Evidence map›Paper›PMID 33867420›Full record

Trial reportJournal of atherosclerosis and thrombosis2022

Integrated Analysis of Two Probucol Trials for the Secondary Prevention of Atherosclerotic Cardiovascular Events: PROSPECTIVE and IMPACT.

Hidenori Arai, Hideaki Bujo, Daisaku Masuda, Toshiyuki Ishibashi, Satoshi Nakagawa, Kenichiro Tanabe, Tatsuo Kagimura, Hyun-Jae Kang, Moo Hyun Kim, Jidong Sung and 10 more

Registry-linked trialOpen access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of atherosclerosis and thrombosis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06604117 (A Prospective, Open-label Study Evaluating the Effects of Probucol Combined with Statins on Atherosclerotic Characteristics and Prognosis in Patients with Ischemic Stroke), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 19% 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.

NCT06604117 recruitingstarted 2024, after this paper: background citation

A Prospective, Open-label Study Evaluating the Effects of Probucol Combined with Statins on Atherosclerotic Characteristics and Prognosis in Patients with Ischemic Stroke

Ran2024Enrolled200Registered outcomes6Posted comparisons0ConditionsAtherosclerosis of Artery, Ischemic Stroke, Lipid Disorder, StatinArmsProbucol, Statin
Open the trial in the graph
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. 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

20 authors at 16 institutions in 5 countries.

Hidenori AraiThe National Center for Geriatrics and Gerontology.
Hideaki BujoDepartment of Clinical Laboratory and Experimental Research Medicine, Toho University, Sakura Medical Center.
Daisaku MasudaRinku Innovation Center for Wellness Care and Activities (RICWA), Rinku General Medical Center.
Toshiyuki IshibashiOhara General Hospital.
Satoshi NakagawaTranslational Research Center for Medical Innovation, Foundation for Biomedical Research and Innovation at Kobe.
Kenichiro TanabeTranslational Research Center for Medical Innovation, Foundation for Biomedical Research and Innovation at Kobe.
Tatsuo KagimuraTranslational Research Center for Medical Innovation, Foundation for Biomedical Research and Innovation at Kobe.
Hyun-Jae KangDepartment of Internal Medicine, Seoul National University Hospital and University College of Medicine, Seoul National University.
Moo Hyun KimDonga University Hospital.
Jidong SungDivision of Cardiology, Heart Stroke & Vascular Institute, Samsung Medical Center.
Sang-Hyun KimDepartment of Internal Medicine, Seoul Boramae Hospital and Seoul National University College of Medicine.
Cheol-Ho KimDepartment of Internal Medicine, Seoul National University Bundang Hospital.
Jeong Euy ParkDrs. Park and Kim Heart and Lung International Clinic.
Junbo GeDepartment of Cardiology, Zhongshan Hospital, Fudan University.
Byung-Hee OhDepartment of Cardiology, Incheon Sejong Hospital, Incheon.
Toru KitaKobe City College of Nursing.
Yasushi SaitoChiba University Graduate School of Medicine.
Masanori FukushimaTranslational Research Center for Medical Innovation, Foundation for Biomedical Research and Innovation at Kobe.
Yuji MatsuzawaSumitomo Hospital.
Shizuya YamashitaDepartment of Cardiology, Rinku General Medical Center.
Foundation for Biomedical Research · USChiba University · JPDong-A University Hospital · KRFoundation for Biomedical Research and Innovation · JPFudan University · CNIncheon Medical Center · KRInternational Heart and Lung Institute · USKobe City College of Nursing · JPNational Center for Geriatrics and Gerontology · JPSamsung Medical Center · KRSeirei Hamamatsu General Hospital · JPSeoul National University · KRSeoul National University Bundang Hospital · KRSeoul National University Hospital · KRSumitomo Hospital · JPToho University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsIn this study, we integrated two randomized control trials, PROSPECTIVE and IMPACT, to address the effect of probucol on cerebrocardiovascular events and carotid intima-media thickness (IMT) in Japanese, Korean, and Chinese patients with coronary artery disease (CAD).

methodsA total of 1,025 patients from the PROSPECTIVE and IMPACT studies were enrolled. The time to the first major adverse cerebrocardiovascular event, in addition to carotid IMT and lipid levels, was compared between the control and probucol groups.

resultsIn the integrated analysis, the adjusted hazard ratio (HR) and 95% confidence interval (CI) were 0.67 and 0.44-1.03, respectively, indicating a tendency to show the effect of probucol on cerebrocardiovascular events in secondary prevention. We also found no significant differences between the control and probucol groups in the mean IMT of the carotid arteries and its changes. However, we found a significant decrease in cerebrocardiovascular events in patients with reduced levels of HDL cholesterol (HDL-C) (≥ 6.25 mg/dL) compared with those with levels <6.25 mg/dL (p=0.024), without any increase in adverse events such as severe ventricular arrhythmias.

conclusionWe demonstrated a marginal effect of probucol on cerebrocardiovascular events in Asian patients with CAD, with reasonable safety profiles. A larger study may be needed to support the effect of probucol for cardiovascular prevention.

Indexed as

Anticholesteremic AgentsAtherosclerosisCoronary Artery DiseaseCarotid Intima-Media ThicknessHumansProbucolProspective StudiesSecondary PreventionAnticholesteremic AgentsProbucolAtherosclerotic cardiovascular diseaseIntegrated analysisProbucolSecondary prevention

Identifiers

PMID33867420
PMCPMC9174092
OpenAlexW3153179973

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.