The purpose of this study was to evaluate the difference in the effect of coronary plaque regression (as measured by intravascular ultrasound \[IVUS\] imaging) between cholesterol absorption inhibitor and cholesterol synthesis inhibitor.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
245
Zetia 10 mg/dl + Lipitor. The dosage of Lipitor will be titrated up to a maximum of 20 mg/day with a treatment goal of lowering LDL-C below 70 mg/dl.
The dosage will be titrated up to a maximum of 20 mg/day, which is the highest approved regimen by the Ministry of Health, Labor and Welfare of Japan, with a treatment goal of lowering LDL-C below 70 mg/dl.
Kumamoto University
Kumamoto, Japan
Absolute change from baseline to follow-up in percent atheroma volume (PAV) in the target lesion
Time frame: before randomization & 9-12 months after randomization
Percentage change from baseline (before randomization) to follow-up (9-12 months after randomization) in the atheroma volume
Time frame: before randomization & 9-12 months after randomization
Change and percentage change from baseline to follow-up in the minimum lumen diameter (MLD) and percent diameter stenosis (%DS)
Time frame: before randomization & 9-12 months after randomization
Percentage changes from baseline to follow-up in serum lipids
Time frame: before randomization & 9-12 months after randomization
Correlation between regression of coronary plaque and serum lipids profiles
Time frame: before randomization & 9-12 months after randomization
Changes in hs-CRP from baseline to follow-up
Time frame: before randomization & 9-12 months after randomization
Correlation between regression of coronary plaque and inflammatory markers (white blood cell count and hs-CRP)
Time frame: before randomization & 9-12 months after randomization
Change and percentage change from baseline to follow-up in the PV of the PCI target lesion
Time frame: before randomization & 9-12 months after randomization
Change and percentage change from baseline to follow-up in the MLD and %DS of the PCI target lesion
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Time frame: before randomization & 9-12 months after randomization
MACE (cardiac death, non-fatal Q wave and/or non-Q wave myocardial infarction, target vessel revascularization [percutaneous coronary intervention or coronary artery bypass grafting])
Time frame: before randomization & 9-12 months after randomization
All-cause death
Time frame: before randomization & 9-12 months after randomization
Safety (Adverse events, subjective symptoms/objective findings, physical tests), blood tests [hematology, clinical chemistry, glucose metabolism test], urinalysis)
Time frame: before randomization & 9-12 months after randomization