The Effect of Rosuvastatin and Olmesartan on the Progression of Coronary Atherosclerotic Disease

NCT ID: NCT02516826

Last Updated: 2015-08-06

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

504 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-08-31

Study Completion Date

2018-08-31

Brief Summary

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1. Stains have demonstrated consistent benefits to reduce cardiovascular events in several primary and secondary prevention trials. The suppression of plaque progression or regression may be a part of mechanism of clinical benefit. The intravascular ultrasound studies demonstrated that intensive statin therapy can regress or inhibit the progression of coronary atherosclerosis.
2. Unregulated renin-angiotensin system is important in the pathogenesis of cardiovascular disease. Angiotensin receptor antagonists (ARB) have been reported to improve clinical outcomes in patients with heart failure, left ventricular dysfunction, myocardial infarction, and high-risk patients. Several small studies showed that ARBs were effective to inhibit the progression of coronary atherosclerosis by intravascular ultrasound examination.
3. The combined therapy with statins and ARBs may be additive or synergistic effects on the atherosclerosis regression as well as to improve endothelial dysfunction and insulin resistance in addition to lowering cholesterol levels and blood pressure when compared with either monotherapy in patients.
4. Serial computed tomography angiography (CTA) can be utilized to assess the effect of treatment on coronary plaque morphology. In addition to the assessment of luminal stenosis, CTA also allows characterization of plaque morphology.

Detailed Description

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Conditions

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Coronary Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Rosuvastatin Arm

Rosuvastatin 10mg in combination with placebo of Olmesartan 20mg plus placebo of Olmesartan/Rosuvastatin(Combination) 20/10mg orally once daily

Group Type EXPERIMENTAL

Rosuvastatin

Intervention Type DRUG

Placebo of Olmesartan

Intervention Type DRUG

Placebo of Rosuvastatin/Olmesartan(Combination)

Intervention Type DRUG

Olmesartan Arm

Olmesartan 20mg in combination with placebo of Rosuvastatin 10mg plus placebo of Olmesartan/Rosuvastatin(Combination) 20/10mg orally once daily

Group Type EXPERIMENTAL

Olmesartan

Intervention Type DRUG

Placebo of Rosuvastatin

Intervention Type DRUG

Placebo of Rosuvastatin/Olmesartan(Combination)

Intervention Type DRUG

Combination Arm

Olmesartan/Rosuvastatin(Combination) 20/10mg in combination with placebo of Rosuvastatin 10mg plus placebo of Olmesartan 20mg

Group Type EXPERIMENTAL

Combination

Intervention Type DRUG

Rosuvastatin/Olmesartan(Combination)

Placebo of Rosuvastatin

Intervention Type DRUG

Placebo of Olmesartan

Intervention Type DRUG

Interventions

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Rosuvastatin

Intervention Type DRUG

Olmesartan

Intervention Type DRUG

Combination

Rosuvastatin/Olmesartan(Combination)

Intervention Type DRUG

Placebo of Rosuvastatin

Intervention Type DRUG

Placebo of Olmesartan

Intervention Type DRUG

Placebo of Rosuvastatin/Olmesartan(Combination)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Subjects must be at 19 years\~70 years of age
2. Patients undergoing coronary CTA with coronary artery stenosis 30\~70%
3. Informed consent
4. Appropriate CT resolution enough to measure of plaque volume
5. Patients who are stain and renin-angiotensin system blocker naïve at least for 1 year

Exclusion Criteria

1. Patients with\>=70% luminal stenosis or requiring percutaneous coronary intervention(PCI)
2. Severely calcifiedcoronary artery
3. Patients who have a history of previous PCI or coronary artery bypass grafting surgery.
Minimum Eligible Age

19 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Samsung Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Hyeon-Cheol Gwon

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hyeon-Cheol Gwon, PhD

Role: PRINCIPAL_INVESTIGATOR

Samsung Medical Center,Seoul,Korea

Locations

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Cardiac and Vascular Center; Samsung Medical Center

Seoul, , South Korea

Site Status

Countries

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South Korea

Central Contacts

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Hyeon-Cheol Gwon, PhD

Role: CONTACT

2-3410-3418 ext. 82

Young Bin Song, PhD

Role: CONTACT

2-3410-3419 ext. 82

Other Identifiers

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2015-01-055

Identifier Type: -

Identifier Source: org_study_id

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