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A Diabetes Study to Treat A Population Previously Not at Target (ADAPT)
This study is currently recruiting participants.
Verified by AstraZeneca, January 2009
Sponsored by: AstraZeneca
Information provided by: AstraZeneca
ClinicalTrials.gov Identifier: NCT00747149
  Purpose

This study will assess if customizing the start dose of rosuvastatin appropriate for the degree of LDL-C reduction required, would achieve LDL-C target of < 2.0 mmol/L quickly with either no titration or just one titration step after 6 weeks of therapy in type 2 diabetic patients previously treated with another statin and not at LDL-C targets.


Condition Intervention Phase
Type 2 Diabetes
Drug: Rosuvastatin
Phase IV

MedlinePlus related topics: Cholesterol Diabetes
Drug Information available for: Rosuvastatin Rosuvastatin calcium Cholest-5-en-3-ol (3beta)- BaseLine
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Parallel Assignment, Efficacy Study
Official Title: 12-Week, Open-Label, Multi-Center, Prospective Study Evaluating the Effect of Individualizing Starting Doses of Rosuvastatin According to Baseline LDL-Cholesterol Levels on Achieving Cholesterol Targets in Type 2 Diabetic Patients

Further study details as provided by AstraZeneca:

Primary Outcome Measures:
  • Proportion of subjects achieving Canadian LDL-C target goals (i.e. LDL-C < 2.0 mmol/L). [ Time Frame: after 12 weeks of rosuvastatin therapy ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Proportion of subjects achieving TC/HDL-C ratio (i.e. TC/HDL < 4.0 mmol/L) [ Time Frame: at 6 and 12 weeks of treatment ] [ Designated as safety issue: No ]
  • Mean percent change in TC, LDL-C, HDL-C,TC/HDL-C ratio, Non-HDL-C, Triglycerides and ApoB/ApoA-1 ratio [ Time Frame: at 6 and 12 weeks ] [ Designated as safety issue: No ]
  • Mean hsCRP value [ Time Frame: at week 6 and 12 ] [ Designated as safety issue: No ]
  • Incidence of adverse events and abnormal laboratory values [ Time Frame: after 12 weeks of therapy ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 1000
Study Start Date: May 2008
Estimated Study Completion Date: August 2009
Estimated Primary Completion Date: August 2009 (Final data collection date for primary outcome measure)
  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Diagnosis of Type 2 diabetes
  • Previously treated with a commonly accepted start dose of a statin (see Appendix I) for the last 4 weeks prior to study entry
  • Fasting LDL-C concentration of > 2.0 mmol/L (and £ 5.0 mmol/L) (in the past 3 months)
  • History of serum TG level of = 4.6 mmol/l (in the past 3 months)

Exclusion Criteria:

  • If currently receiving therapy with any statin at a dose higher than listed in Appendix I
  • Rosuvastatin (current use)
  • Fibrates, niacin or resins that was not discontinued a minimum of 2 months prior to enrolment.
  • Type 1 diabetes; glycated haemoglobin (HbA1c) > 9.0%; (see Appendix H)
  • Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) level ≥ 1.5 × upper limit of normal (ULN) (in the past 2 months)
  • Resting diastolic or systolic blood pressure of > 95 mmHg or > 180 mmHg, respectively (in the past 2 months)
  • Unexplained serum creatine kinase (CK) level > 3 × ULN (in the past 2 months).
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00747149

Contacts
Contact: Canada Clinical Study Information 1-800 565-5877

  Show 84 Study Locations
Sponsors and Collaborators
AstraZeneca
Investigators
Study Director: Jefferson Tea AstraZeneca
Principal Investigator: David Lau, MD Private Practice
  More Information

Related Info  This link exits the ClinicalTrials.gov site

Responsible Party: AstraZeneca ( Michael Cressman - Medical Science Director )
Study ID Numbers: D3560L00072
Study First Received: September 2, 2008
Last Updated: January 8, 2009
ClinicalTrials.gov Identifier: NCT00747149  
Health Authority: Canada: Ethics Review Committee

Keywords provided by AstraZeneca:
diabetes
type 2

Study placed in the following topic categories:
Rosuvastatin
Metabolic Diseases
Diabetes Mellitus, Type 2
Diabetes Mellitus
Endocrine System Diseases
Endocrinopathy
Metabolic disorder
Glucose Metabolism Disorders

Additional relevant MeSH terms:
Antimetabolites
Molecular Mechanisms of Pharmacological Action
Therapeutic Uses
Antilipemic Agents
Enzyme Inhibitors
Anticholesteremic Agents
Hydroxymethylglutaryl-CoA Reductase Inhibitors
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 14, 2009