Carotid Intima-media Thickness in Japan Statin Treatment Against Recurrent Stroke(J-STARS Echo)

NCT ID: NCT00361530

Last Updated: 2016-04-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

854 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-03-31

Brief Summary

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Carotid ultrasound can reveal the intima-media complex thickness(IMT), that has been reported to be a marker of atherosclerosis as well as a risk of cardiovascular events, and to be attenuated by 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase inhibitors (statins) . This substudy of J-STARS will observe the temporal profile of carotid IMT prospectively in the patients with prescription of pravastatin and the control.

Detailed Description

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Conditions

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Ischemic Stroke

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Pravastatin

Patient has 10mg oral administration of Pravastatin per day. It starts within one month from their entry and continues every day until the end of the study or its endpoints.

Group Type ACTIVE_COMPARATOR

Statin

Intervention Type DRUG

No intervention

Patient has no intervention.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Statin

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Ischemic stroke except for cardiogenic embolism, from 1 month to 3 years after onset
* Hyperlipidemia and total cholesterol level of 180-240mg/dl without the prescription of statin within previous 30 days
* Able to visit outpatient department
* Informed consent on the form.

Exclusion Criteria

* Ischemic stroke of other determined cause according to the TOAST classification
* Ischemic heart disease and necessary to use statin
* Hemorrhagic disorders
* Platelet count \<=100,000/ul within 3 months prior to study start
* Alanine aminotransferase (ALT) or aspartate aminotransferase (AST)\>= 100IU/L within 3 months prior to study start
* Serum creatinine \>=2.0mg/dl within 3 months prior to study start
* A scheduled operation
* The presence of malignant disorder
* Patients whom carotid ultrasound cannot examine because of neck tumor or torticollis
* Patients after carotid endarterectomy or radiation therapy to neck
* Patients whose carotid ultrasound cannot be examined because of neck tumor or torticollis
* Patients after carotid endarterectomy or radiation therapy to neck
Minimum Eligible Age

45 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ministry of Health, Labour and Welfare, Japan

OTHER_GOV

Sponsor Role collaborator

Hiroshima University

OTHER

Sponsor Role collaborator

National Cerebral and Cardiovascular Center, Japan

OTHER

Sponsor Role collaborator

Translational Research Center for Medical Innovation, Kobe, Hyogo, Japan

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Masayasu Matsumoto, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Hiroshima University Hospital

Locations

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Hiroshima University Hospital

Hiroshima, Hiroshima, Japan

Site Status

National Cardiovascular Center (NCVC)

Suita-shi, Osaka, Japan

Site Status

Countries

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Japan

References

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Wada S, Koga M, Kagimura T, Toyoda K, Nagai Y, Aoki S, Nezu T, Hosomi N, Origasa H, Ohtsuki T, Maruyama H, Yasaka M, Kitagawa K, Uchiyama S, Minematsu K, Matsumoto M; Japan Statin Treatment Against Recurrent Stroke (J-STARS) Echo Study Collaborators. Long-term changes in carotid intima-media thickness according to baseline blood pressure level: J-STARS Echo study. J Neurol Sci. 2025 Jan 15;468:123342. doi: 10.1016/j.jns.2024.123342. Epub 2024 Dec 9.

Reference Type DERIVED
PMID: 39673820 (View on PubMed)

Wada S, Koga M, Minematsu K, Toyoda K, Suzuki R, Kagimura T, Nagai Y, Aoki S, Nezu T, Hosomi N, Origasa H, Ohtsuki T, Maruyama H, Yasaka M, Kitagawa K, Uchiyama S, Matsumoto M. Baseline Carotid Intima-Media Thickness and Stroke Recurrence During Secondary Prevention With Pravastatin. Stroke. 2019 Jun;50(6):1586-1589. doi: 10.1161/STROKEAHA.119.024968. Epub 2019 Apr 30.

Reference Type DERIVED
PMID: 31035902 (View on PubMed)

Koga M, Toyoda K, Minematsu K, Yasaka M, Nagai Y, Aoki S, Nezu T, Hosomi N, Kagimura T, Origasa H, Kamiyama K, Suzuki R, Ohtsuki T, Maruyama H, Kitagawa K, Uchiyama S, Matsumoto M; J-STARS Investigators. Long-Term Effect of Pravastatin on Carotid Intima-Media Complex Thickness: The J-STARS Echo Study (Japan Statin Treatment Against Recurrent Stroke). Stroke. 2018 Jan;49(1):107-113. doi: 10.1161/STROKEAHA.117.018387. Epub 2017 Nov 30.

Reference Type DERIVED
PMID: 29191850 (View on PubMed)

Related Links

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Other Identifiers

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C000000212

Identifier Type: OTHER

Identifier Source: secondary_id

J-STARS echo

Identifier Type: -

Identifier Source: org_study_id

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