Evidence map›Paper›PMID 25022285›Full record

Trial reportBMC cardiovascular disorders2014

Early decrease in carotid plaque lipid content as assessed by magnetic resonance imaging during treatment of rosuvastatin.

Ruixue Du, Jianming Cai, Xue-Qiao Zhao, Qing-Jun Wang, Dan-Qing Liu, Wen-Xiu Leng, Peng Gao, Hong-Mei Wu, Lin Ma, Ping Ye

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC cardiovascular disorders, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT00885872. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 25% of its field
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.

NCT00885872 phase4unknown status

A 104-week, Open-label, Single-group Study: Rosuvastatin Evaluation of Atherosclerotic Chinese Patients (REACH)

Ran2009Enrolled60Registered outcomes2Posted comparisons0ConditionsAtherosclerosis, HyperlipidemiaArmsRosuvastatin (Crestor)
Open the trial in the graph
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
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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

10 authors at 2 institutions in 2 countries.

Ruixue Du
Jianming Cai
Xue-Qiao Zhao
Qing-Jun Wang
Dan-Qing Liu
Wen-Xiu Leng
Peng Gao
Hong-Mei Wu
Lin MaDepartment of Geriatric Cardiology, Chinese PLA General Hospital, No, 28, Fuxing Road, Beijing 100853, China. cjr.malin@vip.163.com.
Ping Ye
Chinese PLA General Hospital · CNUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStatin therapy has shown to deplete atherosclerotic plaque lipid content and induce plaque regression. However, how early the plaque lipid depletion can occur with low-density lipoprotein cholesterol (LDL-C) lowering in humans in vivo has not been fully described.

methodsWe enrolled 43 lipid treatment naïve subjects with asymptomatic carotid atherosclerosis and LDL-C ≥ 100 and ≤ 250 mg/dl. Rosuvastatin 5-20 mg/day was used to lower LDL-C levels to < 80 mg/dl. Lipid profile and carotid MRI scans were obtained at baseline, 3, 12, and 24 months. Carotid plaque lipid-rich necrotic core (LRNC) and plaque burden were measured and compared between baseline and during treatment.

resultsAmong the 32 subjects who completed the study, at 3 months, an average dose of rosuvastatin of 11 mg/day lowered LDL-C levels by 47% (125.2 ± 24.4 mg/dl vs. 66.7 ± 17.3 mg/dl, p < 0.001). There were no statistically significant changes in total wall volume, percent wall volume or lumen volume. However, LRNC volume was significantly decreased by 7.9 mm3, a reduction of 7.3% (111.5 ± 104.2 mm3 vs. 103.6 ± 95.8 mm3, p = 0.044). Similarly, % LRNC was also significantly decreased from 18.9 ± 11.9% to 17.9 ± 11.5% (p = 0.02) at 3 months. Both LRNC volume and % LRNC continued to decrease moderately at 12 and 24 months, although this trend was not significant.

conclusionsAmong a small number of lipid treatment naïve subjects, rosuvastatin therapy may induce a rapid and lasting decrease in carotid plaque lipid content as assessed by MRI.

trial registrationClinicalTrials.Gov numbers NCT00885872.

Indexed as

Magnetic Resonance ImagingPlaque, AtheroscleroticAgedAsymptomatic DiseasesBiomarkersCarotid Artery, CommonCarotid Artery DiseasesChinaCholesterol, LDLFemaleFluorobenzenesHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedNecrosisBiomarkersCholesterol, LDLFluorobenzenesHydroxymethylglutaryl-CoA Reductase InhibitorsPyrimidinesRosuvastatin CalciumSulfonamides

Identifiers

PMID25022285
PMCPMC4107586
OpenAlexW2096824891

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.