Hyperlipidemia, Hyperlipoproteinemia Type IIb, Hyperlipoproteinemia Type IV, Hyperlipoproteinemia Type V, Hypertriglyceridemia
Conditions
Keywords
Triglycerides, hypertriglyceridemia, statins, rosuvastatin, hyperlipoproteinemia, Fredrickson Type IIb or IV
Brief summary
The primary purpose of this trial is to determine if the treatment with rosuvastatin 10 and 20mg/day during 8 weeks in hypertriglyceridemic patients will reduce their triglyceride levels.
Interventions
10mg or 20mg
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients older than 18 years, both genders, without any previous treatment with statins or other lipid lowering drugs for at least 6 months * With elevated triglycerides above 200 and below 800mg/dl and willing to follow all study procedures including assisting to clinics, fasting before blood samples and signing a written consent
Exclusion criteria
* High levels of low-density lipoprotein cholesterol (LDL-C) * Unstable cardiovascular condition or awaiting a myocardial revascularization * Congestive cardiac failure * Uncontrolled diabetes * Cancer * Uncontrolled hypothyroidism * Familial hypercholesterolemia * Liver/muscle disease * Pregnancy * Other
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change (Reduction) in Triglycerides Levels From Baseline to End of Treatment (Week 8) | 8 weeks | Reduction from baseline to end of study |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| LDL-C Reduction | 8 weeks | Reduction from baseline to end of study |
| Total Cholesterol Reduction | 8 weeks | Reduction from baseline to end of study |
| HDL-C Increase | 8 weeks | Increase from baseline to end of study |
| Non-HDL-C Reduction | 8 weeks | Reduction from baseline to end of study |
| hsCRP Reduction | 8 weeks | Reduction from baseline to end of study |
| Adverse Events Reported | 8 weeks | Number of participants with AEs and SAEs reported |
| ApoB Levels | 8 weeks | Change in the levels from baseline to end of study |
| ApoA1 Levels | 8 weeks | Change in the levels from baseline to end of study |
Countries
Mexico
Participant flow
Recruitment details
All participants where outpatients recruited from clinical centers. Recruitment began on August 2007 and ends on October 2008
Pre-assignment details
Participants with informed consent signed, and all inclusion criteria with no exclusion criteria, entered the lead in period, where they received a low fat diet. After 4 weeks if they still had TGs above 200 mg/dl they entered the randomization phase.
Participants by arm
| Arm | Count |
|---|---|
| Rosuvastatin 10 mg Rosuvastatin 10 mg | 111 |
| Rosuvastatin 20 mg Rosuvastatin 20 mg | 112 |
| Placebo Placebo | 111 |
| Total | 334 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 |
|---|---|---|---|---|
| Overall Study | Lost to Follow-up | 9 | 5 | 8 |
Baseline characteristics
| Characteristic | Rosuvastatin 10 mg | Rosuvastatin 20 mg | Placebo | Total |
|---|---|---|---|---|
| Age Continuous Age | 52.57 Years STANDARD_DEVIATION 12.77 | 53.14 Years STANDARD_DEVIATION 12 | 51.48 Years STANDARD_DEVIATION 13.47 | 52.4 Years STANDARD_DEVIATION 12.74 |
| Arterial Hypertension Arterial Hypertension | 36 Participants | 35 Participants | 34 Participants | 105 Participants |
| Body mass index continuous Body mass index | 30.72 Kg/m2 STANDARD_DEVIATION 5.11 | 29.77 Kg/m2 STANDARD_DEVIATION 4.04 | 30.36 Kg/m2 STANDARD_DEVIATION 4.9 | 30.28 Kg/m2 STANDARD_DEVIATION 4.71 |
| Diabetes mellitus Diabetes mellitus | 12 Participants | 16 Participants | 13 Participants | 41 Participants |
| HDL-C levels, continuous HDL-C | 33.50 mg/dL STANDARD_DEVIATION 7.52 | 34.05 mg/dL STANDARD_DEVIATION 6.88 | 32.30 mg/dL STANDARD_DEVIATION 6.49 | 33.28 mg/dL STANDARD_DEVIATION 6.99 |
| LDL-C, continuous LDL-C | 129.24 mg/dL STANDARD_DEVIATION 28.23 | 130.51 mg/dL STANDARD_DEVIATION 29.19 | 129.77 mg/dL STANDARD_DEVIATION 31.1 | 129.84 mg/dL STANDARD_DEVIATION 29.45 |
| Sex: Female, Male Female | 52 Participants | 67 Participants | 54 Participants | 173 Participants |
| Sex: Female, Male Male | 59 Participants | 45 Participants | 57 Participants | 161 Participants |
| TG levels, continuous Tg levels | 319.51 mg/dL STANDARD_DEVIATION 131.95 | 296.78 mg/dL STANDARD_DEVIATION 95.19 | 309.46 mg/dL STANDARD_DEVIATION 99.55 | 308.25 mg/dL STANDARD_DEVIATION 110.22 |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — |
| other Total, other adverse events | 9 / 111 | 12 / 112 | 12 / 111 |
| serious Total, serious adverse events | 1 / 111 | 0 / 112 | 0 / 111 |
Outcome results
Change (Reduction) in Triglycerides Levels From Baseline to End of Treatment (Week 8)
Reduction from baseline to end of study
Time frame: 8 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Rosuvastatin 10 mg | Change (Reduction) in Triglycerides Levels From Baseline to End of Treatment (Week 8) | 67.95 mg/dL | Standard Deviation 128.46 |
| Rosuvastatin 20 mg | Change (Reduction) in Triglycerides Levels From Baseline to End of Treatment (Week 8) | 78.61 mg/dL | Standard Deviation 121.51 |
| Placebo | Change (Reduction) in Triglycerides Levels From Baseline to End of Treatment (Week 8) | 22.31 mg/dL | Standard Deviation 120.54 |
Adverse Events Reported
Number of participants with AEs and SAEs reported
Time frame: 8 weeks
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Rosuvastatin 10 mg | Adverse Events Reported | 27 Participants |
| Rosuvastatin 20 mg | Adverse Events Reported | 29 Participants |
| Placebo | Adverse Events Reported | 20 Participants |
ApoA1 Levels
Change in the levels from baseline to end of study
Time frame: 8 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Rosuvastatin 10 mg | ApoA1 Levels | 4.66 mg/dl | Standard Deviation 23.38 |
| Rosuvastatin 20 mg | ApoA1 Levels | 6.79 mg/dl | Standard Deviation 18.6 |
| Placebo | ApoA1 Levels | 2.65 mg/dl | Standard Deviation 19.4 |
ApoB Levels
Change in the levels from baseline to end of study
Time frame: 8 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Rosuvastatin 10 mg | ApoB Levels | -27.05 mg/dl | Standard Deviation 26.92 |
| Rosuvastatin 20 mg | ApoB Levels | -36.81 mg/dl | Standard Deviation 23.51 |
| Placebo | ApoB Levels | 1.43 mg/dl | Standard Deviation 26.03 |
HDL-C Increase
Increase from baseline to end of study
Time frame: 8 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Rosuvastatin 10 mg | HDL-C Increase | 3.49 mg/dL | Standard Deviation 7.16 |
| Rosuvastatin 20 mg | HDL-C Increase | 2.49 mg/dL | Standard Deviation 5.78 |
| Placebo | HDL-C Increase | 1.95 mg/dL | Standard Deviation 7.42 |
hsCRP Reduction
Reduction from baseline to end of study
Time frame: 8 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Rosuvastatin 10 mg | hsCRP Reduction | 0.19 mg/L | Standard Deviation 1.16 |
| Rosuvastatin 20 mg | hsCRP Reduction | 0.11 mg/L | Standard Deviation 0.35 |
| Placebo | hsCRP Reduction | -0.01 mg/L | Standard Deviation 1 |
LDL-C Reduction
Reduction from baseline to end of study
Time frame: 8 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Rosuvastatin 10 mg | LDL-C Reduction | 42.23 mg/dL | Standard Deviation 28.58 |
| Rosuvastatin 20 mg | LDL-C Reduction | 53.22 mg/dL | Standard Deviation 32.8 |
| Placebo | LDL-C Reduction | -2.66 mg/dL | Standard Deviation 28.78 |
Non-HDL-C Reduction
Reduction from baseline to end of study
Time frame: 8 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Rosuvastatin 10 mg | Non-HDL-C Reduction | 52.76 mg/dL | Standard Deviation 48.08 |
| Rosuvastatin 20 mg | Non-HDL-C Reduction | 61.31 mg/dL | Standard Deviation 46.63 |
| Placebo | Non-HDL-C Reduction | 1.06 mg/dL | Standard Deviation 37.41 |
Total Cholesterol Reduction
Reduction from baseline to end of study
Time frame: 8 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Rosuvastatin 10 mg | Total Cholesterol Reduction | 49.73 mg/dL | Standard Deviation 41.13 |
| Rosuvastatin 20 mg | Total Cholesterol Reduction | 63.32 mg/dL | Standard Deviation 42.97 |
| Placebo | Total Cholesterol Reduction | -1.44 mg/dL | Standard Deviation 34.98 |