Title

Effect of Policosanol as Monotherapy and Adjunctive to Statin Therapy
Safety and Efficacy of Policosanol Monotherapy and When Added to Chronic Statin Therapy: A Pilot Study
  • Phase

    N/A
  • Study Type

    Interventional
  • Intervention/Treatment

    policosanol ...
  • Study Participants

    54
To determine the effects of policosanol on the cholesterol profile.
The primary objectives of this study are to determine the changes in the lipid profile [LDL-C, HDL-C, triglycerides, total cholesterol] and the emerging risk factor, Lp(a), when policosanol is added to statin therapy. Additionally, one more primary objective is to evaluate the safety of the combination regimen.
Study Started
Jul 31
2007
Primary Completion
Mar 31
2010
Study Completion
May 31
2010
Results Posted
Jul 20
2012
Estimate
Last Update
Oct 08
2015
Estimate

Drug Policosanol

Policosanol 20 mg daily

  • Other names: Octacosanol, 1-Octacosanol, N-Octacosanol, Octacosyl Alcohol

Other Placebo

Placebo daily

Drug Policosanol Plus Already In Use Statin Therapy

Policosanol 20 mg daily Statin Therapy

  • Other names: Octacosanol, 1-Octacosanol, N-Octacosanol, Octacosyl Alcohol, Statin

1 Active Comparator

Policosanol 20mg daily

2 Placebo Comparator

3 Active Comparator

Policosanol 20mg daily Plus Statin Therapy Already In Use

Criteria

Inclusion Criteria:

LDL > 100
Male or Non-Pregnant Female. Women must be surgically sterile or postmenopausal and not using hormone replacement therapy (HRT) or using a stable, consistent HRT dose with intentions to continue therapy throughout the course of the study
Mentally competent to understand study rationale and protocol
Speak and read English
Currently receiving low to moderate dose statin therapy with plans to continue to the same dose for at least 8 weeks. Low to moderate dose statins include the following daily doses: atorvastatin ≤20 mg, fluvastatin ≤40 mg, lovastatin ≤40 mg, pravastatin ≤40 mg, rosuvastatin ≤10 mg, simvastatin ≤ 40 mg

Exclusion Criteria:

LDL < 100
Sensitivity to policosanol
Currently taking a high-dose statin or other lipid-lowering agents (i.e. high-dose niacin formulations [>500mg/day], bile-acid sequestrants, ezetimibe, fibrates and high-dose Omega-3 fish oils [>900mg of combined EPA/DHA daily])
Currently taking medications which have the potential to interact with policosanol (i.e. warfarin, high-dose aspirin)
Active liver disease or ALT level 2.5 times the upper limit of normal
Chronic disease involving hepatic, renal or coronary artery disease
Currently experiencing "flu-like" symptoms
Currently experiencing any form of acute physical injury
Acute psychiatric disorders
Immuno-compromised state
Currently taking systemic steroidal drugs
Currently pregnant or lactating
Females of childbearing potential
Dependence on alcohol or illicit drugs
Participation in any other clinical trial within the last 30 days
Displays s/s of acute systemic infection (oral temperature >100°F, WBC>12x10³/µL)

Summary

Statin and Policosanol

Statin and Placebo

Policosanol

All Events

Event Type Organ System Event Term Statin and Policosanol Statin and Placebo Policosanol

Lipid Profile

Statin and Policosanol

HDL-C

LDL-C

-4.0
mg/dl (Mean)
Standard Error: 1.95

Lp (a)

non-HDL

-4.0
mg/dl (Mean)
Standard Error: 1.87

Total Cholesterol

-5.0
mg/dl (Mean)
Standard Error: 1.67

Triglycerides

4.0
mg/dl (Mean)
Standard Error: 1.52

VLDL

-1.0
mg/dl (Mean)
Standard Error: .13

Statin and Placebo

HDL-C

-1.0
mg/dl (Mean)
Standard Error: .23

LDL-C

4.0
mg/dl (Mean)
Standard Error: 1.49

Lp (a)

non-HDL

-4.0
mg/dl (Mean)
Standard Error: 1.45

Total Cholesterol

-5.0
mg/dl (Mean)
Standard Error: .92

Triglycerides

-2.0
mg/dl (Mean)
Standard Error: 3.91

VLDL

1.0
mg/dl (Mean)
Standard Error: .17

Policosanol

HDL-C

-1.0
mg/dl (Mean)
Standard Error: .39

LDL-C

Lp (a)

1.0
mg/dl (Mean)
Standard Error: .08

non-HDL

3.0
mg/dl (Mean)
Standard Error: .53

Total Cholesterol

2.0
mg/dl (Mean)
Standard Error: 1.96

Triglycerides

35.0
mg/dl (Mean)
Standard Error: 4

VLDL

3.0
mg/dl (Mean)
Standard Error: .1

Adverse Events Reported

All events reported that were deemed to be related, or unrelated, to the study drug.

Statin and Policosanol

6.0
number of events reported

Statin and Placebo

10.0
number of events reported

Policosanol

5.0
number of events reported

Total

54
Participants

Age, Continuous

51
years (Mean)
Standard Deviation: 13

Race (NIH/OMB)

Region of Enrollment

Sex: Female, Male

Overall Study

Statin and Policosanol

Statin and Placebo

Policosanol