Effect of a Fibrate and a Statin on Endothelial Dysfunction

NCT ID: NCT00491400

Last Updated: 2012-10-24

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

28 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-09-30

Study Completion Date

2008-12-31

Brief Summary

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The study will compare the effect of atorvastatin to the effect of fenofibrate on endothelial function in patients with diabetes mellitus or the metabolic syndrome.

Detailed Description

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The study will compare the effect of atorvastatin to the effect of fenofibrate on endothelial function in patients with diabetes mellitus or the metabolic syndrome. The study is a double blind, placebo controlled, crossover study with the order of treatment randomized. Patients will receive each treatment for 8 weeks with a 1 week rest period between treatment periods. Endothelial function will be tested using non-invasive techniques before and after each treatments. A total of 40 subjects with diabetes or the metabolic syndrome will be enrolled at Boston Medical Center.

Conditions

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Diabetes Mellitus Metabolic Syndrome

Keywords

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endothelium obesity diabetes mellitus dyslipidemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Fenofibrate First

Fenofibrate 145 mg/day for 8 weeks First and Atorvastatin 20 mg/day for 8 weeks Second

Group Type ACTIVE_COMPARATOR

Fenofibrate

Intervention Type DRUG

140 mg/day for 8 weeks

Atorvastatin

Intervention Type DRUG

20 mg/day for 8 weeks

Atorvastatin First

Atorvastatin 20 mg/day for 8 weeks First and Fenofibrate 145 mg/day for 8 weeks Second

Group Type ACTIVE_COMPARATOR

Fenofibrate

Intervention Type DRUG

140 mg/day for 8 weeks

Atorvastatin

Intervention Type DRUG

20 mg/day for 8 weeks

Interventions

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Fenofibrate

140 mg/day for 8 weeks

Intervention Type DRUG

Atorvastatin

20 mg/day for 8 weeks

Intervention Type DRUG

Other Intervention Names

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Tricor Lipitor

Eligibility Criteria

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Inclusion Criteria

* Age greater than 30 years
* Adult-onset DM (defined as fasting glucose greater than 125 mg/dl or by ongoing treatment with an oral hypoglycemic agent) or metabolic syndrome (defined as at least 3 of the following: 1. HDL less than 40 mg/dl for men or less than 50 mg/dl for women; 2. triglycerides greater than 150 mg/dl; 3. waist circumference greater than 40 inches for men and greater than 35 inches for women; 4. fasting glucose greater than 100 mg/dl).
* LDL cholesterol level less than 140 mg/dl
* Able to provide informed consent and complete study procedures

Exclusion Criteria

* Change in therapy for glucose control or blood pressure less than 1 month before entry
* Hemoglobin A1C greater than 8.0%.
* Renal insufficiency (serum creatinine greater than 1.6 mg/dl in men or 1.5 mg/dl in women.
* Any investigational drug less than 1 month before entry.
* Pregnancy (excluded by urine pregnancy test at study entry with ongoing use of reliable form of birth control) or lactation
* Liver function tests or serum creatinine kinase (CK) greater than 3 times upper limit of normal.
* Clinically evident major illnesses or other problem that would make participation inappropriate
* Clinical history of symptomatic cholelithiasis
* Patients with coronary artery disease, peripheral arterial disease, or cerebral vascular disease will not be enrolled if they are currently taking lipid-lowering therapy
* Patients taking more than 40 mg/day of atorvastatin will be excluded. There is no "ceiling" level for patients taking fibrates.
Minimum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Boston University

OTHER

Sponsor Role lead

Responsible Party

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Joseph A. Vita

Professor of Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Joseph A Vita, MD

Role: PRINCIPAL_INVESTIGATOR

Boston University

Locations

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Boston Medical Center

Boston, Massachusetts, United States

Site Status

Countries

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United States

Other Identifiers

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H-23185

Identifier Type: -

Identifier Source: org_study_id