Atherosclerosis: Recent trials, new targets and future directions.

Journal Article (Review)

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.

Full Text

Duke Authors

Cited Authors

  • Ladeiras-Lopes, R; Agewall, S; Tawakol, A; Staels, B; Stein, E; Mentz, RJ; Leite-Moreira, A; Zannad, F; Koenig, W

Published Date

  • August 2015

Published In

Volume / Issue

  • 192 /

Start / End Page

  • 72 - 81

PubMed ID

  • 26002254

Electronic International Standard Serial Number (EISSN)

  • 1874-1754

International Standard Serial Number (ISSN)

  • 0167-5273

Digital Object Identifier (DOI)

  • 10.1016/j.ijcard.2015.05.013

Language

  • eng