata city, Niigata pref., Japan

Ikeda Clinic

🇯🇵

Higashiosaka city, Osaka pref., Japan

Nakao Medical Clinic

🇯🇵

Sakai city, Osaka pref., Japan

Nishimura Clinic

🇯🇵

Fujiidera city, Osaka pref., Japan

Shoseikai Matsuda Iin

🇯🇵

Fujiidera city, Osaka pref., Japan

Fukuda Clinic

🇯🇵

Osaka city, Osaka pref., Japan

Jikuhara Clinic

🇯🇵

Osaka city, Osaka pref., Japan

Kanazawa Clinic

🇯🇵

Izumi city, Osaka pref., Japan

Tamatani Clinic

🇯🇵

Osaka city, Osaka pref., Japan

Saga Memorial Clinic

🇯🇵

Saga city, Saga pref., Japan

Enomoto Clinic

🇯🇵

Ageo city, Saitama pref., Japan

Ota Clinic

🇯🇵

Awa city, Tokushima pref., Japan

Kensei Uchimachi Clinic

🇯🇵

Tokushima city, Tokushima pref., Japan

Okudo Poly Clinic

🇯🇵

Katsushika ku, Tokyo, Japan

Kawagishi-naika Clinic

🇯🇵

Osaka city, Osaka pref., Japan

Kinugawa Cardiology Clinic

🇯🇵

Osaka city, Osaka pref., Japan

Kubota Clinic

🇯🇵

Osaka city, Osaka pref., Japan

Masaki Clinic

🇯🇵

Osaka city, Osaka pref., Japan

Osaka Ekisaikai Hospital

🇯🇵

Osaka city, Osaka pref., Japan

Nanko Clinic

🇯🇵

Osaka city, Osaka pref., Japan

Hayashi Clinic

🇯🇵

Sakai city, Osaka pref., Japan

Medical Corporation Shibuya Clinic

🇯🇵

Kumagaya city, Saitama pref., Japan

Tanaka Medical Clinic

🇯🇵

Saitama city, Saitama pref., Japan

Asano Internal Medicine Clinic

🇯🇵

Kawagoe city, Saitama pref., Japan

Sugawara Clinic

🇯🇵

Nerima ku, Tokyo, Japan

Mizumachi Medical Clinic

🇯🇵

Shimonoseki city, Yamaguchi pref., Japan

Iryohojin Hogi Sinryojyo

🇯🇵

Kawaguchi city, Saitama pref., Japan

Tokutake Iin

🇯🇵

Kawaguchi city, Saitama pref., Japan

Shizuoka Municipal Hospital

🇯🇵

Shizuoka city, Shizuoka pref., Japan

Yuki National Health Insurance Hospital of Minami Town

🇯🇵

Kaifu gun, Tokushima pref., Japan

Kuroda Iin

🇯🇵

Otsuki city, Yamanashi pref., Japan

Takada Clinic

🇯🇵

Tochigi city, Tochigi pref., Japan

Murakami Clinic

🇯🇵

Anan city, Tokushima pref., Japan

Arizumi Clinic

🇯🇵

Itano gun, Tokushima pref., Japan

Oda Clinic

🇯🇵

Shinjuku ku, Tokyo, Japan

Ayame Medical Clinic

🇯🇵

Shimonoseki city, Yamaguchi pref., Japan

Matsuda Medical Clinic

🇯🇵

Shimonoseki city, Yamaguchi pref., Japan

Yasue Naika

🇯🇵

Gifu city, Japan

Sekishinkan Hospital

🇯🇵

Komatsushima city, Tokushima pref., Japan

Iryohojin Tokujikai Tanaka Iin

🇯🇵

Myozai gun, Tokushima pref., Japan

Iryouhoujin Syadan Yanagisawakai Yanagisawa Iin

🇯🇵

Matsudo city, Chiba pref., Japan

Ishite Matsumoto Naika Junkanki Clinic

🇯🇵

Matsuyama city, Ehime pref., Japan

Fukui Chuoh Clinic

🇯🇵

Fukui city, Fukui pref., Japan

Ehime Medical CO OP Izumigawa Clinic

🇯🇵

Niihama city, Ehime pref., Japan

Saku Hospital

🇯🇵

Fukuoka city, Fukuoka pref., Japan

Matsumoto Clinic

🇯🇵

Fukuoka city, Fukuoka pref., Japan

Soejima Medical Clinic

🇯🇵

Fukuoka city, Fukuoka pref., Japan

Nakamura Cardiovascular Clinic

🇯🇵

Itoshima city, Fukuoka pref., Japan

Takei's Clinic Internal Medicine

🇯🇵

Fukuoka city, Fukuoka pref., Japan

Morizono Naika

🇯🇵

Kitakyushu city, Fukuoka pref., Japan

Seino Internal Medicine Clinic

🇯🇵

Koriyama city, Fukushima pref., Japan

Kawai Clinic

🇯🇵

Gifu city, Gifu pref., Japan

Ishimura Clinic

🇯🇵

Gifu city, Gifu pref., Japan

Niimi Clinic

🇯🇵

Gifu city, Gifu pref., Japan

Takai Clinic

🇯🇵

Gifu city, Gifu pref., Japan

Kobayashi Internal Medicine

🇯🇵

Kakamigahara city, Gifu pref., Japan

Horibe Clinic

🇯🇵

Motosu city, Gifu pref., Japan

Yoshida Naika

🇯🇵

Ogaki, Gifu pref., Japan

Kogure Clinic

🇯🇵

Maebashi city, Gunma pref., Japan

Nakano Clinic

🇯🇵

Shibukawa city, Gunma pref., Japan

Takahashi Kiyohito Clinic

🇯🇵

Hakodate city, Hokkaido pref., Japan

Hokuto Internal Medicine Clinic

🇯🇵

Sapporo city, Hokkaido pref., Japan

Katsuya Clinic

🇯🇵

Amagasaki city, Hyogo pref., Japan

Nakatani Hospital

🇯🇵

Himeji city, Hyogo pref., Japan

Kosumo Clinic

🇯🇵

Kako gun, Hyogo pref., Japan

Harima Clinic

🇯🇵

Kakogawa, Hyogo pref., Japan

Kusunose Clinic

🇯🇵

Kobe city, Hyogo pref., Japan

Okyozuka Clinic

🇯🇵

Ishikawa gun, Ishikawa pref., Japan

Wakasa Medical Clinic

🇯🇵

Kanazawa city, Ishikawa pref., Japan

Association Medical Corporation Neurology Internal Medicine Kanamori Clinic

🇯🇵

Iwate gun, Iwate pref., Japan

Kagawa Clinic

🇯🇵

Marugame city, Kagawa pref., Japan

Medical Corporation Kuon-kai Kamata Medical Clinic

🇯🇵

Morioka city, Iwate pref., Japan

Hasegawa Outpatients Clinic for Cardiovascular Disease

🇯🇵

Takamatsu city, Kagawa pref., Japan

Tempozan Naika Clinic

🇯🇵

Kagoshima city, Kagoshima pref., Japan

Kashiwagi Clinic

🇯🇵

Ayase city, Kanagawa pref., Japan

Hayashi Diabetes Clinic

🇯🇵

Chigasaki city, Kanagawa pref., Japan

Takada Internal Medicine Clinic

🇯🇵

Hiratsuka city, Kanagawa pref., Japan

Iroden Clinic

🇯🇵

Kamakura city, Kanagawa pref., Japan

Nagasu Clinic

🇯🇵

Kamakura city, Kanagawa pref., Japan

Kobayashi Hospital

🇯🇵

Odawara city, Kanagawa pref., Japan

Hakuai Iin

🇯🇵

Sagamihara city, Kanagawa pref., Japan

Arima Clinic

🇯🇵

Yokohama city, Kanagawa pref., Japan

Kikuchi Clinic

🇯🇵

Yokohama city, Kanagawa pref., Japan

Miho cho Cardiovascular Medical Clinic

🇯🇵

Yokohama city, Kanagawa pref., Japan

Minamisawa Clinic

🇯🇵

Yokohama city, Kanagawa pref., Japan

Shimokurata Heart Clinic

🇯🇵

Yokohama city, Kanagawa pref., Japan

Yokohama Sotetsu Bldg. Clinic of Internal Medicine

🇯🇵

Yokohama city, Kanagawa pref., Japan

Jinnouchi Clinic Diabetes Care Center

🇯🇵

Kumamoto city, Kumamoto pref., Japan

Higashi Diabetes and Cardiovascular Clinic

🇯🇵

Tamana city, Kumamoto pref., Japan

Munakata Clinic

🇯🇵

Kumamoto city, Kumamoto pref., Japan

Maki Cardiovascular Clinic

🇯🇵

Kumamoto city, Kumamoto pref., Japan

Terao Hospital

🇯🇵

Kumamoto city, Kumamoto pref., Japan

Matsuo Clinic

🇯🇵

Tamana city, Kumamoto pref., Japan

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