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瑞舒伐他汀/依折麦布固定剂量复方制剂(Trezete®)在血脂异常患者中的血脂谱、治疗目标及安全性的真实世界证据评估

Real-World Evidence Evaluation on the Lipid Profile, Therapeutic Goals, and Safety of the Fixed-Dose Combination of Rosuvastatin/Ezetimibe (Trezete®) in Dyslipidemia Patients.

作者信息

Rodríguez-Saldaña Joel, Padilla-Padilla Francisco, Cardona-Muñoz Ernesto G, Romero-Antonio Yulia, Arguedas-Núñez María Marcela, Sander-Padilla José G, Martínez-Muñoz Alberto, Lugo-Sánchez Laura A, Rodríguez-Vazquez Ileana C, González-Canudas Jorge

机构信息

Resultados Médicos Desarrollo e Investigación S.C., Pachuca, Hidalgo, Mexico.

Clinical and Interventional Cardiology, Ajijic, Jalisco, Mexico.

出版信息

Cardiol Res Pract. 2022 Sep 10;2022:9464733. doi: 10.1155/2022/9464733. eCollection 2022.

Abstract

INTRODUCTION

Cardiovascular diseases are the leading cause of death worldwide. The combination of statins and cholesterol-absorption inhibitors promotes the decrease in risk factors, such as high concentrations of LDL (low-density lipoproteins). The aim of the study was to evaluate changes in the lipid profile and the effect on therapeutic goals, as well as the safety of dyslipidemia patients treated with Rosuvastatin/Ezetimibe (Trezete®).

MATERIALS AND METHODS

A real-world evidence study was conducted with retrospective data collection through a review of clinical records from dyslipidemia patients treated with Trezete® in routine medical practice. Clinical records included results of biochemical markers before treatment and at least one follow up between weeks 8 and 16.

RESULTS

The study included 103 patients' clinical records (55.4% men) with a mean age of 56.0 ± 13.0 years. More than 57% of the patients had mixed dyslipidemia and a median disease progression of 3.1 (IQR, 1.5; 9.1) years. Regarding LDL concentrations, 72.8% of the patients achieved therapeutic goals according to cardiovascular risk (CVR), which was statistically significant. Similarly, 94.1% achieved goals for total cholesterol (<200 mg/dL) and 56.0% for triglycerides (<150 mg/dL), a value <0.001. No cardiovascular events were observed.

CONCLUSION

Trezete® shows an important clinical impact on CVR-related target markers during the treatment of dyslipidemia patients. It is relevant to mention that a significant percentage of patients achieved therapeutic goals during the first months of treatment. Fixed-dose combination therapy has shown to be as safe as monotherapy treatment. ClinicalTrials.gov Identifier: NCT04862962.

摘要

引言

心血管疾病是全球主要的死亡原因。他汀类药物和胆固醇吸收抑制剂联合使用可促进降低危险因素,如高浓度的低密度脂蛋白(LDL)。本研究的目的是评估血脂谱的变化、对治疗目标的影响以及瑞舒伐他汀/依折麦布(Trezete®)治疗血脂异常患者的安全性。

材料与方法

通过回顾常规医疗实践中接受Trezete®治疗的血脂异常患者的临床记录进行回顾性数据收集,开展一项真实世界证据研究。临床记录包括治疗前及治疗后第8至16周至少一次随访的生化标志物结果。

结果

该研究纳入了103例患者的临床记录(男性占55.4%),平均年龄为56.0±13.0岁。超过57%的患者患有混合性血脂异常,疾病进展中位数为3.1(四分位间距,1.5;9.1)年。关于低密度脂蛋白浓度,72.8%的患者根据心血管风险(CVR)达到了治疗目标,具有统计学意义。同样,94.1%的患者总胆固醇(<200mg/dL)达到目标,56.0%的患者甘油三酯(<150mg/dL)达到目标,P值<0.001。未观察到心血管事件。

结论

Trezete®在血脂异常患者治疗期间对CVR相关靶标标志物显示出重要的临床影响。值得一提的是,相当比例的患者在治疗的头几个月内达到了治疗目标。固定剂量联合治疗已证明与单药治疗一样安全。ClinicalTrials.gov标识符:NCT04862962。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/703f/9482503/c16ac1ee503d/CRP2022-9464733.001.jpg

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