UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000005159
Receipt number R000006126
Scientific Title Effects of low versus high dose of pitavastatin on indices of atherosclerosis in patients with coronary artery disease
Date of disclosure of the study information 2011/03/01
Last modified on 2014/09/02 04:02:32

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Basic information

Public title

Effects of low versus high dose of pitavastatin on indices of atherosclerosis in patients with coronary artery disease

Acronym

Effects of low versus high dose of Pitavastatin on Indices of atheroSclerosis in patients with cOronary artery DiseasE (EPISODE)

Scientific Title

Effects of low versus high dose of pitavastatin on indices of atherosclerosis in patients with coronary artery disease

Scientific Title:Acronym

Effects of low versus high dose of Pitavastatin on Indices of atheroSclerosis in patients with cOronary artery DiseasE (EPISODE)

Region

Japan


Condition

Condition

Coronary artery disease with dyslipidemia

Classification by specialty

Medicine in general Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Although atherosclerosis is characterized by an increase in arterial wall thickness, formation of atheroma, and arterial stiffening, most studies on vascular effects of statins have not been focused on arterial stiffness. Arterial stiffness can be evaluated by the measurement of pulse wave velocity (PWV), augmentation index (AI), and central aortic pressure that reflects an increase in AI caused by arterial stiffening. Thus, the present study was designed to investigate effects of pitavastatin on PWV, AI, and central aortic pressure in patients with coronary artery disease.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Changes in brachial-ankle PWV (baPWV), AI, and central aortic pressure

Key secondary outcomes

Changes in lipid profile, malondialdehyde-modified (MDA)-LDL, apolipoprotein B, apolipoprotein A-I


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit


Blinding

Open -but assessor(s) are blinded

Control

Dose comparison

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

EISODE is a 12-months, prospective, randomized, open, blinded-endpoint (PROBE) study. Patients with coronary artery disease and increased LDL-cholesterol are enrolled and anti-dyslipidemic medications are either started on or switched to pitavastatin (1 mg/day) monotherapy. After a 4-week run-in period, baseline evaluations are performed. Then, patients are assigned to receive pitavastatin (4 mg/day) for 12 months. In cases that LDL-cholesterol levels do not reach the target level (<100mg/dL), antidyslipidemic drugs other than statins are prescribed to achieve the target level.

Interventions/Control_2

After a 4-week run-in period, baseline evaluations are performed. Then, patients are assigned to receive pitavastatin (1 mg/day) for another 12 months. In cases that LDL-cholesterol levels do not reach the target level (<100mg/dL), antidyslipidemic drugs other than statins are prescribed to achieve the target level.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients are eligible for inclusion in the study if (1) they are >=20 years of age; (2) have coronary artery disease (previous acute coronary syndrome or revascularization >3 months before informed consent, or stable angina pectoris with significant angiographical coronary stenosis (>=75%); and (3) have elevated LDL-cholesterol (>=100 mg/dL) or receive antidyslipidemic treatment.

Key exclusion criteria

Severe heart failure (ejection fraction <30% or NYHA III or IV), malignant neoplasm, active inflammatory disease, familial hyperlipidemia, chronic hemodialysis, pregnancy, contra-indication to pitavastatin

Target sample size

40


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hiroyuki Takase

Organization

Enshu Hospital

Division name

Department of Internal Medicine

Zip code


Address

1-1-1 Chuo, Naka-ku, Hamamatsu, Japan

TEL

053-453-1111

Email

h-takase@ken.ja-shizuoka.or.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yasuaki Dohi

Organization

Nagoya City University Graduate School of Medical Sciences

Division name

Cardio-Renal Medicine and Hypertension

Zip code


Address

1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya

TEL

052-853-8221

Homepage URL


Email

ydohi@med.nagoya-cu.ac.jp


Sponsor or person

Institute

Nagoya City University Graduate School of Medical Sciences

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2011 Year 03 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2010 Year 12 Month 13 Day

Date of IRB


Anticipated trial start date

2011 Year 03 Month 01 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2011 Year 03 Month 01 Day

Last modified on

2014 Year 09 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006126