- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00441597
Does Atorvastatin Reduce Ischemia-Reperfusion Injury in Humans in-Vivo?
March 16, 2009 updated by: Radboud University Medical Center
To study the impact of 3 day exposure to atorvastatin 80mg on Annexin A5 targeting after ischemic exercise in the non-dominant forearm.
Study Overview
Status
Completed
Intervention / Treatment
Detailed Description
3-Hydroxy-3-methylglutaryl coenzyme A reductase inhibitors (also known as statins) have been found to reduce cardiovascular events.
This protective effect has been traditionally explained by lowering plasma cholesterol and subsequent reduced progression of atherosclerosis.
However in animal experiments statins have also shown the ability to induce pharmacologic preconditioning and thereby reduce infarct size.
This effect contributes to the beneficial effect of statins on reducing of cardiovascular events.
In order to differentiate between these two mechanisms of protection we will study the effect of atorvastatin on ischemia reperfusion damage after a short exposure to atorvastatin, before the lipid lowering effect of atorvastatin becomes apparent.
Study Type
Interventional
Enrollment (Anticipated)
30
Phase
- Phase 4
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
-
-
-
Nijmegen, Netherlands, 6500 HB
- Radboud University Nijmegen Medical Centre
-
-
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
18 years to 50 years (Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
Male
Description
Inclusion Criteria:
- Male
- Age 18-50 years
- Informed consent
- Physical able to perform ischemic exercise
Exclusion Criteria:
- History of any cardiovascular disease
- Hypertension (in supine position: systole > 140 mmHg, diastole > 90 mmHg)
- Diabetes mellitus (fasting glucose > 7.0 mmol/L or random glucose > 11.0 mmol/L)
- Hyperlipidaemia (fasting total cholesterol > 5.5 mmol/l)
- Alanine-Amino-Transferase (ALAT) >90 U/L
- Creatinine Kinase (CK) >440 U/L
- Drug or alcohol abuse
- Concommitant chronic use of medication
- Administration of radioactivity in research setting during the last 5 years
- Participation to any drug-investigation during the previous 60 days as checked with VIP check according to CRCN standard procedures
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: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: 1
first 3 day treatment placebo and 4 weeks later three day treatment with atorvastatin 80 mg
|
atorvastatine 80mg, during 3 days
Other Names:
|
Active Comparator: 2
first 3 day treatment atorvastatin 80 mg and 4 weeks later three day treatment with placebo
|
atorvastatine 80mg, during 3 days
Other Names:
|
No Intervention: 3
3 days treatment with placebo twice
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Annexin A 5 targeting in the non dominant thenar muscle after ischemic exercise, as a indicator for ischemia reperfusion injury.
Time Frame: 60 and 240 minutes after ischemic exercise
|
60 and 240 minutes after ischemic exercise
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
workload during ischemic exercise
Time Frame: workload during 10minutes of ischemic exercise
|
workload during 10minutes of ischemic exercise
|
effect of 3-day treatment with atorvastatin 80mg daily on serum lipid levels
Time Frame: fasting lipid levels before and at first day after 3 day treatment with atorvastatin
|
fasting lipid levels before and at first day after 3 day treatment with atorvastatin
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Gerard Rongen, MD PhD, RUMCN
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
- Rongen GA, Oyen WJ, Ramakers BP, Riksen NP, Boerman OC, Steinmetz N, Smits P. Annexin A5 scintigraphy of forearm as a novel in vivo model of skeletal muscle preconditioning in humans. Circulation. 2005 Jan 18;111(2):173-8. doi: 10.1161/01.CIR.0000151612.02223.F2. Epub 2004 Dec 27.
- Riksen NP, Smits P, Rongen GA. Ischaemic preconditioning: from molecular characterisation to clinical application--part II. Neth J Med. 2004 Dec;62(11):409-23.
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
February 1, 2007
Primary Completion (Actual)
February 1, 2009
Study Completion (Actual)
March 1, 2009
Study Registration Dates
First Submitted
February 28, 2007
First Submitted That Met QC Criteria
February 28, 2007
First Posted (Estimate)
March 1, 2007
Study Record Updates
Last Update Posted (Estimate)
March 17, 2009
Last Update Submitted That Met QC Criteria
March 16, 2009
Last Verified
March 1, 2009
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Vascular Diseases
- Postoperative Complications
- Cardiovascular Diseases
- Ischemia
- Wounds and Injuries
- Reperfusion Injury
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antimetabolites
- Anticholesteremic Agents
- Hypolipidemic Agents
- Lipid Regulating Agents
- Hydroxymethylglutaryl-CoA Reductase Inhibitors
- Atorvastatin
Other Study ID Numbers
- atorv01
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.
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