| - candidate number | 2439 |
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| - NTR Number | NTR882 |
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| - ISRCTN | ISRCTN wordt niet meer aangevraagd |
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| - Date ISRCTN created | |
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| - date ISRCTN requested | 7-feb-2007 |
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| - Date Registered NTR | 29-jan-2007 |
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| - Secondary IDs | NTR288, ISRCTN51822988 |
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| - Public Title | A double blind placebo controlled study on the effect of cerivastatin on the process of atherosclerosis in non-insulin dependent diabetes mellitus (type 2). |
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| - Scientific Title | A double blind placebo controlled study on the effect of cerivastatin on the process of atherosclerosis in non-insulin dependent diabetes mellitus (type 2). |
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| - ACRONYM | N/A |
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| - hypothesis | To assess the effect of statin therapy on the process of atherosclerosis in type 2 diabetes without manifest cardiovascular disease. |
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| - Healt Condition(s) or Problem(s) studied | Diabetes Mellitus type 2 (DM type II) |
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| - Inclusion criteria | 1. Patients with type 2 diabetes for at least 1 year;
2. Age 30-80 years;
3. Written informed consent;
4. With no prior cardiovascular disease;
5. Total cholesterol 4.0-6.9 mmol/l
triglycerides < 6.0 mmol/l. |
|
| - Exclusion criteria | 1. Prior cardiovascular disease;
2. current/recent use of lipid lowering drugs;
3. Impaired renal function (<30 ml/min);
4. CK values > 3 ULN;
5. Uncontrolled thyroid disease;
6. Liver disease or ALAT > 2 ULN;
7. Inadequate contraception, pregnancy or lactation;
8. Life expectancy <2 years. |
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| - mec approval received | yes |
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| - multicenter trial | no |
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| - randomised | yes |
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| - masking/blinding | Double |
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| - control | Placebo |
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| - group | Parallel |
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| - Type | 2 or more arms, randomized |
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| - Studytype | intervention |
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| - planned startdate | 25-aug-1999 |
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| - planned closingdate | 31-mrt-2003 |
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| - Target number of participants | 250 |
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| - Interventions | Cerivastatin 0.4 mg (Bayer BV, Mijdrecht, the Netherlands) daily or placebo for 2 years.
After the withdrawal of cerivastatin from the market, 0.4 mg cerivastatin was replaced by 20 mg simvastatin (Merck, Sharp and Dome, Haarlem, the Netherlands), without deblinding the study. |
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| - Primary outcome | Change from baseline in mean intima-media thickness (IMT) of the common carotid artery. |
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| - Secondary outcome | Changes in:
1. Mean IMT of the carotid bifurcation, internal carotid artery, common femoral artery and superficial femoral artery;
2. Distensibility of the common carotid artery;
3. Flow mediated vasodilation (FMD) of the brachial artery as a parameter for endothelial function;
4. 48 ambulatory ECG as a parameter for silent myocardial ischemia;
5. -hs-CRP and other blood parameters for vascular inflammation, hemostatis, fibrinolysis, platelet activation, endothelial function. |
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| - Timepoints | N/A |
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| - Trial web site | N/A |
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| - status | stopped: trial finished |
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| - CONTACT FOR PUBLIC QUERIES | E.D. Beishuizen |
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| - CONTACT for SCIENTIFIC QUERIES | MD. PhD. M.V. Huisman |
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| - Sponsor/Initiator | Leiden University Medical Center (LUMC), Department of Internal Medicine |
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- Funding
(Source(s) of Monetary or Material Support) | Bayer, NL, Leiden University Medical Center (LUMC), Department of Internal Medicine, Merck, Sharp and Dome (Haarlem, the Netherlands) |
|
| - Publications | 1. Beishuizen et al:Two-year statin therapy does not alter the progression of Intima-media thickness in patients with type 2 diabetes without manifest cardiovascular disease.Diabetes Care 27:2887-2892, 2004;
2. Beishuizen et al: The effect of statin therapy on endothelial function in type 2 diabetes without manifest cardiovascular disease.Diabetes Care 28:1668-1674, 2005;
3. Beishuizen et al: No effect of statin therapy on silent myocardial ischemia in patients with type 2 diabetes without manifest cardiovascular disease.
Diabetes Care 28: 1675-1679,2005;
4. Ray et al:Vascular phenotype and subclinical inflammation in diabetic Asian Indians without overt cardiovascular disease
Diab.Res.Clin.Pract. (2006),doi:10.1016/j.diabres.2006.09.021. |
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| - Brief summary | The goal of the trial was to study the effect of statin therapy on vascular parameters for atherosclerosis in type 2 diabetes without manifest cardiovascular disease.
250 patients received statin therapy (cerivastatin 0.4 mg, later simvastatin 20 mg) or placebo for 2 years in this double blind placebo controlled trial. Endpoints were IMT,FMD, distensibility, 48 hour AECG and laboratory parameters. |
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| - Main changes (audit trail) | |
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|
| - RECORD | 29-jan-2007 - 4-jun-2008 |