PMID- 27405296 OWN - NLM STAT- MEDLINE DCOM- 20170324 LR - 20181113 IS - 1476-511X (Electronic) IS - 1476-511X (Linking) VI - 15 IP - 1 DP - 2016 Jul 12 TI - Effects of extended-release niacin/laropiprant on correlations between apolipoprotein B, LDL-cholesterol and non-HDL-cholesterol in patients with type 2 diabetes. PG - 116 LID - 10.1186/s12944-016-0282-8 [doi] LID - 116 AB - BACKGROUND: LDL-C, non-HDL-C and ApoB levels are inter-correlated and all predict risk of atherosclerotic cardiovascular disease (ASCVD) in patients with type 2 diabetes mellitus (T2DM) and/or high TG. These levels are lowered by extended-release niacin (ERN), and changes in the ratios of these levels may affect ASCVD risk. This analysis examined the effects of extended-release niacin/laropiprant (ERN/LRPT) on the relationships between apoB:LDL-C and apoB:non-HDL-C in patients with T2DM. METHODS: T2DM patients (n = 796) had LDL-C >/=1.55 and <2.97 mmol/L and TG <5.65 mmol/L following a 4-week, lipid-modifying run-in (~78 % taking statins). ApoB:LDL-C and apoB:non-HDL-C correlations were assessed after randomized (4:3), double-blind ERN/LRPT or placebo for 12 weeks. Pearson correlation coefficients between apoB:LDL-C and apoB:non-HDL-C were computed and simple linear regression models were fitted for apoB:LDL-C and apoB:non-HDL-C at baseline and Week 12, and the correlations between measured apoB and measured vs predicted values of LDL-C and non-HDL-C were studied. RESULTS: LDL-C and especially non-HDL-C were well correlated with apoB at baseline, and treatment with ERN/LRPT increased these correlations, especially between LDL-C and apoB. Despite the tighter correlations, many patients who achieved non-HDL-C goal, and especially LDL-C goal, remained above apoB goal. There was a trend towards greater increases in these correlations in the higher TG subgroup, non-significant possibly due to the small number of subjects. CONCLUSIONS: ERN/LRPT treatment increased association of apoB with LDL-C and non-HDL-C in patients with T2DM. Lowering LDL-C, non-HDL-C and apoB with niacin has the potential to reduce coronary risk in patients with T2DM. FAU - Brinton, Eliot A AU - Brinton EA AD - Division of Atherometabolic Research, Utah Foundation for Biomedical Research, 420 Chipeta Way, Room 1160, Salt Lake City, UT, 84108, USA. eliot.brinton@utah.edu. FAU - Triscari, Joseph AU - Triscari J AD - Merck & Co., Inc., Kenilworth, NJ, USA. FAU - Brudi, Philippe AU - Brudi P AD - Merck & Co., Inc., Kenilworth, NJ, USA. FAU - Chen, Erluo AU - Chen E AD - Merck & Co., Inc., Kenilworth, NJ, USA. FAU - Johnson-Levonas, Amy O AU - Johnson-Levonas AO AD - Merck & Co., Inc., Kenilworth, NJ, USA. FAU - Sisk, Christine McCrary AU - Sisk CM AD - Merck & Co., Inc., Kenilworth, NJ, USA. FAU - Ruck, Rae Ann AU - Ruck RA AD - Merck & Co., Inc., Kenilworth, NJ, USA. FAU - MacLean, Alexandra A AU - MacLean AA AD - Merck & Co., Inc., Kenilworth, NJ, USA. FAU - Maccubbin, Darbie AU - Maccubbin D AD - Merck & Co., Inc., Kenilworth, NJ, USA. FAU - Mitchel, Yale B AU - Mitchel YB AD - Merck & Co., Inc., Kenilworth, NJ, USA. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20160712 PL - England TA - Lipids Health Dis JT - Lipids in health and disease JID - 101147696 RN - 0 (APOB protein, human) RN - 0 (Apolipoprotein B-100) RN - 0 (Blood Glucose) RN - 0 (Cholesterol, HDL) RN - 0 (Cholesterol, LDL) RN - 0 (Delayed-Action Preparations) RN - 0 (Hypoglycemic Agents) RN - 0 (Hypolipidemic Agents) RN - 0 (Indoles) RN - 0 (Insulin) RN - 0 (MK-0524) RN - 0 (Triglycerides) RN - 2679MF687A (Niacin) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Apolipoprotein B-100/*blood MH - Blood Glucose/metabolism MH - Cholesterol, HDL/blood MH - Cholesterol, LDL/*blood MH - Delayed-Action Preparations/*therapeutic use MH - Diabetes Mellitus, Type 2/blood/drug therapy/physiopathology MH - Double-Blind Method MH - Fasting MH - Female MH - Humans MH - Hyperlipidemias/blood/*drug therapy/physiopathology MH - Hypoglycemic Agents/therapeutic use MH - Hypolipidemic Agents/*therapeutic use MH - Indoles/*therapeutic use MH - Insulin/blood MH - Male MH - Middle Aged MH - Niacin/*therapeutic use MH - Triglycerides/blood PMC - PMC4942972 OTO - NOTNLM OT - ApoB OT - Extended-release niacin/laropiprant OT - LDL-C and non-HDL-C OT - Type 2 diabetes mellitus EDAT- 2016/07/14 06:00 MHDA- 2017/03/25 06:00 PMCR- 2016/07/12 CRDT- 2016/07/14 06:00 PHST- 2016/05/03 00:00 [received] PHST- 2016/06/23 00:00 [accepted] PHST- 2016/07/14 06:00 [entrez] PHST- 2016/07/14 06:00 [pubmed] PHST- 2017/03/25 06:00 [medline] PHST- 2016/07/12 00:00 [pmc-release] AID - 10.1186/s12944-016-0282-8 [pii] AID - 282 [pii] AID - 10.1186/s12944-016-0282-8 [doi] PST - epublish SO - Lipids Health Dis. 2016 Jul 12;15(1):116. doi: 10.1186/s12944-016-0282-8.