Fluvastatin AmelIorates aTHerosclerosis Study (FAITH)
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Purpose
The study is designed to assess the effect of statin on atherosclesrosis progression as well as to explore its potential mechanism besides lipid modifying , such as effect on inflammation and vascular calcification.
| Condition | Intervention | Phase |
|---|---|---|
|
Coronary Heart Disease Atherosclerosis |
Drug: Fluvastatin extended release tablet |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | The Efficacy of Lescol XL(Fluvastatin Extended Release 80 mg) on Atherosclerosis Progression in Patients With Newly Diagnosed Coronary Heart Disease |
- carotid IMT [ Time Frame: 1 year ] [ Designated as safety issue: No ]
- lipid variables:TC, TG, LDL-C, HDL-C, apo B, apo A-I [ Time Frame: week 12 and 24 ] [ Designated as safety issue: No ]
- hs-CRP, Lp-PLA2, OPN and OPG. [ Time Frame: week 12,24 and 52 ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 140 |
| Study Start Date: | July 2012 |
| Estimated Study Completion Date: | August 2014 |
| Estimated Primary Completion Date: | April 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Fluvastatin extended release tablet
Fluvastatin extended release tablet 80mg/day
|
Drug: Fluvastatin extended release tablet
Other Name: Lescol XL
|
Detailed Description:
Carotid IMT has been used in various studies (e.g. ASAP, ARBITER, METEOR) and is well accepted as a valid surrogate marker for atherosclerosis. The thickness of CIMT is significantly associated with the presence and the extent of coronary disease. Slower progression of atherosclerosis as measured by carotid ultrasound is also associated with a lower risk of nonfatal MI. In a meta analysis, for every 0.0 1-mm-per-year decrease in carotid IMT, there was a significant 18% reduction in the risk of nonfatal MI. Measurement of carotid IMT carries the advantage of being non-invasive and easy to use with a good degree of reproducibility.
Statins have been shown to slow the progression of atherosclerosis or even to induce regression of atherosclerosis. Change of carotid IMT by statins have been found to correlate with the extent of LDL-C reduction and HDL-C increase however non-lipid effects (e.g. effects on inflammation, calcification ) may also play a role in the beneficial effects of statins on atherosclerosis.Osteopontin (OPN), an acidic phosphoprotein, and osteoprotegerin (OPG), a member of the tumor necrosis factor-a receptor superfamily, have been recently demonstrated to modulate vascular calcification. Recent studies have shown an association of serum OPN and OPG levels with cardiovascular diseases and vulnerable carotid plaque .
Eligibility| Ages Eligible for Study: | 45 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Newly diagnosed coronary heart disease
- One or more maximum IMT measurements of ≥1.1mm.
- Age 45 to 70 years old
- LDL-C≥130mg/dL
- Not receiving regular lipid lowering treatment
- Written Informed Consent
Exclusion Criteria:
- Myocardial infarction as the first symptoms of coronary heart disease
- Patients with known hypersensitivity to fluvastatin or any of the excipients
- Pregnancy or lactation, or women of childbearing potential not using effective contraception
- Known muscle disease or history of muscle disease (e.g. myopathy, myositis, rhabdomyolysis) and/or serum CK levels greater than 2 x upper limit of normal (ULN)
- renal dysfunction
- Active liver disease and/or serum transaminase levels (ALT, AST) greater than 2x ULN
- Any conditions the investigator consider not suitable for long-term follow up
Contacts and Locations| China, Beijing | |
| Cardiology department ,Beijing Anzhen hospital | Recruiting |
| Beijing, Beijing, China, 100029 | |
| Contact: Xin Du, PhD 86 15010519643 duxinheart@sina.com | |
| Sub-Investigator: Xin Du, PhD | |
More Information
No publications provided
| Responsible Party: | Chang sheng Ma, director of cardiology department, Beijing Anzhen Hospital |
| ClinicalTrials.gov Identifier: | NCT01681199 History of Changes |
| Other Study ID Numbers: | AZYY-XNK-2012001 |
| Study First Received: | September 5, 2012 |
| Last Updated: | September 5, 2012 |
| Health Authority: | China: Ethics Committee |
Keywords provided by Beijing Anzhen Hospital:
|
statin atherosclerosis Coronary heart disease OPN OPG |
Additional relevant MeSH terms:
|
Atherosclerosis Coronary Artery Disease Myocardial Ischemia Coronary Disease Heart Diseases Arteriosclerosis Arterial Occlusive Diseases Vascular Diseases Cardiovascular Diseases Fluvastatin |
Hydroxymethylglutaryl-CoA Reductase Inhibitors Anticholesteremic Agents Hypolipidemic Agents Antimetabolites Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Enzyme Inhibitors Lipid Regulating Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 16, 2013