A Diabetes Study to Treat A Population Previously Not at... | NCT00747149 | Trialant
NCT00747149
Sponsor
AstraZeneca
Status
Completed
Last Update Posted
Aug 31, 2011Estimated
Enrollment
598Actual
Phase
Phase 4
Conditions
Type 2 Diabetes
Interventions
Rosuvastatin
Countries
Canada
Protocol Section
Identification Module
NCT ID
NCT00747149
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
D3560L00072
Secondary IDs
Not provided
Brief Title
A Diabetes Study to Treat A Population Previously Not at Target
Official Title
12-week, Open-label, Multi-center, Prospective Study Evaluating the Effect of Individualizing Starting Doses of Rosuvastatin According to Baseline LDL (Low Density Lipoprotein)-Cholesterol Levels on Achieving Cholesterol Targets in Type 2 Diabetic Patients
Acronym
ADAPT
Organization
AstraZenecaINDUSTRY
Status Module
Record Verification Date
Aug 2011
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
May 2008
Primary Completion Date
Aug 2009Actual
Completion Date
Aug 2009Actual
First Submitted Date
Sep 2, 2008
First Submission Date that Met QC Criteria
Sep 3, 2008
First Posted Date
Sep 4, 2008Estimated
Results Waived
Not provided
Results First Submitted Date
Aug 6, 2010
Results First Submitted that Met QC Criteria
Jun 7, 2011
Results First Posted Date
Jul 4, 2011Estimated
Certification/Extension (aka Delayed Results) First Submitted Date
Not provided
Certification/Extension First Submitted that Passed QC Review
Not provided
Certification/Extension First Posted Date
Not provided
Last Update Submitted Date
Aug 29, 2011
Last Update Posted Date
Aug 31, 2011Estimated
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
AstraZenecaINDUSTRY
Collaborators
Not provided
Oversight Module
Has Data Monitoring Committee (DMC)
Yes
Is FDA Regulated Drug
Not provided
Is FDA Regulated Device
Not provided
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
This study will assess if customizing the start dose of rosuvastatin appropriate for the degree of LDL-C reduction required, would achieve LDL-C target of ≤ 2.0 mmol/L quickly with either no titration or just one titration step after 6 weeks of therapy in type 2 diabetic patients previously treated with another statin and not at LDL-C targets.
Detailed Description
Not provided
Conditions Module
Conditions
Type 2 Diabetes
Keywords
diabetes
type 2
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 4
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
598Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
Rosuvastatin 1
Experimental
titrated
Drug: Rosuvastatin
Rosuvastatin 2
Experimental
Non-titrated
Drug: Rosuvastatin
Interventions
Name
Type
Description
Arm Group Labels
Other Names
Rosuvastatin
Drug
Oral
Rosuvastatin 1
Rosuvastatin 2
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Percentage of Subjects Achieving Canadian Low Density Lipoprotein Cholesterol (LDL-C) Target Goals (i.e. LDL-C ≤ 2.0 mmol/L) After 12 Weeks of Rosuvastatin Therapy
The number of subjects achieving Canadian Low density lipoprotein cholesterol (LDL-C) target goals (i.e. LDL-C ≤ 2.0 mmol/L) over the total number subjects treated after 12 weeks of rosuvastatin therapy multiplied by 100
12 Weeks
Secondary Outcomes
Measure
Description
Time Frame
Percentage of Subjects Achieving Total Cholesterol (TC)/ High-density Lipoprotein Cholesterol (HDLC) Ratio (i.e. TC/HDL < 4.0 mmol/L) at 6 and 12 Weeks of Treatment
Proportion of subjects achieving total cholesterol (TC)/ High-density lipoprotein cholesterol (HDLC) ratio (i.e. TC/HDL < 4.0 mmol/L) at 6 and 12 weeks of treatment
6 and 12 Weeks
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Diagnosis of Type 2 diabetes
Previously treated with a commonly accepted start dose of a statin for the last 4 weeks prior to study entry
Fasting LDL-C concentration of > 2.0 mmol/L (and ≤ 5.0 mmol/L) (in the past 3 months)
History of serum TG level of ≤ 4.6 mmol/l (in the past 3 months)
Exclusion Criteria:
If currently receiving therapy with any statin at a dose higher than listed
Rosuvastatin (current use)
Fibrates, niacin or resins that was not discontinued a minimum of 2 months prior to enrolment.
Type 1 diabetes; glycated haemoglobin (HbA1c) > 9.0%
Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) level ≥ 1.5 × upper limit of normal (ULN) (in the past 2 months)
Resting diastolic or systolic blood pressure of > 95 mmHg or > 180 mmHg, respectively (in the past 2 months)
Unexplained serum creatine kinase (CK) level > 3 × ULN (in the past 2 months).
Accepts Healthy Volunteers
No
Sex
All
Sex/Gender Based
Not provided
Sex/Gender Description
Not provided
Minimum Age
18 Years
Maximum Age
Not provided
Standard Ages
AdultOlder Adult
Study Population
Not provided
Sampling Method
Not provided
Contacts/Locations Module
Central Contacts
Not provided
Overall Officials
Name
Affiliation
Role
Davide Meani
AstraZeneca
Study Director
David Lau, MD
Private Practice
Principal Investigator
Locations
Facility
Status
City
State
ZIP
Country
Contacts
Research Site
Calgary
Alberta
Canada
Research Site
References Module
No data available
No data is available for this block.
IPD Sharing Statement Module
No data available
No data is available for this block.
Results Section
Participant Flow Module
Pre-assignment Details
Following enrolment, at Visit 1 the patients' Low Density Lipoprotein Cholesterol (LDL-C) value was baselined. If LDL-C value from Visit 1 was > 2.00, but ≤ 2.50 mmol/L: patients received Rosuvastatin (RSV)10 mg under the RSV 10 mg arm. If LDL-C value from Visit 1 was > 2.50 mmol/L: patients received Rosuvastatin 20 mg under the RSV 20 mg arm.
Recruitment Details
A total of 1044 patients (adult male and non-pregnant females) were enrolled at 122 Canadian family practice sites between May 2008 and May 2009. Out of these, only 598 patients were allocated to treatment. The remaining 446 did not receive treatment as they did not fulfill the inclusion/exclusion criteria.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
Rosuvastatin Titrated
10 mg rosuvastatin (RSV) as initial dose followed by 20 mg RSV as titrated dose or 20 mg rosuvastatin (RSV) as initial dose followed by 40 mg RSV as titrated dose
FG001
Rosuvastatin Non-titrated
Periods
Title
Milestones
Reasons Not Completed
Overall Study
Type
Comment
Milestone Data
STARTED
Baseline Characteristics Module
Baseline Analysis Population Description
Not provided
Outcome Measures Module
Outcome Measures
Adverse Events Module
Frequency Threshold
2
More Info Module
Limitations and Caveats
Not provided
Annotation Section
No data available
No data is available for this block.
Document Section
No data available
No data is available for this block.
Derived Section
Miscellaneous Info Module
Version Holder
Jul 10, 2026
Removed Countries
Not provided
Submission Tracking
No data available
No data is available for this block.
Condition Browse Module
MeSH Terms
Intervention Browse Module
MeSH Terms
Non-Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
Not provided
Primary Purpose
Treatment
Observational Model
Not provided
Time Perspective
Not provided
Masking Info
Masking
None (Open Label)
Masking Description
Not provided
Who Masked
Not provided
Crestor
Mean Percent Change in Total Cholesterol (TC), Low Density Lipoprotein Cholesterol (LDL-C), High-density Lipoprotein Cholesterol (HDLC) , TC/HDL-C Ratio, Non-HDL-C, Triglycerides and Apolipoprotein B (ApoB) /Apolipoprotein A1 (ApoA-1) Ratio
6 and 12 Weeks
Mean High Sensitivity C-reactive Protein (hsCRP) Value at Week 6 and 12
6 and 12 Weeks
Incidence of Adverse Events and Abnormal Laboratory Values After 12 Weeks of Therapy
6 and 12 Weeks
Edmonton
Alberta
Canada
Research Site
Red Deer
Alberta
Canada
Research Site
Spruce Grove
Alberta
Canada
Research Site
St. Albert
Alberta
Canada
Research Site
Chilliwack
British Columbia
Canada
Research Site
Coquitlam
British Columbia
Canada
Research Site
Delta
British Columbia
Canada
Research Site
Kelowna
British Columbia
Canada
Research Site
Maple Ridge
British Columbia
Canada
Research Site
Penticton
British Columbia
Canada
Research Site
Victoria
British Columbia
Canada
Research Site
Portage la Prairie
Manitoba
Canada
Research Site
Winnipeg
Manitoba
Canada
Research Site
Bathurst
New Brunswick
Canada
Research Site
Woodstock
New Brunswick
Canada
Research Site
Carbonear
Newfoundland and Labrador
Canada
Research Site
Mount Pearl
Newfoundland and Labrador
Canada
Research Site
St. John's
Newfoundland and Labrador
Canada
Research Site
Halifax
Nova Scotia
Canada
Research Site
Kentville
Nova Scotia
Canada
Research Site
Pubnico
Nova Scotia
Canada
Research Site
Sydney Mines
Nova Scotia
Canada
Research Site
Truro
Nova Scotia
Canada
Research Site
Aylmer
Ontario
Canada
Research Site
Bolton
Ontario
Canada
Research Site
Chatham
Ontario
Canada
Research Site
Fort Erie
Ontario
Canada
Research Site
Georgetown
Ontario
Canada
Research Site
Greater Sudbury
Ontario
Canada
Research Site
Hamilton
Ontario
Canada
Research Site
Kingston
Ontario
Canada
Research Site
Kitchener
Ontario
Canada
Research Site
London
Ontario
Canada
Research Site
Mississauga
Ontario
Canada
Research Site
Morrisburg
Ontario
Canada
Research Site
Nepean
Ontario
Canada
Research Site
Newmarket
Ontario
Canada
Research Site
North York
Ontario
Canada
Research Site
Oshawa
Ontario
Canada
Research Site
Ottawa
Ontario
Canada
Research Site
Saint Catherines
Ontario
Canada
Research Site
Scaborough
Ontario
Canada
Research Site
Scarborough Village
Ontario
Canada
Research Site
Smith Falls
Ontario
Canada
Research Site
St. Catharines
Ontario
Canada
Research Site
Thornhill
Ontario
Canada
Research Site
Thorold
Ontario
Canada
Research Site
Thunder Bay
Ontario
Canada
Research Site
Toronto
Ontario
Canada
Research Site
Welland
Ontario
Canada
Research Site
Willowdale
Ontario
Canada
Research Site
Windsor
Ontario
Canada
Research Site
Woodstock
Ontario
Canada
Research Site
Charlottetown
Prince Edward Island
Canada
Research Site
Kensington
Prince Edward Island
Canada
Research Site
Montague
Prince Edward Island
Canada
Research Site
Anjou
Quebec
Canada
Research Site
Dolbeau-Mistassini
Quebec
Canada
Research Site
Drummondville
Quebec
Canada
Research Site
Forestville
Quebec
Canada
Research Site
Gatineau
Quebec
Canada
Research Site
Joliette
Quebec
Canada
Research Site
L'Ile Perrot
Quebec
Canada
Research Site
La Sarre
Quebec
Canada
Research Site
Laval
Quebec
Canada
Research Site
Longueuil
Quebec
Canada
Research Site
Montreal
Quebec
Canada
Research Site
Québec
Quebec
Canada
Research Site
Roberval
Quebec
Canada
Research Site
Roxton Pond
Quebec
Canada
Research Site
Saint-bruno-lac-saint-jean
Quebec
Canada
Research Site
Saint-Charles-Borromée
Quebec
Canada
Research Site
Saint-Léonard
Quebec
Canada
Research Site
Saint-Marc-des-Carrieres
Quebec
Canada
Research Site
Saint-Pie
Quebec
Canada
Research Site
Sainte Gedeon-de-beauce
Quebec
Canada
Research Site
Sherbrooke
Quebec
Canada
Research Site
Thetford-Mines
Quebec
Canada
Research Site
Trois-Rivières
Quebec
Canada
Research Site
Moose Jaw
Saskatchewan
Canada
Research Site
Porcupine Plain
Saskatchewan
Canada
Research Site
Saskatoon
Saskatchewan
Canada
Research Site
Yorkton
Saskatchewan
Canada
10 mg RSV or 20 mg RSV
FG000154 subjects
FG001444 subjects
COMPLETED
FG000153 subjects
FG001401 subjects
NOT COMPLETED
FG0001 subjects
FG00143 subjects
Type
Comment
Reasons
Adverse Event
FG0000 subjects
FG00115 subjects
Lost to Follow-up
FG0000 subjects
FG00110 subjects
Withdrawal by Subject
FG0000 subjects
FG0016 subjects
Did not receive treatment
FG0000 subjects
FG0011 subjects
Incorrect enrollment
FG0000 subjects
FG0016 subjects
Severe non-compliance to protocol
FG0000 subjects
FG0011 subjects
Not reported
FG0001 subjects
FG0014 subjects
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Rosuvastatin 10 mg (Initial)
10 mg rosuvastatin (RSV) as initial dose
BG001
Rosuvastatin 20 mg (Initial)
20 mg RSV as initial dose
BG002
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG000319
BG001279
BG002598
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age Continuous
Mean
Standard Deviation
Years
Title
Denominators
Categories
Title
Measurements
BG00063.2± 10.9
BG00162.6± 10.5
BG00262.9± 10.7
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG000150
BG001145
BG002
Race/Ethnicity, Customized
Number
Participants
Title
Denominators
Categories
White
Title
Measurements
BG000288
BG001245
BG002
Body Mass Index
Mean
Standard Deviation
kg/m^2
Title
Denominators
Categories
BMI
Title
Measurements
BG00032.50± 6.89
BG00132.27± 6.72
BG002
Waistline circumference
Mean
Standard Deviation
cm
Title
Denominators
Categories
Title
Measurements
BG000106.7± 14.9
BG001106.7± 15.9
BG002
Type
Title
Description
Population Description
Reporting Status
Anticipated Posting Date
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Time Frame
Units Analyzed
Denominator Units Selected
Arm/Group Information
Denominators
Classes
Analyses
Primary
Percentage of Subjects Achieving Canadian Low Density Lipoprotein Cholesterol (LDL-C) Target Goals (i.e. LDL-C ≤ 2.0 mmol/L) After 12 Weeks of Rosuvastatin Therapy
The number of subjects achieving Canadian Low density lipoprotein cholesterol (LDL-C) target goals (i.e. LDL-C ≤ 2.0 mmol/L) over the total number subjects treated after 12 weeks of rosuvastatin therapy multiplied by 100
Posted
Mean
95% Confidence Interval
Percentage
12 Weeks
ID
Title
Description
OG000
Rosuvastatin 10 mg (Initial)
At visit 1, LDL C level was measured. At visit 2, subjects received treatments with rosuvastatin 10 mg or 20 mg based on their visit 1 LDLC level. At visit 3 (6 weeks after visit 2) LDLC values was measured again and patients were titrated to the next highest dose of rosuvastatin if they had not reached target level of LDLC. Hence, 4 arms are listed, subjects who started on 10 mg could be on 10mg, 20mg by the end of the study and those subjects who started on 20mg could be on 20mg or 40 mg at the end of the study.
OG001
Rosuvastatin 20 mg (Initial)
At visit 1, LDL C level was measured. At visit 2, subjects received treatments with rosuvastatin 10 mg or 20 mg based on their visit 1 LDLC level. At visit 3 (6 weeks after visit 2) LDLC values was measured again and patients were titrated to the next highest dose of rosuvastatin if they had not reached target level of LDLC. Hence, 4 arms are listed, subjects who started on 10 mg could be on 10mg, 20mg by the end of the study and those subjects who started on 20mg could be on 20mg or 40 mg at the end of the study.
OG002
Rosuvastatin 20 mg (Titrated)
At visit 1, LDL C level was measured. At visit 2, subjects received treatments with rosuvastatin 10 mg or 20 mg based on their visit 1 LDLC level. At visit 3 (6 weeks after visit 2) LDLC values was measured again and patients were titrated to the next highest dose of rosuvastatin if they had not reached target level of LDLC. Hence, 4 arms are listed, subjects who started on 10 mg could be on 10mg, 20mg by the end of the study and those subjects who started on 20mg could be on 20mg or 40 mg at the end of the study.
OG003
Rosuvastatin 40 mg (Titrated)
At visit 1, LDL C level was measured. At visit 2, subjects received treatments with rosuvastatin 10 mg or 20 mg based on their visit 1 LDLC level. At visit 3 (6 weeks after visit 2) LDLC values was measured again and patients were titrated to the next highest dose of rosuvastatin if they had not reached target level of LDLC. Hence, 4 arms are listed, subjects who started on 10 mg could be on 10mg, 20mg by the end of the study and those subjects who started on 20mg could be on 20mg or 40 mg at the end of the study.
Units
Counts
Participants
OG000225
OG001176
OG00275
OG003
Title
Denominators
Categories
Title
Measurements
OG00087± 82(82 to 91)
OG00187± 81(81 to 91)
OG00276± 65(65 to 84)
Secondary
Percentage of Subjects Achieving Total Cholesterol (TC)/ High-density Lipoprotein Cholesterol (HDLC) Ratio (i.e. TC/HDL < 4.0 mmol/L) at 6 and 12 Weeks of Treatment
Proportion of subjects achieving total cholesterol (TC)/ High-density lipoprotein cholesterol (HDLC) ratio (i.e. TC/HDL < 4.0 mmol/L) at 6 and 12 weeks of treatment
Not Posted
Mean
95% Confidence Interval
Percentage of participants
6 and 12 Weeks
Secondary
Mean Percent Change in Total Cholesterol (TC), Low Density Lipoprotein Cholesterol (LDL-C), High-density Lipoprotein Cholesterol (HDLC) , TC/HDL-C Ratio, Non-HDL-C, Triglycerides and Apolipoprotein B (ApoB) /Apolipoprotein A1 (ApoA-1) Ratio
Not Posted
Mean
95% Confidence Interval
Percentage
6 and 12 Weeks
Secondary
Mean High Sensitivity C-reactive Protein (hsCRP) Value at Week 6 and 12
Not Posted
Mean
95% Confidence Interval
value mg/L
6 and 12 Weeks
Secondary
Incidence of Adverse Events and Abnormal Laboratory Values After 12 Weeks of Therapy
Not Posted
Number
Participants
6 and 12 Weeks
Time Frame
Not provided
Description
Not provided
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Rosuvastatin 10 mg (Initial)
10 mg rosuvastatin (RSV) as initial dose
4
319
14
319
EG001
Rosuvastatin 10 mg (Continued, Non-titrated)
10 mg RSV as a continued, non-titrated dose
2
232
4
232
EG002
Rosuvastatin 20 mg (Initial)
20 mg RSV as initial dose
0
279
9
279
EG003
Rosuvastatin 20 mg (Continued, Non-titrated)
20 mg RSV as continued, non-titrated dose
0
182
3
182
EG004
Rosuvastatin 20 mg (Titrated)
20 mg RSV as titrated dose
1
75
2
75
EG005
Rosuvastatin 40 mg (Titrated)
20 mg RSV as titrated dose
1
78
0
78
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Labyrinthitis
Ear and labyrinth disorders
MedDRA 10.0
Systematic Assessment
EG0000 affected319 at risk
EG0011 affected232 at risk
EG0020 affected279 at risk
EG0030 affected182 at risk
EG0040 affected75 at risk
EG0050 affected78 at risk
Cellulitis
Skin and subcutaneous tissue disorders
MedDRA 10.0
Systematic Assessment
EG0000 affected319 at risk
EG0010 affected232 at risk
EG0020 affected279 at risk
EG003
Renal Colic
Renal and urinary disorders
MedDRA 10.0
Systematic Assessment
EG0001 affected319 at risk
EG0010 affected232 at risk
EG0020 affected279 at risk
EG003
Chemical Poisoning
Injury, poisoning and procedural complications
MedDRA 10.0
Systematic Assessment
EG0000 affected319 at risk
EG0011 affected232 at risk
EG0020 affected279 at risk
EG003
Urinary Tract Infection
Renal and urinary disorders
MedDRA 10.0
Systematic Assessment
EG0001 affected319 at risk
EG0010 affected232 at risk
EG0020 affected279 at risk
EG003
Aortic Aneurysm Rupture
Cardiac disorders
MedDRA 10.0
Systematic Assessment
EG0000 affected319 at risk
EG0010 affected232 at risk
EG0020 affected279 at risk
EG003
Cerebrovascular Accident
Nervous system disorders
MedDRA 10.0
Systematic Assessment
EG0001 affected319 at risk
EG0010 affected232 at risk
EG0020 affected279 at risk
EG003
Urinary Retention
Renal and urinary disorders
MedDRA 10.0
Systematic Assessment
EG0001 affected319 at risk
EG0010 affected232 at risk
EG0020 affected279 at risk
EG003
Other Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Constipation
Gastrointestinal disorders
MedDRA 10.0
Systematic Assessment
EG0005 affected319 at risk
EG0010 affected232 at risk
EG0026 affected279 at risk
EG0032 affected182 at risk
EG0040 affected75 at risk
EG0050 affected78 at risk
Cough
Respiratory, thoracic and mediastinal disorders
MedDRA 10.0
Systematic Assessment
EG0007 affected319 at risk
EG0011 affected232 at risk
EG0022 affected279 at risk
EG003
Bronchitis
Respiratory, thoracic and mediastinal disorders
MedDRA 10.0
Systematic Assessment
EG0002 affected319 at risk
EG0013 affected232 at risk
EG0021 affected279 at risk
EG003
Certain Agreements
Are all PI(s) employees of the sponsor?
No
Restriction Type
OTHER
Results Disclosure Restriction on PI(s)?
Yes
Other Details
AstraZeneca shall have a period of 30 days from receipt of the proposed final manuscript for any publication or other disclosure to review it and may within such time require that submission for publication or disclosure of the manuscript be delayed in order for AstraZeneca to file patent applications.