Evidence map›Paper›PMID 38786974›Full record

ReviewJournal of cardiovascular development and disease2024

Cholesteryl Ester Transfer Protein Inhibitors and Cardiovascular Outcomes: A Systematic Review and Meta-Analysis.

Wajeeh Ur Rehman, Merav Yarkoni, Muhammad Abdullah Ilyas, Farwa Athar, Mahnoor Javaid, Muhammad Ehsan, Muhammad Talha Khalid, Ahmed Pasha, Abdelhamid Ben Selma, Alon Yarkoni and 3 more

Abstract readReview
In one paragraph

Review in Journal of cardiovascular development and disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Review
  6. Review
  7. Lipoprotein(a) and panvascular disease.Lipids in health and disease · 2025
    Review
  8. 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

13 authors.

Wajeeh Ur RehmanHeart and Vascular Institute, United Health Services, Johnson City, NY 13790, USA.ORCID 0000-0002-4520-2373
Merav YarkoniHeart and Vascular Institute, United Health Services, Johnson City, NY 13790, USA.ORCID 0000-0003-0086-7715
Muhammad Abdullah IlyasDepartment of Medicine, King Edward Medical University, Lahore 54000, Pakistan.
Farwa AtharDepartment of Medicine, King Edward Medical University, Lahore 54000, Pakistan.
Mahnoor JavaidSchool of Medicine, CMH Lahore Medical College, Lahore 54000, Pakistan.
Muhammad EhsanDepartment of Medicine, King Edward Medical University, Lahore 54000, Pakistan.ORCID 0000-0002-6021-2342
Muhammad Talha KhalidDepartment of Medicine, United Health Services, Johnson City, NY 13790, USA.
Ahmed PashaHeart and Vascular Institute, United Health Services, Johnson City, NY 13790, USA.
Abdelhamid Ben SelmaDepartment of Medicine, United Health Services, Johnson City, NY 13790, USA.
Alon YarkoniHeart and Vascular Institute, United Health Services, Johnson City, NY 13790, USA.
Keyoor PatelHeart and Vascular Institute, United Health Services, Johnson City, NY 13790, USA.
Mouhamed Amr SabouniCardiovascular Disease, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Afzal Ur RehmanHeart and Vascular Institute, United Health Services, Johnson City, NY 13790, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtherosclerosis is a multi-factorial disease, and low-density lipoprotein cholesterol (LDL-C) is a critical risk factor in developing atherosclerotic cardiovascular disease (ASCVD). Cholesteryl-ester transfer-protein (CETP), synthesized by the liver, regulates LDL-C and high-density lipoprotein cholesterol (HDL-C) through the bidirectional transfer of lipids. The novelty of CETP inhibitors (CETPis) has granted new focus towards increasing HDL-C, besides lowering LDL-C strategies. To date, five CETPis that are projected to improve lipid profiles, torcetrapib, dalcetrapib, evacetrapib, anacetrapib, and obicetrapib, have reached late-stage clinical development for ASCVD risk reduction. Early trials failed to reduce atherosclerotic cardiovascular occurrences. Given the advent of some recent large-scale clinical trials (ACCELERATE, HPS3/TIMI55-REVEAL Collaborative Group), conducting a meta-analysis is essential to investigate CETPis' efficacy.

methodsWe conducted a thorough search of randomized controlled trials (RCTs) that commenced between 2003 and 2023; CETPi versus placebo studies with a ≥6-month follow-up and defined outcomes were eligible. PRIMARY OUTCOMES: major adverse cardiovascular events (MACEs), cardiovascular disease (CVD)-related mortality, all-cause mortality. SECONDARY OUTCOMES: stroke, revascularization, hospitalization due to acute coronary syndrome, myocardial infarction (MI).

resultsNine RCTs revealed that the use of a CETPi significantly reduced CVD-related mortality (RR = 0.89; 95% CI: 0.81-0.98;

conclusionsOur meta-analysis shows, for the first time, that CETPis are associated with reduced CVD-related mortality and MI.

Indexed as

anacetrapibatherosclerosisCETP inhibitorscholesterol ester transfer proteindalceprapibevacetrapibHDL-C lipoproteinsLDL-C lipoproteinsobicetrapibtorcetrapib

Identifiers

PMID38786974
PMCPMC11122262

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.