E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Patients in this study do have symptomes like dyspnea, reduced maximum stress and do have a weakness feeling. We are analysing the endothelial function via the FMD-methode: Before and after a Niaspan-treatment of 6 months. |
|
MedDRA Classification |
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 |
- Is a treatment with Niaspan leading to an improvement of the endothelial function analysed via FMD-methode. |
|
E.2.2 | Secondary objectives of the trial |
- Is Niaspan mobilizing endothelial progenitor cells? - Has got the treatment with Niaspan®an influence on biomarkers like hsCRP, n-ANP, Pro-BNP, PAI-1, HSP-70, Hemoxygenase? - Is the treatment with Niaspan® influencing parameters like hsCRP, Il-1ß, sVCAM? |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
• Patient information and written informed consent • Patients with endothelial dysfunction shown via an analysing with the FMD- methode • Age between 18 - 70 years • no similar therapy in the anamnesis • estimated life expectancy of at least 5 years • -sufficent renal function (creatinine ≤1,0 mg/dl and urea ≤ 46 mg/dl for ♀; creatinine ≤1,2mg/dl and urea ≤ 46 mg/dl for ♂) sufficient liver function (alanine aminotransferase (ALT) : ≤45 U/l; AST: ≤50 U/l; both for ♀ and ♂) • No pregnancy • Highly effective contraception for the time of the therapy and 6 months afterwards. Pearl index<1, for example: contraceptive pill, loop, hormone implant, transdermal applicator, a combination of two barrier methods (e.g. condom and diaphragm), sterilization, sexual abstinence. • Accessibility of the patient for treatment and follow-up • Compliance of the the patient • Not included the last 3 months in an other clinical trial |
|
E.4 | Principal exclusion criteria |
• Coronary vessels disease and othervesels disease like peripheral arterial disease. • Hyperlipoproteinemia • Diabetes mellitrus typ 1 and 2 • Arterial hypertension systolic > 160 mmHg and diastolic > 90 mmHg • Alcohol abuse or history of alcohol abuse • Active tumor disease • Active liver disease like hepatitis B, C • After a chemotherapy in the last 6 months • Less as 6 months after cerebral ischemia • Known neurological and psychiatric illness • Known kidney disease (kreatinin > 1,0 mg/dl for ♀, and > 1,2 mg/dl for ♂) • Renale Anemia • liver insufficience (total bilirubin >1,0 mg/dl , ALT > 50 U/l and AST > 45 U/l for ♂ and ♀) • Known pregnancy • Women, who would not drive through appropriate preventing (Pearl index > 1) • All exclusion criteria against Niaspan®: Hypersensitivity to nicotinic acid or against a component, known acute gastric ulcer, known hemorrhage • Cotreatment with medicine like hormons, EPO, statine, immunosuppressive drugs • Known HIV-infection • Patients who do not give the allowness to save their data • Patients which are included in an other clinical trial |
|
E.5 End points |
E.5.1 | Primary end point(s) |
- Improvement of the endothial function. |
|
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 | No |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
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 | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
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) | No |
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
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | Information not present in EudraCT |
E.8.4.1 | Number of sites anticipated in Member State concerned | 1 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | No |
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
|
In a time period of 6 months will be included 30 patients with endothelial dysfunction which will be treated with Niaspan. 10 healthy patients which will come once for a visite are healthy controles, not treated with Niaspan. The treatment of the patients with ED will be 6 months. If we do not see any effect, we would like to continue for 3 months more. |
|
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 | 3 |
E.8.9.1 | In the Member State concerned days | |