Evidence map›Paper›PMID 21392600›Full record

Trial reportAmerican heart journal2011

The role of niacin in raising high-density lipoprotein cholesterol to reduce cardiovascular events in patients with atherosclerotic cardiovascular disease and optimally treated low-density lipoprotein cholesterol Rationale and study design. The Atherothrombosis Intervention in Metabolic syndrome with low HDL/high triglycerides: Impact on Global Health outcomes (AIM-HIGH).

AIM-HIGH Investigators

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in American heart journal, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT00120289. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00120289 phase3terminated

AIM HIGH: Niacin Plus Statin to Prevent Vascular Events

Ran2005Enrolled3,414Registered outcomes4Posted comparisons4ConditionsAtherosclerosis, Cardiovascular Diseases, Cerebrovascular Accident, Coronary DiseaseArmsExtended release niacin, simvastatin
Open the trial in the graph
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Statins for primary prevention of venous thromboembolism.The Cochrane database of systematic reviews · 2014
    Pooled it
  3. Trial
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  9. Article
  10. Review
  11. Targeting hypertriglyceridemia to mitigate cardiovascular risk: A review.American journal of preventive cardiology · 2020
    Review
  12. Effects of Eicosapentaenoic Acid on Arterial Calcification.International journal of molecular sciences · 2020
    Review
  13. Article
  14. Evaluation of Lipid Profile and Residual Cardiovascular Risk in Patients Prior to Initiation of Niaspan Therapy.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2018
    Article
  15. Review
  16. Article
  17. Review
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  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

AIM-HIGH InvestigatorsAxio Research, LLC, Seattle, WA, USA. ruthm@axioresearch.com

Funding

AIM-HIGHU01HL081649 · NHLBI · AXIO RESEARCH, LLC · PI MCBRIDE, RUTH M · 2005 to 2010
$15.1M
AIM HIGH: Niacin Plus Statin to Prevent Vascular EventsU01HL081616 · NHLBI · UNIVERSITY OF WASHINGTON · PI PROBSTFIELD, JEFFREY LYNN · 2005 to 2010
$6.0M
NHLBI NIH HHS U01 HL081616NHLBI NIH HHS U01 HL081616-01NHLBI NIH HHS U01 HL081649NHLBI NIH HHS U01 HL081649-01
6 · The paper itself

Abstract

backgroundThe aim of this study was to test the hypothesis that patients with atherosclerotic cardiovascular (CV) disease optimally treated on a statin but with residual atherogenic dyslipidemia (low high-density lipoprotein cholesterol [HDL-C] and high triglycerides) will benefit from addition of niacin with fewer CV events compared with placebo. Statin monotherapy trials have found 25%-35% CV risk reduction relative to placebo, leaving significant residual risk. Patients with atherogenic dyslipidemia have substantially increased CV risk.

methodsParticipants were men and women with established CV disease and atherogenic dyslipidemia. Lipid entry criteria varied by gender and statin dose at screening. All participants received simvastatin (or simvastatin plus ezetimibe) at a dose sufficient to maintain low-density lipoprotein cholesterol (LDL-C) 40-80 mg/dL (1.03-2.07 mmol/L). Participants were randomized to extended-release niacin or matching placebo. The primary end point was time to occurrence of the first of the following: coronary heart disease death, nonfatal myocardial infarction, ischemic stroke, hospitalization for acute coronary syndrome, or symptom-driven coronary or cerebral revascularization. This event-driven trial will have 85% power to show a 25% reduction in primary event frequency after 850 patients have experienced a primary outcome event.

resultsAIM-HIGH completed enrollment in April 2010. Follow-up is expected to continue through 2012. SUMMARY: AIM-HIGH was designed to determine whether treating residual dyslipidemia with niacin further reduces cardiovascular events in patients with CV disease on a statin at target levels of low-density lipoprotein cholesterol.

Indexed as

Research DesignAnticholesteremic AgentsAtherosclerosisAzetidinesCardiovascular DiseasesCholesterol, HDLCholesterol, LDLEzetimibeHumansHypolipidemic AgentsMetabolic SyndromeNiacinSimvastatinTreatment OutcomeAnticholesteremic AgentsAzetidinesCholesterol, HDLCholesterol, LDLEzetimibeHypolipidemic AgentsNiacinSimvastatin

Identifiers

PMID21392600
PMCPMC3120226

What OpenQuestion holds

Texttitle and abstract
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.