CClinicalTrials.gg
CompletedNCT02984293ImmunoStatUpdated Dec 3, 2018

Statin Immune Study

A Phase 4 interventional study of Atorvastatin and Placebo in Drug Intolerance, sponsored by University of Dundee. Completed at 1 site in United Kingdom. Open to participants aged 40 Years to 69 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-12-03.

Sponsored by University of Dundee · Phase 4, Interventional, and Basic science

Phase
Phase 4
Study type
Interventional
Enrollment
18
Allocation
Randomized
Ages
40 Years to 69 Years
Sex
All
01

Study summary

Statins are widely used drugs to treat hypercholesterolaemia. In general, they are very safe drugs. However, up to one third of statin users can experience muscle symptoms, which are most commonly mild without any conventional laboratory signs of muscle damage. However, these muscle symptoms can often lead to poor compliance to the cholesterol-lowering therapy, reducing its effectiveness. Recent data has highlighted the potential role of immune system in development of statin-induced muscle pain. Variation in the LILRB5 gene has been associated with statin intolerance. We aim to investigate the impact of LILRB5 genetic variability in tolerability and immune response to atorvastatin in healthy volunteers.

The study is being undertaken at the Tayside Institute for Cardiovascular Research (TICR) in Ninewells Hospital, Dundee. We will recruit participants who have donated a sample to GoSHARE study. The participants will be healthy, and recruited according to their genotype of LILRB5 (information available from GoSHARE). The volunteers will then enter a randomised cross-over study with two treatment periods. During treatment period one, all participants will be commenced on atorvastatin or placebo (a dummy drug). Before and at the end of the treatment period, blood and urine samples will be taken and a muscle symptoms questionnaire will be completed to assess the tolerability and immune response to the study drug exposure. After four weeks, the study drug is stopped for a washout period of three weeks before cross-over commences. Thereafter, during treatment period two, the alternate study drug will be started, and tolerability will be assessed similar to that in period one. The study will last approximately 11 weeks. The volunteers have a total of 5 visits to the TICR.

02

Conditions studied

  • Drug Intolerance

Keywords

  • Atorvastatin
  • LILRB5
  • Statin intolerance
03

In context

Lead sponsor

University of Dundee is the lead sponsor of 111 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
40 Years to 69 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Age 40-69 years
  • Statin-naïve
  • White European
  • Healthy
  • Acceptable laboratory test results

Exclusion criteria

Exclusion Criteria:

  • Significant disease
  • Regular drug therapy
  • Recent involvement (\<30 days) in a CTIMP
  • Inability/unwillingness to comply with the protocol
  • Carry the rare variant of the CKM polymorphism rs11559024
  • Unable to consent
  • Woman of childbearing potential (i.e. premenopausal female capable of becoming pregnant)
05

Study design

Phase
Phase 4
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Investigator)
Enrollment
18 participants (actual)

Study arms

  • Active comparator
    Atorvastatin

    The participants will receive atorvastatin (80 mg) orally once daily for 28 days.

    Drug: Atorvastatin

  • Placebo comparator
    Placebo

    The participants will receive matched placebo orally once daily for 28 days.

    Drug: Placebo

Interventions

  • DrugAtorvastatin

    Atorvastatin 80 mg once daily for 28 days.

  • DrugPlacebo

    Placebo once daily for 28 days.

06

What researchers measure

Primary outcomes

  1. The primary outcome will be the change in CK levels at the end of the treatment from baseline in both treatment periods.

    Time frame: Measured at baseline (day 0) and day 29 of both treatment periods.

07

Study locations

1 site
  • University of Dundee
    Dundee, DD1 9SY, United Kingdom
08

References and documents

Publications

  • Dube MP, Zetler R, Barhdadi A, Brown AM, Mongrain I, Normand V, Laplante N, Asselin G, Zada YF, Provost S, Bergeron J, Kouz S, Dufour R, Diaz A, de Denus S, Turgeon J, Rheaume E, Phillips MS, Tardif JC. CKM and LILRB5 are associated with serum levels of creatine kinase. Circ Cardiovasc Genet. 2014 Dec;7(6):880-6. doi: 10.1161/CIRCGENETICS.113.000395. Epub 2014 Sep 11. PubMed 25214527 ↗
  • Alfirevic A, Neely D, Armitage J, Chinoy H, Cooper RG, Laaksonen R, Carr DF, Bloch KM, Fahy J, Hanson A, Yue QY, Wadelius M, Maitland-van Der Zee AH, Voora D, Psaty BM, Palmer CN, Pirmohamed M. Phenotype standardization for statin-induced myotoxicity. Clin Pharmacol Ther. 2014 Oct;96(4):470-6. doi: 10.1038/clpt.2014.121. Epub 2014 Jun 4. PubMed 24897241 ↗

Individual participant data

Plan to share: Yes — As per GoSHARE tissue bank protocol, the data derived from the existing samples will be returned to the tissue bank for research use.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 3, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02984293
Lead sponsor
University of Dundee
Collaborators
NHS Tayside
Responsible party
Sponsor
First posted
Dec 6, 2016
Start date
Apr 17, 2017
Primary completion
Nov 3, 2017
Completion
Nov 3, 2017
Last update
Dec 3, 2018

Study contacts

Colin NA Palmer, PhD FSB FRSE
study chair · University of Dundee

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2018. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion