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Vitamin D Replacement in Statin-Induced Myopathy

Not Applicable
Withdrawn
Conditions
HMG COA Reductase Inhibitor Adverse Reaction
Interventions
Drug: Placebo
Drug: 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WITHDRAWN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
Inclusion Criteria
  • male and female adults
  • identified by their physician as having myalgia with their statin medication.
Exclusion Criteria
  • 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
GroupInterventionDescription
PlaceboPlaceboSubjects in this group will receive a placebo tablet (Lactose 100 mg) for the duration of the study
Vitamin DVitamin 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
NameTimeMethod
lack of need to stop statin medication due to myalgia12 weeks

Ability to tolerate a statin at the same dosage that previously caused the individuals to stop due to myalgia

Secondary Outcome Measures
NameTimeMethod
reduction of visual analog pain score12 weeks

Trial Locations

Locations (1)

MUHC-Royal Victoria Hospital

🇨🇦

Montreal, Quebec, Canada

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