Peripheral Vascular Disease Clinical Trial
Official title:
The Dose Response of Niacin ER/Lovastatin on Peak Walking Time (PWT) in Patients With Intermittent Claudication - a Matrix Design
The purpose of this study is to compare the dose response and safety of Niacin
ER/Lovastatin, Niaspan® and Lovastatin with each other, in subjects with leg pain caused by
a narrowing of their leg arteries.
At least 870 subjects, with leg pain caused by a narrowing of their leg arteries will take
part in this study.
Both Niaspan and lovastatin (Mevacor®) are approved by the United States Food and Drug
Administration (FDA) to treat high cholesterol. Niacin ER/Lovastatin (Advicor®), a
combination of these two drugs, is also approved by the FDA to treat high cholesterol. The
use of Niacin ER/Lovastatin to treat narrowing of leg arteries and relieve “intermittent
claudication” (leg pain caused by narrowing of the arteries in the leg) is considered
investigational. An investigational use is one that is not approved by the FDA.
This is a Phase 3, 32-week, double-blind, diet-intervention, randomized, parallel group,
ten-arm, multi-center, multi-national, dose titration study evaluating the safety and
efficacy of NL in patients with intermittent claudication (IC).
The objectives of this study are to evaluate the safety and efficacy of NL in patients with
IC. The primary efficacy analysis will be the percent change from baseline in Peak Walking
Time (PWT) calculated from the natural logarithm of the ratio of the time walked on
treadmill at the Week 32 Visit divided by the time walked at baseline. Other efficacy
measures will include Claudication Onset Time (COT) percent changes from baseline to Week 32
, changes in Ankle Brachial Index (ABI), Quality of Life (QoL) percent changes at Weeks 20
and 32, lower limb amputations, composite of cardiovascular events (MI, stroke, and vascular
death), and coronary and peripheral artery revascularizations. Safety variables will include
serum transaminases, routine chemistry parameters, hematology, and adverse events.
Pharmacokinetic analyses will be conducted as well.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double-Blind, Primary Purpose: Treatment
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