Hypercholesterolemia
Conditions
Brief summary
To collect lipid-lowering response data with the use of simvastatin 40 mg tablet in patients with hypercholesterolemia.
Detailed description
This is an open-label, prospective study to investigate lipid-lowering efficacy and sympathetic response of normotensive hypercholesterolemia patients after receiving simvastatin 40 mg once daily for 3 months. The total duration of the study will be approximately 13 weeks, comprising of a 1-week (or 4 weeks?) screening period and a 12-week active treatment period. 20 hypercholesterolemia patients with normal blood pressure will be enrolled into treatment group.
Interventions
Duration of Treatment: 12 Weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female patient, \>18 years of age * Patients with hypercholesterolemia who meet the following lipid criteria: 1. primary cholesterolemia: total cholesterol\>=240 mg/dl or ldl-c \>= 160 mg/dl 2. secondary cholesterolemia (patients with cad, dm): ldl-c\>=130 mg/dl * The patient is willing to follow an NCEP therapeutic lifestyle changes (tlc) or similar cholesterol-lowering diet throughout the duration of the study
Exclusion criteria
* Congestive heart failure (NYHA class III or IV), uncontrolled cardiac arrhythmia, unstable angina * Hypertension (based on the atp 3 guidelines) * Taking potent lipid-lowering agents * Unstable diabetes (hba1c \>9%) or newly diagnosed (within 3 months), or a change in anti-diabetes medications within 3 months of screening
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total cholesterol, ldl-c, hdl-c, and triglycerides | after 12 weeks treatment |
Secondary
| Measure | Time frame |
|---|---|
| Pulse wave velocity | after 12 weeks |
| Baroreflex sensitivity | after 12 weeks treatment |
| Serum nitrite, nitrate and urine c-gmp levels after 12 weeks treatment | after 12 weeks treatment |