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Statins are the most commonly prescribed class of drugs and inhibit the 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase enzyme lowering serum cholesterol and thus reducing cardiovascular risk. New evidence, however, suggests that Statins may also have uses beyond lipid lowering. Statins have shown anti-inflammatory and anti-oxidant properties, they prolong endothelial Nitric Oxide Synthase to act as vasodilators and have systemic influence at the cellular level. Statins have also been shown to decrease peritoneal inflammation and decrease levels of pro-inflammatory cytokines which the investigators have previously shown are correlated to recovery after surgery. Retrospective and Laboratory studies investigating Statins have reported improved outcomes in sepsis and Acute Pancreatitis as well as decreased rates of surgical wound infections and post-operative respiratory complications. They have also been shown to reduce intestinal ischaemia and reperfusion injury decreasing the risk of bacterial translocation and reducing the impact of the Systemic Inflammatory Response Syndrome (SIRS). No prospective studies have evaluated the perioperative use of Simvastatin in Colorectal Surgery or evaluated the impact of Statin use on systemic and local peritoneal cytokine release. The investigators will conduct a case-control study and then a randomized controlled trial (RCT) comparing Simvastatin to placebo to determine whether there are differences in both cytokine response and recovery. No such studies have been previously conducted.
Allocation: Randomized, Control: Placebo Control, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
Manukau Surgical Centre, Middlemore Hospital
Not yet recruiting
University of Auckland, New Zealand
Published on BioPortfolio: 2014-08-27T03:18:40-0400
To determine the effect of ezetimibe and simvastatin given together, and ezetimibe and simvastatin given alone on intestinal cholesterol absorption.
This multicenter, randomized, double-blind, placebo-controlled study will assess, after 6 weeks of dosing, whether co-administration of ezetimibe 10 mg with simvastatin 20 mg will be more ...
The purpose of this study is to evaluate safety of JTT-705 and to demonstrate efficacy of JTT-705 compared with placebo when co-administered with simvastatin 40 mg in patients with low HDL
This study will assess whether co-administration of ezetimibe 10 mg with simvastatin 20 mg will be more effective than treatment with simvastatin 20 mg alone in reducing LDL-C concentratio...
The investigators purpose is to initiate a phase II, randomized, placebo-controlled clinical trial to test simvastatin, an FDA-approved medication for hypercholesterolemia, as a new treatm...
The octapeptide NAP has been shown to exert neuroprotective properties and reduce neuro-inflammatory responses. The aim of the present study was to investigate if NAP provides anti-inflammatory effect...
To date, the neuroprotective effects of statins on intracerebral hemorrhage (ICH) are not well established. This study explored the effect and potential mechanism of simvastatin treatment on ICH. In t...
Microglia play a critical role in the regulation of CNS immune function, which can be greatly affected by M1/M2 polarization. The role of Notch signaling in Statins induced alteration of M1/M2 polariz...
Non-celiac gluten sensitivity (NCGS) is characterized by intestinal and extra-intestinal symptoms that are related to the ingestion of gluten in subjects who are not affected by either celiac disease ...
Cellular interactions between Endothelial Cell (EC) and Vascular Smooth Muscle Cell (VSMC) /macrophages appear to be greatly changed under inflammatory conditions. Simvastatin could regulate inflammat...
A pharmaceutical preparation of ezetimibe and simvastatin that is used in the treatment of HYPERCHOLESTEROLEMIA and HYPERLIPIDEMIAS.
Abnormal growths of tissue that follow a previous neoplasm but are not metastases of the latter. The second neoplasm may have the same or different histological type and can occur in the same or different organs as the previous neoplasm but in all cases arises from an independent oncogenic event. The development of the second neoplasm may or may not be related to the treatment for the previous neoplasm since genetic risk or predisposing factors may actually be the cause.
A condition caused by the lack of intestinal PERISTALSIS or INTESTINAL MOTILITY without any mechanical obstruction. This interference of the flow of INTESTINAL CONTENTS often leads to INTESTINAL OBSTRUCTION. Ileus may be classified into postoperative, inflammatory, metabolic, neurogenic, and drug-induced.
Misunderstanding among individuals, frequently research subjects, of scientific methods such as randomization and placebo controls.
Dilatation of the intestinal lymphatic system usually caused by an obstruction in the intestinal wall. It may be congenital or acquired and is characterized by DIARRHEA; HYPOPROTEINEMIA; peripheral and/or abdominal EDEMA; and PROTEIN-LOSING ENTEROPATHIES.
Enzymes are proteins that catalyze (i.e., increase the rates of) chemical reactions. In enzymatic reactions, the molecules at the beginning of the process, called substrates, are converted into different molecules, called products. Almost all chemical re...
Cardiology is a specialty of internal medicine. Cardiac electrophysiology : Study of the electrical properties and conduction diseases of the heart. Echocardiography : The use of ultrasound to study the mechanical function/physics of the h...