E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Dyslipidaemia and moderate proteinuria |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 6.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10029151 |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To evaluate the effects of rosuvastatin and atorvastatin on urinary protein excretion by evaluation of the change in urinary protein/creatinine ratio from baseline to Week 52 in patients with moderate proteinuria and mild hypercholesterolaemia. |
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E.2.2 | Secondary objectives of the trial |
1.to evaluate the effects of rosuvastatin and atorvastatin on urinary protein excretion by evaluation of the change in urinary protein/creatinine ratio from baseline to Week 26. 2.to evaluate the effects of rosuvastatin and atorvastatin on urinary albumin excretion by evaluation of the change in urinary albumin/creatinine ratio from baseline to Weeks 26 and 52. 3.to evaluate the effects of rosuvastatin and atorvastatin on low-density lipoprotein cholesterol, total cholesterol, high-density lipoprotein cholesterol, triglycerides, nonHDL-C, apolipoprotein A1, apolipoprotein B, TC/HDL-C, LDL-C/HDL-C, nonHDL-C/HDL-C and ApoB/ApoA-1 to explore the relationship between renal effects and lipid changes at Weeks 26 and 52 4.to evaluate the effects of rosuvastatin and atorvastatin on renal function by evaluation of the change in estimated glomerular filtration rate GFR predicted from the Modification of Diet in Renal Disease equation from baseline to Weeks 26 and 52 |
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E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
E.3 | Principal inclusion criteria |
1.Provision of written informed consent; 2.Male and female patients aged 8805;18 and 8804;70 years; 3.Moderate proteinuria baseline urinary protein/creatinine ratio 8805;500 mg/g and 8804;5000 mg/g ; 4.Mild hypercholesterolaemia fasting LDL-C 8805;90 mg/dL 2.33 mmol/L and 180 mg/dL 4.66 mmol/L ; 5.current treatment with ACE Angiotensin converting enzyme inhibitors and/or ARBs Angiotensin receptor blockers for 8805;3 months prior to Visit 1. |
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E.4 | Principal exclusion criteria |
1.History of statin intolerance, statin-induced myopathy, or serious hypersensitivity reaction to other HMG-CoA reductase inhibitor statin for safety reasons 2.Previous rosuvastatin use at any time because of the potency of rosuvastatin, this may confound the effects seen in this study, and because of potential tolerability issues with patients who have previously stopped rosuvastatin 3.Pregnant women, women who are breast feeding, and women of childbearing potential who are not using chemical or mechanical contraception or have a positive serum pregnancy test a serum b-Human chorionic gonadotropin beta-HCG analysis for safety reasons 4.Patients having one or more of the following events within 12 weeks of V1 a myocardial infarction, unstable angina, myocardial revascularization percutaneous transluminal coronary angioplasty, coronary artery bypass graft surgery or another revascularization procedure or a transient ischemic attack TIA or stroke these patients should be treated outside of a clinical study 5.Moderate to severe congestive cardiac failure New York Heart Association NYHA Class III or IV these patients should be treated outside of a clinical study 6.Patients awaiting a planned myocardial revascularization prior to starting the study, i.e. planned prior to Visit 1 these patients should be treated outside of a clinical study 7.History of malignancy unless a documented disease-free period exceeding 5 years is present with the exception of basal cell or squamous cell carcinoma of the skin. Women with a history of cervical dysplasia would be permitted to enter the study provided they have 3 consecutive clear Papanicolaou Pap smears to reduce the chances of the patient being discontinued from the study due to ill-health; such patients are not suited to this type of study 8.Uncontrolled hypothyroidism defined as a thyroid stimulating hormone TSH 1.5 times ULN at Visit 1 this is due to the relationship between myopathy and patients with hypothyroidism undergoing statin therapy 9.Type I or II diabetes; 10.History of homozygous familial hypercholesterolaemia or known Type III hyperlipoproteinemia familial dysbetalipoproteinemia |
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E.5 End points |
E.5.1 | Primary end point(s) |
L obiettivo primario di questo studio e quello di valutare gli effetti di rosuvastatina e atorvastatina sull escrezione delle proteine urinarie analizzando la variazione del rapporto proteine urinarie/creatinina dall inizio del trattamento baseline alla settimana 52 in soggetti affetti da moderata proteinuria e da lieve ipercolesterolemia. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | Information not present in EudraCT |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Information not present in EudraCT |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 6 |