A double-blind placebo-controlled study on the effect of cerivastatin on the process of atherosclerosis in non-insulin-dependent diabetes mellitus

ISRCTN ISRCTN51822988
DOI https://doi.org/10.1186/ISRCTN51822988
Secondary identifying numbers n/a
Submission date
20/12/2005
Registration date
20/12/2005
Last edited
09/11/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Not provided at time of registration

Contact information

Dr M.V. Huisman
Scientific

Leiden University Medical Center
Department of General Internal Medicine
Albinusdreef 2, C2-R
P.O. Box 9600
Leiden
2300 RC
Netherlands

Phone +31 (0)71 625 9111
Email m.v.huisman@lumc.nl

Study information

Study designRandomized placebo-controlled double-blind clinical trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific titleA double-blind placebo-controlled study on the effect of cerivastatin on the process of atherosclerosis in non-insulin-dependent diabetes mellitus
Study acronymCERDIA
Study hypothesisCardiovascular disease (CVD) is the most important cause of mortality in patients with type 2 diabetes. We aimed to determine the effect of statin therapy versus placebo on the progression of carotid Intima-Media Thickness (IMT) in type 2 diabetic patients without manifest CVD.
Ethics approval(s)Ethics approval received from the local medical ethics committee
ConditionDiabetes mellitus type II (DM type II)
Intervention1. Patients of the intervention group will be treated with cerivastatin 0.4 mg/day for two years
2. Controls will get placebo

In August 2001, when cerivastatin was withdrawn from the market, 0.4 mg cerivastatin was replaced by 20 mg simvastatin without deblinding the study.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Cerivastatin
Primary outcome measureThe change of IMT and distensibility after 24 months using B-mode ultrasound at the carotid artery level.
Secondary outcome measures1. The change in the prevalence of (silent) myocardial ischaemia after 24 months as monitored with 48 hour ambulatory ECG
2. The change of endothelium function after 24 months using flow mediated vasodilatation assessed by ultrasound of the a. brachialis
3. The change in blood levels of parameters for endothelial function, haemostasis, fibrinolysis, platelet activation, endothelial cell injury and vascular wall inflammation.
4. Biochemical endpoints: total cholesterol, High Density Lipoprotein (HDL)-cholesterol, (calculated) Low Density Lipoprotein (LDL)-cholesterol, triglycerides, LDL/ApoB100 ratio, Lipoprotein A-I (LpA-I), Lp(a)
5. Diabetic nephropathy: creatinine clearance and microalbuminuria
6. Clinical endpoints of cardiovascular disease
Overall study start date01/08/1999
Overall study end date31/03/2003

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants250
Total final enrolment250
Participant inclusion criteria1. Patient with Non-Insulin Dependent Diabetes Mellitus. The diagnosis is based upon:
1.1. The age of onset
1.2. The presence of obesity
1.3. The absence of ketoacidosis at the time of diagnosis
1.4. The use of diet or oral anti-diabetic drugs for more than one year from diagnosis
2. Males and females
3. Age range: 30 - 80 years
4. Given written informed consent
Participant exclusion criteria1. Angina pectoris
2. History of myocardial infarction, Percutaneous Transluminal Coronary Angioplasty (PTCA) or Coronary Artery Bypass Graft (CABG)
3. Positive Electrocardiogram (ECG) criteria for a myocardial infarction in the past
4. History of ischemic Cerebrovascular Accident (CVA)
5. Peripheral artery by-pass surgery or amputation because of atherosclerotic disease or claudication
6. Secondary diabetes (steroid induced, Cushing, haemochromatosis, alcohol abuse, pancreatitis)
7. Untreated or uncontrolled hyperthyroidism or hypothyroidism
8. Active liver disease (hepatitis, cirrhosis or biliary obstruction) or hepatic dysfunction (repeated aminotransferase-values more than 150% of the Upper Limit of Normal [ULN])
9. Impaired renal function with creatinine clearance less than 30 ml/min
10. Baseline Creatine Kinase (CK) values more than 3 x ULN
11. Fasting total cholesterol above 69 mmol/l despite diet or below 40 mmol/l or triglycerides above 60 mmol/l
12. Any hereditary dyslipidemia
13. Known allergy to 3-Hydroxy-3-Methyl-Glutaryl (HMG)-CoA-reductase inhibitors
14. Pregnancy or lactation
15. Women of childbearing potential, not using adequate contraceptives
16. Use of lipid lowering medication, within eight weeks before the start of the study
17. Life expectancy of less than two years
18. Any other condition that in the opinion of the investigator could lead to inappropriate absorption, metabolism or elimination of the medication or compromise the patients' safety or lead to insufficient compliance with the study drug regimen
Recruitment start date01/08/1999
Recruitment end date31/03/2003

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Leiden University Medical Center
Leiden
2300 RC
Netherlands

Sponsor information

Leiden University Medical Centre (LUMC) (Netherlands)
University/education

Albinusdreef 2
P.O. Box 9600
Leiden
2300 RC
Netherlands

Website http://www.lumc.nl/
ROR logo "ROR" https://ror.org/027bh9e22

Funders

Funder type

Industry

Bayer B.V. (The Netherlands)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing planNot provided at time of registration

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 01/12/2004 Yes No
Results article 01/07/2005 Yes No
Results article 01/07/2005 Yes No

Editorial Notes

09/11/2022: Total final enrolment added.