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TerminatedNCT00850460Updated Nov 6, 2016Results posted

Quality of Life in Patients With Statin-Associated Myopathy

A Phase 4 interventional study of Statins and Placebo in Statin Adverse Reaction, sponsored by Rockefeller University. Terminated at 1 site in United States. Open to participants aged 40 Years to 60 Years. Per ClinicalTrials.gov, last updated 2016-11-06.

Sponsored by Rockefeller University · Phase 4 and Interventional

Why this study was terminated
Investigator left institution and no PI has been found to continue the study
Phase
Phase 4
Study type
Interventional
Enrollment
14
Allocation
Randomized
Ages
40 Years to 60 Years
Sex
All
01

Study summary

The proposed study will focus on possible effects of statins on muscle strength and why they become tired more easily, quality of life, and measurements to understand why muscles are not able to fully utilize fats. The investigators are specifically interested in statin users and the impact of muscle symptoms on daily activities and quality of life.

This study hypothesize that patients with likely statin-associated myopathy have a metabolic dysregulation in fuel utilization such that compared to patients continuing statins, those on placebo will show:

  1. improved Individualized Neuromuscular Quality of Life (INQoL) and Short Form-36 (SF-36) scores (primary end point)
  2. alleviation of muscle symptoms,
  3. increased utilization of fatty acids as a fuel source reflected by the metabolic test results
  4. decreased intramyocellular lipid (IMCL)
  5. improved insulin sensitivity.
Read the detailed description

The proposed study will focus on possible effects of statins on muscle strength and quality of life, and measurements to understand why muscles of statin users are not able to fully utilize fats. The investigators are specifically interested in statin users and the impact of muscle symptoms on daily activities and quality of life.

This study hypothesizes that patients with likely statin-associated myopathy have a metabolic dysregulation in fuel utilization such that compared to patients continuing statins, those on placebo will show:

  1. improved INQoL and SF-36 scores (primary end point)
  2. alleviation of muscle symptoms,
  3. increased utilization of fatty acids as a fuel source reflected by the metabolic test results
  4. decreased IMCL
  5. improved insulin sensitivity.
02

Conditions studied

  • Statin Adverse Reaction
03

In context

Lead sponsor

Rockefeller University is the lead sponsor of 120 studies on the registry; 3 are open to participants now.

Of its 14 completed or terminated interventional studies of FDA-regulated products, 6 (43%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  • males and females 30-60 yrs old
  • experiencing muscle pain, weakness, numbness or cramping that they perceive to interfere with activities of daily living (ADLs), but able to ambulate independently (in order to perform exercise tests)
  • muscle symptoms started/ occurred within one year of starting statin treatment or within one year of changing statin brand or dose adjustment
  • currently taking a statin (has been taking medications ≥ 80% of the time or at least 5 days/week)
  • ≤ 15% probability of having a cardiovascular (CV) event in the next 10 years calculated using an online CV risk calculator (while on current statin) for the questionnaire portion; AND with a low or a moderate American College of Sports Medicine (ACSM) risk stratification for a cardiovascular event during a treadmill test for the full metabolic study
  • must agree to have a letter sent to inform the health care provider who prescribed the statin of study participation except for subjects referred by Metropolitan Hospital physicians

Exclusion Criteria:

  • concomitant treatment with other lipid-lowering agents
  • impaired liver or kidney function ( alanine aminotransferase (ALT) or asparate aminotransferase (AST) ≥ 3x upper limit of normal, creatinine ≥ 3x or creatine phosphokinase (CPK) ≥ 5x upper limit of normal)
  • untreated hypo or hyperthyroidism
  • current treatment with other medications known to increase risk of myopathy (e.g. cyclosporine, azithromycin, erythromycin and other macrolide antibiotics, azole antifungals, fusidic acid, digoxin)
  • documented history of muscle disorder or myopathy other than statin-associated myopathy
  • anemia (Hb\< 110 g/dL)
  • cancer within 5 years of enrollment except basal or squamous cell carcinoma (CA) of the skin
  • diabetes
  • HIV-1 infection
  • Uncontrolled blood pressure ≥ 160/100
  • known coronary artery disease or peripheral vascular disease
  • chronic illnesses such as lupus, rheumatoid arthritis, psoriasis
  • any condition, that at the investigators' discretion would impact/ bias the study data
  • long term oral, nasal, or inhaler steroid use > 6 months
  • on Hormone Therapy except for thyroid replacement
  • alcohol consumption ≥ 40 g/day (3 glasses/day wine or beers or binge drinking ≥ 4 glasses/night)
  • engaged in significant amounts of sport or strenuous leisure activity (> 60 min four times per week)
  • surgery in the past 6 months except for minor excision/incision procedures,
  • 12-L electrocardiogram demonstrating old/new myocardial infarction/ ischemia or other findings that, at the cardiologist's discretion, may put the subject at high risk
  • cognitive impairment that prevents comprehension of questionnaires
  • inability to read English (questionnaire language)

Exclusions for the metabolic study:

  • currently taking beta blockers
  • body mass index > 28 kg/m2
  • premenopausal females \< 50 yrs (menopause defined as 12 consecutive months without menstruation (in order to avoid the confounding effect of the menstrual cycle phase on fuel selection)
  • physical disability or previous injury that prevents safe exercise testing
  • do not meet the magnetic resonance spectroscopy (MRS) prescreening criteria
05

Study design

Phase
Phase 4
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
14 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Lactose placebo pill

    Drug: Placebo

  • Active comparator
    Statins

    Statin medications

    Drug: Statins

Interventions

  • DrugStatins

    Subjects will be randomized to continue their statin dosage or placebo for 8 weeks. They will stay on the same dosage as prescribed by their physician. Usual dosage for atorvastatin 10-80 mg/tab once daily by mouth; simvastatin 20-80 mg/tab once daily by mouth; pravastatin 10-80 mg/tab once daily by mouth; rosuvastatin 5-20 mg/tab once daily by mouth.

    Also known as: atorvastatin, simvastatin, pravastatin, rosuvastatin

  • DrugPlacebo

    Placebo pills will consist of lactose and will be given one capsule once daily

    Also known as: lactose pills

06

What researchers measure

Primary outcomes

  1. Individualized Neuromuscular Quality of Life (INQoL) Mean Scores From Week 0 to Week 8

    Scores from the self-administered INQoL questionnaire will be compared at the start of the study (Week 0) and at the end (Week 8) between the statin-treated group and the placebo group. Scores range from 0-100, with 100 being a better outcome. Measures reported are the means of Week 0 and week 8, measures of dispersion is the range of the results (3 per group).

    Time frame: Week 0 to Week 8

  2. Individualized Short Form-36 (SF-36) Mean Scores (Physical Component) From Week 0 to Week 8

    Scores from the self-administered SF-36 (Physical component) questionnaire were measured at the start (Week 0) of the study and at the end (Week 8) among patients in the placebo- and statin-treated group. Mean scores range from 0 (minimum) - 100 (maximum) with higher mean scores reflecting better outcomes. Measures reported are the means of Week 0 and week 8, measures of dispersion is the range of scores.

    Time frame: Week 0 to Week 8

07

Results

Posted Nov 6, 2016

Participant flow

Advertisements were placed (internet, radio, print) and a screening phone questionnaire was administered by study staff to determine potential inclusion. A collaboration with the Metropolitan Hospital (NY) was also established for potential referrals.

Participant flow — Overall Study
MilestonePlaceboStatins
Started77
Started - week 077
Completion - week 833
Completed33
Not completed44
Withdrew: Lost to follow-up44

Outcome measures

PrimaryIndividualized Neuromuscular Quality of Life (INQoL) Mean Scores From Week 0 to Week 8

Scores from the self-administered INQoL questionnaire will be compared at the start of the study (Week 0) and at the end (Week 8) between the statin-treated group and the placebo group. Scores range from 0-100, with 100 being a better outcome. Measures reported are the means of Week 0 and week 8, measures of dispersion is the range of the results (3 per group).

Time frame:
Week 0 to Week 8
Reported as:
Mean · units on a scale
Individualized Neuromuscular Quality of Life (INQoL) Mean Scores From Week 0 to Week 8
units on a scalePlaceboStatins
Week 0 Mean Score65 (43.9 to 95)76 (67.2 to 81.7)
Week 8 Mean Score67 (53.3 to 88.3)50 (43.9 to 60.6)
PrimaryIndividualized Short Form-36 (SF-36) Mean Scores (Physical Component) From Week 0 to Week 8

Scores from the self-administered SF-36 (Physical component) questionnaire were measured at the start (Week 0) of the study and at the end (Week 8) among patients in the placebo- and statin-treated group. Mean scores range from 0 (minimum) - 100 (maximum) with higher mean scores reflecting better outcomes. Measures reported are the means of Week 0 and week 8, measures of dispersion is the range of scores.

Time frame:
Week 0 to Week 8
Reported as:
Mean · units on a scale
Individualized Short Form-36 (SF-36) Mean Scores (Physical Component) From Week 0 to Week 8
units on a scalePlaceboStatins
Week 0 Mean Score50 (45.7 to 58)53 (49.7 to 54.4)
Week 8 Mean Score56 (53.8 to 58.6)48 (47.3 to 48.2)

Adverse events

Collected over Adverse event data were collected from the time the subjects were enrolled in the study until study termination (eight weeks). The study ran for two years.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo—0/3 (0%)0/3 (0%)
Statins—0/3 (0%)0/3 (0%)

Baseline characteristics

Males and females 30-60 years old, taking a statin, experiencing muscle pain, weakness, cramping and not at high risk for a cardiovascular event

Age, Categorical
Age, Categorical(Participants)PlaceboStatinsTotal
<=18 years000
Between 18 and 65 years336
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboStatinsTotal
Female011
Male325
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PlaceboStatinsTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American101
White123
More than one race000
Unknown or Not Reported112
Region of Enrollment
Region of Enrollment(participants)PlaceboStatinsTotal
United States336
08

Study locations

1 site
  • Rockefeller University
    New York, New York 10065, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 6, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00850460
Lead sponsor
Rockefeller University
Collaborators
Cornell University, Adelphi University
Responsible party
Sponsor
First posted
Feb 25, 2009
Start date
Feb 2009
Primary completion
Feb 2013
Completion
Feb 2013
Results posted
Nov 6, 2016
Last update
Nov 6, 2016

Study contacts

Patricia D Maningat, MD
principal investigator · Rockefeller University

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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