Efficacy and Safety Study of Pitavastatin and Atorvastatin in High Risk Hypercholesterolemic Patients
Primary Purpose
Hyperlipidemia
Status
Unknown status
Phase
Phase 3
Locations
Taiwan
Study Type
Interventional
Intervention
Pitavastatin
Atorvastatin
Sponsored by
About this trial
This is an interventional treatment trial for Hyperlipidemia focused on measuring Hyperlipidemia, Pitavastatin, Atorvastatin
Eligibility Criteria
Inclusion Criteria:
- Patient aged ≥ 20 years old and < 75 years old.
- Patient who was eligible and able to participate in the study and accepts to enter the study by signing written informed consent.
- Patient with fasting LDL-C > 100 mg/dL. The concentration of LDL-C is obtained from laboratory examination.
- Patient with at least one of the following description (NCEP ATP III guideline).
- Female patient with child-bearing potential must take reliable contraception method(s) during the participation of the study.
Exclusion Criteria:
- Patient who has participated in other investigational studies within 3 months.
- Patient took medication and natural health foods known to alter blood lipid profiles within 4 weeks.
- Patient is taking any medication or food that is prohibited by the study.
- Patient taking Amiodarone will be excluded from this study (due to long half life of this medication).
- Patient is diagnosed with type 1 DM or has been using insulin/insulin analog medication.
- Patient with a history of multiple drug allergies or with a known allergy to HMG-CoA reductase inhibitors.
- Patient with TG > 400 mg/dL.
- Excessive obesity defined as BMI above 35 kg/m2.
- Cerebral vascular disease (including cerebrovascular hemorrhage or ischemia, transient ischemic attack) diagnosed within 3 months.
- Myocardial infarction, heart failure (NYHA class III or IV), gross cardiac enlargement (cardiothoracic ratio > 0.5), significant heart block or cardiac arrhythmias within 3 months; history of uncontrolled complex ventricular arrhythmias, uncontrolled atrial fibrillation/flutter or uncontrolled supraventricular tachycardia, pacemaker or implantable cardiac device were not eligible for this study.
- Patient with advanced renal disorder (Serum creatinine levels ≥ 2 mg/dL and BUN ≥ 25 mg/dL).
- Patient with advanced hepatic disorder (AST or ALT level ≥ 100 IU/L)
- Patient with CK level > 5 × ULRR at any time point between Visit 1 and Visit 2.
- Patient with poorly controlled diabetes mellitus (HbA1c > 9.0%) or patient with severe hypertension (> 180 mmHg for systolic or > 120 mmHg in diastolic blood pressure).
- Patient with hypothyroidism, hereditary muscular disorders, family history of the above or history of drug-induced myopathy.
- Patient has significant alcohol consumption (> 65 mL pure alcohol) within 48 hours before Visit 2.
- Any major surgery within 3 months prior to Visit 2.
- Female patient who is lactating, being pregnant or plans to become pregnant.
- Patient with conditions judged by the investigator as unsuitable for the study.
Sites / Locations
- Changhua Christian Hospital
- National Cheng Kung University Hospital
- Chang Gung Memorial Hospital-LinKou
- National Taiwan University Hospital
- Taipei Veterans General Hospital
- Tri-Service General Hospital
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Pitavastatin
Atorvastatin
Arm Description
Outcomes
Primary Outcome Measures
The change of LDL-C
Secondary Outcome Measures
The proportion of patients achieving LDL-C < 100 mg/dL; the changes of HDL-C, TG, non-HDL-C, Apo A1 and Apo B, fasting plasma glucose, fasting insulin level, insulin resistance by the HOMA-IR, HbA1c, free fatty acid, and ADMA
Full Information
NCT ID
NCT01386853
First Posted
June 29, 2011
Last Updated
June 30, 2011
Sponsor
Tai Tien Pharmaceuticals Co., Ltd.
1. Study Identification
Unique Protocol Identification Number
NCT01386853
Brief Title
Efficacy and Safety Study of Pitavastatin and Atorvastatin in High Risk Hypercholesterolemic Patients
Official Title
A 12-week, Randomized, Multicenter, Double-blind, Active-controlled, Non-inferiority Study to Compare the Efficacy and Safety of Pitavastatin and Atorvastatin in High Risk Hypercholesterolemic Patients
Study Type
Interventional
2. Study Status
Record Verification Date
June 2011
Overall Recruitment Status
Unknown status
Study Start Date
July 2011 (undefined)
Primary Completion Date
March 2012 (Anticipated)
Study Completion Date
July 2012 (Anticipated)
3. Sponsor/Collaborators
Name of the Sponsor
Tai Tien Pharmaceuticals Co., Ltd.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a 12-week, randomized, multicenter, double-blind, active-controlled, non-inferiority study (TATPITA20101005) to compare the efficacy and safety of pitavastatin (Livalo®) and atorvastatin (Lipitor®) in high risk hypercholesterolemic patients.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hyperlipidemia
Keywords
Hyperlipidemia, Pitavastatin, Atorvastatin
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
200 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Pitavastatin
Arm Type
Experimental
Arm Title
Atorvastatin
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
Pitavastatin
Other Intervention Name(s)
Livalo
Intervention Description
2 mg QD
Intervention Type
Drug
Intervention Name(s)
Atorvastatin
Other Intervention Name(s)
Lipitor
Intervention Description
10 mg QD
Primary Outcome Measure Information:
Title
The change of LDL-C
Time Frame
Baseline to 12 weeks
Secondary Outcome Measure Information:
Title
The proportion of patients achieving LDL-C < 100 mg/dL; the changes of HDL-C, TG, non-HDL-C, Apo A1 and Apo B, fasting plasma glucose, fasting insulin level, insulin resistance by the HOMA-IR, HbA1c, free fatty acid, and ADMA
Time Frame
Baseline to 4 weeks and 12 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patient aged ≥ 20 years old and < 75 years old.
Patient who was eligible and able to participate in the study and accepts to enter the study by signing written informed consent.
Patient with fasting LDL-C > 100 mg/dL. The concentration of LDL-C is obtained from laboratory examination.
Patient with at least one of the following description (NCEP ATP III guideline).
Female patient with child-bearing potential must take reliable contraception method(s) during the participation of the study.
Exclusion Criteria:
Patient who has participated in other investigational studies within 3 months.
Patient took medication and natural health foods known to alter blood lipid profiles within 4 weeks.
Patient is taking any medication or food that is prohibited by the study.
Patient taking Amiodarone will be excluded from this study (due to long half life of this medication).
Patient is diagnosed with type 1 DM or has been using insulin/insulin analog medication.
Patient with a history of multiple drug allergies or with a known allergy to HMG-CoA reductase inhibitors.
Patient with TG > 400 mg/dL.
Excessive obesity defined as BMI above 35 kg/m2.
Cerebral vascular disease (including cerebrovascular hemorrhage or ischemia, transient ischemic attack) diagnosed within 3 months.
Myocardial infarction, heart failure (NYHA class III or IV), gross cardiac enlargement (cardiothoracic ratio > 0.5), significant heart block or cardiac arrhythmias within 3 months; history of uncontrolled complex ventricular arrhythmias, uncontrolled atrial fibrillation/flutter or uncontrolled supraventricular tachycardia, pacemaker or implantable cardiac device were not eligible for this study.
Patient with advanced renal disorder (Serum creatinine levels ≥ 2 mg/dL and BUN ≥ 25 mg/dL).
Patient with advanced hepatic disorder (AST or ALT level ≥ 100 IU/L)
Patient with CK level > 5 × ULRR at any time point between Visit 1 and Visit 2.
Patient with poorly controlled diabetes mellitus (HbA1c > 9.0%) or patient with severe hypertension (> 180 mmHg for systolic or > 120 mmHg in diastolic blood pressure).
Patient with hypothyroidism, hereditary muscular disorders, family history of the above or history of drug-induced myopathy.
Patient has significant alcohol consumption (> 65 mL pure alcohol) within 48 hours before Visit 2.
Any major surgery within 3 months prior to Visit 2.
Female patient who is lactating, being pregnant or plans to become pregnant.
Patient with conditions judged by the investigator as unsuitable for the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jasmine Chao
Phone
+886-27423012
Email
jasmine@tanabe.com.tw
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jaw-Wen Chen, M.D. Ph.D.
Organizational Affiliation
Taipei Veterans General Hospital, Taipei, Taiwan
Official's Role
Principal Investigator
Facility Information:
Facility Name
Changhua Christian Hospital
City
Chang-hua
Country
Taiwan
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Chien-Hsun Hsia, M.D.
First Name & Middle Initial & Last Name & Degree
Lee-Shin Lin, M.D.
Facility Name
National Cheng Kung University Hospital
City
Tainan
Country
Taiwan
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ping-Yen Liu, M.D. Ph.D.
First Name & Middle Initial & Last Name & Degree
Po-Sheng Chen, M.D.
First Name & Middle Initial & Last Name & Degree
Ju-Yi Chen, M.D.
First Name & Middle Initial & Last Name & Degree
Wei-Ting Li, M.D.
First Name & Middle Initial & Last Name & Degree
Yen-Wen Liu, M.D.
First Name & Middle Initial & Last Name & Degree
Cheng-Han Lee, M.D.
First Name & Middle Initial & Last Name & Degree
Wei-Chuan Tsai, M.D.
First Name & Middle Initial & Last Name & Degree
Yi-Heng Li, M.D.
First Name & Middle Initial & Last Name & Degree
Chih-Chan Lin, M.D.
First Name & Middle Initial & Last Name & Degree
Shih-Hung Chan, M.D.
First Name & Middle Initial & Last Name & Degree
Ting-Hsing Chao, M.D.
Facility Name
Chang Gung Memorial Hospital-LinKou
City
Taipei
Country
Taiwan
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ming-Shien Wen, M.D. Ph.D.
First Name & Middle Initial & Last Name & Degree
Kuo-Chun Hung, M.D.
First Name & Middle Initial & Last Name & Degree
I-Chang Hsieh, M.D.
First Name & Middle Initial & Last Name & Degree
Chao-Yung Wang, M.D.
First Name & Middle Initial & Last Name & Degree
Chun-Chi Chen, M.D.
Facility Name
National Taiwan University Hospital
City
Taipei
Country
Taiwan
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Kuo-Liong Chien, M.D. Ph.D.
First Name & Middle Initial & Last Name & Degree
Chia-Lun Chao, M.D.
First Name & Middle Initial & Last Name & Degree
Ta-Chen Su, M.D. Ph.D.
First Name & Middle Initial & Last Name & Degree
Hung-Ju Lin, M.D.
Facility Name
Taipei Veterans General Hospital
City
Taipei
Country
Taiwan
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Tao-Cheng Wu, M.D. Ph.D.
First Name & Middle Initial & Last Name & Degree
Chin-Chou Huang, M.D.
First Name & Middle Initial & Last Name & Degree
Liang-Yu Lin, M.D.
First Name & Middle Initial & Last Name & Degree
Wen-Chung Yu, M.D.
Facility Name
Tri-Service General Hospital
City
Taipei
Country
Taiwan
12. IPD Sharing Statement
Citations:
PubMed Identifier
25027585
Citation
Lin LY, Huang CC, Chen JS, Wu TC, Leu HB, Huang PH, Chang TT, Lin SJ, Chen JW. Effects of pitavastatin versus atorvastatin on the peripheral endothelial progenitor cells and vascular endothelial growth factor in high-risk patients: a pilot prospective, double-blind, randomized study. Cardiovasc Diabetol. 2014 Jul 16;13:111. doi: 10.1186/s12933-014-0111-1.
Results Reference
derived
PubMed Identifier
24098467
Citation
Liu PY, Lin LY, Lin HJ, Hsia CH, Hung YR, Yeh HI, Wu TC, Chen JY, Chien KL, Chen JW. Pitavastatin and Atorvastatin double-blind randomized comPArative study among hiGh-risk patients, including thOse with Type 2 diabetes mellitus, in Taiwan (PAPAGO-T Study). PLoS One. 2013 Oct 1;8(10):e76298. doi: 10.1371/journal.pone.0076298. eCollection 2013. Erratum In: PLoS One. 2014;9(11):e114175.
Results Reference
derived
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Efficacy and Safety Study of Pitavastatin and Atorvastatin in High Risk Hypercholesterolemic Patients
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