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This study analyzes the baseline lipid characteristics, mean lipid changes, angiographic changes, and combined clinical endpoints in patients with CAD treated with fenofibrate compared to a placebo. The findings show significant reductions in total cholesterol (TC), triglycerides (TG), LDL-C, and increases in HDL-C levels. Angiographic changes also demonstrated improvements in CAD measures, although clinical event rates showed a non-significant decrease in the fenofibrate group. Published in Lancet 2001, this study provides insight into the lipid-modifying effects and potential benefits of fenofibrate in CAD management.
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Chol TG 232 531 354 155 177 77 0 0 DAIS: Baseline Lipid Characteristics mg/dL Placebo Fenofibrate p = 0.033 TC TG LDL-C HDL-C mean + SD DAIS Investigators. Lancet 2001;357:905-910.
DAIS: Mean Lipid Changes 10 0 -10 -20 -30 Percent Change Placebo Fenofibrate TC LDL-C HDL-C TG DAIS Investigators. Lancet 2001;357:905-910. Reprinted with permission from Elsevier Science.
DAIS: Angiographic Changes from Baseline % change p = 0.029 p = 0.020 p = 0.171 mm mm 4.00 2.00 0.00 -0.10 -0.08 -0.06 -0.04 -0.02 0.00 -0.10 -0.08 -0.06 -0.04 -0.02 0.00 -40% -25% -42% Progression of CAD Minimum lumen diameter Percent Stenosis Mean Segment Diameter DAIS Investigators. Lancet 2001;357:905-910.
DAIS: Combined Clinical Endpoints 25 20 15 10 5 0 Placebo -23%* Fenofibrate *DAIS was not powered to examine clinical events. Even though the results suggest a trend, they were not statistically significant Event Rate 50 38 * Number of participants with at least one clinical or interventional endpoint, including death, stroke, MI, CABG, PTCA and hospitalization for angina DAIS Investigators. Lancet 2001;357:905-910.