UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000002507
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

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Basic information

Public title

Effects of aggressive lipid-lowering therapy on atherosclerosis and multi-lipoprotein profiling in patients with coronary artery disease

Acronym

Statin therapy against multi-lipoprotein profiling and atherosclerosis -Secondary- (SAMURAI Study -Secondary-)

Scientific Title

Effects of aggressive lipid-lowering therapy on atherosclerosis and multi-lipoprotein profiling in patients with coronary artery disease

Scientific Title:Acronym

Statin therapy against multi-lipoprotein profiling and atherosclerosis -Secondary- (SAMURAI Study -Secondary-)

Region

Japan


Condition

Condition

Patients with coronary artery disease

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

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.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

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).

Key secondary outcomes

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.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

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.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

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.

Key exclusion criteria

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.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Toyoaki Murohara

Organization

Nagoya University Graduate School of Medicine

Division name

Department of Cardiology

Zip code


Address

65 TURUMAI-CHO, SHOWA-KU, NAGOYA, AICHI 466-8550

TEL

052-744-2149

Email

murohara@med.nagoya-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Kenji Okumura

Organization

Nagoya University Graduate School of Medicine

Division name

Department of Cardiology

Zip code


Address

65 TURUMAI-CHO, SHOWA-KU, NAGOYA, AICHI 466-8550

TEL

052-744-2427

Homepage URL


Email

kenji@med.nagoya-u.ac.jp


Sponsor or person

Institute

Nagoya University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

We received an unrestricted research grant support from KOWA Pharmaceutical

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

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


Other administrative information

Date of disclosure of the study information

2009 Year 10 Month 01 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

http://www.ncbi.nlm.nih.gov/pubmed/24458957

Number of participants that the trial has enrolled


Results

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.

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2009 Year 09 Month 10 Day

Date of IRB


Anticipated trial start date

2009 Year 10 Month 01 Day

Last follow-up date

2012 Year 03 Month 01 Day

Date of closure to data entry

2012 Year 04 Month 01 Day

Date trial data considered complete

2013 Year 04 Month 01 Day

Date analysis concluded

2013 Year 04 Month 01 Day


Other

Other related information



Management information

Registered date

2009 Year 09 Month 16 Day

Last modified on

2015 Year 09 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003051


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name