Effect of Administration of the Combination Bezafibrate More Berberine on Lipid Profile in Patients With Dyslipidemia
Study Details
Study Description
Brief Summary
Dyslipidemia, is a cardiovascular risk factor of great importance whose prevalence has increased over the last decade. Part of the components of metabolic syndrome and consensus so far contemplated to increased triglycerides and reduced HDL-C as part of the elements for classification, which includes mixed dyslipidemia.
Currently fibrates, such as bezafibrate, are drugs whose utility in treating hypertriglyceridemia is fully proven, besides reducing the risk of coronary disease. However, although this treatment is safe, it is not without risks; with increased prevalence of adverse effects as the dose thereof is increased or joins combination with a statin drug for the treatment of mixed dyslipidemia long term.
Among the alternative therapies is berberine, which to reduce cholesterol and triglycerides may be useful in combination with the bezafribrato in the treatment of mixed dyslipidemia and as an option with lower cost and lower frequency of adverse events.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
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Phase 2 |
Detailed Description
Clinical trial, double-blind, simple random assignment and parallel groups. Three study groups of patients will be between 30-60 years of age diagnosed with mixed dyslipidemia with failure to control medical nutrition therapy, which by simple random assignment with random numbers will be assigned to one of three groups:
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20 patients will receive berberine, 1500 mg / day
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Patients receive 20 bezafibrate 400 mg / day
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20 patients will receive combination of berberine (1500 mg / day) plus bezafibrate (400 mg / day) They were determined before and after the intervention: lipid profile (total cholesterol, triglycerides, HDL-C, LDL-C, VLDL), weight, BMI, waist circumference, glucose, blood pressure, tolerability.
Statistical analysis was performed upon the sample of subjects. Before starting the statistical analysis of the groups will proceed to verify the behavior of the distribution of the variables included by Z Kolmogorov-Smirnov goodness of fit. The distribution of all the variables under this test is cataloged in normal or not normal, which define the type of statistical test would be performed (parametric or non-parametric). However, based on the sample size, non-parametric tests will be those considered most suitable for application. The data obtained will be expressed and presented using measures of central tendency and dispersion for quantitative (mean and standard deviation) variables and qualitative variables are expressed as frequencies and percentages.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Active Comparator: Berberine more Placebo Men and women aged 30 to 60 years with an established diagnosis of mixed dyslipidemia: total cholesterol> 200 mg / dL, triglycerides> 150 mg / dL |
Drug: Berberine
Berberine capsules, 500 mg 3 times daily with the first bite of each meal
Drug: Placebo
Placebo capsules, 200 mg 2 times daily with the first bite of each meal
Other Names:
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Active Comparator: Bezafibrate more placebo Men and women aged 30 to 60 years with an established diagnosis of mixed dyslipidemia: total cholesterol> 200 mg / dL, triglycerides> 150 mg / dL |
Drug: Bezafibrate
Bezafibrate capsules, 200 mg 2 times daily with the first bite of each meal
Drug: Placebo
Placebo capsules, 500 mg 3 times daily with the first bite of each meal
Other Names:
|
Experimental: Berberine more Bezafibrate Men and women aged 30 to 60 years with an established diagnosis of mixed dyslipidemia: total cholesterol> 200 mg / dL, triglycerides> 150 mg / dL |
Drug: Berberine
Berberine capsules, 500 mg 3 times daily with the first bite of each meal
Drug: Bezafibrate
Bezafibrate capsules, 200 mg 2 times daily with the first bite of each meal
|
Outcome Measures
Primary Outcome Measures
- Total cholesterol [90 days]
Before and after intervention by spectrophotometry
- Triglycerides [90 days]
Before and after intervention by spectrophotometry
- High density lipoprotein cholesterol [90 days]
Before and after intervention by spectrophotometry
- Low density lipoprotein [90 days]
Before and after intervention by Friedewall formula
- Very low density lipoprotein [90 days]
Before and after intervention by Friedewall formula
Secondary Outcome Measures
- Body weight [90 days]
Before and after intervention by
- Body mass index [90 days]
Before and after intervention by
- Waist circumference [90 days]
Before and after intervention
- Fasting glucose [90 days]
Before and after intervention
- Blood pressure [90 days]
Before and after intervention
- Alanine aminotransferasa [90 days]
Before and after intervention
- Aspartate aminotransferase [90 days]
Before and after intervention
- Creatinine [90 days]
Before and after intervention
Eligibility Criteria
Criteria
Inclusion Criteria:
- Men and women B. Accomplished age 30 to 60 years
C. Diagnosis of mixed dyslipidemia established to meet the following criteria:
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Total cholesterol> 200 mg / dL
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Triglycerides> 150 mg / dL 27 D. BMI of 25 kg / m2 to 39.9 kg / m2, weight stable over the past three months, defined as a variability in the lower body weight of 5%.
- No drug treatment for lipid profile 3 months prior to baseline. F. Women must ensure a non-hormonal method to avoid pregnancy during the study period G. written information consent
Exclusion Criteria:
- Removal for informed consent letter B. Loss of monitoring C. Presence of serious adverse event D. Adherence to treatment <80% E. Consumption of drugs known about lipid profile, glucose metabolism, blood pressure and body weight during the intervention period influence
- Intolerance or not tolerability or hypersensitivity to the compounds used in the study
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Institute of Experimental and Clinical Therapeutics (INTEC), CUCS, University of Guadalajara | Guadalajara | Jalisco | Mexico | 44340 |
Sponsors and Collaborators
- University of Guadalajara
Investigators
- Principal Investigator: Esperanza Martínez-Abundis, PhD, Institute of Experimental and Clinical Therapeutics (INTEC), CUCS, University of Guadalajara
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- EABYBL