Study of Coronary Atheroma by Intravascular Ultrasound: Effect of Rosuvastatin Versus Atorvastatin (SATURN)
Overview
- Phase
- Phase 3
- Intervention
- Rosuvastatin
- Conditions
- Coronary Atherosclerosis
- Sponsor
- AstraZeneca
- Enrollment
- 2333
- Locations
- 1
- Primary Endpoint
- Change From Baseline to End of Study (Week 104) in Percent Atheroma Volume (PAV)
- Status
- Completed
- Last Updated
- 13 years ago
Overview
Brief Summary
A 104-week, randomized, double-blind, parallel group, multi-center Phase IIIb study comparing the effects of treatment with rosuvastatin 40 mg or atorvastatin 80 mg on atherosclerotic disease burden as measured by intravascular ultrasound in patients with coronary artery disease.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Clinical indication for coronary angiography
- •Angiographic evidence of Coronary Artery Disease (CAD), as defined by at least 1 lesion in a native coronary artery that has \>20% reduction in lumen diameter by visual estimation
- •Left main coronary artery must have \<=50% reduction in lumen diameter by visual estimation
- •LDL-C \>100 mg/dL (2.6 mmol/L) for patients with no statin therapy in the past 4 weeks; LDL-C \>80mg/dL (2.08mmol/L) for patients on therapy in the past 4 weeks
Exclusion Criteria
- •Use of certain lipid-lowering medication for more than 3 months within the previous 12 months. Longer periods of treatment are not permitted because of the potential effects of such therapy on coronary atherosclerosis.
- •Patients who have symptoms consistent with moderate or greater severity of Congestive Heart Failure (CHF).
- •Clinically significant heart disease which, in the opinion of the Principal Investigator (or designee), is likely to require coronary bypass surgery, cardiac transplantation, surgical repair and/or replacement during the course of the study
Arms & Interventions
Rosuvastatin 20 mg
Rosuvastatin 20 mg distributed in 2-week run-in period
Intervention: Rosuvastatin
Atorvastatin 40 mg
Atorvastatin 40 mg distributed in 2-week run-in period
Intervention: Atorvastatin
Rosuvastatin 40 mg
Rosuvastatin 40 mg distributed in core 2-year study
Intervention: Rosuvastatin
Atorvastatin 80 mg
Atorvastatin 80 mg distributed in core 2-year study
Intervention: Atorvastatin
Outcomes
Primary Outcomes
Change From Baseline to End of Study (Week 104) in Percent Atheroma Volume (PAV)
Time Frame: End of study (Week 104)
Change in PAV computed as PAV(Week 104)-PAV(baseline) where PAV is calculated as: \[sum(EEMcsa-LUMENcsa)/sum EEMcsa\]\*100 where EEMcsa is the cross-sectional area of the external elastic membrane and LUMENcsa is the cross-sectional area of the lumen, as measured by intravascular ultrasound IVUS of a coronary artery in patients with CAD.
Secondary Outcomes
- Numbers of Patients Showing Regression in PAV(End of study (Week 104))
- Change From Baseline to End of Study (Week 104) in Total Atheroma Volume (TAV)(End of study (Week 104))
- Numbers of Patients Showing Regression in TAV(End of study (Week 104))
- Total Cholesterol Blood Level(104 weeks)
- LDL-C Blood Level(104 weeks)
- HDL-C Blood Level(104 weeks)
- Triglycerides Blood Level(104 weeks)
- Non-HDL-C Blood Level(104 weeks)
- LDL-C/HDL-C Blood Level(104 weeks)
- Total Cholesterol/HDL-C Blood Level(104 weeks)
- Non-HDL-C/HDL-C Blood Level(104 weeks)
- Apolipoprotein B Blood Level(104 weeks)
- Apolipoprotein A-1 Blood Level(104 weeks)
- Apoliprotein B/Apolipoprotein A-1 Blood Level(104 weeks)
- VLDL-C During the 104 Week Treatment Period(104 weeks)