Lesional Evaluation of High Risk Patients With Neoatherosclerosis Treated With Rosuvastatin and Eicosapentaenoic Acid Using Optical Coherence Tomography(OCT)[LINK IT TWO]

NCT ID: NCT03657758

Last Updated: 2018-09-18

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

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-09-17

Study Completion Date

2021-08-31

Brief Summary

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This study aim is to evaluate the additional effect of eicosapentaenoic acid and dose up effect of rosuvastatin for neoatherosclerosis in coronary artery disease patients.

Detailed Description

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Eicosapentaenoic acid and statin therapy prevents cardiovascular events. However, the impact of these treatment in patients with in-stent neoatherosclerosis has not been clarified.

So, the investigators conducted LINK IT study. This study showed that eicosapentaenoic acid(EPA) and rosuvastatin therapy improve lipid index in patients compared with rosuvastatin alone therapy.

However, it was insufficient to directly evaluate the efficacy of additional effect of EPA for neoatherosclerosis. Because, statin dose of two groups was different and type of stent was variety.

Therefore, the investigators designed a new prospective, randomized OCT study. The OCT operators randomly assigned 75 patients who were detected neoatherosclerosis on follow-up OCT examination after implanted everolimus eluting stent to three groups; 5mg/day of rosuvastatin therapy (low dose statin therapy group) or 10mg/day of rosuvastatin therapy (high dose statin therapy group) or 10mg/day of rosuvastatin and 1800mg/day of eicosapentaenoic acid therapy (EPA and statin therapy group). Serial coronary angiography and OCT were performed at 9 months after baseline OCT procedure.

This study aim is to evaluate the additional effect of eicosapentaenoic acid and dose up effect of rosuvastatin for neoatherosclerosis in coronary artery disease patients by comparing 3 groups.

Conditions

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Coronary Artery Disease Angina Pectoris

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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EPA and statin therapy group

After randomization, patients with combination therapy start EPA (1800mg/day) and high dose rosuvastatin (10mg/day) for 9 months.

Group Type ACTIVE_COMPARATOR

EPA and rosuvastatin

Intervention Type DRUG

To take EPA (1800mg/day) and high dose rosuvastatin (10mg/day) for 9 months.

High dose statin therapy group

After randomization, patients with high dose statin therapy start high dose rosuvastatin (10mg/day) for 9 months.

Group Type ACTIVE_COMPARATOR

High dose rosuvastatin

Intervention Type DRUG

To take high dose rosuvastatin (10mg/day) for 9 months.

low dose statin therapy group

After randomization, patients with low dose statin therapy take low dose rosuvastatin (5mg/day) for 9 months.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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EPA and rosuvastatin

To take EPA (1800mg/day) and high dose rosuvastatin (10mg/day) for 9 months.

Intervention Type DRUG

High dose rosuvastatin

To take high dose rosuvastatin (10mg/day) for 9 months.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. over 20 years
2. Patients implanted everolimus-eluting stent(EES) neoatherosccrelosis with neoatherosclerosis by OCT
3. LDL is or less than 100 mg/dl after ingesting 5 mg/day of rosuvastatin

Exclusion Criteria

1. Patients taking omega 3 fatty acid before randomization
2. Patients allergic to rosuvastatin or eicosapentaenoic acid
3. Patients with a history of hemorrhagic stroke
4. Patients taking anti cancer agent
5. Patients undergoing LDL apheresis
6. Patients with severe liver disease or severe kidney disease
7. Patients who conflict with any of the warnings or contraindications listed in the domestic package insert of rosuvastatin
8. Patients who conflict with any of the warnings or contraindications listed in the domestic package insert of eicosapentaenoic acid
9. Patients performed percutaneous coronary intervention with restenosis of target lesion
10. Pregnant women or patients with possibility of Pregnancy or nursing woman
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Kobe University

INDUSTRY

Sponsor Role lead

Responsible Party

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Hiromasa Otake

Senior Lecturer

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Kobe University Graduate School of Medicine, Department of Cardiology

Kobe, Hyōgo, Japan

Site Status

Countries

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Japan

Central Contacts

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Hiromasa Otake, ph.D

Role: CONTACT

+81-78-382-5846

Facility Contacts

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Hiromasa Otake, ph.D

Role: primary

+81-78-382-5846

Other Identifiers

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300027

Identifier Type: -

Identifier Source: org_study_id

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