CClinicalTrials.gg
CompletedNCT01256476PREVAIL-USUpdated May 8, 2012Results posted

Prevail-Us: A Study Of Pitavastatin 4 mg Vs. Pravastatin 40 mg In Patients With Primary Hyperlipidemia Or Mixed Dyslipidemia

A Phase 4 interventional study of pitavastatin and pravastatin in Primary Dyslipidemia and Mixed Dyslipidemia, sponsored by Kowa Research Institute, Inc.. Completed at 44 sites in United States. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2012-05-08.

Sponsored by Kowa Research Institute, Inc. · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
328
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Randomized, double-blind, double-dummy, 12-week, active-controlled study of pitavastatin 4 mg daily(QD) vs. pravastatin 40 mg daily(QD) in subjects with primary hyperlipidemia or mixed dyslipidemia.

02

Conditions studied

  • Primary Dyslipidemia
  • Mixed Dyslipidemia
03

In context

Dyslipidemias

1,073 studies on the registry are indexed under Dyslipidemias; 158 are open to participants now.

This study's enrollment of 328 is above the median of 99 across 842 interventional studies indexed under Dyslipidemias.

Browse Dyslipidemias studies →

Lead sponsor

Kowa Research Institute, Inc. is the lead sponsor of 47 studies on the registry; 1 is open to participants now.

Of its 20 completed or terminated interventional studies of FDA-regulated products, 9 (45%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male and female subjects with primary hypercholesterolemia or mixed dyslipidemia who are ≥18 and ≤80 years of age at the time of consent
  • Plasma Low-density lipoprotein cholesterol (LDL-C) ≥130 milligrams per deciliter (mg/dL) and ≤220 mg/dL and triglyceride (TG) levels of ≤400 mg/dL

Exclusion criteria

Exclusion Criteria:

  • Homozygous familial hypercholesterolemia
  • Any conditions which may cause secondary dyslipidemia
  • Uncontrolled diabetes mellitus
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
328 participants (actual)

Study arms

  • Experimental
    pitavastatin 4 mg once daily (QD)

    Drug: pitavastatin

  • Active comparator
    pravastatin 40 mg once daily (QD)

    Drug: pravastatin

Interventions

  • Drugpitavastatin

    pitavastatin 4 mg once daily (QD)

    Also known as: Livalo

  • Drugpravastatin

    Pravastatin 40 mg once daily (QD)

06

What researchers measure

Primary outcomes

  1. Mean Percent Change in Low Density Lipoprotein Cholesterol(LDL-C) From Baseline to Week 12

    Time frame: Baseline and 12 weeks

07

Results

Posted Apr 30, 2012

Participant flow

Participant flow — Overall Study
MilestonePitavastatin 4 mg Once a Day (QD)Pravastatin 40 mg Once a Day (QD)
Started164164
Completed158157
Not completed67
Withdrew: Adverse event21
Withdrew: Withdrawal by subject21
Withdrew: Lost to follow-up12
Withdrew: Persistent alt or ast elevation10
Withdrew: Physician decision01
Withdrew: Subject non-compliance01
Withdrew: Ldl-c elevation exceeding 250 mg/dl01

Outcome measures

PrimaryMean Percent Change in Low Density Lipoprotein Cholesterol(LDL-C) From Baseline to Week 12
Time frame:
Baseline and 12 weeks
Reported as:
Mean · percent
Mean Percent Change in Low Density Lipoprotein Cholesterol(LDL-C) From Baseline to Week 12
percentPitavastatin 4 mg Once Daily (QD)Pravastatin 40 mg Once Daily (QD)
Mean Percent Change in Low Density Lipoprotein Cholesterol(LDL-C) From Baseline to Week 12-34.8 ± 1.20-22.7 ± 1.22

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Pitavastatin 4 mg Once a Day (QD)—2/164 (1.2%)19/164 (11.6%)
Pravastatin 40 mg Once a Day (QD)—1/164 (0.6%)14/164 (8.5%)
Most frequent serious events
Most frequent serious events
EventPitavastatin 4 mg Once a Day (QD)Pravastatin 40 mg Once a Day (QD)
appendicitis perforatedGastrointestinal disorders1/1640/164
prostate cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/1640/164
lumbar spinal stenosisMusculoskeletal and connective tissue disorders0/1641/164
Most frequent other events
Most frequent other events
EventPitavastatin 4 mg Once a Day (QD)Pravastatin 40 mg Once a Day (QD)
NasopharyngitisInfections and infestations11/1645/164
upper respiratory tract infectionInfections and infestations8/1649/164

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Pitavastatin 4 mg Once a Day (QD)Pravastatin 40 mg Once a Day (QD)Total
<=18 years000
Between 18 and 65 years122127249
>=65 years423779
Age Continuous
Age Continuous(years)Pitavastatin 4 mg Once a Day (QD)Pravastatin 40 mg Once a Day (QD)Total
Mean58.8 ± 8.9357.0 ± 10.2357.9 ± 9.63
Sex: Female, Male
Sex: Female, Male(Participants)Pitavastatin 4 mg Once a Day (QD)Pravastatin 40 mg Once a Day (QD)Total
Female8379162
Male8185166
Region of Enrollment
Region of Enrollment(participants)Pitavastatin 4 mg Once a Day (QD)Pravastatin 40 mg Once a Day (QD)Total
United States164164328
08

Study locations

44 sites
  • Huntsville, Alabama, United States
  • Muscle Shoals, Alabama, United States
  • Chandler, Arizona, United States
  • Goodyear, Arizona, United States
  • Phoenix, Arizona, United States
  • Beverly Hills, California, United States
  • Los Angeles, California, United States
  • Newport Beach, California, United States
  • Colorado Springs, Colorado, United States
  • Clearwater, Florida, United States
  • Deland, Florida, United States
  • Fort Luaderdale, Florida, United States
  • Jacksonville, Florida, United States
  • Miami, Florida, United States
  • Ovido, Florida, United States
  • Pembroke Pines, Florida, United States
  • Ponte Vedra, Florida, United States
  • Addison, Illinois, United States
  • Chicago, Illinois, United States
  • Evansville, Indiana, United States
  • Indianapolis, Indiana, United States
  • Kansas City, Kansas, United States
  • Erlanger, Kentucky, United States
  • Baltimore, Maryland, United States
  • Brockton, Massachusetts, United States
  • Edina, Minnesota, United States
  • Las Vegas, Nevada, United States
  • Berlin, New Jersey, United States
  • Rochester, New York, United States
  • Statesville, North Carolina, United States
  • Cincinnati, Ohio, United States
  • Lyndhurst, Ohio, United States
  • Willoughby Hills, Ohio, United States
  • Tulsa, Oklahoma, United States
  • Eugene, Oregon, United States
  • Greer, South Carolina, United States
  • Mt. Pleasant, South Carolina, United States
  • Corpus Christi, Texas, United States
  • Dallas, Texas, United States
  • San Antonio, Texas, United States
  • Salt Lake City, Utah, United States
  • Norfolk, Virginia, United States
  • Richmond, Virginia, United States
  • Olympia, Washington, United States
09

References and documents

Publications

  • Miller PE, Martin SS, Joshi PH, Jones SR, Massaro JM, D'Agostino RB, Sponseller CA, Toth PP. Pitavastatin 4 mg Provides Significantly Greater Reduction in Remnant Lipoprotein Cholesterol Compared With Pravastatin 40 mg: Results from the Short-term Phase IV PREVAIL US Trial in Patients With Primary Hyperlipidemia or Mixed Dyslipidemia. Clin Ther. 2016 Mar;38(3):603-9. doi: 10.1016/j.clinthera.2016.02.001. Epub 2016 Feb 26. Erratum In: Clin Ther. 2017 Mar;39(3):663. doi: 10.1016/j.clinthera.2017.02.003. PubMed 26922296 ↗
  • Sponseller CA, Morgan RE, Kryzhanovski VA, Campbell SE, Davidson MH. Comparison of the lipid-lowering effects of pitavastatin 4 mg versus pravastatin 40 mg in adults with primary hyperlipidemia or mixed (combined) dyslipidemia: a Phase IV, prospective, US, multicenter, randomized, double-blind, superiority trial. Clin Ther. 2014 Aug 1;36(8):1211-22. doi: 10.1016/j.clinthera.2014.06.009. Epub 2014 Jul 3. PubMed 24998014 ↗
  • Chapman MJ, Orsoni A, Robillard P, Hounslow N, Sponseller CA, Giral P. Effect of high-dose pitavastatin on glucose homeostasis in patients at elevated risk of new-onset diabetes: insights from the CAPITAIN and PREVAIL-US studies. Curr Med Res Opin. 2014 May;30(5):775-84. doi: 10.1185/03007995.2013.874989. Epub 2014 Jan 10. PubMed 24328357 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 8, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01256476
Lead sponsor
Kowa Research Institute, Inc.
Responsible party
Sponsor
First posted
Dec 8, 2010
Start date
Oct 2010
Primary completion
Jun 2011
Completion
Jun 2011
Results posted
Apr 30, 2012
Last update
May 8, 2012

Oversight

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

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