Silent Cerebrovascular Lesion and Cognitive Decline Prevention by Cholesterol Lowering in Elderly AF Patients

NCT ID: NCT00449410

Last Updated: 2007-03-20

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

PHASE4

Total Enrollment

35 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-05-31

Study Completion Date

2006-10-31

Brief Summary

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In elderly patients with atrial fibrillation (AF) the presence of silent brain infarcts and neurocognitive deficit is high despite adequate treatment with oral anticoagulation. Atherosclerosis is considered to be a chronic inflammatory disease and thrombosis and inflammation are strongly correlated. Atrial fibrillation is linked with increased levels of inflammatory markers and intensive cholesterol lowering has proven to reduce inflammation. In a prospective double-blind randomized pilot-study we want to test the hypothesis, that addition of intensive cholesterol lowering treatment besides adequate oral anticoagulation will reduce cerebrovascular lesions and will be beneficial for neurocognitive status in elderly AF patients.

Detailed Description

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Conditions

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Atrial Fibrillation Neuropsychology Magnetic Resonance Imaging Inflammation Hemostasis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Interventions

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Atorvastatin

Intervention Type DRUG

ezetimibe

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Elderly patients (\>68 and \<82 years) with atrial fibrillation and adequate oral anticoagulation therapy and cholesterol levels between 4,5 mmol/l and 7 mmol/l

Exclusion Criteria

* Indication for cholesterol lowering treatment according to Dutch CBO-cholesterol guidelines (2004)
Minimum Eligible Age

68 Years

Maximum Eligible Age

82 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role collaborator

Schering-Plough

INDUSTRY

Sponsor Role collaborator

Radboud University Medical Center

OTHER

Sponsor Role lead

Principal Investigators

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Janet Kuilenburg, MD

Role: PRINCIPAL_INVESTIGATOR

UMCN Radboud

Gheorghe AM Pop, MD PhD

Role: STUDY_DIRECTOR

UMCN Radboud

Locations

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Gheorghe AM Pop

Nijmegen, , Netherlands

Site Status

Countries

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Netherlands

References

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Lappegard KT, Pop-Purceleanu M, van Heerde W, Sexton J, Tendolkar I, Pop G. Improved neurocognitive functions correlate with reduced inflammatory burden in atrial fibrillation patients treated with intensive cholesterol lowering therapy. J Neuroinflammation. 2013 Jun 28;10:78. doi: 10.1186/1742-2094-10-78.

Reference Type DERIVED
PMID: 23809138 (View on PubMed)

Other Identifiers

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SPACE1

Identifier Type: -

Identifier Source: org_study_id

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