HypercholesterolemiaPOSITIVENCT01173939
Primary Prevention of Major Adverse Cardiac Events (MACE) With Standard and Intensive Statin Treatment in Patients With Diabetes: Survival and Cardiovascular Event Assessments
A study testing Pravastatin and Rosuvastatin in people with Hypercholesterolemia and Type 2 Diabetes, run by Positive Trial Group at 317 sites in Japan.
Trial summary
The study is being conducted to compare the effect of standard treatment (target LDL-C level: <120 mg/dL (JASGL 2007 target level)) and intensive treatment (target LDL-C level: <70 mg/dL) in the prevention of major adverse cardiac events (MACE) in hypercholesterolemia patients with concomitant type 2 diabetes and… Read more about this study
- Who is it for?
- Ages 50 years and older
- Conditions the study is for
- Hypercholesterolemia, Type 2 Diabetes, Hypertension
- What is being tested?
- Pravastatin and Rosuvastatin
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 10,000 participants
- Where
- 317 sitesJapan
- Study dates
- Jul 2010to Jun 2014
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 50 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients meeting the following inclusion criteria will be included in the study:
- Patients giving voluntary written consent to participate in the study
- Male or female patients 50 years of age or older (at informed consent)
- Hypercholesterolemia patients (Untreated patients: LDL-C level ≥140 mg/dL; treated patients: LDL-C level ≥120 mg/dL)
- Type 2 diabetes patients (HbA1c level ≥6.1% (JDS criteria), with or without history of drug therapy)
- Hypertension patients (SBP ≥130 mmHg or DBP ≥80 mmHg, with or without history of drug therapy)
Show all 14Show fewer
- Patients with two or more of the following risk factors
- Male
- 65 years of age or older
- Smoker
- L/H ratio: ≥3.0 •HbA1c level: ≥8.0%
- Left ventricular hypertrophy
- First- or second-degree family history of MACE
- Microalbuminuria (quantitative testing: ≥30 mg/dL), proteinuria (qualitative testing: + or higher) or eGFR (<60 mL/min/1.73 m2)
Who cannot join
- Patients meeting the following criteria will be excluded from the study:
- Patients receiving rosuvastatin, pitavastatin, or atorvastatin therapy within one month prior to informed consent
- Patients judged to have familial hypercholesterolemia
- Patients with a serum triglyceride level of ≥400 mg/dL
- Patients with a history of myocardial infarction
- Patients with a history of coronary revascularization (PCI or CABG)
Show all 16Show fewer
- Patients with a history of treatment of unstable angina
- Patients with a history of cerebrovascular accident (excluding asymptomatic lacunar infarction)
- Heart failure patients
- Patients with a history of hypersensitivity to statins
- Patients with a history of drug-induced myopathy
- Patients with poorly controlled arrhythmia
- Patients with severe liver or kidney disease
- Patients with serious concurrent disease, such as malignancy, or patients with severely limited lifespan
- Patients who are or may be pregnant
- Patients judged by the investigators to be ineligible for participation in the study for any other reason
Trial locations and contacts
317 sites in 1 country.
300 sites in 1 country
Japan300 sites
Enomoto Clinic
Ageo, Saitama Pref.
Okubo Clinic
Akishima, Tokyo
Katsuya Clinic
Amagasaki, Hyogo Pref
Nakayama Cardiovascular Clinic
Amakusa, Kumamoto Pref.
Yamashita Clinic
Amakusa, Kumamoto Pref.
Murakami Clinic
Anan, Tokushima Pref.
Fukushi Clinic
Aomori
Nemoto G.I.M. Clinic
Ashigara-kami Gun, Kanagawa Pref.
Magokoro Internal Medicine and Orthopedic Clinic
Ashigarakami Gun, Kanagawa Pref.
National Health Insurance Central Hospital Aso
Aso, Kumamoto Pref.
Sakanashi Heart Clinic
Aso, Kumamoto Pref.
Kasuya Clinic
Atsugi, Kanagawa Pref.
Kashiwagi Clinic
Ayase
Watanabe NJ Clinic
Beppu, Oiat Pref.
Juntendo University Hospital
Bunkyo Ku, Tokyo
Hayashi Diabetes Clinic
Chigasaki
Fukuoka University Chikushi Hospital
Chikushino-shi, Fukuoka Pref.
Saiseikai Futsukaichi Hospital
Chikushino-shi, Fukuoka Pref.
Yoshizaki Clinic
Chūō, Yamanashi Pref.
Hijirigaoka Hospital
Date, Hokkaido Pref.
Tsugawa Internal Medicine Clinic
Echizen, Fukui Pref.
Choei Clinic
Edogawa Ku, Tokyo
Shiraishi Iin
Edogawa Ku, Tokyo
Nishimura Clinic
Fujiidera, Osaka Pref.
Kuboshima Clinic
Fujisawa, Kanagawa Pref.
Takahashi Clinic
Fujisawa, Kanagawa Pref.
Fukui Chuo Clinic
Fukui, Fukui Pref.
Abies Clinic
Fukuoka, Fukuoka Pref.
Hirano Medical Clinic
Fukuoka, Fukuoka Pref.
Naitoh Clinic
Fukuoka, Fukuoka Pref.
Saku Hospital
Fukuoka, Fukuoka Pref.
Kawai Naika Clinic
Gifu, Gifu Pref.
Yamada Clinic
Gojō, Nara Pref.
Hattori Clinic
Hachiōji, Tokyo
Toyoizumi Hospital
Hachiōji, Tokyo
Utsugidai Tajima Clinic
Hachiōji, Tokyo
Kyoaikai Hospital
Hakodate, Hokkaido Pref.
Imura Internal Medicine Clinic
Hakusan, Ishikawa Pref.
Yanagi Medical Clinic
Hakusan, Ishikawa Pref.
Medimo Hanyu Clinic
Hanyū, Saitama Pref.
Yamoto-naika Clinic
Higashi Matsushima City, Miyagi Pref.
Ikeda Clinic
Higashiosaka, Osaka Pref.
Ogawa Clinic
Higashiosaka, Osaka Pref.
Ino Hospital
Himeji, Hyogo Pref.
Taisei Clinic
Hirakata, Osaka Pref.
Hiroshima General Hospital of West Japan Railway Company
Hiroshima, Hiroshima Pref.
Ishiga Clinic
Ibaraki, Osaka Pref.
Masuda Clinic
Ibaraki, Osaka Pref.
Kawasaki Family Clinic
Ichinoseki, Iwate Pref.
Uyama Naika Clinic
Ikoma, Nara Pref.
Shimizu Clinic
Ise, Mie Pref.
Akizawa Clinic
Isehara, Kanagawa Pref.
Medical Corp Takeda Clinic
Isehara, Kanagawa Pref.
Okyozuka Clinic
Ishikawa Gun, Ishikawa Pref.
Fukushima Clinic
Itano Gun, Tokushima Pref.
Yamamoto Naika Ityoka
Itano Gun, Tokushima Pref.
Iwasaki Naika Iin
Iwakuni, Yamaguchi Pref.
Kuwahara Clinic
Iwakuni, Yamaguchi Pref.
Sugie Clinic
Iwate Gun, Iwate Pref.
Matsuno Medical Clinic
Iyo Gun, Ehime Pref.
Kanazawa Clinic
Izumi, Osaka Pref.
Uchiyama Clinic
Jōetsu
Clinic Jinguumae
Kahihara City, Nara Pref.
Kasahara Clinic
Kahihara City, Nara Pref.
Koni Clinic
Kahoku Gun, Ishikawa Pref.
Murata Clinic
Kahoku Gun, Ishikawa Pref.
Yuki National Health Insurance Hospital Of Minami Town
Kaifu Gun, Tokushima Pref.
Misugi Clinic
Kaizuka, Osaka Pref.
Yoshida Clinic
Kaizuka, Osaka Pref.
Hashimoto Clinic
Kamakura, Kanagawa Pref.
Iroden Clinic
Kamakura, Kanagawa Pref.
Kamakura Naika Shinryosyo
Kamakura, Kanagawa Pref.
Shohei Clinic
Kamakura, Kanagawa Pref.
Nitta Medical Clinic
Kamiinagun
Koyasako iin
Kamimashiki Gun, Kumamoto Pref.
Arai Naika Clinic
Kanazawa, Ishikawa Pref.
Dr. Hayakawa's Family Clinic
Kanazawa, Ishikawa Pref.
Wakasa Medical Clinic
Kanazawa, Ishikawa Pref.
Osumi-Kanoya Hospital
Kanoya, Kagoshima Pref.
Sawada Clinic
Kashiba, Nara Pref.
Doi Clinic
Kashihara, Nara Pref.
Medical Corporation Kiriyama Clinic
Kashihara, Nara Pref.
Miyamoto Clinic
Kashihara, Nara Pref.
Oosumi Naika Iin
Kashihara, Nara Pref.
Fukuoka Tokushukai Medical Center
Kasuga, Fukuoka Pref.
Miyazawa Cardiovascular And Internal Medicine Clinic
Kato-gun, Hokkaido Pref.
Hirose Hospital
Kawagoe, Saitama Pref.
Iryohojin Hogi Shinryojo
Kawaguchi, Saitama Pref.
Tokutake Iin
Kawaguchi, Saitama Pref.
Hatori Medical Clinic
Kawasaki, Kanagawa Pref.
Hirayasu Iin
Kawasaki, Kanagawa Pref.
Kamegaya Medical Clinic
Kawasaki, Kanagawa Pref.
Kirimura Iin
Kawasaki, Kanagawa Pref.
Imai Clinic
Kawasaki
Kawaguchi Hospital
Kikuchi, Kumamoto Pref.
Miyamoto Internal Clinic
Kikuchi, Kumamoto Pref.
Mori Iin
Kishiwada, Osaka Pref.
Kondo Clinic Mamigaoka Purified Center
Kitakatsuragi Gun, Nara Pref.
Matsuoka Clinic
Kitakatsuragi Gun, Nara Pref.
Nakahori Iin
Kitakatsuragi Gun, Nara Pref.
Seiwadai Clinic
Kitakatsuragi Gun, Nara Pref.
Morizono Naika
Kitakyushu, Fukuoka Pref.
Tani Clinic
Kitakyushu
Koide Iin
Kizugawa, Kyoto Pref.
Kotani Diabetes Clinic
Kobe, Hyogo Pref
Shimizu Clinic
Kobe, Hyogo Pref
Ueta Medical Clinic
Kochi, Kochi Pref.
Koga Hospital
Koga, Ibaraki Pref.
Marumo Clinic
Koganei
Morita Hospital
Komatsu, Ishikawa Pref.
Sekishinkan Hospital
Komatsushima, Tokushima Pref.
Gamo Tenjinbashi Clinic
Koshigaya, Saitama Pref.
Matsumoto Clinic
Koshigaya, Saitama Pref.
Ono Heart Clinic
Koto Ku, Tokyo
Medical Corporation Shibuya Clinic
Kumagaya, Saitama Pref.
Yakushima Tokushukai Hospital
Kumage Gun, Kagoshima Pref.
Doi Cardiovascular Clinic
Kumamoto, Kumamoto Pref.
Doi Naika-ichoka Clinic
Kumamoto, Kumamoto Pref.
Haraguchi Circular&Internal Medical Clinic
Kumamoto, Kumamoto Pref.
Jinnouchi Clinic Diabetes Care Center
Kumamoto, Kumamoto Pref.
Kiyota Junkanki Naika Iin
Kumamoto, Kumamoto Pref.
Maki Cardiovascular Clinic
Kumamoto, Kumamoto Pref.
Nozuhara Clinic
Kumamoto, Kumamoto Pref.
Ootsuka Hospital
Kumamoto, Kumamoto Pref.
Shono Heart Clinic
Kumamoto, Kumamoto Pref.
Suefuji Naika Junkankika
Kumamoto, Kumamoto Pref.
Suizenji Tohya Hospital
Kumamoto, Kumamoto Pref.
Terao Hospital
Kumamoto, Kumamoto Pref.
Yi Medical Clinic
Kumamoto, Kumamoto Pref.
Hachiouji Naika Clinic
Kurashiki, Okayama Pref.
Inada Clinic
Kurashiki, Okayama Pref.
Seisuikai Yoshioka QQ Clinic
Kurokawa Gun, Miyagi Pref.
Sawai medical Clinic
Kyōtanabe, Kyoto Pref.
Asamoto Clinic of Internal Medicine
Kyoto, Kyoto Pref.
Gotoh Clinic
Kyoto, Kyoto Pref.
Higashiyama Takeda Hospital
Kyoto, Kyoto Pref.
Isoda Internal Medical Clinic
Kyoto, Kyoto Pref.
Omoto Clinic
Kyoto, Kyoto Pref.
Sakazaki Clinic
Kyoto, Kyoto Pref.
Shinya Clinic
Kyoto, Kyoto Pref.
Takagi Cardiology Clinic
Kyoto, Kyoto Pref.
Takenaka Clinic
Kyoto, Kyoto Pref.
Tegoshi Clinic
Kyoto, Kyoto Pref.
Ihara Clinic
Kyoto
Hayashi Clinic
Marugame, Kagawa Pref.
Otsuka Internal Medicine Clinic
Marugame, Kagawa Pref.
Goko-Hospital
Matsudo
Ishite Matsumoto Naika Junkanki Clinic
Matsuyama, Ehime Pref.
Shiba Palace Clinic
Minato-ku, Tokyo
Kamada Clinic
Mitaka, Tokyo
Tenjinmae Clinic
Mitaka, Tokyo
Takayama Iin
Mitaka-shi, Tokyo
Satou Clinic
Mooka
Medical Corporation Joukokai Teranishi-geka naika
Moriguchi, Osaka Pref.
Katsura General Clinic
Morioka, Iwate Pref.
Sano Clinic
Murakami, Niigata Pref.
Takahashi Ko Minako Clinic
Murayama, Yamagata Pref.
Ueta Clinic
Myozai Gun, Tokushima Pref.
Horii Clinic Kiodai
Nabari, Mie Pref.
Kawaguchi Clinic
Nagaoka, Niigata Pref.
Hoshiko Clinic
Nagasaki, Nagasaki Pref.
Shinagawa Clinic
Nagasaki, Nagasaki Pref.
Hiramitsu Heart Clinic
Nagoya, Aichi Pref.
Medical Dock&Clinic
Nagoya, Aichi Pref.
Saiseikai Nara Hospital
Nara, Nara Pref.
Takanohara Central Hospital
Nara, Nara Pref.
Takanohara Suzuran-naika
Nara, Nara Pref.
Sugawara Clinic
Nerima Ku, Tokyo
Maeda Medical Clinic
Niigata, Niigata Pref.
Ehime Medical CO-OP Izumigawa Clinic
Niihama, Ehime Pref.
Iino Clinic
Nirasaki
Takahashi Clinic
Nishi Yatsushiro Gun, Yamanashi Pref.
Dr. Kodama's Office of Internal Medicine
Nishinomiya, Hyogo Pref
Iryohojin Yamamoto Naika
Nishisonogi Gun, Nagasaki Pref.
Obanazawa City Clinic
Obanazawa, Yamagata Pref.
Okuyama Clinic
Obanazawa, Yamagata Pref.
Sakae Clinic
Obanazawa, Yamagata Pref.
Jiyugaoka Yamada Clinic
Obihiro, Hokkaido Pref.
Kojima Clinic
Odawara, Kanagawa Pref.
Takahashi Medical Clinic
Ohtawara City, Tochigi Pref.
Hirata Clinic
Ōita, Oiat Pref.
Ninomiya Clinic
Ōita, Oiat Pref.
Sumi Cardiology Clinic
Ōita, Oiat Pref.
Tokumaru Digestive Internal Medicine Clinic
Ōita, Oiat Pref.
Tsuzaki Clinic
Ōita, Oiat Pref.
Hisamatsu Medical Clinic
Okayama, Okayama Pref.
Yuhara Naika Clinic
Okayama, Okayama Pref.
Iryouhoujin Suisyoukai Murata Hospital
Osaka, Osaka Pref.
Izuoka Clinic
Osaka, Osaka Pref.
Keiju Hospital
Osaka, Osaka Pref.
Kondo Clinic
Osaka, Osaka Pref.
Kubota Clinic
Osaka, Osaka Pref.
Matsushita Medical Clinic
Osaka, Osaka Pref.
Nishizawa Clinic
Osaka, Osaka Pref.
Osaka General Medical Center
Osaka, Osaka Pref.
Senpuku Clinic
Osaka, Osaka Pref.
Tai Internal Medicin Clinic
Osaka, Osaka Pref.
Ueda Clinic
Osaka, Osaka Pref.
Miura Clinic
Osaka
Yamada Clinic
Ōta-ku, Tokyo
Kuroda Iin
Ōtsuki
Iryouhoujin Yuukoukai Morioka Naika Shonika
Oyama, Tochigi Pref.
Hakuai Iin
Sagamihara, Kanagawa Pref.
Sato Clinic
Sagamihara, Kanagawa Pref.
Toshiba Rinkan Hospital
Sagamihara, Kanagawa Pref.
Yamamoto Clinic
Sagamihara, Kanagawa Pref.
Akimoto Clinic
Saitama, Saitama Pref.
Iwatsuki-minami Hospital
Saitama, Saitama Pref.
Suzuhiro Clinic
Saitama, Saitama Pref.
Koshino Clinic
Sakai, Fukui Pref.
Ohta Iin
Sakai, Osaka Pref.
Honma Clinic
Sakata, Yamagata Pref.
Ote Clinic of Internal Medicine
Sakurai, Nara Pref.
Sakaguchi Clinic
Sakurai, Nara Pref.
Chikama Clinic
Sapporo, Hokkaido Pref.
Hiro Clinic
Sapporo, Hokkaido Pref.
Medical and Radiology Clinic Caress Sapporo Hokko Memorial Hospital
Sapporo, Hokkaido Pref.
Seiwa Memorial Hospital
Sapporo, Hokkaido Pref.
Sasaki Clinic
Sendai
Matsumura Gastroenterological Clinic
Setagaya Ku, Tokyo
Hattori Clinic
Setouchi, Okayama Pref.
Kamata Clinic of Internal Medicine
Shiki
Kokuho Central Hospital
Shiki Gun, Nara Pref.
Shizuoka Medical Alliance Shirahama Chuou Clinic
Shimoda, Shizuoka Pref.
Nishikawa Clinic
Shimoda
Shimoina Kosei Hospital
Shimoina Gun, Nagano Pref.
Satou Iin
Shimoinagun
Munakata Clinic
Shimomashiki Gun, Kumamoto Pref.
Ayame Medical Clinic
Shimonoseki, Yamaguchi Pref.
Johno Clinic
Shimonoseki, Yamaguchi Pref.
Matsuda Medical Clinic
Shimonoseki, Yamaguchi Pref.
Mizumachi Medical Clinic
Shimonoseki, Yamaguchi Pref.
Noda Clinic
Shimonoseki, Yamaguchi Pref.
Magari Clinic
Shinjuku Ku, Tokyo
Yotsuya Internal Medicine Clinic
Shinjuku Ku, Tokyo
Yotsuya-Murakami Internal Medicine Clinic
Shinjuku Ku, Tokyo
Kumagai Clinic
Shinshiro
Yokoyama Medical Clinic
Shiojiri, Nagano Pref.
Takamiya General Clinic
Shiwa Gun, Iwate Pref.
Akiyama Clinic
Shizuoka, Shizuoka Pref.
Aoshima Clinic
Shizuoka, Shizuoka Pref.
Eguchi Clinic
Shizuoka, Shizuoka Pref.
Shizuoka Hospital
Shizuoka, Shizuoka Pref.
Ban Clinic
Suita, Osaka Pref.
Iryohojin Nogi Naika Iin
Suita, Osaka Pref.
Kobayashi Clinic
Suita, Osaka Pref.
Obayashi Clinic
Sumida City, Tokyo
Sumidagawa Clinic
Sumida Ku, Tokyo
Sato Clinic
Suzaka, Nagano Pref.
Mochizuki Naika Clinic
tabashi City, Tokyo
Nishio Clinic
tabashi City, Tokyo
ISHII Medical Clinic
Tachikawa-shi, Tokyo
Ichida Internal Clinic
Takaishi, Osaka Pref.
Yada Clinic
Takaishi, Osaka Pref.
Center for Preventive Medical Treatment, NTT West Takamatsu Hospital
Takamatsu, Kagawa Pref.
Hananomiya Clinic
Takamatsu, Kagawa Pref.
Hasegawa Outpatients Clinic for Cardiovascular Disease
Takamatsu, Kagawa Pref.
Kojima Clinic
Takamatsu, Kagawa Pref.
Matsuoka Clinic
Takamatsu, Kagawa Pref.
Ryo Clinic
Takatsuki, Osaka Pref.
Higashi Diabetes and Cardiovascular Clinic
Tamana, Kumamoto Pref.
Yoshimura Jyunnkannkika Naika Iinn
Tamana, Kumamoto Pref.
Universal Shipbuilding Co. Ariake Shipyard Ariake Infirmary
Tamana Gun, Kumamoto Pref.
Takada Clinic
Tochigi, Tochigi Pref.
Nashida naika clinic
Tokorozawa, Saitama Pref.
Kensei Uchimachi Clinic
Tokushima, Tokushima Pref.
Kitagawa Naika Ityoka
Tokushima, Tokushima Pref.
Kitasako Clinic
Tokushima, Tokushima Pref.
Limbs Tokushima Clinic
Tokushima, Tokushima Pref.
Matsumura Internal, Gastrointestial Medicine
Tokushima, Tokushima Pref.
Okagawa Clinic
Tokushima, Tokushima Pref.
Yokoi Internal Medicine
Tokushima, Tokushima Pref.
Ohtomo Clinic
Tome, Miyagi Pref.
Suzuki Clinic
Toyokawa
Higashikatsura Medical Clinic
Tsuru, Yamanashi Pref.
Fujii Clinic
Ube, Yamaguchi Pref.
Shakaiiryouhoujin Onaka Hospital
Ube, Yamaguchi Pref.
Watada-naika Hospital
Ube, Yamaguchi Pref.
Ishida Medical Clinic
Usa, Oiat Pref.
Masuda Naika
Utsunomiya, Tochigi Pref.
Ueno Clinic
Yaizu, Shizuoka Pref.
Isoda Clinic
Yamagata, Yamagata Pref.
Nihei Clinic
Yamagata, Yamagata Pref.
Shimasaki Clinic
Yamagata, Yamagata Pref.
Yamagata Tokushukai Hospital
Yamagata, Yamagata Pref.
Benibana Clinic
Yamagata
Ouchi Clinic
Yamaguchi, Yamaguchi Pref.
Makiura Naika
Yamatokōriyama, Nara Pref.
Matsuta Heart Clinic
Yamatokōriyama, Nara Pref.
Nakatani Clinic
Yamatotakada City, Nara Pref.
Matsuo Clinic
Yao, Osaka Pref.
Miyagi Clinic Cardiovascular Medicine
Yatsushiro, Kumamoto Pref.
Fukumura Clinic
Yokohama, Kanagawa Pref.
Fukushi Clinic
Yokohama, Kanagawa Pref.
International Goodwill Hospital
Yokohama, Kanagawa Pref.
Kikuchi Clinic
Yokohama, Kanagawa Pref.
Matsuo Naika Clinic
Yokohama, Kanagawa Pref.
Miho-cho Cardiovascular Medical Clinic
Yokohama, Kanagawa Pref.
Minamisawa Clinic
Yokohama, Kanagawa Pref.
Miyoshi-Clinic
Yokohama, Kanagawa Pref.
About this study
Official title: Primary Prevention of MACE With Standard and Intensive Statin Treatment in Hypercholesterolemia Patients With Concomitant Diabetes and Hypertension
The study is being conducted to compare the effect of standard treatment (target LDL-C level: <120 mg/dL (JASGL 2007 target level)) and intensive treatment (target LDL-C level: <70 mg/dL) in the prevention of major adverse cardiac events (MACE) in hypercholesterolemia patients with concomitant type 2 diabetes and hypertension.
- Conditions
- Hypercholesterolemia, Type 2 Diabetes, Hypertension
- Being tested
- Pravastatin, Rosuvastatin
- Keywords
- Hypercholesterolemia with concomitant type 2 diabetes and hypertension
- Medical subject headings
- Hypercholesterolemia, Diabetes Mellitus, Type 2, Hypertension
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PravastatinDrug
5 mg/day or 10 mg/day of pravastatin will be administered orally for 36 months, with a follow-up period of one month. If the target LDL-C level is not attained after one month of treatment, the steps will be taken to reduce the LDL-C to the target level of <120 mg/dL (JASGL 2007 target level) as quickly as possible. (Maximum dose increase of pravastatin: 20 mg/day)
RosuvastatinDrug
5 mg/day or 10 mg/day of rosuvastatin will be administered orally for 36 months based on the LDL-C level of the subject, with a follow-up period of one month. If the target LDL-C level is not attained after one month of treatment, the steps will be taken to reduce the LDL-C to the target level of <70 mg/dL as quickly as possible. (Maximum dose increase to rosuvastatin: 20 mg/day)
| Study group | Role | What they receive |
|---|---|---|
| Active comparator: Standard Pravastatin Group | Active comparator | Not described Receives: Drug: Pravastatin |
| Intensive Rosuvastatin Group | Active comparator | Not described Receives: Drug: Rosuvastatin |
What is being measured
The primary outcome is the main question the study is designed to answer.
MACE (time to event): MACE (time to event): myocardial infarction, unstable angina, cardiovascular death, revascularization, fatal/nonfatal cerebrovascular accident, peripheral arteriopathy, aortic event
Measured: At baseline
MACE (time to event): MACE (time to event): myocardial infarction, unstable angina, cardiovascular death, revascularization, fatal/nonfatal cerebrovascular accident, peripheral arteriopathy, aortic event
Measured: 1 month after treatment initiation
MACE (time to event): MACE (time to event): myocardial infarction, unstable angina, cardiovascular death, revascularization, fatal/nonfatal cerebrovascular accident, peripheral arteriopathy, aortic event
Measured: 3 month after treatment initiation
MACE (time to event): MACE (time to event): myocardial infarction, unstable angina, cardiovascular death, revascularization, fatal/nonfatal cerebrovascular accident, peripheral arteriopathy, aortic event
Measured: 6 month after treatment initiation
MACE (time to event): MACE (time to event): myocardial infarction, unstable angina, cardiovascular death, revascularization, fatal/nonfatal cerebrovascular accident, peripheral arteriopathy, aortic event
Measured: 12 month after treatment initiation
MACE (time to event): MACE (time to event): myocardial infarction, unstable angina, cardiovascular death, revascularization, fatal/nonfatal cerebrovascular accident, peripheral arteriopathy, aortic event
Measured: 36 month after treatment initiation
MACE (time to event): MACE (time to event): myocardial infarction, unstable angina, cardiovascular death, revascularization, fatal/nonfatal cerebrovascular accident, peripheral arteriopathy, aortic event
Measured: At the end of the study or discontinuation up to 4 years
Secondary outcomes (56)
Prevention of individual MACE
Measured: At baseline
Prevention of MACE(combination of each category)
Measured: At baseline
Prevention, frequency and distribution of type of the following non-MACE cardiac and cerebrovascular events during the study period: heart failure requiring hospitalization, transient ischemic attack (TIA), abnormal ankle-brachial index (abnormal ABI)
Measured: At baseline
Frequency and distribution of type of MACE during the study period Including correlation with LDL-C, HDL-C and LDL-C/HDL-C ratio (hereafter referred to as "L/H ratio")
Measured: At baseline
Frequency and distribution of type of deaths during the study period
Measured: At baseline
Frequency and distribution of type of hospitalizations during the study period
Measured: At baseline
Frequency of other events (malignancy, dementia, need of nursing care)
Measured: At baseline
Frequency and type of adverse events
Measured: At baseline
Prevention of individual MACE
Measured: 1 month after treatment initiation
Prevention of individual MACE
Measured: 3 month after treatment initiation
Prevention of individual MACE
Measured: 6 month after treatment initiation
Prevention of individual MACE
Measured: 12 month after treatment initiation
Prevention of individual MACE
Measured: 36 month after treatment initiation
Prevention of individual MACE
Measured: At the end of the study (or discontinuation)
Prevention of MACE(combination of each category)
Measured: 1 month after treatment initiation
Prevention of MACE(combination of each category)
Measured: 3 month after treatment initiation
Prevention of MACE(combination of each category)
Measured: 6 month after treatment initiation
Prevention of MACE(combination of each category)
Measured: 12 month after treatment initiation
Prevention of MACE(combination of each category)
Measured: 36 month after treatment initiation
Prevention of MACE(combination of each category)
Measured: At the end of the study (or discontinuation)
Prevention, frequency and distribution of type of the following non-MACE cardiac and cerebrovascular events during the study period: heart failure requiring hospitalization, transient ischemic attack (TIA), abnormal ankle-brachial index (abnormal ABI)
Measured: 1 month after treatment initiation
Prevention, frequency and distribution of type of the following non-MACE cardiac and cerebrovascular events during the study period: heart failure requiring hospitalization, transient ischemic attack (TIA), abnormal ankle-brachial index (abnormal ABI)
Measured: 3 month after treatment initiation
Prevention, frequency and distribution of type of the following non-MACE cardiac and cerebrovascular events during the study period: heart failure requiring hospitalization, transient ischemic attack (TIA), abnormal ankle-brachial index (abnormal ABI)
Measured: 6 month after treatment initiation
Prevention, frequency and distribution of type of the following non-MACE cardiac and cerebrovascular events during the study period: heart failure requiring hospitalization, transient ischemic attack (TIA), abnormal ankle-brachial index (abnormal ABI)
Measured: 12 month after treatment initiation
Prevention, frequency and distribution of type of the following non-MACE cardiac and cerebrovascular events during the study period: heart failure requiring hospitalization, transient ischemic attack (TIA), abnormal ankle-brachial index (abnormal ABI)
Measured: 36 month after treatment initiation
Prevention, frequency and distribution of type of the following non-MACE cardiac and cerebrovascular events during the study period: heart failure requiring hospitalization, transient ischemic attack (TIA), abnormal ankle-brachial index (abnormal ABI)
Measured: At study completion up to 4 years
Frequency and distribution of type of MACE during the study period Including correlation with LDL-C, HDL-C and LDL-C/HDL-C ratio (hereafter referred to as "L/H ratio")
Measured: 1 month after treatment initiation
Frequency and distribution of type of MACE during the study period Including correlation with LDL-C, HDL-C and LDL-C/HDL-C ratio (hereafter referred to as "L/H ratio")
Measured: 3 month after treatment initiation
Frequency and distribution of type of MACE during the study period Including correlation with LDL-C, HDL-C and LDL-C/HDL-C ratio (hereafter referred to as "L/H ratio")
Measured: 6 month after treatment initiation
Frequency and distribution of type of MACE during the study period Including correlation with LDL-C, HDL-C and LDL-C/HDL-C ratio (hereafter referred to as "L/H ratio")
Measured: 12 month after treatment initiation
Frequency and distribution of type of MACE during the study period Including correlation with LDL-C, HDL-C and LDL-C/HDL-C ratio (hereafter referred to as "L/H ratio")
Measured: 36 month after treatment initiation
Frequency and distribution of type of MACE during the study period Including correlation with LDL-C, HDL-C and LDL-C/HDL-C ratio (hereafter referred to as "L/H ratio")
Measured: At the end of the study or discontinuation up to 4 years
Frequency and distribution of type of deaths during the study period
Measured: 1 month after treatment initiation
Frequency and distribution of type of deaths during the study period
Measured: 3 month after treatment initiation
Frequency and distribution of type of deaths during the study period
Measured: 6 month after treatment initiation
Frequency and distribution of type of deaths during the study period
Measured: 12 month after treatment initiation
Frequency and distribution of type of deaths during the study period
Measured: 36 month after treatment initiation
Frequency and distribution of type of deaths during the study period
Measured: At the end of the study or discontinuation up to 4 years
Frequency and distribution of type of hospitalizations during the study period
Measured: 1 month after treatment initiation
Frequency and distribution of type of hospitalizations during the study period
Measured: 3 month after treatment initiation
Frequency and distribution of type of hospitalizations during the study period
Measured: 6 month after treatment initiation
Frequency and distribution of type of hospitalizations during the study period
Measured: 12 month after treatment initiation
Frequency and distribution of type of hospitalizations during the study period
Measured: 36 month after treatment initiation
Frequency and distribution of type of hospitalizations during the study period
Measured: At the end of the study or discontinuation up to 4 years
Frequency of other events (malignancy, dementia, need of nursing care)
Measured: 1 month after treatment initiation
Frequency of other events (malignancy, dementia, need of nursing care)
Measured: 3 month after treatment initiation
Frequency of other events (malignancy, dementia, need of nursing care)
Measured: 6 month after treatment initiation
Frequency of other events (malignancy, dementia, need of nursing care)
Measured: 12 month after treatment initiation
Frequency of other events (malignancy, dementia, need of nursing care)
Measured: 36 month after treatment initiation
Frequency of other events (malignancy, dementia, need of nursing care)
Measured: At the end of the study or discontinuation up to 4 years
Frequency and type of adverse events
Measured: 1 month after treatment initiation
Frequency and type of adverse events
Measured: 3 month after treatment initiation
Frequency and type of adverse events
Measured: 6 month after treatment initiation
Frequency and type of adverse events
Measured: 12 month after treatment initiation
Frequency and type of adverse events
Measured: 36 month after treatment initiation
Frequency and type of adverse events
Measured: At the end of the study or discontinuation up to 4 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Aug 2010 (estimated)
- Study startJul 2010
- Primary completionJun 2014 (estimated)
Why it stopped: With recommendation from IDMC, Steering Committee terminated this trial due to ethical concerns raised by J-ART study.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for HypercholesterolemiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 10,000 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Positive Trial Group
- Sponsor type
- University, hospital or other
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01173939
- Sponsor's protocol ID
- 0035
- Acronym
- POSITIVE
- Status last verified
- Nov 2010
- First submitted
- 27 Jul 2010
- Last updated
- 1 Jun 2011
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 1 Jun 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Primary Prevention of MACE With Standard and Intensive Statin Treatment in Hypercholesterolemia Patients With Concomitant Diabetes and Hypertension
- ClinicalTrials.gov ID
- NCT01173939
- Acronym / sponsor ID
- POSITIVE / 0035
- Conditions
- Hypercholesterolemia, Type 2 Diabetes, Hypertension
- Keywords
- Hypercholesterolemia with concomitant type 2 diabetes and hypertension
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: With recommendation from IDMC, Steering Committee terminated this trial due to ethical concerns raised by J-ART study.
- Enrolment
- 10,000 participants (estimated)
- Lead sponsor
- Positive Trial GroupUniversity, hospital or other
- Study start
- Jul 2010
- Primary completion
- Jun 2014 (estimated)
- First posted
- 2 Aug 2010 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study is being conducted to compare the effect of standard treatment (target LDL-C level: <120 mg/dL (JASGL 2007 target level)) and intensive treatment (target LDL-C level: <70 mg/dL) in the prevention of major adverse cardiac events (MACE) in hypercholesterolemia patients with concomitant type 2 diabetes and hypertension.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Active comparator: Standard Pravastatin Group | Active comparator | Drug: Pravastatin |
| Intensive Rosuvastatin Group | Active comparator | Drug: Rosuvastatin |
Who may qualify
- Ages
- 50 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (14 listed)
- Patients giving voluntary written consent to participate in the study
- Male or female patients 50 years of age or older (at informed consent)
- Hypercholesterolemia patients (Untreated patients: LDL-C level ≥140 mg/dL; treated patients: LDL-C level ≥120 mg/dL)
- Type 2 diabetes patients (HbA1c level ≥6.1% (JDS criteria), with or without history of drug therapy)
- Hypertension patients (SBP ≥130 mmHg or DBP ≥80 mmHg, with or without history of drug therapy)
Key exclusion criteria (16 listed)
- Patients receiving rosuvastatin, pitavastatin, or atorvastatin therapy within one month prior to informed consent
- Patients judged to have familial hypercholesterolemia
- Patients with a serum triglyceride level of ≥400 mg/dL
- Patients with a history of myocardial infarction
- Patients with a history of coronary revascularization (PCI or CABG)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Pravastatin5 mg/day or 10 mg/day of pravastatin will be administered orally for 36 months, with a follow-up period of one month. If the target LDL-C level is not attained after one month of treatment, the steps will be taken to reduce the LDL-C to the target level of <120 mg/dL (JASGL 2007 target level) as quickly as possible. (Maximum dose increase of pravastatin: 20 mg/day) | Drug | Active comparator: Standard Pravastatin Group |
| Rosuvastatin5 mg/day or 10 mg/day of rosuvastatin will be administered orally for 36 months based on the LDL-C level of the subject, with a follow-up period of one month. If the target LDL-C level is not attained after one month of treatment, the steps will be taken to reduce the LDL-C to the target level of <70 mg/dL as quickly as possible. (Maximum dose increase to rosuvastatin: 20 mg/day) | Drug | Intensive Rosuvastatin Group |
Primary outcome
MACE (time to event): MACE (time to event): myocardial infarction, unstable angina, cardiovascular death, revascularization, fatal/nonfatal cerebrovascular accident, peripheral arteriopathy, aortic event
Time frame: At baseline
MACE (time to event): MACE (time to event): myocardial infarction, unstable angina, cardiovascular death, revascularization, fatal/nonfatal cerebrovascular accident, peripheral arteriopathy, aortic event
Time frame: 1 month after treatment initiation
MACE (time to event): MACE (time to event): myocardial infarction, unstable angina, cardiovascular death, revascularization, fatal/nonfatal cerebrovascular accident, peripheral arteriopathy, aortic event
Time frame: 3 month after treatment initiation
MACE (time to event): MACE (time to event): myocardial infarction, unstable angina, cardiovascular death, revascularization, fatal/nonfatal cerebrovascular accident, peripheral arteriopathy, aortic event
Time frame: 6 month after treatment initiation
MACE (time to event): MACE (time to event): myocardial infarction, unstable angina, cardiovascular death, revascularization, fatal/nonfatal cerebrovascular accident, peripheral arteriopathy, aortic event
Time frame: 12 month after treatment initiation
MACE (time to event): MACE (time to event): myocardial infarction, unstable angina, cardiovascular death, revascularization, fatal/nonfatal cerebrovascular accident, peripheral arteriopathy, aortic event
Time frame: 36 month after treatment initiation
MACE (time to event): MACE (time to event): myocardial infarction, unstable angina, cardiovascular death, revascularization, fatal/nonfatal cerebrovascular accident, peripheral arteriopathy, aortic event
Time frame: At the end of the study or discontinuation up to 4 years
56 secondary outcomes
Prevention of individual MACE
Time frame: At baseline
Prevention of MACE(combination of each category)
Time frame: At baseline
Prevention, frequency and distribution of type of the following non-MACE cardiac and cerebrovascular events during the study period: heart failure requiring hospitalization, transient ischemic attack (TIA), abnormal ankle-brachial index (abnormal ABI)
Time frame: At baseline
Frequency and distribution of type of MACE during the study period Including correlation with LDL-C, HDL-C and LDL-C/HDL-C ratio (hereafter referred to as "L/H ratio")
Time frame: At baseline
Frequency and distribution of type of deaths during the study period
Time frame: At baseline
Frequency and distribution of type of hospitalizations during the study period
Time frame: At baseline
Frequency of other events (malignancy, dementia, need of nursing care)
Time frame: At baseline
Frequency and type of adverse events
Time frame: At baseline
Prevention of individual MACE
Time frame: 1 month after treatment initiation
Prevention of individual MACE
Time frame: 3 month after treatment initiation
Prevention of individual MACE
Time frame: 6 month after treatment initiation
Prevention of individual MACE
Time frame: 12 month after treatment initiation
Prevention of individual MACE
Time frame: 36 month after treatment initiation
Prevention of individual MACE
Time frame: At the end of the study (or discontinuation)
Prevention of MACE(combination of each category)
Time frame: 1 month after treatment initiation
Prevention of MACE(combination of each category)
Time frame: 3 month after treatment initiation
Prevention of MACE(combination of each category)
Time frame: 6 month after treatment initiation
Prevention of MACE(combination of each category)
Time frame: 12 month after treatment initiation
Prevention of MACE(combination of each category)
Time frame: 36 month after treatment initiation
Prevention of MACE(combination of each category)
Time frame: At the end of the study (or discontinuation)
Prevention, frequency and distribution of type of the following non-MACE cardiac and cerebrovascular events during the study period: heart failure requiring hospitalization, transient ischemic attack (TIA), abnormal ankle-brachial index (abnormal ABI)
Time frame: 1 month after treatment initiation
Prevention, frequency and distribution of type of the following non-MACE cardiac and cerebrovascular events during the study period: heart failure requiring hospitalization, transient ischemic attack (TIA), abnormal ankle-brachial index (abnormal ABI)
Time frame: 3 month after treatment initiation
Prevention, frequency and distribution of type of the following non-MACE cardiac and cerebrovascular events during the study period: heart failure requiring hospitalization, transient ischemic attack (TIA), abnormal ankle-brachial index (abnormal ABI)
Time frame: 6 month after treatment initiation
Prevention, frequency and distribution of type of the following non-MACE cardiac and cerebrovascular events during the study period: heart failure requiring hospitalization, transient ischemic attack (TIA), abnormal ankle-brachial index (abnormal ABI)
Time frame: 12 month after treatment initiation
Prevention, frequency and distribution of type of the following non-MACE cardiac and cerebrovascular events during the study period: heart failure requiring hospitalization, transient ischemic attack (TIA), abnormal ankle-brachial index (abnormal ABI)
Time frame: 36 month after treatment initiation
Prevention, frequency and distribution of type of the following non-MACE cardiac and cerebrovascular events during the study period: heart failure requiring hospitalization, transient ischemic attack (TIA), abnormal ankle-brachial index (abnormal ABI)
Time frame: At study completion up to 4 years
Frequency and distribution of type of MACE during the study period Including correlation with LDL-C, HDL-C and LDL-C/HDL-C ratio (hereafter referred to as "L/H ratio")
Time frame: 1 month after treatment initiation
Frequency and distribution of type of MACE during the study period Including correlation with LDL-C, HDL-C and LDL-C/HDL-C ratio (hereafter referred to as "L/H ratio")
Time frame: 3 month after treatment initiation
Frequency and distribution of type of MACE during the study period Including correlation with LDL-C, HDL-C and LDL-C/HDL-C ratio (hereafter referred to as "L/H ratio")
Time frame: 6 month after treatment initiation
Frequency and distribution of type of MACE during the study period Including correlation with LDL-C, HDL-C and LDL-C/HDL-C ratio (hereafter referred to as "L/H ratio")
Time frame: 12 month after treatment initiation
Frequency and distribution of type of MACE during the study period Including correlation with LDL-C, HDL-C and LDL-C/HDL-C ratio (hereafter referred to as "L/H ratio")
Time frame: 36 month after treatment initiation
Frequency and distribution of type of MACE during the study period Including correlation with LDL-C, HDL-C and LDL-C/HDL-C ratio (hereafter referred to as "L/H ratio")
Time frame: At the end of the study or discontinuation up to 4 years
Frequency and distribution of type of deaths during the study period
Time frame: 1 month after treatment initiation
Frequency and distribution of type of deaths during the study period
Time frame: 3 month after treatment initiation
Frequency and distribution of type of deaths during the study period
Time frame: 6 month after treatment initiation
Frequency and distribution of type of deaths during the study period
Time frame: 12 month after treatment initiation
Frequency and distribution of type of deaths during the study period
Time frame: 36 month after treatment initiation
Frequency and distribution of type of deaths during the study period
Time frame: At the end of the study or discontinuation up to 4 years
Frequency and distribution of type of hospitalizations during the study period
Time frame: 1 month after treatment initiation
Frequency and distribution of type of hospitalizations during the study period
Time frame: 3 month after treatment initiation
Results and safety
The study was stopped early (reason given: With recommendation from IDMC, Steering Committee terminated this trial due to ethical concerns raised by J-ART study.). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Jun 2011.
Related trials for Hypercholesterolemia
Active, not recruitingObservational study
Study Evaluating LDL-C Change and Adherence to Inclisiran Lipid-lowering Therapy in ASCVD
Primary Hypercholesterolemia, Mixed Dyslipidemia
Active, not recruitingPhase 3
A Study of Inclisiran to Prevent Cardiovascular Events in High-risk Primary Prevention Patients.
Primary Prevention of Atherosclerotic Cardiovascular Disease
RecruitingObservational study
Causes and Natural History of Dyslipidemias
Hypercholesterolemia, Atherosclerosis
Active, not recruitingObservational study
Early Detection of Familial Hypercholesterolaemia in Pre-school Children ( CzeCH-IT)
Familial Hypercholesterolaemia
Not yet recruiting
Penn Family Screening for Familial Hypercholesterolemia (NHLBI R33) Trial 3
Familial Hypercholesterolemia
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
317 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Pravastatin and Rosuvastatin in people with Hypercholesterolemia and Type 2 Diabetes, run by Positive Trial Group at 317 sites in Japan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 14 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 1 Jun 2011. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 317 sites in Japan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study was stopped early (reason given: With recommendation from IDMC, Steering Committee terminated this trial due to ethical concerns raised by J-ART study.). Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
MACE (time to event): MACE (time to event): myocardial infarction, unstable angina, cardiovascular death, revascularization, fatal/nonfatal cerebrovascular accident, peripheral arteriopathy, aortic event (time frame: At baseline). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Jun 2011.