Study of Niacin and Rosiglitazone in Dysmetabolic Dyslipidemia

Condition(s) targeted: Metabolic Syndrome X; Insulin Resistance

Intervention: fenofibrate (Drug); niacin (Drug); rosiglitazone (Drug)

Phase: Phase 4

Status: Completed

Sponsored by: Foundation Research, Florida

Official(s) and/or principal investigator(s):
Michael E McIvor, MD, Principal Investigator, Affiliation: Foundation Research

Lipid abnormalities in people with the Metabolic Syndrome (the Insulin Resistance Syndrome) are characterized by elevations in triglycerides and LDL cholesterol; low levels of HDL cholesterol; and small, dense LDL particles. Statins generally do not change LDL particle size, so often fenofibrate is added. This combination may still not be sufficient. Niacin is a common third drug added to the treatment regimen, but niacin can increase insulin resistance. This study compares niacin as a third drug to rosiglitazone, an insulin sensitizer.

Official title: Study of Niacin and Rosiglitazone in Dysmetabolic Dyslipidemia

Study design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study

Primary outcome: The effect of treatment on Peak LDL particle size

Secondary outcome:

The effect of treatment on:

traditional lipid parameters (LDL-C, HDL-C, triglycerides)

% of lipids in regions IIIa+IIIb of a gradient gel electrophoresis

LDL phenotype

fasting glucose

Hemoglobin A1c

Detailed description: The Metabolic Syndrome is characterized by an atherogenic dyslipidemia consisting of hypertriglyceridemia, modest elevations of LDL cholesterol, low levels of HDL cholesterol, and LDL phenotype pattern B (small, dense LDL particles). Statins are first line therapy, and reduce LDL cholesterol levels without affecting LDL particle size. Fenofibrate addresses the triglycerides, HDL cholesterol levels, and LDL phenotype, so is recommended as second level therapy. The third element is niacin, but for insulin resistant patients, a question has been whether niacin might be exacerbating the underlying pathophysiology of Metabolic Syndrome patients. In SNARED, niacin was compared to the insulin sensitizer rosiglitazone in study subjects already on statin and fenofibrate.

All volunteers participating in SNARED exhibit LDL phenotype pattern B despite statin therapy at the time of recruitment. Comparisons of LDL phenotype at baseline are to be compared to measurements made after 4 months of statin + fenofibrate. If the LDL phenotype converts to pattern A (large LDL particles), this is a study endpoint. Otherwise, study subjcts are randomized to receive statin+fenofibrate+niacin, or statin+fenofibrate+rosiglitazone for six months, at which time lipid phenotype will again be determined..

Minimum age: 18 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Age >= 18 years Fasting triglycerides > 100 mg/dL Fasting plasma glucose 110-128 mg/dL

Non-pattern A LDL phenotype

Exclusion Criteria:

- Overt diabetes mellitus Current therapy with hypoglycemic agents Secondary causes of

dyslipidemia (e. g. HRT, thyroid disease) Serum creatinine > 2. 5 mg/dL or nephrotic syndrome AST/ALT > 3X upper limits of normal Known gallbladder disease History of gout or hyperuricemia History of peptic ulcer disease Hypersensitivity or intolerance to any of the study drugs Women who are pregnant or nursing

Foundation Research, St. Petersburg, Florida 33705, United States

Starting date: January 2001
Ending date: February 2005
Last updated: March 17, 2006