Unique ID issued by UMIN | UMIN000031243 |
---|---|
Receipt number | R000035670 |
Scientific Title | Effect of Alirocumab(proprotein convertase subtilisin/kexin type9 inhibitor) and Rosuvastatin or Rosuvastatin alone on lipid core plaques in coronary artery disease evaluated by near-infrared spectroscopy intravascular ultrasound |
Date of disclosure of the study information | 2018/04/01 |
Last modified on | 2020/09/25 08:57:04 |
Effect of Alirocumab(proprotein convertase subtilisin/kexin type9 inhibitor) and Rosuvastatin or Rosuvastatin alone on lipid core plaques in coronary artery disease evaluated by near-infrared spectroscopy intravascular ultrasound
ANTARES
Effect of Alirocumab(proprotein convertase subtilisin/kexin type9 inhibitor) and Rosuvastatin or Rosuvastatin alone on lipid core plaques in coronary artery disease evaluated by near-infrared spectroscopy intravascular ultrasound
ANTARES
Japan |
angina pectoris
Cardiology |
Others
NO
The purpose of this study is to verify whether additional administration of Alirocumab exerts a stronger stabilizing effect on the vulnerable plaque in CAD, compared with statin alone administration in patients receiving PCI. Therefore, the change in maxLCBI (4 mm) of the coronary artery 9 months after administration by addition administration of Alirocumab is evaluated as the main evaluation item as compared with statin administration alone for patients who have CAD and received PCI. Also, change of plaque properties is compared with baseline and evaluated. This study is a single-center, randomized, open-label study, using alilocumab, rosuvastatin as test drugs. Based on the findings obtained in this study, it is possible to clarify the mechanism of stabilization of the plaque in a patient with coronary artery disease, which in turn suppresses the progress of plaque in coronary artery disease, resulting in primary or secondary There is a possibility that it can contribute to prevention.
Efficacy
We investigate the change in the maxLCBI (4 mm) value calculated by NIRS-IVUS test at the time of PCI and treatment evaluation (week 36) in the group of Alirocumab and standard treatment (statin alone).
LCBI(lesion), Angle of lipid core, EEM CSA,
Lumen CSA, Minimum lumen diameter, Plaque burden, Lesion length
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
NO
NO
2
Treatment
Medicine |
Alirocumab 75mg/2week+Rosuvastatin 5mg/daily during 9 months
Rosuvastatin 10mg/daily alone during 9 months
20 | years-old | <= |
100 | years-old | >= |
Male and Female
In patients undergoing PCI with ACS or stable angina, stenosis of 25-75% on CAG remained after PCI and maxLCBI(4mm) was over 400 in patients who could analyze NIRS-IVUS images.
Patients who have received one or more doses of anti-PCSK9 monoclonal antibody.
Patients who experienced poorly controlled high blood pressure (systolic blood pressure>180 mmHg or diastolic blood pressure>110 mmHg measured more than once) between the time of PCI and randomization.
Patients with LDL-Chol value <70 mg/dl.
Patients with allergic drug hypersensitivity to drugs to be used.
Patients with a history of hemorrhagic stroke.
Patients receiving treatment for anticancer drugs.
Patients undergoing LDL apheresis.
Patients with serious liver and kidney dysfunction.
Patients who conflict with any of the warning contraindications listed in the Rosuvastatin national package insert.
Patients contradicting the contraindications listed in the Pralient's national package insert.
Pregnant women and pregnant or lactating patients.
Others Patients judged inappropriate by the doctor in charge of this exam.
30
1st name | |
Middle name | |
Last name | Otake Hiromasa |
Kobe University Hospital
cardiology
7-5-2, Kusunokicho, Chuouku, Kobe city, Hyogo prefecture
078-382-5846
hotake@med.kobe-u.ac.jp
1st name | |
Middle name | |
Last name | Tanimura Kosuke |
Kobe University Hospital
Cardiology
7-5-2, Kusunokicho, Chuouku, Kobe city, Hyogo prefecture
078-382-5846
k.tanimura1006@gmail.com
Kobe University,department of cardiology
none
Other
NO
神戸大学医学部附属病院
2018 | Year | 04 | Month | 01 | Day |
Unpublished
Terminated
2018 | Year | 03 | Month | 01 | Day |
2020 | Year | 07 | Month | 06 | Day |
2018 | Year | 04 | Month | 01 | Day |
2020 | Year | 05 | Month | 15 | Day |
2018 | Year | 02 | Month | 10 | Day |
2020 | Year | 09 | Month | 25 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000035670