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Trial registered on ANZCTR
Registration number
ACTRN12612001082897
Ethics application status
Approved
Date submitted
9/10/2012
Date registered
9/10/2012
Date last updated
27/11/2018
Date data sharing statement initially provided
27/11/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Does rosuvastatin delay progression of atherosclerosis in people with HIV infection at moderate cardiovascular risk? A randomized, multicentre placebo controlled trial
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Scientific title
Does rosuvastatin delay progression of atherosclerosis in people with HIV infection at moderate cardiovascular risk? A randomized, placebo-controlled trial
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Secondary ID [1]
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nil
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Universal Trial Number (UTN)
U1111-1135-6483
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cardiovascular disease
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HIV
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Condition category
Condition code
Cardiovascular
287912
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0
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Diseases of the vasculature and circulation including the lymphatic system
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Infection
287913
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0
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Acquired immune deficiency syndrome (AIDS / HIV)
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Half the participants will receive a single 20mg Rosuvastatin tablet, orally daily for 96 weeks or an identical placebo.
The tablet will be encapsulated in a Gelatin capsule that is identical in appearance, taste etc to the placebo.
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Intervention code [1]
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Prevention
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Intervention code [2]
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Treatment: Drugs
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Comparator / control treatment
Lactose filled gelatin capsules (placebos) that will be identical in appearance and taste to the active agent but contain no active drug will be provided to half the participants
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Control group
Placebo
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Outcomes
Primary outcome [1]
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The primary outcome measure will be the difference in carotid intima media thickness (cIMT) progression (measured as a change from baseline) between the rosuvastatin and placebo arms.
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Assessment method [1]
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Timepoint [1]
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Baseline, 48 and 96 weeks
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Secondary outcome [1]
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The rate of adverse events (symptomatic and biochemical).
Rosuvastatin can cause muscle pain or in rare severe cases muscle breakdown, and may also lead to an elevation of liver enzymes or blood glucose levels.
Participants will have blood tests every three months to check creatinine kinase levels (the breakdown product of muscle), glucose and liver function tests.
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Assessment method [1]
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Timepoint [1]
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3 monthly throughout the trial period
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Secondary outcome [2]
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The effect of rosuvastatin on carotid intima media thickness (cIMT) and arterial pulse wave velocity (cPWV)
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Assessment method [2]
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Timepoint [2]
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48 and 96 weeks
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Secondary outcome [3]
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The effect of rosuvastatin on immunological and inflammatory biomarkers.
This will be assessed by blood tests assessing high sensitivity CRP, d-dimer and markers of monocyte activation.
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Assessment method [3]
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Timepoint [3]
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48 and 96 weeks
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Eligibility
Key inclusion criteria
Adults with proven HIV infection who are on a stable combination anti-retroviral therapy regimen with a plasma HIV viral load < 200 copies/ml for > six months AND
who are at moderate cardiovascular risk , as estimated by a Framingham Risk score of 10-15% 10 year risk of cardiovascular disease
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
- Fullfilling any current indication for lipid lowering therapy
- Any contraindication to rosuvastatin therapy (including previous allergy, pregnancy, myopathy, creatinine clearance <30ml/min)
- Use of contraindicated concurrent medications (cyclosporine, Gemfibrozil, Niacin, Fusidic acid)
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Double blind allocation concealment trial using an independent external holder of the allocation schedule.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computerised block randomisation stratified by age, gender and framingham risk score.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/12/2012
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Actual
2/09/2013
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Date of last participant enrolment
Anticipated
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Actual
30/06/2016
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Date of last data collection
Anticipated
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Actual
2/07/2018
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Sample size
Target
85
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Accrual to date
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Final
85
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment outside Australia
Country [1]
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Switzerland
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State/province [1]
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Monash University
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Address [1]
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900 Dandenong Road,
Clayton, Victoria 3145
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Jennifer Hoy
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Address
Infectious Diseases Department
Alfred Health
Commercial Rd
Melbourne VIC 3004
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Janine Trevillyan
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Address [1]
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Infectious Diseases Department
Alfred Health
Commercial Rd
Melbourne VIC 3004
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The Alfred Ethics Committee
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Ethics committee address [1]
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55 Commercial Rd, Melbourne VIC 3004
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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22/10/2012
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Approval date [1]
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10/12/2012
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Ethics approval number [1]
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491/12
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Summary
Brief summary
Participants: 110 HIV positive patients who are currently taking anti-HIV medications, have well controlled HIV and are at moderate risk for heart disease (and thus do not currently qualify for statin therapy) will be recruited from the Infectious Diseases Clinic of the Alfred Hospital. Methods: Participants will be randomised to receive either the active agent (Rosuvastatin) or a placebo once daily for 96 weeks. Rosuvastatin is a statin licensed for use in Australia to control high cholesterol levels and prevent heart disease in patients at high risk. Participants will undergo blood tests and ultrasounds of the arteries of the neck prior to starting Rosuvastatin and then after 1 and 2 years on the drug to determine what effect it has on markers of inflammation, cholesterol levels and thickness of blood vessels (which relates to damage of blood vessels supplying the heart and thus the risk of heart attacks) Analysis: The main outcome will be to compare the rate at which blood vessels thicken in the participants receiving rosuvastatin compared with those receiving placebo. We will also compare the amount of inflammation (based on blood tests) in each group and the presence of any side effects. Significance By showing that there are advantages to starting statin therapy earlier then currently recommended in people with HIV infection it may be possible to reverse some of the increased risks of heart attacks and strokes seen in these patients.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Janine Trevillyan
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Address
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Alfred Hospital
55 Commercial Rd
Melbourne VIC 3004
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Country
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Australia
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Phone
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+61 3 90762000
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Janine Trevillyan
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Address
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Infectious Diseases Department
Alfred Health
Commercial Rd
Melbourne 3004 VIC
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Country
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Australia
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Phone
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+61 3 90762000
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Janine Trevillyan
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Address
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Infectious Diseases Department
Alfred Health
Commercial Rd
Melbourne 3004 VIC
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Country
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Australia
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Phone
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+61 390762000
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Undecided
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
519
Study protocol
Will be available on the Monash university open ac...
[
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Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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