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Rosuvastatin

Alias: ZD 4522; ZD-4522; ZD4522; S-4522; S 4522; S4522; Brand name: Crestor.
Cat No.:V3294 Purity: ≥98%
Rosuvastatin (S-4522; ZD-4522;S4522; ZD4522; trade name: Crestor) is a member of the statin class of antihyperlipidemic drugs which acts as a competitive inhibitor of HMG-CoA reductase with IC50 of 11 nM in a cell-free assay.
Rosuvastatin
Rosuvastatin Chemical Structure CAS No.: 287714-41-4
Product category: HMG-CoA Reductase
This product is for research use only, not for human use. We do not sell to patients.
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Other Forms of Rosuvastatin:

  • S-Desmethyl-S-(2-hydroxy-2-methylpropyl) Rosuvastatin calcium
  • Rosuvastatin Calcium
  • Rosuvastatin Sodium
  • Rosuvastatin D3 Sodium
  • Rosuvastatin-d3 (ZD 4522 d3)
  • Rosuvastatin D6 Sodium
  • Rosuvastatin-d6 calcium
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Purity & Quality Control Documentation

Purity: ≥98%

Product Description

Rosuvastatin (S-4522; ZD-4522; S4522; ZD4522; trade name: Crestor) is a member of the statin class of antihyperlipidemic drugs which acts as a competitive inhibitor of HMG-CoA reductase with IC50 of 11 nM in a cell-free assay. Rosuvastatin belongs to the statin class that has been approved for the treatment of high cholesterol and related conditions such as dyslipidemia, and to prevent cardiovascular disease. Its approximate elimination half life is 19 h and its time to peak plasma concentration is reached in 3–5 h following oral administration. In 2013 Crestor was the fourth-highest selling drug in the United States, accounting for approx. $5.2 billion in sales.

Biological Activity I Assay Protocols (From Reference)
ln Vitro

In vitro activity: Rosuvastatin is relatively hydrophilic and is highly selective for hepatic cells; its uptake is mediated by the liver-specific organic anion transporter OATP-C. Rosuvastatin is a high-affinity substrate for OATP-C with apparent association constant of 8.5 μM. Rosuvastatin inhibits cholesterol biosynthesis in rat liver isolated hepatocytes with IC50 of 1.12 nM. Rosuvastatin causes approximately 10 times greater increase of mRNA of LDL receptors than pravastatin. Rosuvastatin (100 μM) decreases the extent of U937 adhesion to TNF-α-stimulated HUVEC. Rosuvastatin inhibits the expressions of ICAM-1, MCP-1, IL-8, IL-6, and COX-2 mRNA and protein levels through inhibition of c-Jun N-terminal kinase and nuclear factor-kB in endothelial cells.


Kinase Assay: Rosuvastatin Calcium is a competitive inhibitor of HMG-CoA reductase with IC50 of 11 nM.


Cell Assay: Rosuvastatin is relatively hydrophilic and is highly selective for hepatic cells; its uptake is mediated by the liver-specific organic anion transporter OATP-C. Rosuvastatin is a high-affinity substrate for OATP-C with apparent association constant of 8.5 μM. Rosuvastatin inhibits cholesterol biosynthesis in rat liver isolated hepatocytes with IC50 of 1.12 nM. Rosuvastatin causes approximately 10 times greater increase of mRNA of LDL receptors than pravastatin. Rosuvastatin (100 μM) decreases the extent of U937 adhesion to TNF-α-stimulated HUVEC. Rosuvastatin inhibits the expressions of ICAM-1, MCP-1, IL-8, IL-6, and COX-2 mRNA and protein levels through inhibition of c-Jun N-terminal kinase and nuclear factor-kB in endothelial cells.

ln Vivo
In awake and unrestrained guinea pigs, rosuvastatin (10 mg/kg, intraperitoneal) prolongs QTc from 201±1 to 210±2 ms[2]. In diabetic mellitus rats generated by streptozocin, rosuvastatin (20 mg/kg/day) significantly lowers very low-density lipoproteins (VLDL)[4].
Animal Protocol
20 mg/kg/day
Male beagle dogs and Monkey
ADME/Pharmacokinetics
Absorption, Distribution and Excretion
In a study of healthy white male volunteers, the absolute oral bioavailability of rosuvastatin was found to be approximately 20% while absorption was estimated to be 50%, which is consistent with a substantial first-pass effect after oral dosing. Another study in healthy volunteers found that the peak plasma concentration (Cmax) of rosuvastatin was 6.06ng/mL and was reached at a median of 5 hours following oral dosing. Both Cmax and AUC increased in approximate proportion to dose. Neither food nor evening versus morning administration was shown to have an effect on the AUC of rosuvastatin. Many statins are known to interact with hepatic uptake transporters and thus reach high concentrations at their site of action in the liver. Breast Cancer Resistance Protein (BCRP) is a membrane-bound protein that plays an important role in the absorption of rosuvastatin, particularly as CYP3A4 has minimal involvement in its metabolism. Evidence from pharmacogenetic studies of c.421C>A single nucleotide polymorphisms (SNPs) in the gene for BCRP has demonstrated that individuals with the 421AA genotype have reduced functional activity and 2.4-fold higher AUC and Cmax values for rosuvastatin compared to study individuals with the control 421CC genotype. This has important implications for the variation in response to the drug in terms of efficacy and toxicity, particularly as the BCRP c.421C>A polymorphism occurs more frequently in Asian populations than in Caucasians. Other statin drugs impacted by this polymorphism include [fluvastatin] and [atorvastatin]. Genetic differences in the OATP1B1 (organic-anion-transporting polypeptide 1B1) hepatic transporter have also been shown to impact rosuvastatin pharmacokinetics. Evidence from pharmacogenetic studies of the c.521T>C SNP showed that rosuvastatin AUC was increased 1.62-fold for individuals homozygous for 521CC compared to homozygous 521TT individuals. Other statin drugs impacted by this polymorphism include [simvastatin], [pitavastatin], [atorvastatin], and [pravastatin]. For patients known to have the above-mentioned c.421AA BCRP or c.521CC OATP1B1 genotypes, a maximum daily dose of 20mg of rosuvastatin is recommended to avoid adverse effects from the increased exposure to the drug, such as muscle pain and risk of rhabdomyolysis.
Rosuvastatin is not extensively metabolized; approximately 10% of a radiolabeled dose is recovered as metabolite. Following oral administration, rosuvastatin and its metabolites are primarily excreted in the feces (90%). After an intravenous dose, approximately 28% of total body clearance was via the renal route, and 72% by the hepatic route. A study in healthy adult male volunteers found that approximately 90% of the rosuvastatin dose was recovered in feces within 72 hours after dose, while the remaining 10% was recovered in urine. The drug was completely excreted from the body after 10 days of dosing. They also found that approximately 76.8% of the excreted dose was unchanged from the parent compound, with the remaining dose recovered as the metabolites n-desmethyl rosuvastatin and rosuvastatin-5S-lactone. Renal tubular secretion is responsible for >90% of total renal clearance, and is believed to be mediated primarily by the uptake transporter OAT3 (Organic anion transporter 1), while OAT1 had minimal involvement.
Rosuvastatin undergoes first-pass extraction in the liver, which is the primary site of cholesterol synthesis and LDL-C clearance. The mean volume of distribution at steady-state of rosuvastatin is approximately 134 litres.
In clinical pharmacology studies in man, peak plasma concentrations of rosuvastatin were reached 3 to 5 hours following oral dosing. Both Cmax and AUC increased in approximate proportion to Crestor dose. The absolute bioavailability of rosuvastatin is approximately 20%. Administration of Crestor with food did not affect the AUC of rosuvastatin. The AUC of rosuvastatin does not differ following evening or morning drug administration.
Mean volume of distribution at steady-state of rosuvastatin is approximately 134 liters. Rosuvastatin is 88% bound to plasma proteins, mostly albumin. This binding is reversible and independent of plasma concentrations.
Following oral administration, rosuvastatin and its metabolites are primarily excreted in the feces (90%). ... After an intravenous dose, approximately 28% of total body clearance was via the renal route, and 72% by the hepatic route.
/MILK/ Limited data indicate that Crestor is present in human milk.
For more Absorption, Distribution and Excretion (Complete) data for Rosuvastatin (7 total), please visit the HSDB record page.
Metabolism / Metabolites
Rosuvastatin is not extensively metabolized, as demonstrated by the small amount of radiolabeled dose that is recovered as a metabolite (~10%). Cytochrome P450 (CYP) 2C9 is primarily responsible for the formation of rosuvastatin's major metabolite, N-desmethylrosuvastatin, which has approximately 20-50% of the pharmacological activity of its parent compound in vitro. However, this metabolic pathway isn't deemed to be clinically significant as there were no observable effects found on rosuvastatin pharmacokinetics when rosuvastatin was coadministered with fluconazole, a potent CYP2C9 inhibitor. In vitro and in vivo data indicate that rosuvastatin has no clinically significant cytochrome P450 interactions (as substrate, inhibitor or inducer). Consequently, there is little potential for drug-drug interactions upon coadministration with agents that are metabolized by cytochrome P450.
Rosuvastatin is not extensively metabolized; approximately 10% of a radiolabeled dose is recovered as metabolite. The major metabolite is N-desmethyl rosuvastatin, which is formed principally by cytochrome P450 \ 2C9, and in vitro studies have demonstrated that N-desmethyl rosuvastatin has approximately one-sixth to one-half the HMG-CoA reductase inhibitory activity of the parent compound. Overall, greater than 90% of active plasma HMG-CoA reductase inhibitory activity is accounted for by the parent compound.
Not extensively metabolized. Only ~10% is excreted as metabolite. Cytochrome P450 (CYP) 2C9 is primarily responsible for the formation of rosuvastatin's major metabolite, N-desmethylrosuvastatin. N-desmethylrosuvastatin has approximately 50% of the pharmacological activity of its parent compound in vitro. Rosuvastatin clearance is not dependent on metabolism by cytochrome P450 3A4 to a clinically significant extent. Rosuvastatin accounts for greater than 90% of the pharmacologic action. Inhibitors of CYP2C9 increase the AUC by less than 2-fold. This interaction does not appear to be clinically significant.
Route of Elimination: Rosuvastatin is not extensively metabolized; approximately 10% of a radiolabeled dose is recovered as metabolite. Following oral administration, rosuvastatin and its metabolites are primarily excreted in the feces (90%). After an intravenous dose, approximately 28% of total body clearance was via the renal route, and 72% by the hepatic route.
Half Life: 19 hours
Biological Half-Life
The elimination half-life (t½) of rosuvastatin is approximately 19 hours and does not increase with increasing doses.
The elimination half-life of rosuvastatin is approximately 19 hours.
Toxicity/Toxicokinetics
Toxicity Summary
IDENTIFICATION AND USE: Rosuvastatin is hydroxymethylglutaryl-CoA reductase inhibitor. It is is indicated to reduce the risk of stroke, myocardial infarction, and arterial revascularization procedures. HUMAN EXPOSURE AND TOXICITY: Rosuvastatin is the most potent 3-hydroxy-3-methyl-glutaryl-coenzyme A reductase inhibitor commercially available to lower low-density lipoprotein cholesterol. Rosuvastatin has been associated with several adverse effects, including rhabdomyolysis and arthralgias. Myopathy and rhabdomyolysis with acute renal failure secondary to myoglobinuria have been reported in patients receiving statins, including rosuvastatin. These adverse effects can occur at any dosage, but the risk is increased with the highest dosage of rosuvastatin (40 mg daily). There is a report of Takotsubo cardiomyopathy, triggered by delayed-onset rhabdomyolysis following the administration of long-term rosuvastatin treatment, without any preceding stressors or changes in the patient's medical condition, in association with complaints of non-specific muscle-related symptoms. Literature reported the case of a marathon runner who presented with acute rhabdomyolysis during competition while being under rosuvastatin treatment. A 77-year-old patient developed acute pancreatitis after treatment with rosuvastatin, which resolved on withdrawal of the medication. There have been rare postmarketing reports of fatal and non-fatal hepatic failure in patients taking statins, including rosuvastatin. The genotoxic potential of rosuvastatin was assessed by chromosomal aberrations (CAs), micronucleus (MN) and DNA damage by comet assay in human peripheral blood lymphocytes. According to these results, rosuvastatin is cytotoxic and clastogenic/aneugenic in human peripheral lymphocytes. ANIMAL STUDIES: Rosuvastatin was shown to be of low acute toxicity following administration of single doses to rats and dogs by oral and intravenous routes. There were no mortalities in rats given an oral dose of 1000 mg/kg or 2000 mg/kg, and other than depression of bodyweight at 2000 mg/kg, there were no treatment-related effects at either dose level. Dogs received oral doses of 1000 mg/kg or 2000 mg/kg with vomiting on the day of dosing observed as the major clinical finding in both sexes. In a 104-week carcinogenicity study in rats at dose levels of 2, 20, 60 or 80 mg/kg/day, the incidence of uterine polyps was statistically significantly increased only in females at the dose of 80 mg/kg/day. In a 107-week carcinogenicity study in mice given 10, 60, 200 or 400 mg/kg/day, the 400 mg/kg/day dose was poorly tolerated, resulting in early termination of this dose group. An increased incidence of hepatocellular carcinomas was observed at 200 mg/kg/day and an increase in hepatocellular adenomas was seen at 60 and 200 mg/kg/day. Rosuvastatin administration did not indicate a teratogenic effect in rats at Rosuvastatin is a competitive inhibitor of HMG-CoA reductase. HMG-CoA reductase catalyzes the conversion of HMG-CoA to mevalonate, an early rate-limiting step in cholesterol biosynthesis. Rosuvastatin acts primarily in the liver. Decreased hepatic cholesterol concentrations stimulate the upregulation of hepatic low density lipoprotein (LDL) receptors which increases hepatic uptake of LDL. Rosuvastatin also inhibits hepatic synthesis of very low density lipoprotein (VLDL). The overall effect is a decrease in plasma LDL and VLDL.
In vitro and in vivo animal studies also demonstrate that rosuvastatin exerts vasculoprotective effects independent of its lipid-lowering properties. Rosuvastatin exerts an anti-inflammatory effect on rat mesenteric microvascular endothelium by attenuating leukocyte rolling, adherence and transmigration (A2814). The drug also modulates nitric oxide synthase (NOS) expression and reduces ischemic-reperfusion injuries in rat hearts (A2818). Rosuvastatin increases the bioavailability of nitric oxide (A2814, 12031849, 15914111) by upregulating NOS (A2816) and by increasing the stability of NOS through post-transcriptional polyadenylation (A7824). It is unclear as to how rosuvastatin brings about these effects though they may be due to decreased concentrations of mevalonic acid.
Hepatotoxicity
Rosuvastatin therapy is associated with mild, asymptomatic and usually transient serum aminotransferase elevations in 1% to 3% of patients. ALT levels above 3 times the upper limit of normal (ULN) occur slightly more frequently among rosuvastatin treated [1.1%] than placebo [0.5%] recipients. Serum enzyme elevations are more common with higher doses of rosuvastatin, being 2.2% with 40 mg daily. Most of these elevations are self-limited and do not require dose modification. Rosuvastatin is also associated with frank, clinically apparent hepatic injury but this is rare, occurring in less than 1:10,000 patients. The onset is typically after 2 to 4 months ,and the pattern of serum enzyme elevations is usually hepatocellular, although cholestatic cases have also been reported. Rash, fever and eosinophilia are uncommon. Several statins including rosuvastatin have been linked to hepatitis with autoimmune features marked by ANA positivity, elevations in serum immunoglobulin levels, and a clinical response to corticosteroids. Such features are not, however, invariable (Case 1). The injury is usually self-limited and resolves rapidly once rosuvastatin is stopped, but it can be severe and fatal instances have been reported.
Likelihood score: A (likely cause of clinically apparent liver injury).
Effects During Pregnancy and Lactation
◉ Summary of Use during Lactation
Levels of rosuvastatin in milk are low, but no relevant published information exists with its use during breastfeeding. The consensus opinion is that women taking a statin should not breastfeed because of a concern with disruption of infant lipid metabolism. However, others have argued that children homozygous for familial hypercholesterolemia are treated with statins beginning at 1 year of age, that statins have low oral bioavailability, and risks to the breastfed infant are low, especially with rosuvastatin and pravastatin. Until more data become available, an alternate drug may be preferred, especially while nursing a newborn or preterm infant.
◉ Effects in Breastfed Infants
Relevant published information was not found as of the revision date.
◉ Effects on Lactation and Breastmilk
A possible case of rosuvastatin-induced gynecomastia has been reported. Serum prolactin was not measured.
Protein Binding
Rosuvastatin is 88% bound to plasma proteins, mostly albumin. This binding is reversible and independent of plasma concentrations.
Interactions
Concomitant use of rosuvastatin and ritonavir-boosted tipranavir produces minimal to no change in exposure to rosuvastatin. Following concomitant use of rosuvastatin (10 mg as a single dose) and ritonavir-boosted tipranavir (tipranavir 500 mg with ritonavir 200 mg twice daily for 11 days), rosuvastatin peak plasma concentration and AUC were increased by twofold and 26%, respectively. Caution is advised if rosuvastatin is used concomitantly with ritonavir-boosted tipranavir.
Concomitant use of rosuvastatin and antilipemic dosages (1 g daily or higher) of niacin may increase the risk of myopathy. Data from several large randomized studies indicate that concomitant use of niacin (1.5-2 g daily) with another statin (i.e., simvastatin 40-80 mg once daily, with or without ezetimibe) resulted in an increased risk of severe adverse effects, including disturbances in glycemic control requiring hospitalization, development of diabetes mellitus, adverse GI effects, myopathy, gout, rash, skin ulceration, infection, and bleeding. Caution is advised if rosuvastatin is used concomitantly with antilipemic dosages of niacin.
Following concomitant use of rosuvastatin (single 20-mg dose) with lomitapide (10 mg once daily for 7 days), peak plasma concentration and AUC of rosuvastatin were increased by 6 and 2%, respectively. Following concomitant use of rosuvastatin (single 20-mg dose) with lomitapide (60 mg once daily for 7 days), peak plasma concentration and AUC of rosuvastatin were increased by 4 and 32%, respectively. Dosage adjustment of rosuvastatin is not required during concomitant use with lomitapide.
Concomitant use of rosuvastatin (80 mg as a single dose) and ketoconazole (200 mg twice daily for 7 days) decreased rosuvastatin peak plasma concentration by 5% and increased rosuvastatin AUC by 2%.
For more Interactions (Complete) data for Rosuvastatin (25 total), please visit the HSDB record page.
References

[1]. Synthesis and biological activity of methanesulfonamide pyrimidine- and N-methanesulfonyl pyrrole-substituted 3,5-dihydroxy-6-heptenoates, a novel series of HMG-CoA reductase inhibitors. Bioorg Med Chem, 1997. 5(2): p. 437-44.

[2]. Rosuvastatin blocks hERG current and prolongs cardiac repolarization. J Pharm Sci. 2012 Feb;101(2):868-78.

[3]. Intracellular Mechanism of Rosuvastatin-Induced Decrease in Mature hERG Protein Expression on Membrane. Mol Pharm. 2019 Apr 1;16(4):1477-1488.

[4]. Rosuvastatin. Drugs, 2002. 62(14): p. 2075-85; discussion 2086-7.

Additional Infomation
Therapeutic Uses
Hydroxymethylglutaryl-CoA Reductase Inhibitors
/CLINICAL TRIALS/ ClinicalTrials.gov is a registry and results database of publicly and privately supported clinical studies of human participants conducted around the world. The Web site is maintained by the National Library of Medicine (NLM) and the National Institutes of Health (NIH). Each ClinicalTrials.gov record presents summary information about a study protocol and includes the following: Disease or condition; Intervention (for example, the medical product, behavior, or procedure being studied); Title, description, and design of the study; Requirements for participation (eligibility criteria); Locations where the study is being conducted; Contact information for the study locations; and Links to relevant information on other health Web sites, such as NLM's MedlinePlus for patient health information and PubMed for citations and abstracts for scholarly articles in the field of medicine. Rosuvastatin is included in the database.
In individuals without clinically evident coronary heart disease but with an increased risk of cardiovascular disease based on age >/= 50 years old in men and >/= 60 years old in women, hsCRP >/= 2 mg/L, and the presence of at least one additional cardiovascular disease risk factor such as hypertension, low HDL-C, smoking, or a family history of premature coronary heart disease, Crestor is indicated to: reduce the risk of stroke, reduce the risk of myocardial infarction, reduce the risk of arterial revascularization procedures. /Included in US product label/
Crestor is indicated as adjunctive therapy to diet to slow the progression of atherosclerosis in adult patients as part of a treatment strategy to lower Total-C and LDL-C to target levels. /Included in US product label/
For more Therapeutic Uses (Complete) data for Rosuvastatin (11 total), please visit the HSDB record page.
Drug Warnings
Crestor is contraindicated for use in pregnant women since safety in pregnant women has not been established and there is no apparent benefit to therapy with Crestor during pregnancy. Because HMG-CoA reductase inhibitors decrease cholesterol synthesis and possibly the synthesis of other biologically active substances derived from cholesterol, Crestor may cause fetal harm when administered to pregnant women. Crestor should be discontinued as soon as pregnancy is recognized.
Crestor should be prescribed with caution in patients with predisposing factors for myopathy (e.g., age >/= 65 years, inadequately treated hypothyroidism, renal impairment).
Myopathy and rhabdomyolysis with acute renal failure secondary to myoglobinuria have been reported in patients receiving statins, including rosuvastatin. These adverse effects can occur at any dosage, but the risk is increased with the highest dosage of rosuvastatin (40 mg daily).
Immune-mediated necrotizing myopathy (IMNM), an autoimmune myopathy, has been reported rarely in patients receiving statins. Immune-mediated necrotizing myopathy is characterized by proximal muscle weakness and elevated creatine kinase (CK, creatine phosphokinase, CPK) concentrations that persist despite discontinuance of statin therapy, necrotizing myopathy without substantial inflammation, and improvement following therapy with immunosuppressive agents.
For more Drug Warnings (Complete) data for Rosuvastatin (22 total), please visit the HSDB record page.
Pharmacodynamics
Rosuvastatin is a synthetic, enantiomerically pure antilipemic agent. It is used to lower total cholesterol, low density lipoprotein-cholesterol (LDL-C), apolipoprotein B (apoB), non-high density lipoprotein-cholesterol (non-HDL-C), and trigleride (TG) plasma concentrations while increasing HDL-C concentrations. High LDL-C, low HDL-C and high TG concentrations in the plasma are associated with increased risk of atherosclerosis and cardiovascular disease. The total cholesterol to HDL-C ratio is a strong predictor of coronary artery disease and high ratios are associated with higher risk of disease. Increased levels of HDL-C are associated with lower cardiovascular risk. By decreasing LDL-C and TG and increasing HDL-C, rosuvastatin reduces the risk of cardiovascular morbidity and mortality. Elevated cholesterol levels, and in particular, elevated low-density lipoprotein (LDL) levels, are an important risk factor for the development of CVD. Use of statins to target and reduce LDL levels has been shown in a number of landmark studies to significantly reduce the risk of development of CVD and all-cause mortality. Statins are considered a cost-effective treatment option for CVD due to their evidence of reducing all-cause mortality including fatal and non-fatal CVD as well as the need for surgical revascularization or angioplasty following a heart attack. Evidence has shown that even for low-risk individuals (with <10% risk of a major vascular event occurring within 5 years) statins cause a 20%-22% relative reduction in major cardiovascular events (heart attack, stroke, coronary revascularization, and coronary death) for every 1 mmol/L reduction in LDL without any significant side effects or risks. **Skeletal Muscle Effects** Cases of myopathy and rhabdomyolysis with acute renal failure secondary to myoglobinuria have been reported with HMG-CoA reductase inhibitors, including rosuvastatin. These risks can occur at any dose level, but are increased at the highest dose (40 mg). Rosuvastatin should be prescribed with caution in patients with predisposing factors for myopathy (e.g., age ≥ 65 years, inadequately treated hypothyroidism, renal impairment). The risk of myopathy during treatment with rosuvastatin may be increased with concurrent administration of some other lipid-lowering therapies (such as [fenofibrate] or [niacin]), [gemfibrozil], [cyclosporine], [atazanavir]/[ritonavir], [lopinavir]/ritonavir, or [simeprevir]. Cases of myopathy, including rhabdomyolysis, have been reported with HMG-CoA reductase inhibitors, including rosuvastatin, coadministered with [colchicine], and caution should therefore be exercised when prescribing these two medications together. Real-world data from observational studies has suggested that 10-15% of people taking statins may experience muscle aches at some point during treatment. **Liver Enzyme Abnormalities** Increases in serum transaminases have been reported with HMG-CoA reductase inhibitors, including rosuvastatin. In most cases, the elevations were transient and resolved or improved on continued therapy or after a brief interruption in therapy. There were two cases of jaundice, for which a relationship to rosuvastatin therapy could not be determined, which resolved after discontinuation of therapy. There were no cases of liver failure or irreversible liver disease in these trials. **Endocrine Effects** Increases in HbA1c and fasting serum glucose levels have been reported with HMG-CoA reductase inhibitors, including rosuvastatin calcium tablets. Based on clinical trial data with rosuvastatin, in some instances these increases may exceed the threshold for the diagnosis of diabetes mellitus. An in vitro study found that [atorvastatin], [pravastatin], [rosuvastatin], and [pitavastatin] exhibited a dose-dependent cytotoxic effect on human pancreas islet β cells, with reductions in cell viability of 32, 41, 34 and 29%, respectively, versus control]. Moreover, insulin secretion rates were decreased by 34, 30, 27 and 19%, respectively, relative to control. HMG-CoA reductase inhibitors interfere with cholesterol synthesis and lower cholesterol levels and, as such, might theoretically blunt adrenal or gonadal steroid hormone production. Rosuvastatin demonstrated no effect upon nonstimulated cortisol levels and no effect on thyroid metabolism as assessed by TSH plasma concentration. In rosuvastatin treated patients, there was no impairment of adrenocortical reserve and no reduction in plasma cortisol concentrations. Clinical studies with other HMG-CoA reductase inhibitors have suggested that these agents do not reduce plasma testosterone concentration. The effects of HMG-CoA reductase inhibitors on male fertility have not been studied. The effects, if any, on the pituitarygonadal axis in premenopausal women are unknown. **Cardiovascular** Ubiquinone levels were not measured in rosuvastatin clinical trials, however significant decreases in circulating ubiquinone levels in patients treated with other statins have been observed. The clinical significance of a potential long-term statin-induced deficiency of ubiquinone has not been established. It has been reported that a decrease in myocardial ubiquinone levels could lead to impaired cardiac function in patients with borderline congestive heart failure. **Lipoprotein A** In some patients, the beneficial effect of lowered total cholesterol and LDL-C levels may be partly blunted by a concomitant increase in the Lipoprotein(a) [Lp(a)] concentrations. Present knowledge suggests the importance of high Lp(a) levels as an emerging risk factor for coronary heart disease. It is thus desirable to maintain and reinforce lifestyle changes in high-risk patients placed on rosuvastatin therapy. Further studies have demonstrated statins affect Lp(a) levels differently in patients with dyslipidemia depending on their apo(a) phenotype; statins increase Lp(a) levels exclusively in patients with the low molecular weight apo(a) phenotype.
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C22H28FN3O6S
Molecular Weight
481.54
Exact Mass
481.168
CAS #
287714-41-4
Related CAS #
Rosuvastatin Calcium;147098-20-2;Rosuvastatin Sodium;147098-18-8;Rosuvastatin-d3 sodium;1279031-70-7;Rosuvastatin-d3;1133429-16-9;Rosuvastatin-d6 sodium;2070009-41-3;Rosuvastatin-d6 calcium
PubChem CID
446157
Appearance
Typically exists as solid at room temperature
Density
1.368 g/cm3
Boiling Point
745.6ºC at 760 mmHg
Flash Point
404.7ºC
Vapour Pressure
2.38E-23mmHg at 25°C
Index of Refraction
1.597
LogP
2.147
Hydrogen Bond Donor Count
3
Hydrogen Bond Acceptor Count
10
Rotatable Bond Count
10
Heavy Atom Count
33
Complexity
767
Defined Atom Stereocenter Count
2
SMILES
S(C([H])([H])[H])(N(C([2H])([2H])[2H])C1=NC(C2C([H])=C([H])C(=C([H])C=2[H])F)=C(/C(/[H])=C(\[H])/[C@]([H])(C([H])([H])[C@]([H])(C([H])([H])C(=O)[O-])O[H])O[H])C(C([H])(C([H])([H])[H])C([H])([H])[H])=N1)(=O)=O.[Na+]
InChi Key
BPRHUIZQVSMCRT-VEUZHWNKSA-N
InChi Code
InChI=1S/C22H28FN3O6S/c1-13(2)20-18(10-9-16(27)11-17(28)12-19(29)30)21(14-5-7-15(23)8-6-14)25-22(24-20)26(3)33(4,31)32/h5-10,13,16-17,27-28H,11-12H2,1-4H3,(H,29,30)/b10-9+/t16-,17-/m1/s1
Chemical Name
(3R,5S,E)-7-(4-(4-fluorophenyl)-6-isopropyl-2-(N-methylmethylsulfonamido)pyrimidin-5-yl)-3,5-dihydroxyhept-6-enoate
Synonyms
ZD 4522; ZD-4522; ZD4522; S-4522; S 4522; S4522; Brand name: Crestor.
HS Tariff Code
2934.99.9001
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
DMSO: 100 mg/mL (199.8 mM)
Water:<1 mg/mL
Ethanol:<1 mg/mL
Solubility (In Vivo)
4% DMSO+30% PEG 300+dd H2O:10 mg/mL
 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 2.0767 mL 10.3834 mL 20.7667 mL
5 mM 0.4153 mL 2.0767 mL 4.1533 mL
10 mM 0.2077 mL 1.0383 mL 2.0767 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

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  • Calculate the Mass of a compound required to prepare a solution of known volume and concentration
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  • Calculate the Concentration of a solution resulting from a known mass of compound in a specific volume
An example of molarity calculation using the molarity calculator is shown below:
What is the mass of compound required to make a 10 mM stock solution in 5 ml of DMSO given that the molecular weight of the compound is 350.26 g/mol?
  • Enter 350.26 in the Molecular Weight (MW) box
  • Enter 10 in the Concentration box and choose the correct unit (mM)
  • Enter 5 in the Volume box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 17.513 mg appears in the Mass box. In a similar way, you may calculate the volume and concentration.

Dilution Calculator allows you to calculate how to dilute a stock solution of known concentrations. For example, you may Enter C1, C2 & V2 to calculate V1, as detailed below:

What volume of a given 10 mM stock solution is required to make 25 ml of a 25 μM solution?
Using the equation C1V1 = C2V2, where C1=10 mM, C2=25 μM, V2=25 ml and V1 is the unknown:
  • Enter 10 into the Concentration (Start) box and choose the correct unit (mM)
  • Enter 25 into the Concentration (End) box and select the correct unit (mM)
  • Enter 25 into the Volume (End) box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 62.5 μL (0.1 ml) appears in the Volume (Start) box
g/mol

Molecular Weight Calculator allows you to calculate the molar mass and elemental composition of a compound, as detailed below:

Note: Chemical formula is case sensitive: C12H18N3O4  c12h18n3o4
Instructions to calculate molar mass (molecular weight) of a chemical compound:
  • To calculate molar mass of a chemical compound, please enter the chemical/molecular formula and click the “Calculate’ button.
Definitions of molecular mass, molecular weight, molar mass and molar weight:
  • Molecular mass (or molecular weight) is the mass of one molecule of a substance and is expressed in the unified atomic mass units (u). (1 u is equal to 1/12 the mass of one atom of carbon-12)
  • Molar mass (molar weight) is the mass of one mole of a substance and is expressed in g/mol.
/

Reconstitution Calculator allows you to calculate the volume of solvent required to reconstitute your vial.

  • Enter the mass of the reagent and the desired reconstitution concentration as well as the correct units
  • Click the “Calculate” button
  • The answer appears in the Volume (to add to vial) box
In vivo Formulation Calculator (Clear solution)
Step 1: Enter information below (Recommended: An additional animal to make allowance for loss during the experiment)
Step 2: Enter in vivo formulation (This is only a calculator, not the exact formulation for a specific product. Please contact us first if there is no in vivo formulation in the solubility section.)
+
+
+

Calculation results

Working concentration mg/mL;

Method for preparing DMSO stock solution mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.

Method for preparing in vivo formulation:Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.

(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
             (2) Be sure to add the solvent(s) in order.

Clinical Trial Information
Effect of Statins on Crohn's Disease
CTID: NCT06538649
PhaseEarly Phase 1    Status: Not yet recruiting
Date: 2024-11-27
Effect of Early Initiation of Evolocumab on Lipid Profiles Changes in Patients With ACS Undergoing PCI
CTID: NCT05661552
Phase: Phase 4    Status: Recruiting
Date: 2024-11-27
A Study in Healthy Men to Test Whether Zongertinib Influences the Amount of 4 Other Medicines (Dabigatran, Rosuvastatin, Metformin, and Furosemide) in the Blood
CTID: NCT06504862
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-11-27
Voxelotor CYP and Transporter Cocktail Interaction Study
CTID: NCT05981365
Phase: Phase 1    Status: Completed
Date: 2024-11-22
A Clinical Trial to Investigate the Clinical Drug-Drug Interaction of Divarasib With Probe Substrates of P-Glycoprotein and Breast Cancer Resistance Protein in Healthy Participants
CTID: NCT06677957
Phase: Phase 1    Status: Recruiting
Date: 2024-11-21
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A Study to Evaluate the Effect of Multiple Doses of Enzalutamide on the Pharmacokinetics of Substrates of P-glycoprotein (Digoxin) and Breast Cancer Resistant Protein (Rosuvastatin) in Male Subjects With Prostate Cancer
CTID: NCT04094519
Phase: Phase 1    Status: Completed
Date: 2024-11-20


A Study to Learn How the Study Medicine Danuglipron is Taken Up Into the Blood and If Danuglipron Changes How the Body Processes Other Study Medicines (Atorvastatin and Rosuvastatin) in Healthy Adults Who Are Overweight or Obese
CTID: NCT06567327
Phase: Phase 1    Status: Recruiting
Date: 2024-11-19
YN001 in Healthy Subjects and Patients With Coronary Atherosclerosis
CTID: NCT06048588
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-11-18
Protective Effect of Statin Against Negative Cardiovascular Remodeling and Organ Dysfunction After Acute Aortic Syndrome Surgery (Panda III)
CTID: NCT04699279
Phase: N/A    Status: Recruiting
Date: 2024-11-15
A Study of LY4065967 in Healthy Japanese Participants
CTID: NCT06594159
Phase: Phase 1    Status: Recruiting
Date: 2024-11-15
A Drug-Drug Interaction Study to Estimate the Effect of PF-07081532 on the Pharmacokinetics of Dabigatran and Rosuvastatin in Overweight or Obese Adult Participants
CTID: NCT05788328
Phase: Phase 1    Status: Terminated
Date: 2024-11-15
A Study to Compare How Different Medicines (Rosuvastatin, Digoxin, Metformin, and Furosemide) Are Handled by the Body of Healthy People and People With Liver Cirrhosis
CTID: NCT05741372
Phase: N/A    Status: Recruiting
Date: 2024-11-14
A Study of Bempedoic Acid in Combination With Ezetimibe and Either Rosuvastatin or Atorvastatin in Patients With Primary Hypercholesterolemia or Mixed Dyslipidemia
CTID: NCT06686615
Phase:    Status: Not yet recruiting
Date: 2024-11-14
A Study in Healthy Men to Test How Well Multiple Doses of BI 1839100 Are Tolerated and How BI 1839100 Influences the Amount of Other Medicines in the Blood
CTID: NCT05738291
Phase: Phase 1    Status: Completed
Date: 2024-11-13
A Drug-Drug Interaction Study of LY3537982 on Midazolam, Digoxin, and Rosuvastatin in Healthy Participants
CTID: NCT06111521
Phase: Phase 1    Status: Completed
Date: 2024-11-08
A Phase 1 Study to Evaluate the Potential Drug Interactions Between Repotrectinib and Metformin, Digoxin, and Rosuvastatin in Patients With Advanced Solid Tumors
CTID: NCT05828303
Phase: Phase 1    Status: Not yet recruiting
Date: 2024-10-31
A Study to Learn About the Study Medicine Called Nirmatrelvir/Ritonavir in People Who Are Healthy Volunteers Co-administered the Medicine Rosuvastatin
CTID: NCT05898672
Phase: Phase 1    Status: Completed
Date: 2024-10-28
A Study to Investigate the Effect of Oral Ticagrelor on the Pharmacokinetics of Oral Rosuvastatin When Given in Healthy Participants
CTID: NCT06554821
Phase: Phase 1    Status: Completed
Date: 2024-10-15
A Study to Evaluate the Effect of Multiple Doses of JNJ-56021927 on the Pharmacokinetics of Multiple Cytochrome P450 and Transporter Substrates in Participants With Castration-Resistant Prostate Cancer
CTID: NCT02592317
Phase: Phase 1    Status: Recruiting
Date: 2024-10-09
CT COMPARE: CT Coronary Angiography to Measure Plaque Reduction
CTID: NCT02740699
Phase: Phase 4    Status: Terminated
Date: 2024-10-09
A Study to Assess the Effect of Povorcitinib on Digoxin, Rosuvastatin, and Metformin Pharmacokinetics and the Effect of Probenecid on Povorcitinib Pharmacokinetics When Administered Orally to Healthy Adult Participants
CTID: NCT06416800
Phase: Phase 1    Status: Recruiting
Date: 2024-10-04
A Drug-drug Interaction Study Evaluating the Perpetrator Potential of LY4100511 (DC-853) on Midazolam, Repaglinide, Digoxin, Rosuvastatin in Healthy Participants
CTID: NCT06503679
Phase: Phase 1    Status: Recruiting
Date: 2024-10-03
Pharmacokinetic Drug-drug Interaction Study of Encorafenib and Binimetinib on Probe Drugs in Patients With BRAF V600-mutant Melanoma or Other Advanced Solid Tumors
CTID: NCT03864042
Phase: Phase 1    Status: Completed
Date: 2024-09-27
A Drug-Drug Interaction (DDI) Study of HDM1002 With Repaglinide, Atorvastatin, Digoxin and Rosuvastatin in Healthy Subjects and Overweight Subjects.
CTID: NCT06601517
Phase: Phase 1    Status: Not yet recruiting
Date: 2024-09-23
Clinical Effects of New Approach on Patients with Non-alcoholic Steatohepatitis
CTID: NCT06105060
PhaseEarly Phase 1    Status: Completed
Date: 2024-09-19
A Study to Learn How Different Amounts of PF-06954522 Are Tolerated and Act in Adults With Type 2 Diabetes Mellitus
CTID: NCT06279234
Phase: Phase 1    Status: Recruiting
Date: 2024-09-19
A Drug Drug Interaction (DDI) Study of Pirtobrutinib (LY3527727) and Rosuvastatin in Healthy Participants
CTID: NCT05176314
Phase: Phase 1    Status: Completed
Date: 2024-09-19
Changes in Plaque Characteristics After Short-term Statin Therapy As Assessed with Coronary CT
CTID: NCT06603363
Phase: N/A    Status: Not yet recruiting
Date: 2024-09-19
Effect of Rosuvastatin Response in Healthy Subjects: Potential Mechanisms of Anti-inflammatory Effects
CTID: NCT00874757
Phase:    Status: Completed
Date: 2024-08-23
Statin and Dual Antiplatelet Therapy to Prevent Early Neurological Deterioration in Branch Atheromatous Disease
CTID: NCT04824911
Phase: Phase 2    Status: Recruiting
Date: 2024-08-21
Influence of JY09 on Pharmacokinetics of Metformin , Rosuvastatin , and Digoxin and the QT Interval Study in Overweight Chinese Subjects
CTID: NCT06247748
Phase: Phase 1    Status: Completed
Date: 2024-08-21
Switching to Rosuvastatin Versus Adding Ezetimibe to Atorvastatin Versus Doubling the Dose of Atorvastatin in Patients With Hypercholesterolemia and Risk Factors (P03708)
CTID: NCT00651378
Phase: Phase 4    Status: Terminated
Date: 2024-08-15
Clinical Pharmacology Study of Oral Edaravone in Healthy Adult Males (Drug Interaction Study and Preliminary Regimen-Finding Study)
CTID: NCT04481789
Phase: Phase 1    Status: Completed
Date: 2024-08-02
Comparison Between the Effects of High Doses Statin on Ventricular Remodeling in STEMI Patients
CTID: NCT05895123
Phase: Phase 2    Status: Completed
Date: 2024-08-01
A Study to Understand the Effect of a Study Medicine Called ARV-471 on Rosuvastatin in Healthy Adults
CTID: NCT05652660
Phase: Phase 1    Status: Completed
Date: 2024-07-26
Investigation of the Gut Microbiome and Statin Response
CTID: NCT04098003
Phase: Phase 4    Status: Active, not recruiting
Date: 2024-07-24
Pharmacokinetics and Safety of Commonly Used Drugs in Lactating Women and Breastfed Infants
CTID: NCT03511118
Phase:    Status: Recruiting
Date: 2024-07-24
ECC5004 DDI Study With Atorvastatin, Rosuvastatin, Digoxin and Midazolam in Healthy Participants
CTID: NCT06293742
Phase: Phase 1    Status: Completed
Date: 2024-07-22
A Drug-Drug Interaction Study of Orforglipron (LY3502970) in Healthy Overweight and Obese Participants
CTID: NCT06186622
Phase: Phase 1    Status: Completed
Date: 2024-07-22
A Study to Assess the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of AZD0780 in Healthy Subjects
CTID: NCT05384262
Phase: Phase 1    Status: Completed
Date: 2024-07-19
A Study to Learn About How BAY2927088 Affects the Level of Dabigatran or Rosuvastatin in the Blood When These Drugs Are Taken Together in Healthy Participants
CTID: NCT06329895
Phase: Phase 1    Status: Completed
Date: 2024-07-05
Drug Repurposing - Statins as Microbiota Modulating Agents in Ulcerative Colitis
CTID: NCT04883840
Phase: Phase 2/Phase 3    Status: Recruiting
Date: 2024-07-03
Evaluation of Ezetimibe and Atorvastatin Coadministration Versus Atorvastatin or Rosuvastatin Monotherapy in Japanese Patients With Hypercholesterolemia (Study P06027)(COMPLETED)
CTID: NCT00871351
Phase: Phase 4    Status: Completed
Date: 2024-05-23
A Clinical Trial to Assess the Long Term Safety and Tolerability of MK-0653H in Japanese Participants With Hypercholesterolemia (MK-0653H-833)
CTID: NCT02748057
Phase: Phase 3    Status: Completed
Date: 2024-05-16
A Study of the Efficacy and Safety of MK-0653H in Japanese Participants With Hypercholesterolemia (MK-0653H-832)
CTID: NCT02741245
Phase: Phase 3    Status: Completed
Date: 2024-05-16
Potential Drug Interaction Study Between Vemircopan and Rosuvastatin, Metformin, Levonorgestrel/Ethinyl Estradiol-containing Oral Contraceptives, and Carbamazepine
CTID: NCT06071442
Phase: Phase 1    Status: Completed
Date: 2024-05-16
Ezetimibe/Simvastatin (MK-0653A) Versus Rosuvastatin Versus Doubling Statin Dose in Participants With Cardiovascular Disease and Diabetes Mellitus (MK-0653A-133)(COMPLETED)
CTID: NCT00862251
Phase: Phase 3    Status: Completed
Date: 2024-05-16
Polygenic Risk-based Detection of Subclinical Coronary Atherosclerosis and Intervention With Statin and Colchicine
CTID: NCT05850091
Phase: Phase 4    Status: Recruiting
Date: 2024-05-09
PK Study to Assess Drug-drug Interaction and QTc Between Sitravatinib and a Cocktail of Substrates
CTID: NCT04887194
Phase: Phase 1    Status: Completed
Date: 2024-05-08
A Study to Investigate the Potential Drug Interactions Between ALXN2080 and Rosuvastatin and Metformin in Healthy Adult Participants
CTID: NCT06160414
Phase: Phase 1    Status: Completed
Date: 2024-05-07
Liver Adiposity Effects on Pediatric Statin
CTID: NCT04903223
Phase: Phase 1    Status: Recruiting
Date: 2024-05-03
Statins Role in Acute Ischemic Stroke
CTID: NCT06371495
Phase:    Status: Not yet recruiting
Date: 2024-04-17
Liver Cirrhosis Network Rosuvastatin Efficacy and Safety for Cirrhosis in the United States
CTID: NCT05832229
Phase: Phase 2    Status: Recruiting
Date: 2024-04-16
Drug-durg Interaction of Leritrelvir(RAY1216) With Midazolam, Omeprazole, Rosuvastatin, Verapamil, and Rifampin
CTID: NCT06031454
Phase: Phase 1    Status: Completed
Date: 2024-04-16
Combining Use of Clopidogrel With Atorvastatin or Rosuvastatin in Patients With Large-vessel Ischemic Stroke
CTID: NCT06360120
Phase: Phase 3    Status: Recruiting
Date: 2024-04-11
Concomitant Use of Clopidogrel With Atorvastatin or Rosuvastatin in Patients With Minor Stroke or TIA
CTID: NCT06358313
Phase: Phase 3    Status: Recruiting
Date: 2024-04-10
Study to Evaluate the Drug-drug Interaction of JMKX001899 in Healthy Subjects
CTID: NCT06348290
Phase: Phase 1    Status: Not yet recruiting
Date: 2024-04-04
Effects of Inclisiran Combined With Statins on the Morphology of Coronary Vulnerable Plaques
CTI
Influence of Intensive Lipid-lowering with statin and ezetimbe prescription on Computed Tomography Derived Fractional Flow Reserve in Patients With Stable Chest Pain: The 'FLOW-PROMOTE' study
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2019-11-26
Fixed-dose combination of rosuvastatin and valsartan for dual target achievement in patients with hypertension and hyperlipidaemia (UNIFY)
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2019-01-03
A Multicenter, Randomized, Double-blind, Active-controlled Clinical Trial to Evaluate the Efficacy and Safety of a New Formulation of Zenon (Ezetimibe/Rosuvastatin Fixed Dose Combination) in Patients With Primary Hypercholesterolemia, Not Adequately Controlled on Statin Therapy
CTID: null
Phase: Phase 3    Status: Completed
Date: 2018-08-24
Pilot Study: The LIPL-PLATELET Study
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2018-06-28
cGMP Enhancing Therapeutic Strategy for HFpEF: The cGETS Study
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2018-02-28
An Open-Label Long-Term Extension to the Randomized, Double-blind, Placebo-controlled, Multi-center, Cross-over Study of Rosuvastatin in Children and Adolescents (aged 6 to <18 years) with Homozygous Familial Hypercholesterolemia (HoFH)
CTID: null
Phase: Phase 3    Status: Prematurely Ended, Completed
Date: 2015-02-23
A Randomized, Double blind, Placebo controlled, Multi center, Cross over Study of Rosuvastatin in Children and Adolescents (aged 6 to <18 years) with Homozygous Familial Hypercholesterolemia (HoFH)
CTID: null
Phase: Phase 3    Status: Completed
Date: 2014-08-20
Phase IIa, Randomised, Controlled, Open-Label Trial of Rosuvastatin for the Prevention of Aminoglycoside-Induced Kidney Toxicity in Children with Cystic Fibrosis
CTID: null
Phase: Phase 2    Status: Completed
Date: 2014-08-05
Rosuvastatin versus Protease Inhibitor Switching for Hypercholesterolaemia in HIV-infected Adults.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2013-07-16
A Randomized, Double-Blind Study of the Efficacy and Safety of REGN727 Added-on to Rosuvastatin versus Ezetimibe Added-on to Rosuvastatin versus Rosuvastatin Dose Increase in Patients Who are Not Controlled on Rosuvastatin
CTID: null
Phase: Phase 3    Status: Completed
Date: 2013-04-12
A Randomized, Double-Blind Study of the Efficacy and Safety of REGN727 Added-on to Atorvastatin versus Ezetimibe Added-on to Atorvastatin versus Atorvastatin Dose Increase versus Switch to Rosuvastatin in Patients Who are Not Controlled on Atorvastatin
CTID: null
Phase: Phase 3    Status: Completed
Date: 2013-04-09
Prospective randomized study FOR THE
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2012-10-30
A Double-blind, Randomized, Placebo and Ezetimibe Controlled, Multicenter Study to Evaluate Safety, Tolerability and Efficacy of AMG 145 on LDL-C in Combination With Statin Therapy in Subjects With Primary Hypercholesterolemia and Mixed Dyslipidemia
CTID: null
Phase: Phase 3    Status: Completed
Date: 2012-09-07
Ensayo clínico aleatorizado controlado en fase IV para validar una herramienta costo-efectiva que OPTImice el tratamiento con ESTatinas de la dislipemia diabética en Atención Primaria
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2011-12-13
Routine versus Aggressive Upstream Rhythm Control for Prevention of Early Atrial Fibrillation in Heart Failure: RACE 3
CTID: null
Phase: Phase 4    Status: GB - no longer in EU/EEA, Completed
Date: 2011-08-16
Ensayo aleatorizado controlado sobre la terapia guiada por el antígeno carbohidrato 125 en los pacientes dados de alta por insuficiencia cardiaca aguda: efecto sobre la mortalidad a 1 año.
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2011-08-02
Evaluation of antiplatelet drug response after load of statins in patients undergoing coronary angioplasty with stenting.
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2011-06-01
A Randomized, Double-Blind, Active-Controlled, Multicenter Study of Patients with Primary Hypercholesterolemia and High Cardiovascular Risk Who Are Not Adequately Controlled with Atorvastatin 10 mg: A Comparison of the Efficacy and Safety of Switching to Coadministration Ezetimibe and Atorvastatin Versus Doubling the Dose of Atorvastatin or Switching to Rosuvastatin
CTID: null
Phase: Phase 3    Status: Completed
Date: 2010-10-11
A Phase 2 Efficacy and Safety Study of LY2484595 Alone and in Combination with Atorvastatin, Simvastatin, and Rosuvastatin in Patients with Hypercholesterolemia or Low HDL-C
CTID: null
Phase: Phase 2    Status: Completed
Date: 2010-07-30
An Efficacy and 2-Year Safety Study of Open-label Rosuvastatin in Children and Adolescents (aged from 6 to less than 18 years) with Familial Hypercholesterolaemia
CTID: null
Phase: Phase 3    Status: Completed
Date: 2010-03-08
A randomised placebo controlled trial of rosuvastatin in systemic lupus erythematosus.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2010-02-23
ROSUVASTATIN FOR REDUCTION OF MYOCARDIAL DAMAGE AND SYSTEMIC INFLAMMATION DURING CORONARY ANGIOPLASTY - The REMEDY Study
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2009-10-20
PSORIASIS AND CARDIOVASCULAR DISEASE: IMMUNOMODULATOR ROLE OF THE TREATMENT WITH ROSUVASTATIN IN PATIENTS WITH PSORIASIS OF MILD OR OF MODERATE-SEVERE SKIN DISEASE.
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date: 2009-10-01
Short term statin treatment and endothelial dysfunction due to ischemia and reperfusion injury
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2009-09-25
Statins IN TREATMENT OF ACUTE coronary syndrome.
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2009-06-03
A Randomized, Double-Blind, Active-Controlled, Multicenter Study of Patients with Cardiovascular Disease and Diabetes Mellitus Not Adequately Controlled with Simvastatin 20 mg or Atorvastatin 10 mg: A Comparison of Switching to a Combination Tablet Ezetimibe/Simvastatin (10mg/20mg) Versus Switching to Rosuvastatin 10mg or Doubling the Statin Dose
CTID: null
Phase: Phase 3    Status: Completed
Date: 2009-05-27
Effect of Rosuvastatin on endothelial function in patients with diabetes and glaucoma
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2009-03-30
Is augmentation of PORH by rosuvastatin adenosine-receptor mediated?
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2009-01-22
A Multicenter, Randomized, Double-Blind, Titration Study to
CTID: null
Phase: Phase 3    Status: Completed
Date: 2009-01-16
A randomised, double-blind, placebo-controlled study to evaluate the transthoracic Doppler echocardiography method as a non-invasive method for coronary function measurements; ability to detect short-term statin effects in patients with increased cardiovascular risk
CTID: null
Phase: Phase 2    Status: Completed
Date: 2008-09-15
Study of Coronary Atheroma by InTravascular Ultrasound: Effect of Rosuvastatin Versus AtorvastatiN (SATURN): A 104-week, randomized, double-blind, parallel group, multi-center Phase IIIb study comparing the effects of treatment with rosuvastatin 40mg or atorvastatin 80mg on atherosclerotic disease burden as measured by intravascular ultrasound in patients with coronary artery disease
CTID: null
Phase: Phase 3    Status: Completed
Date: 2008-02-07
Systemic effects of mild renal insufficiency: the relation between forearm blood flow and ADMA.
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2008-02-01
GAMMAGLUTAMYLTRANSFERASE: CHARACTERIZATION OF ITS ISOFORMS IN DYSLIPIDEMICS UNDERGOING LIPID-LOWERING TREATMENT
CTID: null
Phase: Phase 4    Status: Completed
Date: 2008-01-21
Rosuvastatin augments dipyridamole induced vasodilation by increased adenosine receptor stimulation
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2007-10-18
A 12-week Open-Label, Randomised, Parallel-group, Multicentre, Phase IIIb Study to compare the Efficacy and Safety of rosuvastatin (CRESTOR) 10 mg and 20 mg in Combination with Ezetimibe 10 mg and Sivastatin 40 mg and 80 mg in Combination with Ezetimibe 10 mg (fixed dose combination) in Patients with Hypercholesterolaemia and Coronary Heart Disease (CHD) or a CHD Risk Equivalent, Atherosclerosis or a 10-year CHD Risk of >20% (GRAVITY)
CTID: null
Phase: Phase 3    Status: Completed
Date: 2007-09-13
Does caffeine reduce rosuvastatin-induced protection against ischemia-reperfusion injury?
CTID: null
Phase: Phase 4    Status: Completed
Date: 2007-04-02
Evaluation de l'efficacité et de la tolérance de rosuvastatine 5 mg versus pravastatine 40 mg et atorvastatine 10 mg chez des patients hypercholestérolémiques de type IIa et IIb
CTID: null
Phase: Phase 4    Status: Completed
Date: 2007-03-27
A Randomized, Double-Blind, Active-Controlled, Multicenter Study to Assess the LDL-C Lowering of Switching to a Combination tablet Ezetimibe/Simvastatin (10mg/20mg) compared to Rosuvastatin 10mg in patients with primary hypercholesterolemia and high cardiovascular risk and not adequately controlled with a prior statin treatment. (IN-CROSS).
CTID: null
Phase: Phase 4    Status: Completed
Date: 2007-02-05
Treatment of systemic effects in patients with COPD
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2006-12-18
A phase IV, 6-week, randomised, double-blind, multicentre, parallel group, comparative study to evaluate the efficacy of rosuvastatin 5 mg and atorvastatin 10 mg in UK Asian subjects with primary hypercholesterolaemia
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2006-09-18
A Phase IIIb, efficacy, and safety study of rosuvastatin in children and adolescents 10 to 17 years of age with heterozygous familial hypercholesterolemia (HeFH): a 12-week, double-blind, randomized, multi-center, placebo-controlled study with a 40-week, open-label, follow-up period.
CTID: null
Phase: Phase 3    Status: Completed
Date: 2006-08-03
A Randomised, Double-Blind, 52-week, Parallel-Group, Multicentre, Phase IIb Study to Evaluate the Effects of Rosuvastatin 10 mg, Rosuvastatin 40 mg and Atorvastatin 80 mg on Urinary Protein Excretion in Hypercholesterolaemic Non-Diabetic Patients with Moderate Proteinuria
CTID: null
Phase: Phase 2    Status: Completed
Date: 2005-12-15
Comparison of the Effects Noted in The ApoB/ApoA-I ratio Using Rosuvastatin and atorvastatin in patients with acUte coronary Syndrome.
CTID: null
Phase: Phase 3    Status: Completed
Date: 2005-10-28
An Open, Multi-Centre and Long-Term Extension Study to Evaluate the Safety and Tolerability of oral Tesaglitazar therapy in patients with Type 2 Diabetes.
CTID: null
Phase: Phase 3    Status: Prematurely Ended, Completed
Date: 2005-06-20
A Randomized, Double-Blind, Placebo Controlled, Multicenter, Phase III Study of Rosuvastatin (CRESTOR) 20 mg in the Primary Prevention of Cardiovascular Events Among Subjects with Low Levels of LDL Cholesterol and Elevated Levels of C-Reactive Protein
CTID: null
Phase: Phase 3    Status: Completed, Prematurely Ended
Date: 2005-05-20
A 24-week Randomized, Double-Blind, Parallel-Group, Multi-Centre, Active-Controlled (Metformin or Metformin Combined with Fenofibrate) Study to Evaluate the Lipid Metabolic Effects, Glycaemic Effects, Safety and Tolerability of Tesaglitazar Therapy in Patients with Type 2 Diabetes and Low HDL-Cholesterol on a Fixed Background Therapy with a Statin.
CTID: null
Phase: Phase 3    Status: Completed
Date: 2005-03-04
Effect of Rosuvastatin on surrogate markers for cardiovascular events and joint disease progression in patients with rheumatoid arthritis
CTID: null
Phase: Phase 4    Status: Completed
Date: 2005-02-02
Effects of Digoxin on Rosuvastatin Pharmacokinetics in Healthy Volunteers
CTID: UMIN000029232
Phase: Phase I    Status: Complete: follow-up complete
Date: 2017-10-01
Effects of danshen on the pharmacokinetics of rosuvastatin
CTID: UMIN000028112
PhaseNot applicable    Status: Complete: follow-up complete
Date: 2017-07-06
Rosuvastatin for Intracranial Arterial Stenosis on Magnetic Resonace Angiography
CTID: UMIN000016202
Phase:    Status: Complete: follow-up complete
Date: 2017-01-20
Evaluation of the effect of rosuvastatin on renoprotective effect
CTID: UMIN000021583
Phase:    Status: Recruiting
Date: 2016-03-25
Trail against hyperlipidemia Patients with high risks to Investigate the effect ON small dense ldl & idl by using middlE dosE rosuvastatin, atrovastatin, psSk-9 inhibitor(relationship of blood ANGPTL, Sortilin, miRNA and so on level) (PIONEERs in Saitama Study 3)
CTID: UMIN000018818
Phase:    Status: Recruiting
Date: 2015-09-14
AdminiStration of Statin On acute ischemic stRoke patienT Trial
CTID: UMIN000018657
Phase: Phase IV    Status: Complete: follow-up complete
Date: 2015-08-15
therapeutic efficacy of ezetimibe and statins for vascular endothelial dysfunction by high-fat diet loadingin patients with type 2 diabetes
CTID: UMIN000018629
Phase:    Status: Complete: follow-up complete
Date: 2015-08-10
Evaluation for Efficacy of Rosuvastatin on Carotid Intima Media Thickness and Characteristics of Atherosclerosis in Hyperlipidemic Patients with Type 2 Diabetes
CTID: UMIN000017198
Phase:    Status: Complete: follow-up complete
Date: 2015-04-27
Dose-Dependent INhibitory Effect of RosuVastatin In Japanese PatienTs with Acute Myocardial InfarcTION on Serum Concentration of Matrix Metalloproteinases
CTID: UMIN000016780
PhaseNot applicable    Status: Recruiting
Date: 2015-04-01
Randomized controlled trial of the lipid-lowering therapy with rosuvastatin and atorvastatin for the patients with coronary artery disease treated with percutaneous coronary intervention
CTID: UMIN000014342
PhaseNot applicable    Status: Complete: follow-up complete
Date: 2014-07-01
Randamized clinical trial of reduction in the recurrence of acute noncardioembolic stroke by Cilostazol and Eicosapentaneic acid for hypercholesterolemic patients
CTID: UMIN000013864
Phase: Phase III    Status: Complete: follow-up complete
Date: 2014-05-01
Effect of Rosuvastatin and eicosapentaenoic acid on neoatherosclerosis: The LINK-IT trial
CTID: UMIN000012576
Phase:    Status: Complete: follow-up complete
Date: 2013-12-14
Effect of Rosuvastatin and eicosapentaenoic acid on neoatherosclerosis: The LINK-IT trial
CTID: UMIN000012576
Phase:    Status: Complete: follow-up complete
Date: 2013-12-14
Prospective, randomized, open-label, clinical trial comparing rosuvastatin monotherapy and combination therapy with ezetimibe on progression of atherosclerotic plaques and endothelial function
CTID: UMIN000011745
Phase:    Status: Complete: follow-up complete
Date: 2013-09-14
Prospective, randomized, open-label, clinical trial comparing rosuvastatin monotherapy and combination therapy with ezetimibe on progression of atherosclerotic plaques and endothelial function
CTID: UMIN000011745
Phase:    Status: Complete: follow-up complete
Date: 2013-09-14
Effect of Rosuvastatin therapy on coronary fibrous-cap thickness in patients with acute coronary syndrome : Assessment by frequencey domain optical coherence tomography study
CTID: UMIN000011719
Phase:    Status: Complete: follow-up complete
Date: 2013-09-11
Effect of Rosuvastatin therapy on coronary fibrous-cap thickness in patients with acute coronary syndrome : Assessment by frequencey domain optical coherence tomography study
CTID: UMIN000011719
Phase:    Status: Complete: follow-up complete
Date: 2013-09-11
Prevention of Coronary Artery Spasm by Strong Statin, Open Label, Randomized Controlled Trial (PRINCESS trial)
CTID: UMIN000011026
Phase:    Status: Complete: follow-up complete
Date: 2013-07-01
Ezetimibe 10 mg + rosuvastatin 2.5 mg versus rosuvastatin 5 mg for hypercholesterolemia in patients with type 2 diabetes
CTID: UMIN000011005
Phase:    Status: Complete: follow-up complete
Date: 2013-06-20
Efficacy of Poststroke Intensive Rosuvastatin Treatment for Aortogenic Embolic Stroke (EPISTEME trial)
CTID: UMIN000010548
Phase:    Status: Complete: follow-up complete
Date: 2013-04-19
Angioscopic evaluation of coronary atherosclerotic plaque after revascularization with drug-eluting stent - Intervention trial with statins and cholesterol absorption inhibitors -
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Biological Data
  • Rosuvastatin

    Effect of rosuvastatin on thrombin-stimulated leukocyte rolling (upper panel) and leukocyte adherence (lower panel) in rat mesenteric venules.2001 Jun;133(3):406-12.

  • Rosuvastatin

    Mevalonic acid blocks the inhibitory effect of rosuvastatin on thrombin-stimulated leukocyte rolling (upper panel) and leukocyte adherence (lower panel).2001 Jun;133(3):406-12.

  • Rosuvastatin

    Leukocyte rolling (upper panel) and leukocyte adherence (lower panel) in peri-intestinal venules of wild-type mice, eNOS−/−mice, and eNOS−/−mice given 1.25 mg kg−1rosuvastatin.2001 Jun;133(3):406-12.

  • Rosuvastatin

    Immunohistochemical analysis of P-selectin expression on rat ileal venules, expressed as percentage of venules staining positive for P-selectin.2001 Jun;133(3):406-12.

  • Rosuvastatin

    Effect of rosuvastatin on NO release in rat aortic segments. Basal release of nitric oxide is expressed as nanomoles per mg tissue.2001 Jun;133(3):406-12.

  • Rosuvastatin

    Effect of rosuvastatin on thrombin-stimulated leukocyte extravasation. Rat mesenteries were superfused with either K-H buffer alone or with 0.5 u ml−1thrombin. Rosuvastatin (1.25 mg kg−1) was administered intraperitoneally 18 h prior to the study.2001 Jun;133(3):406-12.

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