to Evaluate the Safety and Efficacy of Pitavastatin in Patients With IFG and Hyperlipidemia

NCT ID: NCT02056847

Last Updated: 2018-03-08

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

313 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-30

Study Completion Date

2017-05-31

Brief Summary

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Primary Objective

: To evaluate that there is no different effect on HbA1c between routine lipid lowering therapy(Livalo 2mg) and intensive lipid lowering therapy(Livalo 4mg) in the hyperlipidemic patients with impaired fasting glucose (IFG).

H0: µT-µC ≥ 0.4 vs H1: µT-µC \< 0.4

µT = the change of HbA1c in the test drug (Pitavastatin 4 MG) µC = the change of HbA1c in the control drug (Pitavastatin 2 MG)

Detailed Description

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Investigational Product Test group: Pitavastatin calcium (LIVALO) 4mg tab Control group: Pitavastatin calcium (LIVALO) 2mg tab

Study Site: Multi-centers in Korea

Period: For 24months after IRB approval at each site (Including 12months of subject enrollment period)

Efficacy End points

A. Primary end point The change of HbA1c before and after taking LIVALO

B. Secondary end point

1. Incidence of diabetes within 1year after registration (based; FPG ≥126mg/dL or to need taking diabetes medication)
2. Incidence of major cardiovascular (TLR-MACE) events within 1 year after registration
3. Incidence of total cardiovascular (TVR-MACE) events within 1 year after registration
4. The change of the lipid composition (T-chol, TG, LDL-C, HDL-C, ApoA1/ApoB)
5. The changes of hs-CRP
6. The changes of Adiponectin
7. The change of blood glucose and Insulin levels FPG(Fasting Plasma Glucose) Fasting Serum Insulin HOMA IR \[fasting insulin(µIU/mL) X fasting glucose(mg/dL)\]/405 HOMA β \[360 X fasting insulin(µIU/mL)\]/\[fasting glucose(mg/dL)-63\]

Statistical Methods

1. Efficacy A. Primary efficacy endpoint analysis Describe statistics of basic about the HbA1c variation before and after taking LIVALO by groups. In order to verify noninferiority of test drug, check that upper limit of confidence interval of the one-sided 97.5% is less than 0.4% about difference of HbA1c variation between the control group and the test group, before and after taking LIVALO.

B. Secondary efficacy endpoint analysis Continuous variables

:Present the mean, standard deviation, minimum, and maximum values for TC, TG, LDL-C, HDL-C, Fasting serum insulin, Fasting plasma glucose and HOMA IR, HOMA β etc. by each visit and in each group. In comparison with intergroup, using two-sample t-test for normal distribution and using Wilcoxon rank sum test for non-normal distribution. Also In comparison with the same group, using paired t-test for normal distribution and using Wilcoxon signed rank test for non-normal distribution.

Discrete variables

: The number and percentage of the subjects for incidence of DM and cardiovascular event are described of each group and the ratio of the intergroup comparison use χ2-test or Fisher's exact test.
2. Safety All the AEs and the ADRs which manifested more than once are described by the frequency and percentage of each group and use χ2-test or Fisher's exact test for intergroup comparison about the rate of AEs and ADRs Laboratory tests and vital signs are analyzed descriptive statistics quantity of each group, and in comparison with intergroup, use two-sample t-test for normal distribution and use Wilcoxon rank sum test for non-normal distribution. Also, In comparison with the same group, use paired t-test for normal distribution and use Wilcoxon signed rank test for non-normal distribution.

Clinical laboratory test is analyzed the frequency and percentage of the outside normal range of subjects, and using χ2-test or Fisher's exact test with intergroup.

Conditions

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HbA1c Level Associated With Lipid Compositions

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Pitavastatin calcium 4mg

Pitavastatin calcium (LIVALO®) 4mg, once a day

Group Type ACTIVE_COMPARATOR

Pitavastatin calcium 4mg

Intervention Type DRUG

taking once a day

Pitavastatin calcium 2mg

Pitavastatin calcium (LIVALO®) 2mg, once a day

Group Type ACTIVE_COMPARATOR

Pitavastatin calcium 2mg

Intervention Type DRUG

Taking once a day

Interventions

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Pitavastatin calcium 4mg

taking once a day

Intervention Type DRUG

Pitavastatin calcium 2mg

Taking once a day

Intervention Type DRUG

Other Intervention Names

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Pitavastatin calcium(LIVALO) 4mg LIVALO 2mg

Eligibility Criteria

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Inclusion Criteria

1. Male and Female patients who are more than 20 years old or 70 years old or less.
2. Patient who voluntarily sign on written informed consent form
3. Patient who LDL-C ≥ 100mg/dl or was diagnosed with hyperlipidemia
4. Patient who was suspected with Imparied Fasting Glucose (IFG) and satisfy FPG level ≥ 100mg/dL and \< 126mg/dL when FPG measured twice.

Exclusion Criteria

1. Patient who has familial hypercholesterolemia
2. Patient who has been diagnosed with Type1, Type2 DM or secondary DM(diabetes mellitus) at the screening visit (Diagnostic criteria of DM: HbA1c≥ 6.5%)
3. Patient who has received antidiabetic within 6weeks to the screening visit
4. Patient who has been taking insulin continuously or to be needed in the future
5. Patient who has a history of gastrectomy
6. Patient who is suspected or diagnosed with malignant tumor within last 10 years
7. Patient who has serious pancreatic disease or endocrine disorders
8. Patient who currently takes Cyclosporine
9. Patient who has a medical history of hypersensitivity to Pitavastatin calcium
10. Patient who has suspected renal failure (serum creatinine ≥2.0 mg/dL)
11. Patient who has suspected liver dysfunction (more than 2.5 times the upper limit of normal AST or ALT)
12. Patient who has more than 3 times the upper limit of normal CPK
13. Patient who is breastfeeding, pregnant or planning pregnancy
14. Patient who deemed inappropriate as subject in the opinion of the Principal Investigator or Investigator
Minimum Eligible Age

20 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Catholic University of Korea

OTHER

Sponsor Role collaborator

Kyunghee University Medical Center

OTHER

Sponsor Role collaborator

Korea University Guro Hospital

OTHER

Sponsor Role collaborator

Dong-A University Hospital

OTHER

Sponsor Role collaborator

Seoul National University Bundang Hospital

OTHER

Sponsor Role collaborator

Samsung Medical Center

OTHER

Sponsor Role collaborator

Seoul National University Hospital

OTHER

Sponsor Role collaborator

Ajou University School of Medicine

OTHER

Sponsor Role collaborator

Gangnam Severance Hospital

OTHER

Sponsor Role collaborator

Severance Hospital

OTHER

Sponsor Role collaborator

Yeungnam University Hospital

OTHER

Sponsor Role collaborator

Ulsan University Hospital

OTHER

Sponsor Role collaborator

Eulji University Hospital

OTHER

Sponsor Role collaborator

Asan Medical Center

OTHER

Sponsor Role collaborator

Chonnam National University Hospital

OTHER

Sponsor Role collaborator

Chonbuk National University Hospital

OTHER

Sponsor Role collaborator

Chungnam National University Hospital

OTHER

Sponsor Role collaborator

Hallym University Medical Center

OTHER

Sponsor Role collaborator

JW Pharmaceutical

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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NamSik Chung, M.D., Ph D.

Role: PRINCIPAL_INVESTIGATOR

Severance Hospital

Locations

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JW pharmaceutical

Seoul, , South Korea

Site Status

Countries

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South Korea

Other Identifiers

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JW-PTV-713

Identifier Type: -

Identifier Source: org_study_id

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