Title

Evaluation of the Efficacy and Safety of Rosuvastatin 5 mg Versus Pravastatin 40 mg and Atorvastatin 10 mg in Type IIa and IIb Hypercholesterolaemic Patients
Evaluation of the Efficacy and Safety of Rosuvastatin 5 mg Versus Pravastatin 40 mg and Atorvastatin 10 mg in Subjects With Type IIa and IIb Hypercholesterolaemia
  • Phase

    Phase 4
  • Study Type

    Interventional
  • Study Participants

    668
The purpose of this study is to evaluate the efficacy and safety of Rosuvastatin 5 mg as an hypercholesterolemia treatment comparatively at 2 other statins: Pravastatin 40 mg and Atorvastatin 10 mg. Treatment efficacy will be evaluated by the percentage of LDL-C variation after 8 weeks of treatment.
Study Started
Oct 31
2007
Primary Completion
Oct 31
2008
Study Completion
Oct 31
2008
Results Posted
Sep 17
2010
Estimate
Last Update
Nov 26
2013
Estimate

Drug Rosuvastatin

5mg oral

  • Other names: Crestor

Drug Pravastatin

40mg oral

  • Other names: Prevachol

Drug Atorvastatin

10mg oral

  • Other names: Lipitor

1 Active Comparator

Rosuvastatin and Pravastatin

2 Active Comparator

Rosuvastatin and Atorvastatin

Criteria

Inclusion Criteria:

subjects presenting type IIa or IIb primary hypercholesterolaemia diagnosed for at least 3 months, in a context of primary prevention with at least two associated cardiovascular risk factors and: (i)either "naive" to all lipid-lowering therapy, (ii)or treated with a statin (treatment ongoing or stopped during the previous 8 weeks)

Exclusion Criteria:

homozygous or heterozygous familial hypercholesterolaemia
hypertriglyceridaemia (TG ≥ 4 g/l)
subjects at high cardiovascular risk according to the AFSSAPS 2005 definition (coronary artery disease or history of documented vascular disease, high cardiovascular risk type 2 diabetes, subject in primary prevention with a 10-year CHD risk > 20%)
history of adverse events or hypersensitivity to an HMG Co-A reductase inhibitor (particularly a history of myopathy)
concomitant use of any drugs not authorized during the study
active liver disease with elevation of serum transaminases (ASAT, ALAT) more than twice the upper limit of normal
CPK more than 3 times the upper limit of normal
moderate or severe renal failure (creatinine clearance < 6 ml/min)
poorly controlled hypothyroidism; poorly controlled hypertension (DBP > 95 mm Hg and/or SBP > 180 mm Hg)

Summary

Initial Phase

Atorvastatin

Pravastatin

Rosuvastatin

All Events

Event Type Organ System Event Term Initial Phase Atorvastatin Pravastatin Rosuvastatin

Change in Low Density Lipoprotein Cholesterol (LDL-C) Level After 8 Weeks

To compare the percentages of LDL-C level variation. As the recruitment target was not reached at the date initially planned, and in view of the recruitment difficulties, AstraZeneca decided not to extend the patient recruitment period and to perform only a descriptive analysis of the data

Initial Phase

Atorvastatin

-39.4
percentage of LDL-C decrease (Mean)
Standard Deviation: 13.77

Pravastatin

-30.3
percentage of LDL-C decrease (Mean)
Standard Deviation: 15.43

Rosuvastatin

-37.6
percentage of LDL-C decrease (Mean)
Standard Deviation: 17.96

To Compare the Percentage of Patients Reaching the Overall LDL-C Goal According to the French Agency for the Safety of Health Products (AFSSAPS) 2005 Guidelines for the Management of Dyslipidaemic Patients

Not done. As the recruitment target was not reached at the date initially planned, and in view of the recruitment difficulties, AstraZeneca decided not to extend the patient recruitment period and to perform only a descriptive analysis of the data

Outcome Measure Data Not Reported

Compare the Percentage of Variation From Baseline Triglycerides Values and After 8 Weeks

To compare the percentage of variation from baseline triglycerides values and after 8 weeks. As the recruitment target was not reached at the date initially planned, and in view of the recruitment difficulties, AstraZeneca decided not to extend the patient recruitment period and to perform only a descriptive analysis of the data

Initial Phase

Atorvastatin

-19.2
percentage of triglycerides decrease (Mean)
Standard Deviation: 25

Pravastatin

-6.1
percentage of triglycerides decrease (Mean)
Standard Deviation: 31.6

Rosuvastatin

-8.7
percentage of triglycerides decrease (Mean)
Standard Deviation: 37

To Compare the Percentage of Patients Reaching the LDL-C Goal, in Relation to the Number of Risk Factors, According to the French Agency for the Safety of Health Products (AFSSAPS) 2005 Guidelines for the Management of Dyslipidaemic Patients

Not done. As the recruitment target was not reached at the date initially planned, and in view of the recruitment difficulties, AstraZeneca decided not to extend the patient recruitment period and to perform only a descriptive analysis of the data

Outcome Measure Data Not Reported

Compare the Percentage of Total Cholesterol Variation From Baseline and After 8 Weeks of Treatment

To compare the percentage of total cholesterol variation taking baseline value as a reference. As the recruitment target was not reached at the date initially planned, and in view of the recruitment difficulties, AstraZeneca decided not to extend the patient recruitment period and to perform only a descriptive analysis of the data

Initial Phase

Atorvastatin

-28.6
percentage of total cholesterol decrease (Mean)
Standard Deviation: 11.0

Pravastatin

-20.4
percentage of total cholesterol decrease (Mean)
Standard Deviation: 11.7

Rosuvastatin

-25.2
percentage of total cholesterol decrease (Mean)
Standard Deviation: 14.0

Compare the Percentage of HDL-C (High Density Lipoprotein Cholesterol) Variation From Baseline and After 8 Weeks of Treatment

Compare the percentage of HDL-C (High Density Lipoprotein Cholesterol) variation taking baseline value as a reference and after 8 weeks of treatment. As the recruitment target was not reached at the date initially planned, and in view of the recruitment difficulties, AstraZeneca decided not to extend the patient recruitment period and to perform only a descriptive analysis of the data

Initial Phase

Atorvastatin

4.4
percentage of HDL-C increase (Mean)
Standard Deviation: 14.3

Pravastatin

7.9
percentage of HDL-C increase (Mean)
Standard Deviation: 19.2

Rosuvastatin

11.3
percentage of HDL-C increase (Mean)
Standard Deviation: 20.6

Compare the Percentage of Variation From Baseline Apolipoprotein B/Apolipoprotein A1 Ratio and After 8 Weeks of Treatment

To Compare the percentage of variation from baseline Apolipoprotein B/Apolipoprotein A1 ratio and after 8 weeks of treatment. As the recruitment target was not reached at the date initially planned, and in view of the recruitment difficulties, AstraZeneca decided not to extend the patient recruitment period and to perform only a descriptive analysis of the data

Initial Phase

Atorvastatin

-30.9
percent. Apolipoprotein B/A1 decrease (Mean)
Standard Deviation: 14.7

Pravastatin

-26.0
percent. Apolipoprotein B/A1 decrease (Mean)
Standard Deviation: 13.5

Rosuvastatin

-31.9
percent. Apolipoprotein B/A1 decrease (Mean)
Standard Deviation: 17

Compare the Percentage of Variation of C-reactive Protein (CRP)

To compare the percentage of variation of C-reactive protein (CRP) taking baseline values as reference. As the recruitment target was not reached at the date initially planned, and in view of the recruitment difficulties, AstraZeneca decided not to extend the patient recruitment period and to perform only a descriptive analysis of the data

Initial Phase

Atorvastatin

37.3
percent of variation of C-reactive prot. (Mean)
Standard Deviation: 187.4

Pravastatin

33.1
percent of variation of C-reactive prot. (Mean)
Standard Deviation: 184.2

Rosuvastatin

15.2
percent of variation of C-reactive prot. (Mean)
Standard Deviation: 104.9

Compare the Percentage of Variation of Phospholipase A2 (PLA2)

To Compare the percentage of variation of phospholipase A2 (PLA2) taking baseline value as a reference. As the recruitment target was not reached at the date initially planned, and view of the recruitment difficulties, AstraZeneca decided not to extend the patient recruitment period and to perform only a descriptive analysis of the data

Initial Phase

Atorvastatin

5.6
percent of variation of phospholipase A2 (Mean)
Standard Deviation: 46.4

Pravastatin

13.0
percent of variation of phospholipase A2 (Mean)
Standard Deviation: 73.6

Rosuvastatin

2.9
percent of variation of phospholipase A2 (Mean)
Standard Deviation: 24.2

Compare the Numbers of Patients Achieving the LDL-C Goal According to the National Cholesterol Education Program Adult Treatment Panel III (NCEP) ATP III) Guidelines for the Management of Dyslipidaemic Patients

To Compare numbers of patients achieving the LDL-C goal according to the National Cholesterol Education Program Adult Treatment Panel III (NCEP). As the recruitment target was not reached at the date initially planned, and in view of the recruitment difficulties, AstraZeneca decided not to extend the patient recruitment period and to perform only a descriptive analysis of the data. The percentage of patients achieving the NCEP-ATP III LDL-C goal. ATP III is categorized into 3 risk categories:(1) established CHD and CHD risk equivalents(2) multiple risk factors(3) zero to one (0-1) risk factor

Initial Phase

Atorvastatin

42.0
Participants

Pravastatin

22.0
Participants

Rosuvastatin

38.0
Participants

Compare the Numbers of Patients Achieving the LDL-C Goal According to the European Atherosclerosis Society (EAS) Guidelines for the Management of Dyslipidaemic Patients

Not done. As the recruitment target was not reached at the date initially planned, and in view of the recruitment difficulties, AstraZeneca decided not to extend the patient recruitment period and to perform only a descriptive analysis of the data.

Outcome Measure Data Not Reported

To Evaluate Clinical and Laboratory Safety

Serious Adverse Event and Adverse Event reported throughout the study

Initial Phase

8.0
Adverse Events

Atorvastatin

9.0
Adverse Events

Pravastatin

8.0
Adverse Events

Rosuvastatin

5.0
Adverse Events

Total

317
Participants

Age, Continuous

57.18
years (Mean)
Standard Deviation: 9.95

Gender

Initial Phase

Initial Phase

Treatment Phase

Atorvastatin

Pravastatin

Rosuvastatin

Drop/Withdrawal Reasons

Initial Phase

Atorvastatin

Pravastatin

Rosuvastatin