Hypertriglyceridemia Clinical Trial
Official title:
Dose Related Decrease in Triglycerides in Patients With Hypertriglyceridemia and Treated With Lovaza.
Lovaza is a special fish oil concentrate, that prescribed at 4 g a day to reduce certain fat (triglycerides) levels in blood.Our goal is to study how Lovaza at doses of 4, 8, and 12 grams per day will reduce fats in the blood of the patients with very high level of triglycerides. Our hypothesis is that patients with very high triglycerides will respond more with higher doses of Lovaza (8 g per day and then 12 g per day).
Lovaza contains Omega-3 fatty acids, the family of poly- unsaturated fatty acids. Omega-3
fatty acids stimulate blood circulation, increases the breakdown of fibrin, and additionally
has been shown to reduce blood pressure, cardiac events and mortality from congestive heart
failure. There is strong scientific evidence that omega 3 fatty acids significantly reduce
blood triglyceride levels while elevating high density lipoprotein cholesterol (HDL) levels.
Fasting and non fasting hypertriglyceridemia have been associated with atherosclerosis, and
coronary heart disease events, even in the absence of hypercholesterolemia. Severe
hypertriglyceridemia (>2000 mg/dl) can also lead to acute hemorrhagic pancreatitis.
Currently, patients having very High TG are treated with Fibric acids (gemfibrozil, Tricor,
Antara), and if hyperinsulinemic, with Glucophage. Lovaza (4g/day) has been shown to be
effective and safe in lowering TG levels. There is no published data which indicates that
Lovaza 8 or 12 g per day would have therapeutic effectiveness in further normalizing
triglycerides in subjects on maximized triglyceride lowering and Lovaza 4 g per day. We
hypothesize, based on our clinical experience that increasing Lovaza to 8 and then (if
necessary) to 12 g/day would safely optimize triglycerides in subjects with primary
hypertriglyceridemia who failed to normalize their triglycerides on optimal therapy
including Lovaza 4 g/day.
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Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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