Statin Therapy in Acute Influenza

NCT ID: NCT02056340

Last Updated: 2019-07-26

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

116 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-10-31

Study Completion Date

2018-06-30

Brief Summary

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Influenza (the 'flu') is a common virus infecting approximately 5-20% of the population in the United States and causing as many as 500,000 deaths worldwide each year. Currently, there are only a few treatments for influenza infection and none of these target inflammation that can be caused by the virus. This study will test whether the anti-inflammatory effects of statins, a class of drugs most often used to treat high cholesterol, will decrease the severity of illness in patients who are infected with influenza by testing markers of inflammation in the blood and recording resolution of influenza illness.

Detailed Description

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Conditions

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Influenza

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Atorvastatin

Patients will be administered study medication (atorvastatin 40 mg) orally once daily for 5 days, for a maximum of 7 days for those who remain hospitalized.

Group Type ACTIVE_COMPARATOR

Atorvastatin

Intervention Type DRUG

Placebo

Patients will be administered study medication (matched placebo) orally once daily for 5 days, for a maximum of 7 days for those who remain hospitalized.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Interventions

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Atorvastatin

Intervention Type DRUG

Placebo

Intervention Type DRUG

Other Intervention Names

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Lipitor

Eligibility Criteria

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Inclusion Criteria

1. Adult patient (age \> 18 years)
2. Positive influenza DFA/RAT test result
3. \<12 hours from positive influenza test result

Exclusion Criteria

1. Prior statin medication use (within 30 days of positive influenza test result)
2. Comfort measures only designation or anticipated withdrawal of life-support
3. Atorvastatin specific exclusions:

1. Documented liver cirrhosis or liver dysfunction (AST or ALT greater than 240)
2. Known allergy or intolerance to statins
3. Rhabdomyolysis (CPK elevation \> 6x normal)
4. Patients taking the following medications: cyclosporine, HIV protease inhibitors, hepatitis C protease inhibitor telaprevir, fibric acid derivatives (gemfibrozil), niacin, azole antifungals (itraconazole, ketoconazole) clarithromycin and colchicine
4. Patients unable to take oral or nasogastric medications or plan for no oral intake as part of medical course (eg. emergent surgical intervention)
5. Known pregnancy or active breastfeeding
6. Inability to provide written informed consent for any reason
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of General Medical Sciences (NIGMS)

NIH

Sponsor Role collaborator

Beth Israel Deaconess Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Maureen Chase MD MPH, Principal Investigator

Maureen Chase MD MPH

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Maureen Chase, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

Beth Israel Deaconess Medical Center

Locations

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The Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

Countries

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United States

References

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Chase M, Cocchi MN, Grossestreuer AV, Liu X, Vine J, Moskowitz AL, Donnino MW. Randomized Controlled Trial of Atorvastatin in Acute Influenza in the Emergency Department. West J Emerg Med. 2025 Apr 29;26(3):600-608. doi: 10.5811/westjem.33580.

Reference Type DERIVED
PMID: 40561994 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form: Part D: Informed Consent

View Document

Document Type: Informed Consent Form: Verbal Consent - Rapid Antigen Test (RAT)

View Document

Other Identifiers

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1K23GM101463-01A1

Identifier Type: NIH

Identifier Source: secondary_id

View Link

FWA00003245

Identifier Type: OTHER

Identifier Source: secondary_id

2013P000026

Identifier Type: -

Identifier Source: org_study_id

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