- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01974297
Comparison of the Efficacy and Safety of AtorVastatin mOnotherapy vs. Combination Atorvastatin/Fenofibric Acid (AVOCADO)
October 31, 2013 updated by: Sang Hak Lee
Comparison of the Efficacy and AtorVastatin 20mg mOnotherapy Versus Combination Atorvastatin/Fenofibric Acid 10/135mg in the Mixed hyperlipiDemia Who Were Not at Lipid gOals With Atorvastatin 10mg Monotherapy.
The purpose of this study is to compare combination atorvastatin/fenofibric acid 10/135mg with atorvastatin 20mg monotherapy in the mixed hyperlipidemia who were not at lipid goals with atorvastatin 10mg monotherapy.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Detailed Description
Study conduct according to the standard operating procedure
- The sponsor, the investigator, and all other persons involved in the study at the study center or other facilities should conduct the study in accordance with the study protocol, each standard operating procedure, and Korea Good Clinical Pratice.
Data quality control
- In order to ensure the reliability of all study-related data and their appropriate processing, the sponsor will apply quality control to each step of data handling
Monitoring
- In order to confirm that the study is being conducted, recorded and reported according to the study protocol and International Conference on Harmonization Good Clinical Practice(ICH-GCP), the sponsor or CRO will perform monitoring of study procedure. In monitoring, the monitors will cross check the description in the case report form, etc. against study-related records such as source documents to confirm that the description is accurate.
Measures taken to cope with adverse events and reporting procedure
- The investigator should notify the event to the sponsor or Contract Research Organization(CRO) immediately (within around 24 hours) after having noticed the occurence of a serioius adverse event by telephone, fax or E-mail. The investigator should complete and submit an serioius adverse event(SAE) report form containing all information to the Institutional Review Board (IRB).
Data Management
- In this study, data will be collected in electronic Case Report Form(CRF)
- Data validation for missing data will be managed by computer programming and manual check.
Study Type
Interventional
Enrollment (Anticipated)
194
Phase
- Not Applicable
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
-
-
-
Seoul, Korea, Republic of
- Recruiting
- Severance Hospital, Yonsei University College of Medicine
-
Contact:
- Sang-Hak Lee, PhD
- Phone Number: 82-2-2228-8456
- Email: SHL1106@hanmail.net
-
Contact:
- Jiyeong Jeong, bachelor
- Phone Number: 82-2-2228-8277
- Email: jiyoung112@yuhs.ac
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Principal Investigator:
- Sang-Hak Lee, PhD
-
-
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 and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- patients of the age of 20years or older
- patients who have been taking atorvastatin 10mg 1 tab per day for more than 8 weeks before screening
patients who meet the following criteria
- Low density lipoproteins-cholesterol level < 130mg/dL
- 150mg/dL < Triglyceride level < 500mg/dL
- HDL-cholesterol level < 45mg/dL
- patients who consent for the consent before enrolling the study
Exclusion Criteria:
- Allergic to HMG-CoA reductase inhibitor and fibrates
- uncontrolled Hypertension
- unstable angina, myocardial infarction, transient ischemic attack
- uncontrolled diabetes
- thyroid disease
- myopathy, rhabdomyolysis history
- alcoholic
- chronic diarrhea, gastrointestinal disease
- malignant tumor
- patients who are pregnant
- lactating woman
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: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Atorvastatin 20mg, monotherapy
Atorvastatin 20mg/day PO for 12weeks
|
Atorvastatin 20mg/day PO for 12weeks
Other Names:
|
Experimental: Atorvastatin 10mg, Fenofibric acid 135mg
Atorvastatin 10mg, Fenofibric acid 135mg per day PO for 12weeks
|
Atorvastatin 10mg, fenofibric acid 135mg/day PO for 12 weeks
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes of non-HDL cholesterol
Time Frame: at screening and after 12 weeks
|
-change rate : [(12nd week non-High density lipoprotein - baseline non-High density lipoprotein) / baseline non-High density lipoprotein] * 100
|
at screening and after 12 weeks
|
levelresponse rate of non-HDL cholesterol level < 130mg/dL
Time Frame: at screening and after 12 weeks
|
-Response rate : (subjects who are at less than 130mg/dL of non-High density lipoprotein level / all subjects) * 100
|
at screening and after 12 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
changes of TC,HDL-C,LDL-C,TG,Apo B/A1
Time Frame: at screening and after 12 weeks
|
at screening and after 12 weeks
|
|
Changes of Glucose, HbA1c, HOMA-IR level
Time Frame: at screening and after 12 weeks
|
HOMA-IR index = [fasting serum insulin(uU/mL) * fasting serum glucose(mmol/L)]/22.5
|
at screening and after 12 weeks
|
Changes of hs-CRP, adiponectin, resistin level
Time Frame: at screening and after 12 weeks
|
at screening and after 12 weeks
|
Other Outcome Measures
Outcome Measure |
Time Frame |
---|---|
changes of BUN/Cr level
Time Frame: at screening and after 12 weeks
|
at screening and after 12 weeks
|
Changes of Homocysteine level
Time Frame: at screening and after 12 weeks
|
at screening and after 12 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Sang-Hak Lee, PhD, Severance Hospital, Yonsei University College of 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
- Goldberg AC, Bays HE, Ballantyne CM, Kelly MT, Buttler SM, Setze CM, Sleep DJ, Stolzenbach JC. Efficacy and safety of ABT-335 (fenofibric acid) in combination with atorvastatin in patients with mixed dyslipidemia. Am J Cardiol. 2009 Feb 15;103(4):515-22. doi: 10.1016/j.amjcard.2008.10.025. Epub 2008 Dec 26.
- Jones PH, Goldberg AC, Knapp HR, Kelly MT, Setze CM, Stolzenbach JC, Sleep DJ. Efficacy and safety of fenofibric acid in combination with atorvastatin and ezetimibe in patients with mixed dyslipidemia. Am Heart J. 2010 Oct;160(4):759-66. doi: 10.1016/j.ahj.2010.06.045.
- Mohiuddin SM, Pepine CJ, Kelly MT, Buttler SM, Setze CM, Sleep DJ, Stolzenbach JC. Efficacy and safety of ABT-335 (fenofibric acid) in combination with simvastatin in patients with mixed dyslipidemia: a phase 3, randomized, controlled study. Am Heart J. 2009 Jan;157(1):195-203. doi: 10.1016/j.ahj.2008.08.027. Epub 2008 Nov 20.
- Kishikawa R, M-Horiuti T, Togawa A, Kondoh Y, Janzy PD, Goldblum RM, Kotoh E, Shimoda T, Shoji S, Nishima S, Brooks EG. [Juniper pollen monitoring by Burkard sampler in Galveston, Texas, USA and Japanese cedar pollen counting in Fukuoka, Japan -- introduction of Pan American Aerobiology Association protocol counting technique]. Arerugi. 2004 Jun;53(6):582-8. Japanese.
- Jones PH, Davidson MH, Kashyap ML, Kelly MT, Buttler SM, Setze CM, Sleep DJ, Stolzenbach JC. Efficacy and safety of ABT-335 (fenofibric acid) in combination with rosuvastatin in patients with mixed dyslipidemia: a phase 3 study. Atherosclerosis. 2009 May;204(1):208-15. doi: 10.1016/j.atherosclerosis.2008.09.027. Epub 2008 Oct 5.
- Filippatos TD. A review of time courses and predictors of lipid changes with fenofibric acid-statin combination. Cardiovasc Drugs Ther. 2012 Jun;26(3):245-55. doi: 10.1007/s10557-012-6394-0.
- Chatley P, Badyal DK, Calton R, Khosla PP. Combination therapy of low-dose atorvastatin and fenofibrate in mixed hyperlipidemia. Methods Find Exp Clin Pharmacol. 2007 Apr;29(3):217-21. doi: 10.1358/mf.2007.29.3.1075363.
- Davidson MH, Rooney MW, Drucker J, Eugene Griffin H, Oosman S, Beckert M; LCP-AtorFen Investigators. Efficacy and tolerability of atorvastatin/fenofibrate fixed-dose combination tablet compared with atorvastatin and fenofibrate monotherapies in patients with dyslipidemia: a 12-week, multicenter, double-blind, randomized, parallel-group study. Clin Ther. 2009 Dec;31(12):2824-38. doi: 10.1016/j.clinthera.2009.12.007.
- Shah HD, Parikh KH, Chag MC, Shah UG, Baxi HA, Chandarana AH, Naik AM, Shah JN, Iyer S, Shah KJ, Goyal RK. Beneficial effects of the addition of fenofibrate to statin therapy in patients with acute coronary syndrome after percutaneous coronary interventions. Exp Clin Cardiol. 2007 Summer;12(2):91-6.
- Farnier M, Ducobu J, Bryniarski L. Efficacy and safety of adding fenofibrate 160 mg in high-risk patients with mixed hyperlipidemia not controlled by pravastatin 40 mg monotherapy. Am J Cardiol. 2010 Sep 15;106(6):787-92. doi: 10.1016/j.amjcard.2010.05.005. Epub 2010 Aug 2.
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
July 1, 2013
Primary Completion (Anticipated)
June 1, 2014
Study Completion (Anticipated)
July 1, 2014
Study Registration Dates
First Submitted
October 25, 2013
First Submitted That Met QC Criteria
October 25, 2013
First Posted (Estimate)
November 1, 2013
Study Record Updates
Last Update Posted (Estimate)
November 3, 2013
Last Update Submitted That Met QC Criteria
October 31, 2013
Last Verified
October 1, 2013
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Metabolic Diseases
- Genetic Diseases, Inborn
- Metabolism, Inborn Errors
- Lipid Metabolism Disorders
- Dyslipidemias
- Lipid Metabolism, Inborn Errors
- Hypertriglyceridemia
- Hyperlipidemias
- Hyperlipoproteinemias
- Hyperlipidemia, Familial Combined
- Lipidoses
- Hyperlipoproteinemia Type V
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antimetabolites
- Anticholesteremic Agents
- Hypolipidemic Agents
- Lipid Regulating Agents
- Hydroxymethylglutaryl-CoA Reductase Inhibitors
- Atorvastatin
- Fenofibric acid
Other Study ID Numbers
- AVOCADO
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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