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Trial registered on ANZCTR
Registration number
ACTRN12619001695190
Ethics application status
Approved
Date submitted
27/09/2019
Date registered
2/12/2019
Date last updated
10/06/2021
Date data sharing statement initially provided
2/12/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of statins in comparison to fibrates on the development of atherosclerosis
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Scientific title
Head-to-Head comparison of statins versus fibrates on laboratory parameters of atherosclerosis and ultrasound assessment of endothelial function
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Secondary ID [1]
298753
0
None
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Universal Trial Number (UTN)
U1111-1237-4184
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hypercholesterolemia
313770
0
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Hypertriglyceridemia
315363
0
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Condition category
Condition code
Public Health
312175
312175
0
0
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Other public health
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Cardiovascular
312266
312266
0
0
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Other cardiovascular diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Simvastatin 20 mg once daily
The duration of administration: 2 years
Oral tablet
Monitoring of intervention:
Laboratory control LDL cholesterol and triglycerides in serum,
Participant diary
Returning the packaging after used medicine
LDL cholesterol >3.0 mmol/L
Participants will be assigned to the intervention based on participants LDL level at enrolment
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Intervention code [1]
315154
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Treatment: Drugs
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Intervention code [2]
315155
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Diagnosis / Prognosis
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Comparator / control treatment
Fenofibrate 215 mg
The duration of administration: 2 years
Oral tablet
Monitoring of intervention:
Laboratory control LDL cholesterol and triglycerides in serum.
Participant diary
Returning the packaging after used medicine
Triglycerides >1.7 mmol/L
Participants will be assigned to the intervention based on participants triglycerides level at enrolment
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Control group
Active
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Outcomes
Primary outcome [1]
320904
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Evaluation of vascular endothelial function as a change in brachia artery dilation expressed as a percentage (%).
Imaging studies, aimed at measuring the surrogate markers of atherosclerosis, were also completed using an ultrasonograph (Sequoia 512, Mountain View, Ca, USA) with a 6 MHz linear transducer. The measurements of flow-mediated dilation (FMD) of brachial artery in response to reactive hyperemia were evaluated non-invasively, in compliance with the ultrasound method described by Celermajer (Celermajer DS, Sorensen KE, Gooch VM, Spiegelhalter DJ, Miller OI, Sullivan ID, et al. Non-invasive detection of endothelial dysfunction in children and adults at risk of atherosclerosis. Lancet. 1992;340:1111-1115).
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Assessment method [1]
320904
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Timepoint [1]
320904
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Measurement every 2 months
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Secondary outcome [1]
373304
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Evaluation of vascular remodeling of carotid IMT expressed in mm.
Imaging studies, aimed at measuring the surrogate markers of atherosclerosis, were also completed using an ultrasonograph (Sequoia 512, Mountain View, Ca, USA) with a 6 MHz linear transducer.
IMT measurements of the distal wall of the carotid artery were taken in three locations: i.e. 1. common carotid artery (2 cm below the bulb), 2. carotid artery bulb, and 3. proximal internal carotid artery. The final IMT value was the mean from all measurements on both carotid arteries.
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Assessment method [1]
373304
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Timepoint [1]
373304
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Before and after 2, 4, 6, 9, 12, 18, and 24 months
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Eligibility
Key inclusion criteria
Police officers with dyslipidemia aged from 30 to 60 years. Inclusion criterion: triglyceride concentration> 1.7 mmol / L, or LDL-cholesterol> 3.0 mmol / L
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Minimum age
30
Years
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Maximum age
60
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
• Acute coronary episode in the last 3 months; heart failure, defined as left ventricular ejection fraction (EF) <40% in echocardiography.
• Use of hypolipemic drugs or vitamins• recent infections
• Impaired renal function (serum creatinine> 177 µmol / L)
• Liver damage (ALT> 3-fold upper limit of normal), CPK> 10-fold limit of normal
• The presence of cancer and thyroid disease
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
16/12/2019
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Actual
18/12/2019
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Date of last participant enrolment
Anticipated
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Actual
10/12/2020
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Date of last data collection
Anticipated
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Actual
10/12/2020
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Sample size
Target
200
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Accrual to date
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Final
200
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Recruitment outside Australia
Country [1]
21732
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Poland
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State/province [1]
21732
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Malopolska
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Funding & Sponsors
Funding source category [1]
303309
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University
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Name [1]
303309
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Jagiellonian University School of Medicine
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Address [1]
303309
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31-008 Krakow
ul. Anny 12
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Country [1]
303309
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Poland
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Primary sponsor type
University
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Name
Jagiellonian University School of Medicine
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Address
31-008 Krakow
ul. Anny 12
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Country
Poland
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Secondary sponsor category [1]
303333
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None
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Name [1]
303333
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Address [1]
303333
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Country [1]
303333
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
303844
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Bioethical Commission of the Jagiellonian University
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Ethics committee address [1]
303844
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31-531 Krakow ul. Grzegorzecka 20
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Ethics committee country [1]
303844
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Poland
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Date submitted for ethics approval [1]
303844
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12/04/2019
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Approval date [1]
303844
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24/04/2019
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Ethics approval number [1]
303844
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1072.6120.116.2019
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Summary
Brief summary
Treatment with statins and fibrates improves endothelial function. Assessment of the effect of pharmacotherapy (statin or fibrates) on the diastolic response of the brachial artery, the carotid artery IMT and the concentration of pro-inflammatory, thrombotic and oxidative stress markers in subjects with dyslipidemia. We plan to include 200 police officers in the study, of which 50 will be treated with a statin (20 mg/day) and 50 subjects treated with fenofibrate (215 mg/day) for 24 months. The results of the study may broaden the knowledge about the increased progression of atherosclerosis in the group to be exposed to more stressors.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
94998
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A/Prof Teresa Domagala
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Address
94998
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Department of Medical Biochemistry,
Jagiellonian University School of Medicine,
31-034 Krakow
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Country
94998
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Poland
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Phone
94998
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+48124227400
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Fax
94998
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+48 12 422 32 72
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Email
94998
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[email protected]
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Contact person for public queries
Name
94999
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Teresa Domagala
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Address
94999
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Department of Medical Biochemistry,
Jagiellonian University School of Medicine,
31-034 Krakow
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Country
94999
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Poland
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Phone
94999
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+48 12 422 74 00
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Fax
94999
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+48 12 422 32 72
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Email
94999
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[email protected]
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Contact person for scientific queries
Name
95000
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Teresa Domagala
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Address
95000
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Department of Medical Biochemistry,
Jagiellonian University School of Medicine,
31-034 Krakow
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Country
95000
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Poland
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Phone
95000
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+48 12 422 74 00
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Fax
95000
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+48 12 422 32 72
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Email
95000
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Age, sex, clinical parameters
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When will data be available (start and end dates)?
16.12.2019 - 16.12.2022
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Available to whom?
only researchers
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Available for what types of analyses?
Only to achieve the aims in the approved proposal
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How or where can data be obtained?
Principal Investigator Teresa Domagala
[email protected]
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
5121
Study protocol
[email protected]
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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