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Lipid-lowering Therapy Individualization

U

Université Catholique de Louvain

Status and phase

Completed
Phase 4

Conditions

Hypercholesterolemia

Treatments

Drug: Atorvastatin

Study type

Interventional

Funder types

Other

Identifiers

NCT03604471
2016/26OCT/471

Details and patient eligibility

About

This clinical study will explore individual factors influencing statin pharmacokinetics in a cohort of 150 patients treated with atorvastatin.

Full description

Atorvastatin is widely prescribed for the treatment of hypercholesterolemia to prevent the risk of cardiovascular diseases, a leading death cause in industrialized countries. There exists considerable inter-individual variability in response to statins, reflected by differences in lipid-lowering effect or risk of presenting adverse drug reaction; mainly myotoxicity. A plethora of different factors (demographic, genetic, physiopathologic, environmental...) have been tested to explain this variability but it lacks of pharmacokinetic (PK) data and/or replications of observations are rare and results remain inconclusive, probably because of non-adapted designs and no-clear driven-hypothesis but also due to a lack of scientific rationale and deep mechanistic understanding. This clinical study will explore individual factors influencing statin PK in a cohort of 150 patients treated with atorvastatin. The collection of meticulous clinical PK data and a rigorous statistical analysis will allow quantifying the effect of each identified parameter on statin PK and eventually, defining a population-based PK model taking into account the combined effect of all covariates in a quantitative approach. This innovative prospectively designed clinical study will ultimately allow predicting atorvastatin PK fluctuations and anticipating any inadequate dosing in clinical care.

Enrollment

75 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Treatment with atorvastatin (any dose)

Exclusion criteria

  • Unable to provide informed consent

Trial design

Primary purpose

Other

Allocation

N/A

Interventional model

Single Group Assignment

Masking

None (Open label)

75 participants in 1 patient group

Atorvastatin
Other group
Description:
All patients using atorvastatin at any dose (usually ranging from 5 to 80 mg once-daily).
Treatment:
Drug: Atorvastatin

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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