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Efficacy and Safety of the Fixed-dose Combination Atorvastatin/Fenofibrate vs Atorvastatin in Patients With T2D and DLP.

Primary Purpose

Dyslipidemia Associated With Type II Diabetes Mellitus

Status
Recruiting
Phase
Phase 3
Locations
Mexico
Study Type
Interventional
Intervention
Atorvastatin 20 mg / Fenofibrate 160 mg in fixed dose
Atorvastatin (Lipitor ®)
Sponsored by
Laboratorios Silanes S.A. de C.V.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dyslipidemia Associated With Type II Diabetes Mellitus focused on measuring Dyslipidemia, Type 2 diabetes, Hypertriglyceridemia, Lipid profile

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • That the subject agrees to participate in the study and gives their informed consent in writing.
  • Both genres.
  • Age 18 to 75 years old.
  • Diagnosis of type 2 diabetes mellitus with adequate glycemic control defined by HbA1c ≤ 7.5% at the time of selection.
  • Diagnosis of dyslipidemia prior to the start of the study (LDL cholesterol> 100 mg / dl and triglycerides> 150 mg / dl).
  • Willing to avoid sexual contact or to use a barrier method of contraception while conducting the study.

Exclusion Criteria:

  • The drug is contraindicated for medical reasons.
  • Consumption of oral contraceptives, cyclosporine or strong cytochrome p450 (CYP) 3A4 inhibitors, protease inhibitors, erythromycin and azoles.
  • Patients with Type 1 Diabetes Mellitus.
  • Acute or Severe renal dysfunction (glomerular filtration <30 ml / min / 1.72 m2).
  • History of chronic liver disease or ALT and / or AST ≥ 2 times the upper limit of normal, or GGT ≥3 times the upper limit of normal.
  • Chronic or acute pancreatitis except for acute pancreatitis due to severe hypertriglyceridemia (defined by the presence of triglycerides> 1000 mg / dl and / or milky plasma, in the absence of other etiological factors of pancreatitis).
  • Patients with active gallbladder disease (defined as acute or chronic gallbladder disorders associated with clinical signs or symptoms).
  • Patient with a history or presence of myopathies.
  • Pregnant or lactating women.
  • Known contraindication or hypersensitivity to the use of any of the components of the investigational drug.
  • The patient is participating in another clinical study involving an investigational treatment or participated in one in the previous 4 weeks.
  • At the medical discretion, a disease that affects the prognosis and prevents outpatient management, for example, but not restricted to: end-stage cancer, kidney, heart, respiratory or liver or mental failure or with scheduled surgical or hospital procedures.
  • Be a patient with a working relationship with the principal investigator or the research center or prisoner.

Sites / Locations

  • Laboratorio Silanes, S.A. de C.V.Recruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Group A: Atorvastatin / Fenofibrate in fixed dose

Group B: Atorvastatin (Lipitor ®)

Arm Description

Group A: Atorvastatin / Fenofibrate in fixed dose Pharmaceutical Form: Tablets Dosage: 20 mg /160 mg Adminstration way: Oral

Group B: Atorvastatin (Lipitor ®) Pharmaceutical Form: Tablets Dosage: 20 mg Adminstration wat: Oral

Outcomes

Primary Outcome Measures

Magnitude of change in lipid profile figures.
To assess the magnitude of change in lipid profile figures (Lp [a], LDL, and triglycerides) at 2 and 4 months with respect to their baseline measurement and between treatment groups.
Proportion of subjects achieving triglyceride levels <150 mg /dL.
Describe the proportion of subjects who achieved triglyceride levels <150 mg / dL at the end of treatment.
Describe the proportion of subjects who reduced levels of LDL cholesterol
Describe the proportion of subjects who reduced levels of LDL cholesterol, under 30% compare to the baseline value.

Secondary Outcome Measures

Impact on anthropometric indicators (Weight)
Describe changes in weight (kg) measurements from baseline to the end of the study (4 months).
Impact on anthropometric indicators body mass index (BMI)
Describe changes in BMI (kg/m2) from baseline to the end of the study (4 months)
Impact on anthropometric indicators (Waist circumference)
Describe changes in waist circumference (cm) from baseline to the end of the study (4 months).
Impact on liver function with aspartate aminotransferas (AST)
Describe the changes in AST (mg/dL) concentration, between baseline and the end of the study.
Impact on liver function with Alanine Aminotransferase (ALT)
Describe the changes in ALT (mg/dL) concentration, between baseline and the end of the study.
Impact on Glycosylated hemoglobin (HbA1c)
Describe the changes in HbA1c percentage from baseline to the end of the study (4 months).
Impact on glucose levels
Describe the changes in glucose levels (mg/dL) from baseline to the end of the study (4 months).
Impact on Blood pressure
Describe the changes in blood pressure (mm Hg) from baseline to the end of the study (4 months). impact on clinical indicators (Blood pressure, Heart rate, Respiratory rate).
Impact on heart rate
Describe the changes in heart rate (beats per minute) from baseline to the end of the study (4 months).
Impact on respiratory rate
Describe the changes in respiratory rate (Pulses per minute) from baseline to the end of the study (4 months).
Events and adverse reactions presented.
Proportion of events and adverse reactions presented during 4 months of treatment.

Full Information

First Posted
April 29, 2021
Last Updated
February 28, 2022
Sponsor
Laboratorios Silanes S.A. de C.V.
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1. Study Identification

Unique Protocol Identification Number
NCT04882293
Brief Title
Efficacy and Safety of the Fixed-dose Combination Atorvastatin/Fenofibrate vs Atorvastatin in Patients With T2D and DLP.
Official Title
Confirmatory Study of the Efficacy and Safety of the Fixed-dose Combination Atorvastatin / Fenofibrate Versus Atorvastatin on the Lipid Profile of Patients With Type 2 Diabetes (T2D) and Dyslipidaemia (DLP).
Study Type
Interventional

2. Study Status

Record Verification Date
February 2022
Overall Recruitment Status
Recruiting
Study Start Date
February 15, 2022 (Actual)
Primary Completion Date
May 2022 (Anticipated)
Study Completion Date
May 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Laboratorios Silanes S.A. de C.V.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Phase IIIb, randomized, longitudinal, prospective, multicenter study to evaluate the efficacy and safety of the fixed-dose combination atorvastatin / fenofibrate versus atorvastatin on the lipid profile of patients with type 2 diabetes and dyslipidemia.
Detailed Description
To assess the efficacy and safety of the fixed-dose combination atorvastatin / fenofibrate versus atorvastatin on the lipid profile of patients with type 2 diabetes and dyslipidemia. Assessing the magnitude of change in lipid profile numbers. And describing the effect on anthropometric, biochemical and clinical indicators, as well as events and adverse reactions that may occur. In patients diagnosed with type 2 diabetes and dyslipidemia (triglycerides> 150 mg / dl, LDL (Low density lipoprotein) cholesterol> 100 mg / dl) and who require pharmacological treatment for lipid control.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dyslipidemia Associated With Type II Diabetes Mellitus
Keywords
Dyslipidemia, Type 2 diabetes, Hypertriglyceridemia, Lipid profile

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
78 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Group A: Atorvastatin / Fenofibrate in fixed dose
Arm Type
Experimental
Arm Description
Group A: Atorvastatin / Fenofibrate in fixed dose Pharmaceutical Form: Tablets Dosage: 20 mg /160 mg Adminstration way: Oral
Arm Title
Group B: Atorvastatin (Lipitor ®)
Arm Type
Active Comparator
Arm Description
Group B: Atorvastatin (Lipitor ®) Pharmaceutical Form: Tablets Dosage: 20 mg Adminstration wat: Oral
Intervention Type
Drug
Intervention Name(s)
Atorvastatin 20 mg / Fenofibrate 160 mg in fixed dose
Other Intervention Name(s)
ATV / FENO
Intervention Description
1 tablet once a day, 20 mg /160 mg, Orally
Intervention Type
Drug
Intervention Name(s)
Atorvastatin (Lipitor ®)
Other Intervention Name(s)
ATV (Lipitor ®)
Intervention Description
1 tablet once a day, 20 mg, Orally
Primary Outcome Measure Information:
Title
Magnitude of change in lipid profile figures.
Description
To assess the magnitude of change in lipid profile figures (Lp [a], LDL, and triglycerides) at 2 and 4 months with respect to their baseline measurement and between treatment groups.
Time Frame
Baseline, 2 and 4 months.
Title
Proportion of subjects achieving triglyceride levels <150 mg /dL.
Description
Describe the proportion of subjects who achieved triglyceride levels <150 mg / dL at the end of treatment.
Time Frame
4 months
Title
Describe the proportion of subjects who reduced levels of LDL cholesterol
Description
Describe the proportion of subjects who reduced levels of LDL cholesterol, under 30% compare to the baseline value.
Time Frame
Baseline and 4 months.
Secondary Outcome Measure Information:
Title
Impact on anthropometric indicators (Weight)
Description
Describe changes in weight (kg) measurements from baseline to the end of the study (4 months).
Time Frame
Baseline and 4 Months
Title
Impact on anthropometric indicators body mass index (BMI)
Description
Describe changes in BMI (kg/m2) from baseline to the end of the study (4 months)
Time Frame
Baseline and 4 months
Title
Impact on anthropometric indicators (Waist circumference)
Description
Describe changes in waist circumference (cm) from baseline to the end of the study (4 months).
Time Frame
Baseline and 4 months
Title
Impact on liver function with aspartate aminotransferas (AST)
Description
Describe the changes in AST (mg/dL) concentration, between baseline and the end of the study.
Time Frame
Baseline and 4 months
Title
Impact on liver function with Alanine Aminotransferase (ALT)
Description
Describe the changes in ALT (mg/dL) concentration, between baseline and the end of the study.
Time Frame
Baseline and 4 months
Title
Impact on Glycosylated hemoglobin (HbA1c)
Description
Describe the changes in HbA1c percentage from baseline to the end of the study (4 months).
Time Frame
Baseline and 4 months
Title
Impact on glucose levels
Description
Describe the changes in glucose levels (mg/dL) from baseline to the end of the study (4 months).
Time Frame
Baseline and 4 months
Title
Impact on Blood pressure
Description
Describe the changes in blood pressure (mm Hg) from baseline to the end of the study (4 months). impact on clinical indicators (Blood pressure, Heart rate, Respiratory rate).
Time Frame
Baseline and 4 months
Title
Impact on heart rate
Description
Describe the changes in heart rate (beats per minute) from baseline to the end of the study (4 months).
Time Frame
Baseline and 4 months
Title
Impact on respiratory rate
Description
Describe the changes in respiratory rate (Pulses per minute) from baseline to the end of the study (4 months).
Time Frame
Baseline and 4 months
Title
Events and adverse reactions presented.
Description
Proportion of events and adverse reactions presented during 4 months of treatment.
Time Frame
4 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: That the subject agrees to participate in the study and gives their informed consent in writing. Both genres. Age 18 to 75 years old. Diagnosis of type 2 diabetes mellitus with adequate glycemic control defined by HbA1c ≤ 7.5% at the time of selection. Diagnosis of dyslipidemia prior to the start of the study (LDL cholesterol> 100 mg / dl and triglycerides> 150 mg / dl). Willing to avoid sexual contact or to use a barrier method of contraception while conducting the study. Exclusion Criteria: The drug is contraindicated for medical reasons. Consumption of oral contraceptives, cyclosporine or strong cytochrome p450 (CYP) 3A4 inhibitors, protease inhibitors, erythromycin and azoles. Patients with Type 1 Diabetes Mellitus. Acute or Severe renal dysfunction (glomerular filtration <30 ml / min / 1.72 m2). History of chronic liver disease or ALT and / or AST ≥ 2 times the upper limit of normal, or GGT ≥3 times the upper limit of normal. Chronic or acute pancreatitis except for acute pancreatitis due to severe hypertriglyceridemia (defined by the presence of triglycerides> 1000 mg / dl and / or milky plasma, in the absence of other etiological factors of pancreatitis). Patients with active gallbladder disease (defined as acute or chronic gallbladder disorders associated with clinical signs or symptoms). Patient with a history or presence of myopathies. Pregnant or lactating women. Known contraindication or hypersensitivity to the use of any of the components of the investigational drug. The patient is participating in another clinical study involving an investigational treatment or participated in one in the previous 4 weeks. At the medical discretion, a disease that affects the prognosis and prevents outpatient management, for example, but not restricted to: end-stage cancer, kidney, heart, respiratory or liver or mental failure or with scheduled surgical or hospital procedures. Be a patient with a working relationship with the principal investigator or the research center or prisoner.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jorge A González, PhD
Phone
5254883785
Ext
3761
Email
jogonzalez@silanes.com.mx
First Name & Middle Initial & Last Name or Official Title & Degree
Yulia G Romero-Antonio, B.S.
Phone
5554883700
Ext
3777
Email
yromero@silanes.com.mx
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Alberto J Zamora Muciño-Arroyo, M.D
Organizational Affiliation
Investigación Biomédica para el Desarrollo de Fármacos S.A. de C.V. (BIOMED-AGS)
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Joel Rodríguez Saldaña, M.D
Organizational Affiliation
Resultados médicos, desarrollo e investigación SC (REMEDI)
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Francisco G Padilla Padilla, M.D
Organizational Affiliation
Independent
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Juan A Peraza Zaldivar, M.D
Organizational Affiliation
Investigación Biomédica para el Desarrollo de Fármacos S.A. de C.V. (BIOMED-GDL)
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Luis M Román Pintos, PhD
Organizational Affiliation
Hospital Hispano S.A de C.V
Official's Role
Principal Investigator
Facility Information:
Facility Name
Laboratorio Silanes, S.A. de C.V.
City
Mexico City
ZIP/Postal Code
11000
Country
Mexico
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jorge A Gonzalez, PhD
Phone
+5254883785
Ext
3761
Email
jogonzalez@silanes.com.mx
First Name & Middle Initial & Last Name & Degree
Yulia Romero-Antonio, B.S.
Phone
5554883700
Ext
3777
Email
yromero@silanes.com.mx
First Name & Middle Initial & Last Name & Degree
Alberto J Zamora Muciño-Arroyo, M.D.
First Name & Middle Initial & Last Name & Degree
Joel Rodríguez Saldaña, M.D.
First Name & Middle Initial & Last Name & Degree
Francisco G Padilla Padilla, M.D.
First Name & Middle Initial & Last Name & Degree
Juan A Peraza Zaldicar, M.D.
First Name & Middle Initial & Last Name & Degree
Luis M Román Pintos, PhD

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
24603993
Citation
Escobedo-de la Pena J, de Jesus-Perez R, Schargrodsky H, Champagne B. [Prevalence of dyslipidemias in Mexico city and Its relation to other cardiovascular risk factors. Results from the CARMELA study]. Gac Med Mex. 2014 Mar-Apr;150(2):128-36. Spanish.
Results Reference
background
PubMed Identifier
24516261
Citation
Harivenkatesh N, David DC, Haribalaji N, Sudhakar MK. Efficacy and safety of alternate day therapy with atorvastatin and fenofibrate combination in mixed dyslipidemia: a randomized controlled trial. J Cardiovasc Pharmacol Ther. 2014 May;19(3):296-303. doi: 10.1177/1074248413518968. Epub 2014 Feb 10.
Results Reference
background
PubMed Identifier
24083205
Citation
Lella M, Indira K. A comparative study of efficacy of atorvastatin alone and its combination with fenofibrate on lipid profile in type 2 diabetes mellitus patients with hyperlipidemia. J Adv Pharm Technol Res. 2013 Jul;4(3):166-70. doi: 10.4103/2231-4040.116778.
Results Reference
background
PubMed Identifier
12087019
Citation
Athyros VG, Papageorgiou AA, Athyrou VV, Demitriadis DS, Kontopoulos AG. Atorvastatin and micronized fenofibrate alone and in combination in type 2 diabetes with combined hyperlipidemia. Diabetes Care. 2002 Jul;25(7):1198-202. doi: 10.2337/diacare.25.7.1198.
Results Reference
background
Links:
URL
https://www.dof.gob.mx/nota_detalle.php?codigo=5259329&fecha=13/07/2012
Description
NOM. 037-SSA2-2012 para la prevención, tratamiento y control de las dislipidemias. México: Diario Oficial de la Federación. 2012;13.

Learn more about this trial

Efficacy and Safety of the Fixed-dose Combination Atorvastatin/Fenofibrate vs Atorvastatin in Patients With T2D and DLP.

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