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Atorvastatin Plus Ezetimibe on Coronary Plaque Progression

Same Lipid Lowering by Atorvastatin Versus Atorvastatin Plus Ezetimibe on Coronary Plaque Progression

Status
UNKNOWN
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01086020
Acronym
AEPP
Enrollment
400
Registered
2010-03-12
Start date
2010-01-31
Completion date
2012-12-31
Last updated
2011-04-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Coronary Artery Disease

Keywords

IVUS, coronary plaque, regression

Brief summary

Atherosclerosis is a progressive disease. Lipid lowering therapy was the standard treatment for patients with coronary artery disease. Studies indicated that coronary artery plaque progression had positive relationship with the plasma cholesterol level, and could be halted or reversed by intensive statin therapy (such as 20-40 mg/d atorvastatin). Ezetimibe plus statin could further lowered blood cholesterol level. Here the investigators hypothesize that same cholesterol lowering level by routing dose of atorvastatin or lower dose of atorvastatin plus ezetimibe could achieve the same effect on coronary artery plaque cessation or regression.

Interventions

DRUGatorvastatin

Patients admitted with 20-70% coronary artery plaque identified by angiography will be treated with atorvastatin 10mg/d for two years

DRUGatorvastatin plus ezetimibe

Patients admitted with 20-70% coronary artery plaque identified by angiography will be treated with atorvastatin 5mg/d and Ezetimibe 5mg/d for two years

Sponsors

Shanghai Jiao Tong University School of Medicine
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* Willing to receive the coronary angiography and potential PCI therapy

Exclusion criteria

* Patients was treated by statins before randomization * Patient with ≤ 20% and ≥ 70% coronary narrowing and target lesion * ST elevation myocardial infarction less than 7 days * Without informed consent * Abnormal liver function before randomization, (AST, ALT ≥ULN) * Active hepatitis or muscular disease * Impaired renal function with serum creatinine level \> 3mg/dl * Impaired left ventricular function with LVEF \> 30% * Participate in other studies

Design outcomes

Primary

MeasureTime frameDescription
change of coronary artery plaque volume1 yearThe primary endpoint was the change of coronary artery plaque volume measured by intravascular ultrasound (IVUS) at one year after randomization.

Secondary

MeasureTime frameDescription
composite of adverse cardiac events2 yearsThe secondary endpoint was the composite of adverse cardiac events (MACE), including cardiac death, non-fatal infarction and target vessel revascularization at two years after randomization.

Countries

China

Contacts

Primary ContactRuiyan Zhang, MD
zhangruiyan@263.net862164370045
Backup Contactxin Chen, MD
862164370045

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026