Vitamin D Replacement in Statin-Induced Myopathy
- Conditions
- HMG COA Reductase Inhibitor Adverse Reaction
- Interventions
- Drug: PlaceboDrug: Vitamin D (Cholecalciferol )
- Registration Number
- NCT01400009
- Lead Sponsor
- McGill University Health Centre/Research Institute of the McGill University Health Centre
- Brief Summary
Pretreating people with replacement doses of vitamin D will allow them to tolerate Statin medications that have caused muscle pain for them in the past.
- Detailed Description
Patients who have been unable to tolerate statin medications due to muscle pain will be randomly assigned to receive vitamin D or placebo for 6 weeks before reintroducing their statin medication. The investigators will judge whether vitamin D in the manner administered in the study reduces the myalgia with statins and allows patients to remain on these important medications.
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- Not specified
- male and female adults
- identified by their physician as having myalgia with their statin medication.
- Unexplained CK > 4X upper limit of normal, at study entry, or on a statin medication in the past.
- Severe myositis
- Consumption in excess of 14 alcoholic beverages per week
- Situations which will cause difficulty in interpreting the vitamin D and / or PTH.
examples:
- Present consumption of vitamin D supplements > 1000 iu daily
- Renal impairment (Estimated creatinine clearance < 70 ± 14 mL/min/m2 in Males; and < 60 ± 10 mL/min/m2 in Females)
- Chronic liver disease or impaired liver function
- Any contraindication for statin re-challenge Example: rhabdomyolysis or allergy to statins
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Placebo Placebo Subjects in this group will receive a placebo tablet (Lactose 100 mg) for the duration of the study Vitamin D Vitamin D (Cholecalciferol ) Subjects in this arm will receive a dose of 50,000 IU of vitamin D3, followed by weekly doses of 10,000 IU of vitamin D3
- Primary Outcome Measures
Name Time Method lack of need to stop statin medication due to myalgia 12 weeks Ability to tolerate a statin at the same dosage that previously caused the individuals to stop due to myalgia
- Secondary Outcome Measures
Name Time Method reduction of visual analog pain score 12 weeks
Trial Locations
- Locations (1)
MUHC-Royal Victoria Hospital
🇨🇦Montreal, Quebec, Canada