Ireland
--:--IST
Starting soon Phase 4

Statins to Prevent Immune Checkpoint Inhibitor-induced PRogression of AtherosLerosis

NCT06785974 · tracked via the Priya Life Science Netherlands tracker
Phase
Phase 4
Started
2025-02
Last updated
2025-01-22

Condition(s) studied

AtherosclerosisMelanomaImmune-related Adverse Event

Investigational drug(s) / intervention(s)

Atorvastatin →Placebo

Atorvastatin: Daily 20mg atorvastatin.

Placebo: Daily Placebo in combination with ICI-therapy

Study summary

The goal of this interventional study is to test whether atorvastatin prevents accelerated progression of atherosclerosis in melanoma patients who receive immune checkpoint inhibitor (ICI) therapy. The main questions it aims to answer are:

* difference in percentage growth of total atherosclerotic plaque volume (+ calcified and non-calcified plaque volume) in the descending thoracic segment of the aorta
* difference in percentage growth of total atherosclerotic plaque volume (+ calcified and non-calcified plaque volume) in coronary arteries.

Researchers will compare patients that receive ICI-therapy and atorvastatin with patients that receive ICI-therapy + placebo to see if atorvastatin will prevent accelerated ICI induced plaque growth.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * In order to be eligible to participate in this study, a subject must meet all of the following criteria: * Age ≥ 18 years * Able to understand the written information and able to give informed consent * Melanoma diagnosis with planned ICI treatment according to standard of care (nivolumab, pembrolizumab, monotherapy or combination therapy with ipilimumab) * Presence of atherosclerosis in the descending thoracic aorta at baseline. Exclusion Criteria: * Pregnancy or lactation * Baseline statin use or previously reported statin intolerance * Current or recent (≤1 year) history of alcohol or drug abuse * Contra-indication for statin therapy, including: * Active liver disease, including ALT/AST levels ≥ 3x ULN * (History of) myopathy Congenital muscular disorder History of (drug-induced) rhabdomyolysis History of drug-induced myopathy with elevated creatine kinase (CK) * Severe kidney failure (creatinine clearance \< 30 ml/min) * Use of essential medication with (potential) interactions with atorvastatin, including: * strong CYP3A4 inhibitors such as clarithromycin, ciclosporin, itraconazol, ketoconazole, voriconazol, posconazol, HCV agents, HIV protease inhibitors * BCRP inhibitors such as elbasvir and grazoprevir * Fibrates (including gemfibrozil) * Life expectancy \< 12 months * High MESA-score at baseline

Primary outcome measure(s)

  • Percentual annual growth of atherosclerotic plaques in the descending thoracic aorta — 1 year
    The percentage difference in atherosclerotic plaque volume in the descending part of the thoracic after 1 year of ICI-therapy will be compared to the atherosclerotic plaque volume at baseline.

Trial sites (1)

FacilityCityRegionStatus
Erasmus Universitair Medisch Cetrum Rotterdam Rotterdam South Holland
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06785974 on ClinicalTrials.gov ↗ ← All trials in the Netherlands