Evidence map›Paper›PMID 37093712›Full record

Trial reportVascular medicine (London, England)2023

Alirocumab and plaque volume, calf muscle blood flow, and walking performance in peripheral artery disease: A randomized clinical trial.

Elona Rrapo-Kaso, Adrian I Loffler, Gina R Petroni, Craig H Meyer, McCall Walker, Jennifer R Kay, Joseph M DiMaria, Kathyrn Domanchuk, James C Carr, Mary M McDermott and 1 more

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

Trial report in Vascular medicine (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02959047 (A Double Blind, Randomized Trial of Alirocumab and Plaque Regression in Peripheral Arterial Disease), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 21% 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.

NCT02959047 phase4completednot on this map

A Double Blind, Randomized Trial of Alirocumab and Plaque Regression in Peripheral Arterial Disease

TypeinterventionalSponsorUniversity of VirginiaRan2017 to 2023Enrolled40ConditionsPeripheral Arterial DiseaseArmsAlirocumab, Matching placebo
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. 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

11 authors at 2 institutions in 1 country.

Elona Rrapo-KasoDepartment of Medicine, Cardiovascular Division, University of Virginia Health, Charlottesville, VA, USA.
Adrian I LofflerDepartment of Medicine, Cardiovascular Division, University of Virginia Health, Charlottesville, VA, USA.
Gina R PetroniDepartments of Public Health Sciences, University of Virginia Health, Charlottesville, VA, USA.
Craig H MeyerDepartment of Biomedical Engineering, University of Virginia Health, Charlottesville, VA, USA.
McCall WalkerDepartment of Medicine, Cardiovascular Division, University of Virginia Health, Charlottesville, VA, USA.
Jennifer R KayDepartment of Radiology and Medical Imaging, University of Virginia Health, Charlottesville, VA, USA.
Joseph M DiMariaDepartment of Radiology and Medical Imaging, University of Virginia Health, Charlottesville, VA, USA.
Kathyrn DomanchukDepartment of Medicine, Northwestern University, Chicago, IL, USA.
James C CarrDepartment of Medicine, Northwestern University, Chicago, IL, USA.
Mary M McDermottDepartment of Medicine, Northwestern University, Chicago, IL, USA.ORCID 0000-0002-3724-7619
Christopher M KramerDepartment of Medicine, Cardiovascular Division, University of Virginia Health, Charlottesville, VA, USA.ORCID 0000-0003-2057-7731
University of Virginia · USNorthwestern University · US

Funding

Comprehensive Magnetic Resonance in PADR01HL075792 · NHLBI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI KRAMER, CHRISTOPHER M. · 2003 to 2021
$10.5M
Training in Cardiovascular Imaging ResearchT32EB003841 · NIBIB · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Jonathan R Lindner · 2004 to 2026
$4.4M
NHLBI NIH HHS R01 HL075792NIBIB NIH HHS T32 EB003841
6 · The paper itself

Abstract

backgroundThe distal superficial femoral artery (SFA) is most commonly affected in peripheral artery disease (PAD). The effects of the proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitor alirocumab added to statin therapy on SFA atherosclerosis, downstream flow, and walking performance are unknown.

methodsThirty-five patients with PAD on maximally tolerated statin therapy were recruited. Patients were randomized to alirocumab 150 mg subcutaneously (

resultsAge (mean ± SD) was 64 ± 8 years, 20 (57%) patients were women, 17 (49%) were Black individuals, LDL was 107 ± 36 mg/dL, and the ankle-brachial index 0.71 ± 0.20. The LDL fell more with alirocumab than placebo (mean [95% CI]) (-49.8 [-66.1 to -33.6] vs -7.7 [-19.7 to 4.3] mg/dL;

conclusionIn this exploratory study, the addition of alirocumab therapy to statins did not alter SFA plaque volume, calf perfusion or 6MWD despite significant LDL lowering. Larger studies with longer follow up that include plaque characterization may improve understanding of the effects of intensive LDL-lowering therapy in PAD

Indexed as

Hydroxymethylglutaryl-CoA Reductase InhibitorsPeripheral Arterial DiseasePlaque, AtheroscleroticAgedAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedCholesterol, LDLDouble-Blind MethodFemaleHumansMaleMiddle AgedMusclesProprotein Convertase 9Treatment OutcomealirocumabAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedCholesterol, LDLHydroxymethylglutaryl-CoA Reductase InhibitorsPCSK9 protein, humanProprotein Convertase 9atherosclerotic plaquemagnetic resonance imaging (MRI)PCSK9 inhibitionperipheral artery disease (PAD)

Identifiers

PMID37093712
PMCPMC10552651
OpenAlexW4366821911

What OpenQuestion holds

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LicenceTDM
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.