China Protection Trial of Glucose Metabolism by Pitavastatin in Patients With Prediabetes and Hypertension

NCT ID: NCT03532620

Last Updated: 2019-06-03

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

PHASE4

Total Enrollment

396 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-08-09

Study Completion Date

2020-09-30

Brief Summary

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The primary purpose of this trial is to test the hypothesis that Pitavastatin treatment compared to Atorvastatin, in patients with dyslipidemia, prediabetes and hypertension, will have less adverse effect on Hemoglobin A1C (HbA1C), which represents long-term glucose metabolism.

Detailed Description

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Within the 12 months of the study procedure, the 3rd month is what we called the "check point". At this point, participants' plasma LDL-C will be measured whether it reached individual standard or not. If the results didn't meet the particular LDL-C standard, the participants would be adjusted the drug dosage (pitavastatin 4mg/day, atorvastatin 40mg/day).

Conditions

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Prediabetic State Hypertension Dyslipidemias

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

Pitavastatin Calcium + lifestyle modification

Group Type EXPERIMENTAL

Pitavastatin Calcium

Intervention Type DRUG

In Pitavastatin treatment group, Pitavastatin calcium tablet 2mg/day was given for 12 months in combination with lifestyle modification. But month 3 is the "check point". If LDL-C target was achieved at Month 3, doses remained the same. If LDL-C target was not achieved at Month 3, doses were doubled.

atorvastatin

Atorvastatin Calcium + lifestyle modification

Group Type ACTIVE_COMPARATOR

Atorvastatin Calcium

Intervention Type DRUG

In Atorvastatin treatment group, Atorvastatin calcium tablet 20mg/day was given for 12 months in combination with lifestyle modification. But month 3 is the "check point". If LDL-C target was achieved at Month 3, doses remained the same. If LDL-C target was not achieved at Month 3, doses were doubled.

Interventions

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Pitavastatin Calcium

In Pitavastatin treatment group, Pitavastatin calcium tablet 2mg/day was given for 12 months in combination with lifestyle modification. But month 3 is the "check point". If LDL-C target was achieved at Month 3, doses remained the same. If LDL-C target was not achieved at Month 3, doses were doubled.

Intervention Type DRUG

Atorvastatin Calcium

In Atorvastatin treatment group, Atorvastatin calcium tablet 20mg/day was given for 12 months in combination with lifestyle modification. But month 3 is the "check point". If LDL-C target was achieved at Month 3, doses remained the same. If LDL-C target was not achieved at Month 3, doses were doubled.

Intervention Type DRUG

Other Intervention Names

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Lipitor®

Eligibility Criteria

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Inclusion Criteria

1. Age 18-80 years old;
2. IFG: 5.6mmol/L (100mg/dl)≤FPG\<7.0mmol/L (126mg/dl), or IGT: 7.8mmol/L (140mg/dl)≤OGTT 2-h PG\<11.1mmol/L (200mg/dl), or HbA1C 5.7-6.4% (39-47mmol/mol);
3. 2.6mmol/L (100mg/dl)≤LDL-C≤5.2mmol/L (200mg/dl), and TG\<5.7mmol/L (500mg/dl);
4. 130mmHg≤SBP\<180mmHg, or 80mmHg≤DBP\<110mmHg or ongoing anti-hypertensive therapy;
5. Patients volunteered for the study and signed informed consent.

Exclusion Criteria

1. Past history of hypersensitivity to the study drug;
2. Diagnosed diabetes;
3. Severe liver disease (including ALT or AST≥2.5-fold the normal upper limit), biliary obstruction;
4. Ongoing treatment with cyclosporine within 2 weeks;
5. Renal dysfunction, including endogenous creatinine clearance male\<120ml/min, female\<105ml/min, serum creatinine≥2mg/dl (186umol/L), Renal function progressive decline, GFR\<30ml•min-1•1.73m-2;
6. Diagnosed or past history of ASCVD (including ACS, SCAD, revascularization, ICM, ischemic stroke, TIA, PASD, etc.
7. SBP≥180mmHg, or DBP≥110mmHg;
8. Ongoing treatment with Beta blockers, Diuretic;
9. Secondary hypertension, including SAS, PA, RAS, pheochromocytoma, Cushing's syndrome, aorta diseases, drug induced hypertension;
10. Ongoing treatment with statins, fibrates, and/or cation exchange resins within 2 weeks;
11. Pancreatic disease;
12. History of gastrectomy, short bowel syndrome;
13. Ongoing hormone replacement therapy;
14. Diagnosed or suspected malignant tumor;
15. Familial hypercholesterolemia;
16. Any diseases may limit the efficacy or safety of the study;
17. Pregnant or possibly pregnant woman, or breastfeeding woman, or woman who wishes to become pregnant during study participation;
18. Patient who was not judged as eligible by the investigator/coinvestigator.

* IFG impaired fast glucose, FPG fasting plasma glucose, IGT impaired glucose tolerance, OGTT oral glucose tolerance test, PG plasma glucose, HbA1C hemoglobin A1C, LDL-C low-density lipoprotein cholesterol, TG triglycerides, SBP systolic blood pressure, DBP diastolic blood pressure, ALT alanine aminotransferase, AST aspartate aminotransferase, GFR glomerular filtration rate, ASCVD arteriosclerotic cardiovascular disease, ACS acute coronary syndrome, SCAD stable coronary artery disease, ICM ischemic cardiomyopathy, TIA transient ischemic attack, PASD peripheral atherosclerotic disease, SAS sleep apnea syndrome, PA primary aldosteronism, RAS renal arterial stenosis
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sun Yat-sen University

OTHER

Sponsor Role collaborator

Jun Tao

OTHER

Sponsor Role lead

Responsible Party

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Jun Tao

Director, Head of the Department of Hypertension and Cardiovascular Disease, Principal Investigator, Clinical Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Jun Tao, MD,PhD

Role: STUDY_CHAIR

First Affiliated Hospital, Sun Yat-Sen University

Locations

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Fourth People's Hospital of Chongqing

Chongqing, Chongqing Municipality, China

Site Status RECRUITING

First Affiliated Hospital,Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status RECRUITING

Second Affiliated Hospital of Guangzhou Medical University

Guangzhou, Guangdong, China

Site Status RECRUITING

First Affiliated Hospital of Jinan University

Guangzhou, Guangdong, China

Site Status RECRUITING

Shenzhen People's Hospital

Shenzhen, Guangdong, China

Site Status NOT_YET_RECRUITING

People's Hospital of Zhongshan City

Zhongshan, Guangdong, China

Site Status RECRUITING

First Affiliated Hospital of Zhengzhou University

Zhengzhou, He'nan, China

Site Status RECRUITING

Yichang Central Hospital

Yichang, Hubei, China

Site Status RECRUITING

Taizhou Hospital of TCM

Taizhou, Jiangsu, China

Site Status RECRUITING

Wuxi People's Hospital

Wuxi, Jiangsu, China

Site Status RECRUITING

Subei People's Hospital of Jiangsu province

Yangzhou, Jiangsu, China

Site Status NOT_YET_RECRUITING

Lanzhou University Second Hospital

Lanzhou, Qinghai, China

Site Status RECRUITING

Yantaishan Hospital, Yantai

Yantai, Shandong, China

Site Status NOT_YET_RECRUITING

Countries

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China

Central Contacts

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Jun Tao, MD,PhD

Role: CONTACT

+8613922191609

Jianning Zhang

Role: CONTACT

+8615521264372

Facility Contacts

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Ruihua Yue, MD

Role: primary

Jun Tao, MD,PhD

Role: primary

+8613922191609

Jianning Zhang

Role: backup

+8615521264372

Wenchao Qu, MD

Role: primary

Jun Guo, MD

Role: primary

Xin Jiang, MD

Role: primary

Li Feng, MD

Role: primary

Heping Gu, MD

Role: primary

Jiawang Ding, MD

Role: primary

Yongguang Zhang, MD

Role: primary

Ruxing Wang, MD

Role: primary

Shenghu He, MD

Role: primary

Feng Bai, MD

Role: primary

Lan Zhao, MD

Role: primary

References

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Maki KC, Ridker PM, Brown WV, Grundy SM, Sattar N, The Diabetes Subpanel of the National Lipid Association Expert Panel. An assessment by the Statin Diabetes Safety Task Force: 2014 update. J Clin Lipidol. 2014 May-Jun;8(3 Suppl):S17-29. doi: 10.1016/j.jacl.2014.02.012.

Reference Type BACKGROUND
PMID: 24793439 (View on PubMed)

Yusuf S, Lonn E, Pais P, Bosch J, Lopez-Jaramillo P, Zhu J, Xavier D, Avezum A, Leiter LA, Piegas LS, Parkhomenko A, Keltai M, Keltai K, Sliwa K, Chazova I, Peters RJ, Held C, Yusoff K, Lewis BS, Jansky P, Khunti K, Toff WD, Reid CM, Varigos J, Accini JL, McKelvie R, Pogue J, Jung H, Liu L, Diaz R, Dans A, Dagenais G; HOPE-3 Investigators. Blood-Pressure and Cholesterol Lowering in Persons without Cardiovascular Disease. N Engl J Med. 2016 May 26;374(21):2032-43. doi: 10.1056/NEJMoa1600177. Epub 2016 Apr 2.

Reference Type BACKGROUND
PMID: 27039945 (View on PubMed)

Baudrand R, Pojoga LH, Vaidya A, Garza AE, Vohringer PA, Jeunemaitre X, Hopkins PN, Yao TM, Williams J, Adler GK, Williams GH. Statin Use and Adrenal Aldosterone Production in Hypertensive and Diabetic Subjects. Circulation. 2015 Nov 10;132(19):1825-33. doi: 10.1161/CIRCULATIONAHA.115.016759. Epub 2015 Oct 2.

Reference Type BACKGROUND
PMID: 26432671 (View on PubMed)

Warita S, Kawasaki M, Tanaka R, Ono K, Kojima T, Hirose T, Iwama M, Watanabe T, Nishigaki K, Takemura G, Noda T, Watanabe S, Minatoguchi S. Effects of pitavastatin on cardiac structure and function and on prevention of atrial fibrillation in elderly hypertensive patients: a prospective study of 2-years' follow-up. Circ J. 2012;76(12):2755-62. doi: 10.1253/circj.cj-12-0722. Epub 2012 Aug 8.

Reference Type BACKGROUND
PMID: 22878405 (View on PubMed)

Yoshika M, Komiyama Y, Masuda M, Yokoi T, Masaki H, Ohkura H, Takahashi H. Pitavastatin further decreases serum high-sensitive C-reactive protein levels in hypertensive patients with hypercholesterolemia treated with angiotensin II, type-1 receptor antagonists. Clin Exp Hypertens. 2010;32(6):341-6. doi: 10.3109/10641961003628460.

Reference Type BACKGROUND
PMID: 21028996 (View on PubMed)

Pearson TA, Mensah GA, Alexander RW, Anderson JL, Cannon RO 3rd, Criqui M, Fadl YY, Fortmann SP, Hong Y, Myers GL, Rifai N, Smith SC Jr, Taubert K, Tracy RP, Vinicor F; Centers for Disease Control and Prevention; American Heart Association. Markers of inflammation and cardiovascular disease: application to clinical and public health practice: A statement for healthcare professionals from the Centers for Disease Control and Prevention and the American Heart Association. Circulation. 2003 Jan 28;107(3):499-511. doi: 10.1161/01.cir.0000052939.59093.45. No abstract available.

Reference Type BACKGROUND
PMID: 12551878 (View on PubMed)

Kushiro T, Mizuno K, Nakaya N, Ohashi Y, Tajima N, Teramoto T, Uchiyama S, Nakamura H; Management of Elevated Cholesterol in the Primary Prevention Group of Adult Japanese Study Group. Pravastatin for cardiovascular event primary prevention in patients with mild-to-moderate hypertension in the Management of Elevated Cholesterol in the Primary Prevention Group of Adult Japanese (MEGA) Study. Hypertension. 2009 Feb;53(2):135-41. doi: 10.1161/HYPERTENSIONAHA.108.120584. Epub 2008 Dec 22.

Reference Type BACKGROUND
PMID: 19104004 (View on PubMed)

Ridker PM, Danielson E, Fonseca FA, Genest J, Gotto AM Jr, Kastelein JJ, Koenig W, Libby P, Lorenzatti AJ, MacFadyen JG, Nordestgaard BG, Shepherd J, Willerson JT, Glynn RJ; JUPITER Study Group. Rosuvastatin to prevent vascular events in men and women with elevated C-reactive protein. N Engl J Med. 2008 Nov 20;359(21):2195-207. doi: 10.1056/NEJMoa0807646. Epub 2008 Nov 9.

Reference Type BACKGROUND
PMID: 18997196 (View on PubMed)

Ridker PM, Macfadyen JG, Nordestgaard BG, Koenig W, Kastelein JJ, Genest J, Glynn RJ. Rosuvastatin for primary prevention among individuals with elevated high-sensitivity c-reactive protein and 5% to 10% and 10% to 20% 10-year risk. Implications of the Justification for Use of Statins in Prevention: an Intervention Trial Evaluating Rosuvastatin (JUPITER) trial for "intermediate risk". Circ Cardiovasc Qual Outcomes. 2010 Sep;3(5):447-52. doi: 10.1161/CIRCOUTCOMES.110.938118. Epub 2010 Aug 24.

Reference Type BACKGROUND
PMID: 20736443 (View on PubMed)

Zhang J, Shao Y, Liu Y, Tao J. A Multi-Center, Open-Label, Two-Arm Parallel Group Non-inferiority Randomized Controlled Trial Evaluating the Effect of Pitavastatin, Compared to Atorvastatin, on Glucose Metabolism in Prediabetics with Hypertension and Dyslipidemia: Rationale and Design for the China Hemoglobin A1c Metabolism Protection Union Study (CAMPUS). Cardiovasc Drugs Ther. 2018 Dec;32(6):581-589. doi: 10.1007/s10557-018-6826-6.

Reference Type DERIVED
PMID: 30187345 (View on PubMed)

Other Identifiers

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BZ-1702

Identifier Type: -

Identifier Source: org_study_id

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