- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00620542
CRESTOR Athero Imaging Head to Head IVUS Study (SATURN)
July 11, 2012 updated by: AstraZeneca
Study of Coronary Atheroma by Intravascular Ultrasound: Effect of Rosuvastatin Versus Atorvastatin (SATURN)
A 104-week, randomized, double-blind, parallel group, multi-center Phase IIIb study comparing the effects of treatment with rosuvastatin 40 mg or atorvastatin 80 mg on atherosclerotic disease burden as measured by intravascular ultrasound in patients with coronary artery disease.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
2333
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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Buenos Aires, Argentina
- Research Site
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Cordoba, Argentina
- Research Site
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Corrientes, Argentina
- Research Site
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Buenos Aires
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Cap. Fed., Buenos Aires, Argentina
- Research Site
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Ciudad de Buenos Aires, Buenos Aires, Argentina
- Research Site
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Santa Fe-argentina
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Rosario, Santa Fe-argentina, Argentina
- Research Site
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New South Wales
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Liverpool, New South Wales, Australia
- Research Site
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New Lambton Heights, New South Wales, Australia
- Research Site
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Queensland
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Chermside, Queensland, Australia
- Research Site
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South Australia
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Adelaide, South Australia, Australia
- Research Site
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Western Australia
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Perth, Western Australia, Australia
- Research Site
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Aalst, Belgium
- Research Site
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Brugge, Belgium
- Research Site
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Brussels, Belgium
- Research Site
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Charleroi, Belgium
- Research Site
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Genk, Belgium
- Research Site
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Leuven, Belgium
- Research Site
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ES
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Cariacica, ES, Brazil
- Research Site
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Vitoria, ES, Brazil
- Research Site
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GO
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Goiania, GO, Brazil
- Research Site
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MG
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Uberlandia, MG, Brazil
- Research Site
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MT
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Cuiaba, MT, Brazil
- Research Site
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PR
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Curitiba, PR, Brazil
- Research Site
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SP
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Ribeirao Preto, SP, Brazil
- Research Site
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Sao Paulo, SP, Brazil
- Research Site
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Quebec, Canada
- Research Site
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Alberta
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Calgary, Alberta, Canada
- Research Site
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Edmonton, Alberta, Canada
- Research Site
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British Columbia
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Vancouver, British Columbia, Canada
- Research Site
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Victoria, British Columbia, Canada
- Research Site
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Manitoba
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Winnipeg, Manitoba, Canada
- Research Site
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New Brunswick
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Saint John, New Brunswick, Canada
- Research Site
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Nova Scotia
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Halifax, Nova Scotia, Canada
- Research Site
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Ontario
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Hamilton, Ontario, Canada
- Research Site
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London, Ontario, Canada
- Research Site
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Newmarket, Ontario, Canada
- Research Site
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Ottawa, Ontario, Canada
- Research Site
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Toronto, Ontario, Canada
- Research Site
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Quebec
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Chicoutimi, Quebec, Canada
- Research Site
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Laval, Quebec, Canada
- Research Site
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Montreal, Quebec, Canada
- Research Site
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Saskatchewan
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Saskatoon, Saskatchewan, Canada
- Research Site
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Besancon, France
- Research Site
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Bron, France
- Research Site
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Creteil, France
- Research Site
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Le Plessis-robinson, France
- Research Site
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Marseille, France
- Research Site
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Pessac, France
- Research Site
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Quincy Sous Senart, France
- Research Site
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Strasbourg, France
- Research Site
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Toulouse, France
- Research Site
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Budapest, Hungary
- Research Site
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Szged, Hungary
- Research Site
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Novara, Italy
- Research Site
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Roma, Italy
- Research Site
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AR
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Arezzo, AR, Italy
- Research Site
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MI
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Milano, MI, Italy
- Research Site
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Rozzano, MI, Italy
- Research Site
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Milano
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Sesto San Giovanni, Milano, Italy
- Research Site
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PR
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Parma, PR, Italy
- Research Site
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SI
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Siena, SI, Italy
- Research Site
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UD
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Udine, UD, Italy
- Research Site
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Aguascalientes, Mexico
- Research Site
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D.F, Mexico
- Research Site
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Monterrey, Mexico
- Research Site
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Puebla, Mexico
- Research Site
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Queretaro, Mexico
- Research Site
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Tijuana, Mexico
- Research Site
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Jalisco
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Guadalajara, Jalisco, Mexico
- Research Site
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Alkmaar, Netherlands
- Research Site
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Amsterdam, Netherlands
- Research Site
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Breda, Netherlands
- Research Site
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Eindhoven, Netherlands
- Research Site
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Enschede, Netherlands
- Research Site
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Leeuwarden, Netherlands
- Research Site
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Nieuwegein, Netherlands
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Nijmegen, Netherlands
- Research Site
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Rotterdam, Netherlands
- Research Site
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Zwolle, Netherlands
- Research Site
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Bialystok, Poland
- Research Site
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Katowice, Poland
- Research Site
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Kedzierzyn Kozle, Poland
- Research Site
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Krakow, Poland
- Research Site
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Lodz, Poland
- Research Site
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Poznan, Poland
- Research Site
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Warszawa, Poland
- Research Site
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Zabrze, Poland
- Research Site
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Moscow, Russian Federation
- Research Site
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Saint Petersburg, Russian Federation
- Research Site
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Tomsk, Russian Federation
- Research Site
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Tumen, Russian Federation
- Research Site
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Moscow Region
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Krasnogorsk, Moscow Region, Russian Federation
- Research Site
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Andalucia
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Malaga, Andalucia, Spain
- Research Site
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Asturias
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Oviedo, Asturias, Spain
- Research Site
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Cataluna
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Badalona, Cataluna, Spain
- Research Site
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Barcelona, Cataluna, Spain
- Research Site
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Comunidad Valenciana
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Alicante, Comunidad Valenciana, Spain
- Research Site
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Comunidad de Madrid
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Madrid, Comunidad de Madrid, Spain
- Research Site
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Alabama
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Huntsville, Alabama, United States
- Research Site
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California
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Los Angeles, California, United States
- Research Site
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Mountain View, California, United States
- Research Site
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Sacramento, California, United States
- Research Site
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San Diego, California, United States
- Research Site
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Santa Rosa, California, United States
- Research Site
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Torrance, California, United States
- Research Site
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Colorado
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Boulder, Colorado, United States
- Research Site
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Greeley, Colorado, United States
- Research Site
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Loveland, Colorado, United States
- Research Site
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Connecticut
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Farmington, Connecticut, United States
- Research Site
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District of Columbia
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Washington, District of Columbia, United States
- Research Site
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Florida
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Clearwater, Florida, United States
- Research Site
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Ft Lauderdale, Florida, United States
- Research Site
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Jacksonville, Florida, United States
- Research Site
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Melbourne, Florida, United States
- Research Site
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Miami, Florida, United States
- Research Site
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Orlando, Florida, United States
- Research Site
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Sarasota, Florida, United States
- Research Site
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Tampa, Florida, United States
- Research Site
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Winter Haven, Florida, United States
- Research Site
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Georgia
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Atlanta, Georgia, United States
- Research Site
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Augusta, Georgia, United States
- Research Site
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Indiana
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Elkhart, Indiana, United States
- Research Site
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Hammond, Indiana, United States
- Research Site
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Indianapolis, Indiana, United States
- Research Site
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Merrillville, Indiana, United States
- Research Site
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Valparaiso, Indiana, United States
- Research Site
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Iowa
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Davenport, Iowa, United States
- Research Site
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Iowa City, Iowa, United States
- Research Site
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West Des Moines, Iowa, United States
- Research Site
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Kentucky
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Ashland, Kentucky, United States
- Research Site
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Lexington, Kentucky, United States
- Research Site
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Louisville, Kentucky, United States
- Research Site
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Louisiana
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Covington, Louisiana, United States
- Research Site
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Maryland
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Bethesda, Maryland, United States
- Research Site
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Columbia, Maryland, United States
- Research Site
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Takoma Park, Maryland, United States
- Research Site
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Michigan
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Bay City, Michigan, United States
- Research Site
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Grand Blanc, Michigan, United States
- Research Site
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Kalamazoo, Michigan, United States
- Research Site
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Midland, Michigan, United States
- Research Site
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Muskegon, Michigan, United States
- Research Site
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Petoskey, Michigan, United States
- Research Site
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Saginaw, Michigan, United States
- Research Site
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Southfield, Michigan, United States
- Research Site
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Minnesota
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Duluth, Minnesota, United States
- Research Site
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Minneapolis, Minnesota, United States
- Research Site
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Rochester, Minnesota, United States
- Research Site
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St Cloud, Minnesota, United States
- Research Site
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St. Paul, Minnesota, United States
- Research Site
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Missouri
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Columbia, Missouri, United States
- Research Site
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Kansas City, Missouri, United States
- Research Site
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Montana
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Missoula, Montana, United States
- Research Site
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Nebraska
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Lincoln, Nebraska, United States
- Research Site
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Omaha, Nebraska, United States
- Research Site
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New Jersey
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New Brunswick, New Jersey, United States
- Research Site
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Ridgewood, New Jersey, United States
- Research Site
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New Mexico
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Albuquerque, New Mexico, United States
- Research Site
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New York
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Buffalo, New York, United States
- Research Site
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Johnson City, New York, United States
- Research Site
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New York, New York, United States
- Research Site
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Roslyn, New York, United States
- Research Site
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Williamsville, New York, United States
- Research Site
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North Carolina
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Charlotte, North Carolina, United States
- Research Site
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Gastonia, North Carolina, United States
- Research Site
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Greensboro, North Carolina, United States
- Research Site
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North Dakota
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Fargo, North Dakota, United States
- Research Site
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Ohio
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Cincinnati, Ohio, United States
- Research Site
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Cleveland, Ohio, United States
- Research Site
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Columbus, Ohio, United States
- Research Site
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Elyria, Ohio, United States
- Research Site
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Kettering, Ohio, United States
- Research Site
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Middleburg Heights, Ohio, United States
- Research Site
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Perrysburg, Ohio, United States
- Research Site
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Oklahoma
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Oklahoma City, Oklahoma, United States
- Research Site
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Tulsa, Oklahoma, United States
- Research Site
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Oregon
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Bend, Oregon, United States
- Research Site
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Eugene, Oregon, United States
- Research Site
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Hillsboro, Oregon, United States
- Research Site
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Pennsylvania
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Danville, Pennsylvania, United States
- Research Site
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Doylestown, Pennsylvania, United States
- Research Site
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Hershey, Pennsylvania, United States
- Research Site
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Philadelphia, Pennsylvania, United States
- Research Site
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Wormleysburg, Pennsylvania, United States
- Research Site
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South Carolina
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Charleston, South Carolina, United States
- Research Site
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Tennessee
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Chattanooga, Tennessee, United States
- Research Site
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Germantown, Tennessee, United States
- Research Site
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Knoxville, Tennessee, United States
- Research Site
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Memphis, Tennessee, United States
- Research Site
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Oak Ridge, Tennessee, United States
- Research Site
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Texas
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Dallas, Texas, United States
- Research Site
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San Antonio, Texas, United States
- Research Site
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Virginia
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Charlottesville, Virginia, United States
- Research Site
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Washington
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Bellevue, Washington, United States
- Research Site
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Spokane, Washington, United States
- Research Site
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Tacoma, Washington, United States
- Research Site
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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
18 years to 75 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Clinical indication for coronary angiography
- Angiographic evidence of Coronary Artery Disease (CAD), as defined by at least 1 lesion in a native coronary artery that has >20% reduction in lumen diameter by visual estimation
- Left main coronary artery must have <=50% reduction in lumen diameter by visual estimation
- LDL-C >100 mg/dL (2.6 mmol/L) for patients with no statin therapy in the past 4 weeks; LDL-C >80mg/dL (2.08mmol/L) for patients on therapy in the past 4 weeks
Exclusion Criteria:
- Use of certain lipid-lowering medication for more than 3 months within the previous 12 months. Longer periods of treatment are not permitted because of the potential effects of such therapy on coronary atherosclerosis.
- Patients who have symptoms consistent with moderate or greater severity of Congestive Heart Failure (CHF).
- Clinically significant heart disease which, in the opinion of the Principal Investigator (or designee), is likely to require coronary bypass surgery, cardiac transplantation, surgical repair and/or replacement during the course of the study
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: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: Rosuvastatin 20 mg
Rosuvastatin 20 mg distributed in 2-week run-in period
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capsule, oral, once daily
Other Names:
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Active Comparator: Atorvastatin 40 mg
Atorvastatin 40 mg distributed in 2-week run-in period
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capsule, oral, one daily
Other Names:
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Experimental: Rosuvastatin 40 mg
Rosuvastatin 40 mg distributed in core 2-year study
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capsule, oral, once daily
Other Names:
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Active Comparator: Atorvastatin 80 mg
Atorvastatin 80 mg distributed in core 2-year study
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capsule, oral, one daily
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change From Baseline to End of Study (Week 104) in Percent Atheroma Volume (PAV)
Time Frame: End of study (Week 104)
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Change in PAV computed as PAV(Week 104)-PAV(baseline) where PAV is calculated as: [sum(EEMcsa-LUMENcsa)/sum EEMcsa]*100 where EEMcsa is the cross-sectional area of the external elastic membrane and LUMENcsa is the cross-sectional area of the lumen, as measured by intravascular ultrasound IVUS of a coronary artery in patients with CAD. |
End of study (Week 104)
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Numbers of Patients Showing Regression in PAV
Time Frame: End of study (Week 104)
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Regression defined as a change from baseline in PAV < 0
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End of study (Week 104)
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Change From Baseline to End of Study (Week 104) in Total Atheroma Volume (TAV)
Time Frame: End of study (Week 104)
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Change in TAV, as measured by IVUS, computed as TAV(Week 104)-TAV(baseline) where TAV is the sum(EEMcsa-LUMENcsa)/n.
n is the number of cross-sections measured.
TAV for each patient is calculated as the average area of atheroma per cross-section multiplied by the median number of cross-sections measured for all patients in the analysis population.
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End of study (Week 104)
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Numbers of Patients Showing Regression in TAV
Time Frame: End of study (Week 104)
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Regression defined as a change from baseline in TAV < 0
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End of study (Week 104)
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Total Cholesterol Blood Level
Time Frame: 104 weeks
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Time-weighted average is calculated as the lipid value times the number of days since last lipid assessment, summed for all and divided by the number of days from Part B randomization to date of the last lipid evaluation.
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104 weeks
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LDL-C Blood Level
Time Frame: 104 weeks
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Time-weighted average is calculated as the lipid value times the number of days since last lipid assessment, summed for all and divided by the number of days from Part B randomization to date of the last lipid evaluation.
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104 weeks
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HDL-C Blood Level
Time Frame: 104 weeks
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Time-weighted average is calculated as the lipid value times the number of days since last lipid assessment, summed for all and divided by the number of days from Part B randomization to date of the last lipid evaluation.
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104 weeks
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Triglycerides Blood Level
Time Frame: 104 weeks
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Time-weighted average is calculated as the lipid value times the number of days since last lipid assessment, summed for all and divided by the number of days from Part B randomization to date of the last lipid evaluation.
|
104 weeks
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Non-HDL-C Blood Level
Time Frame: 104 weeks
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Time-weighted average is calculated as the lipid value times the number of days since last lipid assessment, summed for all and divided by the number of days from Part B randomization to date of the last lipid evaluation.
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104 weeks
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LDL-C/HDL-C Blood Level
Time Frame: 104 weeks
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Time-weighted average is calculated as the lipid value times the number of days since last lipid assessment, summed for all and divided by the number of days from Part B randomization to date of the last lipid evaluation.
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104 weeks
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Total Cholesterol/HDL-C Blood Level
Time Frame: 104 weeks
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Time-weighted average is calculated as the lipid value times the number of days since last lipid assessment, summed for all and divided by the number of days from Part B randomization to date of the last lipid evaluation.
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104 weeks
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Non-HDL-C/HDL-C Blood Level
Time Frame: 104 weeks
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Time-weighted average is calculated as the lipid value times the number of days since last lipid assessment, summed for all and divided by the number of days from Part B randomization to date of the last lipid evaluation.
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104 weeks
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Apolipoprotein B Blood Level
Time Frame: 104 weeks
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Time-weighted average is calculated as the lipid value times the number of days since last lipid assessment, summed for all and divided by the number of days from Part B randomization to date of the last lipid evaluation.
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104 weeks
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Apolipoprotein A-1 Blood Level
Time Frame: 104 weeks
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Time-weighted average is calculated as the lipid value times the number of days since last lipid assessment, summed for all and divided by the number of days from Part B randomization to date of the last lipid evaluation.
|
104 weeks
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Apoliprotein B/Apolipoprotein A-1 Blood Level
Time Frame: 104 weeks
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Time-weighted average is calculated as the lipid value times the number of days since last lipid assessment, summed for all and divided by the number of days from Part B randomization to date of the last lipid evaluation.
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104 weeks
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VLDL-C During the 104 Week Treatment Period
Time Frame: 104 weeks
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Time-weighted average is calculated as the lipid value times the number of days since last lipid assessment, summed for all and divided by the number of days from Part B randomization to date of the last lipid evaluation.
|
104 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Stephen J Nicholls, MBBS, PhD, Cleveland Clinic Foundation, Cardiovascular Medicine
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
- Puri R, Nissen SE, Shao M, Ballantyne CM, Barter PJ, Chapman MJ, Erbel R, Libby P, Raichlen JS, Uno K, Kataoka Y, Nicholls SJ. Sex-related differences of coronary atherosclerosis regression following maximally intensive statin therapy: insights from SATURN. JACC Cardiovasc Imaging. 2014 Oct;7(10):1013-22. doi: 10.1016/j.jcmg.2014.04.019. Epub 2014 Sep 17.
- Puri R, Libby P, Nissen SE, Wolski K, Ballantyne CM, Barter PJ, Chapman MJ, Erbel R, Raichlen JS, Uno K, Kataoka Y, Tuzcu EM, Nicholls SJ. Long-term effects of maximally intensive statin therapy on changes in coronary atheroma composition: insights from SATURN. Eur Heart J Cardiovasc Imaging. 2014 Apr;15(4):380-8. doi: 10.1093/ehjci/jet251. Epub 2014 Jan 20.
- Puri R, Nissen SE, Libby P, Shao M, Ballantyne CM, Barter PJ, Chapman MJ, Erbel R, Raichlen JS, Uno K, Kataoka Y, Nicholls SJ. C-reactive protein, but not low-density lipoprotein cholesterol levels, associate with coronary atheroma regression and cardiovascular events after maximally intensive statin therapy. Circulation. 2013 Nov 26;128(22):2395-403. doi: 10.1161/CIRCULATIONAHA.113.004243. Epub 2013 Sep 16.
- Nicholls SJ, Ballantyne CM, Barter PJ, Chapman MJ, Erbel RM, Libby P, Raichlen JS, Uno K, Borgman M, Wolski K, Nissen SE. Effect of two intensive statin regimens on progression of coronary disease. N Engl J Med. 2011 Dec 1;365(22):2078-87. doi: 10.1056/NEJMoa1110874. Epub 2011 Nov 15.
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
January 1, 2008
Primary Completion (Actual)
June 1, 2011
Study Completion (Actual)
June 1, 2011
Study Registration Dates
First Submitted
February 6, 2008
First Submitted That Met QC Criteria
February 20, 2008
First Posted (Estimate)
February 21, 2008
Study Record Updates
Last Update Posted (Estimate)
July 16, 2012
Last Update Submitted That Met QC Criteria
July 11, 2012
Last Verified
July 1, 2012
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Heart Diseases
- Cardiovascular Diseases
- Vascular Diseases
- Arteriosclerosis
- Arterial Occlusive Diseases
- Coronary Disease
- Coronary Artery Disease
- Myocardial Ischemia
- Atherosclerosis
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antimetabolites
- Anticholesteremic Agents
- Hypolipidemic Agents
- Lipid Regulating Agents
- Hydroxymethylglutaryl-CoA Reductase Inhibitors
- Atorvastatin
- Rosuvastatin Calcium
Other Study ID Numbers
- D356IC00001
- 2007-004000-13
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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