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Prothrombotic Inflammatory Markers in Women With Metabolic Syndrome - Effect of Atorvastatin

Interactions of Thrombogenic, Lipogenic, and Inflammatory Markers in Women With the Metabolic Syndrome - Effect of Atorvastatin

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01785615
Acronym
PINK
Enrollment
116
Registered
2013-02-07
Start date
2004-11-30
Completion date
2013-05-31
Last updated
2017-06-07

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

Conditions

Metabolic Syndrome

Keywords

metabolic syndrome, atorvastatin, women

Brief summary

Little is known regarding the association of individual components of the metabolic syndrome (MBS) and prothrombotic, inflammatory and preclinical cardiac structural and functional markers in women with this syndrome. Less is known about adequate treatment as the pathological mechanism of this syndrome is not well understood. The purpose of this study is two fold; 1. To determine basic differences in biochemical and cardiovascular structural markers in women with and those without MBS and their association with the individual components of MBS. 2. To determine the impact of atorvastatin to lower the risk factors of Metabolic Syndrome. Atorvastatin is one of the most effective drugs approved by the United States Food and Drug Administration (FDA) for the treatment of high cholesterol. It belongs to a class of drugs called statins and its role in primary prevention is still unclear. Thus this population seems to be an ideal group that may benefit from this intervention.

Detailed description

The first phase of the study is an observational phase as previously described. The second phase was a prospective evaluation of the effect of a well known statin drug (Lipitor) on different biochemical factors measured in the blood. The eligible study participants had blood work done upon enrollment and if criteria was met(according to the Adult Treatment Panel III), they were given dietary counseling (NYHA - New York Heart Association Step 1 diet) as a lead in phase. Lab work was repeated at 3 weeks to evaluate the impact of the diet and if participant's profile still met criteria for MBS,randomization for either atorvastatin (Lipitor) 80mg or placebo (sugar pill) for 12 weeks took place.

Interventions

DRUGAtorvastatin

80mg

OTHERPlacebo

80mg

Sponsors

Pfizer
CollaboratorINDUSTRY
University of Rochester
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 75 Years
Healthy volunteers
Yes

Inclusion criteria

* Women between the ages of 18-75 with Metabolic syndrome * Abdominal circumference \> 35 in * Hypertriglyceridemia \> 150mg/dl * HDL \<50 * Blood Pressure \>130/85 * Fasting Glucose \>100

Exclusion criteria

* Pregnant or planning to become pregnant in the next 6-12 months * Receiving lipid-lowing drugs * Obstructive hepatobiliary disease or serious hepatic disease * Diabetes, cardiovascular disease (CVD), hypothyroidism, active infection, cancer, recent surgery * Fulfill criteria to receive statin based on LDL levels, risk factors, and Framingham risk scoring outlined on ATP111/NCEP 111 recommendations * Documented allergic reaction to statin in past * unexplained elevation in creatinine kinase levels \> 3 times upper limit

Design outcomes

Primary

MeasureTime frameDescription
Mean Myeloperoxidase in Blood6 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.
Mean Low Density Lipoprotein Cholesterol in Blood6 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.
Mean Triglycerides in Blood6 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.
Mean Apolipoprotein B in Blood6 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.
Mean Apolipoprotein B/ Apolipoprotein A1 Ratio in Blood6 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing. The ratio of Apo B to Apo A1 ratio was calculated.
Mean High Sensitivity C-reactive Protein in Blood6 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing. The ratio of Apo B to Apo A1 ratio was calculated
Mean Waist Circumference6 weeksWaist circumference was measured with a ruler tape.
Mean Systolic Blood Pressure6 weeksMeasured with a blood pressure cuff
Mean Diastolic Blood Pressure6 weeksMeasured with a blood pressure cuff
Mean High Density Lipoprotein Cholesterol in Blood6 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.
Mean Fasting Plasma Glucose in Blood6 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.
Mean Aspartate Aminotransferase in Blood6 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.
Mean Alanine Aminotransferase in Blood6 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.
Mean Leptin in Blood6 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.
Mean Soluble Intercellular Adhesion Molecule in Blood6 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.
Mean Soluble Vascular Adhesion Molecule in Blood6 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.
Mean Plasminogen Activator Inhibitor-1 in Blood6 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.

Secondary

MeasureTime frameDescription
Mean Low Density Lipoprotein Cholesterol in Blood0 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.
Mean Triglycerides in Blood0 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.
Mean Myeloperoxidase in Blood0 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.
Mean Fasting Blood Glucose in Blood0 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.
Mean High Density Lipoprotein Cholesterol in Blood0 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.
Mean Intercellular Adhesion Molecule in Blood0 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.
Mean Systolic Blood Pressure0 weeksMeasured with a blood pressure cuff
Mean Diastolic Blood Pressure0 weeksMeasured with a blood pressure cuff
Mean Vascular Adhesion Molecule in Blood0 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.
Mean Apolipoprotein A-1 in Blood0 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.
Mean Apolipoprotein B in Blood0 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.
Mean Apolipoprotein B/ Apolipoprotein A1 Ratio in Blood0 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing. The ratio of Apo B to Apo A1 ratio was calculated.
Mean Hs-C Reactive Protein in Blood0 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.
Mean Leptin in Blood0 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.
Mean Plasminogen Activator Inhibitor-1 in Blood0 weeksApproximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.
Mean Waist Circumferenceweek 0Waist circumference was measured with a ruler tape.

Countries

United States

Participant flow

Recruitment details

Approximately 250 women volunteers were screened and 140 were selected to go on to the first phase of the trial. After a 6-week period of a run in diet phase, 24 did not return to start randomization. Out of 116 women, 6 failed to meet MBS criteria by one ATP III element.

Participants by arm

ArmCount
Atorvastatin
44 women randomized to 80 mg atorvastatin for 6weeks Atorvastatin : 80mg
44
Sugar Pill
44 women randomized to placebo for 6 weeks Placebo : 80mg
44
Healthy Participants35
Total123

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Dietary PhaseLost to Follow-up00024

Baseline characteristics

CharacteristicAtorvastatinSugar PillHealthy ParticipantsTotal
Age, Continuous51 years
STANDARD_DEVIATION 9
52 years
STANDARD_DEVIATION 9
53.7 years
STANDARD_DEVIATION 9
52.1 years
STANDARD_DEVIATION 9
Region of Enrollment
United States
44 participants44 participants35 participants88 participants
Sex: Female, Male
Female
44 Participants44 Participants35 Participants123 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
0 / 440 / 44
serious
Total, serious adverse events
0 / 440 / 44

Outcome results

Primary

Mean Alanine Aminotransferase in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.

Time frame: 6 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Alanine Aminotransferase in Blood21.59 units/LStandard Deviation 9.1
Sugar PillMean Alanine Aminotransferase in Blood23.75 units/LStandard Deviation 9.62
Primary

Mean Apolipoprotein B/ Apolipoprotein A1 Ratio in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing. The ratio of Apo B to Apo A1 ratio was calculated.

Time frame: 6 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Apolipoprotein B/ Apolipoprotein A1 Ratio in Blood0.48 ratioStandard Deviation 0.18
Sugar PillMean Apolipoprotein B/ Apolipoprotein A1 Ratio in Blood0.86 ratioStandard Deviation 0.19
Primary

Mean Apolipoprotein B in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.

Time frame: 6 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Apolipoprotein B in Blood63 mg/dlStandard Deviation 23
Sugar PillMean Apolipoprotein B in Blood110 mg/dlStandard Deviation 23
Primary

Mean Aspartate Aminotransferase in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.

Time frame: 6 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Aspartate Aminotransferase in Blood20.27 units/LStandard Deviation 5.73
Sugar PillMean Aspartate Aminotransferase in Blood21.09 units/LStandard Deviation 7.12
Primary

Mean Diastolic Blood Pressure

Measured with a blood pressure cuff

Time frame: 6 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Diastolic Blood Pressure83.16 mm HgStandard Deviation 8.67
Sugar PillMean Diastolic Blood Pressure81.86 mm HgStandard Deviation 8.14
Primary

Mean Fasting Plasma Glucose in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.

Time frame: 6 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Fasting Plasma Glucose in Blood90 mg/dlStandard Deviation 25.2
Sugar PillMean Fasting Plasma Glucose in Blood93 mg/dlStandard Deviation 16
Primary

Mean High Density Lipoprotein Cholesterol in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.

Time frame: 6 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean High Density Lipoprotein Cholesterol in Blood46.4 mg/dlStandard Deviation 8.96
Sugar PillMean High Density Lipoprotein Cholesterol in Blood44.2 mg/dlStandard Deviation 9.35
Primary

Mean High Sensitivity C-reactive Protein in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing. The ratio of Apo B to Apo A1 ratio was calculated

Time frame: 6 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean High Sensitivity C-reactive Protein in Blood3095 ng/dlStandard Deviation 1778.8
Sugar PillMean High Sensitivity C-reactive Protein in Blood4027 ng/dlStandard Deviation 1583.8
Primary

Mean Leptin in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.

Time frame: 6 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Leptin in Blood43077 pg/mlStandard Deviation 24706.7
Sugar PillMean Leptin in Blood46721.3 pg/mlStandard Deviation 22137.6
Primary

Mean Low Density Lipoprotein Cholesterol in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.

Time frame: 6 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Low Density Lipoprotein Cholesterol in Blood70 mg/dlStandard Deviation 24.8
Sugar PillMean Low Density Lipoprotein Cholesterol in Blood135 mg/dlStandard Deviation 31.4
Primary

Mean Myeloperoxidase in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.

Time frame: 6 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Myeloperoxidase in Blood52.18 ng/mlStandard Deviation 16.1
Sugar PillMean Myeloperoxidase in Blood59.19 ng/mlStandard Deviation 16.56
Primary

Mean Plasminogen Activator Inhibitor-1 in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.

Time frame: 6 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Plasminogen Activator Inhibitor-1 in Blood6.18 ng/mlStandard Deviation 0.93
Sugar PillMean Plasminogen Activator Inhibitor-1 in Blood6.60 ng/mlStandard Deviation 1.03
Primary

Mean Soluble Intercellular Adhesion Molecule in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.

Time frame: 6 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Soluble Intercellular Adhesion Molecule in Blood192 ng/mlStandard Deviation 64
Sugar PillMean Soluble Intercellular Adhesion Molecule in Blood220 ng/mlStandard Deviation 58
Primary

Mean Soluble Vascular Adhesion Molecule in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.

Time frame: 6 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Soluble Vascular Adhesion Molecule in Blood512.9 ng/mlStandard Deviation 121.6
Sugar PillMean Soluble Vascular Adhesion Molecule in Blood534.4 ng/mlStandard Deviation 116
Primary

Mean Systolic Blood Pressure

Measured with a blood pressure cuff

Time frame: 6 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Systolic Blood Pressure130.9 mm HgStandard Deviation 13.03
Sugar PillMean Systolic Blood Pressure130.4 mm HgStandard Deviation 13.3
Primary

Mean Triglycerides in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.

Time frame: 6 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Triglycerides in Blood139 mg/dlStandard Deviation 54.84
Sugar PillMean Triglycerides in Blood185 mg/dlStandard Deviation 65.4
Primary

Mean Waist Circumference

Waist circumference was measured with a ruler tape.

Time frame: 6 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Waist Circumference41.29 inchesStandard Deviation 5.13
Sugar PillMean Waist Circumference42.79 inchesStandard Deviation 4.91
Secondary

Mean Apolipoprotein A-1 in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.

Time frame: 0 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Apolipoprotein A-1 in Blood172.0 mg/dlStandard Deviation 17.4
Sugar PillMean Apolipoprotein A-1 in Blood134.3 mg/dlStandard Deviation 24
Secondary

Mean Apolipoprotein B/ Apolipoprotein A1 Ratio in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing. The ratio of Apo B to Apo A1 ratio was calculated.

Time frame: 0 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Apolipoprotein B/ Apolipoprotein A1 Ratio in Blood0.5 ratioStandard Deviation 0.1
Sugar PillMean Apolipoprotein B/ Apolipoprotein A1 Ratio in Blood0.8 ratioStandard Deviation 0.2
Secondary

Mean Apolipoprotein B in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.

Time frame: 0 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Apolipoprotein B in Blood86.3 mg/dlStandard Deviation 14.9
Sugar PillMean Apolipoprotein B in Blood107.2 mg/dlStandard Deviation 23.1
Secondary

Mean Diastolic Blood Pressure

Measured with a blood pressure cuff

Time frame: 0 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Diastolic Blood Pressure74.6 mm HgStandard Deviation 7.1
Sugar PillMean Diastolic Blood Pressure82.9 mm HgStandard Deviation 8.3
Secondary

Mean Fasting Blood Glucose in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.

Time frame: 0 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Fasting Blood Glucose in Blood84.3 mg/dlStandard Deviation 11.4
Sugar PillMean Fasting Blood Glucose in Blood95.7 mg/dlStandard Deviation 21.4
Secondary

Mean High Density Lipoprotein Cholesterol in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.

Time frame: 0 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean High Density Lipoprotein Cholesterol in Blood66.6 mg/dlStandard Deviation 9.4
Sugar PillMean High Density Lipoprotein Cholesterol in Blood46.3 mg/dlStandard Deviation 10.1
Secondary

Mean Hs-C Reactive Protein in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.

Time frame: 0 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Hs-C Reactive Protein in Blood1761.5 ng/mlStandard Deviation 1520.4
Sugar PillMean Hs-C Reactive Protein in Blood3586.9 ng/mlStandard Deviation 1531.7
Secondary

Mean Intercellular Adhesion Molecule in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.

Time frame: 0 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Intercellular Adhesion Molecule in Blood179.2 ng/mlStandard Deviation 39.9
Sugar PillMean Intercellular Adhesion Molecule in Blood212.9 ng/mlStandard Deviation 70.2
Secondary

Mean Leptin in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.

Time frame: 0 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Leptin in Blood16285.3 pg/mlStandard Deviation 13317.9
Sugar PillMean Leptin in Blood45518.1 pg/mlStandard Deviation 25798.8
Secondary

Mean Low Density Lipoprotein Cholesterol in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.

Time frame: 0 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Low Density Lipoprotein Cholesterol in Blood119.9 mg/dlStandard Deviation 24.4
Sugar PillMean Low Density Lipoprotein Cholesterol in Blood133.3 mg/dlStandard Deviation 33.9
Secondary

Mean Myeloperoxidase in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.

Time frame: 0 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Myeloperoxidase in Blood43.7 ng/mlStandard Deviation 9.8
Sugar PillMean Myeloperoxidase in Blood52.3 ng/mlStandard Deviation 17.1
Secondary

Mean Plasminogen Activator Inhibitor-1 in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.

Time frame: 0 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Plasminogen Activator Inhibitor-1 in Blood4.5 ng/mlStandard Deviation 0.7
Sugar PillMean Plasminogen Activator Inhibitor-1 in Blood6.2 ng/mlStandard Deviation 1.1
Secondary

Mean Systolic Blood Pressure

Measured with a blood pressure cuff

Time frame: 0 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Systolic Blood Pressure114.5 mm HgStandard Deviation 12.6
Sugar PillMean Systolic Blood Pressure132.3 mm HgStandard Deviation 82.9
Secondary

Mean Triglycerides in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.

Time frame: 0 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Triglycerides in Blood94.6 mg/dlStandard Deviation 53.1
Sugar PillMean Triglycerides in Blood197.4 mg/dlStandard Deviation 101.6
Secondary

Mean Vascular Adhesion Molecule in Blood

Approximately 30 ml of blood was collected in two serum (red top), four 3.2% (0.105M) sodium citrate (blue top) Vacutainer® tubes and a syringe at each visit. Collected samples were centrifuged within an hour of collection at 3000xG for 15 minutes at 20°C to obtain platelet-poor plasma and complete serum separation. Each sample was sent to the University of Rochester Clinical Laboratories for testing.

Time frame: 0 weeks

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Vascular Adhesion Molecule in Blood614.8 ng/mlStandard Deviation 108.9
Sugar PillMean Vascular Adhesion Molecule in Blood525.0 ng/mlStandard Deviation 127.4
Secondary

Mean Waist Circumference

Waist circumference was measured with a ruler tape.

Time frame: week 0

ArmMeasureValue (MEAN)Dispersion
AtorvastatinMean Waist Circumference33.3 inchesStandard Deviation 5.3
Sugar PillMean Waist Circumference42.6 inchesStandard Deviation 5.7

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