Efficacy of Fenofibric Acid Plus Statins on Multiple Lipid Parameters and Its Safety in Women With Mixed Dyslipidemia

• Published in: The American journal of cardiology Vol. 107; no. 6; pp. 898 - 905
• Main Authors: Goldberg, Anne C., MD, Bittner, Vera, MD, MSPH, Pepine, Carl J., MD, Kelly, Maureen T., MD, Thakker, Kamlesh, BPharm, PhD, Setze, Carolyn M., MS, Lele, Aditya, MS, Sleep, Darryl J., MD
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 15.03.2011; Elsevier; Elsevier Limited
• Subjects: Adult; Aged; Analysis of Variance; Biological and medical sciences; Cardiology; Cardiology. Vascular system; Cardiovascular; Cholesterol; Clinical trials; Drug Therapy, Combination; Dyslipidemias - drug therapy; Female; Fenofibrate - administration & dosage; Fenofibrate - analogs & derivatives; Fenofibrate - therapeutic use; Humans; Hydroxymethylglutaryl-CoA Reductase Inhibitors - administration & dosage; Hydroxymethylglutaryl-CoA Reductase Inhibitors - therapeutic use; Hypolipidemic Agents - administration & dosage; Hypolipidemic Agents - therapeutic use; Lipids; Lipoproteins; Medical sciences; Middle Aged; Patient safety; Statins; Treatment Outcome; Triglycerides; Women; Human; Drug combination; Multiple; Fenofibric acid; Metabolic diseases; Lipids; Statin derivative; Efficiency; Mixed; Complication; Female; Parameter; Circulatory system; Safety; Cardiology; Dyslipemia; Woman
• ISSN: 0002-9149; 1879-1913
• DOI: 10.1016/j.amjcard.2010.11.009

The combination of fibrate and statin therapies may be a treatment option for women with multiple lipid abnormalities. We, therefore, initiated the present safety and efficacy analysis to address the paucity of such data in women with mixed dyslipidemia. A total of 1,393 women with mixed dyslipidemia (low-density lipoprotein [LDL] cholesterol ≥130 mg/dl, triglycerides [TG] ≥150 mg/dl, high-density lipoprotein [HDL] cholesterol <50 mg/dl), who had enrolled in any 1 of 3 randomized clinical trials, were evaluated. The eligible women were randomized to receive fenofibric acid plus a low- or moderate-dose statin (combination treatment); or low-, moderate-, or high-dose statin monotherapy; or fenofibric acid monotherapy. With low-dose combination treatment, the baseline HDL cholesterol level increased 20% and TG decreased 46% compared to an 8% HDL cholesterol increase and 20% TG decrease with low-dose statins alone. With the moderate-dose combination, the baseline HDL cholesterol increased 21% and TG decreased 44% compared to an 8% HDL cholesterol increase and 26% TG decrease with moderate-dose statins alone. The reduction in baseline LDL cholesterol with low-dose and moderate-dose combinations (37% and 39%, respectively) was comparable to the reduction with corresponding-dose statins (36% and 43%, respectively). High-dose statins decreased the baseline LDL cholesterol 47%; however, the increase in HDL cholesterol (9%) and decrease in TG (25%) were similar to the changes observed with lower doses of statins. The safety profiles of the combinations were comparable to those of the component therapies. In conclusion, these data suggest that a combination of fenofibric acid and a statin could be considered safe and efficacious for treating women with mixed dyslipidemia.