Overview

Effect of Pravastatin in the Subjects With Prediabetes or Early Diabetes

Status:
Completed
Trial end date:
2017-08-31
Target enrollment:
0
Participant gender:
All
Summary
An increased risk of incident diabetes with statin therapy have been reported in several studies. However, it is not recommended to limit the use of statin for this reason since the absolute risk increase was small, and the cardiovascular event rate reduction with statins overweighed the risk of new diabetes (Scatter N et al. Lancet, 2010). Moreover, each statin may have different effect on the development of incident diabetes. In the West of Scotland Coronary Prevention Study, pravastatin therapy reduced the hazard of becoming diabetic by 30%. Also, with pravastatin use, an increase in adiponectin level, which is related to the improvement in insulin sensitivity, has been reported. In this clinical trial, the investigators are aiming to evaluate the effect of pravastatin on insulin resistance, insulin secretion, glycemic control, and adiponectin level in participants with prediabetes or early diabetes by assigning them in a 24 weeks of pravastatin therapy group or in a placebo group.
Phase:
Phase 4
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Samsung Medical Center
Collaborator:
Daiichi Sankyo Korea Co., Ltd.
Treatments:
Pravastatin
Criteria
Inclusion Criteria:

- Subjects have early diabetes mellitus or prediabetes. Early diabetes mellitus or
prediabetes are defined according to the following criteria; Subjects have two or more
of the following three, or they have one of them at the initial test and the repeat
test.

1. hemoglobin A1C 5.7-9.0%

2. fasting plasma glucose level 100mg/dL or more

3. plasma glucose level 140mg/dL or more at 2 hours after 75g oral glucose tolerance
test

- Subjects have one of the following three;

1. Low-density lipoprotein cholesterol (LDL-cholesterol) 130mg/dL or more, and body
mass index (BMI) > 23 kg/m2,

2. 10 year atherosclerotic cardiovascular disease (ASCVD) risk of 7.5% or more,
which is assessed by the ASCVD-Risk-Estimator (Circulation.2014;129:S1-S45)

3. In diabetic patients, LDL-cholesterol 100mg/dL or more

Exclusion Criteria:

- Hemoglobin A1C > 9.0%

- History of statin use in three months

- Use of oral antidiabetic drugs except for metformin in three months

- History of malignant diseases (cancers)

- History of coronary artery diseases, heart failure, arrhythmia, valvular heart
diseases, or cerebrovascular diseases

- Pregnant

- serum creatinine level > 1.5 mg/dL

- aspartate aminotransferase (AST) or alanine aminotransferase (ALT) levels higher than
80 U/l

- Taking weight loss medications, corticosteroids, Angiotensin converting enzyme (ACE)
inhibitors, or estrogen replacement therapy

- Chronic hepatitis B or chronic hepatitis C