Unique ID issued by UMIN | UMIN000005597 |
---|---|
Receipt number | R000006151 |
Scientific Title | Effect of Cholesterol Absorption Inhibitor Usage on Target Vessel Dysfunction after Coronary Stenting, A Randomized Controlled Trial |
Date of disclosure of the study information | 2011/05/13 |
Last modified on | 2014/05/14 11:56:57 |
Effect of Cholesterol Absorption Inhibitor Usage on Target Vessel Dysfunction
after Coronary Stenting,
A Randomized Controlled Trial
Effect of Cholesterol Absorption Inhibitor Usage on Target Vessel Dysfunction
after Coronary Stenting
(CuVIC Trial)
Effect of Cholesterol Absorption Inhibitor Usage on Target Vessel Dysfunction
after Coronary Stenting,
A Randomized Controlled Trial
Effect of Cholesterol Absorption Inhibitor Usage on Target Vessel Dysfunction
after Coronary Stenting
(CuVIC Trial)
Japan |
Ischemic heart disease
Cardiology |
Others
NO
The objective of this study is to elucidate among high risk patients after coronary stenting, whether combination therapy ezetimibe and statin is more effective in improving endotherial function comparing with statin monotherapy, through improvement of lipids profile and lowering oxidative lipids in blood. And whether combination therapy is effective in inhibiting TVD (Target Vessel Dysfunction, as a composit end point, cardiovascular events relating to target coronary vessel and hypercontraction of target coronay vessel).
Then we will contribute to optimization of pharmocological therapy after coronary stenting.
Efficacy
Confirmatory
Explanatory
Phase IV
Target Vessel Dysfunction, 6-8 months after coronary stenting.
Definition of Target Vessel Dysfunction(TVD) is a composite end point, target vessel-related cardiac death and target vessel-related myocardial infarction and ischemia-driven target vessel revascularization (TVF, Target Vessel Failure) and coronary endotherial dysfunction (positive for Acetylcholine provocation test performed, if no TVF).
(1) Clinical course
Target Vessel Failure, all cause death, cardiovascular death, cardiac death, coronary artery disease death, resuscitated cardiac arrest, myocardial infarction (MI), non-fatal MI, procedure related MI, non-procedure related MI, revascularization for coronary artery disease, binary restenosis, Canadian Cardiovascular Society Scale and revascularization for peripheral arterial disease
(2) Coronary arterial endotherial function, Peripheral arterial endotherial function
coronary arterial endotherial dysfunction (positive for Acetylcholine provocation test performed, if no TVF)
Ach-related coronary arterial contraction/dilation
endotherial function measured using Endo-PAT (FMD)
(3) Surrogate markers
oxidized cholesterol, oxidized LDL, oxidative stress (TBARS)
lipid profile (T-Chol, TG, LDL, HDL, ApoB, ApoA1)
inflammation marker (hCRP, MCP-1), adiponectine, ROCK activity, PAI-1
(4) Assessment of atherosclerosis
coronary angiogram, in-stent late lumen loss, stenosis at non-target lesion
IVUS. plaque volume, plaque phenotype
PWV/ABI
carotid ultrasound, IMT
coronay CT angiogram, plaque volume, plaque phenotype, perfusion image, pericardial adipose tissue
(5) Assessment of peripheral artery disease
WIQ score, Treadmill test, ABI
(6) Stratified analysis according to the type of stent and subgroup analysis according to the patient backgrounds and things listed above.
(7) Clinical follow-up during 24 months after registration.
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
YES
YES
Institution is considered as a block.
YES
Central registration
2
Treatment
Medicine |
Statin monotherapy
Combination therapy ezetmibe 10mg and statin
20 | years-old | <= |
Not applicable |
Male and Female
Satisfy the all conditions below.
(1)After successful coronary stenting(target lesion stenosis<20%).
(2)Written informed consent for this study.
(3)Possible to undertake 6-8 month follow-up coronary angiography at our institutions.
(4)Over 20 years old, male and female.
Statisfy even one of the conditions below.
(1)Not completed all planned PCI.
(2)Participant of other clinical trial interfering with this study.
(3)Chronic dialysis, chronic liver cirrhosis.
(4)Severely impaired LV function, EF<30%.
(5)Contraindication for statins or ezetimibe.
260
1st name | |
Middle name | |
Last name | Kenji Sunagawa |
Kyushu University Graduate School of Medical Sciences
Department of Cardiovascular Medicine
3-1-1 Maidashi, Higashi-ku, Fukuoka-shi, Fukuoka 812-8582, Japan
092-642-5370
cuvic@med.kyushu-u.ac.jp
1st name | |
Middle name | |
Last name | Tetsuya Matoba |
Kyushu University Graduate School of Medical Sciences
Department of Cardiovascular Medicine
3-1-1 Maidashi, Higashi-ku, Fukuoka-shi, Fukuoka 812-8582, Japan
092-642-5370
http://www.cuvictrial.com/
cuvic@med.kyushu-u.ac.jp
Department of Cardiovascular Medicine
Kyushu University Graduate School of Medical Sciences
Department of Cardiovascular Medicine
Kyushu University Graduate School of Medical Sciences
Self funding
NO
九州大学病院(福岡県)、麻生飯塚病院(福岡県)、国立病院機構九州医療センター(福岡県)、九州厚生年金病院(福岡県)、佐賀県立病院好生館(佐賀県)、聖マリア病院(福岡県)、浜の町病院(福岡県)、福岡市民病院(福岡県)、福岡赤十字病院(福岡県)、済生会二日市病院(福岡県)、済生会福岡総合病院(福岡県)、原三信病院(福岡県)
2011 | Year | 05 | Month | 13 | Day |
Unpublished
No longer recruiting
2011 | Year | 01 | Month | 31 | Day |
2011 | Year | 05 | Month | 01 | Day |
2014 | Year | 04 | Month | 19 | Day |
2014 | Year | 05 | Month | 09 | Day |
2014 | Year | 06 | Month | 10 | Day |
2014 | Year | 10 | Month | 30 | Day |
2011 | Year | 05 | Month | 13 | Day |
2014 | Year | 05 | Month | 14 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006151