PMID- 21174145 OWN - NLM STAT- MEDLINE DCOM- 20110803 LR - 20211020 IS - 1573-7241 (Electronic) IS - 0920-3206 (Print) IS - 0920-3206 (Linking) VI - 25 IP - 1 DP - 2011 Feb TI - Achievement of lipid targets with the combination of rosuvastatin and fenofibric Acid in patients with type 2 diabetes mellitus. PG - 47-57 LID - 10.1007/s10557-010-6273-5 [doi] AB - OBJECTIVE: The objective of this study was to assess the proportion of patients with type 2 diabetes mellitus (T2DM) attaining individual and combined targets of low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), triglycerides (TG), non-HDL-C, and apolipoprotein B (ApoB) after treatment with rosuvastatin (R) + fenofibric acid (FA) compared with corresponding-dose R monotherapy. METHODS: This post hoc analysis evaluated data from the T2DM subset of patients with mixed dyslipidemia (LDL-C >/=130 mg/dL, HDL-C <40/50 mg/dL in men/women, and TG >/=150 mg/dL) from 2 randomized studies. Patients included in the analysis (N = 456) were treated with R (5, 10, or 20 mg), FA 135 mg, or R (5, 10, or 20 mg) + FA 135 mg for 12 weeks. Attainment of LDL-C <100 mg/dL, HDL-C >40/50 mg/dL in men/women, TG <150 mg/dL, non-HDL-C <130 mg/dL, ApoB <90 mg/dL, and the combined targets of these parameters was assessed. RESULTS: Treatment with R + FA resulted in a significantly higher proportion of patients achieving optimal levels of HDL-C (46.8% vs. 20.8%, P = 0.009 for R 10 mg + FA), TG (60.0% vs. 34.0%, P = 0.02 for R 10 mg + FA; 54.0% vs. 26.4%, P = 0.005 for R 20 mg + FA), non-HDL-C (55.1% vs. 36.4%, P = 0.04 for R 5 mg + FA), ApoB (58.0% vs. 36.4%, P = 0.02 for R 5 mg + FA); and the combined targets of LDL-C, HDL-C, and TG (28.3% vs. 8.3%, P = 0.02 for R 10 mg + FA) and all 5 parameters (26.1% vs. 8.3%, P = 0.03 for R 10 mg + FA) than corresponding-dose R monotherapies. CONCLUSIONS: A significantly greater proportion of T2DM patients achieved individual and combined lipid targets when treated with the combination of R + FA than corresponding-dose R monotherapies. FAU - Rosenson, Robert S AU - Rosenson RS AD - Mount Sinai Heart, Mount Sinai School of Medicine, New York, NY 10029-6574, USA. robert.rosenson@mssm.edu FAU - Carlson, Dawn M AU - Carlson DM FAU - Kelly, Maureen T AU - Kelly MT FAU - Setze, Carolyn M AU - Setze CM FAU - Hirshberg, Boaz AU - Hirshberg B FAU - Stolzenbach, James C AU - Stolzenbach JC FAU - Williams, Laura A AU - Williams LA LA - eng SI - ClinicalTrials.gov/NCT00300482 SI - ClinicalTrials.gov/NCT00463606 PT - Clinical Trial, Phase III PT - Journal Article PT - Randomized Controlled Trial PL - United States TA - Cardiovasc Drugs Ther JT - Cardiovascular drugs and therapy JID - 8712220 RN - 0 (Anticholesteremic Agents) RN - 0 (Apolipoproteins B) RN - 0 (Cholesterol, HDL) RN - 0 (Cholesterol, LDL) RN - 0 (Fluorobenzenes) RN - 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors) RN - 0 (Pyrimidines) RN - 0 (Sulfonamides) RN - 0 (Triglycerides) RN - 83MVU38M7Q (Rosuvastatin Calcium) RN - BGF9MN2HU1 (fenofibric acid) RN - U202363UOS (Fenofibrate) SB - IM MH - Anticholesteremic Agents/adverse effects/therapeutic use MH - Apolipoproteins B/*blood MH - Cholesterol, HDL/*blood MH - Cholesterol, LDL/*blood MH - Diabetes Mellitus, Type 2/blood/*drug therapy MH - Drug Therapy, Combination MH - Dyslipidemias/blood/drug therapy MH - Female MH - Fenofibrate/adverse effects/*analogs & derivatives/therapeutic use MH - Fluorobenzenes/adverse effects/*therapeutic use MH - Humans MH - Hydroxymethylglutaryl-CoA Reductase Inhibitors/adverse effects/therapeutic use MH - Male MH - Middle Aged MH - Pyrimidines/adverse effects/*therapeutic use MH - Rosuvastatin Calcium MH - Sulfonamides/adverse effects/*therapeutic use MH - Triglycerides/*blood PMC - PMC3070080 EDAT- 2010/12/22 06:00 MHDA- 2011/08/04 06:00 PMCR- 2010/12/21 CRDT- 2010/12/22 06:00 PHST- 2010/12/22 06:00 [entrez] PHST- 2010/12/22 06:00 [pubmed] PHST- 2011/08/04 06:00 [medline] PHST- 2010/12/21 00:00 [pmc-release] AID - 6273 [pii] AID - 10.1007/s10557-010-6273-5 [doi] PST - ppublish SO - Cardiovasc Drugs Ther. 2011 Feb;25(1):47-57. doi: 10.1007/s10557-010-6273-5.