UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000002815
Receipt number R000003206
Scientific Title Combination therapy of Eicosapentaenoic acid and pitavastatin for Regression of coronary plaque evaluated by integrated backscatter intravascular ultrasonography; CHERRY study
Date of disclosure of the study information 2009/11/30
Last modified on 2017/12/17 10:45:57

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Basic information

Public title

Combination therapy of Eicosapentaenoic acid and pitavastatin for Regression of coronary plaque evaluated by integrated backscatter intravascular ultrasonography; CHERRY study

Acronym

EPA and pitavastatin therapy for coronary plaque

Scientific Title

Combination therapy of Eicosapentaenoic acid and pitavastatin for Regression of coronary plaque evaluated by integrated backscatter intravascular ultrasonography; CHERRY study

Scientific Title:Acronym

EPA and pitavastatin therapy for coronary plaque

Region

Japan


Condition

Condition

stable angina or acute coronary syndrome

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the effect of combination therapy with Eicosapentaenoic acid and pitavastatin on coronary plaque volume and tissue characteristics.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Change of tissue characteristics in coronary plaque evaluated by integrated backscatter intravascular ultrasonography

Key secondary outcomes

1) Changes in volume and minimum intravascular lumen diameter of target coronary plaque. 2) Changes in TC, LDL-C, TG, HDL-C, MDA-LDL, RLP-C, Lp(a) and apoprotein (Apo A-I, Apo B, Apo E). 3) Changes in EPA/arachidonic acid. 4) Changes in hs-CRP. 5) Changes in volume and minimum intravascular lumen diameter of coronary plaque undergone PCI. 6) Changes in % stenosis. 7) Incidence of major adverse cardiovascular events (MACE; defined as cardiac death, nonfatal myocardial infarction, PCI or coronary artery bypass grafting)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation


Institution consideration

Institution is not considered as adjustment factor.

Blocking


Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

pitavastatin

Interventions/Control_2

pitavastatin and EPA

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

Patients with stable angina or acute coronary syndrome received PCI whose LDL-cholesterol level is above 140 mg/dL or eligible for the study determined by physicians.

Key exclusion criteria

1) Patients whose target lesion site is coronary bypass graft. 2) Patients who have undergone previous PCI on the lesion site where the evaluation of integrated backscatter intravascular ultrasonography is planned. 3) Patients who might undergo PCI on the lesion site where the evaluation of integrated backscatter intravascular ultrasonography is planned. 4) Patients with familial hypercholesterolemia. 5) Patients with a past history of allergy to EPA and/or pitavastatin. 6) Patients with hepatic dysfunction (ALT 100 IU/L or more) and/or biliary obstruction. 7) Patients with renal dysfunction (serum creatinine 2.0 mg/dL or more) or undergoing dialysis. 8) Patients ineligible for the study determined by physicians.

Target sample size

200


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Isao Kubota

Organization

Yamagata University School of Medicine

Division name

Department of Cardiology, Pulmonology, and Nephrology

Zip code


Address

2-2-2 Iida-Nishi, Yamagata 990-9585

TEL

023-628-5302

Email

ikubota@med.id.yamagata-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Tetsu Watanabe

Organization

Yamagata University School of Medicine

Division name

Department of Cardiology, Pulmonology, and Nephrology

Zip code


Address

2-2-2 Iida-Nishi, Yamagata 990-9585

TEL

023-628-5302

Homepage URL


Email

tewatana@med.id.yamagata-u.ac.jp


Sponsor or person

Institute

Yamagata University School of Medicine, Department of Cardiology, Pulmonology, and Nephrology

Institute

Department

Personal name



Funding Source

Organization

Yamagata University School of Medicine, Department of Cardiology, Pulmonology, and Nephrology

Organization

Division

Category of Funding Organization

Self funding

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

山形大学医学部附属病院(山形県)、山形県立中央病院(山形県)、日本海総合病院(山形県)、山形県立新庄病院(山形県)、公立置賜総合病院(山形県)、山形市立病院済生館(山形県)


Other administrative information

Date of disclosure of the study information

2009 Year 11 Month 30 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

http://www.sciencedirect.com/science/article/pii/S0914508717302009?via%3Dihub

Number of participants that the trial has enrolled


Results

We enrolled 193 CHD patients who underwent percutaneous coronary intervention (PCI) in six hospitals. Patients were randomly allocated to the PTV group (PTV 4 mg/day, n = 96) or PTV/EPA group (PTV 4 mg/day and EPA 1800 mg/day, n = 97), and prospectively followed for 6-8 months. Coronary plaque volume and composition in nonstenting lesions were analyzed by integrated backscatter intravascular ultrasound (IB-IVUS).Results: The PTV/EPA group showed a greater reduction in total atheroma volume compared to PTV group. IB-IVUS analyses revealed that lipid volume was significantly decreased during follow-up period in only PTV/EPA group. The efficacy of additional EPA therapy on lipid volume reduction was significantly higher in stable angina pectoris (SAP) patients compared to acute coronary syndrome patients. EPA/AA ratio was significantly improved in PTV/EPA group compared to PTV group. There was no significant difference in the incidence of major adverse cardiovascular events and side effects.

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 11 Month 01 Day

Date of IRB


Anticipated trial start date

2009 Year 11 Month 01 Day

Last follow-up date

2015 Year 03 Month 31 Day

Date of closure to data entry

2016 Year 04 Month 16 Day

Date trial data considered complete

2016 Year 04 Month 16 Day

Date analysis concluded

2016 Year 04 Month 16 Day


Other

Other related information



Management information

Registered date

2009 Year 11 Month 30 Day

Last modified on

2017 Year 12 Month 17 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003206


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name