Rosuvastatin Effect on Reducing Coronary Atherosclerosis Plaques Volume (REDUCT)

Rosuvastatin Effect on Reducing Coronary Atherosclerosis Plaques Volume Evaluated by Multi-slice Spiral CT in Patients With Stable Coronary Heart Disease and Hyperlipidemia

This multicentre, open-label, single-arm Study is to evaluate the effect of Rosuvastatin 20 mg 76 weeks on coronary atherosclerosis plaque versus baseline in Chinese coronary heart disease (CHD) patients with hyperlipidemia by measuring the plaque volume using a 64 slice spiral CT. Effect on blood lipids, hsCRP and Carotid intima-media thickness (CIMT) is also evaluated.

Study Overview

• Status: Unknown
• Conditions: Coronary Artery Disease; Hyperlipidemia
• Intervention / Treatment: Drug: Rosuvastatin

• Study Type: Interventional
• Enrollment (Anticipated): 600
• Phase: Phase 4

Contacts and Locations

• Study Contact: Name: Jie Jiang, MD; Phone Number: 86-10-66551383; Email: jiangjie@medmail.com.cn

Study Locations

• China
  • Beijing, China, 100034
    • Recruiting
    • Division of Cardiology, Peking University First Hospital
    • Contact: Jie Jiang, MD; Phone Number: 86-10-66551383
  • Beijing
    • Beijing, Beijing, China, 100034
      • Recruiting
      • Peking University First Hospital
      • Contact: Yanjun Gong, MD; Phone Number: 86-10-83572299; Email: gongyanjun111@163.com

Participation Criteria

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:

• Written informed consent
• Men or women, aged 18 -75

• Diagnosed with coronary heart disease (CHD) stable angina for more than 1 month and meet the following any one:

  1. History of myocardial infarction.
  2. CHD confirmed by coronary angiography.
  3. Excercise ECG positive for CHD or perfusion defect
  4. One or more main branch of coronary artery stenosis ≥ 50% confirmed by CT scanning.
• Hyperlipidemia (lipid-lowering treatment naïve: LDL-C ≥130mg/dl, or having received lipid-lowering treatment: LDL-C ≥100mg/dl)

• The 64 slice CT shows at least one significant coronary artery stenosis ≥20% with the narrowest ≤60% and meeting the following criteria:

  1. Diameter of coronary artery lesion ≥2mm, length ≥5mm; distance between multiple lesions >1cm
  2. Plaque density <100HU, no calcification
  3. Vascular stenosis (20～60%) caused by plaques
  4. Plaque thickness >1mm
  5. Plaque not in the coronary artery with previous PCI treatment.

Exclusion Criteria:

• Acute myocardial infarction within 6 months
• PCI or CABG therapy within 6 months
• Anticipated PCI or CABG therapy in the following 3 months.
• Tropnin I/Tropnin T higher than ULN
• Cardiac failure NYHA III or above
• Coronary artery left main stenosis >50%
• Emergency coronary angiography(CAG) is needed
• Serious arrhythmia or tachycardia
• Secondary hyperlipidemia
• Familial hypercholestrolemia
• Uncontrolled severe hypertension (≥200/110 mmHg)
• Uncontrolled diabetes (HbA1c ≥9.5%)
• Triglyceride ≥500 mg/dL (5.65 mmol/L)
• Active hepatic disease or hepatic function impairment, ALT≥3ULN
• Serum creatinine >177 µmol/L (2.0 mg/dL)
• Myalgia or blood CK ≥5ULN
• WBC < 4×10e9/L，or PLT < 100*10e9/L。
• Participation in the the course of plan and/or procedure of this study
• Previous participation in the study treatment
• Participation in other clinical studies in the past 3 months
• Pregnant or breast-feeding women, women with child-bearing potential who did not use drugs or devices for contraception, or women with positive urine pregnancy test (human chorionic gonadotropin [HCG])
• History of malignant tumors (exception: recovered more than 10 years or only basal cell carcinoma or squamous cell carcinoma); females with a history of cervical atypical hyperplasia (exception: 3 consecutive cervical smear tests normal prior to enrolment)
• History of alcohol and/or drug abuse in recent 5 years
• Any serious or unstable physical or psychological conditions, in the opinion of the investigator, would compromise the safety of the patient or the participation in this study
• Use of concomitant medications prohibited in this study ( Erythromycin, clarithromycin, erythromycin ethylsuccinate, sulfaphenazole; Fluconazole, ketoconazole, itraconazole; Niacin / nicotinic acid(including vitamins/food additives containing niacin / nicotinic acid >50mg), probucol, clofibrate, cholestyramine, colestipol hydrochloride, ezetimibe, fenofibrate, gemfibrozil, atorvastatin(exception: study medication)，lovastatin, pravastatin, rosuvastatin (exception: study medication) , Simvastatin, fluvastatin, fish oil (any dose), lipid-lowering supplements and food additives; Cyclosporine; Protease inhibitors)
• Use of periodic hormone replacement treatment(HRT), oral contraceptives(OCTs), long-acting progesterone, or in recent 3 months non-periodic HRT or OCTs
• Patients with any condition which, in the investigator's judgment, might increase the risk to the subject for any adverse event or abnormal laboratory finding

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

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Rosuvastatin 20 mg; Rosuvastatin 20 mg for 76 weeks.	Drug: Rosuvastatin; Rosuvastatin 20 mg per day for 76 weeks; Other Names: Crestor

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Change from baseline in coronary atherosclerosis plaque volume using a 64 slice spiral CT at 76 weeks	76 weeks

Secondary Outcome Measures

Outcome Measure	Time Frame
Change from baseline in blood lipids at 26 weeks	26 weeks
Change from baseline in hsCRP at 26 weeks	26 weeks
Change from baseline in Carotid intima-media thickness at 76 weeks	76 weeks
Number of participants with adverse events and abnormal laboratory safety markers.	76 weeks
Change from baseline in blood lipids at 52 weeks	52 weeks
Change from baseline in blood lipids at 76 weeks	76 weeks
Change from baseline in hsCRP at 52 weeks	52 weeks
Change from baseline in hsCRP at 76 weeks	76 weeks

Collaborators and Investigators

• Sponsor: Peking University First Hospital

Study record dates

Study Major Dates

• Study Start: March 1, 2011
• Primary Completion (Anticipated): April 1, 2013
• Study Completion (Anticipated): April 1, 2013

Study Registration Dates

• First Submitted: June 20, 2011
• First Submitted That Met QC Criteria: June 23, 2011
• First Posted (Estimate): June 27, 2011

Study Record Updates

• Last Update Posted (Estimate): June 27, 2011
• Last Update Submitted That Met QC Criteria: June 23, 2011
• Last Verified: February 1, 2011

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Heart Diseases; Cardiovascular Diseases; Vascular Diseases; Metabolic Diseases; Arteriosclerosis; Arterial Occlusive Diseases; Coronary Disease; Lipid Metabolism Disorders; Dyslipidemias; Coronary Artery Disease; Myocardial Ischemia; Atherosclerosis; Hyperlipidemias; Hyperlipoproteinemias; Molecular Mechanisms of Pharmacological Action; Enzyme Inhibitors; Antimetabolites; Anticholesteremic Agents; Hypolipidemic Agents; Lipid Regulating Agents; Hydroxymethylglutaryl-CoA Reductase Inhibitors; Rosuvastatin Calcium
• Other Study ID Numbers: REDUCT