Ursodeoxycholic Acid Attenuates Statin-Induced Impaired Glucose Tolerance (URSTAR)
Ursodeoxycholic Acid Attenuates Statin-Induced Impaired Glucose Tolerance: A Randomized Controlled Clinical Trial
The purpose of this clinical trial is to understand whether the drug Ursodeoxycholic acid (UDCA) can prevent glucose intolerance in participants with hyperlipidemia who are taking statins. It will also assess the safety of UDCA. The primary questions it aims to answer are:
- Will UDCA reduce the incidence of glucose intolerance in participants taking oral statins?
- Will the use of UDCA decrease other adverse events in patients taking oral statins?
Participants will:
- Take Atorvastatin combined with UDCA or a placebo daily for 6 months
- Have follow-up visits on day 40, day 110, and day 180 Have their examination indicators recorded.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Yue Wu, Professor
- Phone Number: 0086-029-8532-3664
- Email: imyuewu@qq.com
Study Contact Backup
- Name: Yue Yu
- Phone Number: 0086-85323810
- Email: yueyu05@163.com
Study Locations
-
-
-
Xi'an, China
- Recruiting
- The First Affiliated Hospital of Xi 'an Jiaotong University
-
Contact:
- Yue Wu
- Phone Number: 0086-85323810
- Email: imyuewu@qq.com
-
-
Shaanxi
-
Xi'an, Shaanxi, China, 710061
- Recruiting
- Department of Cardiology, First Affiliated Hospital of Xi'an Jiaotong University
-
Contact:
- Yue Wu
- Phone Number: 0086-029-8532-3664
- Email: imyuewu@qq.com
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age 18-75 years old.
- LDL-C≥3.4mmol/l (130 mg/dL).
- Glycosylated hemoglobin ≤ 6.0% (42 mmol/mol).
- Voluntarily sign informed consent.
Exclusion Criteria:
- Previous diagnosis of diabetes or prediabetes.
- Past or current use of hypoglycemic drugs.
- Oral administration of statin lipid-lowering drugs within three months before enrollment.
- Combined oral drug quantity ≥3.
- History of ASCVD (previous myocardial infarction, ACS, stroke or TIA within 1 year, symptomatic peripheral vascular disease).
- Active liver disease (defined as elevation of alanine aminotransferase (ALT), aspartate aminotransferase (AST) >2 × upper limit of normal (ULN) from any existing known liver infectious, neoplastic, or metabolic pathologic cause or unknown cause at the time of screening), Severe hepatic insufficiency and biliary obstruction.
- Difficult to control hypertension: defined as systolic blood pressure ≥180mmHg or diastolic blood pressure ≥110mmHg despite antihypertensive therapy prior to randomization.
- Estimated glomerular filtration rate (eGFR) ≤ 30 mL/min/1.73m2 using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) method
- New York Heart Association (NYHA) Class IV heart failure or a known left ventricular ejection fraction < 25%
- A clinically significant and drug- or ablation-resistant arrhythmia within 3 months prior to randomization
- An acute or severe systemic infection, or any of the following diseases: hematological disorders, autoimmune disorders, malignant tumors, psychiatric patients, or other serious or unstable conditions that could impact study health status
- Scheduled for surgery within 6 months
- Pregnant, breastfeeding, or trying to become pregnant during the study or within 6 months of study completion
- Subjects with alcohol or other drug addiction
- Secondary hypercholesterolemia, such as hypothyroidism or nephrotic syndrome
- A history of allergic reaction to any study drug or its excipients or similar chemical classes of drugs
- A family history of homozygous familial hypercholesterolemia
- Participants currently enrolled in another clinical trial, or who cannot adhere to 6-month follow-up
- Any condition that the investigator considers unsuitable for participation.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Ursodeoxycholic acid group
Ursodeoxycholic acid (UDCA) 500 mg: This group of participants receive UDCA 500mg per day.
|
UDCA together with statin in eligible participants
Other Names:
|
|
Placebo Comparator: placebo group
This group of participants receive placebo.
|
placebo together with statin in ASCVD patients
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
HbA1c
Time Frame: 6 months after randomization
|
Changes of glycosylated hemoglobin after taking ursodeoxycholic acid for half a year
|
6 months after randomization
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Concentration of fasting blood glucose
Time Frame: 6 months after randomization
|
The concentration of fasting blood glucose was measured and serum was extracted for laboratory testing.
|
6 months after randomization
|
|
Concentration of fasting islets
Time Frame: 6 months after randomization
|
The concentration of fasting islets was measured and serum was extracted for laboratory testing.
we use the level of physiological parameter to describe the concentration of fasting islets.
|
6 months after randomization
|
|
Concentration of blood lipid
Time Frame: 6 months after randomization
|
The concentration of blood lipid was measured and serum was extracted for laboratory testing.we
use the level of physiological parameter to describe the concentration of blood lipid, including "the level of triglycerides","the level of low-density lipoprotein", "the level of high-density lipoprotein", "the level of total cholesterol" ,"the level of Lipoprotein(a)".
|
6 months after randomization
|
|
Body composition analysis Fat mass
Time Frame: 6 months after randomization
|
The Body composition analysis was measured by the Inbody.
we wue the physiological parameter to describe the body composition.
e.g."Fat mass"
|
6 months after randomization
|
|
Body composition analysis Muscle mass
Time Frame: 6 months after randomization
|
The Body composition analysis was measured by the Inbody.
we wue the physiological parameter to describe the body composition.
e.g.
"Muscle mass".
|
6 months after randomization
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Zuyi Yuan, Professor, First Affiliated Hospital Xi'an Jiaotong University
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
- Metabolic Diseases
- Glucose Metabolism Disorders
- Dyslipidemias
- Lipid Metabolism Disorders
- Hyperglycemia
- Nutritional and Metabolic Diseases
- Glucose Intolerance
- Hyperlipidemias
- Polycyclic Compounds
- Steroids
- Fused-Ring Compounds
- Deoxycholic Acid
- Cholic Acids
- Bile Acids and Salts
- Cholanes
- Ursodeoxycholic Acid
Other Study ID Numbers
Other Study ID Numbers
- XJTU1AF2023LSK-149-01
- CSCF2022B04 (Other Grant/Funding Number: 2022 Chinese Society of Cardiology's Foundation)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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