Study to Compare the Efficacy and Safety of Pitavastatin and Pravastatin in Elderly Patients

NCT ID: NCT00257686

Last Updated: 2010-03-16

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

962 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-09-30

Study Completion Date

2006-05-31

Brief Summary

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The purpose of this study is to compare the efficacy and safety of pitavastatin with that of pravastatin in elderly patients

Detailed Description

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Following a wash-out dietary lead-in period, patients will receive either Preavastatin or Pitavastatin during 12 weeks, in order to establish the efficacy of pitavastatin in reducing cholesterol levels.

Conditions

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Hypercholesterolemia or Combined Dyslipidemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Pitavastatin 1 mg

Pitavastatin 1 mg once daily

Group Type EXPERIMENTAL

Pitavastatin

Intervention Type DRUG

Pravastatin 10 mg

Pravastatin 10 mg once daily

Group Type ACTIVE_COMPARATOR

Pravastatin

Intervention Type DRUG

Pitavastatin 2 mg

Pitavastatin 2 mg once daily

Group Type EXPERIMENTAL

Pitavastatin

Intervention Type DRUG

Pravastatin 20 mg

Pravastatin 20 mg once daily

Group Type ACTIVE_COMPARATOR

Pravastatin

Intervention Type DRUG

Pitavastatin 4 mg

Pitavastatin 4 mg once daily

Group Type EXPERIMENTAL

Pitavastatin

Intervention Type DRUG

Pravastatin 40 mg

Pravastatin 40 mg once daily

Group Type ACTIVE_COMPARATOR

Pravastatin

Intervention Type DRUG

Interventions

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Pitavastatin

Intervention Type DRUG

Pravastatin

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Males and postmenopausal females (aged 65 years and older
* Eligible, able to participate, have given informed consent
* Must have been following a restrictive diet
* Diagnosis of primary hypercholesterolemia or combined dyslipidemia
* Serum CK must be less than or equal to 1.5 x ULRR at 2 of 3 permitted evaluations between Week -4 and -1
* Agree to be available

Exclusion Criteria

* Homozygous familial hypercholesterolemia
* Conditions which may cause secondary dyslipidemia
* Uncontrolled diabetes mellitus (HbA1c \>8%).
* Any condition which might significantly alter the absorption, distribution, metabolism, or excretion of any drug.
* History of pancreatic injury or pancreatitis, or impaired pancreatic function/injury
* Liver injury
* Impaired renal function
* Current obstruction of the urinary tract or difficulty in voiding due to mechanical as well as inflammatory conditions, which is likely to require intervention during the course of the study or is regarded as clinically meaningful
* Serum CK \>5 x ULRR without clinical explanation
* Uncontrolled hypothyroidism defined as TSH \>ULRR
* Any severe acute illness or severe trauma in the last 3 months prior to Visit 1
* Major surgery, 3 months prior to Visit 1
* Significant CVD prior to randomization
* Evidence of symptomatic heart failure, gross cardiac enlargement; significant heart block or cardiac arrhythmias. History of uncontrolled complex ventricular arrhythmias, uncontrolled atrial fibrillation/flutter or uncontrolled supraventricular tachycardias with a ventricular response rate of \> 100 beats per minute at rest.
* Left ventricular ejection fraction \<0.25;
* History of symptomatic cerebrovascular disease
* Any other conditions at the discretion of the investigator
* Known HIV infection
* Poorly controlled or uncontrolled hypertension
* Prior or current known muscular or neuromuscular disease of any type;
* Neoplastic disease
* Drug abuse or continuous consumption of more than 65 mL pure alcohol per day
* Exposure to any investigational new drug within 30 days of study entry or ingestion of any drug known to be toxic to a major organ system
* Current or recent use of supplements known to alter lipid metabolism
* History of hypersensitivity to other HMG-CoA reductase inhibitors;
* Concomitant medication not permitted
* Resistant to lipid-lowering medications. Known hypersensitivity or intolerance to any lipid lowering agent
* Excessive obesity
* Any factor which makes regular clinic attendance in the morning impractical ---Signs of mental dysfunction or other factors likely to limit ability to cooperate with the study.
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kowa Research Europe

INDUSTRY

Sponsor Role lead

Responsible Party

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Kowa Research Europe

Principal Investigators

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Dragos Budinski, MD

Role: STUDY_DIRECTOR

Medical Director

Locations

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CCBR A/S

Aalborg, , Denmark

Site Status

Copenhagen University Hospital

Copenhagen, , Denmark

Site Status

Medical Center

Copenhagen, , Denmark

Site Status

CCBR A/S

Vejle, , Denmark

Site Status

Kardiologische Gemeinschaftspraxis Prof. Reifart

Bad Soden / Taunus, , Germany

Site Status

Praxis Dr. Boenninghoff

Beckum, , Germany

Site Status

Klinische Forschung Berlin Mitte

Berlin, , Germany

Site Status

GWT-TUK mbH, Zentrum fur Klinische Studien

Dresden, , Germany

Site Status

Gemeinschaftspraxis Dr. Krause, Th. Menke

Goch, , Germany

Site Status

Klinische Forschung Hamburg

Hamburg, , Germany

Site Status

Innere Medizin I / Medizinische Klinik

Heidelberg, , Germany

Site Status

Gemeinschaftspraxis H. Holz Dr. med, K. W. Klingl

Lampertheim, , Germany

Site Status

ZET-Studien GmbH Leipzing

Leipzig, , Germany

Site Status

Internistische Gemeinschaftspraxis

Mainz, , Germany

Site Status

Praxis Dr. Wachter

Mannheim, , Germany

Site Status

Gemeinschaftspraxis Melcherstaette

Melcherstaette, , Germany

Site Status

Gemeinschaftspraxis Dr. Senftleber, Dr. Kohler

Messkirch, , Germany

Site Status

Praxisgemeinschaft im Kleinen Biergrund

Offenbach/M, , Germany

Site Status

Gemeinschaftspraxis Melcherstaette

Stuhr-Brinkum, , Germany

Site Status

Gemeinschaftspraxis Drs. Mockesch

Weinheim, , Germany

Site Status

Intermed Institud Fur Klinische Forschung und Arzn

Wiesbaden, , Germany

Site Status

Gemeinschaftspraxis Dr. Emden, Frank Drewes

Worpswede, , Germany

Site Status

Department of Internal Medicine, Soroka Medical Center

Beersheva, , Israel

Site Status

Department of Internal Medicine A, Rambal Medical Center

Haifa, , Israel

Site Status

Department of Internal Medicine, Wolfson Medical Center

Holon, , Israel

Site Status

Center for Research, Hadassah University Hospital

Jerusalem Ein Kerem, , Israel

Site Status

Meir Hospital

Kfar Saba, , Israel

Site Status

Department of Medicine, Hadassah Medical Center

Mount Scopus Jerusalem, , Israel

Site Status

Department of Internal Medicine, Rivka Sieff Medical Center

Safed, , Israel

Site Status

Institute of Metabolic Diseases

Tel Aviv, , Israel

Site Status

Institue of Lipid & Atherosclerosis Research

Tel Litwinsky, , Israel

Site Status

Andromed Oost

ES Velp, , Netherlands

Site Status

Andromed Noord

Groningen, , Netherlands

Site Status

Vasculair Onderzoek Centrum Hoorn

Hoorn, , Netherlands

Site Status

Andromed Leiden

Leiden, , Netherlands

Site Status

Andromed Nijmegen

Rotterdam, , Netherlands

Site Status

Andromed Rotterdam

Rotterdam, , Netherlands

Site Status

Albert Schweitzer ziekenhuis

Sliedrecht, , Netherlands

Site Status

Andromed Breda

VL Breda, , Netherlands

Site Status

Rivierenland Tiel

WP Tiel, , Netherlands

Site Status

Andromed Zoetermeer

Zoetermeer, , Netherlands

Site Status

Albert Schweitzer ziekenhuis

Zwijndrecht, , Netherlands

Site Status

Oldfield Surgery

Bath, , United Kingdom

Site Status

St James's Surgery

Bath, , United Kingdom

Site Status

The Pulteney Practice

Bath, , United Kingdom

Site Status

Birmingham Clinical Research Centre

Birmingham, , United Kingdom

Site Status

Stonehill Medical Center

Bolton, , United Kingdom

Site Status

Chorley Clinical Research Centre

Chorley, , United Kingdom

Site Status

Saltash Health Center

Cornwall, , United Kingdom

Site Status

Gomersal Lane Surgery

Dronfield, , United Kingdom

Site Status

Townhead Research

Irvine, , United Kingdom

Site Status

Crosby Clinical Research Centre

Liverpool, , United Kingdom

Site Status

The Symons Medical Center

Maidenhead, , United Kingdom

Site Status

Manchester Clinical Research Centre

Manchester, , United Kingdom

Site Status

Greenwood Medical Center

Nottingham, , United Kingdom

Site Status

Reading Clinical Research Centre

Reading, , United Kingdom

Site Status

Elm Lane Surgery

Sheffield, , United Kingdom

Site Status

Brook Lane Surgery

Southampton, , United Kingdom

Site Status

Bradford Road Medical Center

Wiltshire, , United Kingdom

Site Status

Rowden Medical Partnership

Wiltshire, , United Kingdom

Site Status

The Porch Surgery

Wiltshire, , United Kingdom

Site Status

The Burns Medical Practice

Yorkshire, , United Kingdom

Site Status

Countries

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Denmark Germany Israel Netherlands United Kingdom

References

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Stender S, Budinski D, Gosho M, Hounslow N. Pitavastatin shows greater lipid-lowering efficacy over 12 weeks than pravastatin in elderly patients with primary hypercholesterolaemia or combined (mixed) dyslipidaemia. Eur J Prev Cardiol. 2013 Feb;20(1):40-53. doi: 10.1177/2047487312451251. Epub 2012 Jun 7.

Reference Type DERIVED
PMID: 22679249 (View on PubMed)

Other Identifiers

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NK-104-306

Identifier Type: -

Identifier Source: org_study_id

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