Unique ID issued by UMIN | UMIN000002507 |
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Receipt number | R000003051 |
Scientific Title | Effects of aggressive lipid-lowering therapy on atherosclerosis and multi-lipoprotein profiling in patients with coronary artery disease |
Date of disclosure of the study information | 2009/10/01 |
Last modified on | 2015/09/28 16:59:50 |
Effects of aggressive lipid-lowering therapy on atherosclerosis and multi-lipoprotein profiling in patients with coronary artery disease
Statin therapy against multi-lipoprotein profiling and atherosclerosis -Secondary- (SAMURAI Study -Secondary-)
Effects of aggressive lipid-lowering therapy on atherosclerosis and multi-lipoprotein profiling in patients with coronary artery disease
Statin therapy against multi-lipoprotein profiling and atherosclerosis -Secondary- (SAMURAI Study -Secondary-)
Japan |
Patients with coronary artery disease
Cardiology |
Others
NO
To evaluate efficiency of pitavastatin against small LDL particle, oxidative LDL (malondialdehyde-modified LDL), and the markers of atherosclerosis (intima-media thickness, pulse wave velocity or cardio-ankle vascular index) in hypercholesterolemia patients with coronary artery disease.
Efficacy
Confirmatory
Pragmatic
Not applicable
Change in lipoprotein profile by LipoSEARCH.
Change in brachial-ankle pulse wave velocity or cardio-ankle vascular index.
Change in intima-media thickness (max IMT, mean IMT).
A percent and amount of changes in following factors.
1. Serum lipid profile (TC,LDL-C, HDL-C, TG), apolipoprotein (A1, B), and malondialdehyde-modified LDL.
2. high-sensitive CRP, adiponectin.
3. LDDd, EF, E/A, and DcT.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Pitavastatin 2 mg daily for a first 1-3 months. After safety evaluation, the dose will be increased to 4 mg/day in order to achieve the goal of LDL-C of 70mg/dL and less.
20 | years-old | <= |
Not applicable |
Male and Female
1) Patients with coronary artery disease who meet 1 of the following 4 conditions.
1. Acute myocardial infarction occurred at least one week before.
2. Old myocardial infarction.
3. Unstable angina pectoris.
4. > or = 50% stenosis evaluated by coronary angiography (or severe stenosis evaluated by CT), or angina pectoris with ischemic ECG change (including coronary spasm).
2) Patients with hypercholesterolemia
(LDL-C of 100mg/dL or more).
3) Patients 20 years or older.
4) Patients giving written consent on their own volition for participation in this clinical trial.
1) Patients who have suffered from stroke for the past three months.
2) Patients who have suffered from acute myocardial infarction for the past week.
3) Patients planning CABG in the study periods.
4) Patients planning addition or change of cilostazol in the study periods
5) Patients planning CAS in the study periods
6) Patients with active malignant tumor.
7) Patients with severe renal dysfunction.
8) Patients with severe hepatic dysfunction.
9) Patients with collagen disease.
10) Patients judged as being inappropriate for this study by investigators.
100
1st name | |
Middle name | |
Last name | Toyoaki Murohara |
Nagoya University Graduate School of Medicine
Department of Cardiology
65 TURUMAI-CHO, SHOWA-KU, NAGOYA, AICHI 466-8550
052-744-2149
murohara@med.nagoya-u.ac.jp
1st name | |
Middle name | |
Last name | Kenji Okumura |
Nagoya University Graduate School of Medicine
Department of Cardiology
65 TURUMAI-CHO, SHOWA-KU, NAGOYA, AICHI 466-8550
052-744-2427
kenji@med.nagoya-u.ac.jp
Nagoya University Graduate School of Medicine
We received an unrestricted research grant support from KOWA Pharmaceutical
Other
NO
安城更生病院
一宮市民病院
市立四日市病院
大垣市民病院
岡崎市民病院
海南病院
春日井市民病院
刈谷豊田総合病院
県西部浜松医療センター
公立陶生病院
中部ろうさい病院
土岐市立総合病院
トヨタ記念病院
中津川市民病院
名古屋第一赤十字病院
名古屋第二赤十字病院
名古屋大学医学部附属病院
2009 | Year | 10 | Month | 01 | Day |
Published
http://www.ncbi.nlm.nih.gov/pubmed/24458957
We demonstrated that treatment with pitavastatin attenuated atherosclerotic plaque. This effect was associated with the level of HDL cholesterol, and was stronger in the absence of diabetes and metabolic syndrome in our ischemic heart disease patients.
Completed
2009 | Year | 09 | Month | 10 | Day |
2009 | Year | 10 | Month | 01 | Day |
2012 | Year | 03 | Month | 01 | Day |
2012 | Year | 04 | Month | 01 | Day |
2013 | Year | 04 | Month | 01 | Day |
2013 | Year | 04 | Month | 01 | Day |
2009 | Year | 09 | Month | 16 | Day |
2015 | Year | 09 | Month | 28 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003051
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