The VA HDL Intervention Trial
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Purpose
This was a double-blind randomized trial comparing 1200 mg per day of gemfibrozil with placebo in 2531 men with coronary heart disease, an HDL-C of 40mg/dl or less, an LDL-C of 140 mg/dl or less, and triglycerides of 300mg/dl or less. The primary outcome was nonfatal myocardial infarction(MI) or death from coronary causes. The median follow-up was 5.1 years. There was a risk reduction of 22% in the primary outcome (p=.0006) and 24% risk reduction in the combined endpoint of stroke, MI, and CHD death. The rate of events was reduced by raising HDL-C and lowering triglycerides without lowering LDL-C (N Engl J Med 1999;341:410-418).
| Condition | Intervention | Phase |
|---|---|---|
|
Coronary Heart Disease |
Drug: gemfibrozil |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Double-Blind |
| Official Title: | CSP #363 - The VA HDL Intervention Trial (HIT): Secondary Prevention of Coronary Heart Disease in Men With Low HDL-Cholesterol and Desirable LDL-Cholesterol |
| Estimated Enrollment: | 2561 |
| Study Start Date: | June 1991 |
| Arms | Assigned Interventions |
|---|---|
| 1 | Drug: gemfibrozil |
Show Detailed Description
Eligibility| Ages Eligible for Study: | up to 73 Years |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Inclusion criteria:
- male gender
- age 73 or younger
- presence of CHD
- HDL-C le 40 mg/dl
- LDL-C le 140 mg/dl
- triglycerides le 300 mg/dl
Exclusion criteria:
- significant medical illness
- alcohol or substance abuse
- evidence of cholecystitis or cholelithiasis
- ejection fraction of lt 35%
- current use of steroids, estrogens, immunosuppressive agents, oral coagulants, or lipid modifying drug.
- allergic to gemfibrozil or fibric acid
- refused informed consent
Exclusion Criteria:
Contacts and Locations| United States, Minnesota | |
| VA Medical Center | |
| Minneapolis, Minnesota, United States, 55417 | |
| Study Chair: | Hanna E. Bloomfield, MD MPH | Department of Veterans Affairs |
More Information
No publications provided
| Responsible Party: | Bloomfield, Hanna - Study Chair, Department of Veterans Affairs |
| ClinicalTrials.gov Identifier: | NCT00283335 History of Changes |
| Other Study ID Numbers: | 363 |
| Study First Received: | January 25, 2006 |
| Last Updated: | June 10, 2011 |
| Health Authority: | United States: Federal Government United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Coronary Artery Disease Myocardial Ischemia Coronary Disease Heart Diseases Cardiovascular Diseases Arteriosclerosis Arterial Occlusive Diseases Vascular Diseases |
Gemfibrozil Hypolipidemic Agents Antimetabolites Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Lipid Regulating Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 16, 2013