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Phase 2 N=175 Randomized Double-blind Treatment

Prothrombotic Inflammatory Markers in Women With Metabolic Syndrome - Effect of Atorvastatin

Metabolic Syndrome

Enrolled (actual)
175
Serious AEs
0.0%
Results posted
Jun 2017
Primary outcome: Primary: Mean Low Density Lipoprotein Cholesterol in Blood — 70; 135 mg/dl

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Atorvastatin (Drug); Placebo (Other)
Age
Adult, Older Adult · 18+ yrs
Sex
Female
Sponsor
University of Rochester
Primary completion
Dec 2011

Outcome Measures

OutcomeResultp-value
PRIMARY
Mean Low Density Lipoprotein Cholesterol in Blood
119.9; 133.3
PRIMARY
Mean Triglycerides in Blood
94.6; 197.4
PRIMARY
Mean Apolipoprotein B in Blood
86.3; 107.2
PRIMARY
Mean Apolipoprotein B/ Apolipoprotein A1 Ratio in Blood
0.5; 0.8
PRIMARY
Mean High Sensitivity C-reactive Protein in Blood
3095; 4027
PRIMARY
Mean Waist Circumference
33.3; 42.6
PRIMARY
Mean Systolic Blood Pressure
114.5; 132.3
PRIMARY
Mean Diastolic Blood Pressure
74.6; 82.9
PRIMARY
Mean High Density Lipoprotein Cholesterol in Blood
66.6; 46.3
PRIMARY
Mean Fasting Plasma Glucose in Blood
90; 93
PRIMARY
Mean Aspartate Aminotransferase in Blood
20.27; 21.09
PRIMARY
Mean Alanine Aminotransferase in Blood
21.59; 23.75
PRIMARY
Mean Leptin in Blood
16285.3; 45518.1
PRIMARY
Mean Soluble Intercellular Adhesion Molecule in Blood
192; 220
PRIMARY
Mean Soluble Vascular Adhesion Molecule in Blood
512.9; 534.4
PRIMARY
Mean Plasminogen Activator Inhibitor-1 in Blood
4.5; 6.2
PRIMARY
Mean Myeloperoxidase in Blood
43.7; 52.3
SECONDARY
Mean Waist Circumference
33.3; 42.6
SECONDARY
Mean Low Density Lipoprotein Cholesterol in Blood
119.9; 133.3
SECONDARY
Mean Triglycerides in Blood
94.6; 197.4
SECONDARY
Mean Myeloperoxidase in Blood
43.7; 52.3
SECONDARY
Mean Fasting Blood Glucose in Blood
84.3; 95.7
SECONDARY
Mean High Density Lipoprotein Cholesterol in Blood
66.6; 46.3
SECONDARY
Mean Intercellular Adhesion Molecule in Blood
179.2; 212.9
SECONDARY
Mean Systolic Blood Pressure
114.5; 132.3
SECONDARY
Mean Diastolic Blood Pressure
74.6; 82.9
SECONDARY
Mean Vascular Adhesion Molecule in Blood
614.8; 525.0
SECONDARY
Mean Apolipoprotein A-1 in Blood
172.0; 134.3
SECONDARY
Mean Apolipoprotein B in Blood
86.3; 107.2
SECONDARY
Mean Apolipoprotein B/ Apolipoprotein A1 Ratio in Blood
0.5; 0.8
SECONDARY
Mean Hs-C Reactive Protein in Blood
1761.5; 3586.9
SECONDARY
Mean Leptin in Blood
16285.3; 45518.1
SECONDARY
Mean Plasminogen Activator Inhibitor-1 in Blood
4.5; 6.2

Summary

Little is known regarding the association of individual components of the metabolic syndrome (MBS) and prothrombotic, inflammatory and preclinical cardiac structural and functional markers in women with this syndrome. Less is known about adequate treatment as the pathological mechanism of this syndrome is not well understood. The purpose of this study is two fold; 1. To determine basic differences in biochemical and cardiovascular structural markers in women with and those without MBS and their association with the individual components of MBS. 2. To determine the impact of atorvastatin to lower the risk factors of Metabolic Syndrome. Atorvastatin is one of the most effective drugs approved by the United States Food and Drug Administration (FDA) for the treatment of high cholesterol. It belongs to a class of drugs called statins and its role in primary prevention is still unclear. Thus this population seems to be an ideal group that may benefit from this intervention.

Eligibility Criteria

Inclusion Criteria

  • Women between the ages of 18-75 with Metabolic syndrome
  • Abdominal circumference > 35 in
  • Hypertriglyceridemia > 150mg/dl
  • HDL 130/85
  • Fasting Glucose >100

Exclusion Criteria

  • Pregnant or planning to become pregnant in the next 6-12 months
  • Receiving lipid-lowing drugs
  • Obstructive hepatobiliary disease or serious hepatic disease
  • Diabetes, cardiovascular disease (CVD), hypothyroidism, active infection, cancer, recent surgery
  • Fulfill criteria to receive statin based on LDL levels, risk factors, and Framingham risk scoring outlined on ATP111/NCEP 111 recommendations
  • Documented allergic reaction to statin in past
  • unexplained elevation in creatinine kinase levels > 3 times upper limit
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01785615). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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