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Phase IIIb, randomized, longitudinal, prospective, multicenter study to evaluate the efficacy and safety of the fixed-dose combination atorvastatin / fenofibrate versus atorvastatin on the lipid profile of patients with type 2 diabetes and dyslipidemia.
To assess the efficacy and safety of the fixed-dose combination atorvastatin / fenofibrate versus atorvastatin on the lipid profile of patients with type 2 diabetes and dyslipidemia. Assessing the magnitude of change in lipid profile numbers. And describing the effect on anthropometric, biochemical and clinical indicators, as well as events and adverse reactions that may occur. In patients diagnosed with type 2 diabetes and dyslipidemia (triglycerides> 150 mg / dl, LDL (Low density lipoprotein) cholesterol> 100 mg / dl) and who require pharmacological treatment for lipid control.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A: Atorvastatin / Fenofibrate in fixed dose | Experimental | Group A: Atorvastatin / Fenofibrate in fixed dose Pharmaceutical Form: Tablets Dosage: 20 mg /160 mg Adminstration way: Oral |
|
| Group B: Atorvastatin (Lipitor ®) | Active Comparator | Group B: Atorvastatin (Lipitor ®) Pharmaceutical Form: Tablets Dosage: 20 mg Adminstration wat: Oral |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Atorvastatin 20 mg / Fenofibrate 160 mg in fixed dose | Drug | 1 tablet once a day, 20 mg /160 mg, Orally |
|
| Measure | Description | Time Frame |
|---|---|---|
| Magnitude of change in lipid profile figures. | To assess the magnitude of change in lipid profile figures (Lp [a], LDL, and triglycerides) at 2 and 4 months with respect to their baseline measurement and between treatment groups. | Baseline, 2 and 4 months. |
| Proportion of subjects achieving triglyceride levels <150 mg /dL. | Describe the proportion of subjects who achieved triglyceride levels <150 mg / dL at the end of treatment. | 4 months |
| Describe the proportion of subjects who reduced levels of LDL cholesterol | Describe the proportion of subjects who reduced levels of LDL cholesterol, under 30% compare to the baseline value. | Baseline and 4 months. |
| Measure | Description | Time Frame |
|---|---|---|
| Impact on anthropometric indicators (Weight) | Describe changes in weight (kg) measurements from baseline to the end of the study (4 months). | Baseline and 4 Months |
| Impact on anthropometric indicators body mass index (BMI) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jorge A González, PhD | Contact | 5254883785 | 3761 | jogonzalez@silanes.com.mx |
| Yulia G Romero-Antonio, B.S. | Contact | 5554883700 | 3777 | yromero@silanes.com.mx |
| Name | Affiliation | Role |
|---|---|---|
| Alberto J Zamora Muciño-Arroyo, M.D | Investigación Biomédica para el Desarrollo de Fármacos S.A. de C.V. (BIOMED-AGS) | Principal Investigator |
| Joel Rodríguez Saldaña, M.D | Resultados médicos, desarrollo e investigación SC (REMEDI) |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Laboratorio Silanes, S.A. de C.V. | Recruiting | Mexico City | 11000 | Mexico |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24603993 | Background | Escobedo-de la Pena J, de Jesus-Perez R, Schargrodsky H, Champagne B. [Prevalence of dyslipidemias in Mexico city and Its relation to other cardiovascular risk factors. Results from the CARMELA study]. Gac Med Mex. 2014 Mar-Apr;150(2):128-36. Spanish. | |
| 24516261 | Background | Harivenkatesh N, David DC, Haribalaji N, Sudhakar MK. Efficacy and safety of alternate day therapy with atorvastatin and fenofibrate combination in mixed dyslipidemia: a randomized controlled trial. J Cardiovasc Pharmacol Ther. 2014 May;19(3):296-303. doi: 10.1177/1074248413518968. Epub 2014 Feb 10. |
| Label | URL |
|---|---|
| NOM. 037-SSA2-2012 para la prevención, tratamiento y control de las dislipidemias. México: Diario Oficial de la Federación. 2012;13. | View source |
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| Atorvastatin (Lipitor ®) | Drug | 1 tablet once a day, 20 mg, Orally |
|
|
Describe changes in BMI (kg/m2) from baseline to the end of the study (4 months)
| Baseline and 4 months |
| Impact on anthropometric indicators (Waist circumference) | Describe changes in waist circumference (cm) from baseline to the end of the study (4 months). | Baseline and 4 months |
| Impact on liver function with aspartate aminotransferas (AST) | Describe the changes in AST (mg/dL) concentration, between baseline and the end of the study. | Baseline and 4 months |
| Impact on liver function with Alanine Aminotransferase (ALT) | Describe the changes in ALT (mg/dL) concentration, between baseline and the end of the study. | Baseline and 4 months |
| Impact on Glycosylated hemoglobin (HbA1c) | Describe the changes in HbA1c percentage from baseline to the end of the study (4 months). | Baseline and 4 months |
| Impact on glucose levels | Describe the changes in glucose levels (mg/dL) from baseline to the end of the study (4 months). | Baseline and 4 months |
| Impact on Blood pressure | Describe the changes in blood pressure (mm Hg) from baseline to the end of the study (4 months). impact on clinical indicators (Blood pressure, Heart rate, Respiratory rate). | Baseline and 4 months |
| Impact on heart rate | Describe the changes in heart rate (beats per minute) from baseline to the end of the study (4 months). | Baseline and 4 months |
| Impact on respiratory rate | Describe the changes in respiratory rate (Pulses per minute) from baseline to the end of the study (4 months). | Baseline and 4 months |
| Events and adverse reactions presented. | Proportion of events and adverse reactions presented during 4 months of treatment. | 4 months |
| Francisco G Padilla Padilla, M.D | Independent | Principal Investigator |
| Juan A Peraza Zaldivar, M.D | Investigación Biomédica para el Desarrollo de Fármacos S.A. de C.V. (BIOMED-GDL) | Principal Investigator |
| Luis M Román Pintos, PhD | Hospital Hispano S.A de C.V | Principal Investigator |
| 24083205 | Background | Lella M, Indira K. A comparative study of efficacy of atorvastatin alone and its combination with fenofibrate on lipid profile in type 2 diabetes mellitus patients with hyperlipidemia. J Adv Pharm Technol Res. 2013 Jul;4(3):166-70. doi: 10.4103/2231-4040.116778. |
| 12087019 | Background | Athyros VG, Papageorgiou AA, Athyrou VV, Demitriadis DS, Kontopoulos AG. Atorvastatin and micronized fenofibrate alone and in combination in type 2 diabetes with combined hyperlipidemia. Diabetes Care. 2002 Jul;25(7):1198-202. doi: 10.2337/diacare.25.7.1198. |
| 40323331 | Derived | Padilla-Padilla FG, Ruiz-Bernes LN, Roman-Pintos LM, Peraza-Zaldivar JA, Sander-Padilla JG, Lugo-Sanchez LA, Rios-Brito KF, Arguedas-Nunez MM, Flores-Huanosta D, Gonzalez-Canudas J. Efficacy and Safety of the Fixed-Dose Combination of Atorvastatin/Fenofibrate Versus Atorvastatin on the Lipid Profile of Patients with Type 2 Diabetes and Dyslipidemia. Cardiol Ther. 2025 Jun;14(2):297-314. doi: 10.1007/s40119-025-00410-y. Epub 2025 May 5. |
| ID | Term |
|---|---|
| D050171 | Dyslipidemias |
| D003924 | Diabetes Mellitus, Type 2 |
| D015228 | Hypertriglyceridemia |
| ID | Term |
|---|---|
| D052439 | Lipid Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D004700 | Endocrine System Diseases |
| D006949 | Hyperlipidemias |
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| ID | Term |
|---|---|
| D000069059 | Atorvastatin |
| D011345 | Fenofibrate |
| ID | Term |
|---|---|
| D011758 | Pyrroles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D006538 | Heptanoic Acids |
| D005227 | Fatty Acids |
| D008055 | Lipids |
| D058607 | Fibric Acids |
| D058610 | Isobutyrates |
| D002087 | Butyrates |
| D000144 | Acids, Acyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
| D010647 | Phenyl Ethers |
| D004987 | Ethers |
| D001577 | Benzophenones |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D010636 | Phenols |
| D007659 | Ketones |
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