Effects of Atorvastatin Versus Probucol on Small Dense LDL
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Purpose
Small dense low-density lipoprotein (LDL) plays an important role in causing glomerular injury through conversion to an oxidatively modified form of LDL. However, few studies evaluated the effects of antilipidemic agents on the LDL particle size and renoprotective actions in hyperlipidemic patients with non-diabetic nephropathy.
| Condition | Intervention | Phase |
|---|---|---|
|
Chronic Nephropathy |
Drug: Effects of atorvastatin versus probucol on small dense LDL |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Crossover Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Effects of Atorvastatin Versus Probucol on Low-Density Lipoprotein Subtype Distribution and Renal Function in Hyperlipidemic Patients With Non-Diabetic Nephropathy |
- Normalization of serum cholesterol concentrations [ Time Frame: One year ]
| Enrollment: | 24 |
| Study Start Date: | January 2004 |
| Study Completion Date: | May 2007 |
The study is a randomized crossover trial comparing the effect of atorvastatin (10 mg/day) and probucol (500 mg/day) for 24 weeks in 30 patients (urinary albumin excretion 0.3–2.0 g/day, and creatinine clearance > 30 ml/min/1.73 m2 or serum creatinine concentration < 2 mg/L). Lipid parameters, mean LDL particle diameter, creatinine clearance, and urinary albumin to creatinine excretion ratio are measured before and during treatment periods. It will be evaluated that, first, whether atorvastatin and probucol significantly reduce serum total cholesterol and LDL cholesterol concentrations, second, whether atorvastatin and probucol significantly increase the LDL particle size, third, whether significant differences in urinary albumin/creatinine excretion ratio and creatinine clearance are observed in both groups during treatment.
Eligibility| Ages Eligible for Study: | 20 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Hyperlipidemic patients with non-diabetic nephropathy
Exclusion Criteria:
- Endocrinological, hematological or hepatic disease
- Cerebral infarction or hemorrhage
- Homozygous familial hypercholesterolemia
- Uncontrolled hypertension
- Myocardial infarction occurring within the previous 6 months
- Unstable angina
- Diabetic nephropathy
- Abnormal thyroid function
- Receiving steroids or immunosuppressive agents
Contacts and Locations| Japan | |
| Yokohama City University Center Hospital | |
| Yokohama, Kanagawa, Japan, 232-0024 | |
| Principal Investigator: | Gen Yasuda, MD | Yokohama City University Center Hospital |
More Information
Publications:
| ClinicalTrials.gov Identifier: | NCT00276133 History of Changes |
| Other Study ID Numbers: | 7332-1 |
| Study First Received: | January 11, 2006 |
| Last Updated: | May 8, 2007 |
| Health Authority: | Japan: Ministry of Health, Labor and Welfare |
Keywords provided by Yokohama City University Medical Center:
|
small dense LDL |
Additional relevant MeSH terms:
|
Kidney Diseases Urologic Diseases Probucol Atorvastatin Anticholesteremic Agents Hypolipidemic Agents Antimetabolites Molecular Mechanisms of Pharmacological Action |
Pharmacologic Actions Lipid Regulating Agents Therapeutic Uses Antioxidants Protective Agents Physiological Effects of Drugs Hydroxymethylglutaryl-CoA Reductase Inhibitors Enzyme Inhibitors |
ClinicalTrials.gov processed this record on May 22, 2013