Evidence map›Paper›PMID 27138439›Full record

ReviewAmerican journal of cardiovascular drugs : drugs, devices, and other interventions2016

Omega-3 Fatty Acid Formulations in Cardiovascular Disease: Dietary Supplements are Not Substitutes for Prescription Products.

Jonathan Fialkow

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in American journal of cardiovascular drugs : drugs, devices, and other interventions, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06129526 (Study of the Effect of Eicosapentaenoic Acid), which is not on this map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
5.5field-weighted citation impact, top 4% 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.

NCT06129526 phase4unknown statusnot on this mapstarted 2023, after this paper: background citation

Study of the Effect of Eicosapentaenoic Acid (EPA) on Markers of Atherothrombosis in Patients With Type-2 Diabetes

TypeinterventionalSponsorUniversity of IoanninaRan2023 to 2024Enrolled450ConditionsDiabetes Type 2, Hypertriglyceridemia, Diabetes MellitusArmsEPAVasc, Corn Oil
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. Omega-9 fatty acids: potential roles in inflammation and cancer management.Journal, genetic engineering & biotechnology · 2022
    Review
  11. Modulation of endothelium function by fatty acids.Molecular and cellular biochemistry · 2022
    Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. The Future of Lipid-lowering Therapy.Journal of clinical medicine · 2019
    Review
  19. Review
  20. Article
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 at 1 institution in 1 country.

Jonathan FialkowMiami Cardiac and Vascular Institute, Baptist Health South Florida, 8900 N. Kendall Drive, Miami, FL, 33176, USA. jonathanfi@baptisthealth.net.
Baptist Health South Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Omega-3 fatty acid products are available as prescription formulations (icosapent ethyl, omega-3-acid ethyl esters, omega-3-acid ethyl esters A, omega-3-carboxylic acids) and dietary supplements (predominantly fish oils). Most dietary supplements and all but one prescription formulation contain mixtures of the omega-3 fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). Products containing both EPA and DHA may raise low-density lipoprotein cholesterol (LDL-C). In clinical trials, the EPA-only prescription product, icosapent ethyl, did not raise LDL-C compared with placebo. To correct a common misconception, it is important to note that omega-3 fatty acid dietary supplements are not US FDA-approved over-the-counter drugs and are not required to demonstrate safety and efficacy prior to marketing. Conversely, prescription products are supported by extensive clinical safety and efficacy investigations required for FDA approval and have active and ongoing safety monitoring programs. While omega-3 fatty acid dietary supplements may have a place in the supplementation of diet, they generally contain lower levels of EPA and DHA than prescription products and are not approved or intended to treat disease. Perhaps due to the lack of regulation of dietary supplements, EPA and DHA levels may vary widely within and between brands, and products may also contain unwanted cholesterol or fats or potentially harmful components, including toxins and oxidized fatty acids. Accordingly, omega-3 fatty acid dietary supplements should not be substituted for prescription products. Similarly, prescription products containing DHA and EPA should not be substituted for the EPA-only prescription product, as DHA may raise LDL-C and thereby complicate the management of patients with dyslipidemia.

Indexed as

AnimalsCardiovascular DiseasesChemistry, PharmaceuticalCholesterol, LDLDietDietary SupplementsDocosahexaenoic AcidsDyslipidemiasEicosapentaenoic AcidFatty Acids, Omega-3HumansHypertriglyceridemiaHypolipidemic AgentsPrescription DrugsCholesterol, LDLDocosahexaenoic AcidsEicosapentaenoic Acideicosapentaenoic acid ethyl esterFatty Acids, Omega-3Hypolipidemic AgentsPrescription Drugs

Identifiers

PMID27138439
PMCPMC4947114
OpenAlexW2345135102

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.