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

Primary Purpose

Prediabetic State, Hypertension, Dyslipidemias

Status
Unknown status
Phase
Phase 4
Locations
China
Study Type
Interventional
Intervention
Pitavastatin Calcium
Atorvastatin Calcium
Sponsored by
Jun Tao
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Prediabetic State focused on measuring Pitavastatin, Prediabetic State, Hypertension, Dyslipidemias, Cardiovascular Disease

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

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

Sites / Locations

  • Fourth People's Hospital of ChongqingRecruiting
  • First Affiliated Hospital,Sun Yat-sen UniversityRecruiting
  • Second Affiliated Hospital of Guangzhou Medical UniversityRecruiting
  • First Affiliated Hospital of Jinan UniversityRecruiting
  • Shenzhen People's Hospital
  • People's Hospital of Zhongshan CityRecruiting
  • First Affiliated Hospital of Zhengzhou UniversityRecruiting
  • Yichang Central HospitalRecruiting
  • Taizhou Hospital of TCMRecruiting
  • Wuxi People's HospitalRecruiting
  • Subei People's Hospital of Jiangsu province
  • Lanzhou University Second HospitalRecruiting
  • Yantaishan Hospital, Yantai

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

pitavastatin

atorvastatin

Arm Description

Pitavastatin Calcium + lifestyle modification

Atorvastatin Calcium + lifestyle modification

Outcomes

Primary Outcome Measures

Change from baseline in hemoglobin A1c levels
Change of HbA1C values at study initiation and study completion

Secondary Outcome Measures

Changes from baseline in FPG levels
Change of fasting plasma glucose (FPG) values at study initiation and study completion
Changes from baseline in OGTT-2h PG levels
Change of oral glucose tolerance test (OGTT)-2h plasma glucose (PG) values at study initiation and study completion
Proportion of subjects in LDL-C normalization state
Proportion of subjects in each group who achieved low-density lipoprotein cholesterol (LDL-C) target
Changes from baseline in high-density lipoprotein cholesterol (HDL-C) levels
Change of HDL-C values at study initiation and study completion
Changes from baseline in total cholesterol (TC) levels
Change of TC values at study initiation and study completion
Changes from baseline in triglycerides (TG) levels
Change of TG values at study initiation and study completion
Changes from baseline in inflammatory parameters
Change of C-reactive protein (CRP) values at study initiation and study completion
Incidence of cardiovascular disease (CVD) events
Incidence of cardiovascular disease (CVD) events, including acute coronary syndrome, stable coronary artery disease, ischemic cardiomyopathy etc.
Change from baseline in blood pressure levels
Change from baseline in systolic and diastolic blood pressure levels
Changes from baseline in vascular endothelial function
Change of brachial-ankle pulse wave velocity (baPWV) values at study initiation and study completion
Changes from baseline in left ventricular mass index
Change of left ventricular mass index (LVMI) values at study initiation and study completion
Changes from baseline in carotid intima-media thickness
Change of carotid intima-media thickness (CIMT) values at study initiation and study completion

Full Information

First Posted
April 27, 2018
Last Updated
May 31, 2019
Sponsor
Jun Tao
Collaborators
Sun Yat-sen University
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1. Study Identification

Unique Protocol Identification Number
NCT03532620
Brief Title
China Protection Trial of Glucose Metabolism by Pitavastatin in Patients With Prediabetes and Hypertension
Acronym
CAMPUS
Official Title
A Multi-center, Open-label, Randomized, 12-month, Parallel-group, Non-inferiority Study to Compare the Hemoglobin A1C Metabolism of Pitavastatin Therapy Versus Atorvastatin in Chinese Patients With Prediabetes and Hypertension
Study Type
Interventional

2. Study Status

Record Verification Date
May 2019
Overall Recruitment Status
Unknown status
Study Start Date
August 9, 2018 (Actual)
Primary Completion Date
September 2019 (Anticipated)
Study Completion Date
September 2020 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Jun Tao
Collaborators
Sun Yat-sen University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
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
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).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Prediabetic State, Hypertension, Dyslipidemias
Keywords
Pitavastatin, Prediabetic State, Hypertension, Dyslipidemias, Cardiovascular Disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
396 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
pitavastatin
Arm Type
Experimental
Arm Description
Pitavastatin Calcium + lifestyle modification
Arm Title
atorvastatin
Arm Type
Active Comparator
Arm Description
Atorvastatin Calcium + lifestyle modification
Intervention Type
Drug
Intervention Name(s)
Pitavastatin Calcium
Intervention Description
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
Intervention Name(s)
Atorvastatin Calcium
Other Intervention Name(s)
Lipitor®
Intervention Description
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.
Primary Outcome Measure Information:
Title
Change from baseline in hemoglobin A1c levels
Description
Change of HbA1C values at study initiation and study completion
Time Frame
Month 12
Secondary Outcome Measure Information:
Title
Changes from baseline in FPG levels
Description
Change of fasting plasma glucose (FPG) values at study initiation and study completion
Time Frame
Month 12
Title
Changes from baseline in OGTT-2h PG levels
Description
Change of oral glucose tolerance test (OGTT)-2h plasma glucose (PG) values at study initiation and study completion
Time Frame
Month 12
Title
Proportion of subjects in LDL-C normalization state
Description
Proportion of subjects in each group who achieved low-density lipoprotein cholesterol (LDL-C) target
Time Frame
Month 3 and 12
Title
Changes from baseline in high-density lipoprotein cholesterol (HDL-C) levels
Description
Change of HDL-C values at study initiation and study completion
Time Frame
Month 12
Title
Changes from baseline in total cholesterol (TC) levels
Description
Change of TC values at study initiation and study completion
Time Frame
Month 12
Title
Changes from baseline in triglycerides (TG) levels
Description
Change of TG values at study initiation and study completion
Time Frame
Month 12
Title
Changes from baseline in inflammatory parameters
Description
Change of C-reactive protein (CRP) values at study initiation and study completion
Time Frame
Month 12
Title
Incidence of cardiovascular disease (CVD) events
Description
Incidence of cardiovascular disease (CVD) events, including acute coronary syndrome, stable coronary artery disease, ischemic cardiomyopathy etc.
Time Frame
Month 12
Title
Change from baseline in blood pressure levels
Description
Change from baseline in systolic and diastolic blood pressure levels
Time Frame
Month 12
Title
Changes from baseline in vascular endothelial function
Description
Change of brachial-ankle pulse wave velocity (baPWV) values at study initiation and study completion
Time Frame
Month 12
Title
Changes from baseline in left ventricular mass index
Description
Change of left ventricular mass index (LVMI) values at study initiation and study completion
Time Frame
Month 12
Title
Changes from baseline in carotid intima-media thickness
Description
Change of carotid intima-media thickness (CIMT) values at study initiation and study completion
Time Frame
Month 12
Other Pre-specified Outcome Measures:
Title
Incidence of adverse events (AEs)
Description
Incidence of adverse events (AEs) after treatment initiation
Time Frame
Month 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age 18-80 years old; 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); 2.6mmol/L (100mg/dl)≤LDL-C≤5.2mmol/L (200mg/dl), and TG<5.7mmol/L (500mg/dl); 130mmHg≤SBP<180mmHg, or 80mmHg≤DBP<110mmHg or ongoing anti-hypertensive therapy; Patients volunteered for the study and signed informed consent. Exclusion Criteria: Past history of hypersensitivity to the study drug; Diagnosed diabetes; Severe liver disease (including ALT or AST≥2.5-fold the normal upper limit), biliary obstruction; Ongoing treatment with cyclosporine within 2 weeks; 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; Diagnosed or past history of ASCVD (including ACS, SCAD, revascularization, ICM, ischemic stroke, TIA, PASD, etc. SBP≥180mmHg, or DBP≥110mmHg; Ongoing treatment with Beta blockers, Diuretic; Secondary hypertension, including SAS, PA, RAS, pheochromocytoma, Cushing's syndrome, aorta diseases, drug induced hypertension; Ongoing treatment with statins, fibrates, and/or cation exchange resins within 2 weeks; Pancreatic disease; History of gastrectomy, short bowel syndrome; Ongoing hormone replacement therapy; Diagnosed or suspected malignant tumor; Familial hypercholesterolemia; Any diseases may limit the efficacy or safety of the study; Pregnant or possibly pregnant woman, or breastfeeding woman, or woman who wishes to become pregnant during study participation; 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
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jun Tao, MD,PhD
Phone
+8613922191609
Email
taojungz123@163.com
First Name & Middle Initial & Last Name or Official Title & Degree
Jianning Zhang
Phone
+8615521264372
Email
ningjenny@yeah.net
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jun Tao, MD,PhD
Organizational Affiliation
First Affiliated Hospital, Sun Yat-Sen University
Official's Role
Study Chair
Facility Information:
Facility Name
Fourth People's Hospital of Chongqing
City
Chongqing
State/Province
Chongqing
ZIP/Postal Code
400014
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ruihua Yue, MD
First Name & Middle Initial & Last Name & Degree
Ruihua Yue, MD
Facility Name
First Affiliated Hospital,Sun Yat-sen University
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jun Tao, MD,PhD
Phone
+8613922191609
Email
taojungz123@163.com
First Name & Middle Initial & Last Name & Degree
Jianning Zhang
Phone
+8615521264372
Email
ningjenny@yeah.net
First Name & Middle Initial & Last Name & Degree
Jun Tao, MD,PhD
Facility Name
Second Affiliated Hospital of Guangzhou Medical University
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510260
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Wenchao Qu, MD
First Name & Middle Initial & Last Name & Degree
Wenchao Qu, MD
Facility Name
First Affiliated Hospital of Jinan University
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510630
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jun Guo, MD
First Name & Middle Initial & Last Name & Degree
Jun Guo, MD
Facility Name
Shenzhen People's Hospital
City
Shenzhen
State/Province
Guangdong
ZIP/Postal Code
518020
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Xin Jiang, MD
First Name & Middle Initial & Last Name & Degree
Xin Jiang, MD
Facility Name
People's Hospital of Zhongshan City
City
Zhongshan
State/Province
Guangdong
ZIP/Postal Code
528403
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Li Feng, MD
First Name & Middle Initial & Last Name & Degree
Li Feng, MD
Facility Name
First Affiliated Hospital of Zhengzhou University
City
Zhengzhou
State/Province
Henan
ZIP/Postal Code
450052
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Heping Gu, MD
First Name & Middle Initial & Last Name & Degree
Heping Gu, MD
Facility Name
Yichang Central Hospital
City
Yichang
State/Province
Hubei
ZIP/Postal Code
443003
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jiawang Ding, MD
First Name & Middle Initial & Last Name & Degree
Jiawang Ding, MD
Facility Name
Taizhou Hospital of TCM
City
Taizhou
State/Province
Jiangsu
ZIP/Postal Code
214504
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yongguang Zhang, MD
First Name & Middle Initial & Last Name & Degree
Yongguang Zhang, MD
Facility Name
Wuxi People's Hospital
City
Wuxi
State/Province
Jiangsu
ZIP/Postal Code
214023
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ruxing Wang, MD
First Name & Middle Initial & Last Name & Degree
Ruxing Wang, MD
Facility Name
Subei People's Hospital of Jiangsu province
City
Yangzhou
State/Province
Jiangsu
ZIP/Postal Code
225001
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Shenghu He, MD
First Name & Middle Initial & Last Name & Degree
Shenghu He, MD
Facility Name
Lanzhou University Second Hospital
City
Lanzhou
State/Province
Qinghai
ZIP/Postal Code
730030
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Feng Bai, MD
First Name & Middle Initial & Last Name & Degree
Feng Bai, MD
Facility Name
Yantaishan Hospital, Yantai
City
Yantai
State/Province
Shandong
ZIP/Postal Code
264001
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lan Zhao, MD
First Name & Middle Initial & Last Name & Degree
Lan Zhao, MD

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Study protocol, Statistical Analysis Plan, Clinical Study Report are planned to be available to other researchers. The information will be published on scientific journal and is anticipated to be available in public no more than a year after the study completion.
IPD Sharing Time Frame
Study protocol will be published on scientific journal and is anticipated to be available online by the end of 2018. Statistical Analysis Plan will be finished before the trial ends. Clinical Study Report will be published in public no more than a year after the study completion.
IPD Sharing Access Criteria
All researchers will be available to get the individual participant data (IPD) as long as the information is published.
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China Protection Trial of Glucose Metabolism by Pitavastatin in Patients With Prediabetes and Hypertension

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