Overview

Effects of High Intensity Statin Therapy on Steroid Hormones and Vitamin D in Type 2 Diabetic Men

Status:
Completed
Trial end date:
2022-09-15
Target enrollment:
0
Participant gender:
Male
Summary
The aim of the study was to assess the effect of high intensity statin therapy on testicular and adrenal steroids and vitamin D levels in type 2 diabetes males.It is a prospective study, conducted between march 2021 and July 2022, including 60 men with type 2 diabetes, aged 40 - 65 years, statin-free, and in whom a treatment with high intensity statin was indicated. The patients had two visits, before and six months after a daily intake of 40 mg of atorvastatin. During each visit, they underwent a clinical examination including the Androgen Deficiency in the Aging Male (ADAM) questionnaire and a fasting blood sample was collected for biological and hormonal measurements.
Phase:
Phase 4
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Hopital La Rabta
Treatments:
Atorvastatin
Criteria
Inclusion Criteria:

- male subjects

- aged between 40 and 65 years

- Type 2 diabetes

- naive to statin

- patients in whom a high intensity statin therapy was indicated according to the
recommendations of the American Diabetes Association 2021 i.e in secondary
cardio-vascular prevention or in primary prevention if the patient was aged more than
50 years or if other atherosclerotic cardiovascular disease risk factors were
associated.

Exclusion Criteria:

- the use within the last six months of drugs interfering with steroidogenesis
(androgens, anti-androgens, Gn-RH analogues, corticosteroids, antiepileptics,
barbiturates or other enzyme inducer or inhibitor)

- history of endocrinopathy (hypogonadism, testicular tumor, pituitary insufficiency,
adrenal insufficiency, uncontrolled hypothyroidism)

- history of severe systemic disease (hepatic insufficiency, cirrhosis, alcoholism,
severe or moderate renal insufficiency, symptomatic heart failure, chronic
inflammatory disease)

- myocardial infarction or stroke within the last six months

- statin intolerance

- withdrawal of consent

- loss to follow-up

- poor compliance with treatment.