Evidence map›Paper›PMID 8248954›Full record

Trial reportStroke1993

One-year reduction and longitudinal analysis of carotid intima-media thickness associated with colestipol/niacin therapy.

W J Mack, R H Selzer, H N Hodis, J K Erickson, C R Liu, C H Liu, D W Crawford, D H Blankenhorn

2 registry-linked trialsAbstract readClinical TrialRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Stroke, 1993. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT00000599. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.4field-weighted citation impact, top 5% 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.

NCT00000599 phase3completed

Cholesterol-Lowering Atherosclerosis Study (CLAS)

Ran1980Registered outcomes0Posted comparisons0ConditionsArterial Occlusive Diseases, Atherosclerosis, Cardiovascular Diseases, Carotid Artery DiseasesArmscolestipol, diet, fat-restricted, niacin
Open the trial in the graph
NCT00397657 phase4terminatedstarted 2006, after this paper: background citation

ARBITER 6: ARterial Biology for the Investigation of the Treatment Effects of Reducing Cholesterol 6 - HDL and LDL Treatment Strategies in Atherosclerosis (HALTS)

Ran2006Enrolled400Registered outcomes5Posted comparisons0ConditionsAtherosclerosisArmsExtended release niacin, Ezetimibe
Open the trial in the graph
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 126 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Arterial Stiffness and Chronic Kidney Disease.Pulse (Basel, Switzerland) · 2016
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Arterial remodeling associates with CKD progression.Journal of the American Society of Nephrology : JASN · 2011
    Article
  13. Article
  14. Does nicotinic acid (niacin) lower blood pressure?International journal of clinical practice · 2009
    Review
  15. Article
  16. Article
  17. Review
  18. Review
  19. Treatment of lipid disorders after stroke.Current atherosclerosis reports · 2002
    Review
  20. 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

8 authors at 1 institution in 1 country.

W J MackDepartment of Preventive Medicine, University of Southern California, Los Angeles 90033.
R H Selzer
H N Hodis
J K Erickson
C R Liu
C H Liu
D W Crawford
D H Blankenhorn
University of Southern California · US

Funding

THREE VESSEL RISK FACTOR ANALYSIS COMPLETION OF CLASR01HL045005 · NHLBI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI AZEN, STANLEY P · 1991 to 1993
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NHLBI NIH HHS 1-HL-45005
6 · The paper itself

Abstract

background and purposeThe Cholesterol Lowering Atherosclerosis Study has reported significant reduction of coronary artery disease and of carotid arterial intima-media thickness (IMT) at 2 and 4 years with colestipol/niacin therapy. We now report on treatment effects on carotid IMT at 6 months and 1 year.

methodsOne hundred eighty-eight nonsmoking men, aged 40 to 59 years, with prior coronary artery bypass graft surgery were randomized to colestipol/niacin plus diet therapy or placebo plus diet therapy. Computerized image processing of carotid ultrasound films was used to measure IMT in the right common carotid artery. Treatment group comparisons were made at 6 months and 1 year (46 and 33 subjects, respectively, with baseline and 6-month or 1-year ultrasound measures). The time course of the treatment effect on carotid IMT was estimated using the complete sample of 78 subjects with baseline and on-trial data.

resultsNo significant treatment group differences on carotid IMT were found at 6 months. At 1 year, the treated group showed significant reduction of carotid IMT (P = .01 between groups). The placebo group showed continuing progression of IMT during the 4-year study period (estimated progression rate, 0.018 mm/y). The treated group showed reduction of IMT during the first 3 years and a plateau during the remainder of the study.

conclusionsReduction of carotid IMT was found with aggressive lipid-lowering therapy. Ultrasound measures of IMT offer a noninvasive and precise measure of early carotid atherosclerosis that will decrease sample size requirements, potentially decrease dropout rates, and widen the study population of antiatherosclerotic clinical trials.

Indexed as

AdultArteriosclerosisCarotid ArteriesColestipolHumansLipidsLongitudinal StudiesMaleMiddle AgedNiacinTunica IntimaTunica MediaColestipolLipidsNiacin

Identifiers

PMID8248954
OpenAlexW2094621463

What OpenQuestion holds

Textmetadata
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.