Combination therapy of dyslipidemia

被引:9
作者
Goldberg A.C. [1 ]
机构
[1] Department of Internal Medicine, Washington University School of Medicine, St. Louis, MO 63110
关键词
Statin; Simvastatin; Atorvastatin; Ezetimibe; Cholesteryl Ester Transfer Protein;
D O I
10.1007/s11936-007-0020-7
中图分类号
学科分类号
摘要
Clinical trials have demonstrated the benefit of low-density lipoprotein (LDL) cholesterol reduction and, with less robust evidence, reduction of triglyceride levels and increased high-density lipoprotein (HDL) cholesterol in the prevention of atherosclerotic cardiovascular disease. Although the statins are the cornerstone of lipid-lowering therapy, they may not be adequate to accomplish all of the changes in lipid and lipoprotein levels called for in current guidelines. Combinations of one or more lipid-modifying drugs in addition to lifestyle changes are now part of clinical guidelines and are being used extensively in practice. Clinicians need to be familiar with the individual drugs and how they interact. There is also a need for outcome data with combination therapy, especially for statin-fibrate and statin-niacin combinations. Several clinical trials are underway and should provide further evidence for the benefit of combination therapy of dyslipidemia. New drug classes have the potential to provide additive effects with currently available medications to provide substantial LDL reduction and increased HDL level that may lead to a substantial reduction in the burden of atherosclerotic vascular disease. Copyright © 2007 by Current Medicine Group LLC.
引用
收藏
页码:249 / 258
页数:9
相关论文
共 46 条
[41]  
Farnier M., Freeman M.W., Macdonell G., Et al., Efficacy and safety of the coadministration of ezetimibe with fenofibrate in patients with mixed hyperlipidaemia, Eur Heart J, 26, pp. 897-905, (2005)
[42]  
Wierzbicki A.S., Future approaches to reducing low-density lipoprotein cholesterol, Future Lipid, 1, pp. 463-476, (2006)
[43]  
Cuchel M., Bloedon L.T., Philippe O., Et al., Inhibition of microsomal triglyceride transfer protein in familial hypercholesterolemia, N EnglJ Med, 356, pp. 148-156, (2007)
[44]  
de Grooth G.J., Kuivenhoven J.A., Stalenhoef A.F.H., Et al., Efficacy and safety of a novel cholesteryl ester transfer protein inhibitor, JTT-705, in humans: A randomized phase II dose-response study, Circulation, 105, pp. 2159-2165, (2002)
[45]  
Brousseau M.E., Schaefer E.J., Wolfe M.L., Et al., Effects of an inhibitor of cholesteryl ester transfer protein on HDL cholesterol, N Engl J Med, 350, pp. 1505-1515, (2004)
[46]  
Burnett J.R., Drug evaluation: TAK-475 - an oral inhibitor of squalene synthase for hyperlipidemia, Curr Opin Investig Drugs, 7, pp. 850-855, (2006)