Effect of Niacin/Laropiprant on Postprandial Lipoprotein Metabolism in Patients With Dyslipoproteinemia
Effect of Niacin/Laropiprant on Postprandial Lipoprotein and Glucose Metabolism in Patients With Severe Dyslipoproteinemia
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
-
Munich, Germany, 81377
- Medizinische Klinik II, Klinikum der Universitaet Muenchen, Grosshadern
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male subjects or postmenopausal female subjects aged between 19-70 years
- High risk patients (PROCAM risk ≥20%) on a stable statin-therapy, but at least simvastatin 20 mg/d
- HDL-cholesterol ≤50 mg/dl and /or triglycerides 150-400 mg/dl and/or LDL-cholesterol 70 - 150 mg/dl
- Lipoprotein (a) < 30 mg/dl
- Patients may have normal glucose metabolism (normal HOMA), be insulin resistant (abnormal HOMA), have impaired fasting glucose or impaired glucose tolerance but not diabetes mellitus.
- Without niacin therapy for at least 6 months
- Dosage of any concomitant medication has been stable for at least 3 weeks
- If female, postmenopausal (absence of menstruation for at least 12 months or absence of menstruation > 6 months with FSH > 40 ng/ml respectively oestrogen < 20 pg/ml)
Exclusion Criteria:
- Subjects with additional causes for hyperlipoproteinemia
- Diabetes mellitus or antidiabetic medication
- Subject has history of cardiovascular ischemia in previous 3 months or acute myocardial infarction or unstable angina
- History of psychiatric disorder or cognitive impairment that would interfere with participation in the study
- History of alcoholism
- Contraindication against niacin and/or laropiprant
- Subject has participated in an investigational study within 30 days prior to study initiation
- Fasting triglycerides >400 mg/dl
- Life-threatening disease (e.g. cancer)
- Renal insufficiency (GFR ≤ 30 ml/min )
- Major hepatic impairment
- Known allergic reaction/intolerance against niacin and/or laropiprant
- Active peptic ulcer disease
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Niacin/ Laropiprant
|
1000/ 20 mg first 4 weeks, 2000/40 mg next 8 weeks; daily
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incremental Area Under the Plasma Triglyceride Curve Over 8 Hours Following a Standardized Oral Fat Tolerance Test
Time Frame: baseline and 12 weeks after treatment
|
Percent change of incremental AUC at 12 weeks compared to baseline.
|
baseline and 12 weeks after treatment
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
HDL Cholesterol
Time Frame: baseline and 12 weeks after treatment
|
Percent change of HDL-cholesterol at 12 weeks compared to baseline.
|
baseline and 12 weeks after treatment
|
|
Fasting Triglycerides
Time Frame: baseline and 12 weeks after treatment
|
Percent change of fasting triglycerides at 12 weeks compared to baseline
|
baseline and 12 weeks after treatment
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
LDL-cholesterol
Time Frame: baseline and 12 weeks after treatment
|
Percent change of LDL-cholesterol at 12 weeks compared to baseline
|
baseline and 12 weeks after treatment
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Klaus Parhofer, MD, Prof., Medizinische Klinik II, Klinikum der Universitaet Muenchen, Grosshadern
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Glucose Metabolism Disorders
- Metabolic Diseases
- Insulin Resistance
- Hyperinsulinism
- Lipid Metabolism Disorders
- Metabolic Syndrome
- Dyslipidemias
- Hyperlipidemias
- Hyperlipoproteinemias
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Vasodilator Agents
- Antimetabolites
- Micronutrients
- Hypolipidemic Agents
- Lipid Regulating Agents
- Vitamins
- Vitamin B Complex
- Niacin
Other Study ID Numbers
Other Study ID Numbers
- KP-Niacin-2010
- 2010-019954-42 (EudraCT Number)
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