Using AtorVASTatin to Prevent VAscular Inflammatory OccLUSion in the Critically Ill

Stroke Clinical Trial

— VASTVALUS  

Official title:

Using AtorVASTatin to Prevent VAscular Inflammatory OccLUSion in the Critically Ill

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01073800
• Other study ID #: VASTVALUS
• Status: Completed
• Phase: Phase 2/Phase 3
• First received: July 20, 2009
• Last updated: December 15, 2011
• Start date: April 2009
• Est. completion date: September 2011

Study information

• Verified date: December 2011
• Source: University of Alberta
• Contact: n/a
• Is FDA regulated: No
• Health authority: Canada: Health Canada
• Study type: Interventional

Clinical Trial Summary

Patients are admitted to the critical care unit of the hospital because of medical conditions that have a high likelihood of causing severe problems with blood flow, breathing, or brain function. These conditions also have a high likelihood of causing death. Approximately 10 to 15% of all critically ill patients die in hospital. A large amount of scientific evidence suggests that a substantial proportion of these deaths is due to a combination of blot clotting and inflammation in the blood vessels.

Statins are drugs that interfere with cholesterol and fat metabolism. Cholesterol and fat in the blood are associated with blood clotting and inflammation in the blood vessels. Statins are known to be very beneficial in improving the survival after heart attacks, and in preventing heart attacks.

The question that VASTVALUS asks is: do statins improve survival among all critically ill patients? In VASTVALUS, we will concentrate on patients that do not currently require a statin because of their medical condition e.g. after a heart attack, but we are concerned with the rest of the critically ill. In VASTVALUS, participating patients will receive either atorvastatin 80 mg daily or a placebo. Atorvastatin is a statin with a well-established record of safety and effectiveness. A placebo has no known medical activity. We will follow all patients in VASTVALUS to determine whether atorvastatin has any effect on the occurrence of death, stroke, heart attack, or kidney failure among the critically ill. Results from VASTVALUS will be shared with the medical community after the study is completed. As with all clinical trials, patients in VASTVALUS participate of their own choice, and can change their mind at any time.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 100
• Est. completion date: September 2011
• Est. primary completion date: August 2009
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 70 Years

Eligibility

Inclusion Criteria:

• 1. Men or women >18 years of age

• 2. Admitted to a critical care unit and requiring at least a 48 hour critical care unit stay for medical reasons. Medical reasons include:

• conditions of cardiovascular,

• respiratory, or

• neurologic impairment that require supportive care and observation.

Exclusion Criteria:

• 1. Hepatic failure (Childs-Pugh class C)

• 2. Rhabdomyolysis

• 3. Allergy or hypersensitivity to this drug or any of its components

• 4. Previous intolerance

• 5. Enrolment in another interventional trial

• 6. Contraindication to gastric and/or small bowel drug administration

• 7. MI as major diagnosis at admission (statin indicated)

• 8. Coronary artery intervention within previous 3 days

• 9. Currently receiving a statin or indicated (MI, dyslipidemia)

• 10. Pregnancy

• 11. personal or family history of hereditary muscular disorders

• 12. previous history of muscle toxicity with another HMG-CoA reductase Inhibitor

• 13. concomitant use of a fibrate or niacin

• 14. hypothyroidism

• 15. alcohol abuse

• 16. excessive physical exercise

• 17. renal impairment

• 18. diabetes with hepatic fatty change

• 19. surgery and trauma

• 20. frailty

• 21. situations where an increased plasma level of active ingredient may occur

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Prevention

Related Conditions & MeSH terms

• Critical Illness
• Infarction
• Myocardial Infarction
• Renal Failure
• Renal Insufficiency
• Stroke

Intervention

Drug:
• atorvastatin 80 mg per os daily
atorvastatin 80 mg per os daily
• placebo
placebo

Locations

Country	Name	City	State
Canada	University of Alberta	Edmonton	Alberta

Sponsors (1)

Lead Sponsor	Collaborator
University of Alberta

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	vascular occlusive events		30 days	No
Secondary	liver enzyme elevation		30 days	Yes
Secondary	rhabdomyolysis		30 days	Yes
Secondary	myalgias		30 days	No