Ischemic Heart Disease Clinical Trial
Official title:
Omacor; Omega-3-Acid Ethyl Ester 90 (n-3 PUFA) and Risk Factors in HIV Infected Patients Treated With HAART, With Special Focus on Lipids
The purpose of this study is to evaluate the effect of Omacor 4g/day on blood lipid parameters and on the function and stiffness of blood vessels in HIV infected patients on Antiretroviral Therapy (HAART)
Results from recent studies show increasing numbers of Ischemic Heart Disease (IHD)
incidents among patients on HAART treatment (Highly Active Antiviral Therapy). Three
elements have received special attention:
1. the immunodeficient effects of the HIV infection itself may influence the progression
of arteriosclerosis
2. the higher levels of risk behaviour in this group of patients (i.e. high prevalence of
smokers in this group)
3. The HAART treatment itself increases plasma levels of cholesterol, LDL cholesterol and
triglycerides, resulting in HIV related lipodystrophy.
The cardioprotective effects of n-3 PUFAs are well established both through epidemiological
studies and through small and large clinical trials. Clinical trials have shown positive
effects of n-3 PUFA on plasma triglycerides, and statistically significant reductions in
cardiovascular death and sudden cardiac death. Moreover n-3 PUFAs have been shown to have
beneficial effects on endothelial function. Based on the above rationale it is expected that
Omacor (Omega-3-acid ethyl ester 90) will have positive effects on risk factors related to
Ischemic Heart Disease in HIV patients on HAART treatment.
Approximately 50 patients will be randomized to Omacor 4 grams/day or placebo. Treatment
period is 12 weeks.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
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