| E.1 Medical condition or disease under investigation | 
| E.1.1 | Medical condition(s) being investigated  | 
| Chronic Obstructive Pulmonary Disease (COPD) | 
 
 
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| 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  | 
| Does giving simvastatin for 6 weeks lower the risk of cardiovascular disease using arterial stiffness (a non invasive measure of risk) as an outcome, in patients with COPD?  | 
 
 
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| E.2.2 | Secondary objectives of the trial  | 
| Does simvastatin lower inflammation in the airways and in circulation - is this related to the lowering of cardiovascular risk in patients with COPD?  | 
 
 
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| E.2.3 | Trial contains a sub-study  |  No  | 
| E.3 | Principal inclusion criteria  | 
1) Male or female patients aged 45-80 years;  2) Confirmed COPD: FEV1 30-80% predicted, FEV1/FVC<0.7, salbutamol reversibility <12%, supportive smoking history;  3) If female of childbearing potential, have a negative serum pregnancy test at screening and use a medically acceptable form of contraception starting at screening and continuing throughout the study (defined as an oral contraceptive, or barrier method combined with a spermicide);  4) Able to attend for regular clinic appointments;  5) In opinion of investigator, the patient will be able to comply with the requirements of the protocol;  6) Provide written informed consent.   | 
 
 
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| E.4 | Principal exclusion criteria | 
1) Known hypersensitivity to or side effects relating to previous statin treatment, or current therapy which includes a statin, ezetimibe or fibrate;  2) Clinically significant liver function abnormality; alcohol excess (defined as >21 units per week for males or 14 units for females);  3) Hypercholesterolaemia > or equal to 6.5 mmmol/L;  4) Females who are pregnant, breast feeding, or at risk of pregnancy and not using a medically acceptable form of contraception;  5) Any condition judged by investigator that would cause the study to be detrimental to patient;  6) Conditions: rheumatoid disease/other collagen vascular disease requiring therapy; diabetes mellitus; untreated hypothyroidism; inflammatory bowel disease; other respiratory disease; malignancy; documented history of IHD; cor pulmonale or known congestive heart failure; known alpha 1 antitrypsin deficiency; patients planning to undergo elective surgery during the study period.  7) Exacerbation in the last 4 weeks;  8) Significant hypoxia (PaO2 <7.3kPa);  9) Lactose intolerance 10) Therapies: oral prednisolone for more than 1 week in the last 6 months; disease modifying drugs (Gold/ sulphasalazine etc); weight losing drugs; concomitant use of warfarin and cyclosporine. Use of any investigational drug within four weeks of the baseline visit. | 
 
 
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| E.5 End points | 
| E.5.1 | Primary end point(s) | 
| Change in Arterial Stiffness with 6 weeks of simvastatin compared to placebo.  | 
 
 
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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 |  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 |  Information not present in EudraCT  | 
| E.7.1.2 | Bioequivalence study |  Information not present in EudraCT  | 
| E.7.1.3 | Other |  Information not present in EudraCT  | 
| E.7.1.3.1 | Other trial type description |  | 
| E.7.2 | Therapeutic exploratory (Phase II) |  No  | 
| E.7.3 | Therapeutic confirmatory (Phase III) |  No  | 
| E.7.4 | Therapeutic use (Phase IV) |  Yes  | 
| 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) |  No  | 
| E.8.2.2 | Placebo  |  Yes  | 
| 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  |  No  | 
| 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
                     | 
| Completion of clinical interventions by participants e.g. last administration of IMP  | 
 
 
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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 | 2 | 
| E.8.9.1 | In the Member State concerned months | 9 | 
| E.8.9.1 | In the Member State concerned days | 15 | 
| E.8.9.2 | In all countries concerned by the trial years | 2 | 
| E.8.9.2 | In all countries concerned by the trial months | 9 | 
| E.8.9.2 | In all countries concerned by the trial days | 15 |