Phase 3
N=543
A phase3 Study Measuring the Effect of Rosuvastatin 20 mg on Carotid Intima-Media Thickness in Chinese Subjects With Subclinical Atherosclerosis
Atherosclerosis
Bottom Line
View on ClinicalTrials.gov: NCT02546323 ↗Enrolled (actual)
543
Serious AEs
13.3%
Results posted
Dec 2019
Primary outcome: Primary: Annualized Rate of Change in Mean of the Maximum (MeanMax) CIMT Measurements From Each of the 12 Carotid Artery Sites Based on All Scans Performed During the 104-Week Study Period — 0.0038; 0.0142 mm/year — p=0.020
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Rosuvastatin (Drug); Placebo (Drug)
- Age
- Adult, Older Adult · 45+ yrs
- Sex
- All
- Sponsor
- AstraZeneca
- Primary completion
- Jan 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Annualized Rate of Change in Mean of the Maximum (MeanMax) CIMT Measurements From Each of the 12 Carotid Artery Sites Based on All Scans Performed During the 104-Week Study Period |
0.0038; 0.0142 | 0.020 sig |
| SECONDARY Annualized Rate of Change in the MeanMax CIMT of the Near and Far Walls of the Right and Left CCA |
-0.0031; 0.0079 | 0.013 sig |
| SECONDARY Annualized Rate of Change in the MeanMax CIMT of the Near and Far Walls of the Right and Left Carotid Bulb |
0.0067; 0.0228 | 0.073 |
| SECONDARY Annualized Rate of Change in the MeanMax CIMT of the Near and Far Walls of the Right and Left ICA |
0.0077; 0.0120 | 0.547 |
| SECONDARY Annualized Rate of Change in the Mean of the Mean (MeanMean) CIMT of the Near and Far Walls of the Right and Left CCA |
-0.0011; 0.0075 | 0.002 sig |
| SECONDARY Percent Change From Baseline in Lipid, Lipoprotein and Apolipoprotein Values at Final Visit: Last Observation Carried Forward (LOCF) |
-26.47; 8.99; -20.56; 1.29; 5.47; 0.48 | <0.001 sig |
| SECONDARY Percent Change From Baseline in Lipid and Lipoprotein Values at Final Visit: Time Weighted Average |
-34.89; 4.62; -23.98; 1.49; 7.07; 3.41 | <0.001 sig |
Summary
The purpose of this study is to evaluate the effects of of rosuvastatin 20 mg compared to placebo for treating Chinese patients with subclinical atherosclerosis.
Eligibility Criteria
Inclusion Criteria
- Provision of informed consent prior to any study-specific procedures
- Male aged ≥45 and 400 mg or prescribed Chinese traditional drugs), including cholesterol-absorption inhibitors (CAIs), and CAI/statin combination, within 12 months prior to Visit 1
- Current or recent (within 2 weeks of Visit 1) use of supplements known to alter lipid metabolism (eg, soluble fibers [including >2 teaspoons Metamucil® or psyllium-containing supplement per day] or other dietary fiber supplements, marine oils, sterol/stanol products, or other supplement determined at the discretion of the investigator)
- History of hypersensitivity reactions to other HMG-CoA reductase inhibitors
- Pregnant women, women who are breast-feeding, and women of childbearing potential who are not using chemical or mechanical contraception or who have a positive serum pregnancy test
- Clinical evidence of coronary artery disease (CAD) or any other atherosclerotic disease such as angina, MI, transient ischemic attack, symptomatic CAD, cerebrovascular accident, percutaneous coronary intervention, coronary artery bypass graft, peripheral arterial disease, abdominal aortic aneurysm
- History of cancer (other than basal cell carcinoma) in the past 2 years
- Uncontrolled hypertension defined as either a mean resting diastolic blood pressure of ≥110 mmHg or a resting systolic blood pressure of ≥180 mmHg recorded at any time during the screening period
- History of diabetes mellitus or current diabetes mellitus
- Uncontrolled hypothyroidism defined as a thyroid stimulating hormone (TSH) >1.5 times the upper limit of normal (ULN) at Visit 1 or subjects whose thyroid replacement therapy was initiated within the last 3 months
- History of heterozygous or homozygous familial hypercholesterolemia or known hyperlipoproteinemia Types I, III, IV, or V (familial dysbetalipoproteinemia)
- Use of the disallowed concomitant medications within 12 months prior to Visit 1
- History of alcohol and/or drug abuse within the past 5 years
- Active liver disease or hepatic dysfunction as defined by elevations of ≥1.5 x ULN at Visit 1 in any of the following liver function tests: ALT, AST or bilirubin
- Serum creatine kinase (CK) >3 x ULN at Visit 1
- Serum creatinine >2.0 mg/dL (177 mmol/L) recorded during the screening period
- Participation in another investigational drug study, and having ingested investigational drug ≤4 weeks before enrollment in the screening period
- Previous randomization in the present study
- History of a significant medical or psychological condition that, in the opinion of the investigator, would compromise the subject's safety or successful participation in the study
- Involvement in the planning and/or conduct of the study (applies to both AstraZeneca staff and/or staff at the study site)
Data sourced from ClinicalTrials.gov (NCT02546323). 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.