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Atorvastatin and LDL Profile in Non-Insulin Dependent Diabetes Mellitus (ALPIN)

Primary Purpose

Hyperlipidemia, Diabetes Mellitus, Type 2, Non-Insulin Dependent Diabetes Mellitus

Status
Terminated
Phase
Phase 4
Locations
Germany
Study Type
Interventional
Intervention
Atorvastatin
Placebo
Sponsored by
Pfizer's Upjohn has merged with Mylan to form Viatris Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hyperlipidemia focused on measuring LDL-subfractions, HDL-subfractions, non insulin dependent diabetes mellitus (NIDDM), hyperlipidemia, atorvastatin

Eligibility Criteria

35 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male and female subjects with a diagnosis of type 2 diabetes mellitus who either have never had a major adverse cardiac event (MACE) diagnosed before or who had a MACE diagnosed at least 6 months ago, but who, according to the judgement of the treating general practitioner, do not receive any hyperlipidemic therapy. Major adverse cardiac events (MACE) include myocardial infarction, coronary angioplasty, coronary artery bypass graft or other revascularization procedures.

At Screening:

Visit 1 (week -4):

  1. Male patients aged >35 and ≤75 years and postmenopausal female patients ≤75 years with a diagnosis of type 2 diabetes mellitus
  2. Patients have been euthyroid for at least six months
  3. Written informed consent obtained

    At Visit 2 (week 0):

  4. LDL cholesterol ≥130 mg/dl (3.3 mmol/l ) and <190 mg/dl (4.9 mmol/l)
  5. Triglycerides <150 mg/dl (1.69 mmol/l ) and <600 mg/dl (11.3 mmol/l)
  6. Sum of LDL-5 and LDL-6 cholesterol ≥25 mg/dl (0.65 mmol/l)
  7. Follicle stimulating Hormone (FSH) >30 U/l in female patients aged <60 years or FSH >20 U/l in female patients aged ≥60 years

Exclusion Criteria:

  • HbA1c > 8.0
  • Creatine kinase (CK) >5 times the upper limit of normal
  • Patients having taken lipid lowering medication within 8 weeks of the screening visit

Sites / Locations

  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Active Comparator

Arm Label

2

1

Arm Description

Outcomes

Primary Outcome Measures

Changes in concentration of HDL subfractions 2a and 2b compared with screening (visit 1)
Changes in concentration of LDL subfractions LDL-5 and LDL-6 compared with screening (visit 1)

Secondary Outcome Measures

Changes in concentration of apolipoprotein B in VLDL, IDL, LDL-1 through LDL-6 and apolipoprotein A I in HDL subfractions 2a, 2b, and HDL-3 compared with screening (visit 1)
Changes in Cholesterol ester transfer protein (CETP), lipoprotein and hepatic lipase activity compared with screening (visit 1)
Changes in concentration of triglycerides, LDL, and HDL compared with screening (visit 1)
Changes in size of LDL subfractions compared with screening (visit 1)

Full Information

First Posted
March 14, 2008
Last Updated
February 17, 2021
Sponsor
Pfizer's Upjohn has merged with Mylan to form Viatris Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00640549
Brief Title
Atorvastatin and LDL Profile in Non-Insulin Dependent Diabetes Mellitus
Acronym
ALPIN
Official Title
Impact of Atorvastatin on the Distribution, Composition, and Metabolism of LDL and HDL Subfractions: A Double-blind Placebo-controlled Phase IV Study With Patients Suffering From Combined Hyperlipidemia and Diabetes. Atorvastatin and LDL Profile in NIDDM (ALPIN Study)
Study Type
Interventional

2. Study Status

Record Verification Date
February 2021
Overall Recruitment Status
Terminated
Why Stopped
See termination reason in detailed description.
Study Start Date
March 2003 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
October 2004 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pfizer's Upjohn has merged with Mylan to form Viatris Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The study will investigate the effects of atorvastatin on the concentrations of small, dense LDL and HDL subfractions in patients with diabetes and the underlying mechanisms of these effects.
Detailed Description
This study was terminated on October 6, 2004. The study terminated prematurely because of a higher screening failure rate than expected. There were no safety or efficacy reasons involved in the decision to terminate.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hyperlipidemia, Diabetes Mellitus, Type 2, Non-Insulin Dependent Diabetes Mellitus
Keywords
LDL-subfractions, HDL-subfractions, non insulin dependent diabetes mellitus (NIDDM), hyperlipidemia, atorvastatin

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
41 (Actual)

8. Arms, Groups, and Interventions

Arm Title
2
Arm Type
Placebo Comparator
Arm Title
1
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
Atorvastatin
Other Intervention Name(s)
Lipitor, Sortis
Intervention Description
After a run-in phase of 4 weeks eligible patients were randomized at a ratio of 2 : 1 (atorvastatin : placebo). Patients in the atorvastatin group were treated with atorvastatin 20 mg tablets administered once daily orally for 8 weeks.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
After a run-in phase of 4 weeks eligible patients were randomized at a ratio of 2 : 1 (atorvastatin : placebo). Patients in the placebo group were treated with placebo 20 mg tablets administered once daily orally for 8 weeks.
Primary Outcome Measure Information:
Title
Changes in concentration of HDL subfractions 2a and 2b compared with screening (visit 1)
Time Frame
8 weeks (visit 4)
Title
Changes in concentration of LDL subfractions LDL-5 and LDL-6 compared with screening (visit 1)
Time Frame
8 weeks (visit 4)
Secondary Outcome Measure Information:
Title
Changes in concentration of apolipoprotein B in VLDL, IDL, LDL-1 through LDL-6 and apolipoprotein A I in HDL subfractions 2a, 2b, and HDL-3 compared with screening (visit 1)
Time Frame
8 weeks (visit 4)
Title
Changes in Cholesterol ester transfer protein (CETP), lipoprotein and hepatic lipase activity compared with screening (visit 1)
Time Frame
8 weeks (visit 4)
Title
Changes in concentration of triglycerides, LDL, and HDL compared with screening (visit 1)
Time Frame
8 weeks (visit 4)
Title
Changes in size of LDL subfractions compared with screening (visit 1)
Time Frame
8 weeks (visit 4)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
35 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and female subjects with a diagnosis of type 2 diabetes mellitus who either have never had a major adverse cardiac event (MACE) diagnosed before or who had a MACE diagnosed at least 6 months ago, but who, according to the judgement of the treating general practitioner, do not receive any hyperlipidemic therapy. Major adverse cardiac events (MACE) include myocardial infarction, coronary angioplasty, coronary artery bypass graft or other revascularization procedures. At Screening: Visit 1 (week -4): Male patients aged >35 and ≤75 years and postmenopausal female patients ≤75 years with a diagnosis of type 2 diabetes mellitus Patients have been euthyroid for at least six months Written informed consent obtained At Visit 2 (week 0): LDL cholesterol ≥130 mg/dl (3.3 mmol/l ) and <190 mg/dl (4.9 mmol/l) Triglycerides <150 mg/dl (1.69 mmol/l ) and <600 mg/dl (11.3 mmol/l) Sum of LDL-5 and LDL-6 cholesterol ≥25 mg/dl (0.65 mmol/l) Follicle stimulating Hormone (FSH) >30 U/l in female patients aged <60 years or FSH >20 U/l in female patients aged ≥60 years Exclusion Criteria: HbA1c > 8.0 Creatine kinase (CK) >5 times the upper limit of normal Patients having taken lipid lowering medication within 8 weeks of the screening visit
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pfizer CT.gov Call Center
Organizational Affiliation
Pfizer
Official's Role
Study Director
Facility Information:
Facility Name
Pfizer Investigational Site
City
BAD Muenster AM Stein
ZIP/Postal Code
55583
Country
Germany
Facility Name
Pfizer Investigational Site
City
Bosenheim
ZIP/Postal Code
55545
Country
Germany
Facility Name
Pfizer Investigational Site
City
Bretten
ZIP/Postal Code
75015
Country
Germany
Facility Name
Pfizer Investigational Site
City
Dresden
ZIP/Postal Code
01307
Country
Germany
Facility Name
Pfizer Investigational Site
City
Duisburg
ZIP/Postal Code
47199
Country
Germany
Facility Name
Pfizer Investigational Site
City
Essen
ZIP/Postal Code
45217
Country
Germany
Facility Name
Pfizer Investigational Site
City
Goch
ZIP/Postal Code
47574
Country
Germany
Facility Name
Pfizer Investigational Site
City
Heidelberg
ZIP/Postal Code
69120
Country
Germany
Facility Name
Pfizer Investigational Site
City
Kuenzing
ZIP/Postal Code
94550
Country
Germany
Facility Name
Pfizer Investigational Site
City
Offenbach
ZIP/Postal Code
63067
Country
Germany
Facility Name
Pfizer Investigational Site
City
Offenbach
ZIP/Postal Code
63071
Country
Germany
Facility Name
Pfizer Investigational Site
City
Offenbach
ZIP/Postal Code
63073
Country
Germany
Facility Name
Pfizer Investigational Site
City
Rain
ZIP/Postal Code
94369
Country
Germany
Facility Name
Pfizer Investigational Site
City
Schwabenheim
ZIP/Postal Code
55270
Country
Germany

12. IPD Sharing Statement

Links:
URL
https://trialinfoemail.pfizer.com/pages/landing.aspx?StudyID=A2581040&StudyName=Atorvastatin%20and%20LDL%20Profile%20in%20Non-Insulin%20Dependent%20Diabetes%20Mellitus%0A
Description
To obtain contact information for a study center near you, click here.

Learn more about this trial

Atorvastatin and LDL Profile in Non-Insulin Dependent Diabetes Mellitus

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