The purpose of this study is to compare the effect of rosuvastatin and atorvastatin on lipid lowering effect and glucose metabolism in hypercholesterolemia patients with diabetes mellitus.
Study Started
Mar 31
2012
Primary Completion
Jun 30
2014
Results Posted
Mar 17
2015
Estimate
Last Update
Mar 17
2015
Estimate
Drug
Atorvastatin
Atorvastatin 10 mg (atorvastatin 10 mg tablet x 1 or atorvastatin 5 mg tablet x 2), orally,once daily for 12 months.
(When not reach the LDL-C level of target in the Japan Atherosclerosis Society [JAS] Guidelines [GL] after 3 months, had the atorvastatin [ATV] dose of 20 mg.)
Other names:
Lipitor
Drug
Rosuvastatin
Rosuvastatin 5 mg (rosuvastatin 5 mg tablet x1 or rosuvastatin 2.5 mg tablet x 2), orally, once daily for 12 months.
(When not reach the LDL-C level of target in JAS GL after 3 months, had the rosuvastatin [RSV] dose of 10 mg.)
Inclusion Criteria:
Hypercholesterolemia patients
• Patients who have not achieved the target control levels of LDL-C in the "Japan Atherosclerosis Society Guidelines for Prevention of Atherosclerotic Cardiovascular Diseases 2007"
Type 2 diabetes patients
Patients diagnosed with type 2 diabetes and receiving diet therapy, exercise therapy, or medication
Patients who received constant therapy for three months before registration and have no plan for therapy change
Patients with kept HbA1c level (Japan Diabetes Society [JDS] level) of less than 7.0% (or, National Glycohemoglobin Standardization Program [NGSP] level of less than 7.4%) within three months before registration
Patients receiving or not receiving medication at present
Patients giving voluntary written consent to participate in the study
Male or female patients at 20 years or older
Exclusion Criteria:
Patients who administered rosuvastatin, atorvastatin or ezetimibe within three month at the registration
Patients with severe hypertension (systolic blood pressure [SBP] ≥ 180 mmHg or diastolic blood pressure [DBP] ≥ 110 mmHg)
Patients with type 1 diabetes
Patients judged to have familial hypercholesterolemia
Patients with a serum triglyceride level of ≥ 400 mg/dL
Patients who had the onset of cardiovascular or cerebrovascular disease within three months
Patients with serious heart failure (NYHA classification III - IV)
Patients with a history of hypersensitivity to statins
Patients with a history of drug-induced myopathy
Patients with severe complication of diabetes
Patients receiving insulin
Patients with serious liver or kidney disease
Patients with serious concurrent disease such as malignancy, or patients with severely limited lifespan
Patients who are or may be pregnant
Patients judged by the investigators to be ineligible for participation in the study for any other reason
Summary
Atorvastatin Administration Group
Rosuvastatin Administration Group
All Events
Event Type
Organ System
Event Term
Atorvastatin Administration Group
Rosuvastatin Administration Group
Percent Change in Non-high-density Lipoprotein Cholesterol (HDL-C) Level
Atorvastatin Administration Group
-31.3
Percent change (Mean)
Standard Deviation: 19.1
Rosuvastatin Administration Group
-32.8
Percent change (Mean)
Standard Deviation: 18.1
Change in HbA1c Level
Atorvastatin Administration Group
0.12
Amount of change (%) (Mean)
Standard Deviation: 0.65
Rosuvastatin Administration Group
0.1
Amount of change (%) (Mean)
Standard Deviation: 0.67
Occurrence of Deterioration of Diabetic Treatment Status
"Deterioration of diabetic treatment status" is defined as addition of new drug, increase in dosage, drug changes (therapy intensification), and deterioration in HbA1c of > 0.5%.
Atorvastatin Administration Group
Deterioration in HbA1c of > 0.5%
177.0
Participants
Therapy intensification
64.0
Participants
Rosuvastatin Administration Group
Deterioration in HbA1c of > 0.5%
162.0
Participants
Therapy intensification
45.0
Participants
Number of Participants Stratified by Time to the Occurrence of Deterioration of Diabetic Treatment Status
"Deterioration of diabetic treatment status" is defined as addition of new drug, increase in dosage, drug changes (therapy intensification), and deterioration in HbA1c of > 0.5%.
Atorvastatin Administration Group
No deterioration
421.0
participants
Other: 0-3 months
6.0
participants
Other: 3-6 months
5.0
participants
Other: 6-12 months
8.0
participants
Therapy intensification: 0-3 months
20.0
participants
Therapy intensification: 3-6 months
12.0
participants
Therapy intensification: 6-12 months
32.0
participants
Rosuvastatin Administration Group
No deterioration
453.0
participants
Other: 0-3 months
5.0
participants
Other: 3-6 months
5.0
participants
Other: 6-12 months
6.0
participants
Therapy intensification: 0-3 months
14.0
participants
Therapy intensification: 3-6 months
8.0
participants
Therapy intensification: 6-12 months
23.0
participants
Percent Change in 1,5-AG Level
An inverse relationship exists between mean change in 1,5-AG level and the mean rate of change when the degree of standard deviation is large, wherein the mean change is negative although the mean rate of change is positive or vice versa
Atorvastatin Administration Group
At 12 months
-3.8
Percent change (Mean)
Standard Deviation: 35.1
At 3 months
-1.6
Percent change (Mean)
Standard Deviation: 30.8
At 6 months
-6.5
Percent change (Mean)
Standard Deviation: 35.8
Rosuvastatin Administration Group
At 12 months
3.5
Percent change (Mean)
Standard Deviation: 98.0
At 3 months
5.5
Percent change (Mean)
Standard Deviation: 72.6
At 6 months
2.6
Percent change (Mean)
Standard Deviation: 83.7
Change in HbA1c Level
Atorvastatin Administration Group
At 3 months
0.05
Amount of change (%) (Mean)
Standard Deviation: 0.42
At 6 months
0.13
Amount of change (%) (Mean)
Standard Deviation: 0.57
Rosuvastatin Administration Group
At 3 months
At 6 months
0.12
Amount of change (%) (Mean)
Standard Deviation: 0.65
Percent Change in Blood Glucose Level (Fasting)
Atorvastatin Administration Group
At 12 months
4.6
Percent change (Mean)
Standard Deviation: 24.3
At 3 months
3.3
Percent change (Mean)
Standard Deviation: 19.3
At 6 months
7.0
Percent change (Mean)
Standard Deviation: 24.1
Rosuvastatin Administration Group
At 12 months
3.7
Percent change (Mean)
Standard Deviation: 26.1
At 3 months
2.7
Percent change (Mean)
Standard Deviation: 25.0
At 6 months
5.9
Percent change (Mean)
Standard Deviation: 25.7
Change in Blood Glucose Level (Fasting)
Atorvastatin Administration Group
At 12 months
3.6
mg/dL (Mean)
Standard Deviation: 30.7
At 3 months
2.6
mg/dL (Mean)
Standard Deviation: 24.5
At 6 months
6.8
mg/dL (Mean)
Standard Deviation: 30.2
Rosuvastatin Administration Group
At 12 months
1.5
mg/dL (Mean)
Standard Deviation: 35.0
At 3 months
0.1
mg/dL (Mean)
Standard Deviation: 31.2
At 6 months
4.3
mg/dL (Mean)
Standard Deviation: 31.5
Percent Change in Insulin Level
An inverse relationship exists between mean change in insulin level and the mean rate of change when the degree of standard deviation is large, wherein the mean change is negative although the mean rate of change is positive or vice versa.
Atorvastatin Administration Group
At 12 months
17.4
Percent change (Mean)
Standard Deviation: 132.9
At 3 months
40.7
Percent change (Mean)
Standard Deviation: 211.2
At 6 months
45.1
Percent change (Mean)
Standard Deviation: 193.9
Rosuvastatin Administration Group
At 12 months
13.8
Percent change (Mean)
Standard Deviation: 148.1
At 3 months
31.3
Percent change (Mean)
Standard Deviation: 166.4
At 6 months
35.5
Percent change (Mean)
Standard Deviation: 142.8
Change From Baseline in Insulin Level
An inverse relationship exists between mean change in insulin level and the mean rate of change when the degree of standard deviation is large, wherein the mean change is negative although the mean rate of change is positive or vice versa
Atorvastatin Administration Group
At 12 months
-1.5
μU/mL (Mean)
Standard Deviation: 18.69
At 3 months
-0.1
μU/mL (Mean)
Standard Deviation: 20.26
At 6 months
0.66
μU/mL (Mean)
Standard Deviation: 18.63
Baseline Insulin level
10.95
μU/mL (Mean)
Standard Deviation: 18.66
Rosuvastatin Administration Group
At 12 months
-2.91
μU/mL (Mean)
Standard Deviation: 19.02
At 3 months
-0.54
μU/mL (Mean)
Standard Deviation: 18.56
At 6 months
-0.44
μU/mL (Mean)
Standard Deviation: 19.86
Baseline Insulin level
12.57
μU/mL (Mean)
Standard Deviation: 20.07
Frequency of Cardiovascular Events (Coronary Artery Disease, Heart Failure, Cerebrovascular Disease, Peripheral Artery Disease and Aortic Disease)
Atorvastatin Administration Group
5.0
Number of patients with any events
Rosuvastatin Administration Group
9.0
Number of patients with any events
Frequency of Serious Adverse Events (SAE)
Atorvastatin Administration Group
14.0
Number of patients with SAE
Rosuvastatin Administration Group
19.0
Number of patients with SAE
Percent Changes in Lipids (LDL-C, HDL-C, TC, TG, Non-HDL-C/HDL-C Ratio, and FFA)
Atorvastatin Administration Group
FFA: at 12 months
37.2
Percent change (Mean)
Standard Deviation: 125.3
FFA: at 3 months
19.9
Percent change (Mean)
Standard Deviation: 87.8
FFA: at 6 months
13.8
Percent change (Mean)
Standard Deviation: 80.5
HDL-C: at 12 months
4.9
Percent change (Mean)
Standard Deviation: 14.7
HDL-C: at 3 months
4.1
Percent change (Mean)
Standard Deviation: 14.3
HDL-C: at 6 months
7.1
Percent change (Mean)
Standard Deviation: 15.1
LDL-C: at 12 months
-33.2
Percent change (Mean)
Standard Deviation: 21.5
LDL-C: at 3 months
-36.6
Percent change (Mean)
Standard Deviation: 19.2
LDL-C: at 6 months
-35.6
Percent change (Mean)
Standard Deviation: 19.4
Non-HDL-C/HDL-C ratio: at 12 months
-33.1
Percent change (Mean)
Standard Deviation: 22.7
Non-HDL-C/HDL-C ratio: at 3 months
-34.8
Percent change (Mean)
Standard Deviation: 22.6
Non-HDL-C/HDL-C ratio: at 6 months
-36.1
Percent change (Mean)
Standard Deviation: 19.4
TC: at 12 months
-22.7
Percent change (Mean)
Standard Deviation: 14.3
TC: at 3 months
-24.7
Percent change (Mean)
Standard Deviation: 13.3
TC: at 6 months
-23.5
Percent change (Mean)
Standard Deviation: 13.0
TG: at 12 months
-12.6
Percent change (Mean)
Standard Deviation: 62.2
TG at 3 months
-12.7
Percent change (Mean)
Standard Deviation: 38.0
TG: at 6 months
-12.4
Percent change (Mean)
Standard Deviation: 45.9
Rosuvastatin Administration Group
FFA: at 12 months
34.8
Percent change (Mean)
Standard Deviation: 111.0
FFA: at 3 months
25.9
Percent change (Mean)
Standard Deviation: 111.3
FFA: at 6 months
15.9
Percent change (Mean)
Standard Deviation: 88.9
HDL-C: at 12 months
7.7
Percent change (Mean)
Standard Deviation: 15.9
HDL-C: at 3 months
5.6
Percent change (Mean)
Standard Deviation: 13.9
HDL-C: at 6 months
8.2
Percent change (Mean)
Standard Deviation: 15.2
LDL-C: at 12 months
-34.7
Percent change (Mean)
Standard Deviation: 21.0
LDL-C: at 3 months
-39.2
Percent change (Mean)
Standard Deviation: 21.3
LDL-C: at 6 months
-36.4
Percent change (Mean)
Standard Deviation: 21.8
Non-HDL-C/HDL-C ratio: at 12 months
-36.0
Percent change (Mean)
Standard Deviation: 20.7
Non-HDL-C/HDL-C ratio: at 3 months
-37.7
Percent change (Mean)
Standard Deviation: 20.2
Non-HDL-C/HDL-C ratio: at 6 months
-37.2
Percent change (Mean)
Standard Deviation: 20.8
TC: at 12 months
-23.5
Percent change (Mean)
Standard Deviation: 14.0
TC: at 3 months
-25.9
Percent change (Mean)
Standard Deviation: 14.3
TC: at 6 months
-23.8
Percent change (Mean)
Standard Deviation: 14.9
TG: at 12 months
-15.9
Percent change (Mean)
Standard Deviation: 35.4
TG at 3 months
-11.0
Percent change (Mean)
Standard Deviation: 42.2
TG: at 6 months
-11.9
Percent change (Mean)
Standard Deviation: 38.0
Percent Change in Non-HDL-C Level
Atorvastatin Administration Group
At 3 months
-33.8
Percent change (Mean)
Standard Deviation: 17.6
At 6 months
-33.2
Percent change (Mean)
Standard Deviation: 16.6
Rosuvastatin Administration Group
At 3 months
-35.5
Percent change (Mean)
Standard Deviation: 18.4
At 6 months
-33.5
Percent change (Mean)
Standard Deviation: 18.8
Percent Changes in Lipids and Inflammatory Marker (Hs-CRP) and Their Correlation
Correlation between percent changes in lipids (LDL-C, HDL-C, non-HDL-C, TG, non-HDL-C/HDL-C ratio, LDL-C/HDL-C ratio, TC and FFA) and inflammatory marker (hs-CRP)
Outcome Measure Data Not Reported
Rate of Patients Who Have Reached the Target LDL-C Level Specified in Japan Atherosclerosis Society Guidelines (JASGL) 2007
Percentage of participants achieving the target LDL-C levels <100 mg/dL for participants with history of coronary artery diseases (CAD) and <120 mg/dL for participants without history of CAD are presented.
Atorvastatin Administration Group
At 3 months
89.0
Percentage of participants
95% Confidence Interval: 85.5 to 92.0
At the end of study treatment
86.3
Percentage of participants
95% Confidence Interval: 82.5 to 89.6
Rosuvastatin Administration Group
At 3 months
89.9
Percentage of participants
95% Confidence Interval: 86.3 to 92.8
At the end of study treatment
87.5
Percentage of participants
95% Confidence Interval: 83.7 to 90.7
Change From Baseline in 1,5-AG Level
An inverse relationship exists between mean change in 1,5-AG level and the mean rate of change when the degree of standard deviation is large, wherein the mean change is negative although the mean rate of change is positive or vice versa
Atorvastatin Administration Group
At 12 months
-0.88
μg/mL (Mean)
Standard Deviation: 4.33
At 3 months
-0.51
μg/mL (Mean)
Standard Deviation: 3.48
At 6 months
-1.28
μg/mL (Mean)
Standard Deviation: 4.23
Baseline 1,5-AG level
15.4
μg/mL (Mean)
Standard Deviation: 7.91
Rosuvastatin Administration Group
At 12 months
-1.09
μg/mL (Mean)
Standard Deviation: 4.66
At 3 months
-0.21
μg/mL (Mean)
Standard Deviation: 3.77
At 6 months
-0.94
μg/mL (Mean)
Standard Deviation: 4.64
Baseline 1,5-AG level
15.39
μg/mL (Mean)
Standard Deviation: 8.10
Total
1018
Participants
1,5-anhydro-D-glucitol (1,5-AG)
15.40
μg/mL (Mean)
Standard Deviation: 8.01
Age, Continuous
66.4
years (Mean)
Standard Deviation: 11.1
Blood glucose
118.9
mg/dL (Mean)
Standard Deviation: 29.2
Free fatty acids (FFA)
0.584
mEq/L (Mean)
Standard Deviation: 0.298
HbA1c
6.39
% (NGSP value) (Mean)
Standard Deviation: 0.63
HDL-C
54.9
mg/dL (Mean)
Standard Deviation: 14.1
Insulin
11.77
μU/mL (Mean)
Standard Deviation: 19.39
LDL-C/HDL-C ratio
2.69
ratio (Mean)
Standard Deviation: 0.86
Low-density lipoprotein cholesterol (LDL-C)
139.4
mg/dL (Mean)
Standard Deviation: 30.0
Non-HDL-C/HDL-C ratio
3.30
ratio (Mean)
Standard Deviation: 1.20
Non-high-density lipoprotein cholesterol (HDL-C)
168.9
mg/dL (Mean)
Standard Deviation: 33.3
Total cholesterol (TC)
223.9
mg/dL (Mean)
Standard Deviation: 34.0
Triglyceride (TG)
152.1
mg/dL (Mean)
Standard Deviation: 115.8
Angina pectoris
Cardiac arrhythmias
Cardiovascular and Cerebrovascular events before entry