Atherosclerosis: Recent trials, new targets ...
Type de document :
Article dans une revue scientifique: Article original
PMID :
Titre :
Atherosclerosis: Recent trials, new targets and future directions
Auteur(s) :
Ladeiras-Lopes, Ricardo [Auteur]
Faculdade de Medicina da Universidade do Porto [FMUP]
Agewall, Stefan [Auteur]
Tawakol, Ahmed [Auteur]
Harvard Medical School [Boston] [HMS]
Staels, Bart [Auteur]
Récepteurs nucléaires, maladies cardiovasculaires et diabète - U 1011 [RNMCD]
Stein, Evan [Auteur]
Mentz, Robert [Auteur]
Leite-Moreira, Adelino [Auteur]
Faculdade de Medicina da Universidade do Porto [FMUP]
Zannad, Faiez [Auteur]
Défaillance Cardiovasculaire Aiguë et Chronique [DCAC]
Centre d'investigation clinique plurithématique Pierre Drouin [Nancy] [CIC-P]
Koenig, Wolfgang [Auteur]
German Center for Cardiovascular Research [DZHK]
Deutsches Herzzentrum München [DHM]
Faculdade de Medicina da Universidade do Porto [FMUP]
Agewall, Stefan [Auteur]
Tawakol, Ahmed [Auteur]
Harvard Medical School [Boston] [HMS]
Staels, Bart [Auteur]
Récepteurs nucléaires, maladies cardiovasculaires et diabète - U 1011 [RNMCD]
Stein, Evan [Auteur]
Mentz, Robert [Auteur]
Leite-Moreira, Adelino [Auteur]
Faculdade de Medicina da Universidade do Porto [FMUP]
Zannad, Faiez [Auteur]
Défaillance Cardiovasculaire Aiguë et Chronique [DCAC]
Centre d'investigation clinique plurithématique Pierre Drouin [Nancy] [CIC-P]
Koenig, Wolfgang [Auteur]
German Center for Cardiovascular Research [DZHK]
Deutsches Herzzentrum München [DHM]
Titre de la revue :
International Journal of Cardiology
Pagination :
72 - 81
Éditeur :
Elsevier
Date de publication :
2015-08
ISSN :
0167-5273
Mot(s)-clé(s) en anglais :
Atherosclerosis
Clinical research
Pharmacology
Clinical research
Pharmacology
Discipline(s) HAL :
Sciences du Vivant [q-bio]/Médecine humaine et pathologie/Cardiologie et système cardiovasculaire
Résumé en anglais : [en]
Mortality from cardiovascular diseases (CVD) represents the primary cause of death worldwide. Prevention or treatment of atherosclerosis and its clinical sequelae is a central goal in the management of patients with ...
Lire la suite >Mortality from cardiovascular diseases (CVD) represents the primary cause of death worldwide. Prevention or treatment of atherosclerosis and its clinical sequelae is a central goal in the management of patients with established vascular disease or those at high-risk for vascular events. This paper provides a review of the contemporary pharmacological armamentarium targeting atherosclerosis and also highlights strategies to support future clinical trial design. Powering future trials targeting LDL-cholesterol to its absolute reduction and including patients with a higher LDL-C despite optimal medical therapy (or unable to tolerate statins) will increase the odds of meaningful results. Mendelian randomization studies may identify new causal risk factors for CVD that would help in the selection of the patients most likely to benefit from a specific new compound. Furthermore, imaging techniques integrating a morphological and functional assessment such as IVUS, OCT, PET/CT and PET/MRI may represent in a near future robust "soft" endpoints to support successful translation of early research into meaningful phase III clinical outcome trials.Lire moins >
Lire la suite >Mortality from cardiovascular diseases (CVD) represents the primary cause of death worldwide. Prevention or treatment of atherosclerosis and its clinical sequelae is a central goal in the management of patients with established vascular disease or those at high-risk for vascular events. This paper provides a review of the contemporary pharmacological armamentarium targeting atherosclerosis and also highlights strategies to support future clinical trial design. Powering future trials targeting LDL-cholesterol to its absolute reduction and including patients with a higher LDL-C despite optimal medical therapy (or unable to tolerate statins) will increase the odds of meaningful results. Mendelian randomization studies may identify new causal risk factors for CVD that would help in the selection of the patients most likely to benefit from a specific new compound. Furthermore, imaging techniques integrating a morphological and functional assessment such as IVUS, OCT, PET/CT and PET/MRI may represent in a near future robust "soft" endpoints to support successful translation of early research into meaningful phase III clinical outcome trials.Lire moins >
Langue :
Anglais
Comité de lecture :
Oui
Audience :
Internationale
Vulgarisation :
Non
Source :