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Effect of serial infusions of reconstituted high-density lipoprotein (CER-001) on coronary atherosclerosis: rationale and design of the CARAT study.

Identifieur interne : 000D58 ( PubMed/Checkpoint ); précédent : 000D57; suivant : 000D59

Effect of serial infusions of reconstituted high-density lipoprotein (CER-001) on coronary atherosclerosis: rationale and design of the CARAT study.

Auteurs : Jordan Andrews [Australie] ; Alex Janssan [Australie] ; Tracy Nguyen [Australie] ; Anthony D. Pisaniello [Australie] ; Daniel J. Scherer [Australie] ; John J P. Kastelein [Pays-Bas] ; Bela Merkely [Hongrie] ; Steven E. Nissen [États-Unis] ; Kausik Ray [Royaume-Uni] ; Gregory G. Schwartz [États-Unis] ; Stephen G. Worthley [Australie] ; Connie Keyserling [France] ; Jean-Louis Dasseux [France] ; Julie Butters [Australie] ; Jacinta Girardi [Australie] ; Rosemary Miller [Australie] ; Stephen J. Nicholls [Australie]

Source :

RBID : pubmed:28164012

Abstract

High-density lipoprotein (HDL) is believed to have atheroprotective properties, but an effective HDL-based therapy remains elusive. Early studies have suggested that infusion of reconstituted HDL promotes reverse cholesterol transport and vascular reactivity. The CER-001 Atherosclerosis Regression Acute Coronary Syndrome Trial (CARAT) is investigating the impact of infusing an engineered pre-beta HDL mimetic containing sphingomyelin (SM) and dipalmitoyl phosphatidlyglycerol (CER-001) on coronary atheroma volume in patients with a recent acute coronary syndrome (ACS).

DOI: 10.21037/cdt.2017.01.01
PubMed: 28164012


Affiliations:


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pubmed:28164012

Le document en format XML

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<name sortKey="Ray, Kausik" sort="Ray, Kausik" uniqKey="Ray K" first="Kausik" last="Ray">Kausik Ray</name>
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<nlm:affiliation>School of Public Health, Imperial College London, London, UK.</nlm:affiliation>
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<name sortKey="Dasseux, Jean Louis" sort="Dasseux, Jean Louis" uniqKey="Dasseux J" first="Jean-Louis" last="Dasseux">Jean-Louis Dasseux</name>
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<name sortKey="Butters, Julie" sort="Butters, Julie" uniqKey="Butters J" first="Julie" last="Butters">Julie Butters</name>
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<name sortKey="Girardi, Jacinta" sort="Girardi, Jacinta" uniqKey="Girardi J" first="Jacinta" last="Girardi">Jacinta Girardi</name>
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<nlm:affiliation>South Australian Health and Medical Research Institute, University of Adelaide, Adelaide, Australia.</nlm:affiliation>
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<name sortKey="Miller, Rosemary" sort="Miller, Rosemary" uniqKey="Miller R" first="Rosemary" last="Miller">Rosemary Miller</name>
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<name sortKey="Nicholls, Stephen J" sort="Nicholls, Stephen J" uniqKey="Nicholls S" first="Stephen J" last="Nicholls">Stephen J. Nicholls</name>
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<title level="j">Cardiovascular diagnosis and therapy</title>
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<div type="abstract" xml:lang="en">High-density lipoprotein (HDL) is believed to have atheroprotective properties, but an effective HDL-based therapy remains elusive. Early studies have suggested that infusion of reconstituted HDL promotes reverse cholesterol transport and vascular reactivity. The CER-001 Atherosclerosis Regression Acute Coronary Syndrome Trial (CARAT) is investigating the impact of infusing an engineered pre-beta HDL mimetic containing sphingomyelin (SM) and dipalmitoyl phosphatidlyglycerol (CER-001) on coronary atheroma volume in patients with a recent acute coronary syndrome (ACS).</div>
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<Day>06</Day>
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<Year>2017</Year>
<Month>02</Month>
<Day>24</Day>
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<ISSN IssnType="Print">2223-3652</ISSN>
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<Volume>7</Volume>
<Issue>1</Issue>
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<Year>2017</Year>
<Month>Feb</Month>
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<Title>Cardiovascular diagnosis and therapy</Title>
<ISOAbbreviation>Cardiovasc Diagn Ther</ISOAbbreviation>
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<ArticleTitle>Effect of serial infusions of reconstituted high-density lipoprotein (CER-001) on coronary atherosclerosis: rationale and design of the CARAT study.</ArticleTitle>
<Pagination>
<MedlinePgn>45-51</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.21037/cdt.2017.01.01</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">High-density lipoprotein (HDL) is believed to have atheroprotective properties, but an effective HDL-based therapy remains elusive. Early studies have suggested that infusion of reconstituted HDL promotes reverse cholesterol transport and vascular reactivity. The CER-001 Atherosclerosis Regression Acute Coronary Syndrome Trial (CARAT) is investigating the impact of infusing an engineered pre-beta HDL mimetic containing sphingomyelin (SM) and dipalmitoyl phosphatidlyglycerol (CER-001) on coronary atheroma volume in patients with a recent acute coronary syndrome (ACS).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The CARAT is a phase 2, multicenter trial in which 292 patients with an ACS undergoing intracoronary ultrasonography and showing percent atheroma volume (PAV) greater than 30% are randomly assigned to treatment with ten infusions of CER-001 3 mg/kg or matching placebo, administered at weekly intervals. Intracoronary ultrasonography is repeated at the end of the treatment period.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The primary endpoint is the nominal change in PAV. Safety and tolerability will also be evaluated.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">CARAT will establish whether serial 3 mg/kg infusions of an engineered pre-beta HDL mimetic containing SM and dipalmitoyl phosphatidlyglycerol (CER-001) will regress atherosclerotic plaque in patients with a recent ACS.</AbstractText>
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<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">Atherosclerosis</Keyword>
<Keyword MajorTopicYN="N">CER-001</Keyword>
<Keyword MajorTopicYN="N">clinical trial</Keyword>
<Keyword MajorTopicYN="N">high-density lipoproteins (HDLs)</Keyword>
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<CoiStatement>The authors have no conflicts of interest to declare.</CoiStatement>
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