Investigation of the anti-inflammatory effects of simvastatin in a human lipopolysaccharide induced model of acute lung injury

ISRCTN ISRCTN21056528
DOI https://doi.org/10.1186/ISRCTN21056528
Protocol serial number 060778SE-A
Sponsor Belfast Health and Social Care Trust (UK)
Funders Intensive Care Society, Young Investigator's Award (UK), REVIVE (UK), Northern Ireland Health and Social Services Central Services Agency (UK)
Submission date
29/04/2008
Registration date
09/06/2008
Last edited
30/06/2009
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Respiratory
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Danny McAuley
Scientific

Intensive Care Unit
Royal Victoria Hospital
Grosvenor Road
Belfast
BT12 6BA
United Kingdom

Study information

Primary study designInterventional
Study designProspective, randomised, double-blind, placebo-controlled trial.
Secondary study designRandomised controlled trial
Scientific title
Study objectivesTreatment with a clinically relevant dose of simvastatin will reduce pulmonary inflammation induced by lipopolysaccharide (LPS) inhalation in humans.
Ethics approval(s)Office for Research Ethics Committees Northern Ireland (ORECNI). Date of approval: 25/10/2006 (ref: 06/NIR02/91)
Health condition(s) or problem(s) studiedAcute lung injury (ALI)
InterventionSubjects will be randomised to the following three arms:
Arm 1: Simvastatin 40 mg enterally for 4 days prior to inhalation of LPS
Arm 2: Simvastatin 80 mg enterally for 4 days prior to inhalation of LPS
Arm 3: Placebo enterally for 4 days prior to inhalation of LPS
Intervention typeDrug
PhaseNot Specified
Drug / device / biological / vaccine name(s)simvastatin
Primary outcome measure(s)

Reduction in broncho alveolar lavage (BAL) Interleukin-8 (IL8) concentration at 6 hours

Key secondary outcome measure(s)

1. To investigate whether treatment with simvastatin will modulate the following:
1.1. Alveolar inflammatory response at 6 hours
1.2 Plasma inflammatory response at 24 hours
1.3. Alveolar matrix metalloproteinase activity at 6 hours
1.4. Intracellular signalling in the alveolar space at 6 hours
1.5. Indices of alveolar epithelial and endothelial function and injury at 6 hours
2. To determine the potential mechanisms by which simvastatin may be beneficial in ALI

Completion date05/11/2009

Eligibility

Participant type(s)Patient
Age groupAdult
SexAll
Target sample size at registration30
Key inclusion criteriaHealthy subjects, both males and females
Key exclusion criteria1. Age <18 years
2. Creatinine kinase (CK) >5 times upper limit of normal
3. Known active liver disease
4. Alcohol abuse or abnormal liver function tests: transaminases > 3 times upper limit of normal
5. Renal impairment (calculated creatinine clearance less than 60 mL/minute)
6. History of asthma, known lactose intolerance
7. Participation in other trials within the past 30 days
8. Pregnancy, breast-feeding or women of childbearing potential not using adequate contraception;
9. Current treatment with statins
10. Known hypersensitivity to the study medication
11. Previous adverse reaction to statins
12. Concomitant use of fibrates or other lipid-lowering therapy
13. Concomitant use of itraconazole, ketoconazole, erythromycin, clarithromycin, telithromycin, HIV protease inhibitors, nefazodone, grapefruit juice, cyclosporine, danazol, amiodarone, verapamil or diltiazem
14. Consent declined
Date of first enrolment02/08/2006
Date of final enrolment05/11/2009

Locations

Countries of recruitment

  • United Kingdom
  • Northern Ireland

Study participating centre

Intensive Care Unit
Belfast
BT12 6BA
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 15/06/2009 Yes No