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CRESTOR® (rosuvastatin calcium)



 

Use in Patients With Diabetes

In this section, you can review results from clinical trials in which CRESTOR® (rosuvastatin calcium) was used as an adjunct to diet in patients with
type 2 diabetes.

Results in Patients With Diabetes

  • LDL-C goal attainment (<100 mg/dL) in patients with type 2 diabetes1,2,3 Adapted from the ANDROMEDA, CORALL, and URANUS Trials
  • LDL-C reductions vs atorvastatin in patients with type 2 diabetes2 Adapted from the CORALL Trial
  • LDL-C reductions vs atorvastatin in patients with type 2 diabetes1 Adapted from the ANDROMEDA Trial
TRIALS: ANDROMEDA, CORALL, and URANUS

LDL-C goal attainment (<100 mg/dL) in patients with
type 2 diabetes1,2,3

LDL Cholesterol goal attainment in patients with Type 2 Diabetes 1 2 3

*In 3 titration trials of patients with type 2 diabetes treated with a starting dose of CRESTOR 10 mg.

In the ANDROMEDA trial (n=240), 94% reached LDL-C goal of <96.5 mg/dL at 8 weeks. There was a mean LDL-C reduction of 51% from baseline of 131 mg/dL. The primary end point was the percentage change from baseline in LDL-C after 16 weeks.1

In the CORALL trial (n=130), 82% reached LDL-C goal of <100 mg/dL at 6 weeks. There was a mean LDL-C reduction of 46% from baseline of 164 mg/dL. The primary end point, the percentage change from baseline in ApoB/ApoA1 ratio after 6 weeks, was not significantly different between CRESTOR and atorvastatin. LDL-C goal achievement was another end point.2

In the URANUS trial (n=232), 65% reached LDL-C goal of <100 mg/dL at 4 weeks. There was a mean LDL-C reduction of 48% from baseline of 178 mg/dL. The primary end point was the percentage change from baseline in LDL-C after 16 weeks.3

Enlarge Chart 1 2 3
Show/Hide Description

ANDROMEDA was a randomized, double-blind, multicenter, parallel-group, forced-titration trial comparing the efficacy and safety of CRESTOR (10 mg and 20 mg) and atorvastatin (10 mg and 20 mg) in patients with type 2 diabetes mellitus. The primary end point was the percentage change from baseline in LDL-C after 16 weeks. Secondary end points included the percentage change from baseline in other lipid and lipoprotein variables.1

CORALL was an 18-week, randomized, multicenter, open-label, parallel-group, forced-titration trial comparing the efficacy and safety of CRESTOR with atorvastatin in 263 patients with type 2 diabetes mellitus and dyslipidemia. In this trial, patients were randomized to receive CRESTOR 10 mg or atorvastatin 20 mg for 6 weeks. At week 6, doses were increased to CRESTOR 20 mg or atorvastatin 40 mg, and at week 12, doses were increased to CRESTOR 40 mg or atorvastatin 80 mg for a further 6 weeks. Statistical comparisons were not made across the dose range, only across the same time period (6 weeks vs 6 weeks, 12 weeks vs 12 weeks, 18 weeks vs 18 weeks). The primary end point of CORALL, the percentage change from baseline in ApoB/ApoA-1 ratio at 6 weeks, was not significantly different between CRESTOR and atorvastatin.2

URANUS was a 16-week, randomized, double-blind, forced-titration trial comparing CRESTOR and atorvastatin in 465 type 2 diabetics with dyslipidemia. Patients were randomized to CRESTOR 10 mg or atorvastatin 10 mg for 4 weeks and then titrated up if goal was not met. The primary end point, percentage change from baseline in LDL-C at 16 weeks, was significantly better in the rosuvastatin group (10 mg to 40 mg) when compared with the atorvastatin group (10 mg to 80 mg).3

TRIAL: CORALL

LDL-C reductions vs atorvastatin in patients with
type 2 diabetes2

CRESTOR LDL reductions vs. atorvastatin in patients with Type 2 Diabetes

*P<.05 vs atorvastatin 20 mg
P<.05 vs atorvastatin 40 mg.
P<.01 vs atorvastatin 80 mg.

CRESTOR n=130
atorvastatin n=132

Mean baseline LDL-C: 163 mg/dL to 171 mg/dL.

Enlarge Chart
Show/Hide Description

CORALL was an 18-week, randomized, multicenter, open-label, parallel-group, forced-titration trial comparing the efficacy and safety of CRESTOR with atorvastatin in 263 patients with type 2 diabetes mellitus and dyslipidemia. In this trial, patients were randomized to receive CRESTOR 10 mg or atorvastatin 20 mg for 6 weeks. At week 6, doses were increased to CRESTOR 20 mg or atorvastatin 40 mg, and at week 12, doses were increased to CRESTOR 40 mg or atorvastatin 80 mg for a further 6 weeks. Statistical comparisons were not made across the dose range, only across the same time period (6 weeks vs 6 weeks, 12 weeks vs 12 weeks, 18 weeks vs 18 weeks). The primary end point of CORALL, the percentage change from baseline in ApoB/ApoA-1 ratio at 6 weeks, was not significantly different between CRESTOR and atorvastatin.2

TRIAL: ANDROMEDA

LDL-C reductions vs atorvastatin in patients with
type 2 diabetes1

LDL Cholesterol reductions in patients with Type 2 Diabetes

*P<.001 CRESTOR 10 mg vs atorvastatin 10 mg; CRESTOR 20 mg vs
atorvastatin 20 mg.

Week 8:
CRESTOR 10 mg n=240
atorvastatin 10 mg n=240

Week 16:
CRESTOR 20 mg n=227
atorvastatin 20 mg n=229

Enlarge Chart
Show/Hide Description

ANDROMEDA was a 16 week randomized, double-blind, multicenter, parallel-group, forced-titration trial comparing the efficacy and safety of CRESTOR (10 mg and 20 mg) and atorvastatin (10 mg and 20 mg) in patients with type 2 diabetes mellitus. The primary end point was the percentage change from baseline in LDL-C after 16 weeks. Secondary end points included the percentage change from baseline in other lipid and lipoprotein variables.1