Effect of SLC01B1 (rs2306283) Polymorphism on the Efficacy and Safety Profile of Atorvastatin in Pakistani Population

Riphah International University100 enrolled

Overview

The goal of this prospective cohort study was to identify the effect of SLC01B1 gene polymorphism in the Pakistani population. The main questions it aims to answer are: To identify polymorphism in SLOC1B1 (rs2306283) in the Pakistani population. To determine the association between SLOC1B1 (rs2306283) polymorphism and the clinical efficacy of atorvastatin To determine the association between SLOC1B1 (rs2306283) polymorphism and the safety profile of atorvastatin.

The goal of this prospective cohort study was to identify the effect of SLC01B1 gene polymorphism in the Pakistani population, due to the high prevalence of this variant in the Pakistani Population The main questions it aims to answer are: To identify polymorphism in SLOC1B1 (rs2306283) in the Pakistani population. To determine the association between SLOC1B1 (rs2306283) polymorphism and the clinical efficacy of atorvastatin To determine the association between SLOC1B1 (rs2306283) polymorphism and the safety profile of atorvastatin. The participants' blood samples were taken and further genotyping was performed using conventional tetraARMS PCR. The results were visualized by gel electrophoresis.

Study Type

OBSERVATIONAL

Enrollment

100

Conditions

Hyperlipidemias

Interventions

AtorvastatinGENETIC

Atorvastatin 10mg once a day for 1 month

Eligibility

Sex: ALLMin age: 30 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Pakistani individuals aged between 30 to 60 years 2. Patients with deranged lipid profile 3. Newly diagnosed patients of dyslipidemia taking atorvastatin (Lipiget) 10mg/day 4. Normal hepatic and renal function Exclusion Criteria: 1. Patient taking other lipid-lowering medications 2. Moderate and severe systemic diseases 3. Pregnancy 4. Patients taking medications and diet that can interact with atorvastatin 5. Hypothyroidism 6. Recent history of surgical procedure or trauma

Locations (1)

IIMC, Riphah International University

Islamabad, Federal, Pakistan

Outcomes

Primary Outcomes

To identify genetic polymorphism in SLOC1B1 in the Pakistani population

Genetic polymorphism in SLOC1B1 in the Pakistani population will be assessed by ARMS PCR assay.

Time frame: 1 month

Lipid profile

Lipid profile will be measured at 0 and on the 28th day of atorvastatin therapy on a blood sample. LDL cholesterol was categorized as optimal \<100mg/dl, Near or above optimal = 100-129mg/dl, Borderline = 130-159mg/dl, high = 160-189mg/dl, and very high \>190mg/dl. Total cholesterol: \<200mg/dl = desirable, 200-239mg/dl = borderline high, \>240mg/dl = high. HDL cholesterol: \<40mg/dl = low and \>60mg/dl = high. Triglycerides: \<150mg/dl were considered optimal, 150-199mg/dl as Borderline high, and 200-500 mg/dl as high

Time frame: 1 month

The SAMS-CI tool

The patient will be assessed for safety profile through the myopathy by Statin-associated myopathy (SAM-CI) tool by filling out the questionnaire on days 0, 14, and 28. The SAMS-CI tool will be used, to record the location, symmetry, and onset of muscle symptoms at day 0, 14, and 28 of atorvastatin therapy. Patients reporting the presence of muscular pain will be further divided into "Unlikely", "Possible", and "Probable" categories based on their SAMS-CI score.

Time frame: 1 month

Data from ClinicalTrials.gov

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