Hypertriglyceridemia
Conditions
Keywords
hypertriglyceridemia, omega-3 acid ethyl esters, high-density lipoproteins, fish oil
Brief summary
Study hypothesis: Lovaza (purified prescription fish oil) is likely to help HDL (the good cholesterol) work better. Study summary: We are testing effects of Lovaza versus placebo, on various aspects of HDL and other lipoproteins, in patients with high triglyceride levels. Study funding: This study is being funded by an investigator-initiated research grant from Glaxo Smith Kline.
Interventions
1g capsules, 4 capsules po daily
Placebo matching active lovaza, 1 g capsules, 4 capsules po daily
Sponsors
Study design
Eligibility
Inclusion criteria
* Fasting TG 500-2000 mg/dL (off of TG-lowering medications-see below) * Age 35-75 years
Exclusion criteria
* Use of Lovaza (2g/d or more) or high-dose dietary supplement omega-3 oil (4g/d or more) in the past 2 months * Use of lipid therapy (statin, ezetimibe, fibrate, BAS, or niacin at therapeutic dose, 1g/d or higher) in the past 3 weeks (washout of prior therapy permitted) * Anticipated need to change type or dose of BP medicine (all types allowed), of lipid-active diabetes medication (thiazolidinedione), of oral estrogen (BCP or HRT), or glucocorticoid during the study (16 + 2 weeks = 18 weeks total) * Excess ethanol consumption (regular intake \>4 drinks/d, or binges of \>8 drinks at once for men, half these levels for women) * Poorly controlled diabetes mellitus (A1c \>9%) * History of acute or chronic pancreatitis * Use of exenatide (Byetta) or sitagliptin (Januvia), medications believed to increase the risk of acute pancreatitis * History of significant unexplained or uncontrolled bleeding or bruising * Poorly controlled blood pressure (\>140/90mmHg, with or without treatment) * Poorly controlled thyroid disease (TSH outside of normal range) * Hepatic disease (ALT \> 2.5x ULN, Dx of hepatitis or cirrhosis) * Any contraindication or prior adverse reaction to Lovaza * Active cancer (except basal cell or squamous cell skin cancer) * Pregnancy, plan/desire to become pregnant, breast feeding * Inability or unwillingness to provide informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| HDL Composition | 12 weeks | HDL composition (protein and lipid) by size (gel filtration column) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| HDL cholesterol composition by density subfraction | 12 weeks | HDL composition by density gradient ultracentrifugation |
| Safety | 12 weeks | Transaminases and glucose levels |
Countries
United States