Effects of Pitavastatin on Monocyte, Endothelial Dysfunction and HDL-C in Subjects With Metabolic Syndrome

NCT ID: NCT01595828

Last Updated: 2013-07-22

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

PHASE1

Total Enrollment

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-10-31

Study Completion Date

2012-06-30

Brief Summary

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The purpose of this study is to examine in detail the acute and chronic effects of pitavastatin on plasma lipid transport and atheroma biomarkers in patients at elevated risk for the premature development of atherosclerosis (CAPITAIN).

Detailed Description

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Conditions

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Metabolic Syndrome

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Pitavastatin 4mg daily

4 mg tablets of pitavastatin by oral route for a period of 6 months

Group Type EXPERIMENTAL

Pitavastatin

Intervention Type DRUG

Interventions

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Pitavastatin

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients with metabolic syndrome
* Patients with LDL-C \> 130mg/dL
* Eligible, able to participate and have given informed consent

Exclusion Criteria

* Body Mass Index \>35 kg/m2
* LDL-C \> 190mg/dL
* Fasting triglycerides \> 400 mg/dL
* Diabetes mellitus (fasting glucose \>7 mmol/L) or taking diabetic therapy
* Uncontrolled hypertension (Systolic Blood Pressure \>= 140 mmHg or Diastolic Blood Pressure \>= 90mmHg)
* Any conditions that cause secondary dyslipidaemia or increase the risk of statin therapy
* ALAT and ASAT \>3 x ULRR
* Impaired renal function (Serum Creatinine \>1.5 x ULRR or eGFR \<60 mL/min)
* History of any muscle disease or unexplained elevation (\>3 x ULRR) of serum creatine kinase
* Evidence of symptomatic heart failure (NYHA class III or IV)
* Current or recent user of supplements or medications known to alter lipid metabolism
Minimum Eligible Age

30 Years

Maximum Eligible Age

65 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Kowa Research Europe

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Kowa Research Europe Ltd.

Wokingham, , United Kingdom

Site Status

Countries

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United Kingdom

References

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Chapman MJ, Orsoni A, Mellett NA, Nguyen A, Robillard P, Shaw JE, Giral P, Therond P, Swertfeger D, Davidson WS, Meikle PJ. Pitavastatin treatment remodels the HDL subclass lipidome and proteome in hypertriglyceridemia. J Lipid Res. 2024 Feb;65(2):100494. doi: 10.1016/j.jlr.2023.100494. Epub 2023 Dec 29.

Reference Type DERIVED
PMID: 38160756 (View on PubMed)

Therond P, Chapman MJ. Sphingosine-1-phosphate: metabolism, transport, atheroprotection and effect of statin treatment. Curr Opin Lipidol. 2022 Jun 1;33(3):199-207. doi: 10.1097/MOL.0000000000000825. Epub 2022 Mar 9.

Reference Type DERIVED
PMID: 35695616 (View on PubMed)

Chapman MJ, Orsoni A, Tan R, Mellett NA, Nguyen A, Robillard P, Giral P, Therond P, Meikle PJ. LDL subclass lipidomics in atherogenic dyslipidemia: effect of statin therapy on bioactive lipids and dense LDL. J Lipid Res. 2020 Jun;61(6):911-932. doi: 10.1194/jlr.P119000543. Epub 2020 Apr 15.

Reference Type DERIVED
PMID: 32295829 (View on PubMed)

Chapman MJ, Orsoni A, Robillard P, Therond P, Giral P. Duality of statin action on lipoprotein subpopulations in the mixed dyslipidemia of metabolic syndrome: Quantity vs quality over time and implication of CETP. J Clin Lipidol. 2018 May-Jun;12(3):784-800.e4. doi: 10.1016/j.jacl.2018.02.001. Epub 2018 Feb 9.

Reference Type DERIVED
PMID: 29574070 (View on PubMed)

Orsoni A, Therond P, Tan R, Giral P, Robillard P, Kontush A, Meikle PJ, Chapman MJ. Statin action enriches HDL3 in polyunsaturated phospholipids and plasmalogens and reduces LDL-derived phospholipid hydroperoxides in atherogenic mixed dyslipidemia. J Lipid Res. 2016 Nov;57(11):2073-2087. doi: 10.1194/jlr.P068585. Epub 2016 Aug 31.

Reference Type DERIVED
PMID: 27581680 (View on PubMed)

Meikle PJ, Wong G, Tan R, Giral P, Robillard P, Orsoni A, Hounslow N, Magliano DJ, Shaw JE, Curran JE, Blangero J, Kingwell BA, Chapman MJ. Statin action favors normalization of the plasma lipidome in the atherogenic mixed dyslipidemia of MetS: potential relevance to statin-associated dysglycemia. J Lipid Res. 2015 Dec;56(12):2381-92. doi: 10.1194/jlr.P061143. Epub 2015 Oct 20.

Reference Type DERIVED
PMID: 26486974 (View on PubMed)

Chapman MJ, Orsoni A, Robillard P, Hounslow N, Sponseller CA, Giral P. Effect of high-dose pitavastatin on glucose homeostasis in patients at elevated risk of new-onset diabetes: insights from the CAPITAIN and PREVAIL-US studies. Curr Med Res Opin. 2014 May;30(5):775-84. doi: 10.1185/03007995.2013.874989. Epub 2014 Jan 10.

Reference Type DERIVED
PMID: 24328357 (View on PubMed)

Other Identifiers

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NK-104-4.03EU

Identifier Type: -

Identifier Source: org_study_id

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