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December 1, 1993Stroke

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

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Why the study?

Does colestipol/niacin plus diet therapy reduce carotid intima-media thickness in nonsmoking men with prior CABG?

Population

188 nonsmoking men, aged 40 to 59 years, with prior coronary artery bypass graft surgery

Comparison

Colestipol/niacin plus diet therapy vs Placebo plus diet therapy

Design

RCT, randomized

Follow-up

up to 4 years

Authors

WMWendy J. MackPreventive CardiologyRSRobert H. SelzerPasadena City CollegeHHHoward N. HodisPennington Biomedical Research Center

Discussion

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Member takes

Implication

Supports colestipol/niacin plus diet post-CABG; confirms IMT regression as a responsive surrogate in lipid-lowering RCTs.

Structured PICO

Does colestipol/niacin plus diet therapy reduce carotid intima-media thickness in nonsmoking men with prior CABG?

P
Population
188 nonsmoking men, aged 40 to 59 years, with prior coronary artery bypass graft surgery
I
Intervention
Colestipol/niacin plus diet therapy
C
Comparator
Placebo plus diet therapy
O
Outcome
Carotid arterial intima-media thickness (IMT) at 6 months and 1 yearsurrogate

Aggressive lipid-lowering therapy with colestipol/niacin significantly reduces carotid intima-media thickness at 1 year in men with prior CABG.

Cite This Study

Mack et al. (1993) studied this question.

synapsesocial.com/papers/6a74dcbc0b1b00a0ee091d8dhttps://doi.org/10.1161/01.str.24.12.1779
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Beneficial effects of colestipol-niacin on coronary atherosclerosis. A 4-year follow-up1990 · 493 citations
  2. 2Beneficial effects of combined colestipol-niacin therapy on coronary atherosclerosis and coronary venous bypass grafts1987 · 218 citations
  3. 3Diet, Lipoproteins, and the Progression of Coronary Atherosclerosis1985 · 497 citations
  4. 4Beneficial Effects of Combined Colestipol-Niacin Therapy on Coronary Atherosclerosis and Coronary Venous Bypass Grafts1987 · 1,625 citations
  5. 5Models for Longitudinal Data: A Generalized Estimating Equation Approach1988 · 4,570 citations