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<title xml:lang="en">Regression of coronary atherosclerosis with infusions of the high-density lipoprotein mimetic CER-001 in patients with more extensive plaque burden</title>
<author>
<name sortKey="Kataoka, Yu" sort="Kataoka, Yu" uniqKey="Kataoka Y" first="Yu" last="Kataoka">Yu Kataoka</name>
<affiliation>
<nlm:aff id="aff1">South Australian Health & Medical Research Institute,
<institution>University of Adelaide</institution>
,
<addr-line>Adelaide</addr-line>
,
<country>Australia</country>
;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Andrews, Jordan" sort="Andrews, Jordan" uniqKey="Andrews J" first="Jordan" last="Andrews">Jordan Andrews</name>
<affiliation>
<nlm:aff id="aff1">South Australian Health & Medical Research Institute,
<institution>University of Adelaide</institution>
,
<addr-line>Adelaide</addr-line>
,
<country>Australia</country>
;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Duong, Myngan" sort="Duong, Myngan" uniqKey="Duong M" first="Myngan" last="Duong">Myngan Duong</name>
<affiliation>
<nlm:aff id="aff1">South Australian Health & Medical Research Institute,
<institution>University of Adelaide</institution>
,
<addr-line>Adelaide</addr-line>
,
<country>Australia</country>
;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Nguyen, Tracy" sort="Nguyen, Tracy" uniqKey="Nguyen T" first="Tracy" last="Nguyen">Tracy Nguyen</name>
<affiliation>
<nlm:aff id="aff1">South Australian Health & Medical Research Institute,
<institution>University of Adelaide</institution>
,
<addr-line>Adelaide</addr-line>
,
<country>Australia</country>
;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Schwarz, Nisha" sort="Schwarz, Nisha" uniqKey="Schwarz N" first="Nisha" last="Schwarz">Nisha Schwarz</name>
<affiliation>
<nlm:aff id="aff1">South Australian Health & Medical Research Institute,
<institution>University of Adelaide</institution>
,
<addr-line>Adelaide</addr-line>
,
<country>Australia</country>
;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Fendler, Jessica" sort="Fendler, Jessica" uniqKey="Fendler J" first="Jessica" last="Fendler">Jessica Fendler</name>
<affiliation>
<nlm:aff id="aff1">South Australian Health & Medical Research Institute,
<institution>University of Adelaide</institution>
,
<addr-line>Adelaide</addr-line>
,
<country>Australia</country>
;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Puri, Rishi" sort="Puri, Rishi" uniqKey="Puri R" first="Rishi" last="Puri">Rishi Puri</name>
<affiliation>
<nlm:aff id="aff2">Department of Cardiovascular Medicine,
<institution>Cleveland Clinic</institution>
,
<addr-line>Cleveland, Ohio</addr-line>
,
<country>USA</country>
;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Butters, Julie" sort="Butters, Julie" uniqKey="Butters J" first="Julie" last="Butters">Julie Butters</name>
<affiliation>
<nlm:aff id="aff1">South Australian Health & Medical Research Institute,
<institution>University of Adelaide</institution>
,
<addr-line>Adelaide</addr-line>
,
<country>Australia</country>
;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Keyserling, Constance" sort="Keyserling, Constance" uniqKey="Keyserling C" first="Constance" last="Keyserling">Constance Keyserling</name>
<affiliation>
<nlm:aff id="aff3">Cerenis Therapeutics SA, Labege,
<country>France</country>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Paolini, John F" sort="Paolini, John F" uniqKey="Paolini J" first="John F." last="Paolini">John F. Paolini</name>
<affiliation>
<nlm:aff id="aff3">Cerenis Therapeutics SA, Labege,
<country>France</country>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Dasseux, Jean Louis" sort="Dasseux, Jean Louis" uniqKey="Dasseux J" first="Jean-Louis" last="Dasseux">Jean-Louis Dasseux</name>
<affiliation>
<nlm:aff id="aff3">Cerenis Therapeutics SA, Labege,
<country>France</country>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Nicholls, Stephen J" sort="Nicholls, Stephen J" uniqKey="Nicholls S" first="Stephen J." last="Nicholls">Stephen J. Nicholls</name>
<affiliation>
<nlm:aff id="aff1">South Australian Health & Medical Research Institute,
<institution>University of Adelaide</institution>
,
<addr-line>Adelaide</addr-line>
,
<country>Australia</country>
;</nlm:aff>
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<idno type="pmid">28567351</idno>
<idno type="pmc">5440269</idno>
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<idno type="RBID">PMC:5440269</idno>
<idno type="doi">10.21037/cdt.2017.02.01</idno>
<date when="2017">2017</date>
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<analytic>
<title xml:lang="en" level="a" type="main">Regression of coronary atherosclerosis with infusions of the high-density lipoprotein mimetic CER-001 in patients with more extensive plaque burden</title>
<author>
<name sortKey="Kataoka, Yu" sort="Kataoka, Yu" uniqKey="Kataoka Y" first="Yu" last="Kataoka">Yu Kataoka</name>
<affiliation>
<nlm:aff id="aff1">South Australian Health & Medical Research Institute,
<institution>University of Adelaide</institution>
,
<addr-line>Adelaide</addr-line>
,
<country>Australia</country>
;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Andrews, Jordan" sort="Andrews, Jordan" uniqKey="Andrews J" first="Jordan" last="Andrews">Jordan Andrews</name>
<affiliation>
<nlm:aff id="aff1">South Australian Health & Medical Research Institute,
<institution>University of Adelaide</institution>
,
<addr-line>Adelaide</addr-line>
,
<country>Australia</country>
;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Duong, Myngan" sort="Duong, Myngan" uniqKey="Duong M" first="Myngan" last="Duong">Myngan Duong</name>
<affiliation>
<nlm:aff id="aff1">South Australian Health & Medical Research Institute,
<institution>University of Adelaide</institution>
,
<addr-line>Adelaide</addr-line>
,
<country>Australia</country>
;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Nguyen, Tracy" sort="Nguyen, Tracy" uniqKey="Nguyen T" first="Tracy" last="Nguyen">Tracy Nguyen</name>
<affiliation>
<nlm:aff id="aff1">South Australian Health & Medical Research Institute,
<institution>University of Adelaide</institution>
,
<addr-line>Adelaide</addr-line>
,
<country>Australia</country>
;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Schwarz, Nisha" sort="Schwarz, Nisha" uniqKey="Schwarz N" first="Nisha" last="Schwarz">Nisha Schwarz</name>
<affiliation>
<nlm:aff id="aff1">South Australian Health & Medical Research Institute,
<institution>University of Adelaide</institution>
,
<addr-line>Adelaide</addr-line>
,
<country>Australia</country>
;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Fendler, Jessica" sort="Fendler, Jessica" uniqKey="Fendler J" first="Jessica" last="Fendler">Jessica Fendler</name>
<affiliation>
<nlm:aff id="aff1">South Australian Health & Medical Research Institute,
<institution>University of Adelaide</institution>
,
<addr-line>Adelaide</addr-line>
,
<country>Australia</country>
;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Puri, Rishi" sort="Puri, Rishi" uniqKey="Puri R" first="Rishi" last="Puri">Rishi Puri</name>
<affiliation>
<nlm:aff id="aff2">Department of Cardiovascular Medicine,
<institution>Cleveland Clinic</institution>
,
<addr-line>Cleveland, Ohio</addr-line>
,
<country>USA</country>
;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Butters, Julie" sort="Butters, Julie" uniqKey="Butters J" first="Julie" last="Butters">Julie Butters</name>
<affiliation>
<nlm:aff id="aff1">South Australian Health & Medical Research Institute,
<institution>University of Adelaide</institution>
,
<addr-line>Adelaide</addr-line>
,
<country>Australia</country>
;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Keyserling, Constance" sort="Keyserling, Constance" uniqKey="Keyserling C" first="Constance" last="Keyserling">Constance Keyserling</name>
<affiliation>
<nlm:aff id="aff3">Cerenis Therapeutics SA, Labege,
<country>France</country>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Paolini, John F" sort="Paolini, John F" uniqKey="Paolini J" first="John F." last="Paolini">John F. Paolini</name>
<affiliation>
<nlm:aff id="aff3">Cerenis Therapeutics SA, Labege,
<country>France</country>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Dasseux, Jean Louis" sort="Dasseux, Jean Louis" uniqKey="Dasseux J" first="Jean-Louis" last="Dasseux">Jean-Louis Dasseux</name>
<affiliation>
<nlm:aff id="aff3">Cerenis Therapeutics SA, Labege,
<country>France</country>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Nicholls, Stephen J" sort="Nicholls, Stephen J" uniqKey="Nicholls S" first="Stephen J." last="Nicholls">Stephen J. Nicholls</name>
<affiliation>
<nlm:aff id="aff1">South Australian Health & Medical Research Institute,
<institution>University of Adelaide</institution>
,
<addr-line>Adelaide</addr-line>
,
<country>Australia</country>
;</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Cardiovascular Diagnosis and Therapy</title>
<idno type="ISSN">2223-3652</idno>
<idno type="eISSN">2223-3660</idno>
<imprint>
<date when="2017">2017</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Background</title>
<p>CER-001 is an engineered pre-beta high-density lipoprotein (HDL) mimetic, which rapidly mobilizes cholesterol. Infusion of CER-001 3 mg/kg exhibited a potentially favorable effect on plaque burden in the CHI-SQUARE (Can HDL Infusions Significantly Quicken Atherosclerosis Regression) study. Since baseline atheroma burden has been shown as a determinant for the efficacy of HDL infusions, the degree of baseline atheroma burden might influence the effect of CER-001.</p>
</sec>
<sec>
<title>Methods</title>
<p>CHI-SQUARE compared the effect of 6 weekly infusions of CER-001 (3, 6 and 12 mg/kg)
<italic>vs.</italic>
placebo on coronary atherosclerosis in 369 patients with acute coronary syndrome (ACS) using serial intravascular ultrasound (IVUS). Baseline percent atheroma volume (B-PAV) cutoff associated with atheroma regression following CER-001 infusions was determined by receiver-operating characteristics curve analysis. 369 subjects were stratified according to the cutoff. The effect of CER-001 at different doses was compared to placebo in each group.</p>
</sec>
<sec>
<title>Results</title>
<p>A B-PAV ≥30% was the optimal cutoff associated with PAV regression following CER-001 infusions. CER-001 induced PAV regression in patients with B-PAV ≥30% but not in those with B-PAV <30% (−0.45%±2.65%
<italic>vs.</italic>
+0.34%±1.69%, P=0.01). Compared to placebo, the greatest PAV regression was observed with CER-001 3mg/kg in patients with B-PAV ≥30% (−0.96%±0.34%
<italic>vs.</italic>
−0.25%±0.31%, P=0.01), whereas there were no differences between placebo (+0.09%±0.36%) versus CER-001 in patients with B-PAV <30% (3 mg/kg; +0.41%±0.32%, P=0.39; 6 mg/kg; +0.27%±0.36%, P=0.76; 12 mg/kg; +0.32%±0.37%, P=0.97).</p>
</sec>
<sec>
<title>Conclusions</title>
<p>Infusions of CER-001 3 mg/kg induced the greatest atheroma regression in ACS patients with higher B-PAV. These findings identify ACS patients with more extensive disease as most likely to benefit from HDL mimetic therapy.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Cardiovasc Diagn Ther</journal-id>
<journal-id journal-id-type="iso-abbrev">Cardiovasc Diagn Ther</journal-id>
<journal-id journal-id-type="publisher-id">CDT</journal-id>
<journal-title-group>
<journal-title>Cardiovascular Diagnosis and Therapy</journal-title>
</journal-title-group>
<issn pub-type="ppub">2223-3652</issn>
<issn pub-type="epub">2223-3660</issn>
<publisher>
<publisher-name>AME Publishing Company</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">28567351</article-id>
<article-id pub-id-type="pmc">5440269</article-id>
<article-id pub-id-type="publisher-id">cdt-07-03-252</article-id>
<article-id pub-id-type="doi">10.21037/cdt.2017.02.01</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Regression of coronary atherosclerosis with infusions of the high-density lipoprotein mimetic CER-001 in patients with more extensive plaque burden</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Kataoka</surname>
<given-names>Yu</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Andrews</surname>
<given-names>Jordan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Duong</surname>
<given-names>MyNgan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Nguyen</surname>
<given-names>Tracy</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Schwarz</surname>
<given-names>Nisha</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fendler</surname>
<given-names>Jessica</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Puri</surname>
<given-names>Rishi</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Butters</surname>
<given-names>Julie</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Keyserling</surname>
<given-names>Constance</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Paolini</surname>
<given-names>John F.</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Dasseux</surname>
<given-names>Jean-Louis</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Nicholls</surname>
<given-names>Stephen J.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<aff id="aff1">
<label>1</label>
South Australian Health & Medical Research Institute,
<institution>University of Adelaide</institution>
,
<addr-line>Adelaide</addr-line>
,
<country>Australia</country>
;</aff>
<aff id="aff2">
<label>2</label>
Department of Cardiovascular Medicine,
<institution>Cleveland Clinic</institution>
,
<addr-line>Cleveland, Ohio</addr-line>
,
<country>USA</country>
;</aff>
<aff id="aff3">
<label>3</label>
Cerenis Therapeutics SA, Labege,
<country>France</country>
</aff>
</contrib-group>
<author-notes>
<fn id="afn1">
<p>
<italic>Contributions:</italic>
(I) Conception and design: Y Kataoka, JF Paolini, JL Dasseux, SJ Nicholls; (II) Administrative support: J Andrews, J Butters, C Keyserling; (III) Provision of study materials or patients: J Andrews, C Keyserling, JF Paolini, SJ Nicholls; (IV) Collection and assembly of data: Y Kataoka, J Andrews, M Duong, T Nguyen, N Schwarz, J Fendler, R Puri, SJ Nicholls; (V) Data analysis and interpretation: Y Kataoka, SJ Nicholls; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors.</p>
</fn>
<corresp id="cor1">
<italic>Correspondence to:</italic>
Stephen J. Nicholls, MBBS, PhD. South Australian Health & Medical Research Institute, PO Box 11060, Adelaide, SA, 5001, Australia. Email:
<email xlink:href="stephen.nicholls@sahmri.com">stephen.nicholls@sahmri.com</email>
.</corresp>
</author-notes>
<pub-date pub-type="epub-ppub">
<month>6</month>
<year>2017</year>
</pub-date>
<pmc-comment>Fake ppub date generated by PMC from publisher pub-date/@pub-type='epub-ppub' </pmc-comment>
<pub-date pub-type="ppub">
<month>6</month>
<year>2017</year>
</pub-date>
<volume>7</volume>
<issue>3</issue>
<fpage>252</fpage>
<lpage>263</lpage>
<history>
<date date-type="received">
<day>09</day>
<month>9</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>22</day>
<month>12</month>
<year>2016</year>
</date>
</history>
<permissions>
<copyright-statement>2017 Cardiovascular Diagnosis and Therapy. All rights reserved.</copyright-statement>
<copyright-year>2017</copyright-year>
<copyright-holder>Cardiovascular Diagnosis and Therapy.</copyright-holder>
</permissions>
<abstract>
<sec>
<title>Background</title>
<p>CER-001 is an engineered pre-beta high-density lipoprotein (HDL) mimetic, which rapidly mobilizes cholesterol. Infusion of CER-001 3 mg/kg exhibited a potentially favorable effect on plaque burden in the CHI-SQUARE (Can HDL Infusions Significantly Quicken Atherosclerosis Regression) study. Since baseline atheroma burden has been shown as a determinant for the efficacy of HDL infusions, the degree of baseline atheroma burden might influence the effect of CER-001.</p>
</sec>
<sec>
<title>Methods</title>
<p>CHI-SQUARE compared the effect of 6 weekly infusions of CER-001 (3, 6 and 12 mg/kg)
<italic>vs.</italic>
placebo on coronary atherosclerosis in 369 patients with acute coronary syndrome (ACS) using serial intravascular ultrasound (IVUS). Baseline percent atheroma volume (B-PAV) cutoff associated with atheroma regression following CER-001 infusions was determined by receiver-operating characteristics curve analysis. 369 subjects were stratified according to the cutoff. The effect of CER-001 at different doses was compared to placebo in each group.</p>
</sec>
<sec>
<title>Results</title>
<p>A B-PAV ≥30% was the optimal cutoff associated with PAV regression following CER-001 infusions. CER-001 induced PAV regression in patients with B-PAV ≥30% but not in those with B-PAV <30% (−0.45%±2.65%
<italic>vs.</italic>
+0.34%±1.69%, P=0.01). Compared to placebo, the greatest PAV regression was observed with CER-001 3mg/kg in patients with B-PAV ≥30% (−0.96%±0.34%
<italic>vs.</italic>
−0.25%±0.31%, P=0.01), whereas there were no differences between placebo (+0.09%±0.36%) versus CER-001 in patients with B-PAV <30% (3 mg/kg; +0.41%±0.32%, P=0.39; 6 mg/kg; +0.27%±0.36%, P=0.76; 12 mg/kg; +0.32%±0.37%, P=0.97).</p>
</sec>
<sec>
<title>Conclusions</title>
<p>Infusions of CER-001 3 mg/kg induced the greatest atheroma regression in ACS patients with higher B-PAV. These findings identify ACS patients with more extensive disease as most likely to benefit from HDL mimetic therapy.</p>
</sec>
</abstract>
<kwd-group kwd-group-type="author">
<title>Keywords: </title>
<kwd>High-density lipoprotein (HDL)</kwd>
<kwd>atheroma burden</kwd>
<kwd>regression</kwd>
<kwd>intravascular ultrasound (IVUS)</kwd>
<kwd>acute coronary syndrome (ACS)</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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