Evidence map›Paper›PMID 26210594›Full record

ReviewMedical science monitor : international medical journal of experimental and clinical research2015

Niacin in the Treatment of Hyperlipidemias in Light of New Clinical Trials: Has Niacin Lost its Place?

Miroslav Zeman, Marek Vecka, František Perlík, Róbert Hromádka, Barbora Staňková, Eva Tvrzická, Aleš Žák

Abstract readReview
In one paragraph

Review in Medical science monitor : international medical journal of experimental and clinical research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.7field-weighted citation impact, top 10% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. Review
  12. NADJournal of lipid and atherosclerosis · 2022
    Review
  13. Review
  14. Review
  15. Article
  16. 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

7 authors at 1 institution in 1 country.

Miroslav Zeman4th Department of Medicine, 1st Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.
Marek Vecka4th Department of Medicine, 1st Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.
František PerlíkInstitute of Pharmacology, 1st Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.
Róbert HromádkaResearch and Development Center, C2P s.r.o., Chlumec nad Cidlinou, Czech Republic.
Barbora Staňková4th Department of Medicine, 1st Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.
Eva TvrzickáIVth Dept Internal Med, 1st Fac. Med., Charles Univ., Prague, Czech Republic.
Aleš Žák4th Department of Medicine, 1st Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.
Charles University · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Niacin is considered to be a powerful drug for the treatment of lipid and lipoprotein abnormalities connected with "residual cardiovascular risk", which persist in high-risk patients even when the target goals of LDL-C are achieved with statin therapy. Recent large randomized clinical studies - AIM-HIGH (Atherothrombosis Intervention in Metabolic Syndrome With Low HDL/High Triglycerides) and HPS2-THRIVE (Heart Protection Study 2-Treatment of HDL to Reduce the Incidence of Vascular Events) - delivered some disappointing results, leading to the conclusion that no further benefit (decreased parameters of cardiovascular risk) is achieved by adding niacin to existing statin therapy in patients with high cardiovascular risk. Moreover, in these studies, several adverse effects of the treatment were observed; therefore, niacin treatment for hypolipidemias is not recommended. In this paper, we analyze the mechanisms underlying the hypolipidemic and antiatherogenic effects of niacin as well as some limitations of the designs of the AIM HIGH and HP2-THRIVE studies. We also provide the possibilities of rational usage of niacin for specific types of dyslipidemias.

Indexed as

AnimalsCardiovascular DiseasesHumansHyperlipidemiasHypolipidemic AgentsNiacinRisk FactorsHypolipidemic AgentsNiacin

Identifiers

PMID26210594
PMCPMC4523006
OpenAlexW2200999987

What OpenQuestion holds

Texttitle and abstract
Read underepoch 390

Registered trials

None linked

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.