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Early Therapeutic Effects of Statins and Fibrates on Unstable Atherosclerotic Plaques

Primary Purpose

Atherosclerosis

Status
Withdrawn
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
Atorvastatin
Gemfibrozil
Sponsored by
University Hospital Muenster
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atherosclerosis

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: atherosclerosis stenosis of carotid artery Exclusion Criteria: therapy with statine or fibrate pregnancy

Sites / Locations

    Outcomes

    Primary Outcome Measures

    expression profile in atherosclerotic plaque

    Secondary Outcome Measures

    Full Information

    First Posted
    October 21, 2005
    Last Updated
    November 16, 2007
    Sponsor
    University Hospital Muenster
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00243672
    Brief Title
    Early Therapeutic Effects of Statins and Fibrates on Unstable Atherosclerotic Plaques
    Official Title
    Early Therapeutic Effects of Statins and Fibrates on Unstable Atherosclerotic Plaques: a Randomised Microarray-Study on Endarterectomy Specimens of Human Carotid Arteries
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2007
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    The study chair changed his employment, the realization of the study was not possible
    Study Start Date
    October 2005 (undefined)
    Primary Completion Date
    undefined (undefined)
    Study Completion Date
    October 2007 (undefined)

    3. Sponsor/Collaborators

    Name of the Sponsor
    University Hospital Muenster

    4. Oversight

    5. Study Description

    Brief Summary
    Rupture of unstable atherosclerotic plaques is the underlying pathophysiologic mechanism of acute coronary syndromes and thus also of perioperative myocardial ischemia. Lipid lowering drugs such as statins and fibrates have been shown to improve the outcomes of patients with atherosclerosis. This is not only mediated through their therapeutic actions on lipid metabolism, but relies on a multitude of pleiotropic effects of these substances. One of the most interesting of these effects is the stabilisation of atherosclerotic plaques. To investigate these effects in a perioperative setting, patients scheduled for thromboendarterectomy of the carotid artery will be recruited. They will be randomised to receive either atorvastatin 10mg/d, gemfibrozil 1200mg/d or placebo for two weeks preoperatively. Specimens of carotid plaques will be obtained intraoperatively. After microscopic characterisation of plaques, DNA-microarray analyses will be done to gain insights into the transcriptional regulation and expression profiles of various types of atherosclerotic plaques under different pharmacological circumstances (stable or unstable with statin/fibrate/placebo).

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Atherosclerosis

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 4
    Interventional Study Model
    Parallel Assignment
    Masking
    Double
    Allocation
    Randomized
    Enrollment
    100 (Anticipated)

    8. Arms, Groups, and Interventions

    Intervention Type
    Drug
    Intervention Name(s)
    Atorvastatin
    Intervention Type
    Drug
    Intervention Name(s)
    Gemfibrozil
    Primary Outcome Measure Information:
    Title
    expression profile in atherosclerotic plaque

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: atherosclerosis stenosis of carotid artery Exclusion Criteria: therapy with statine or fibrate pregnancy
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Gregor Theilmeier, MD
    Organizational Affiliation
    Department of Anesthesiology and Intensive Care, University Hospital Münster
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    Early Therapeutic Effects of Statins and Fibrates on Unstable Atherosclerotic Plaques

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