Statin Myopathy
Conditions
Brief summary
This study consists of a series of prospective, randomized placebo-controlled n of 1 trials to objectively evaluate the reproducibility of subjective and objective symptoms among patients with a history of statin-related myopathy.
Interventions
Individual-specific statin causing myopathy vs. placebo
Placebo
Sponsors
Study design
Eligibility
Inclusion criteria
* history of muscle symptoms occuring within 3 weeks of starting a statin * need for statin therapy to achieve LDL target according to the 2009 Canadian Lipid Guidelines * willingness to re-try statin therapy
Exclusion criteria
* currently tolerant of statin therapy * metabolic or inflammatory myopathy * known neuropathy * CK elevation \>3 times upper limit of normal (ULN) previously on a statin or history of rhabdomyolysis * pregnant, breastfeeding, or wanting to become pregnant in the near future * participation in another clinical trial * other medical condition associated with decreased life span * inability to adhere to stringent regimen * unwilling to stop consumption of grapefruit juice Subset of 5 patients also completing neuromuscular testing: Inclusion Criteria: \- same as above
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the reliability and reproducibility of subjective symptoms of myalgias to active statin therapy. | Duration of study September 2010 to August 2013 |
Secondary
| Measure | Time frame |
|---|---|
| To delineate the relation of objective changes in non-invasive neuromuscular testing to subjective symptoms during the first exposure to active or placebo therapy, in subset of 5 patients with prior history of statin myopathy. | September 2010 to August 2013 |
Countries
Canada