Interní Med. 2011; 13(9): 337-339

What new drugs to expect in treating dyslipidaemia?

MUDr.Michal Vrablík, Ph.D.
Centrum preventivní kardiologie, 3. interní klinika 1. LF UK a VFN v Praze

At present, hypolipidaemic treatment is an essential strategy to reduce the risk of a cardiovascular event. By combining treatments, this

risk can be reduced beyond the possibilities of monotherapy in some cases. Still, a number of patients fail to achieve a desirable reduction

in atherogenic serum lipids even despite using all available treatment options. Intensive research is currently under way and a number

of new drugs affecting the levels of LDL-cholesterol (mipomersen, eprotirome, PCSK-9 inhibitors), HDL-cholesterol (CETP inhibitors,

apoA1 analogue) or triglycerides (all the above-mentioned drugs and MTP inhibitors) are in the phase of clinical trials. If the theoretical

assumptions are correct and if the new molecules pass demanding clinical testing successfully, we as well as our patients will live to see

new possibilities of reducing the risk of atherothrombotic vascular complications.

Keywords: dyslipidaemia, hypolipidaemic drugs, mipomersen, eprotirome, trapibs, cardiovascular risk

Published: September 1, 2011  Show citation

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Vrablík M. What new drugs to expect in treating dyslipidaemia? Interní Med. 2011;13(9):337-339.
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References

  1. Baigent C, Keech A, Kearney PM, et al. Efficacy and safety of cholesterol-lowering treatment: prospective meta-analysis of data from 90,056 participants in 14 randomised trials of statins. Lancet 2005; 366: 1267-1278. Go to original source... Go to PubMed...
  2. Vrablík M. Reziduální riziko kardiovaskulárních onemocnění: od příčin k možnostem ovlivnění. Postgraduální medicína 2010; 12(2): 158-161.
  3. Barter P, Gotto AM, LaRosa JC, et al. HDL cholesterol, very low levels of LDL cholesterol and cardiovascular events. N Engl J Med 2007; 357: 1301-1310. Go to original source... Go to PubMed...
  4. Miller M, Cannon CP, Murphy SA, et al. PROVE-IT TIMI 22 Investigators. Impact of triglyceride levels beyond low-density lipoprotein cholesterol after acute coronary syndrome in the PROVE-IT TIMI 22 trial. J Am Coll Cardiol 2008; 51: 724-730. Go to original source... Go to PubMed...
  5. Vrablík M, Motyková E, Češka R, Zlatohlávek L. Kdy užít kombinační hypolipidemickou léčbu? Med. praxi 2011, v tisku.
  6. The ACCORD study Group. Effects of combination lipid therapy in type 2 diabetes mellitus. N Engl J Med 2010, epub, dostupné na www.nejm.org.
  7. Vrablík M, Motyková E, Češka R. Kombinace niacinu s laropiprantem: další možnost nejen k ovlivnění dyslipidemie. Prakt lékáren 2011; 7(1): 281-284.
  8. Stein EA, Bays H, O'Brien D, et al. Lapaquistat acetate: development of a squalene synthase inhibitor for the treatment of hypercholesterolemia. Circulation 2011, 10; 123(18): 1974-1985. Go to original source... Go to PubMed...
  9. Ladenson PW, Kristensen JD, Ridhway EC, et al. Use of toroid hormone analogue eprotirome in statin-treated dyslipidemia. N Engl J Med 2010; 362: 906-916. Go to original source... Go to PubMed...
  10. Raal FJ, Santos RD, Blom DJ, et al. Mipomersen, an apolipoprotein B synthesis inhibitor, for lowering of LDL cholesterol concentrations in patients with homozygot familial hypercholesterolaemia: a randomised, double-blind, placebo-controlled trial. Lancet 2010; 375: 998-1006. Go to original source... Go to PubMed...
  11. Cohen CJ, Boerwinkle E, Mosley TH, et al. Sequence variations in PCSK9, low LDL and protection against coronary heart disease. N Engl J Med 2006; 354: 1264-1272. Go to original source... Go to PubMed...
  12. Nissen SE, Tsunoda T, Tuzcu EM, et al. Effect of recombinant apoAI-Milano on coronary atherosclerosis in patients with acute coronary syndromes: a randomized controlled trial. JAMA 2003; 290(17): 2292-2300. Go to original source... Go to PubMed...
  13. Nissen SE, Tardig JC, Nicholls SJ, et al. Effects of torcetrapib on the progression of coronary atherosclerosis. N Engl J Med 2007; 356: 1304-1316. Go to original source... Go to PubMed...
  14. Cannon CP, Shah S, Dansky H, et al. Safety of anacetrapib in patients with or at high risk for coronary artery disease. N Engl J Med 2010; 363: 2406-2415. Go to original source... Go to PubMed...
  15. Stein EA. Other therapies for reducing low-density lipoprotein cholesterol: medications in development. Endocrinol Metab Clin North Am 2009; 38(1): 99-119. Go to original source... Go to PubMed...




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