Status:

WITHDRAWN

Carotid Plaque Regression With Statin Treatment Assessed by High Field Magnetic Resonance Imaging (MRI)

Lead Sponsor:

Medical College of Wisconsin

Conditions:

Carotid Atherosclerosis

Eligibility:

All Genders

21+ years

Brief Summary

The purpose of the study is to determine if short term (6 months) treatment with statins to lower low-density lipoprotein (LDL) in vascular disease patients with carotid plaque will be associated with...

Detailed Description

Atherosclerotic vascular disease is the leading cause of death in the United States. Atherosclerosis develops with increasing plaque burden and eccentric arterial wall expansion or remodeling, later l...

Eligibility Criteria

Inclusion

  • Inclusion criteria:
  • Adult (\> 21 years old) patients.
  • Diagnosed with coronary artery disease or suspected cerebrovascular accident.
  • For dose increased subjects, patients whose statin dose or LDL lowering therapy is doubled or increased from standard dose to high dose (see table).
  • For dose maintained subjects, patients whose statin dose or LDL lowering therapy is maintained at standard dose (see table).
  • Standard Dose (reported LDL↓ \< 40% from literature)
  • Drug Daily Dose/s: (md/day)
  • atorvastatin 10
  • simvastatin 5, 10, 20
  • pravastatin 10, 20, 40, 80
  • fluvastatin 20, 40, 80
  • lovastatin 10, 20, 40
  • High Dose (reported LDL↓ \> 40% from literature)
  • Drug Daily Dose/s (mg/day)
  • atorvastatin 40, 80
  • simvastatin 40, 80
  • lovastatin 80
  • rosuvastatin 5, 10, 20, 40
  • Addition of non-statin lipid transfer (tx) (e.g., ezetimibe, fibrate, niacin) to standard statin dose
  • Exclusion criteria:
  • severe claustrophobia causing inability to undergo MRI implanted ferromagnetic materials (pacemakers, defibrillators, TENS units, aneurysm clips, etc.) that are not suitable for MRI in the clinical setting
  • patients anticipated to undergo carotid stenting or surgery in next 6 months
  • patients unable to lie flat for 1 hour
  • patients requiring supplemental oxygen
  • pregnant women
  • patients who could not be followed up for 6 months

Exclusion

    Key Trial Info

    Start Date :

    August 1 2006

    Trial Type :

    OBSERVATIONAL

    Allocation :

    ACTUAL

    End Date :

    February 1 2009

    Estimated Enrollment :

    Patients enrolled

    Trial Details

    Trial ID

    NCT00388843

    Start Date

    August 1 2006

    End Date

    February 1 2009

    Last Update

    August 24 2015

    Active Locations (1)

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    1

    Medical College of Wisconsin/Froedtert Memorial and Lutheran Hospital

    Milwaukee, Wisconsin, United States, 53226