Rosuvastatin Calcium

Questo articolo riassume gli studi clinici che stanno valutando Rosuvastatin Calcium. Le ricerche esaminano efficacia, sicurezza e altri risultati in persone con malattie reumatiche infiammatorie, rischio cardiovascolare alto, tromboembolismo venoso e volontari sani.

Table of contents

Overview of the clinical research

The available trials on Rosuvastatin Calcium study different clinical questions, not just one disease. Some trials test prevention strategies for cardiovascular disease, while others look at people with statin intolerance, venous thromboembolism, or healthy volunteers for drug testing and bioequivalence.[1][2][3][4][5]

Across the source data, the studies are interventional, meaning the researchers assign a treatment, placebo, or comparison strategy to measure outcomes in a planned way.[1][2][3][4][5]

Who is being studied

One large Phase 3 trial includes people with chronic inflammatory rheumatic disease, such as rheumatoid arthritis, psoriatic arthritis, axial spondyloarthritis, or systemic lupus erythematosus.[1]

Another Phase 3 study focuses on people with statin intolerance and high cardiovascular risk, including those with previous cardiovascular disease or familial hypercholesterolemia, which means a hereditary form of very high cholesterol.[2]

The SAVER trial studies people with venous thromboembolism, including pulmonary embolism and deep vein thrombosis.[3]

Two Phase 1 studies enrolled healthy volunteers: one looked at the effect of nirmatrelvir/ritonavir on Rosuvastatin Calcium exposure, and another compared a test capsule with reference products under fasting conditions.[4][5]

Trial phases and study designs

The largest studies in the data are Phase 3 trials, which usually test whether a strategy works in a larger patient group and measure clinical outcomes.[1][2][3]

The two smaller studies are Phase 1 trials, which are earlier studies. In these trials, researchers measured how the drug behaves in the body or whether two formulations are similar enough to be considered bioequivalent.[4][5]

One Phase 3 study uses a strategy based on carotid ultrasound to find patients at higher cardiovascular risk and then treat them, while comparing this approach with current guideline-based care.[1]

Another Phase 3 study uses an n=1 design, which means the participant’s own results are used to guide counseling and treatment decisions, with the goal of improving statin use over time.[2]

The SAVER trial compares Rosuvastatin Calcium with placebo to see whether it lowers the rate of recurrent major venous thromboembolism.[3]

The Phase 1 pharmacokinetic study tested a single oral dose of rosuvastatin with multiple doses of nirmatrelvir/ritonavir in healthy participants.[4]

The bioequivalence study compared a test capsule containing Rosuvastatin/Amlodipine/Ramipril with separate reference products in healthy men and women under fasting conditions.[5]

Main endpoints measured

In the rheumatic disease trial, the main endpoint is the occurrence of a major cardiovascular event, such as acute myocardial infarction, stroke, unstable angina requiring hospital admission, revascularization for peripheral artery disease, or death due to cardiovascular disease.[1]

In the statin-intolerance trial, the main endpoint is self-reported statin use 12 months after inclusion, which shows whether people kept taking the treatment.[2]

In the SAVER trial, the main endpoint is symptomatic recurrent major venous thromboembolism, meaning a new serious clot event like proximal deep vein thrombosis or a larger pulmonary embolism during follow-up.[3]

In the Phase 1 drug-interaction study, the main endpoints are AUCinf and Cmax of rosuvastatin, which measure total drug exposure and peak blood level.[4]

In the bioequivalence study, the main endpoints are AUC and Cmax, with 90% confidence intervals used to compare the test product with the reference products.[5]

Main trial summaries

2025-521086-28-00 is a Phase 3 interventional study in 1,250 patients with inflammatory rheumatic diseases. It tests a prevention strategy based on carotid ultrasound and measures major cardiovascular events.[1]

2023-507489-20-00 is a Phase 3 trial in 249 people with statin intolerance and high cardiovascular risk. It uses a randomized, double-blind, cross-over n=1 approach and measures statin use after 12 months.[2]

NCT04319627, the SAVER trial, is a Phase 3 study in 2,500 patients with venous thromboembolism, pulmonary embolism, or deep vein thrombosis. It compares Rosuvastatin Calcium with placebo and measures recurrent major venous events.[3]

2023-503570-20-00 is a completed Phase 1 study in 12 healthy volunteers. It examined the effect of nirmatrelvir/ritonavir on Rosuvastatin Calcium pharmacokinetics.[4]

2023-503822-38-00 is a completed Phase 1 bioequivalence study in 60 healthy subjects. It compared a fixed-dose capsule with reference products under fasting conditions.[5]

Important terms explained

Primary outcome means the main result the researchers want to measure in a trial.[1][2][3][4][5]

Enrollment is the number of people planned or included in the study.[1][2][3][4][5]

Placebo is a comparison treatment with no active medicine, used to see whether the study drug makes a difference.[3][4]

Bioequivalence means the test product is compared with reference products to see if the body absorbs them in a similar way.[5]

Pharmacokinetics describes how the body handles a drug, including the amount in the blood and how long it stays there.[4][5]

Carotid ultrasound is an imaging test of the neck arteries, used in one trial to help find patients at higher cardiovascular risk.[1]

Familial hypercholesterolemia is a hereditary condition that causes very high cholesterol and higher cardiovascular risk.[2]

Deep vein thrombosis is a clot in a deep vein, usually in the leg.[3]

Pulmonary embolism is a clot that travels to the lungs and can be serious.[3]

Trial ID Phase Condition studied Status Enrollment
2025-521086-28-00 Phase 3 Malattie reumatiche infiammatorie croniche e prevenzione cardiovascolare primaria Authorised 1250
2023-507489-20-00 Phase 3 Intolleranza alle statine e rischio cardiovascolare alto Authorised 249
NCT04319627 Phase 3 Tromboembolismo venoso, embolia polmonare, trombosi venosa profonda Authorised 2500
2023-503570-20-00 Phase 1 COVID-19; interazione con nirmatrelvir/ritonavir in volontari sani Completed 12
2023-503822-38-00 Phase 1 Bioequivalenza in soggetti sani Completed 60

Sperimentazioni cliniche in corso su Rosuvastatin Calcium

  • Studio sull’Efficacia della Rosuvastatina nei Pazienti con Tromboembolia Venosa

    In arruolamento

    1 1 1
    Farmaci in studio:
    Francia Norvegia
  • Studio sull’intolleranza alle statine con rosuvastatina e placebo per pazienti ad alto rischio cardiovascolare

    In arruolamento

    1 1
    Farmaci in studio:
    Paesi Bassi
  • Studio sull’efficacia dell’ecografia carotidea per la prevenzione delle malattie cardiovascolari in pazienti con malattie reumatiche infiammatorie croniche utilizzando una combinazione di farmaci ipolipemizzanti

    Arruolamento non iniziato

    1 1 1 1
    Malattie in studio:
    Spagna
  • Studio di confronto tra la combinazione di rosuvastatina, amlodipina e ramipril e i farmaci di riferimento in volontari sani.

    Arruolamento concluso

    1 1 1
    Malattie in studio:
    Cechia
  • Studio sull’effetto di nirmatrelvir e ritonavir sulla rosuvastatina in volontari adulti sani

    Arruolamento concluso

    1 1 1
    Belgio

Glossario

  • Trial clinico: Uno studio di ricerca che valuta un trattamento, una strategia o un confronto tra opzioni di cura in persone.
  • Fase 1: Una fase iniziale dello studio, spesso fatta in piccoli gruppi, per misurare come il farmaco si comporta nell’organismo.
  • Fase 3: Una fase più avanzata che confronta trattamenti in gruppi più grandi per capire se funzionano e quanto sono sicuri.
  • Interventistico: Significa che i partecipanti ricevono un trattamento o un confronto pianificato dallo studio.
  • Placebo: Una sostanza senza principio attivo usata come confronto per vedere se il trattamento studiato fa la differenza.
  • Crossover: Un tipo di studio in cui la stessa persona riceve più trattamenti in momenti diversi.
  • Doppio cieco: Un disegno dello studio in cui né il partecipante né chi valuta i risultati sa quale trattamento è stato assegnato.
  • Farmacocinetica: Lo studio di come un farmaco entra nel sangue, si distribuisce e viene eliminato dal corpo.
  • AUC: Una misura dell’esposizione totale del corpo al farmaco nel tempo.
  • Cmax: La concentrazione massima raggiunta dal farmaco nel sangue.
  • Evento cardiovascolare maggiore: Un problema grave del cuore o dei vasi sanguigni, come infarto, ictus o morte cardiovascolare.
  • Tromboembolismo venoso: La formazione di un coagulo nelle vene che può causare trombosi venosa profonda o embolia polmonare.

Riferimenti

  1. https://clinicaltrials.gov/study/2025-521086-28-00
  2. https://clinicaltrials.gov/study/2023-507489-20-00
  3. https://studi-clinici.it/studio/studio-sullefficacia-della-rosuvastatina-nei-pazienti-con-tromboembolia-venosa/
  4. https://clinicaltrials.gov/study/2023-503570-20-00
  5. https://clinicaltrials.gov/study/2023-503822-38-00