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- Title
Consistency of Extended-Release Niacin/ Laropiprant Effects on Lp(a), ApoB, non-HDL-C, Apo A1, and ApoB/ApoA1 Ratio Across Patient Subgroups.
- Authors
Bays, Harold E.; Shah, Arvind; Lin, Jianxin; Sisk, Christine McCrary; Qian Dong; Maccubbin, Darbie
- Abstract
Background: According to prior analyses, extended-release niacin/laropiprant (ERN /LRPT) consistently reduces low-density lipoprotein cholesterol (LDL-C) and triglycerides (TG) and increases high-density lipoprotein cholesterol (HDL-C) levels across a wide range of dyslipidemic patient subgroups. Objectives: This analysis examined ERN/LRPT's consistency across four phase III, randomized, double-blind trials in improving other lipid /lipoprotein parameters associated with cardiovascular risk, across several key dyslipidemic patient subgroups. Methods: In three of the studies, the randomized population included patients with primary hyper-cholesterolemia or mixed hyperlipidemia; in the remaining study, the population included patients with type 2 diabetes mellitus. The lipid-altering consistency of ERN /LRPT's efficacy was evaluated versus the pre-defined comparator (placebo or active control) among key subgroups of sex, race (White, non-White), region (US, ex-US), baseline age ( <65 years, ≥65 years), use of statin therapy (yes, no), coronary heart disease (yes, no), risk status (low, multiple, high), and type of hyperlipidemia (primary hypercholesterolemia, mixed dyslipidemia), as well as across baseline LDL-C, HDL-C, and TG levels. The consistency of the treatment effects on lipoprotein(a) [Lp(a)], apolipoprotein B (ApoB), non-HDL-C, ApoA1, and ApoB/ApoA1 ratio was evaluated by examining treatment difference estimates of the percentage change from baseline with 95% confidence intervals. Results: Treatment with ERN/LRPT produced significantly greater improvements in Lp(a), ApoB, non-HDL-C, ApoA1, and ApoB/ApoA1 ratio compared with placebo/active comparator in each study. These effects were generally consistent across key subgroups within each study. Conclusion: ERN/LRPT produced lipid-altering efficacy on the parameters evaluated in four controlled studies; these effects were generally consistent across all examined subgroups. ERN/LRPT represents an effective and reliable therapeutic option for the treatment of dyslipidemia in a wide range of patient types. Clinical Trial Registration: Registered as Clinicaltrials.gov NCT00269204, NCT00269217, NCT00479388, and NCT00485758.
- Subjects
HEART disease risk factors; DRUG therapy for hyperlipidemia; CONTROLLED release drugs; COMBINATION drug therapy; CONFIDENCE intervals; META-analysis; NIACIN; HEALTH outcome assessment; RESEARCH funding; STATISTICS; DATA analysis; TREATMENT effectiveness; DATA analysis software; DESCRIPTIVE statistics; THERAPEUTICS
- Publication
American Journal of Cardiovascular Drugs, 2012, Vol 12, Issue 3, p197
- ISSN
1175-3277
- Publication type
Article
- DOI
10.2165/11631530-000000000-00000