200 consecutive patients with PAD and low serum HDL cholesterol levels (<45mg/dL in men, <55 mg/dL in women) will be enrolled in this single-center prospective randomized controlled open-label trial.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 200 consecutive patients with PAD and low serum HDL cholesterol levels (1.3 in patients with low serum HDL cholesterol levels (=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Exclusion criteria include elevated liver enzymes (above 2 times the normal level), skeletal muscle myopathy or elevated serum CK levels, and allergy or hypersensibility to either statins or nicotinic acid.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: We hypothesized that nicotinic acid in addition to statin therapy may inhibit progression of peripheral arterial atherosclerosis. Therefore, the aim of the present randomized controlled trial is to investigate the effects of nicotinic acid (daily dose starting with 500 mg, up to 2000mg) in addition to simvastatin (40 mg daily) vs. simvastatin (40mg daily) monotherapy in patients with low serum HDL-C levels and PAD with respect to changes of carotid and femoral IMT.;Secondary Objective: We also investigated changes of patients´ lipid status and occurrence of major adverse cardiovascular events (MACE).;Primary end point(s): STUDY ENDPOINTS. The primary morphological study endpoint is the change of carotid and femoral IMT from baseline to 6 and 12 months follow up. Primary clinical endpoint is the occurrence of major adverse cardiovascular events (MACE) including myocardial infarction, percutaneous coronary interventions, coronary artery bypass surgery, stroke, amputations, occurrence of critical limb ischemia and death. | — |
Countries
Austria