Table 2.
Baseline
|
6 Mo
|
Change Over 6 Mo
|
||||||
---|---|---|---|---|---|---|---|---|
Pitavastatin | Placebo | Pitavastatin | Placebo | Pitavastatin (n = 24) | Placebo (n = 23) | Effect Size (95% CI) | P | |
Body composition | ||||||||
Weight, kg | 108.6 ± 3.6 | 116.4 ± 4.8 | 107.6 ± 3.6 | 117.4 ± 4.6 | −1.0 ± 0.8 | 1.0 ± 0.8 | −2.0 (−4.4, 0.3) | 0.09 |
BMI, kg/m2 | 35.6 ± 1.0 | 36.1 ± 1.4 | 35.4 ± 1.0 | 36.4 ± 1.3 | −0.3 ± 0.3 | 0.3 ± 0.3 | −0.6 (−1.4, 0.1) | 0.10 |
Waist circumference, cm | 118 ± 2 | 122 ± 3 | 117 ± 2 | 123 ± 3 | −0 ± 1 | 1 ± 1 | −1 (−4, 2) | 0.40 |
VAT area, cm2 | 272 ± 16 | 271 ± 24 | 267 ± 16 | 287 ± 25 | −6 ± 15 | 16 ± 13 | −22 (−62, 19) | 0.29 |
SAT area, cm2 | 393 ± 25 | 425 ± 36 | 405 ± 35 | 424 ± 33 | 11 ± 14 | −1 ± 12 | 13 (−25, 51) | 0.50 |
VAT/SAT ratio | 0.75 ± 0.08 | 0.70 ± 0.08 | 0.78 ± 0.10 | 0.73 ± 0.08 | 0.02 ± 0.08 | 0.04 ± 0.05 | −0.01 (−0.20, 0.17) | 0.88 |
Body fat, % | 35.8 ± 1.0 | 36.7 ± 1.2 | 35.8 ± 0.9 | 37.2 ± 1.1 | 0.1 ± 0.4 | 0.4 ± 0.3 | −0.4 (−1.4, 0.6) | 0.47 |
Lipid profile | ||||||||
Total cholesterol, mg/dL | 183 ± 4 | 199 ± 6 | 137 ± 4 | 197 ± 6 | −46 ± 4 | −2 ± 5 | −44 (−57, −32) | <0.0001 |
LDL-C, mg/dL | 116 ± 4 | 125 ± 5 | 75 ± 3 | 126 ± 4 | −49 ± 3 | −1 ± 4 | −48 (−58, −37) | <0.0001 |
HDL-C, mg/dL | 41 ± 2 | 43 ± 2 | 39 ± 1 | 43 ± 2 | −2 ± 1 | −0 ± 1 | −1 (−4, 2) | 0.38 |
Triglycerides, mg/dL | 133 ± 12 | 153 ± 15 | 123 ± 19 | 144 ± 12 | −10 ± 10 | −9 ± 11 | −1 (−31, 29) | 0.95 |
Metabolic parameters | ||||||||
HbA1c, % | 5.7 ± 0.1 | 5.7 ± 0.1 | 5.7 ± 0.1 | 5.7 ± 0.1 | 0.0 ± 0.1 | −0.0 ± 0.0 | 0.1 (−0.1, 0.2) | 0.24 |
Fasting glucose, mg/dL | 98 ± 2 | 97 ± 2 | 96 ± 3 | 99 ± 2 | −2 ± 2 | 2 ± 2 | −4 (−10, 1) | 0.13 |
2-hr OGTT glucose, mg/dLa | 139 ± 6 | 132 ± 8 | 141 ± 9 | 138 ± 8 | 3 ± 6 | 7 ± 6 | −3 (−20, 14) | 0.71 |
HOMA-IR | 2.1 ± 0.4 | 1.6 ± 0.2 | 1.6 ± 0.3 | 2.0 ± 0.3 | −0.5 ± 0.3 | 0.3 ± 0.2 | −0.8 (−1.6, -0.1) | 0.03 |
Fasting insulin, μU/mL | 8.5 ± 1.5 | 6.7 ± 0.8 | 7.0 ± 1.0 | 7.9 ± 1.2 | −1.9 ± 1.1 | 1.1 ± 1.0 | −3.1 (−6.1, -0.0) | 0.05 |
Low-dose clamp M, mg/kg/min | 1.4 ± 0.2 | 1.9 ± 0.2 | 1.5 ± 0.2 | 1.6 ± 0.2 | 0.1 ± 0.1 | −0.3 ± 0.2 | 0.4 (−0.1, 0.8) | 0.11 |
High-dose clamp M, mg/kg/min | 6.4 ± 0.4 | 6.6 ± 0.5 | 5.9 ± 0.4 | 5.9 ± 0.3 | −0.5 ± 0.3 | −0.7 ± 0.4 | 0.2 (−0.9, 1.3) | 0.70 |
Ra glucose, mg/kg/minb | 1.57 ± 0.06 | 1.55 ± 0.05 | 1.66 ± 0.08 | 1.58 ± 0.07 | 0.07 ± 0.07 | 0.04 ± 0.07 | 0.03 (−0.17, 0.23) | 0.76 |
CPK, U/L | 135 ± 18 | 197 ± 37 | 137 ± 14 | 194 ± 34 | 2 ± 13 | −3 ± 24 | 5 (−50, 59) | 0.87 |
CoQ10, μg/mL | 1.0 ± 0.1 | 1.1 ± 0.1 | 0.6 ± 0.0 | 1.0 ± 0.1 | −0.4 ± 0.1 | −0.1 ± 0.1 | −0.4 (−0.7, −0.1) | 0.01 |
Liver parameters | ||||||||
ALT, IU/L | 29 ± 3 | 25 ± 3 | 37 ± 8 | 27 ± 3 | 8 ± 8 | 3 ± 2 | 6 (−11, 22) | 0.49 |
AST, IU/L | 24 ± 2 | 24 ± 2 | 31 ± 5 | 26 ± 3 | 7 ± 5 | 2 ± 2 | 5 (−5, 15) | 0.35 |
Liver fat content, %c | 17 ± 2 | 14 ± 3 | 17 ± 2 | 14 ± 2 | −1 ± 1 | −0 ± 1 | −1 (−5, 3) | 0.56 |
Data reported as mean ± SEM. P for Student two sample t test (two-tailed) comparing changes between groups. Data shown are for patients who had both baseline and follow-up data available.
OGTT performed at screen visit and not repeated at baseline. Screen values shown for baseline. Change in 2-h glucose between screen visit and 6 mo.
10 participants (5 pitavastatin, 5 placebo) did not have data for stable isotope procedure because of inability to obtain venous access (N = 1) or temporary unavailability of glucose isotope (N = 9).
7 participants (2 pitavastatin, 5 placebo) were unable to complete MRI at baseline because of inability to fit in the scanner or unanticipated claustrophobia.