Unique ID issued by UMIN | UMIN000008548 |
---|---|
Receipt number | R000010047 |
Scientific Title | Effects of ezetimibe on visceral fat in patients with metabolic syndrome: a randomized controlled study |
Date of disclosure of the study information | 2012/07/27 |
Last modified on | 2012/07/27 13:26:30 |
Effects of ezetimibe on visceral fat in patients with metabolic syndrome: a randomized controlled study
Fat in METS
Effects of ezetimibe on visceral fat in patients with metabolic syndrome: a randomized controlled study
Fat in METS
Japan |
metabolic syndrome
Medicine in general | Endocrinology and Metabolism |
Others
NO
The metabolic syndrome has become increasingly common worldwide in recent years. Although the metabolic syndrome consists of several metabolic abnormalities, visceral fat accumulation is considered to be a root abnormality of this syndrome. Thus, the main target of therapeutic approach in this syndrome is to reduce visceral fat. Although modification of life style is recommended to improve the metabolic syndrome, life style modification is hard to achieve and effective medical therapy is required in such patients.
Ezetimibe is a widely used antidyslipidaemic agent and selectively inhibits the intestinal uptake and absorption of dietary and biliary cholesterol through its binding to Niemann-Pick C1-like 1, a cholesterol transporter in the intestine. In addition to its cholesterol-lowering effect, ezetimibe reduces serum triglyceride levels, improves insulin resistance, and increases adiponectin levels. These pleiotropic effects of ezetimibe may be associated with a reduction in visceral fat accumulation. Therefore, the present study was designed to investigate whether ezetimibe reduces visceral fat in patients with metabolic syndrome.
Efficacy
Changes in visceral fat on CT from baseline to 6 months after randomization
Changes in lipid profiles, glucose metabolism, body weight, waist circumference, subcutaneous fat, and improvement of hepatic steatosis
Interventional
Parallel
Randomized
Open -no one is blinded
No treatment
NO
NO
NO
Numbered container method
2
Treatment
Medicine |
This is a prospective and randomized study to assess the effect of ezetimibe on visceral fat in patients with metabolic syndrome. After baseline assessment, patients are instructed to modify their lifestyle and randomly assigned to receive either ezetimibe at 10 mg per day after breakfast (ezetimibe group) or nothing (control group) for 6 months.
This is a prospective and randomized study to assess the effect of ezetimibe on visceral fat in patients with metabolic syndrome. After baseline assessment, patients are instructed to modify their lifestyle and randomly assigned to receive either ezetimibe at 10 mg per day after breakfast (ezetimibe group) or nothing (control group) for 6 months.
20 | years-old | <= |
Not applicable |
Male and Female
Patients aged >= 20 years with both metabolic syndrome and elevated low-density lipoprotein (LDL)-cholesterol levels (>= 120 mg/dL) were eligible for the present study if they were in a stable condition and any antihypertensive, antidyslipidaemic, and/or antidiabetic medications had not been changed for at least 4 weeks prior to the start of the study.
The exclusion criteria were: use of insulin, a history of hypersensitivity to ezetimibe, acute coronary syndrome and brain attacks (infarction or haemorrhage) within 3 months, secondary dyslipidaemia, familiar hypercholesterolaemia, pregnancy and severe hepatic, renal, active inflammatory and malignant diseases.
78
1st name | |
Middle name | |
Last name | Hiroyuki Takase |
Enshu Hospital
Internal Medicine
1-1-1 Chuo, Naka-ku, Hamamatsu
1st name | |
Middle name | |
Last name |
Enshu Hospital
Internal Medicine
1-1-1 Chuo, Naka-ku, Hamamatsu
h-takase@ken.ja-shizuoka.or.jp
Enshu Hospital
none
Self funding
NO
2012 | Year | 07 | Month | 27 | Day |
Unpublished
Completed
2008 | Year | 11 | Month | 30 | Day |
2008 | Year | 12 | Month | 01 | Day |
2011 | Year | 06 | Month | 30 | Day |
2012 | Year | 03 | Month | 01 | Day |
2012 | Year | 07 | Month | 27 | Day |
2012 | Year | 07 | Month | 27 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010047