An interventional study of Atorvastatin and Rosuvastatin in Hypercholesterolemia With Concomitant Type 2 Diabetes, sponsored by Listen Trial Group. Completed at 133 sites in Japan. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2015-03-17.
Sponsored by Listen Trial Group · Not applicable, Interventional, and Treatment
The purpose of this study is to compare the effect of rosuvastatin and atorvastatin on lipid lowering effect and glucose metabolism in hypercholesterolemia patients with diabetes mellitus.
10,925 studies on the registry are indexed under Diabetes Mellitus; 1,319 are open to participants now.
This study's enrollment of 1,049 is above the median of 80 across 8,367 interventional studies indexed under Diabetes Mellitus.
Browse Diabetes Mellitus studies →This is the only study on the registry with Listen Trial Group as lead sponsor.
Counted across the registry records on this site, refreshed daily.
Hypercholesterolemia patients
Type 2 diabetes patients
Exclusion Criteria:
Drug: Atorvastatin
Drug: Rosuvastatin
Atorvastatin 10 mg (atorvastatin 10 mg tablet x 1 or atorvastatin 5 mg tablet x 2), orally,once daily for 12 months. (When not reach the LDL-C level of target in the Japan Atherosclerosis Society \[JAS\] Guidelines \[GL\] after 3 months, had the atorvastatin \[ATV\] dose of 20 mg.)
Also known as: Lipitor
Rosuvastatin 5 mg (rosuvastatin 5 mg tablet x1 or rosuvastatin 2.5 mg tablet x 2), orally, once daily for 12 months. (When not reach the LDL-C level of target in JAS GL after 3 months, had the rosuvastatin \[RSV\] dose of 10 mg.)
Also known as: Crestor
Percent Change in Non-high-density Lipoprotein Cholesterol (HDL-C) Level
Time frame: Baseline, and 12 months after administration
Change in HbA1c Level
Time frame: Baseline, 12 months after administration
Occurrence of Deterioration of Diabetic Treatment Status
"Deterioration of diabetic treatment status" is defined as addition of new drug, increase in dosage, drug changes (therapy intensification), and deterioration in HbA1c of \> 0.5%.
Time frame: Baseline, 12 months after administration
Number of Participants Stratified by Time to the Occurrence of Deterioration of Diabetic Treatment Status
"Deterioration of diabetic treatment status" is defined as addition of new drug, increase in dosage, drug changes (therapy intensification), and deterioration in HbA1c of \> 0.5%.
Time frame: Baseline, 3, 6, 12 months after administration
Percent Change in 1,5-AG Level
An inverse relationship exists between mean change in 1,5-AG level and the mean rate of change when the degree of standard deviation is large, wherein the mean change is negative although the mean rate of change is positive or vice versa
Time frame: Baseline, 3, 6, 12 months after administration and the end of study treatment(or at the occurrence of deterioration of diabetic treatment status)
Change in HbA1c Level
Time frame: Baseline, 3, 6 months after administration and the end of study treatment (or at the occurrence of deterioration of diabetic treatment status)
Percent Change in Blood Glucose Level (Fasting)
Time frame: Baseline, 3, 6, 12 months after administration and the end of study treatment(or at the occurrence of deterioration of diabetic treatment status)
Change in Blood Glucose Level (Fasting)
Time frame: Baseline, 3, 6, 12 months after administration and the end of study treatment(or at the occurrence of deterioration of diabetic treatment status)
Percent Change in Insulin Level
An inverse relationship exists between mean change in insulin level and the mean rate of change when the degree of standard deviation is large, wherein the mean change is negative although the mean rate of change is positive or vice versa.
Time frame: Baseline, 3, 6, 12 months after administration and the end of study treatment (or at the occurrence of deterioration of diabetic treatment status)
Change From Baseline in Insulin Level
An inverse relationship exists between mean change in insulin level and the mean rate of change when the degree of standard deviation is large, wherein the mean change is negative although the mean rate of change is positive or vice versa
Time frame: Baseline, 3, 6, 12 months after administration and the end of study treatment (or at the occurrence of deterioration of diabetic treatment status)
Frequency of Cardiovascular Events (Coronary Artery Disease, Heart Failure, Cerebrovascular Disease, Peripheral Artery Disease and Aortic Disease)
Time frame: From the start of the treatment to the end of study treatment
Frequency of Serious Adverse Events (SAE)
Time frame: Up to 12 months
Percent Changes in Lipids (LDL-C, HDL-C, TC, TG, Non-HDL-C/HDL-C Ratio, and FFA)
Time frame: Baseline, 3, 6, 12 months after administration, the end of starting dose and the end of study treatment
Percent Change in Non-HDL-C Level
Time frame: Baseline, 3 and 6 months after administration, the end of starting dose and the end of study treatment
Percent Changes in Lipids and Inflammatory Marker (Hs-CRP) and Their Correlation
Correlation between percent changes in lipids (LDL-C, HDL-C, non-HDL-C, TG, non-HDL-C/HDL-C ratio, LDL-C/HDL-C ratio, TC and FFA) and inflammatory marker (hs-CRP)
Time frame: Baseline, 3, 6, 12 months after administration, the end of starting dose and the end of study treatment
Rate of Patients Who Have Reached the Target LDL-C Level Specified in Japan Atherosclerosis Society Guidelines (JASGL) 2007
Percentage of participants achieving the target LDL-C levels \<100 mg/dL for participants with history of coronary artery diseases (CAD) and \<120 mg/dL for participants without history of CAD are presented.
Time frame: 3 months after administration, the end of starting dose and the end of study treatment
Change From Baseline in 1,5-AG Level
An inverse relationship exists between mean change in 1,5-AG level and the mean rate of change when the degree of standard deviation is large, wherein the mean change is negative although the mean rate of change is positive or vice versa
Time frame: Baseline, 3, 6, 12 months after administration and the end of study treatment(or at the occurrence of deterioration of diabetic treatment status)
| Milestone | Atorvastatin Administration Group | Rosuvastatin Administration Group |
|---|---|---|
| Started | 524 | 525 |
| Completed | 504 | 514 |
| Not completed | 20 | 11 |
| Withdrew: Withdrawal by subject | 12 | 7 |
| Withdrew: Protocol violation | 2 | 1 |
| Withdrew: Physician decision | 4 | 1 |
| Withdrew: Not performed pre-dose examination | 1 | 2 |
| Withdrew: Administered prohibit prior medication | 1 | 0 |
| Percent change | Atorvastatin Administration Group | Rosuvastatin Administration Group |
|---|---|---|
| Percent Change in Non-high-density Lipoprotein Cholesterol (HDL-C) Level | -31.3 ± 19.1 | -32.8 ± 18.1 |
| Amount of change (%) | Atorvastatin Administration Group | Rosuvastatin Administration Group |
|---|---|---|
| Change in HbA1c Level | 0.120 ± 0.65 | 0.10 ± 0.67 |
"Deterioration of diabetic treatment status" is defined as addition of new drug, increase in dosage, drug changes (therapy intensification), and deterioration in HbA1c of \> 0.5%.
| Participants | Atorvastatin Administration Group | Rosuvastatin Administration Group |
|---|---|---|
| Therapy intensification | 64 | 45 |
| Deterioration in HbA1c of > 0.5% | 177 | 162 |
"Deterioration of diabetic treatment status" is defined as addition of new drug, increase in dosage, drug changes (therapy intensification), and deterioration in HbA1c of \> 0.5%.
| participants | Atorvastatin Administration Group | Rosuvastatin Administration Group |
|---|---|---|
| Therapy intensification: 0-3 months | 20 | 14 |
| Therapy intensification: 3-6 months | 12 | 8 |
| Therapy intensification: 6-12 months | 32 | 23 |
| Other: 0-3 months | 6 | 5 |
| Other: 3-6 months | 5 | 5 |
| Other: 6-12 months | 8 | 6 |
| No deterioration | 421 | 453 |
An inverse relationship exists between mean change in 1,5-AG level and the mean rate of change when the degree of standard deviation is large, wherein the mean change is negative although the mean rate of change is positive or vice versa
| Percent change | Atorvastatin Administration Group | Rosuvastatin Administration Group |
|---|---|---|
| At 3 months | -1.6 ± 30.8 | 5.5 ± 72.6 |
| At 6 months | -6.5 ± 35.8 | 2.6 ± 83.7 |
| At 12 months | -3.8 ± 35.1 | 3.5 ± 98.0 |
| Amount of change (%) | Atorvastatin Administration Group | Rosuvastatin Administration Group |
|---|---|---|
| At 3 months | 0.05 ± 0.42 | 0.00 ± 0.50 |
| At 6 months | 0.13 ± 0.57 | 0.12 ± 0.65 |
| Percent change | Atorvastatin Administration Group | Rosuvastatin Administration Group |
|---|---|---|
| At 3 months | 3.3 ± 19.3 | 2.7 ± 25.0 |
| At 6 months | 7.0 ± 24.1 | 5.9 ± 25.7 |
| At 12 months | 4.6 ± 24.3 | 3.7 ± 26.1 |
| mg/dL | Atorvastatin Administration Group | Rosuvastatin Administration Group |
|---|---|---|
| At 3 months | 2.6 ± 24.5 | 0.1 ± 31.2 |
| At 6 months | 6.8 ± 30.2 | 4.3 ± 31.5 |
| At 12 months | 3.6 ± 30.7 | 1.5 ± 35.0 |
An inverse relationship exists between mean change in insulin level and the mean rate of change when the degree of standard deviation is large, wherein the mean change is negative although the mean rate of change is positive or vice versa.
| Percent change | Atorvastatin Administration Group | Rosuvastatin Administration Group |
|---|---|---|
| At 3 months | 40.7 ± 211.2 | 31.3 ± 166.4 |
| At 6 months | 45.1 ± 193.9 | 35.5 ± 142.8 |
| At 12 months | 17.4 ± 132.9 | 13.8 ± 148.1 |
An inverse relationship exists between mean change in insulin level and the mean rate of change when the degree of standard deviation is large, wherein the mean change is negative although the mean rate of change is positive or vice versa
| μU/mL | Atorvastatin Administration Group | Rosuvastatin Administration Group |
|---|---|---|
| At 3 months | -0.10 ± 20.26 | -0.54 ± 18.56 |
| At 6 months | 0.66 ± 18.63 | -0.44 ± 19.86 |
| At 12 months | -1.50 ± 18.69 | -2.91 ± 19.02 |
| Baseline Insulin level | 10.95 ± 18.66 | 12.57 ± 20.07 |
| Number of patients with any events | Atorvastatin Administration Group | Rosuvastatin Administration Group |
|---|---|---|
| Frequency of Cardiovascular Events (Coronary Artery Disease, Heart Failure, Cerebrovascular Disease, Peripheral Artery Disease and Aortic Disease) | 5 | 9 |
| Number of patients with SAE | Atorvastatin Administration Group | Rosuvastatin Administration Group |
|---|---|---|
| Frequency of Serious Adverse Events (SAE) | 14 | 19 |
| Percent change | Atorvastatin Administration Group | Rosuvastatin Administration Group |
|---|---|---|
| LDL-C: at 3 months | -36.6 ± 19.2 | -39.2 ± 21.3 |
| LDL-C: at 6 months | -35.6 ± 19.4 | -36.4 ± 21.8 |
| LDL-C: at 12 months | -33.2 ± 21.5 | -34.7 ± 21.0 |
| HDL-C: at 3 months | 4.1 ± 14.3 | 5.6 ± 13.9 |
| HDL-C: at 6 months | 7.1 ± 15.1 | 8.2 ± 15.2 |
| HDL-C: at 12 months | 4.9 ± 14.7 | 7.7 ± 15.9 |
| TC: at 3 months | -24.7 ± 13.3 | -25.9 ± 14.3 |
| TC: at 6 months | -23.5 ± 13.0 | -23.8 ± 14.9 |
| TC: at 12 months | -22.7 ± 14.3 | -23.5 ± 14.0 |
| TG at 3 months | -12.7 ± 38.0 | -11.0 ± 42.2 |
| TG: at 6 months | -12.4 ± 45.9 | -11.9 ± 38.0 |
| TG: at 12 months | -12.6 ± 62.2 | -15.9 ± 35.4 |
| Non-HDL-C/HDL-C ratio: at 3 months | -34.8 ± 22.6 | -37.7 ± 20.2 |
| Non-HDL-C/HDL-C ratio: at 6 months | -36.1 ± 19.4 | -37.2 ± 20.8 |
| Non-HDL-C/HDL-C ratio: at 12 months | -33.1 ± 22.7 | -36.0 ± 20.7 |
| FFA: at 3 months | 19.9 ± 87.8 | 25.9 ± 111.3 |
| FFA: at 6 months | 13.8 ± 80.5 | 15.9 ± 88.9 |
| FFA: at 12 months | 37.2 ± 125.3 | 34.8 ± 111.0 |
| Percent change | Atorvastatin Administration Group | Rosuvastatin Administration Group |
|---|---|---|
| At 3 months | -33.8 ± 17.6 | -35.5 ± 18.4 |
| At 6 months | -33.2 ± 16.6 | -33.5 ± 18.8 |
Correlation between percent changes in lipids (LDL-C, HDL-C, non-HDL-C, TG, non-HDL-C/HDL-C ratio, LDL-C/HDL-C ratio, TC and FFA) and inflammatory marker (hs-CRP)
Results for this outcome have not been posted.
Percentage of participants achieving the target LDL-C levels \<100 mg/dL for participants with history of coronary artery diseases (CAD) and \<120 mg/dL for participants without history of CAD are presented.
| Percentage of participants | Atorvastatin Administration Group | Rosuvastatin Administration Group |
|---|---|---|
| At 3 months | 89.0 (85.5 to 92.0) | 89.9 (86.3 to 92.8) |
| At the end of study treatment | 86.3 (82.5 to 89.6) | 87.5 (83.7 to 90.7) |
An inverse relationship exists between mean change in 1,5-AG level and the mean rate of change when the degree of standard deviation is large, wherein the mean change is negative although the mean rate of change is positive or vice versa
| μg/mL | Atorvastatin Administration Group | Rosuvastatin Administration Group |
|---|---|---|
| At 3 months | -0.51 ± 3.48 | -0.21 ± 3.77 |
| At 6 months | -1.28 ± 4.23 | -0.94 ± 4.64 |
| At 12 months | -0.88 ± 4.33 | -1.09 ± 4.66 |
| Baseline 1,5-AG level | 15.40 ± 7.91 | 15.39 ± 8.10 |
Collected over At the start of the treatment, 3, 6, and 12 months after administration. Non-serious events are listed at a 0.1% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Atorvastatin Administration Group | — | 14/506 (2.8%) | 87/506 (17.2%) |
| Rosuvastatin Administration Group | — | 19/516 (3.7%) | 88/516 (17.1%) |
| Event | Atorvastatin Administration Group | Rosuvastatin Administration Group |
|---|---|---|
| PneumoniaInfections and infestations | 1/506 | 2/516 |
| NocardiosisInfections and infestations | 1/506 | 0/516 |
| Keratitis fungalInfections and infestations | 1/506 | 0/516 |
| Large intestine carcinomaMusculoskeletal and connective tissue disorders | 1/506 | 1/516 |
| Lung neoplasm malignantNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 1/506 | 0/516 |
| Completed suicidePsychiatric disorders | 1/506 | 0/516 |
| Altered state of consciousnessNervous system disorders | 1/506 | 0/516 |
| Cerebrovascular disorderNervous system disorders | 1/506 | 0/516 |
| EmphysemaRespiratory, thoracic and mediastinal disorders | 1/506 | 0/516 |
| Colonic polypGastrointestinal disorders | 1/506 | 0/516 |
| Event | Atorvastatin Administration Group | Rosuvastatin Administration Group |
|---|---|---|
| NasopharyngitisInfections and infestations | 13/506 | 15/516 |
| Upper respiratory tract inflammationRespiratory, thoracic and mediastinal disorders | 4/506 | 14/516 |
| DizzinessNervous system disorders | 5/506 | 6/516 |
| ConstipationGastrointestinal disorders | 5/506 | 2/516 |
| Hepatic function abnormalHepatobiliary disorders | 5/506 | 2/516 |
| Back painMusculoskeletal and connective tissue disorders | 5/506 | 4/516 |
| Muscle spasmsMusculoskeletal and connective tissue disorders | 5/506 | 3/516 |
| CystitisInfections and infestations | 1/506 | 5/516 |
| Blood creatine phosphokinase increasedInvestigations | 4/506 | 5/516 |
| EczemaSkin and subcutaneous tissue disorders | 4/506 | 3/516 |
Full analysis set (FAS) - All participants who received at least 1 dose of open-label study drug except the ones who had no HbA1c or non-HDL-C data or a protocol deviation of the administration of study drugs.
| Age, Continuous(years) | Atorvastatin Administration Group | Rosuvastatin Administration Group | Total |
|---|---|---|---|
| Mean | 66.6 ± 10.6 | 66.3 ± 11.6 | 66.4 ± 11.1 |
| Sex/Gender, Customized(participants) | Atorvastatin Administration Group | Rosuvastatin Administration Group | Total |
|---|---|---|---|
| Male | 504 | 514 | 1018 |
| Statin administration before entry(participants) | Atorvastatin Administration Group | Rosuvastatin Administration Group | Total |
|---|---|---|---|
| Administered | 120 | 121 | 241 |
| Not administered | 384 | 393 | 777 |
| Cardiovascular and Cerebrovascular events before entry(participants) | Atorvastatin Administration Group | Rosuvastatin Administration Group | Total |
|---|---|---|---|
| With events | 103 | 103 | 206 |
| Without events | 401 | 411 | 812 |
| Myocardial infarction(participants) | Atorvastatin Administration Group | Rosuvastatin Administration Group | Total |
|---|---|---|---|
| With events | 7 | 7 | 14 |
| Without events | 497 | 507 | 1004 |
| Angina pectoris(participants) | Atorvastatin Administration Group | Rosuvastatin Administration Group | Total |
|---|---|---|---|
| With events | 31 | 31 | 62 |
| Without events | 473 | 483 | 956 |
| Heart failure(participants) | Atorvastatin Administration Group | Rosuvastatin Administration Group | Total |
|---|---|---|---|
| With events | 10 | 8 | 18 |
| Without events | 494 | 506 | 1000 |
| Revascularization(participants) | Atorvastatin Administration Group | Rosuvastatin Administration Group | Total |
|---|---|---|---|
| With events | 3 | 9 | 12 |
| Without events | 501 | 505 | 1006 |
22 further baseline measures are reported on the registry.
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