Efficacy and Safety of Coenzyme Q10 in the Treatment of Statin-Associated Myalgia
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Purpose
Statins are medications that lower blood cholesterol by inhibiting cholesterol production in the liver. Overall, statins are well tolerated. Approximately 10% to 15% of patients report muscle aches/pain while taking statins. In a very small percentage of patients (<0.01%; less than one in 10,000 people), muscle aches/pains may be accompanied by more serious muscle damage. In these patients, statins must be discontinued. In some reports, patients taking statins have reduced blood levels of coenzyme Q10. Coenzyme Q10 is an essential protein which is present in all human cells needed for normal cell function. Coenzyme Q10 has been tested in patients with heart failure where it has been shown to be safe and effective. Many patients with heart conditions take coenzyme Q10, but the risks and benefits of supplementation with this product is unknown. Coenzyme Q10 is considered a dietary supplement and is not approved by the Food and Drug Administration (FDA) for any medical condition. Coenzyme Q10 has very few, if any, side effects. Upset stomach (gastritis), headache, body ache, and low blood pressure have been reported. The objectives of this project are to test the efficacy and safety of coenzyme Q10 in treating muscle aches/pain in patients already taking statins who develop these symptoms.
| Condition | Intervention | Phase |
|---|---|---|
|
Statin-associated Myalgia |
Dietary Supplement: coenzyme Q10 Dietary Supplement: matching placebo |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Treatment |
- evaluate the efficacy coenzyme Q10 in the treatment of myalgia in patients receiving statin therapy [ Time Frame: every 3-5 days during the first week 2 weeks, then at 4 weeks and 12 weeks ] [ Designated as safety issue: Yes ]
- evaluate the safety of coenzyme Q10 in the treatment of myalgia in patients receiving statin therapy [ Time Frame: every 3-5 days during the first week 2 weeks, then at 4 week and 12 weeks ] [ Designated as safety issue: Yes ]
| Enrollment: | 10 |
| Study Start Date: | March 2006 |
| Study Completion Date: | August 2008 |
| Primary Completion Date: | August 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: 1 |
Dietary Supplement: coenzyme Q10
60mg capsule twice daily for 12 weeks
|
| Placebo Comparator: 2 |
Dietary Supplement: matching placebo
matching placebo capsule twice daily for 12 weeks
|
Eligibility| Ages Eligible for Study: | 19 Years to 79 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients who are taking statins and develop unexplained, persistent myalgia with a normal plasma creatinine kinase level
Exclusion Criteria:
- Women of childbearing potential
- Patients currently taking coenzyme Q10 (or have taken in the previous 30 days)
- Patients receiving concomitant niacin, fibric acid derivatives, bile acid sequestrants, or other drugs that effect cholesterol levels or interact with statins
- Patients with a history of alcoholism or malnutrition
- Patients who have had acute coronary syndrome or muscle trauma in the prior 7 days
- Patients with a history of chronic muscle/joint pain, fibromyalgia, or degenerative disk disease.
Contacts and Locations| United States, Nebraska | |
| The Cardiac Center of Creighton University Medical Center | |
| Omaha, Nebraska, United States, 68131 | |
| Principal Investigator: | Robyn Kondrack, PharmD | Creighton University |
More Information
No publications provided
| Responsible Party: | Robyn Kondrack, PharmD, Creighton University |
| ClinicalTrials.gov Identifier: | NCT00590408 History of Changes |
| Other Study ID Numbers: | 05-13642, 05-13642 |
| Study First Received: | December 28, 2007 |
| Last Updated: | November 27, 2009 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Creighton University:
|
coenzyme Q10 statin myalgia |
Additional relevant MeSH terms:
|
Coenzyme Q10 Ubiquinone Micronutrients Growth Substances |
Physiological Effects of Drugs Pharmacologic Actions Vitamins |
ClinicalTrials.gov processed this record on May 16, 2013