Common statin may ward off liver failure in veterans
NCT ID NCT03654053
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether simvastatin, a drug typically used for cholesterol, can reduce the risk of liver complications in veterans with compensated cirrhosis (scarred but symptom-free liver). About 142 participants will take either simvastatin or a placebo nightly for several years. The goal is to see if the drug delays or prevents serious events like internal bleeding, fluid buildup, or liver cancer.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Simvastatin
- What this could lead to
- If it works, this could show that a common cholesterol drug helps prevent serious liver complications in people with early-stage cirrhosis.
- What could go wrong
- This is a mid-stage trial with only 142 participants, all U.S. veterans, so results may not apply to everyone. Simvastatin can cause muscle pain or liver issues in some people.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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142 people
The number who actually took part.
- Started
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Oct 2020
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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A government agency
The lead sponsor is a US federal agency other than the NIH.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * U.S. Veteran * Cirrhosis due to chronic viral hepatitis, or alcohol or non-alcoholic fatty liver * Compensated cirrhosis (history of endoscopically-confirmed variceal hemorrhage, absence of overt ascites, history of overt non-precipitated encephalopathy) * Age \> 18 and \<= 80 * High risk of cirrhosis decompensation as defined by any of the following: * Presence of esophageal varices on endoscopy * Presence of portosystemic collaterals on imaging as determined by a body radiologist * Fibroscan VCTE \>= 20kPa * Platelet count \<= 125 K/mm * 44 total points (\~50% of clinically significant portal hypertension using the ANTICIPATE Nomogram) * Competent to provide informed consent Exclusion Criteria: * Prior exposure to any statin within 6 months * Prior allergy or sensitivity to simvastatin * History of variceal hemorrhage confirmed endoscopically within the previous 3 years * Presence of overt ascites or treatment with diuretics for ascites with 6 months * History of chronic, recurrent or episodic overt hepatic encephalopathy with asterixis within 6 months * History of hepatocellular carcinoma * Child-Turcotte-Pugh C Stage (CTP Score \> 9) * Prior receipt of organ transplant * Participation in another pharmacological clinical trial within 3 months of the current study * Pregnancy or anticipated pregnancy within 2 years * Breast Feeding * Patients with life expectancy \< 3 years due to comorbid conditions * Independent indication for initiation of statin therapy * Patients with any form of clinical atherosclerotic cardiovascular disease (ASCVD) * Patients with primary LDL-C \< 190 mg/dl * Patients with diabetes mellitus, age 40-75 years, with LDL-C levels \>=130 mg/dl * Need for concomitant administration of potent inhibitors of CYP34A4 enzymes (medications or other supplements that should not be taken with simvastatin, including cyclosporine, danazol, gemfibrozil, fenofibrate, extended release niacin, itraconazole, ketoconazole, voriconazole, HIV protease inhibitors, boceprevir, telaprevir, macrolide antibiotics - erythromycin, clarithromycin, telithromycin, nefazadone, amlodipine, verapamil, diltiazem, dronedarone, amiodarone, renolazine, lomitapide, and cobicistat) * Prior TIPSS shunt * Hemodialysis
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Brooklyn Campus of the VA NY Harbor Healthcare System, Brooklyn, NY
Brooklyn, New York, 11209, United States
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Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA
Philadelphia, Pennsylvania, 19104-4551, United States
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Hunter Holmes McGuire VA Medical Center, Richmond, VA
Richmond, Virginia, 23249, United States
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James J. Peters VA Medical Center, Bronx, NY
The Bronx, New York, 10468, United States
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Michael E. DeBakey VA Medical Center, Houston, TX
Houston, Texas, 77030, United States
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Philadelphia MultiService Center, Philadelphia, PA
Philadelphia, Pennsylvania, 19106, United States
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Robley Rex VA Medical Center, Louisville, KY
Louisville, Kentucky, 40206, United States
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San Francisco VA Medical Center, San Francisco, CA
San Francisco, California, 94121, United States
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VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA
Boston, Massachusetts, 02130, United States
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VA Connecticut Healthcare System West Haven Campus, West Haven, CT
West Haven, Connecticut, 06516, United States
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VA Puget Sound Health Care System Seattle Division, Seattle, WA
Seattle, Washington, 98108, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can two experimental drugs be used safely in people with cirrhosis?
- Can bedside ultrasound guide fluid treatment for cirrhosis patients?