Investigating the effects of pitavastatin and ezetimibe on glucose metabolism in patients with cardiovascular disease and metabolic syndrome

Effects of Pitavastatin or Combination of Pitavastatin and Ezetimibe on Glucose Metabolism Compared to AtoRvastatin in atheroscLerotic Cardiovascular Disease Patients With Metabolic Syndrome: The EZ-PEARL Randomized Trial

Not applicable Interventional Yonsei University · NCT05705804

This study is testing whether the medications pitavastatin alone or with ezetimibe can improve blood sugar levels in people with heart disease and metabolic syndrome who don't have diabetes.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment250 (estimated)
SexAll
SponsorYonsei University Academic / other
Locations1 site (Seoul)
Trial IDNCT05705804 on ClinicalTrials.gov

What this trial studies

This study aims to evaluate the impact of pitavastatin alone and in combination with ezetimibe on glucose metabolism in patients suffering from atherosclerotic cardiovascular disease and metabolic syndrome. Participants will be compared against those receiving atorvastatin to determine the effectiveness of these treatments. The study focuses on patients with dyslipidemia who do not have diabetes, ensuring a specific target population for the interventions. The trial will assess various metabolic outcomes over a defined period.

Who should consider this trial

Good fit: Ideal candidates for this study are patients with dyslipidemia and a diagnosis of atherosclerotic cardiovascular disease who also have metabolic syndrome but do not have diabetes.

Not a fit: Patients who have recently been diagnosed with atherosclerotic cardiovascular disease, those with acute liver disease, or individuals with a history of severe side effects from statins may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could provide new insights into managing glucose metabolism in patients with cardiovascular disease and metabolic syndrome, potentially leading to improved treatment strategies.

How similar studies have performed: Other studies have explored the effects of statins on metabolic parameters, but this specific combination therapy approach is relatively novel.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Patients with dyslipidemia
2. Patient with diagnosis of clinical atherosclerotic cardiovascular disease (acute coronary syndrome, history of myocardial infarction, stable or unstable angina, history of coronary artery reperfusion, stroke or transient stroke, history of peripheral arterial disease or peripheral arterial reperfusion)
3. Patients with metabolic syndrome but without diabetes

Exclusion Criteria:

1. Diagnosis of clinical atherosclerotic cardiovascular disease within 1 year
2. Acute liver disease or persistent unexplained serum AST or ALT three times the upper limit of normal
3. Allergy or hypersensitivity to statins or ezetimibe
4. Solid organ transplant recipients
5. History of side effects requiring discontinuation of statin administration
6. Pregnant women, potentially pregnant or lactating women
7. Life expectancy less than 3 years
8. If it is judged that follow-up for more than 1 year is not possible
9. If the patient is unable to understand or read the consent form

Where this trial is running

Seoul

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions DyslipidemiasAtherosclerotic Cardiovascular Disease
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.