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Trial registered on ANZCTR
Registration number
ACTRN12606000387527
Ethics application status
Approved
Date submitted
31/08/2006
Date registered
4/09/2006
Date last updated
29/05/2009
Type of registration
Retrospectively registered
Titles & IDs
Public title
A study to investigate the effect of taking fenofibrate on abnormal artery blood vessel function in people with Type 2 diabetes who are on best-dose treatment with statin medications.
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Scientific title
Effect of micronised fenofibrate on endothelial dysfunction in subjects with Type 2 diabetes mellitus who are receiving optimal dose statin therapy.
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Universal Trial Number (UTN)
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Trial acronym
FENOS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Endothelial dysfunction in Type 2 Diabetes
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Condition category
Condition code
Metabolic and Endocrine
1444
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0
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
12 week crossover study comparing Fenofibrate 145mg orally daily or placebo in subjects with Type 2 Diabetes who are receiving optimal dose statin therapy
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
Placebo
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Brachial artery ultrasound: change in %FMD (flow mediated dilatation, endothelium-mediated).
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Assessment method [1]
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Timepoint [1]
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Outcome measure undertaken at screening visit, weeks 0, 12, 16 and 28.
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Secondary outcome [1]
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1. Forearm plethysmography: changes in forearm blood flow.
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Assessment method [1]
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Timepoint [1]
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Outcome measures undertaken at screening visit.
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Secondary outcome [2]
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2. Non-invasive measures of arterial stiffness (applanation tonometry and arterial pulse wave analysis: Small and larger artery compliance, Augmetnation index, and Pulse Wave Velocity).
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Assessment method [2]
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Timepoint [2]
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Outcome measures undertaken at screening visit.
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Secondary outcome [3]
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3. Biological markers.
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Assessment method [3]
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Timepoint [3]
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Safety biochemistry undertaken at screening visit, weeks 0, 6, 12, 16, 22 and 28.
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Eligibility
Key inclusion criteria
Type 2 diabetes aged 40-79 years; treatment with HMG-CoA reductase inhibitor (statin) at a stable dose for >=6 weeks; fasting LDL-cholesterol<2.5mmol/L; HDL-cholesterol <=1.5mmol/L; brachial artery FMD <=5.50% on screening ultrasound.
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Minimum age
40
Years
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Maximum age
79
Years
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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
Exclusion criteria at screening: daytime insulin treatment (nocte insulin permitted); uncontrolled hyperglycaemia (HbA1c level >9.0%); uncontrolled hypertension (resting BP >150/90mmHg); total fasting cholesterol >=6.0mmol/L or triglycerides >=4.5mmol/L; treatment with other lipid-regulating medications (eg. fibrate, ezetimibe, cholestyramine, niacin, fish oil) or with CoQ supplements (within previous 6 weeks); current treatment with warfarin, nitrate or PDE5-inhibitor (eg. sildenafil); history of gall bladder disease; recent cardiovascular event (within previous 6 months); atrial fibrillation or other significant dysrhythmia; significantly abnormal renal (creatinine >150ummol/L), liver (ALT >3 times ULN) or thyroid function; Creatine Kinase >3 times ULN; significant anaemia; current smoker (previous 6 months); ethanol intake>21 standard drinks/week; significant substance abuse, psychiatric illness or likely poor compliance with study protocol; any other serious illness (eg. cancer) or likelihood of not completing study; technical difficulty with obtaining ultrasound scan of sufficient quality; weight>150kg.
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Study design
Purpose of the study
Treatment
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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)
Sequencially numbered boxes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomisation sequence generated by computer using SAS PROC-PLAN software
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
subjects, study nurse, investigator and data analyst
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Phase
Phase 3 / Phase 4
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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
1/08/2006
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
25
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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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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School of Medicine and Pharmacology
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Address [1]
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Universiy of Western Australia
35 Stirling Highway
Crawley WA 6009
Perth, Australia
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Professor Gerald Watts
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Address
Schoool of Medicine and Pharmacology, Royal Perth Hospital Unit, University of Western Australia, P O Box X2213, Perth, WA 6847
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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None
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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School of Medicine and Pharmacology, Royal Perth Hospital Unit, University of Western Australia
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Ethics committee address [1]
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
3007
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Approval date [1]
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12/04/2006
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Ethics approval number [1]
3007
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EC2006/091
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Summary
Brief summary
People with diabetes and atherogenic dyslipidaemia who are treated with statin medication may still be at increased risk of cardiovascular disease and may require combination lipid regulating therapy to further reduce their risk. Endothelial dysfunction and increased arterial stiffness are present in early diabetic vascular disease and may be useful surrogate endpoints for cardiovascular risk. This 30 week, randomised double-blinded crossover study in 25 participants with diabetes who have endothelial dysfunction despite optimal statin therapy, aims to investigate whether combination therapy with micronised fenofibrate 145mg with no-food-effect orally once daily compared to matching placebo improves endothelial dysfunction.
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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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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Sandra Hamilton
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Address
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School of Medicine and Pharmacology
Royal Perth Hospital
Level 3
Rear 50 Murray Street
Perth WA 6001
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Country
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Australia
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Phone
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+61 8 92240318
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Fax
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+61 8 92240243
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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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Professor Gerald Watts
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Address
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School of Medicine and Pharmacology
Royal Perth Hospital
Level 4
Rear 50 Murray Street
Perth WA 6001
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Country
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Australia
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Phone
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+61 8 92240252
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Fax
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+61 8 92240246
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
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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