Coronary Artery Disease, Diabetes Mellitus
Conditions
Keywords
allopurinol, coronary artery disease, diabetes, endothelial function
Brief summary
This is a randomized trial assessing the impact of allopurinol on endothelial function in optimally treated diabetic patients with coronary artery disease. After initial screening, subjects were randomized to receive either optimal medical therapy (OMT) + allopurinol or OMT alone for 8 weeks. The dose of allopurinol was 300 mg for 4 weeks and 600 mg for 4 weeks with a 4-weekly check on hematology and biochemistry
Interventions
300 mg for 4 weeks then 600 mg for 4 weeks in the active group
Sponsors
Study design
Eligibility
Inclusion criteria
* Diabetes type 2 * Known coronary artery disease with previous percutaneous coronary intervention and optimal medical therapy for at least one month
Exclusion criteria
* Pregnant or breast- feeding women * creatinine clearance \<60ml/min * Known history of gout disease or ongoing treatment with allopurinol * Allergy to allopurinol * Inability to provide informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Endothelium-dependent vasodilation | 2 months | Brachial Artery Flow-Mediated dilation (FMD) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Endothelium-independent vasodilation | 2 months | Changes in brachial artery diameter in response to nitrates |
| Quality of Life (QoL) | 2 months | Seattle Angina Questionnaire: a scale that quantifies patients' physical limitations caused by angina, the frequency of and recent changes in their symptoms, their satisfaction with treatment, and the degree to which they perceive their disease to affect their quality of life. Each scale is transformed to a score of 0 to 100, where higher scores indicate better function (eg, less physical limitation, less angina, and better quality of life). |
| Major adverse cardiac events (MACE) | 2 months | composite of cardiac death, non fatal myocardial infarction and unplanned coronary revascularization |
Countries
Tunisia