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The Impact of Rosuvastatin on the Density Score of Coronary Artery Calcification in CAD Patients With Diabetes Mellitus

Primary Purpose

Coronary Artery Disease

Status
Unknown status
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
rosuvastatin
Sponsored by
Sir Run Run Shaw Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Coronary Artery Disease

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Provision of informed consent prior to any study specific procedures
  2. Male and female adults aged 18-70 years old
  3. CHD patients without stent implantation determined by coronary angiography or coronary CT examination;
  4. Combined with type 2 diabetes: HbA1c≥6.5%, FPG≥7.0mmol/L, 2h blood glucose≥11.1mmol/L
  5. Patients who confirmed CAC(Agatston score ≥50,measured by 64 row spiral CT6)

Exclusion Criteria:

  1. CHD Patients plan to recieve coronary stenting implantation or coronary artery bypass grafting;
  2. Patients combined with severe pulmonary, liver and kidney dysfunction
  3. Classed as III-IV grade of New York Heart Association functional
  4. Pregnancy test was positive,lactation woman and in women of child-bearing potential not using appropriate contraceptive measures.
  5. Life expectancy within 24 months or less
  6. Patients combined valvular heart disease and cardiomyopathy
  7. Patients combined cancer
  8. Patients with atrial fibrillation
  9. Patients who is allergic to statins
  10. Patients with myopathy
  11. Patients with active liver disease

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Other

    Arm Label

    CAD+DM

    Arm Description

    Using self controlled study to validate the hypothesis that the treatment of rosuvastatin could increase the score of CAC density in CAD patients with diabetes mellitus.

    Outcomes

    Primary Outcome Measures

    the Density Score of Coronary Artery Calcification in CAD patients with Diabetes Mellitus

    Secondary Outcome Measures

    the level of serum sclerostin in CAD patients with diabetes mellitus
    the volume score of CAC in CAD patients with diabetes mellitus

    Full Information

    First Posted
    March 30, 2015
    Last Updated
    April 13, 2015
    Sponsor
    Sir Run Run Shaw Hospital
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02418884
    Brief Title
    The Impact of Rosuvastatin on the Density Score of Coronary Artery Calcification in CAD Patients With Diabetes Mellitus
    Official Title
    The Impact of Rosuvastatin on the Density Score of Coronary Artery Calcification in CAD Patients With Diabetes Mellitus
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2015
    Overall Recruitment Status
    Unknown status
    Study Start Date
    April 2015 (undefined)
    Primary Completion Date
    March 2018 (Anticipated)
    Study Completion Date
    March 2018 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Sir Run Run Shaw Hospital

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    This study is designed to validate the hypothesis that the treatment of rosuvastatin could increase the score of Calcification of Coronary artery(CAC) density in coronary artery disease(CAD) patients with diabetes mellitus.CAD patients with diabetes who confirmed CAC will receive rosuvastatin (20mg/d) therapy for 24 months.
    Detailed Description
    Calcification of atherosclerotic plaque is a complicated and organic active process, which is one of the main pathologic features of atherosclerosis. Widely coverage of CAC is correlated with the greater likelihood of coronary events.With the increasing density of CAC, the risk of cardiovascular disease (CVD) declines.Some studies showed that the calcified plaque in stable CHD is denser. Statins are widely used in the treatment of atherosclerotic cardiovascular disease. Treatment of statins may increase the density score of CAC, thus, promote the unstable atherosclerotic plaque to the stable plaque.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 4
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    122 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    CAD+DM
    Arm Type
    Other
    Arm Description
    Using self controlled study to validate the hypothesis that the treatment of rosuvastatin could increase the score of CAC density in CAD patients with diabetes mellitus.
    Intervention Type
    Drug
    Intervention Name(s)
    rosuvastatin
    Other Intervention Name(s)
    Crestor
    Intervention Description
    CAD patients with diabetes who confirmed CAC will receive rosuvastatin (20mg/d) therapy for 24 months.
    Primary Outcome Measure Information:
    Title
    the Density Score of Coronary Artery Calcification in CAD patients with Diabetes Mellitus
    Time Frame
    24 months
    Secondary Outcome Measure Information:
    Title
    the level of serum sclerostin in CAD patients with diabetes mellitus
    Time Frame
    24months
    Title
    the volume score of CAC in CAD patients with diabetes mellitus
    Time Frame
    24 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    70 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Provision of informed consent prior to any study specific procedures Male and female adults aged 18-70 years old CHD patients without stent implantation determined by coronary angiography or coronary CT examination; Combined with type 2 diabetes: HbA1c≥6.5%, FPG≥7.0mmol/L, 2h blood glucose≥11.1mmol/L Patients who confirmed CAC(Agatston score ≥50,measured by 64 row spiral CT6) Exclusion Criteria: CHD Patients plan to recieve coronary stenting implantation or coronary artery bypass grafting; Patients combined with severe pulmonary, liver and kidney dysfunction Classed as III-IV grade of New York Heart Association functional Pregnancy test was positive,lactation woman and in women of child-bearing potential not using appropriate contraceptive measures. Life expectancy within 24 months or less Patients combined valvular heart disease and cardiomyopathy Patients combined cancer Patients with atrial fibrillation Patients who is allergic to statins Patients with myopathy Patients with active liver disease
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Guosheng Fu, MD/PhD
    Email
    maoyihui_007@163.com
    First Name & Middle Initial & Last Name or Official Title & Degree
    Wenbin Zhang
    Email
    dream_flash_mx@126.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Guosheng Fu, MD/PhD
    Organizational Affiliation
    Sir Run Run Shaw Hospital
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

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    10673250
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    The Impact of Rosuvastatin on the Density Score of Coronary Artery Calcification in CAD Patients With Diabetes Mellitus

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