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Effect of Niacin Extended Release and Lovastatin tablets on Walking in Patients with Intermittent Claudication (ICPOP)



Effect of Niacin Extended Release and Lovastatin tablets on Walking in Patients with Intermittent Claudication (ICPOP)

For Condition: Peripheral Vascular Disease,Intermittent Claudication
Status: Recruiting
Sponsor(s): Kos Pharmaceuticals ,
Synopsis: You are being asked to participate in a research study that will determine if Niacin ER/Lovastatin at two different doses compared to diet control (this group will receive a tablet containing 50 mg. of immediate-release niacin) is a safe medicine that will reduce leg pain in subjects with intermittent claudication. Niacin ER/Lovastatin is a combination of two FDA (United States Food and Drug Administration) approved cholesterol modifying medications: Niaspan® (extended-release niacin) and lovastatin, a statin (the same medicine found in Mevacor®). Niacin ER/Lovastatin was approved by the FDA under the name of AdvicorTM for use in the treatment of elevated cholesterol. The use of Niacin ER/Lovastatin in the treatment of peripheral arterial disease and symptomatic relief of intermittent claudication is considered investigational. An investigational use is one that is not approved by the FDA. At least 375 subjects, with a similar medical condition to yours will participate in this study. This study will use competitive enrollment. This means that when a target number of subjects have entered the treatment phase of the study, all further enrollment will be closed. Therefore, it is possible that you could be in the screening phase, and be discontinued without your consent if the target number of subjects have already entered the study. The purpose of this study is to evaluate the effect of Niacin ER/Lovastatin (at two different doses) compared with a diet-only control group in subjects with intermittent claudication (leg pain), a condition caused by narrowing of the leg arteries. Duration of the Study You will be monitored for up to six (6) weeks in order to determine if you qualify for the study. During the six-week qualification period, you will return to the study center for 3-4 study visits. Qualification for the study includes: *having experienced “intermittent claudication” (leg pain) for at least 6 months *3-4 treadmill tests (walking tests) *determination of your legs’ blood pressure. If you qualify and choose to participate, your participation in this study will last approximately nineteen months.
Details:
Eligibility:
Study Type:
  Interventional,Treatment,Randomized,Double-Blind,Dose Comparison,Parallel Assignment,Safety/Efficacy Study
Minimum Age/Maximum Age: 40 Years/
Genders: Both
Protocol Entry Criteria: INCLUSION CRITERIA: 1. Men & women at least 40 years of age or older. Women must not be pregnant nor breast-feeding & not planning to become pregnant or to breast-feed. Women of childbearing potential must commit to using oral contraception, IUD, or a double-barrier method of contraception. Women using oral contraception must have done so for 3 months prior to randomization, & continue to do so for the duration of the study. To be considered not of childbearing potential, women must be post-menopausal for at least 2 years or surgically sterile. 2. Patient with a history of IC of the lower extremities which has been present for at least 6 months with no change in symptoms in the previous 3 months prior to screening. 3. At screening, patient has a PWT of 1 to 20 minutes inclusive. For patients who do not require drug washout as listed in the Drug list 1 in Section 8.0, the PWT must be 1 to 15 minutes inclusive. 4. At qualification, patient has a reproducible PWT variability of 20% between Qualification Visits 1 & 2 over a 4 to 10 day period; if variability is > 20%, a third treadmill test will be performed within an additional 4 to 10 days. In this case, there must be a variability of > 20% between Qualification Visits 2 & 3 for patient qualification & patient has a mean PWT of 1 to 15 minutes inclusive calculated using the values of two consecutive visits. 5. Patient has a doppler-measured pre-treadmill ABI of 0.90 or lower after 10 minutes of rest at Screening. OR If pre-treadmill ABI is > 0.90, a 20% reduction from the pre-treadmill ABI value, when measured within one minute after claudication-limiting treadmill testing, must be obtained. This will be evaluated at Screening only. OR For patients with an ABI of > 1.3 (non-compressible arteries), a first toe pressure measurement will be allowed. In this case, a Toe-Brachial Index (TBI) of < 0.7 must be obtained for patient qualification. TBI will be evaluated for screening purposes only. 6. Patient’s baseline LDL-C level must be a mean value of < 160 mg/dL measured in Qualification Visits 1 & 2; if mean value is 160 mg/dL, a third value will be obtained within 4-10 days. In this case, the mean LDL-C of the last two tests must be < 160 mg/dL for patient qualification. 7. Patient is able to comply with the protocol procedures & all follow-up visits. EXCLUSION CRITERIA: 1. Patient has an allergy, hypersensitivity, or intolerance to niacin, aspirin, statins, or their derivatives 2. Patient has severe neuropathy diagnosed by loss of vibratory sensation (i.e., complete lack of vibratory sensation) in either foot using a 128 MHz tuning fork 3. Patient is grossly obese (BMI 40) 4. Patient has documented CAD (angina pectoris, MI, coronary artery bypass graft surgery, angioplasty 5. Patient has systolic blood pressure 160 mmHg &/or diastolic blood pressure 95 mmHg at the Screening Visit; 6. At Screening, patient has an LDL-C level of 160mg/dL 7. Patient has any of the following abnormalities: - ALT &/or AST> 1 .3xULN - creatinine clearance <30mL/min - CPK elevation> 3xULN - HgbA1c>8.5% - active gout symptoms &/or uric acid level> 1.3xULN - triglycerides 800mg/dL - active peptic ulcer - active hepatitis - life expectancy < 2 years
Total Enrollment: 375

Location and Contact Information:

Healthcore, Inc. *Recruiting*
Newark,  Delaware,  19713
United States
Recruiting Walter  Powell

Radiant Research *Recruiting*
Philadelphia,  Pennsylvania,  19115
United States
Recruiting Barry  Packman

Diversified Clinical Research *Recruiting*
Murrieta,  California,  92563
United States
Recruiting Irving  Schwartz

Cleveland Cardiovascular Research Foundation *Recruiting*
Cleveland,  Ohio,  44110
United States
Recruiting Dean  Nukta

University of Tenn Health Science Center, Department of Pharmacology *Recruiting*
Memphis,  Tennessee,  38163
United States
Recruiting Marshall  Elam

Omega Medical Research *Recruiting*
Warwick,  Rhode Island,  02886
United States
Recruiting David  Fried

New Orleans Center for Clinical Research *Recruiting*
New Orleans,  Louisiana,  70119
United States
Recruiting William  Smith

Syracuse Preventive Cardiology *Recruiting*
Syracuse,  New York,  13202
United States
Recruiting Stephen  Nash

Arizona Heart Institute *Recruiting*
Phoenix,  Arizona,  85006
United States
Recruiting Kris  Vijay

Amulet, LLC *Recruiting*
New Orleans,  Louisiana,  70124
United States
Recruiting Robert  Larimer

UC Davis Medical Center, Division of Vascular Surgery *Recruiting*
Sacramento,  California,  95817
United States
Recruiting David  Dawson

Cardiology Consultants of Montgomery County *Recruiting*
Meadowbrook,  Pennsylvania,  19046
United States
Recruiting Andrew  Mustin

Miami Cardiology Group *Recruiting*
Miami,  Florida,  33157
United States
Recruiting Paul  Seigel

Baylor University Medical Center, Clinical Cardiology Research Center *Recruiting*
Dallas,  Texas,  75246
United States
Recruiting Cara  East

Hampton Roads Center for Clinical Research, Inc. *Recruiting*
Norfolk,  Virginia,  23502
United States
Recruiting Barry  Lubin

Apex Research Institute *Recruiting*
Santa Ana,  California,  92705
United States
Recruiting Melvin  Tonkon

University of Michigan Health Systems *Recruiting*
Ann Arbor,  Michigan,  48109
United States
Recruiting Michael  Grossman

Ochsner Clinic Foundation *Recruiting*
New Orleans,  Louisiana,  70121
United States
Recruiting Samuel  Money

U Mass Health Center, Division of Vascular Surgery *Recruiting*
Worcester,  Massachusetts,  01609
United States
Recruiting Bruce  Cutler

Radiant Research, Inc. *Recruiting*
Edina,  Minnesota,  55435
United States
Recruiting James  Zavoral

University of Colorado Health Science Center *Recruiting*
Denver,  Colorado,  80262
United States
Recruiting Judy  Regensteiner

National Clinical Research, Inc *Recruiting*
Richmond,  Virginia,  23294
United States
Recruiting James  McKenney

Tampa Bay Medical Research *Recruiting*
Clearwater,  Florida,  33761
United States
Recruiting James  Hampsey

Iowa Heart Center *Recruiting*
Des Moines,  Iowa,  50314
United States
Recruiting Laurie  Kuestner

Baptist Clinical Research *Recruiting*
Pensacola,  Florida,  32501
United States
Recruiting Fernando  Kafie

The Care Group, LLC *Recruiting*
Indianapolis,  Indiana,  46260
United States
Recruiting Elaine  Moen

University of Minnesota Medical School *Recruiting*
Minneapolis,  Minnesota,  55455
United States
Recruiting Allan  Hirsch

HPV Heart, PA *Recruiting*
Columbia,  Maryland,  21044
United States
Recruiting William  Herzog

University of Michigan Health Systems *Recruiting*
Ann Arbor,  Michigan,  48109-0273
United States
Recruiting Sanjay  Rajagopalan

Radiant Research Atlanta West *Recruiting*
Austell,  Georgia,  30106
United States
Recruiting Stuart  Simon

Baylor College of Medicine *Recruiting*
Houston,  Texas,  77030
United States
Recruiting Ryan  Neal

Tru Med Ed *Recruiting*
Melbourne,  Florida,  32901
United States
Recruiting Rajiv  Chandra

Miami Research Associates *Recruiting*
Coral Gables,  Florida,  33146
United States
Recruiting Theodore  Feldman

Peripheral Vascular Associates *Recruiting*
San Antonio,  Texas,  78215
United States
Recruiting Jeffrey  Martinez

VA GulfCoast Veterans Healthcare Systems, Surgical Services *Recruiting*
Biloxi,  Mississippi,  39531-2410
United States
Recruiting A.  Kline

Tenet Care Research Center *Recruiting*
Kenner,  Louisiana,  70065
United States
Recruiting W.  Mann


Additional Information:
Study ID Numbers:
  MA-02-010403;  ICPOP
Study Start Date: January 2003
Record last reviewed: February 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00062556

Other Peripheral Vascular Disease Studies:
1. Magnetic Resonance Imaging to Detect Blood Vessel Inflammation in Patients Undergoing Peripheral Balloon Angioplasty

2. Trial of VLTS-589 in Subjects with Intermittent Claudication

3. The Dose Response of Niacin ER/Lovastatin on Peak Walking Time (PWT) in Patients with Intermittent Claudication - TROPIC

4. A safety and efficacy study of HGF via plasmid vector to improve perfusion in critical limb ischemia.

5. Effect of Niacin Extended Release and Lovastatin tablets on Walking in Patients with Intermittent Claudication (ICPOP)

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Effect of Niacin Extended Release and Lovastatin tablets on Walking in Patients with Intermittent Claudication (ICPOP)

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