Differences between rosuvastatin and atorvastatin in lipid-lowering action and effect on glucose metabolism in Japanese hypercholesterolemic patients with concurrent diabetes. Lipid-lowering with highly potent statins in hyperlipidemia with type 2 diabetes patients (LISTEN) study –

Circ J. 2014;78(10):2512-5. doi: 10.1253/circj.cj-14-0810. Epub 2014 Sep 2.

Abstract

Background: Little is known about the differences between standard-dose statins effects on glucose level and lipids in Japanese patients with diabetes mellitus (DM).

Methods and results: The 1,049 patients were randomly assigned to either the rosuvastatin group or atorvastatin group. There were no significant differences between the 2 groups in the effect on non-high-density lipoprotein cholesterol (non-HDL-C) and HbA1c at 12 months. However, physicians tended to switch to more intensive therapy for DM in the atorvastatin group.

Conclusions: Rosuvastatin 5 mg and atorvastatin 10 mg have a similar lowering effect on non-HDL-C, but might be different in terms of adverse effect on glucose levels.

Trial registration: ClinicalTrials.gov NCT01544309.

Publication types

  • Clinical Trial
  • Comparative Study
  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Asian People
  • Atorvastatin
  • Blood Glucose / metabolism*
  • Cholesterol, HDL / blood
  • Diabetes Mellitus* / blood
  • Diabetes Mellitus* / drug therapy
  • Dose-Response Relationship, Drug
  • Female
  • Fluorobenzenes / administration & dosage*
  • Follow-Up Studies
  • Glycated Hemoglobin / metabolism
  • Heptanoic Acids / administration & dosage*
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / administration & dosage*
  • Hypercholesterolemia* / blood
  • Hypercholesterolemia* / drug therapy
  • Japan
  • Male
  • Pyrimidines / administration & dosage*
  • Pyrroles / administration & dosage*
  • Rosuvastatin Calcium
  • Sulfonamides / administration & dosage*

Substances

  • Blood Glucose
  • Cholesterol, HDL
  • Fluorobenzenes
  • Glycated Hemoglobin A
  • Heptanoic Acids
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Pyrimidines
  • Pyrroles
  • Sulfonamides
  • hemoglobin A1c protein, human
  • Rosuvastatin Calcium
  • Atorvastatin

Associated data

  • ClinicalTrials.gov/NCT01544309