Coronary Artery Disease Clinical Trial
Official title:
Randomized Comparison of the CHOlesterol-lowering Effects of nutraceuticaLs Versus Ezetimibe in Statin-intolerant patientS - The CHOLESS Trial
Treatment with statins has a class I indication after percutaneous coronary intervention
(PCI), but is often discontinued by patients due to side effects.
Pharmacologic alternatives shown to be useful after PCI include ezetimibe and nutraceuticals
(i.e. compounds derived from foods with cholesterol lowering actions).
It remains unknown, however, which of these two therapeutic approaches is more effective
after PCI.
The primary objective of this study is to compare the efficacy and tolerability of ezetimibe
vs. a nutraceutical-based protocol in statin-intolerant patients treated with percutaneous
coronary intervention.
Background
Treatment with statins has a class I indication after percutaneous coronary intervention
(PCI), but is often discontinued by patients due to side effects.
Pharmacologic alternatives shown to be useful after PCI include ezetimibe and nutraceuticals
(i.e. compounds derived from foods with cholesterol lowering actions).
It remains unknown, however, which of these two therapeutic approaches is more effective
after PCI.
Purpose
The primary objective of this study is to compare the efficacy and tolerability of ezetimibe
vs. a nutraceutical-based protocol in statin-intolerant patients treated with percutaneous
coronary intervention.
Study Population
Patients with coronary artery disease in stable conditions treated with percutaneous
coronary intervention who have withdrawn statin treatment due to side effects
Randomization
Patients will be randomized to receive for 6 months either ezetimibe (10 mg/day) or a
commercially available nutraceutical combined pill (1 capsule/day containing monacolin K 10
mg, policosanol 10 mg, and phytosterols 300 mg).
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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