Determination of whether the biological variation of fasting lipids differs between simvastatin and atorvastatin therapy in patients with type 2 diabetes: implications for treating to target

ISRCTN ISRCTN73479504
DOI https://doi.org/10.1186/ISRCTN73479504
Secondary identifying numbers Hull and East Yorkshire Hospital NHS Trust, Research and Development Department - R0066
Submission date
16/08/2007
Registration date
03/09/2007
Last edited
10/05/2011
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

Prof Stephen Atkin
Scientific

Michael White Diabetes Centre
Hull Royal Infirmary
220-236 Analby Road
Hull
HU3 2JZ
United Kingdom

Study information

Study designNon-randomised controlled cross-over study.
Primary study designInterventional
Secondary study designNon randomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific title
Study acronymSAT - Simvastatin and Atorvastatin Therapy
Study hypothesisThe biological variability for lipids is less after atorvastatin therapy compared to simvastatin. Therefore, to consistently achieve a target cholesterol of 5.0 mmol/L the levels will have to be reudced further with simvastatin than with atorvastatin, in orderto account for the increased variability of cholesterol found with the former.
Ethics approval(s)South Humber Local Research Ethics Commitee (ref: 04/Q1105/40)
ConditionType 2 diabetes, hypercholestrolemia
InterventionAll participants were on stable doses of medications (i.e. either atorvastatin 10 mg or simvastatin 40 mg) for at least 3 months. Biological variations of Total Cholesterol (TC), High-Density Lipoprotein Cholesterol (HDL-C), Low Density Lipoprotein Cholesterol (LDL-C), triglycerides, high sensitivity C-reactive protein (hsCRP), Vitamin D levels and oxidative stress markers were assessed by measuring 12-hour fasting blood samples at four-day intervals on 10 consecutive occasions. Thereafter the patients on simvastatin were changed to atorvastatin 10 mg and vice versa. After 3 months, the biological variation of lipid parameters, hsCRP, Vitamin D levels and oxidative stress markers were assessed again by measuring fasting blood samples at four-day intervals on 10 consecutive occasions in these patients.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)simvastatin , atorvastatin
Primary outcome measureBiological variability of TC and LDL-C (see Interventions for timepoints of measurement).
Secondary outcome measuresBiological variation of triglycerides and hsCRP (see Interventions for timepoints of measurement).
Overall study start date01/02/2005
Overall study end date01/02/2007

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexBoth
Target number of participants20
Participant inclusion criteriaType 2 diabetes on either atorvastatin 10 mg or simvastatin 40 mg.
Participant exclusion criteria1. Not on concomitant fibrate or additional lipid lowering therapy
2. Inadequately treated hypothyroidism
3. Nephrotic syndrome
Recruitment start date01/02/2005
Recruitment end date01/02/2007

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Michael White Diabetes Centre
Hull
HU3 2JZ
United Kingdom

Sponsor information

Hull and East Yorkshire Hospitals NHS trust (UK)
Hospital/treatment centre

c/o Mrs Nina Dunham
Research and Development Manager
Castle Hill Hospital
Castle Road
Cottingham
East Yorkshire
Hull
HU16 5JQ
England
United Kingdom

Website http://www.hey.nhs.uk/
ROR logo "ROR" https://ror.org/01b11x021

Funders

Funder type

University/education

University of Hull (UK)

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 plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/08/2008 Yes No