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Pulmonary Disease, Chronic ObstructivePhase 3STATCOPENCT01061671

Simvastatin Therapy for Moderate and Severe COPD

A Phase 3 study testing simvastatin in people with Pulmonary Disease, Chronic Obstructive, run by University of Minnesota at 51 sites in 2 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

To determine the effect of daily administration of 40 mgms simvastatin taken for at least 12 months (range 12-36 months) on the frequency of exacerbations of chronic obstructive lung disease (COPD) in patients with moderate to severe COPD who are prone to exacerbations and do not have other indications for statin… Read more about this study

Who is it for?
Ages 40 to 80 years
Conditions the study is for
Pulmonary Disease, Chronic Obstructive
What is being tested?
simvastatin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
885 participants
Where
51 sitesin 2 countries
Study dates
Mar 2010to Jan 2014
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and female subjects, 40-80 years of age.
  • Clinical diagnosis of at least moderate COPD as defined by the GOLD criteria:
  • Postbronchodilator FEV1(forced expiratory volume at one second)/FVC(forced vital capacity) < 70%,
  • Postbronchodilator FEV1 (forced expiratory volume at one second) < 80% predicted, with or without chronic symptoms (i.e., cough, sputum production).
  • Cigarette consumption of 10 pack-years or more. Patients may or may not be active smokers.
  • Must meet one or more of the following 4 conditions
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  • Be using supplemental oxygenate
  • Receiving a course of systemic corticosteroids and/or antibiotics for respiratory problems in the past year,
  • Visiting an Emergency Department for a COPD exacerbation within the past year, or
  • Being hospitalized for a COPD (Chronic Obstructive Pulmonary Disease) exacerbation within the past year
  • Willingness to make return visits and availability by telephone for duration of study.
  • Free of active coronary disease
  • Subject with expected life expectancy > 36 months

Who cannot join

  • Patients who:
  • are on statin drugs.
  • should be on statins based on established risk stratification using the ATP-III (Adult Treatment Panel) to determine 10 year risk.
  • Documented history of active coronary heart disease, such as unstable angina, prior myocardial infarction, stroke, symptomatic peripheral vascular or carotid artery disease, or congestive heart failure within the past 3 months.
  • A diagnosis of asthma.
  • The presence of a diagnosis other than COPD that results in the patient being either medically unstable, or having a predicted life expectancy < 3 years.
Show all 20Show fewer
  • Special patient groups: prisoners, pregnant women, institutionalized patients
  • Women who are at risk of becoming pregnant during the study (pre-menopausal) and who refuse to use acceptable birth control (hormone-based oral or barrier contraceptive) for the duration of the study.
  • Woman using estradiol compounds for contraception. Postmenopausal women on estradiol compounds for hormone replacement therapy will be allowed into the trial.
  • Participants otherwise meeting the inclusion criteria will not be enrolled until they are a minimum of four weeks from their most recent acute exacerbation.
  • A clinical diagnosis of bronchiectasis defined as production of > one-half cup of purulent sputum/day.
  • Participants using niacin, azole antifungals (itraconazole, ketoconazole, posaconazole), fibric acid derivatives, erythromycin, clarithromycin, telithromycin, diltiazem, amlodipine , ranolazine,HIV protease inhibitors (such as indinavir), amiodarone, gemfibrozil, cyclosporine, verapamil, danazol, nefazodone, and red yeast rice extracts are excluded
  • Active liver disease. Active liver disease is defined as ALT (alanine aminotransferase), AST (aspartate aminotransferase) as greater than 1.5 times the upper limit of normal.
  • Patients with renal failure defined by serum creatinine greater than 3mg/dl.
  • Alcoholism. Alcoholism is defined as > 35 drinks per week. A drink is defined as one bottle of beer, one 8-ounce glass of wine, or one ounce of hard liquor.
  • Hypersensitivity to HMG CoA (3-hydroxy-3-methylglutaryl-coenzyme A) reductase inhibitors. Hypersensitivity is defined as an allergic reaction to statin, prior history of myopathy, rhabdomyolysis or previous intolerance to statin use.
  • Participants drinking greater than 4 cups (1qt) of grapefruit juice per day.
  • Participants drinking greater than 3 cups of green tea per day.
  • Diabetics will be excluded. Diabetics are defined by:
  • 1. A CURRENT physician diagnosis of diabetes OR 2. CURRENT use of diabetic meds OR 3. Elevated HbA1c > 6.5% 18. The discretion of the Principal Investigator that the potential participant will not be a reliable study subject to complete the study requirements.

Trial locations and contacts

51 sites in 2 countries.

51 sites in 2 countries

United States35 sites
  • Lovelace Respiratory Research Institute

    Albuquerque, New Mexico, 87108

  • Veteran's Administration Medical Center

    Ann Arbor, Michigan, 48105

  • University of Michigan

    Ann Arbor, Michigan, 48109

  • University of Colorado

    Aurora, Colorado, 80045

  • University of Maryland Baltimore

    Baltimore, Maryland, 21201

  • St. Luke's Hospital and Health Network

    Bethlehem, Pennsylvania, 18015

  • University of Alabama at Birmingham

    Birmingham, Alabama, 35294

  • Veteran's Administration Medical Center

    Birmingham, Alabama, 35294

  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

  • Veteran's Administration Medical Center

    Boston, Massachusetts, 02132

  • Western New York Veterans Administration Healthcare System

    Buffalo, New York, 14125

  • Northwestern University

    Chicago, Illinois, 60611

  • University of Illinois Health System

    Chicago, Illinois, 60637

  • Cincinnati VAMC

    Cincinnati, Ohio, 45220

  • Cleveland Clinic

    Cleveland, Ohio, 44195

  • Ohio State University

    Columbus, Ohio, 43221

  • Geisinger Medical Center

    Danville, Pennsylvania, 17822

  • National Jewish Health

    Denver, Colorado, 80206

  • Duke University

    Durham, North Carolina, 27710

  • Malcom Randall VA Medical Center

    Gainesville, Florida, 32608

  • Baylor College of Medicine

    Houston, Texas, 77030

  • Institute for Respiratory and Sleep

    Langhorne, Pennsylvania, 19047

  • LA BioMed at Harbor-UCLA Medical Center

    Los Angeles, California, 90502

  • Veteran's Administration Medical Center

    Minneapolis, Minnesota, 55417

  • HealthPartners Research Foundation

    Minneapolis, Minnesota, 55440

  • LSU Health

    New Orleans, Louisiana, 70112

  • Temple University Lung Center

    Philadelphia, Pennsylvania, 19140

  • University of Pittsburgh

    Pittsburgh, Pennsylvania, 15213

  • Pittsburgh VA Medical Center

    Pittsburgh, Pennsylvania, 15240

  • Oregon Health & Science University

    Portland, Oregon, 97239

  • Mayo Clinic

    Rochester, Minnesota, 55905

  • University of Utah Health Sciences Center

    Salt Lake City, Utah, 84132

  • University of California at San Francisco

    San Francisco, California, 94143

  • Reliant Medical Group

    Worcester, Massachusetts, 01608

  • Respiratory Specialists

    Wyomissing, Pennsylvania, 19601

Other trials in United States

Canada16 sites
  • University of Calgary

    Calgary, Alberta, T2N4Z6

  • University of Alberta

    Edmonton, Alberta, T6G 2C8

  • Queen Elizabeth II Health Sciences Center

    Halifax, Nova Scotia, B3H 3A7

  • St. Joseph's Healthcare Hamilton

    Hamilton, Ontario, L8N 4A6

  • Jewish General Hospital

    Montreal, Quebec, H3T 1E2

  • Royal Columbian Hospital

    New Westminster, British Columbia

  • The Ottawa Hospital

    Ottawa, Ontario, K1H 8L6

  • Ottawa Civic Hospital

    Ottawa, Ontario, K1Y4E9

  • Institut Universitaire de Cardiologie et de Pneumologie de Québec (Laval Hospital)

    Québec, G1V 4G5

  • Royal University Hospital

    Saskatoon, Saskatchewan, S7N 0W8

  • Surrey Memorial Hospital

    Surrey, British Columbia, V3V1N1

  • Inspiration Research Limited

    Toronto, Ontario, M5T 3A9

  • Vancouver General Hospital

    Vancouver, British Columbia, V5Z1M9

  • St. Paul's Hospital

    Vancouver, British Columbia, V6Z 1Y6

  • Lion's Gate Hospital

    Vancouver, British Columbia, V7M2H9

  • St. Boniface Hospital

    Winnipeg, Manitoba, R2H2A6

Other trials in Canada

About this study

Official title: Prospective Randomized Placebo-Controlled Trial of SimvaSTATin in the Prevention of COPD Exacerbations (STATCOPE)

To determine the effect of daily administration of 40 mgms simvastatin taken for at least 12 months (range 12-36 months) on the frequency of exacerbations of chronic obstructive lung disease (COPD) in patients with moderate to severe COPD who are prone to exacerbations and do not have other indications for statin treatment.

Read the detailed description

COPD exacerbation is a common complication that significantly contributes to the high morbidity, mortality and costs associated with COPD. COPD exacerbations are associated with heightened lung inflammation that may have systemic implications (e.g., peripheral muscle weakness, cognitive impairment, depression, stroke, acute coronary syndrome, and atherosclerosis). Statins are potent agents that significantly reduce vascular events in patients with increased risks due to prior cardiac or cerebral vascular events and elevated lipid profiles. Statins have pleiotropic effects that extend well beyond their lipid lowering effects and may be potent anti-inflammatory agents. Retrospective data conducted in COPD patients indicate that statin use is associated with markedly decreased rates of COPD hospitalization and stabilization of lung function. Decreases in mortality in COPD due to complications of flu-like illnesses and deaths due to cardiovascular events have also been reported. Inflammatory biomarkers (C-reactive protein and interleukin- 6) are reported to be elevated in moderate to severe COPD patients who are prone to exacerbations. Inflammatory biomarkers (C-reactive protein and interleukin- 6) are reported to be reduced by statin therapy in patients with hyperlipidemia and cardiovascular diseases. Treatments that can effectively lessen the prevalence and severity of COPD exacerbations are desperately needed

Being tested
simvastatin, Placebo
Keywords
Chronic Obstructive Pulmonary Disease, COPD, Exacerbation, Lung function, Cardiovascular, Smoking, Statins, Simvastatin
Medical subject headings
Pulmonary Disease, Chronic Obstructive, Smoking

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • simvastatinDrug

    Also called Zocor

    40 mgms of simvastatin daily

  • PlaceboDrug

    Also called sugar pill

    Matched placebo pill daily

Study groups in NCT01061671
Study groupRoleWhat they receive
simvastatinActive comparator40 mgms of simvastatin daily
Receives: Drug: simvastatin
placeboPlacebo comparatorMatched placebo pill daily
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Rates of COPD Exacerbations

    Measured: up to 37 months

Secondary outcomes (3)
  1. Time to First COPD Exacerbation

    Measured: up to 37 months

  2. Change in FEV1 (% Pred) From Baseline to Last Measure

    Measured: Baseline, last measure at up to 37 months

  3. Acute Exacerbation COPD Hospitalization Rates (Events/Patient Year)

    Measured: up to 37 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Feb 2010 (estimated)
  2. Study startMar 2010
  3. Primary completionJan 2014
  4. Study completionJan 2014

Why it stopped: Futility

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
885 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01061671
Sponsor's protocol ID
689
Other IDs
U10HL074424
Acronym
STATCOPE
Status last verified
Dec 2017
First submitted
2 Feb 2010
Last updated
2 Jan 2018
Data monitoring committee
Yes

Publications

  • Camac ER, Voelker H, Criner GJ; COPD Clinical Research Network and the Canadian Institutes of Health Research. Impact of COPD exacerbations leading to hospitalization on general and disease-specific quality of life. Respir Med. 2021 Sep;186:106526. doi: 10.1016/j.rmed.2021.106526. Epub 2021 Jun 29.

    PubMed 34229290
  • Rao AK, Del Carpio-Cano F, Janapati S, Zhao H, Voelker H, Lu X, Criner G; NIH COPD Clinical Research Network, the Canadian Institute of Health Research Investigators. Effects of simvastatin on tissue factor pathway of blood coagulation in STATCOPE (Simvastatin in the prevention of COPD exacerbations) trial. J Thromb Haemost. 2021 Jul;19(7):1709-1717. doi: 10.1111/jth.15282. Epub 2021 Apr 12.

    PubMed 33638931
  • Leitao Filho FS, Ra SW, Mattman A, Schellenberg RS, Criner GJ, Woodruff PG, Lazarus SC, Albert R, Connett JE, Han MK, Martinez FJ, Leung JM, Paul Man SF, Aaron SD, Reed RM, Sin DD; Canadian Respiratory Research Network (CRRN). Serum IgG subclass levels and risk of exacerbations and hospitalizations in patients with COPD. Respir Res. 2018 Feb 14;19(1):30. doi: 10.1186/s12931-018-0733-z.

    PubMed 29444682
  • Brown KE, Sin DD, Voelker H, Connett JE, Niewoehner DE, Kunisaki KM; COPD Clinical Research Network. Serum bilirubin and the risk of chronic obstructive pulmonary disease exacerbations. Respir Res. 2017 Oct 24;18(1):179. doi: 10.1186/s12931-017-0664-0.

    PubMed 29065885
  • Criner GJ, Connett JE, Aaron SD, Albert RK, Bailey WC, Casaburi R, Cooper JA Jr, Curtis JL, Dransfield MT, Han MK, Make B, Marchetti N, Martinez FJ, Niewoehner DE, Scanlon PD, Sciurba FC, Scharf SM, Sin DD, Voelker H, Washko GR, Woodruff PG, Lazarus SC; COPD Clinical Research Network; Canadian Institutes of Health Research. Simvastatin for the prevention of exacerbations in moderate-to-severe COPD. N Engl J Med. 2014 Jun 5;370(23):2201-10. doi: 10.1056/NEJMoa1403086. Epub 2014 May 18.

    PubMed 24836125

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing simvastatin in people with Pulmonary Disease, Chronic Obstructive, run by University of Minnesota at 51 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 13 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 2 Jan 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 51 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 26 Mar 2015). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Rates of COPD Exacerbations (time frame: up to 37 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01061671, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Jan 2018; AzTrials last refreshed its copy on 29 Oct 2026.

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