Title
A Study to Evaluate the Efficacy and Safety of Rosuvastatin in the Treatment of the Carotid Atherosclerotic Plaques
A 2-year, Open-label, Randomized Study to Evaluate the Efficacy of Rosuvastatin Dosing Adjustment by LDL-C Level Compared to That of 5mg Maintenance Dose in Chinese Patients With Carotid Atherosclerotic Plaques
Phase
Phase 4Lead Sponsor
Beijing Sino-Japan Friendship HospitalStudy Type
InterventionalStatus
Unknown statusIndication/Condition
Carotid AtherosclerosisIntervention/Treatment
rosuvastatin ...Study Participants
308This is a 2-year, open-label, randomized study to evaluate the efficacy of Rosuvastatin dosing adjustment by LDL-C level compared to that of 5mg maintenance dose in chinese patients with Carotid Atherosclerosis.
This will be a 2-year, randomized, open-label, prospective, parallel-group study. It only be held in China-Japan Friendship Hospital. Subjects with Carotid Atherosclerosis Plaques who meet all inclusion and none of the exclusion criteria will be randomized in a 1:1 ratio to receive treatment of rosuvastatin (5 mg, 10mg, 20mg) dosing adjustment by LDL-c level or fixed dose 5 mg. The study will consist of two phases: the Screening/Baseline period(-1to week 0)and the Follow-up period(0 to month 24). The follow-up period will comprise seven visits.
Rosuvastatin dose adjusted by LDL-c level( If LDL-C>1.1mmol/L and <1.8mmol/L, administrated as 5mg/day.If LDL-C ≥1.8mmol/L, adjusted every 4 weeks as 5mg,10mg,20mg.
Rosuvastatin 5mg/day
Inclusion Criteria: Subjects or legal guardian can understand and sign the written informed consent form; LDL-C≥100mg/dl(2.6mmol/l). Subjects with carotid atherosclerotic non-calcified plaques determined by color Doppler ultrasound on carotid. ( Plaque defined as limited intima media thickness≥1.5mm, according to the procedure of vascular ultrasound examination in 2009 Chinese Journal of Ultrasonography ) Subjects had not been treated with statins, or one had been treated with antihyperlipidemics no more than 3 months within 12 months prior to screening. Exclusion Criteria: Subjects known to be allergic to the study medication, or any components . Uncontrolled hypothyroidism defined as the systolic blood pressure(SBP) >180 mmHg or the diastolic blood pressure(DBP) >100 mmHg. Concomitant with severe or frequent arrhythmia, such as Atrial Fibrillation, second or third degree Atrioventricular Block, Sick sinus Syndrome etc. Alanine aminotransaminase (ALT) and /or Aspartate aminotransferase (AST) >1.5×ULN (upper limit of normal). Subjects with myopathies,or the value of Creatine kinase >1.5×ULN (upper limit of normal). Concomitant with chronic wasting diseases, whose life span was anticipated no longer than 2 years. Pregnant or nursing woman, and subjects with a Pregnant plan during this study. Cognitive impairment, which may affect obtaining informed consent and participating in the study procedures. Unwilling to receive treatment or examinations outlined in protocol.