- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00361530
Carotid Intima-media Thickness in Japan Statin Treatment Against Recurrent Stroke(J-STARS Echo)
April 22, 2016 updated by: Translational Research Center for Medical Innovation, Kobe, Hyogo, Japan
Effect of 3-hydroxy-3-methylglutaryl-coenzyme A(HMG-CoA) Reductase Inhibitor Upon Carotid Intima-media Complex Thickness in the Post-ischemic Patients With Hyperlipidemia During the Prospective Study of J-STARS.
Carotid ultrasound can reveal the intima-media complex thickness(IMT), that has been reported to be a marker of atherosclerosis as well as a risk of cardiovascular events, and to be attenuated by 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase inhibitors (statins) .
This substudy of J-STARS will observe the temporal profile of carotid IMT prospectively in the patients with prescription of pravastatin and the control.
Study Overview
Study Type
Interventional
Enrollment (Actual)
854
Phase
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Hiroshima, Japan, 734-8551
- Hiroshima University Hospital
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Osaka
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Suita-shi, Osaka, Japan, 565-0873
- National Cardiovascular Center (NCVC)
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
45 years to 80 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Ischemic stroke except for cardiogenic embolism, from 1 month to 3 years after onset
- Hyperlipidemia and total cholesterol level of 180-240mg/dl without the prescription of statin within previous 30 days
- Able to visit outpatient department
- Informed consent on the form.
Exclusion Criteria:
- Ischemic stroke of other determined cause according to the TOAST classification
- Ischemic heart disease and necessary to use statin
- Hemorrhagic disorders
- Platelet count <=100,000/ul within 3 months prior to study start
- Alanine aminotransferase (ALT) or aspartate aminotransferase (AST)>= 100IU/L within 3 months prior to study start
- Serum creatinine >=2.0mg/dl within 3 months prior to study start
- A scheduled operation
- The presence of malignant disorder
- Patients whom carotid ultrasound cannot examine because of neck tumor or torticollis
- Patients after carotid endarterectomy or radiation therapy to neck
- Patients whose carotid ultrasound cannot be examined because of neck tumor or torticollis
- Patients after carotid endarterectomy or radiation therapy to neck
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
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Active Comparator: Pravastatin
Patient has 10mg oral administration of Pravastatin per day.
It starts within one month from their entry and continues every day until the end of the study or its endpoints.
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No Intervention: No intervention
Patient has no intervention.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Intima-media complex thickness (IMT) of the common carotid artery (CCA)
Time Frame: until the last day of the next February after 5-year follow-up survey
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until the last day of the next February after 5-year follow-up survey
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Plaque score, number of plaque, recurrent cerebrovascular events
Time Frame: until the last day of the next February after 5-year follow-up survey
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until the last day of the next February after 5-year follow-up survey
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Masayasu Matsumoto, MD, PhD, Hiroshima University Hospital
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Wada S, Koga M, Minematsu K, Toyoda K, Suzuki R, Kagimura T, Nagai Y, Aoki S, Nezu T, Hosomi N, Origasa H, Ohtsuki T, Maruyama H, Yasaka M, Kitagawa K, Uchiyama S, Matsumoto M. Baseline Carotid Intima-Media Thickness and Stroke Recurrence During Secondary Prevention With Pravastatin. Stroke. 2019 Jun;50(6):1586-1589. doi: 10.1161/STROKEAHA.119.024968. Epub 2019 Apr 30.
- Koga M, Toyoda K, Minematsu K, Yasaka M, Nagai Y, Aoki S, Nezu T, Hosomi N, Kagimura T, Origasa H, Kamiyama K, Suzuki R, Ohtsuki T, Maruyama H, Kitagawa K, Uchiyama S, Matsumoto M; J-STARS Investigators. Long-Term Effect of Pravastatin on Carotid Intima-Media Complex Thickness: The J-STARS Echo Study (Japan Statin Treatment Against Recurrent Stroke). Stroke. 2018 Jan;49(1):107-113. doi: 10.1161/STROKEAHA.117.018387. Epub 2017 Nov 30.
Helpful Links
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
March 1, 2004
Primary Completion (Actual)
July 1, 2014
Study Registration Dates
First Submitted
August 7, 2006
First Submitted That Met QC Criteria
August 7, 2006
First Posted (Estimate)
August 8, 2006
Study Record Updates
Last Update Posted (Estimate)
April 25, 2016
Last Update Submitted That Met QC Criteria
April 22, 2016
Last Verified
April 1, 2016
More Information
Terms related to this study
Keywords
- stroke
- recurrence
- cerebrovascular accident
- ultrasonography
- plaque
- hypercholesterolemia
- cholesterol
- brain ischemia
- hyperlipidemia
- statin
- multicenter studies
- prospective studies
- endpoint determination
- randomized controlled trials
- pravastatin
- carotid arteries
- hydroxymethylglutaryl-CoA Reductase Inhibitors
- tunica intima
- tunica media
Additional Relevant MeSH Terms
Other Study ID Numbers
- J-STARS echo
- C000000212 (Other Identifier: UMIN CTR)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.