PMID- 26290682 OWN - NLM STAT- MEDLINE DCOM- 20160518 LR - 20220409 IS - 1942-0994 (Electronic) IS - 1942-0900 (Print) IS - 1942-0994 (Linking) VI - 2015 DP - 2015 TI - Effects of Ezetimibe/Simvastatin and Rosuvastatin on Oxidative Stress in Diabetic Neuropathy: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial. PG - 756294 LID - 10.1155/2015/756294 [doi] LID - 756294 AB - OBJECTIVE: To evaluate the effects of ezetimibe/simvastatin (EZE/SIMV) and rosuvastatin (ROSUV) on oxidative stress (OS) markers in patients with diabetic polyneuropathy (DPN). METHODS: We performed a randomized, double-blind, placebo-controlled phase III clinical trial in adult patients with Type 2 Diabetes Mellitus (T2DM) and DPN, as evaluated by composite scores and nerve conduction studies (NCS). Seventy-four subjects with T2DM were allocated 1 : 1 : 1 to placebo, EZE/SIMV 10/20 mg, or ROSUV 20 mg for 16 weeks. All patients were assessed before and after treatment: primary outcomes were lipid peroxidation (LPO), and nitric oxide (NO) surrogate levels in plasma; secondary outcomes included NCS, neuropathic symptom scores, and metabolic parameters. Data were expressed as mean +/- SD or SEM, frequencies, and percentages; we used nonparametric analysis. RESULTS: LPO levels were reduced in both statin arms after 16 weeks of treatment (p < 0.05 versus baseline), without changes in the placebo group. NO levels were not significantly affected by statin treatment, although a trend towards significance concerning increased NO levels was noted in both statin arms. No significant changes were observed for the NCS or composite scores. DISCUSSION: EZE/SIMV and ROSUV are superior to placebo in reducing LPO in subjects with T2DM suffering from polyneuropathy. This trial is registered with NCT02129231. FAU - Villegas-Rivera, Geannyne AU - Villegas-Rivera G AD - Instituto de Investigacion Clinica de Occidente, 45030 Guadalajara, JAL, Mexico. FAU - Roman-Pintos, Luis Miguel AU - Roman-Pintos LM AD - Instituto de Terapeutica Experimental y Clinica, Departamento de Fisiologia, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44340 Guadalajara, JAL, Mexico. FAU - Cardona-Munoz, Ernesto German AU - Cardona-Munoz EG AD - Instituto de Terapeutica Experimental y Clinica, Departamento de Fisiologia, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44340 Guadalajara, JAL, Mexico. FAU - Arias-Carvajal, Oscar AU - Arias-Carvajal O AD - Instituto de Terapeutica Experimental y Clinica, Departamento de Fisiologia, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44340 Guadalajara, JAL, Mexico. FAU - Rodriguez-Carrizalez, Adolfo Daniel AU - Rodriguez-Carrizalez AD AD - Instituto de Terapeutica Experimental y Clinica, Departamento de Fisiologia, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44340 Guadalajara, JAL, Mexico. FAU - Troyo-Sanroman, Rogelio AU - Troyo-Sanroman R AD - Instituto de Terapeutica Experimental y Clinica, Departamento de Fisiologia, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44340 Guadalajara, JAL, Mexico. FAU - Pacheco-Moises, Fermin Paul AU - Pacheco-Moises FP AD - Departamento de Farmacobiologia, Centro Universitario de Ciencias Exactas e Ingenierias, Universidad de Guadalajara, 44100 Guadalajara, JAL, Mexico. FAU - Moreno-Ulloa, Aldo AU - Moreno-Ulloa A AD - Seccion de Estudios de Posgrado, Escuela Superior de Medicina, Instituto Politecnico Nacional, 11340 Ciudad de Mexico, DF, Mexico ; Department of Medicine, University of California, San Diego, CA 92093, USA. FAU - Miranda-Diaz, Alejandra Guillermina AU - Miranda-Diaz AG AD - Instituto de Terapeutica Experimental y Clinica, Departamento de Fisiologia, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44340 Guadalajara, JAL, Mexico. LA - eng SI - ClinicalTrials.gov/NCT02129231 PT - Clinical Trial, Phase III PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20150728 PL - United States TA - Oxid Med Cell Longev JT - Oxidative medicine and cellular longevity JID - 101479826 RN - 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors) RN - 83MVU38M7Q (Rosuvastatin Calcium) RN - AGG2FN16EV (Simvastatin) RN - EOR26LQQ24 (Ezetimibe) SB - IM MH - Diabetic Neuropathies/*drug therapy MH - Double-Blind Method MH - Ezetimibe/administration & dosage/*therapeutic use MH - Female MH - Humans MH - Hydroxymethylglutaryl-CoA Reductase Inhibitors/administration & dosage/*therapeutic use MH - Male MH - Middle Aged MH - Rosuvastatin Calcium/administration & dosage/*therapeutic use MH - Simvastatin/administration & dosage/*therapeutic use PMC - PMC4531178 EDAT- 2015/08/21 06:00 MHDA- 2016/05/19 06:00 PMCR- 2015/07/28 CRDT- 2015/08/21 06:00 PHST- 2015/05/28 00:00 [received] PHST- 2015/07/06 00:00 [accepted] PHST- 2015/08/21 06:00 [entrez] PHST- 2015/08/21 06:00 [pubmed] PHST- 2016/05/19 06:00 [medline] PHST- 2015/07/28 00:00 [pmc-release] AID - 10.1155/2015/756294 [doi] PST - ppublish SO - Oxid Med Cell Longev. 2015;2015:756294. doi: 10.1155/2015/756294. Epub 2015 Jul 28.