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January 1, 2014Korean Journal of MedicineOpen Access

Effect of Short-term Fenofibrate Therapy on Blood Creatinine Levels in Patients with Hypertriglyceridemia

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Key result

Short-term fenofibrate therapy significantly decreased estimated glomerular filtration rate by 18.6% compared to a 0.9% increase in the control group among patients with hypertriglyceridemia.

Why the study?

Does short-term fenofibrate therapy increase blood creatinine levels and impair renal function in patients with hypertriglyceridemia?

Population

86 hypertriglyceridemic patients with normal baseline renal function, mean age ~55 years, predominantly…

Comparison

Micronized fenofibrate 160 mg once daily… vs Diet therapy education only for 2 months.

Design

Cohort

Follow-up

2 months

Authors

CHCheol Won HyeonYCYoung Hwan ChoiSHSeonghyup Hyun

Discussion

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Overview

May warrant renal monitoring with short-term fenofibrate; leaves open causality and long-term relevance in hypertriglyceridemia.

Study Design

Type

Cohort (n=86)

Multicenter

No

Structured PICO

Does short-term fenofibrate therapy increase blood creatinine levels and impair renal function in patients with hypertriglyceridemia?

P
Population
86 patients with hypertriglyceridemia (triglycerides ≥ 200 mg/dL) and normal baseline renal function, followed for 2 months to evaluate the effect of fenofibrate on renal function.
I
Intervention
Micronized fenofibrate 160 mg once daily combined with diet therapy for 2 months.
C
Comparator
Diet therapy education only for 2 months.
O
Outcome
Changes in renal function (estimated glomerular filtration rate, serum creatinine, and blood urea nitrogen) at 2 months.surrogate

Main Result

Absolute Event Rate: -18.6% vs 0.9%

p-value: p=<0.001

Short-term fenofibrate therapy significantly impairs renal function by increasing serum creatinine and decreasing eGFR in hypertriglyceridemic patients, an effect that is more pronounced in the elderly.

Limitations

  • Small sample size leading to potential false negative results
  • Did not evaluate the reversibility of renal function changes after discontinuing the drug
  • Non-randomized study design
  • Small sample size
  • Lack of evaluation on the reversibility of renal impairment

Cite This Study

Hyeon et al. (2014) conducted a cohort in Hypertriglyceridemia (n=86). Fenofibrate vs. Dietary therapy only (Control) was evaluated on Percent change in estimated glomerular filtration rate (eGFR) (p=<0.001). Short-term fenofibrate therapy significantly decreased estimated glomerular filtration rate by 18.6% compared to a 0.9% increase in the control group among patients with hypertriglyceridemia.

synapsesocial.com/papers/6a971bc9132cd8a75e57b538https://doi.org/10.3904/kjm.2014.86.6.702
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Plasma Triglyceride Level is a Risk Factor for Cardiovascular Disease Independent of High-Density Lipoprotein Cholesterol Level: A Metaanalysis of Population-Based Prospective Studies1996 · 2,023 citations
  2. 2Fenofibrate Increases Creatininemia by Increasing Metabolic Production of Creatinine2002 · 188 citations
  3. 3Triglycerides and the Risk of Coronary Heart Disease2006 · 1,427 citations